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95 Dudley Street - vault CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 2/03/04 Parcel Number . . . . - - - Property Address . . . 95 UP STAIRS DUDLEY ST 01 ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . HUFFMAN, THOMAS Contractor . . . . . . R.S. PENNINGTON GENERAL CONSTR 904 993-2000 Application number 02-00024890 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . wilding *Of f'cial VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 CERTIFICATE OF OCCUPANCY P E R M A N E N T Issue Date . . . . . . 2/03/04 Parcel Number . . . . . - - - Property Address . . . 95 DOWNSTAIRS DUDLEY ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . HUFFMAN, TOM Contractor . . . . . . R.S . PENNINGTON GENERAL CONST 904 993-2000 Application number 04-00027638 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . C' Building O ficial VOID UNLESS SIGNED BY BUILDING OFFICIAL Truss Connections TOM HUFFMAN RESIDENCE Truss Uplift Truss Stud to Double Stud to SIII Left Inter. Right Connection Plate Connection Connection Al t rh ough A4 --839--'----- 775 j (2—) H 2-5—A TYPICAL TYPICAL A 3510 ' 3325 � (3)HTS30 N/A (3)CS16/HTT16 T�YPPMASOHERNRY <1765 <1765 SIMPSON LTA1 NIA N/A ALL OTS <600 �:— `_ <600 (1) H2.5A �L TYPICALTYPICAL Where HTS30 is indicated install two (2) No. SPF studs (Min.)under each bearing point. Toe-nail trusses to Dbl. Pt. with 4- 16d com. Typical: SPH4 at sill and double plate at 32"o.c. (Capacity: 432 plf or 865#uplift for trusses at Z o.c.) Nail with 12 - 10d X 1 1/2". H2.5A Uplift Capacity: 600# ; MTS12 Uplift Capacity 1000# ; HTS30 Uplift Capacity: 1245# ; HTT16 Uplift Capacity: 4165# All connectors are SIMPSON or equal (U.O.N.) v 2955 Hartley Rd., Suite 202 , Jax., FL 32257 JeffreyW HuiSbarg P.E. (904) 886-2401 FAX (904) 260-4367 moi® j1 MiTek® MiTek Industries, Inc. 14515 North Outer Forty Drive Suite 300 Chesterfield, MO 63017-5746 Re:6835f Telephone 314/434-1200 Huffman Residence Fax 314/434-5343 The truss drawing(s)referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by Builders Truss Manufacturing Pages or sheets covered by this seal: 13781307 thru 13781308 My license renewal date for the state of Florida is February 28, 2003. IIrrI I REQ �� •b�fl6• ©A�f,: edw � No.40682 • eal on these drawings indicate acceptancEo*piofessiona�engineeti4responsibility solely for the russ components shown. The suitability and uSe f thisS}et fo>:any}articular building is the responsibility of the building designer,per ANS j/ I��9qC c`.�. w S810NA1-Ea '�rrt�ttt�� -�- Woodbine, I YP - --il Y Y 1f�tiona!)-- -- - Job Truss Truss T e Qt PI Huffman Residence c 13781307 6835F F01 FLOOR 15 1 Buildars Truss Mfg., Woodbine, GA 3156 4.201 SR1 s Jul 2 2002 MiTek Industries, Inc. Thu Sep 05 1 02 Page 1 1-3-0 1-7-0 Scale=1:28.91 I 45= 45= 10= 3x4= 3x4= 3x4= 3x4= 3x4= 3x4= 1x3= 1 2 3 4 5 6 7 8 ZY 9 2p o 4 17 16 15 14 13 12 11 10 3x4= 4x5= 3x4= 3x4= 1x3 II 1x3 11 3x4= 3x4= 4x5= 3x4= 7-f0-8 9-5-8 17-4-0 17-4-0 Plate Offsets(X,Y): (1:Ed e,0-1- 1, 4: -1 d e, 5: -1- d e, 18: 1- ,Ed e] LOADING (psf) SPACING 2-0-0 CS1 DEFL in floc) I/dell PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.33 VertiLL) -0.22 13-14 >943 M1120 249/190 TCDL 10.0 Lumber Increase 1.00 BC 0.81 Vert(TL) -0.30 13-14 >684 BCLL 0.0 Rep Stress Incr YES WB 0.49 Horz(TL) 0.06 9 n/a BCDL 5.0 Code SBC/ANSI95 (Matrix) 1st LC LL Min I/deft = 480 Weight: 90 lb LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Sheathed or 6-0-0 oc purlins, except end verticals. BOT CHORD 4 X 2 SYP No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 4 X 2 SYP No.3 REACTIONS (Ib/size) 18=933/0-4-0,9=93310-3-8 FORCES(Ib)-First Load Case Only TOP CHORD 18-19=-928, 1-19=-927,9-20=-928, 8-20=-927, 1-2=-942, 2-3=-2310, 3-4=-3069,4-5=-3309, 5-6=-3069, 6-7=-2310, 7-8=-942 BOTCHORD 17-18=48, 16-17=1773, 15-16=2821, 14-15=3309, 13-14=3309, 12-13=3309, 11-12=2821, 10-11=1773, 9-10=48 WEBS 8-10=1215, 1-17=1215, 7-10=-1155, 2-17=-1155, 7-11=747, 2-16=747,6-11=-710, 3-16=-710,6-12=346,3-15=346, 5-12=-326, 4-15=-326, 4-14=13, 5-13=13 NOTES (4) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed with ANSI/TPI 1-1995 criteria. 3)Recommend 2x6 strongbacks,on edge,spaced at 10-0-0 oc and fastened to each truss with 3-16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 4)This truss design conforms with Florida Building Code 2001, based on parameters indicated. LOAD CASE(S) Standard `,�ttdttdr�If As' REDS-9 I� 'to '' '. ,CIV �iFIC=•�� '4�•" �' ' v No.49682 .. �O STATE OF 'lowFNA`��1G��` September 6,2002 IN III I AWARMWG-verify design parameters and R&w 1Yoras ON rats Am RaPaRsa=z BzmRa use. Design valid for use only with Mliek connectors.This design k based only upon parameter drown,and is tot an Individual building component to be � Installed and loaded vertically. Applicability of design parameters and proper Incorporation of component is responslbNlty of building designer-not truss designer.Bracing shown Is for lateral support of Individual web members only.Additional temporary bracing to Insure dabRty during condiuction Is the responsbillty of the erector.Additional permanent bracing of the overall structure Is the responskWy of the buNding designer.For general guidance regarding fobrlootlon,quality control,storage,delivery,erection and bracIng,consult CBT-Rat Quality Standard,DSI-89 Bracing Specification.and HIB-91 MiTek® HandIInPlate Institute,InstaftV and Breeft Recommendation ovallabie from Truss Institute,363 D'Onotrlo Drive,Madison,Wl53719. - - -. - - -- Qt rPI Huffman Residence Job Truss Truss Type y y 13781308 S.6835F �F02 FLOOR 16 1 (optional) - - - 4-.2-61- R1 s Jul 26 02 MiTek Industries, Inc. Thhu ep 5 1 8 Page Builders Truss Mfg., Woodbine, GA 31569- 2-0-e Scale=1:46.9 3x5= 3x4 II 3x4= 3x4= 1x3= 3x4= 3x4=- 3x5= 3x6 FP= 3x4= 4x8= 3x4= 1x3 11 3x5= 3x4= 1x3= 1 2 3 4 5 6 7 8 9 10 11 12 13 14 i ----- --- 321Y 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 3x4= 3x5= 3x4 3x4= 3x4 11 3x5= 3x4= 4x5= 3x4 3x4= 3x6 FP= 3x4 11 3x4= 3x4= 3x4= 3x4= 8-0-0 1 10-0-8 16-8-0 20-8-0 22-6-0 28-0-0 28-0-0 Plate sets(X,Y): [4:0- Ed el, 11 - - , del, [14: 1- d e], [1 -1- ,Ed e, [25: -2- Edge], [29:0-2-4, e1 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/deft PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.63 Vert(LL) -0.24 26-27 >827 M1120 249/190 TCDL 10.0 Lumber Increase 1.00 BC 0.99 Vert(TL) -0.33 26-27 >605 BCLL 0.0 Rep Stress Incr YES WB 0.51 Horz(TL) 0.05 15 n/a BCDL 5.0 Code SBC/ANS195 (Matrix) 1st LC LL Min 1/dell = 480 Weight: 148 Ib LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Sheathed or 6-0-0 oc purlins, except end verticals. BOT CHORD 4 X 2 SYP No.2D BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. WEBS 4 X 2 SYP No.3 REACTIONS (Ib/size) 30=831/0-3-8, 15=503/0-3-8, 22=1706/0-3-8 Max Grav 30=837(load case 2), 15=571(load case 3), 22=1706(load case 1) FORCES(lb)-First Load Case Only TOP CHORD 30-31=-827, 1-31=-826, 15-32=-494, 14-32=-493, 1-2=-825, 2-3=-1984, 3-4=-2528,4-5=-2528, 5-6=-2528,6-7=-2528, 7-8=-1422, 8-9=-24, 9-10=315, 10-11=-834, 11-12=-834, 12-13=-921, 13-14=-460 BOT CHORD 29-30=43, 28-29=1546, 27-28=2408, 26-27=2528, 25-26=2528, 24-25=2005, 23-24=861, 22-23=-918, 21-22=-918, 20-21=300, 19-20=300, 18-19=834, 17-18=834, 16-17=868, 15-16=25 WEBS 9-22=-1646, 1-29=1064, 9-23=1254, 2-29=-1002,8-23=-1164, 2-28=610,8-24=779,3-28=-590, 7-24=-812,3-27=166, 7-25=696, 4-27=-0,4-26=-150, 5-25=-316, 14-16=591, 9-21=803, 13-16=-568 , 10-21=-856, 13-17=74, 10-19=726, 12-17=116, 12-18=-182, 11-19=-319 NOTES (5) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed with ANSUTPI 1-1995 criteria. 3) Recommend 2x6 strongbacks,on edge, spaced at 10-0-0 oc and fastened to each truss with 3-16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 4) CAUTION, Do not erect truss backwards. 5)This truss design conforms with Florida Building Code 2001, based on parameters indicated. LOAD CASE(S) Standard ,,�tlladitt J. �%` 5• RC©fyq . i�F.......... g No.443682 4, = .p STATE OF %�0��•;ALpR144:•'�-V September 6,2002 lot NXIL."V %� A WARIVING-VerW design pammetere and REM turas ON rtes MD REVERSE surds BEFORE user. �® Design voild for use only with Mliek connectors.This design Is based only upon parameters shown,and Is for on Individual building component to be InstoNed and bawd vertically. Applicability of design parameters and proper Incorporation of component Is responsibility of building designer-not truss designer.Siccing shown k for lateral support of Individual web members only.Additional temporary bracing to Insure stability during construction k the responsbMlty of 1M erector.Additional permanent bracing of the overall structure k the responsibility of the building designer.For general guidance regoiding fabrication,4uallty control,storage,delivery,election and bracing,consult CST-68 OuaMy Standard.D$S-W tracing Specification,and HIS-91 MiTek® Handling insfaitnp and Sractrp Reeommendutlon ovolobie from Truss Pbte Institute,593 D'Onofrb Drive,Madison,W1 53719. 48-0-0 6 �— 7-0-0 �c 01I 1 03 3 05 I 5 07 7 07 7 07 7 0 07 7 co cv J07 N 7 07 7 07 \� 7 07 N 7 05 IIII 5 03 N 3 01 I 7-0-0 X LAYURT 17-0-0 31-0-0 0 E-- LAYOUT DIRECTIOP U - W — cr p 01 C C C CI C LL LL LL LL LL LL a 01 IJ 01 01 y Ot 01 G 01 i G co CO N N 01 01 01 01LL� I I=L[A,IL LI I J 01 F01 / (2 j16d NAILS ® 70P h BOTTOIA STRONGBACK DETAILS / OF 2x4 VE T�AL BVLOCK �2.6 (MIN) J J RESTRAINED 0EACH END / SECURE w/(3)16d NAILS @ EACH VERTICAL. �\ LOCATE AS CLOSE TO BOTTOM �:HORD AS POSSIBLE, S-RONGBAC<S SPACED AT 10'-0" (MAX, ARE REcpJIRED TO MAINTAIN CERTAIN FIRE ASSEMBUES. / STRONGBAC✓.S ARE RECOMMENDED TO MINIMIZE VIBRATION. --/ APPROUED TRUSS ANCHOR BY BUILDER BOTTOM = 4x2 TOP 4x2 (DOUBLE AT BRG) 2x4 :onL. Band—\ I 0 Coj LO 00 TRUSS END DETAIL HPPROUED TRUSS ANCHOR BYBUILDER W LL PLUMB CUT OVERHANG HEEL HEIGHT = 4 3/16" BOTTOM = 2x4 MIN12 _ Z TOP = 2x4 MIN 12 SHOP—D—RA-W--0N—G-4-LV-'EW OISPOSiT_N i 4TTENTION Revlew of shop drawings Is Only for contormanrr alth —0 N ane design concept of the project and does not relieve the ;;woo��-Igr 12 O ,t'esponSiblhty for any deviation from the requirements of the 000 C O r alewmgs.Contractor shall determine and verity all field measurements. 31/ APPROVED ❑ RETURNED FOR CORRECTION (] APPROVED AS NOTED ❑ RETURNED WITHOUT ACTION �70, z o 11-61, r 1:3 NOT APPROVED COMMENTS SEE TRANSMITTAL LETTER COMMENTS 0 TRUSS END DETAIL 9y � j/", OATE�_20y— FIELD ERRCINfJ s not the responsb dy of the truss fabricator O JEFFREY K.NUL ERG,P.E.SHOP DRAWING NO truss drsigner. o- plate mnnufocLurer. Perscns erecting LrUsses are cautioned to seek pro`essioml ndvice retarding temporary p and ere_bon bracing which is always required to prevent toppling i and domlroing durrg erection, and permanent bracing whch may g v7 be required In specific applications Trusses shall be erected es and Fastened in n straight and plumb position Where no c1recL <F p a Lop chord sheathing is aKilied. trusses must be braced aL ' F � oncenter maximum Where no direct bottom chord sheath. Is applied. trusses roust. be braced at 10-0' on center maximum m ri Trusses must be handled with extreme care during erection to prevent damage or personal injury Refer to truss engineering 5 For connection and bracing requirements. These mlcukllons are m supplied.n order for the ENGINEER OF RECORD to adequatelu 16" DEEP FLOOR TRUSSES 24" O/C provide for connecLlon and mtegrnbon of the roof assembly to the surtlorl.ng s_ructure Designer; of supperLng cornections or SOLELY respznsible for Lhe Int-egrlLy of their prakicL ALL WALLS SHOWN ARE REQUIRED BEARING WALLS. Trusses remain our property until p=d for in full Truss layout. and encineerng may not be reproduced in par 1. or in full under O any clrcumsLances tV 0 Lt SHOP DRHhIING RPPROVf9L THIS I. UT IS THE SOLE SOLRCE FOR FABRICATION OF �C TRUSS-S, AND JOIDS ALL PREVIOUS ARCHITECTURAL OR W OTHER TRUSS LAYOUTS REUIEW FIND APPROVAL Of THIS A LAYOUT MUST EE RECEIVED BEFORE HNY TRUSSES WILL BE BUILT VERIFY ALL CONDITIONS TO INSURE HCHINST CHANGE': TART WILL RESULT IN EXTRA CHARGES TO YOU �j PERMIT WORKSHEET Certificate of Occupancy Job Address: 95 �j Type Work: Property Owner: Phone # -1--t-ti.x..r`Fr-c � -�� Contractor: Phone # Permit#: O Z _ 2 4 Date Issued: Building Inspections: Footing C 0 -03 UvAde,y"5 b `z, t(,-o3 Slab Tie Beam Lintel Nailing / Sheathing ''` as 31:25, 103 Framing / Cover Up 11.1g,c 6 Insulation I -�z--i- o� Final Building , 2 Tree Permit# YES NO Electrical Permit# Date/ Copy to U3 ' ZLE3l�- JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric CiA Released to JEA 03-ZL(-09 Temp. Power I;i-;:5- I -Q3 Released to JEA 6- (-03 Temp. Pole 8- 4-0-'s Released to JEA g- -c23 Final Released to JEA Mechanical Permit# --Z Ltid1)o Cc, %rou tt Ci , Inspections: Rough 19 -O _Final Plumbing Permit# O Z- ,qgc, o Inspections: Rough / Underslab Topout q �, 3 Water/Sewer Final 210 f"I Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: .2 Contractor Name: - )� Permit #: L Property Address: ��°LA U'L Legal Description: ilk "�-� L_c-t e:�)-c>/z -Don ill�_,)<s IC4 Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single-Family Residence ❑ Commercial E Other: JA_' Lowest Floor Elevation: 3 Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. — - — Public Works c Planning Dept. _ -©_ -TT Building Dept. _ c� 3 ©�f ^�----_ Final Survey with FFE IV/ Yes ❑ No All Re-Inspect Fees Paid /Yes ❑ No Jan. 1 , 2000 6,01AM No-0015 P, 1 MAP SHOWING SURVEY OF THE SUUIH 1/•1 U- 101 11), RIOCK 1, OONNERS REPLAT, AS RECORDED IN FLAT BOOK 19, PAGE '16, OF THE CURNLN I PUHI IC HF•(;ORn$ OF DUVAL COUNTY, FLORIDA. 17 +0 2u iu SCALE: 1' = 20' CHURCH ROAD VY RK,•HT OF WAY 120.90' 3 HL NUNIH 1/2 UIum 10 (Si;9'0'I'00"E 50.05' FELD) ,m,h. S89'55'45"E 50.00' p� I�r onN PIPE .aar. +0-a' 0.♦, k...'IAlD7R ,1; n a H uaw wo, n I Tmr Far ITII 1 fi` Uf UJ7 10 I• , LOT 11 9 1W LOT 9 j 40 111.9' !0.S' li.'Lr Q Lu N nGo tvf C) If in 0 Yvon L LJ <�TI�Ii�rk /� PDVYD 1/4'41DN s,. Pft PIPE IU tU1Bl[ -lEL&W7� S89'5545"W 50.00' (SN4'Sy':�O"Y7 49.9Z' FILLD) DUDLEY STREET c °) 7U' MVHI UF' WAY a C \ NOTES: r, 1.)THIS IS A BOUNDARY SURVEY. IZ p 2.) BEARINCS ARE BASE ON TIIF i-mar-RLY UNL ut ra 3 IE $ THF r;2•k11H 1f2 OI LDf 10 BEING SOUTH UVOU'1S"WCST A5 PER PUT. 2.) NO BUILDING RESTRICTION LINES AA PFR PIAT. THIS SURVEY WAS MAt)t• V•t1R TWE BENEFIT OF THE PRoI`CIt1Y SHOWN HEREON APPEARS IU THOMAS HUFFMAN. LIE IN FLOOD ZONE "X' AS Wf I I AS CAN BE IIhIFHMANFn FROM THE "FLOOD INSURANCE RATE MArl" COMMUNITY—PANLL NUMBiN 120075 0001 D. REVISED APRIL 17. 198y. - OOK ACI ANTIC BEACH, DUVAL COUNTY, FLORIDA. fl. NN W. BOATWRIGHT, P.S.Y. IntNN•r♦tt ,.Ill.wl UIQ:iIDW. AM Ie7111: FLA. LIC. SURVEYOR AND MAPPER No. LS 3295 rw rsn 7FAt of A"DADA ualED JRVLMR AND WPFR.• ADrim f.F. TI(1/. - FEBRUARY Y• 2(KA FLORIDA I K:. hukVkYINN k MAPPING OLMNESS NQ. LB 3572 OHECKFD BY- +"�: — DATE: DIS, er:P� BOATWRIGHT LAND SURVEYORS, INC. JANUARY 26,,DC4 FILE: 2004-124 1500 ROBERTS DRIVE, JACKSONVILLE BEACH. FLORIDA 241-8550 SHEET I AF' XREF :002-1216 s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j :•� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024890 Date 9/02/03 Property Address . . . . . . 95 DUDLEY ST 01 Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 188160 Owner Contractor --------------------- --- ------------------------ HUFFMAN, THOMAS R. S . PENNINGTON GENERAL CONSTR 2110 MARSH POINT RD 380 13TH AVE N NEPTUNE BEACH FL 32266 JAX BEACH FL 32250 (904) 616-3580 (904) 993-2000 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . SHAW HEATING & AIR Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- -- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. DING OFFICIAL 02 ' CITY OF ATLANTIC BEACH r) MECHANICAL PERMIT APPLICATION Date: 9151d3 Owner of Property: ��p r,•,Q 5 �-0 �.t-i►�q � Job Address: I v �•�- Contractor: �rI4 lr� +arl In consideration of permit given for doing the work as described in th above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING D NE ON THIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE?_ D Oil ❑ Other—Specify IF YES,GIVE NUMBER OF C IJ$T � TION PERMIT Q L .Z ci IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED Residential or _ Commercial Q-' New Building CV'Provide complete list of components on 13Ack of this form) O Existing Building Heat _Space _Recessed GCentral �ll000r ❑ Replacement of existing system O✓�ir Conditioning: Room 'er Y 3K'New Installation(No system previously installed) U-' Duct System: Material Fit 7c Thickness I/f2- Cl Extension or add-on to existing system ❑ Refrigeration Maximum capacity /d 0 d cfm LlOther-Specify ❑ Cooling tower: Capacity fpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY O Elevator: Manlift_Escalator (Number) ❑ Gasoline pumps (Number) (Received) O Tanks (Number) O LPG containers (Number) Remarks ❑ Unfired pressure vessel O Boilers Permit Approved by Date O Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPIAENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency L a.— � l 2(fL HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT A enc Qr ani ra W vL TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• htty://www.cLatlantic-beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026776 Date 9/02/03 Property Address . . . . 95 DUDLEY ST Tenant nbr, name . . . . . . INSTALL NEW HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HUFFMAN, THOMAS SHAW HEATING & AIR DOZIER, JAMES HET ATLANTIC BEACH FL 32233 5582 GREEN ST CALLAHAN FL 32011 (904) 879-4733 ---------------------------------------------- ------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 - 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEU LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: 6k yl G Job Address: s U 1 e s Contractor: Let-in In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. D" Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE? V" Cl Oil ❑ Other—Specify IF YES,GIVE NUMBERUCTION IV. PERMIT b MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED Residential or Commercial New Building l�(Provide complete list of components of this form) ❑ Existing Building Heat _Space _Recessed _Central _Floor ❑ Replacement of existing system Ur Air Conditioning: Room ��! Centra ✓ � New Installation o U Duct System: Material b,x� 1 l �� (N system previously installed) Y � � r"C66okness � � ❑ Extension or add-on to existing system Maximum capacity 419 cfm ❑ Other-Specify ❑ Refrigeration 7-0 ❑ Cooling tower: Capacity fpm ❑ Fire sprinklers: Number of heads ❑ Elevator: _ Manlift_Escalator (Number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (Number) (Received) O Tanks (Number) ❑ LPG containers (Number) Remarks ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIOi,IING AND REFRIGERATION EQUIPMENT Number Units Descrl'p��tJ''on Model Number Manufacturer Capacity Approving GiLr�"'' (Tons) A enc -Alla C.0 3a_ J-omm o l L IVIZ, HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency Qnl 7 TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• httn://www.ci.atiantic-beach.fl.us 1/14/03 �►,,rLy fJ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j a ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 y�stir Application Number . . . . . 03-00026609 Date 8/01/03 Property Address . . . . . . 95 DUDLEY ST 01 Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HUFFMAN, TOM DAN' S ELECTRICAL CONTRACTING 2909 KLLINE ROAD JACKSONVILLE FL 32246 (904) 838-9882 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 .00 70. 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70. 00 70 . 00 . 00 . 00 7 A BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RI III DING OFFICIAL r LJ It -Y SS1 CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20 J.S IMPORTANT NOTICE: _ IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: �G �e�F(�CL ( L MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: v JOB ADDRESS: ��$� j�, L,Ire RES.( ) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.(-1 SIGNS( ) SQ.FT. SERVICE: NEW ,T-- INCREASE REPAIR ) CONDUCTOR SIZE AMPS: COPPER ,-j'ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS swlTCffEs INCANDESCENT ' Don't let the other OVER guy's shock you::: BELL TRANSF. H.P.RATING CEIL. KW-HEAT h . D.&W'@ R OTHER MOTORS AMPS HEAT C0W'r1kACT0H6 Limnsed&imwmd OVER MM14174 PHS NO. 1 H.P. VOLTAGE PHS I90'-U 83H-9882 UNDER 600V OVER 600V TRANSFORMERS: NO. � KVA NO. KVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us RPvigM 01/17/03 r yrs. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024890 Date 6/30/03 Property Address . . . . . . 95 DUDLEY ST 01 Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 188160 Owner Contractor ------------------------ ------------------------ HUFFMAN, THOMAS R. S . PENNINGTON GENERAL CONSTR 2110 MARSH POINT RD 380 13TH AVE N NEPTUNE BEACH FL 32266 JAX BEACH FL 32250 (904) 616-3580 (904) 993-2000 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 727 . 00 Plan Check Fee 363 . 50 Issue Date . . . . 11/26/02 Valuation . . . . 188160 Expiration Date 5/26/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 727 . 00 727 . 00 . 00 . 00 Plan Check Total 363 . 50 363 . 50 . 00 . 00 Grand Total 1090 . 50 1090 . 50 . 00 . 00 t � 2 1 t � S dry. F y§h BUILDING MATERIAL,RUBBISH AND DEBRIS ? ' � CE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRA �' �' �vtISTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING r"vtrT&k rOK 73IIfCT 1 IG IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL J ,fit ss CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: D —3v (D e Job Address: Owner of Property: Address: A)l&; " NO� J113 Telephone: �,�/�•. �� 86 Legal Description: Block Number: Lot Number:' ®� Zoning District: Contractor: &&?'AJ67DJ,1e-O�(,�"" State License Number: /43C)9 Contractor's Address: 3SR0 l t 1V TAIL .�1224^!) Telephone: 4?,9 tV- 49g3 -Wad,->6a0 Fax: © -'P�a_ 4 g gi I Describe proposed use and work to be done: /&::2V Q4_;,0d ' Present use of land or building(s): _ Valuation of proposed construction: 20p, E Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will thi roject involve changes in elevation,site grade or any use of fill material or the removal of any trees? [�]Nj Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 2/N 0. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page I Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all in ovJJ with s pplication is correct. �� Signature of owner: Date: -30 30 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the pe f co ction of)tKe property. I understand that the issuance of this permit is contingent upon the above information being true and co pct d th pQans anupporting data have been or shall be provided as required. Signature of Contractor: Date: 61 Az;;�n/�Zw Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ,20, State of Florida,County of Duval r� Notary's Si ature: �+•" JEANETTE M.DEAN 11 MY COMMISSION#DD 082018 Xype ersonally n EXPIRES:January 23,200E roduced i entification p;.,f\P BMW Thru Notary Public Underwriters of identification produced �.✓ AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,2003 State of Florida,County of Duval Notary's Sig ature: 4�Y°r' JEANETfE M.DEAN MY COMMISSION#DD 082018 ❑ Personally w l: o= EXPIRES:January 23,2006 ❑--Produced i entification p� Bonded rnru Notary Public undewrfters Type of identification producedG 800 Seminole Road .Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 1/14/03 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: C5. I d t Address of property being improved: ' tl X15 l 11G1g1mye. C z=� General description of improvements: T Owner: L)czL;W7 Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address. Phone No: 220C — ve 2EI Fax No: Z Surety(if any): Address: Amount of Bond$ Phone No: W r— Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.0 2)(b),Florida St s. (Fill in at Owner's option). — Name: f �J Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY NER y Signed: ---=---- Date: Before me thi day of the Coun YJEANETTE M.DEAN u al, State of Flori a,has-person y ap eare Y MY COMMISSION#DO 082018 :�u•' *' EXpjRF&January 23,200E r Public at Large, State of Florida,County,of Duval. �+'•...e�' 8.dod firu Notary Public Underwrd rrS commission expires: 'Z�ta ersonally Known: or Produced Identification: %( / _ CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being co ect d that t plans and supporting data have been or shall be provided as required. I agre o o ly wit 11 applicable provisions of Ordinance No.25-7-11 and all other laws or ord' a cting t e proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 0 Some contractors require a down payment of 10-30 percent of the total and an additional payment at the halfway point. Pay only when the work is done to your satisfaction and you have releases of lien as described above. If the completion date is critical, like a swimming pool planned for summertime use, link payment to on-time performance. Changes to a contract after construction has begun can cost you. Specify in the contract how changes are to be handled and insist that all change orders be in writing and signed by both you and the contractor. Cancellation Of Contracts Some home repair/improvement contracts can be canceled in writing (preferably by certified mail)without penalty or obligation by midnight of the third business day after signing. They include: • Those signed anywhere other than the seller's normal place of business. • Those signed as a result of door-to-door solicitation, except emergency home repairs. • Those paid on an installment basis. Other contracts are binding as soon as they are signed, so be sure before you sign. Things You Should Know Before Starting The most frequently cited complaints concerning home remodeling, home improvements and home repair are cost overruns, missed deadlines and inferior workmanship. Another persistent problem is"fly-by- night"contractors who take deposits or payments before finishing or starting work. When you need something done to your home, choose a contractor carefully. Be wary of door-to-door salespeople and telephone solicitors promising "this-month-only" bargains. Make sure your contractor is properly licensed and insured. The Construction Lien Law is complex and cannot be covered completely in this document.We recommend that whenever a specific problem arises, you consult an attorney. To register a complaint(or to learn if complaints have been filed against a prospective contractor), call: Florida Department of Business and Professional Regulation, Customer Contact Center 850.487.1395 E-mail: CallCenter@dbpr.state.fl.us Write: Florida Department of Business and Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-1027 Or go online to: www.MyFlorida.com Click on Business and Professional Licenses To check a license on the Internet 24 hours a day, please visit www.MyFlorida.com and click on Business and Professional Licenses,then Search for a Licensee. License verification is available 24/7 by calling our Customer Contact Center at 850.487.1395. You may also contact your local building department or the Better Business Bureau. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ..tet Application Number . . . . . 02-00024890 Date 11/26/02 Property Address . . . . . . 95 95-1 DUDLEY ST Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 188160 Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 727 . 00 Plan Check Fee 363 . 50 Issue Date . . . . Valuation . . . . 188160 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 33 CAPITAL IMPROVEMENT 650 . 00 ST CONSTRUCTION SURCHARGE 12 . 09 AB CONSTRUCTION SURCHARGE 1 . 34 STATE RADON SURCHARGE 6 . 38 SEWER IMPACT FEES 2500 . 00 SEWER TAP FEES 1400 . 00 WATER IMPACT FEE 740 . 00 WATER CONNECT/METER ONLY 85 . 00 WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 727 . 00 727 . 00 . 00 . 00 Plan Check Total 363 .50 363 .50 . 00 . 00 Other Fee Total 5955 . 14 5955 . 14 . 00 . 00 Grand Total 7045 . 64 7045. 64 .00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS :z H ARE PART OF THIS SUB]ECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -,- C - BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address - j 0 0 4 T- V L F �( U/tel✓'�J .Date 0 /0 0 Heated Square Footage ,2 (o @ $ -4 0. 4 0 per sq ft= $ / /( o Garage/ Shed @$ per sq ft= $ Carport/Porch G @$ per sq ft= $ Deck @ $ per sq ft= $ Patio d @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1 s` $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE:,.-77— TOTAL BUILDING FEE $ ZONING: + %Z Filing Fee $ FLOOD ZONE:_� ( ) Fireplaces @ $15.00 $ — IMPERVIOUS SURFACE: 2,5-0�c BUILDING PERMIT FEE $ WATER IMPACT FEE $ /SEWER IMPACT FEE $ 5"0 0 C 2X WATER METER/TAP $ Q( O -- 6 VCAPITAL IMPROVEMENT$ x 2- VSEWER TAP $ 1 Lf 00— C ()3 y RADON fiJ 50050 $ SECTION H PAVING - HYDRAULIC SHARES $ /> CROSS CONNECTION $ s'?S vVST(4'0 SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ MAP SHOWING BOUNDARY SURVEY OF .s ouT>� t►z o>� oT ,o BLOCK ► AS SHOWN ON MAP OF DON�Q>z' � QQPLOT AS RECORDED IN PUT BOOK_f - PAGES la.-t&p, OF THE cuRRauT vuauc macoaes oc 00VA1. co- CERTIFIED TO. 'f%A o n A u• u COt1NOUh.1E A\.T "TMA u%1,V7-1hy.1CS Cbr1A.w\4 � OAV\C] N• 6boHEe 111 Gfr;V�tGN SZtILEE'T �0 •Q o 0 N N o 0 `fur. "C'MIL1 11-tor \-0-rto HOT l ALL Fcuc6% cus�ti lour. (TY VIc��.1 1.0-T \t So.00 LOT 9 0.4 U. 89 ST' 4 S'�E� o•z ;:D.1It 1.P 11 ¢b.�t7••\.*• Y 3eS'1 o•T � 3�L, .0 Y 0 N w.�1c 0 N vACAQ r 3 W ^ Up d3 ' 0 tA P N i J" JI p 7 i.1 J e N 120.00 � S . _.. S3 4 S" W . eo.11t ao. r� K 2 J rs�12 flu ME Y ST QE SOT City of Atlantic Beach ( so Qtw Building and Zoning } I i CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address .ICU ae-F �) / .Date �� O 0 e__ Heated Square Footage ('Z oe @ $ 41r.(9 y per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch -E7- @$ per sq ft= $ Deck �'' @ $ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1 s` $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: (/I TOTAL BUILDING FEE $ ZONING: + %2 Filing Fee $ FLOOD ZONE: >< ) Fireplaces @ $15.00 $ � IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ VATER IMPACT FEE $ e� EWER IMPACT FEE $ 1ATER METER/TAP $ Q APITAL IMPROVEMENT$ U, -570 ?WER TAP $ 73Y RADON RP,5.0050 $ CT ON H PAVING ( ) $ q DRAULIC SHARES $ Tu DSS CONNECTION $ a {3(L_ e !6 fd SURCHARGE $ TER $ )UE: $ WATER IMPACT FEE WORK SHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPEVALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group.consisting.ofwater closet, lavatory., bidet, and bathtub or shower 6L-- Bathtub (with or without overhead shower or whiripool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 �-- —T Drinking fountainZ-1 _f 1/2 - Floor drains 2 Kitchen sink, domestic. 2 �- Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2.compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, ftushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = S MULTIPLIED x 20 TOTAL$ t3 Schlueter, Jennifer From: Kaluzniak, Donna Sent: Tuesday, November 26, 2002 10:31 AM To: Ford, Don Cc: Schlueter, Jennifer Subject: RE: Sewer taps at 95 & 95-1 Dudley Don/Jenny, the sewer is on the north side of the street (short service). Thanks, Donna "t -----Original Message----- From: Ford,Don Sent: Tuesday,November 26,2002 7:07 ) AM l To: Kaluzniak,Donna Cc: Schlueter,Jennifer Subject: Sewer taps at 95&95-2 Dudley Donna, We have two prices we charge on 800 Seminole Rd. sewer taps based on which side of the City of Atlantic BEACH, FL. 32233 street the tap is coming from. Can you Phone 904-247-5826 tell us which side of the street the tap is to be made for 95 & 95-1 Dudley. Thanks, Don C. Ford CBO 2 Schlueter, Jennifer From: Kaluzniak, Donna Sent: Thursday, November 21, 2002 2:54 PM To: Schlueter, Jennifer Subject: RE: 95 and 95-1 Dudley St. Jenny, not yet. According to the as-builts there are no existing taps, but we try to check in the field to verify and mark the location. The guys have been working water breaks etc., but Kenny is going to go check right now. -Donna -----Original Message----- From: Schlueter,Jennifer Sent: Thursday,November 21,2002 2:36 PM To: Kaluzniak,Donna Subject: 95 and 95-1 Dudley St. Hi Donna, Did you get a chance to research the above address for number of water/sewer taps I need to charge for on their duplex building permit? Thanks, Jenny 1 A 7� 0 2 Schlueter, Jennifer From: Showman, Lisa Sent: Friday, Noveiiiber 15, 2002 3:34 PM To: Schlueter, Jennifer Subject: 95 Dudley Approved Jenny-- FYI -- Bob finally approved# 29iiethe livrV4%+ Mr. iiiffisnOtu that was required. -- Lisa 1 Schlueter, Jennifer From: Showman, Lisa Sent: Tuesday, November 05, 2002 1:57 PM To: Schlueter, Jennifer Subject: RE: Jenny-- Bob met with Tom Huffman on 10/15/02. His notes read "still waiting for topo as requested," "was filling without permit previously,"and "check property to east for piping." I checked with Bob and he is still waiting for topo. The site plan Mr. Huffman submitted was acceptable. One down, one to go. -- Lisa -----Original Message----- From: Schlueter,Jennifer Sent: Tuesday,November 05,2002 10:54 AM To: Showman,Lisa Subject: Lisa, Has Bob received the site and location plan for 95 and 95-1 Dudley St.? It is application#24890. Bob requested this info. on 10/8. Thanks, Jenny 1 iv c)ci 41 '10 �. f . \ OQ g X "f 8 \, I � S �4i �� r SLP 2 4 2002 City of Atlantic Beach Building and Zoning I4Ca4r� City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 'E'�/ Phone: (904)247-5800 • FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us � 14� (.� Q U l UJ BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL-, ADDITIONSC)"'I f� AND ALTERATIONS, MOVING OR DEMOLITION) 4� red t� Zy� jW&J d"G4 "I"IdlM (P f.o p� 3 9 / DATE !/ r ` JOB ADDRESS S� . FL 3-20135 APPLICANT Cry 1Ci S — . -Cl -t ADDRESS �_ ti l � HONE: 4 1,1& --35 '0 LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER t of +- ZONING DISTRICT CS ' CONTRACTOR STATE LICENSE NUMBER ADDRESS 110 IL to a ,1, r t� �) PHONE N( - ) CITY c}r1` ��1L'GlC. STATE^F L ZIP 3 CSG. FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE _Re 5I d e-r1 t'1cL( t 24 If-K PRESENT USE OF LAND OR BUILDINGS) �/&c an VALUATION OF PROPOSED CONSTRUCTION Is this an addition? NQ If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? C If yes,please sul}mit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ERNO.„Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 n W2 U STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 "' In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant chvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT AL INFO TION :ED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNE DATE. (� o2 ?) 0 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR -- DATE ADDRESS AND CONTACT INFORMATION OF �LON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) " MAILING ADDRESS t N'0c n V-zs o� PHONEIaoN 11 ) FAX E-MAILomh�� SWORN AND SUBSCRIBED BEFORE ME THIS DAY OFJ�✓ ; �-- ^ . 7 STATE OF FLORIDA,COUNTY OF DUVAL SHARON STARLING NOTARY'S SIGNATURE Notary Public,State of Florida AS TO My comm.expires Mar.21,2003 ❑ Personally known '•'.' roduced identification Corim.No.CC 819398 '{� Type of identification produced T) --%v-t/ r r�c_�t .�• AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced i/1&/02 Book 10676i}ag a 142 5 MIN. RETURN PHONE#6th-' 0 NOTICE OF COMMENCEMENT' (PREPARE IN DUPLICATE) Permit No. Tax Folio No, State of County of To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes, the following Information is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: �U 1-c4- ' 10 . B1OC-Lj , �5 sh otAl P n 01 Lk Ve� Address of property being improved: —Du.-d �L i ";) re-t-- a-C General description of improvements: K,? C n n � ,r Lx{ ,n r1 n f"PSi<<F t �` - CA t-k-x�P - Owner _ c b` ) Address •7 Owner's interest in site of the improvement�!CW QCr.5 S i ci 0,--XC-f-- Simple Titleholder (if other than owner) N A Name Address Contractor_ N Address Phone No. Fax No. Surety(if any) Address - Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon,whom notices or other documents may be served; r Name �u V- L C,V1 Address 1 r1 ---�)OCQ can �Je 3 aa3 Phone No. to l Fax No. N In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in. Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address . Phone No. Fax Na Expiration dale of.,Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is specified): _...- -- -- --- -------- - -- - n n * ResmanuJ(c) Version 3 * RESIDENTIAL HEAT GAIN / HEAT LOSS CALCULATION (BASED ON A.C.C.A. MANUAL J - SEVENTH EDITION (c) 1986 by A.C.C.A. ) ---;------------------------------------------------------------------------------------------ Project Huffman Residence IPrepaired by: Address NULL {Shaw Heating & Air City Atlantic Bch. 15582 Green St. State/Zip F1 NULL ICallahan,F1.32011 Owner same ITEL:904-879-4733 Builder same IFAX:879-2902 HVAC Contr Shaw Heating & Air (email: . --------------------------------------------------------------------------------------------- Cond Floor Area = 2688 (Total Glass Area = 270 Conditioned Floor Area to Total Glass Area Ratio = 10� --------------------------------------------------------------------------------------------- * USA Climatic Conditions & Design Conditions * --------------------------------------------------------------------------------------------- Geographical Location I Jacksonville AP, Florida North Latitude / Elevation 1 300 24Ft. Above Sea Level Outdoor Winter Dry Bulb 1 320 Indoor Winter Dry Bulb 1 700 Winter Temperature Diff. (wTd) 1 380 Outdoor Summer Dry Bulb 1 940 Outdoor Summer Wet Bulb 1770 Outdoor Summer Hum. Ratio Gr/Lb 1 42 Indoor Summer Relaltive Hum. 150 Indoor Summer Design Gr/Lb. 149 Indoor Summer Dry Bulb 175° Summer Temperature Diff. (sTd) 119° Summer Daily Range 119° (Medium Deviation) --------------------------------------------------------------------------------------------- * HEATING SUMMARY * HUFFMAN.ENB * COOLING SUMMARY --------------------------------------------------------------------------------------------- SUBTOTAL 36983. 6 I STRUCTURE SENSIBLE = 21294.3 I OCCUPANTS + 3600.0 APPLIANCES + 1200. 0 I SUBTOTAL SENSIBLE = 26094.3 DUCT LOSS + 1849.2 1 DUCT GAIN + 2609.4 TOTAL LOSS - 38832.8 I TOTAL SENSIBLE = 28703.7 MECHANICAL VENT.- 50 CFM = 2090. 0 I MECHANICAL VENT.- 50 CFM = 1045.0 I TEMP.SWING 3.0°@ 95° x 1.0 MINIMUM EQUIPMENT LOSS - 40922.8 1 MINIMUM EQUIPMENT SENSIBLE = 29748.7 ------------------------------------------------ -------------------------------------------- 20"-, OVERSIZE LOSS = 8184.6 120% OVERSIZE SENSIBLE = 5949.7 EQUIPMENT LOSS + 40922.8 1 EQUIPMENT SENSIBLE + 29748.7 MAXIMUM EQUIPMENT LOSS = 49107.4 1 MAXIMUM EQUIPMENT SENSIBLE = 35698.4 ------------------------------------------------ 1-------------------------------------------- I TOTAL LATENT = 10408.9 1 EQUIPMENT SENSIBLE + 29748.7 1 EQT.SENSIBLE + LATENT = 40157.6 --------------------------------------------------------------------------------------------- * AIR FLOW FACTORS * --------------------------------------------------------------------------------------------- HEATING FACTOR (BTUH/CFM) = 34.5 I COOLING FACTOR (BTUH/CFM) = 17.3 HEATING CFM = 1184.6 1 COOLING CFM = 1444.4 --------------------------------------------------------------------------------------------- * EQUIPMENT SELECTION --------------------------------------------------------------------------------------------- EQT. MANUF I SENSIBLE CLG (BTUH) CU MOD # I LATENT CLG (BTUH) AHU MOD # I TOTAL CLG (BTUH) HEATING INPUT (BTUH) I TONAGE HEATING OUTPUT (BTUH) I (S) EER HEATING CFM (BTUH) I COOLING CFM AFUE/HSPF 1 TYPE Abbreveations * Glass/Windows S.C.= Single Clear S.T. = Single Tint S.R. = Single Reflective D.C.= Double Clear D.T. = Double Tint D.R. = Double Reflective T.C.= Triple Clear T.T. = Triple Tint T.R. = Triple Reflective Shdg= Shading I Ovhg = Overhang I Btm = Bottom ► Hgt = Height { Sc = Shading Coefficient * Inside Shading N.S.= No shades D/B = Drapes or Blinds R.S. = Roller Shades * Other * Whtm = Winter Heat Transfer Multiplier J Shtm = Summer Heat Transfer Multiplier Infiltration Vs: l. .Sub Standard/Poor 12. .Standard 13. .Better 14. .Excellent Building Componet Heat Loss & Gain Calculations Dir. Ext.Shdg Type Shdg OvHg Botm Hgt Sc Area Whtm Loss/Btuh Shtm Gain/Btuh N -No Shdg Fctr D.C. R.S. 1.5 15.0 n/a 1. 0 30.0 24.7 741.0 19. 6 588.0 N -No Shdg Fctr D.C. R.S. 1.5 5.5 n/a 1.0 30. 0 24.7 741. 0 19.6 588.0 S -No Shading D.C. R.S. 1.5 15.0 5.1 1.0 60.0 24.7 1482.0 50.6 3036.0 --------------------------------------------------------------------------------------------- S -All Shaded D.C. R.S. 1.5 5.5 4.5 1.0 60.0 24.7 1482.0 19. 6 1176.0 --------------------------------------------------------------------------------------------- W -No Shading D.C. R.S. 1.5 15.0 5.1 1.0 45.0 24.7 1111.5 58. 6 2637.0 --------------------------------------------------------------------------------------------- W -Shaded Area D.C. R.S. 1.5 5.5 4.5 1. 0 5.7 19.6 111.7 W -Solar Area D.C. R.S. 1.5 5.5 4.5 1.0 39.3 58.6 2303.0 W -Total Area D.C. R.S. 1.5 5.5 4.5 1.0 45. 0 24.7 1111.5 --------------------------------------------------------------------------------------------- Glass Infiltration: 270.0 42.9 11583.0 10.7 2889.0 Glass Sub Totals: 270. 0 18252.0 13328.7 Componet Type Exposure R-Value Area Whtm Loss/Btuh Shtm Gain/Btuh Wood Stud Exterior 11.0 2082.0 3.4 7078.8 2.0 4164.0 Insulated Core/Metal Exterior n/a 80.0 22.4 1792.0 13.3 1064.0 Door Infiltration: 80.0 42.9 3432. 0 10.7 856.0 Slab on Grade 0 152.0 30.8 4681. 6 0 0 Under Attic 30.0 1344.0 1.3 1747.2 1.4 1881.6 Calculation Procedures A,B,C,D I I Procedure A Winter Infiltration HTM j------------------------------------------------------------ { 1. Winter Infiltration CFM Envelope Evaluation #2 (Good/Average) I 1 Air Changes per hour x 21504 Cubic ft. x .0167 = 359.1 CFM I 12. Winter Infiltration Btuh I I 1.1 x 359.1 CFM x 38 Degrees Winter TD - 15011.1 BTUH i I I { 3. Winter Infiltration HTM I 15011.1 Btuh / 270 Sq.Ft of total Glass & Door areas - 55.6 HTM I I I f { I Procedure B Summer Infiltration HTM {-------------------------------------------------------------------------------- 11. Summer Infiltration CFM Envelope Evaluation #2 (Good/Average) I I .5 Air Changes per hour x 21504 Cubic ft. x .0167 = 179.6 CFM j I I { 2. Summer Infiltration Btuh I 1.1 x 179.6 CFM x 19 Degrees Summer TD = 3752. 8 BTUH { i I 13. Summer Infiltration HTM j { 3752.8 Btuh / 270 Sq.Ft of total Glass & Door areas - 13.9 HTM { I { I j 1 Procedure C Latent Infiltration { -------------------------------------------------------------------------------------------I I 0.68 x 49 grains difference @ 50 RH x 179.6 CFM - 5982.9 BTUH I i ! i I { Procedure D Equipment Sizing I -------------------------------------------------------------------------------------------I { 1. Sensible Sizing Load I I I { Sensible Ventilation Load I I 1.1 x 50 VENT CFM x 19 Degrees Summer TD = 1045. 0 BTUH I Sensible Load for Structure + 21294.3 BTUH j Sum of Ventilation & Structure Loads = 22339.3 BTUH { { Rating & Temperature Swing Multiplier (3.0°@ 95°) x 1.0 RSM I { Equipment Sizing Load - Sensible = 22339.3 BTUH I 12. Latent Sizing Load f I I { Latent Ventilation Load { 0.68 x 50 VENT CFM x 49 differance - 1666.0 BTUH I I Internal Loads = 230 Btuh x 12 people + 2760.0 BTUH I { Infiltration Load from Procedure C + 5984.3 BTUH { j Equipment Sizing Load - Latent = 10408. 9 BTUH i I I III. Energy Code Information: RESIDENTIAL CHECKLIST FOR ONE&TWO FAMILY DWELLINGS 1. Is the current energy code form completed properly and signed; correct climate zone and correct jurisdiction? (FBC 13-600) `� No N/A 2. Does conditioned square feet area on plans match square feet NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY stwwn on energy forms? No N/A AND DETAIL-(FBC 104.2.1) 3. Is the"R"value between common walls shown? e) No N/A ^-� (FBC 13-602.1.ABC.1.1) PLANS EXAMINER: J' l'1 Q DATE ` `7r'c� Z 4• is the"R"value for added insulation on exterior walls shown? es No N/A 5. Is the"R"value for ceilings shown? (FBC 13-604.I.ABC.1) es' No N/A 6. Is the"R"value for raised floors shown? (FBC 13-605) es i No N/A OWNER: -('vYr'r'tJ'1 aU JOB ADDRESS: f �vt�r Ey 7. Are Energy Credits Claimed? s No N/A A. Attic Radiant Barrier Credit (FBC 13-607.1.A.4) No NIA CONTRACTOR: H U e M o'i PHONE NUMBER: B. White Roof Credit (FBC 13-607.I.A.5) Yes No C. Programmable Thermostat (FBC 13-600.2.A.3.5) Yes No (CIRCLE) 1. Survey. 1. Is a specific purpose survey submitted? Yea o N/A IV Foundation Plan: 1. Are all footings shown,including interior bearing walla, 2. is correct Flood Zone shown? 6P No N/A Column pads and concentrated Ioads7 No N/A 3. Are existing grade elevations shown for structures located 2. Are all locations of vertical reinforcement and anchor bolts shown? No N/A in an"A"or"V"zone? Yes No <0' 3• Are all elevation changes in slab shown? 4aiD No N/A 4. On lots in multiple flood zones,are flood zone lines indicated? Yes No4. Is minimum concrete PSI shown? Y No N/A 5. Is property in a flood way? Yes No � 5. Is slab reinforcement shown? No N/A 6. is flood way line shown? Yes No A. Wire mesh size and gauge? Yes No gto B. Fibermesh reinforcement? No N/A 6. Is vapor barrier,minimum 6 mil.shown? (FBC 1909.2) No N/A II. Structure Code Compliance: No N/A 1. Are plans sealed by architect or engineer'? No N/A 7. IIs s minimum slab on grade thickness shown?(FBC 1ae 8. type of soil vestment for termites shown?(FBC 1816)816) � No N/A A. Are structural calculations submitted? Yee ,pro; N/A 2. Is correct winds sed shown? g ) 9. Do plans show concrete footings have a specified compressive p (FBC Figure 1606 es` No N/A Strength of not less than 2500 PSI at 28 days? (FBC 1804.5.1)�l No N/A 3. Is exposure category shown? (FBC 1606.1.8) No N/A 10. if pile foundation shown,is Sealed Soils Report submitted? 4. Is Importance Factor shown per FBC Table 1606? w No N/A (FBC 1805.1) Yea NoN/A 5. Are pressures for wind loading on components and cladding r� Shown per FBC 1606.2.57 Yes (1&,' N/A 6. Are pressures for wind loading on components and cladding V. Typical Wall Section: Shown per FBC 1606.2.57 1 No N/A I. Is finished lev 7. Does structure meet requirements of FBC Table 500 for number of grade ati No N/A 2. Is minimum floor elevation shown? No N/A stories and allowable areal ./ers No N/A � A. Minimum 8"above adjacent grade? No N/A 8. Does structure meet Fire Resistance Ratings of FBC Table 600 B. Flood protection elevation? Yes N/A for structural elements? es r No N/A C. Base flood elevation? Yes o NIA 9. Are plans designed per SSTD 10 99? Yes No 3. Is minimum footing depth beneath finished grade shown? c No N/A A. Are all appropriate charts and tables shown? Yes No / (FBC 1804.1.3) B. Are all appropriate requirements circled or highlighted? Yes No A 4. Are all footing sizes shown? 60 No N/A 10. Are plans designed per"Guide to Concrete Masonry Residential o S. Are all horizontal reinforcements shown? es` No N/A Construction in High Wind Areas"? Yee N A. Are all appropriate charts and tables shown? Yea No 6. ►s vertical reinforcement shown? es' No N/A 7. Masonry construction, B. Are all appropriate requirements circled or highlighted? Yes No %A A. 1s exterior wall finish shown? Yes No fal 11. Are plans designed per"WPPC Guide to Wood Construction in B. Is interior faring shown? Yes No VA High Wind Areas? )(c�; No N/A C. Is exterior wall insulation shown? Yes No A. Are all appropriate charts and tables shown? Yes 495: N/A D. Is exterior wall finish shown7 Yes No 8 A�z B. Are all appropriate requirements circled or highlighted? Yes o N/A 8. Wood Frame Construction 12. Are plans designed per"AF&PA Wood Frame Construction A. Is stud size,spacing,grade and lumber species shown? 42V No NIA Manual for One-and Two-Family Dwellings,High Wind Edition'"? Yes t fy NIX K Is exterior sheathing(type and thickness)shown? a!;P, No N/A A. Are all appropriate charts and tables shown? Yes No B. Are all appropriate requirements circled or highlighted? Yes No C. Are nailing requirements(size and spacing)shown? X&�) No N/A (FBC Table 2306.1) Y 1 D. Is exterior wall finish shown? ea No N/A 15. Does bedroom open directly into garage? Yee No N/A E. Is interior wall finish shown? s + No N/A 16. Does the number of bedrooms shown on plans match the number F. Is minimum clearance between wood siding and finished of bedrooms shown on the application? - ea No N/A grade shown? (FBC 2304.2.5) es NoN/ G. Are shear wall segments shown? Y No 17. Is Designer's name and address shown on plans? No N/A A. Type of hold-downs shown? No N/A 18. Do egress doors and landings comply with FBC 1012.1.3 9. Are ceiling heights shown? (FBC 1202.2) es- No N/A and FBC 1012.1.5? No N/A 10. Are all hurricane anchorage and hold-downs specified and labeled? No N/A 19. Are habitable rooms shown with the minimum light and ventilation 11. Is ceiling type shown,drywall thickness? es No N/A requirements of FBC 1203.1? es No N/A 12. Roof Framing ` 20. Are garage doors,windows and other openings shown as meeting A. Are engineered trusses shown? No N/A wind load requirements for components and cladding per FBC 1606? �s No N/A B. Are conventional Game rafters used? Yes got N/A 21. Does floor plan show fireplace? Yee 0 N/A 1. Rafter size shown? Yes No 22. Are stair details shown? No N/A 2. Species of lumber shown? Yes No A. Is minimum stair width shown? (FBC Table 1004) es No N/A 3. Grade of lumber shown? Yes No B. Are tread and riser sizes shown? (FBC 1007.3) Yes No C. Type of roof sheeting shown? No N/A C. Do spiral stairways comply with FBC 1007.8.27 No N/A 1. Thickness of roof sheeting shown? re_.' No N/A D. Are required landing shown? (FBC 1007.4)7 a No N/A 2. Grade of roof sheeting shown? ,N, N/A E. Is required headroom clearance shown? (FBC 1007.4) No N/A 'C 3. Nailing pattern of roof sheeting shown? Yes Co ) N/A 23. If floor plan shows mixed construction,are mixed (FBC Table 2306.1) Construction details shown? (May require engineering) Yes No D. Weight of Dry-In felt shown? dQ No N/A 24. If required,are tenant separations shown? No N/A E. Type of roof cover shown? ife's, No N/A A. Duplex (FBC Table 704.1) fl 1. Attachment asphalt/ berglass shingles shown? B. Townhouse (FBC 704.4) (FBC 1507.3.7) (5� No N/A 25. Are all columns and beams shown for porches and lanais? es No Nl 2. Attachment of the roof shown? Yes No A. Are column type,size and anchorage shown? Yes No (FBC 1507.3.7) B. Are beam type,size,span and anchorage shown? Yes No 3. Other roof covering and attachments shown? Yes No 26. Are all lintel and beam details shown? Yes No F. Length of roof overhang shown? No N/A 27. Are engineering details provided for butt glass? Yea No G. Type of soffit and fascia shown? No N/A H. Attic ventilation shown? #.-. , No N/A 1. Location,type and thickness of flashing shown? VII. Truss/Rafter Plan. (FBC 1503.2.1 and FBC 1507.3.9) Yes No <jFA 1. Are engineered truss plans provided showing loads,uplifts and J. Type and gauge of cave metal shown? Yes No yrequired connections? No N/A 4� 2. Are all headers,beams,girders and interior bearing walls shown? 0 No N/A 3. Framed roof. Vl. Floor Plan. A. Is rafter plan shown,including size,spacing species, I. Does square footage on plan m9tch square footage slaw on grade of lumber,span and connections? Yes No yj application? esNo N/A B. Is ceiling joist plan shown,including size,spacing, 2. Are all room dimensions shown? e x No N/A species,grade of lumber,span and connections? Yea No 3. Are all door and window sizes shown? No NIA C. Are collar ties shown,including size,spacing,species, 4. Are all emergency egress openings shown? es No N/A grade of lumber and connections? Yes No 5. Is required tempered glass shown at all hazardous locations? D. Is ridge beam shown,including size,species and grade (FBC 2405.2) ;'�o� No N/A of lumber? Yes No N!A 6. Are all vertical reinforcements shown? Q'a No N/A 4. Is roof sheeting indicated,showing type,thickness and nailing 7. Are all shear wall segments shown? Yes No pattern? No N/A 8. Are all hold-downs and hurricane anchorages shown? Yes No ON 9. Is required attic access shown? Yea No 10. Are all plumbing fixtures shown? No A VIII. Floor Framing. 11. Are all electrical fixtures shown? a No N/A 1. Is engineered floor truss plan provided,showing loads, 12. Are all mechanical futures shown? No N/A uplifts and connections? Yba No N/A A. Is air handler and condensor location shown? No N/A 2. Is joist plan provided,showing size,spacing,span,species, B. Are exhaust fans shown? No N/A grade of lumber and connections? Yes No 49 13. Are all smoke detectors shown? (FBC 905.2) es„f No N/A 3. Is floor sheeting indicated,showing type,thickness and 14. Does one(1)bathroom on the fust habitable floor level nailing pattern? ties No N/A Have a 29"net clear door opening and handicap accessible �� route? (FBC 11-11) C.. , No N/A WATER IMPACT FEE WORK SHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPEVALUE AS LOAD FIXTURES, UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Z Bathroom group.consisting.ofwater closet, lavatory., bidet, and,bathtub or shower 6 �. y Bathtub (With or without overhead shower or whiripooi attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 !_/ Dishwashing machine, domestic 2 Drinking fountain l c E el&tx 1 Al 1/2 2— Floor Floor drains 2 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Z— Laundry tray (1 or 2 compartments) 2 Lavatory 1 . Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, ftushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = 3 MULTIPLIED x 20 TOTAL$ 7 YO CITY OFATLANTIC BEACH 800 SEMINOLE ROAD i ATLANTIC BEACH,FLORIDA 32233-5445 f TELEPHONE:(904)247-5800 S} FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atIantic-beach.fl.us CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES.: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE ONTRACTORTELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTppY O UILDER �I Its �ICAr SLh1rl� �CtlE'AW1, �,, 22ADD ss SWORN TO AND SUBSCRIBED BEFORE ME THI�a DAY 0"/ 20 .j-- °"'°° SHARON STARLING ;.r Notary Public,State of Florida My comm expires Mar.21,2003 %?ar<. "?n.GC 819398 NOTARY PUBLIC MY COMMISSION EXPIRES: NOTF• PH-RASPS ITNnFR1.TNFT1 AROVF. t 4 i P1 ON- �' �tl Dad sl + e as ` 81� eci Le i � � I gg NI DEPARTMENT OF BUILDING f 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233,TEL: 247-5826-FAX: 247-5877 `PERMIT INFORMATIONLOCATION INFORMATION Address: DUDLEY STREET EAST OF 97 Permit Number: 22975 permit Type: TREE REMOVAL Township: Range: Book: ` Class of Work: NEW Lot(s) Block: Section: proposed Use: SINGLE FAMILY Subdivision: Square Feet: parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: HUFFM N, THOMAS Date Issued: 11/06/2001 Address: 2110 MARSH POINT ROAD Total Fees: NEPTUNE BEACH, FL 32266 Amount Paid: Phone: (000)000-0000 Date Paid: ECTEDTREES - Work Desc: TREE REMOVAL PER PLANS APPLICATION FEES CONTRACTOR S PROPERTY OWNER i X31. 4J Ft„ t k .k tJ� N TREE BARRICA 44.1 a NOTICE A.,1EAUr � P T01F TION BUILDING MATERIAL, ;U # # �'� � a1'NC _ (N LIC SPACE, AND MUST BE CLEARED U;, . .... _ 'E }IRko A "f. Rfi € . � . "FAILURE TO COMPL � .' 1 IN THE PROPERTY OWNER PA a k ISSUED ACCORDING TO APPRO l?4 E ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR ATLA BEACH BUILDING T. , . Sir 2 4 2002 City of Atlantic Beach Building and Zoninlov? �i City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION t � FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION Z (INCLUDING NEW CONSTRUCTION,REMODEL-,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) J t JOB ADDRESS DATE �I tic 1 ey S� . Rk 1�r� i s ec��4� F L APPLICANT --I h ,iN c, ADDRESS a. ( y- ONE LEGAL DESCRIPTION: BLOCK NUMBER ( LOT NLTM[BERdL NUMBER ' ofLQZONING DISTRICT CS CONTRACTOR __V VxyNE (�L��r 1F'.y'' STATE LICENSE NUMBER ADDRESS ')-I\0 51� r. t� Rr� PHONE l�C„�l) k I lam, CITY_ �T�,1 �� .1 STATE PL ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE '_Re 31 d C_C�tact l )c�C� 1 eK �w�r 1 S'IVt l C'�-t Dq PRESENT USE OF LAND OR BUILDING(S) \,1c cin �- VALUATION OF PROPOSED CONSTRUCTION Is this an addition? NO If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? Ny If yes,please sul}mit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? �NO.,applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 /18/02 t'/ 4 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALIL INFOTION VIDED WITH THIS APPLICATION IS CORRECT. V SIGNATURE OF OWNE DATE• t I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE L � Q ADDRESS AND CONTACT INFORMATION OF �LON TO RECEIVE ALL CORRESPOND FE,NCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME hom0.S C'"t�� cz MAILING ADDRESS a 1 0mars3 agLC(o PHONELC�CxI)h) ` 35 9 C) FAX E-MAIL om AO I L o rn SWORN AND SUBSCRIBED BEFORE ME THIS DAY O ; t2 0 �- STATE OF FLORIDA,COUNTY OF DUVAL " SHARON STARLING NOTARY'S SIGNATURE Notary Public,State of Florida AS TO r ; My comm.expires Mar.21,2Q03 ❑ Personally knowcomm. ;* '•' roduced identification ••P.r::••' Conim.No.CC 819398 r � Type of identification produced �.v-tom 1.1t C- AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced i/18/02 Le 10 L�& P d �:.r CCn 2 4 2002 o 1 A 00 M w City of Atlantic Beach Building and Zoning City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX ) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS RS `�S-( �� e.:l >� �.� lc ,� �c ec_ct� r L 3, -3 3 APPLICANT T ,iN-)Cc 1 c� - ADDRESS .l tC 1v nye J\ t)c ill� N(eo . i�Ch 3aD-6 HONE: G' n,4 LEGAL DESCRIPTION: BLOCK NUMBER ( LOT NUMBER0f 41OZONING DISTRICT CONTRACTOR i-1�r;t,\E STATE LICENSE NUMBER ADDRESS - 1 C r, ry PHONE CqC,,,q r. �_�er�r.t� STATE F 1-- ZIP CITY IAC%�3�-�1�\N aQ FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE -Re 3,1 CI f n b ct(' Lk-0 I e X Oi-tl -}Yl t G Dq PRESENT USE OF LAND OR BUILDINGS) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? NO If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? 9NO._A-pplicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 S/02 t STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic , Beach,FL 32233 Telephone:(904)247-5826 •` In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT AL INFORM TION VIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNE —DATE.— / J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE G a ADDRESS AND CONTACT INFORMATION OF IiRSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) " NAME F'1C>vl'10.� n MAILING ADDRESS PHONE(A0q),6 J 3 S g C�l FAX E-MAIL)c,,`a k t_1 4 e kO I ,, L c�,,n SWORN AND SUBSCRIBED BEFORE ME THIS 2 DAY OFJ2 > G STATE OF FLORIDA,COUNTY OF DUVAL "y��,a SHARON STARLING NOTARY'S SIGNATURE �..... , Notary Public,State of Florida AS TO 9 •` My comm.expires Mar.21,2003 ❑ Personally known '••`...y`" Conm.No.CC 810398 roduced identification Type of identification produced v.t,4 r �" e AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 i FLOODPLAIN DEVELOPMENT INFORMATION Location:: c J-]cc,(k , FL 3,D0 3 3 Type of Development: rC 5 k d e v'��i cJ ,t s Flood Zone: 'x Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the propose devel ent. 3 Date 3)A0.� Applicant's Signature - Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying _Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. City of Jacksonville GIS Map Output Page 1 of 2 JAXGIS Property Information Ins i t 94 i 9s 91 91 1 2198 00 0 93 s I i c 40 2065 to 60 50 s � 83 75 53 53 Copyright tQ 20C C ilyof Jsckwnvik Fiim http://maps.coj.net/website/Parcel/toolbar.asp 12/9/02 City of Jacksonville GIS Map Output Page 2 of 2 Map It 1 Real Estate# 1721980000 Last Name HUFFMAN First Name THOMAS H House# Street Name Type Dir ipCode 2266-1635 Total Value 75 Cres .1Y Plat Book 1 Legal 1 19-16 17-2S-29E Legal 2 DONNERS R/P PT LOT 3 LEGAL 3 1J2 LOT 10 BLK 1 http://maps.coj.net/website/Parcel/toolbar.asp 12/9/02 Schlueter, Jennifer From: Kaluzniak, Donna Sent: Friday, November 22, 2002 1:56 PM Lk-) To: Schlueter, Jennifer Subject: RE: 95 and 95-1 1'� Dudley St. Jenny, finally got the info-- For 95 and 95-1 Dudley, we will need: 2 sewer taps, one water tap and two water meters. (There is '? one existing water service, no sewer services and no meters at present). Hope this helps- Donna -----Original Message----- From: Schlueter,Jennifer Sent: Thursday,November 21,2002 2:58 PM To: Kaluzniak,Donna Subject: RE:95 and 95-1 Dudley St. PM No problem, I didn't want to rush you, I To: Schlueter,Jennifer am just trying to keep up with Subject: RE:95 and 95-1 Dudley St. everything over here by myself. you!! Jenny, not yet. According to the as- Thankbuilts there are no existing taps.. but -----Original Message----- we try to check in the field to verify From: Kaluzniak,Donna and mark the location. The guys Sent: Thursday,November 21,2002 2:54 have been working water breaks 1 etc.. but Kenny is going to go check right now. -Donna -----Original Message----- From: Schlueter,Jennifer Sent: Thursday, November 21,2002 S 2:36 PM To: Kaluzniak,Donna Subject: 95 and 95-1 Dudley St. Hi Donna, Did you get a chance to research the above address for number of water/sewer taps I need to charge for on their duplex building permit? Thanks, Jenny 2 Schlueter, Jennifer From: Matthews, Carlene Sent: Monday, December 09, 2002 9:59 AM To: Schlueter, Jennifer Cc: Matthews, Carlene Subject: RE: Permit 02- 00024890 Jennifer, As I was adding this utility account I found that 95 Dudley had already paid all impact fees in 1997. Why are they being charged 2 sewer impact fees this time? Thanks. Carlene -----Original Message----- From: Schlueter,Jennifer Sent: Friday,December 06,2002 4:55 PM To: Matthews,Carlene Subject: RE:Permit 02-00024890 Thanks, that is what I needed. You too! Stay warm!! Have a great weekend. Carlene -----Original Message----- -----Original Message----- From: Matthews,Carlene From: Schlueter,Jennifer Sent: Friday,December 06,2002 4:52 PM To: Schlueter,Jennifer Sent: Friday,December 06,2002 4:48 PM Subject: RE:Permit 02-00024890 To: Matthews,Carlene Subject: RE: Permit 02- 00024890 Hi! That is going to be a duplex and Don has address it 95 Dudley and 95-1 Dudley. Don did the fees according to what was already there from the single fam. home to turn it into a duplex. Does that make any sense? Thanks, Jenny -----Original Message----- From: Matthews, Carlene Sent: Friday, December 06, 2002 4:36 PM To: Schlueter, Jennifer Cc: Matthews, Carlene Subject: Permit 02- 00024890 Jennifer, We already have address of 95 Dudley on location 15214. The permit above indicates the address of 95 95-1 Dudley Street. 2 Does this indicate the address to be 95-1 Dudley Street. I don't understand the 95 95-1, please explain so I can enter the meter set. Thanks, Carlene. 3 =a u CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026811 Date 9/05/03 Property Address . . . . . . 95 DUDLEY ST 01 Tenant nbr, name . . . . . . NEW 150AMP, 1PH, 3W, 240V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- ------------- ------------------------ HOFFMAN, TOM DAN' S ELECTRICAL CONTRACTING 2909 KLLINE ROAD JACKSONVILLE FL 32246 (904) 838-9882 -------------- ----------------- ----------- ---------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- ------ ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUELDING OFFICIAL : sss q Y s CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 200 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: n /� 4--le--4 MASTER ELECTRICIANS SIGNATURE: - � )�af!:� /- OWNER OF PROPERTY: c3 'v++ .a.JZI JOB ADDRESS: J S4 'v� RES.(<^ APT.( ) COMM.( ) PUBLIC( ) INDUS.( } NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. /-3 N)/ SERVICE: NEW INCREASE REPAIR( ) CONDUCTOR SIZE AMPS: /s'c: COPPER( ) ALUM.(,-r FEES ?N� SWITCH OR BREAKER /S-�� AMPS PH OW VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS /5� CONCEALED OPEN TOTAL a RECEPTACLES SZ) CONCEALED OPEN TOTAL 0.30AMPS 3 1.100 AS SWITCHES MP INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES A BELL TRANSF. AIR H.P. RATING H.P. RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR !=ITCH I FLASHERS EACH SIGN 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Revisal 01/17/01 J •�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 .x: INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026812 Date 9/05/03 Property Address . . . . . . 95 DUDLEY ST Tenant nbr, name . . . . . . NEW 150AMP, 1PH, 3W, 240V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - -------- ------ --------- - -- --- ----------------- HOFFMAN, TOM DAN' S ELECTRICAL CONTRACTING 2909 KLLINE ROAD JACKSONVILLE FL 32246 (904) 838-9882 -- -------------------------------------------------------------------------- Permit . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 BUIL 'ING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP A )HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN REST T IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIC :ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL J� r . CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION rift 1�% TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �T !� 20 0,3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: �` �p� �, �tiG MASTER ELECTRICIANS SIGNATURE: 1A J OWNER OF PROPERTY: etc JOB ADDRESS: RES.(1-"-APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. ,/. 4/-V SERVICE: NEW -�' INCREASE REPAIR( ) CONDUCTOR SIZE gZ0 AMPS: / S'- COPPER ) ALUM. FEES SWITCH OR BREAKER -0 AMPS / PH VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. 1KVA NO. IKVA NO-NEON TRANSF. NO j VA I MA I MOTOR SIZE SWITCH FLASHERS EACH SIGN 800 Seminole Road. Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Revised 01/17m1