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Permit 2044 Duna Vista Court
CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000594 Date 5/08/09 Property Address . . . . . . 2044 DUNA VISTA CT Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace 6 ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ARMEL OWNER ATLANTIC BEACH FL 32233 -------------------------------------------------- -------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/04/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF LOT 62 ACCORDING TO THEPLAT OF ISE[LVIA NIORTE" UNC �I TWO AS RECORDED IN PLAT BOOK 40 , PAGE(S) 37 AND 37A . OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: BRUCE ARMEL, JENNIFER ARMEL,. STEWART TITLE GUARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, - INC. AND BANK OF AMERICA, N.A. FILE COPY 1111--_ "" III- .s 80`09 20" E S 78056;?8" E APPROXIMATE 65 00' (R) 40.00' (R) TOP OF BANK _ SUBDIVISION BOUNDARY LINE 1/2" 40't DITCH 25' EASEMENT FOR DURDEN • 97 95' (M) 1/2" L.B.1048 R.MILLER DRAINAGE, UTILITIES 5 g429 55 E & SEWERS 0.5'EAST LOT 62 CLOSURE LINE ONLY 2.8 3848 2.66'NORTH a ►1 p a p�� p 0_� 0.4' 1/2.. FENCE_ ;. - k R.MILLER a POOL •CONC.• 3848 ,VE-vi FCZ 1 C r- 6.4'Y e'1.0' t/tilLC. �2t=Pa 4 r 5.T 5-7 • CONC: '.°'• iv 2.4' to 595.7' 14 7, CD v0.v •22.0 4.3' 06 SCREENED �5 04 Oj tJ LS}'1Q , . a PORC o o d+ O p 16 4 19.0 .7' 0 C j p EQ, 2 STORY COQUINA 1.3' Sp4MC i�f PF OF- n PAD RESIDENCE p �p o 1 i S X�Si�1JG 10 W/7.52044 LOT 63 1 t!s /-06 S14 i %'r sIc J. J9W ,?()X m P.: COV'D. N0.2044 �' TILE p C� � 4 0.4' 2.8' LOT 61 `^i 6.8' 2.3' 1.7' ,�l+ � 12.1' N ?,q 3 9�• f � 3 O 3.3' 4.4' a o CONIC. N O / • CONC. . ° vi & STOOP tti d. STEPS' N Z y °CONC.. 22.4' 10.8' s I °. r mantle Beach 1 10'X10'J.E.A. � 0. EASEMENT �: AS Yeflfiea aonlpNanOa sodpDb IW , subdivision and otter* Isom land 1/2" de t ropulatlons,but does r4t oonstitule 1/2" •' R.MILLE approver on issuance Of pante. Cron1w10a P.L.S. FOUND 3P T8 W th Ino Cods and all Miler applicable a�■tld sdaraf permitting requirnansnb / 3396 XPCC. nwat be Yarlfied nature of the City of Mardc / R=130.00' L=15.59(A4) BEARING REFERENCE LINE Beach 01 ng prior to ft bsuan0a N a N 88'11'32" IV N 85100'00" Wf (M) N 68 36"15' W 15.59' (M) 18.99' (M) V 88`87 '41 1V 85p00'DO" Tr _ 'Ld'UNA F'IS Y `A COURT("C z-_nZ_ E Y 0 GENERAL NOTES: PLAT 1. BEARINGS ARE BASED ON LAT BOOK 40, PAGE 37A A www ■ • �.+ w w i www v&■w 2 DETERMINED FROM F.E.M A. FLOOD MAPS PANEL NO FLOOD ZDATED 04-17-1989 r CITY OF ATLANTIC BEACH ®A 7 3 I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE(904)247-5826•FAX NO.:(904)247-5845 tJ a BUILDING-DEPT@COAB.US r 3 ,err BUILDING PERMIT APPLICATION DUVAL COUNTY 1,♦'JOVADDRESS: ",r 2.VALUAjj0K9F WORK^'i- 3 SO:FT UNDER ROOF--,*: VI Cid ea 9Z.7- a 4'LEGAL DESCRIPTION. "` 5.CLASS'OF WORK fi.USE OF:STRUCTURE .1 _ ❑NEW BUILDING El DEMOLITION ESIDENTIAL LOT f+?BLOCK_SUBDIVISION SE-1-VI) t`0-SlI f_F Owm Z ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL :7>DESCRIPTION OF WORK. ❑ALTERATION ❑ACCESSORY BLDG. 8:FIRE SPRINKLER S» y 94EPAIR ❑POOL 15PA 13 YES 111,41A �`,J�� 7=c,.J G� 5't+rADo W i'�Cx ENaCr� ❑MOVE ❑OTHER ❑NO =' ;CONTRACTOR `'ARCHITEG:T/ENGINEER c' " PROPERTY OWNER, ', r:.; 9.NAME: 15.COMPANY NAME 23,COMPANY NAME: ''' I�G�'�i1LC� il�j�� �• 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: ` 17.STATE OF FLORIDA ENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: G.�. •L�l. gJ S '.fit' r'..., �a 18.ADDRESSV-12 26.ADDRESS: Tf.. ►rr'1 C. fb `'f r•f`7 ObA J.44-)' 2-1-O.7 11.OFFICE PHONE !�Y 12.FAX NO.: 19.OFFICE PDN20.FAX NO.: c 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL ONE: 29.CELL PHONE Cv 'a If " 11�-4, 14.EMAADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: IA3. �►�MFt:�i Cc t-k �yr ,� ,�4FEE SILETITI,E HQLDER - BONDING COMPANY " MORTGAGE LENDER 5.u,..�S s+ PFo R�wwov r33.NAME: 35.NAME: ESS: 34.ADDRESS: 36.ADDRESS: on is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has ced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this ion. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or ned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for al Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work Will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 'OWNER`or'AGENT -CONTRACTO (If Agar*Power'of Attorneyor Agency Leiter Regt6red), (Qualifier Orly) ' Signed: Date: Signed: Date: Before me this day of 2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identfcation- Notary Signature: Notary Signafure: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) a ss1 1 800 Seminole Road Atlantic Beach, Florida 32233-5445 �• Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Qapat"� ent review required Yes No Property Address: �J � a., VSTO_ 67_ annin &Zo ' -Tree Administrator Applicant: '0 ��� ubl' ork Public Utilities Project,: !)& u lic arety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICAT STATUS Reviewing Department First Review: proved. FIDenied. (Circle one.) Comments: BUILDING PLANNING �ZONING Reviewed by: Dater TREE ADMIN. PUBLIC WORKS Second Review: F]Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. []Denied. Cc, r ne, I �'.Ajlj , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 i y Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us LDate routed: �A City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM D ent review required Ye No Property Address: �a` Z/ Q' '� '��' vT P �Y ancon &Zominc ree Administrator Applicant: D ��� ub' ork Public Utilities Project: /a/1- -Public-aa-fe_e8nCI ' IVty Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: EjApproved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING TREE ADMIN. Reviewed by: Date: % Sd c _ PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: - Bate: City of Atlantic Beach APPLICATION NUMBER ' ` ' 0 2 To be assigned b the Building Department.) a Building Department ,, ( g Y g F Std 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 % y �Jjsc, Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM V p�0 C D ent review required Yes No Property Address: anning &Z pp 4rt-p Administrator Applicant: �!1`�J�F" ub' ork Public Utilities Project: ublic a ety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department f=irst Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Dat%�) TREE ADMIN. PU IC WO KS Second Review: ❑Approved as revised. ❑Denied. Comments: PUB IC TI S of PU S FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Fairs ,r, € taf- T. s trig CITY OF ATLANTIC BEACH { {% 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 I I I I I r OFFICE(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY i 1,'JOB ADDRESS. ,, 2-VALU6TION'OF WORKS;r 3,SO:FE UNDER ROOF: s ';4i:LEGALbESCRIPTION::'�`` _ ,'C` .. .� SCLASS OF VtIORK " ''' .=i' fi.USE OF- STRUCTURE. - q p 13 NEW BUILDING 11 DEMOLITION ESIDENTIAL LOT 6 2BLOCK SUBDIVISION IF ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL T:DESCRIPTION OF WORK ": "', ❑ALTERATION ❑ACCESSORY BLDG. B:FIRE`SPRINKLER'c 9'1�EPAIR ❑POOL!SPA 11YES 014A C' t--r�r F-CGC N Ja'Dd W 12 � r C1 C EXItrIJ❑MOVE ❑OTHER ❑NO PROPERTYOWNER, CONTRACTOR z•, .:. ARCHITEC:T/ENGINEER? 9.NAME: 15.COMPANY NAME 23.COMPANY NAME: t-4E-kCVLhjc� ed. ^ `` 18.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA YCENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: (3 y At &AJ Pr V I TI �r�Ti 1 LE r# 18. S: 26.ADDRESS: i.s`t 1 r 3 220. 11.OFFICE PHONE Y-1 12.FAX NO.: 19.OFFICE P NE: 20.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL ONE: 29.CELL PHONE- 6-1 t 1 - fl- 14.EMAILADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: N. AZIA Ffk--Co(-+rhs;,V � r 9 FEE SIMPLE TITLE HOLDER f 3 gONDWG COMPANY x MORTGAGE LENDER r 31.NAME 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. qtr WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. " 01NNER alr-AGENTf CONTRACTOR '! '(H Agent Pawar of Atlomey or Rgency Le'W Re*&i G' (Qualifier 044: Signed: Date: Signed: Date: Before me this day of ,2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate, true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: sL�'vu'i i�arr:itr,,pilcsiion Egg:r:c\%iScD: i�Plsr�G:,3 City of Atlantic Beach APPLICATION NUMBER Building Department i�w% 0 61V (To be assigned by the Building Department.) ' s 800 Seminole Road j Atlantic Beach, Florida 32233-5445 % U Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us LDate routed: �lJ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM v eD ent review required Yes No Pro a Address: �� T PropertyoKanning &Z Tr ee Administrator Applicant: 0 �� ub' ork Public Utilities Project: nC ubiic a ety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: ��� �� BUILDING e—' �� / PLANNING &ZONING P TREE ADMIN. Reviewed by: Date: J PUBLIC WORKS Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ❑Denied. I I i CITY OF ATLANTIC BEACH ®A 77 > + 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 [J BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY JOB`ADgRESS ALUATION OF WORK4'.; 3;SQ.FT UNDER ROOFc 4 1 EGAL DESCRIPTION S ELASS OF WORK fi.USE,OF STRUCTURE. /qq 13 NEW BUILDING 11DEMOLITION ESIDENTIAL LOT 47/BLOCK_SUB DIVISION �r LV i) t4o C uwo-Z 11 ADDITION 11 CONVERTING USE ❑COMMERCIAL 7:DESCRIPTION'OF WORK. ,,- . ;, ❑ALTERATION ❑ACCESSORY BLDG. d:FIRE SPRIN LER ie (� F6It T j i tiJL- s'np 5 REPAIR ❑POOL l SPA ❑YES 0141A 11'2 F6=,J CC S"'I Ia Do'+N 13 CV1 tu,sr+ ❑MOVE ❑OTHER ❑NO PROPERTY.OWNER �'_".. CONTRACTOR)iv , "' ,..•.. `3ARCHITEC. IENGINEER° >: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: ,.:7zuGG � .r,l�vJ°tiitr�•+{` (-jG�C'�f1L�`� � I.lt� �. 16.NAME: 24.LICENSEE NAME: 10,ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Ll T"L-`>• fit L l:-� i',' 18.of-7 0ci 49 �6..+�-71 IJv"1. 26.ADDRESS: 2 21C 11.OFFICE PHONEif 12.FAX NO.: 19.OFFICE PONE: 20.FAO.: 27.OFFICE PHONE 28.FAX NO.: /3 ? -21 3 11 -7-5. a-7 s 9 13.CELL PHONE: 21.CELL ONE: 29.CELL PHONE >yti - £sti /2 14.EMAI ADDRESS: 22.EMAIL ADDRESS: 30.ENTAIL ADDRESS: N. AZM-IrLk CC t-kras o Uf l:l FEE SIAAPLE TITLE HOLDER MORTGAGE LENDER BONDING COMPANY 31.NAME: 33.NAME 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER isr AGENT CONTRACTOR (If Agent Powerofi+tlomey a Ageriq Letler Required) (CQUalifiel Onty) Signed: Date: Signed: Date: Before me this day of ,2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced identification- Notary Signature: Notary Signature: CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001244 Date 9/17/08 Property Address . . . . . . 2044 DUNA VISTA CT Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc WIDEN DRIVEWAY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PHILLIPS, STEPHEN & CATHY OWNER 1800 THE GREEN WAY, #311 JAX BEACH FL 32250 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/16/09 ---------------------------------------------------------------------------- Special Notes and Comments All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of pavement to the property line . Reinforcing rods or mesh are not allowed in the ROW. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1�aN NvN"pepan� the gutldmg i' I II li� I ISI i I II I � I j ' II E I II I � I I � it it it i If I I I I � I 1 s City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ! Atlantic Beach,Florida 32233-5445 ::_ O .- ""w"' Phone(904)247-5826 • Fax(904) 47-5 � Js3 E-mail: building-dept@coab.us (f City web-site: http://www.coab.0 Date routed: APPLICATION REVIEW AND ACKING FORM Property Address: c:?:, a 1-14/714 4, V191-0, tDepartment review required Yes No Building Applicant: fj(J//� b/f/ Cin a Plannin oning ublic Work Project: ,;.,. P-amnitimies Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: BfIg C " j C_!k PLANNING 11 ZONING Reviewed by: Date: PUBLIC WORKS PUBLICTIS n Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH — ` CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date /6` d $- ,+p PERMIT# Job Address ()�L� �Ll V A V C i0-v Ce(,e—f ISSUED BY THE CITY Permitee: V G6 IN Q 1-te` Telephone# 0'L'K E aL(X-�2 Z.SC Cc I--(- Cu St- �� Permittee Address: �+ rn E �S3 S rte dy Requesting Permission to Construct: E,*-d b„e cyg w-4t e ;94 S' Fee, tN,7-f4 C rAi-c-irerr Location: (Reference to Cross-Street) 71" CT gp C l-7- 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: � Jacksonville Electric Authority Yes ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of W i ND 4t- C-t-S4A ff (Contractor's Project Superintendent)located at JAC*0:CrjA"- Telephone#: '?04(- a ?I-G id/ 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: te=n+ s MAP SHOWING BOUNDARY SURVEY OF LOT 62 ACCORDING TO THE PLAT OF S LVIA ORTE" UNIT TWO AS RECORDED IN PLAT BOOK 40 , PAGE(S) 37 AND 37A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: BRUCE ARMEL, JENNIFER ARMEL, STEWART TITLE GUARANTY COMPANY, WATSON & OSBORNE TITLE SERVICES, INC, AND BANK OF AMERICA, N.A. S 8009�?O" E S 7856 z " 67 00' /R1 g E APPROXIMATE ( 40.00' (R) TOP OF BANK SUBDIVISION BOUNDARY LINE 40'f 25' EASEMENT FOR DURDEN DITCHL,g.1048 87.95' (M) 1/2" DRAINAGE, UTILITIES 0.5'EAST LOT 62 S 84CL055" E l i 2 8' R.MIL ER8 & SEWERS ' CLOSURE LINE ONLY 3848 2.66 NORTH ❑�p ❑ p �`` 3.7' ==—� 0.4 1/2„ -FENCE` a R.MILLER ❑ 3848 p00L �t , CONC Il 6.4'• n'1.0'�a ��, a 5.7' 5.7' a . N o 5.7' • CONC.' • 2.4' � 14.7' 9• 22.0' 3.1'- 4,3' °DSCREENED d. p PORCH o 0 O p 16 4 19.0 'n ~ p Ep, 2 STORY COQUINA 1.3' ❑ 0.1' PAD RESIDENCE Q = ❑ W/1.5'EAVES �' LOT 63 1 r COV'D. NO.2044 61. L N TILE o l� v 0.4' 2.8' LOT 61 1z1 oo 6.8' 2.3 1.7, 9 n 3.3' 4.4' � a r CONC. N O n a A/C PAD ^ rn o w CONC a N & STOOP o STEPS, N ll O �• z a CONC., 22.4' 10.8' U) � a Ln I O'XI O'J.E A. 'r N N 0. 7a7 EASEMENT GAS 7 VALVE 1 E LID 1/2" e R.MILLER P.L.S. FOUND F T8 i/2"CAP 3398 X-CUT UNREADABLE \ P.C. / R=130.00' L=15.59'(M) BEARING REFERENCE LINE 8,50.00' L=27.95(M) \ N 88'11'32" W N 85'00'00" W N 68"36'15" W \\ 15.59' (M) 18.99' (M) 27.59' (M) N 8831 '41 " W Al- 854'00'00" W N 6859 13" W 16.00/'' (R) 18.97' (R) 27.59' (R X-REFERENCE JOB NO.: 45400 DIANA VISTA COIIRT(CUL—DE—SAC) v EY p GENERQIU NOTES:Ez p S 1. BEARVNGS ARE BASED ON PLAT BOOK 40, PAGE 37A 2. STRUCTURE NO. 2044 SHOWN HEREON LIES WITHIN FLOOD ZONE A AS BEST A - - - - - --- �. ..... DETERMINFD FRn&A F F W A JLADDRESS BUILDING PERMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING - �7 SLAB FRAMING i COVER-UP INSULATION - G 1 FINAL BUILDING y -Ci CERTIFICATE OF OCCUPANCY -' ELECTRICAL PERMIT # INSPECTIONS ROUGH FINAL 2- MECHANICAL MECHANICAL PERMIT # Slo� 14S PLUMBING PERMIT # -7'35--3 NOTES: r foo � s 20 CITY OF r�d���rt�t � - 97Grt6i�it M SEMINOLE I(W ATLANTIC BEACH,FLORIL' 'i3-5445 TELEPHONE("4)2.1 FAX(ON)247-S$»..* W"Icz TO: Water Department FROM: Building Departownt DATE: a - 0 5- 4'-1 Please be advised that the final building inspection has bc: completed on each of the following addresses and construction wat.'C is no longer needed: Permit Number Address SSincerely, 6�t //a4'4.CiL.J Building Department- , a j 3 . ............. ttftrate of Mrrupanq (situ of Atlantic Ntac4 — N1oriba Department of +Nuilbing Jnspertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification �x1 i �6 4 1..�.'j" .i�L'u1 et:2 :C. Bldg. Permit No. 7296 Group f f ��z =riff Type Construction S i f: Fire District At'alI I. Oi lhi(7iC'Tl F l..c�f;;h Phi .Ii wner Ing Address �� "`d ilUlli �5 ( Court, o ` Building Address c' Locality f " .i, riC f eU I1 FI 32233 ? . r F C)�v C » 1 RD By Building-official. Date: i r POST IN A CONSPICUOUS PLACE E i MAP SHOWING SURVEY OF LOT &Z • 5ELV4 ,UORTE ' U.V/T TWO AS RECORDED IN PLAT BOOK 40 PAGES 3-7,374 OF THE CURRENT PUBLIC RECORDS OF Ou"A L COUNTY, FLORIDA. CERTIFIED TO w�L� /5 C0.117-,14crOfS [ � CCT271993 71993 Building and Zoning wo PA V 01- <30 V'T. ZD (E7.. s/10, os� &/4,,Z7 S. ZJ` E S its/•T. f o•P 5 OF 4e4 A.3C OF Sic FE Z (Z O.9 6offo� O �3 n �1.3' 5,b. -1 .--I.o' U w 1 S I.I• .S s' F.'�• fL.BC.�/2.58 m LO T z 2,7 ` N G3 Xw'F1 C/fo• S� O Lt,(o.fo8� N ° Nl_ N /O'Xr0'J.E.A. E3 n.t 3.5 'X 46' c.w93 �� R. ClS.SI CE C. [id 11f PG •97" rr /812 iQ-r�) gaco33,azi; N.05 GLS W. v f 0 3 t�AsA��,i 4 sc�jP. �• o,• � tilcra.u,�zK V� fwa-ar DUA-4 V1,5 TA COUR 7- ( 50' eiw) DATE: �_v� -1 ^7 — PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 23:.3 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: L) ------ ------------------------------------------------t t ------------------------------------------------ ------------------------------------------------ t -- -- t ------------------------------------------------- Enclosed are the blue copies of the permits. S r'Y BUt '.DING INSPECTION DIVISION cc 'ILE 4 PSA-3* .,, 886 DEPARTMENT'6 i0i�ING CITY OF ATLANTIC'BEACH . ,. PERMIT INFORMATION ------ ---------,.....,._ ' LOCATION IN `OBtA !IC�N - - - -- Permit Number: 7886 Permit T Address , 2044 DUNA 'VISTA COURT Type: PLUMBING ATLANTIC BEACH, FLORIDA 322J3 "I aS df Work- NEW LEGAL DESCRIPTION -,.. �. .._ _., . .. Constr. Type WOOD 'FRAME Lot: BIocttr Section: _ Proposed Use: SINGLE FAMILY Township; FANG: t? l wsellan 1 Code: LI Subdivision: � k Estimated Value: so .00 Improv. Cost ; f $0,44 , L s+rw 595 .00 494 M+Mw�A 9l a W k u'y�F T 14N ' J __ APPLICATION FEES IPS PERMIT Add aSa` r4� STA COURT WA IMPACT FEE $0*N�,j ff FLORrD P �'` ` ` RADON -H.R.S $0.00 FORMATI --- RADON CAB 5% $0 .04 R ,wv13A . , . CAITAL ' 1 ' 'VE, a H_,. C.O£I SEWER TAP ` HYDRAULIC SHAREAD,00 'Type: £► CROSS CONNECTION 35.` 4. CONST. SURCHARGE r � I A 5' J sJ NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED'SEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 BUILOR40 MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAR,#b UP AND HAULED AWAY BY EITHER CONTRACTOR,OR O1f1WNER 1 ° fAIL:U tE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN; RESULTIN, THE P OPERTY OWNER PAYING TWICE. FOR.BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART'OF THIS PERMIT AND SUBJECT TO.REVOCATION FOi VIC3I.ATICiN OF APPLICABLE PROVISIONS OF LAW, r TLANC# ;"'BEACH BUILDING DEPARTMENT 1 J a ... CITY OF ATLANTIC SUCH APPLICATION FOR PLUIMINO PERMIT JOB LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: /�-L�._� C�i✓T- �%��'t S , //✓� PLUMBING CONTRACTOR . AND ADDRESS: TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINK8 SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTH1M, TOTAL FIXTURE COUNT: s $3.50 + ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTORZS MOST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHZRN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHZDULE tNSPZCTI0N8 - (904) 247-5826 78,921 DEPARTM6NT, )F.BUIL01NQ i CITY OF ATLANTIC BEACH I �- PZRH IT INFORMATION _ - . __ _ LOCATION INFORMATION } . _ ermi;t Number`: 7892 Address-: 2044 DUNA VISTA COURT i Permit 'Ty re. ELECTRICAL 'ATLANTIC BEAR FOR 32233 Cl s art,` 'Work: NEW LEGAL DESCRIPTION cntr:: Type: CONCRETE Lot - Block.- Section: irop-4$ed Use: POOL/SPA Townshipl, RIG: 0 IlaeII ngs: 1 Code. 0 Subdivision: Esti ied Value: $0 .00 j Improv> Cost, $0 .0 Totaa $35 ,00 j Amoun $35 . 00 y 1 TION �- * __ . � .. b,4 APPLIC,ATION „FERS` _ .. LIP'S PERMIT $35.00 f :` ,ddrts STA COURT �. i�TAT IMPACT EE 50 .00 E H, P"LORI 1 '.` Ph 5 71 dVAT AP RADON GIBS-H.R. S $0.00 I m -- C R R FO lTI _-_ RADON CAB 5% $0.00 Namor. ,��� GbNp EJ�IEC'I'R 'C .M..,w. CAF-1TAL .IMPR+E VE. .. ._.. .�.OD. dd�r 49 Z STREET SEWER TAP S0 Ct(J• l � :3T. A INE, FLORIDA 320HYDRAULIC SHARE .QO Lire 0 Type: 2 CROSS CONNECTION r CONST. SIIRCRA, Z i NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFOREPOURING 1 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUS, BE CLEARED UP AND HAULED AWAY'BY EITHER CONTRACT04 OR OWNER i S "FAQ' i.URE TO COMPLY WITH THE MECHANICS' LIEN .LAIN CAN RESULT 1N THE PROPERTY OWNER .PAYING TWICE FOR BUILDING �MPRt) 11�I�NTS ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVQCATIQN;!`I3i VIOLA(#DN OF•APP ICABLE PROVISIONS OF LAW. ATLANTIC EACH BUILDING DEPARTMENT 0001001119 100{II'II 0 •� kt#t P 15t 2741 OEM •tt1 , x L CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 FIRM: MASTER ELECT lC1AN SIGNATU NAMEc�LFZy�-Al / /Q�144'A"L ADDRESS: -00 '7 'ia� �/� RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT.( ) COMM.( ) PUBLIC ( ) INDUS. ( ) NEW( N' OLD ( ) REW.( ) ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ! SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES i I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS PSR�eaa DEPA 40 NT OF BUILOIN4 '. CITY0F ATLANTIC.-BEA!CM � E T INFORMATION ,,.._ LOCATION INFORMATTCN Fermi t Ne,ber: 776 Addrveaa: ,2044 DUNA VISTA COURT � Perp t.YTYPer SWIMMING POOL A'TLAN'I'I1C BEACH, FLORIDA 32233 j I a Work. NEW _ LEGAL DESCRIPTION -�-� Con t t,r, Type* CONCRETE Lott 62 B l cock: sect ion. Px�6ed U : POOL/SPA Township. RNO } 'Dwe��. I ngs : 1 code: 0 , Subdivision, SELVA. NORTS. �ti ated Value- $14247 .00 Improv. Cost 7 $0 .00, Total dee_ : $30 , 00 ja D /1,4/94 IMMIN'O POOL PER PLANS Ito yy J�K4 }y L I r�.hye M,y[ vY �i ift71A, M`$A'�th Pr 9� �y.�.ye,y�{�' - rte�yy��e j30 .6 0 .� Mew i.i NY 1� �j i R I# 1 A:dd `` TA COURT a W'AT'ER IMPACT `�, 0.00 . ACE, FLORIDA 3,2231 SEW IMPACT PEE $0.00 � O FORMATIO RADON OAS 5% $0 .00 IPORMA.T I NaI � EA POOL CAPITAL IMPROVE. Addy eS <m:, �. . .. UERSTL X19 SEWER "TAP p JACKS , LLE:, FLORIDAµ..32211 HYDRAULIC SHARE $0.00 4 L1,ceI � b CpO' � Type, 0 CRSS CONNECTION .00 : SEC.K, IMPACT FEE t# 3 NOTES: 1 I l C a NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE F �SUILDINQ MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IF1 PUBLIC SPACE,AND MUST BE CLEARED UP AND MAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILUflE TO COMPLY WITH THE MS HAN CS' LIEN LAW .CAN RESULT til T ,E: � RERTY W YIN I�tJ OWNER PAYING Ti�VICE FOR BUILDING I PRO E�AE HRM", r ISSUt6. ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECt TO REVOCATIOhI`"p y4OLA BION OF APPLICABLE PROVISIONS OF LAW. ATLAN TIC BEACH BUILDING DEPARTMENT " By: .� CIEGis JAN 131994 CITY OF ATLANTIC BEACH Building and Zoning. APPLICATION FOR POOL PERMIT Job Address C(- Lot tLot # Block # Subdivision&/jz& Owner , e# A Address /sf66 `7,i'c ,rv-en S to V',�j IL Contractor xiet ,' l4L-Jey g"L_,,>eU -d- au, Serv►�_-Q6a:1 j Address,_�5 3 6 anjy •erS t1 Zhl a: /1J, o�c; •`� License number 635&73 PC) Valuation $ lYa? �, `� Gallons Z,*.g SITE PLAN front E N a w c� m rear Signature Owner Date Signature Contracto Date l r� QF RR O��'' 3 rtrE 9 By FS 717./3 VII[FAA•W DYFLIOAT191 �Q tvhtam It Mq tent= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriptionof property...................................................».................»......................»............................................ ........................_..................... ...............................................LOA. ..6».�..................�..�...,c:.1. �..............«.����1. ..... �o��...«........................... ............................................................................».........._.................................«................................ .......»............«......._............»»................. ...........».»..»....»»..............»..»......»..».».»».._.,.»....»»..__.«....... P General description of improvements........ ....... .. .................»...................»....»_.....».».....».....».....»».......... .......... ...................................................................»...................................................................................................»................»...................................... .............................................................M.............w.«............«..»...........«.....•............................».......w.«.......................««».»......».....................«»........... Owner. P..� '! .«L.:...Y.. C.al ..:`?.... ..... 1`f....... ........ ' i S.....................»... ................................. .. �.. Address!•. ... (,1��.... 1` S�l�:..�r...� :... V,Ile Owners interest in site of the improvement....................................................................«................»»...»».......».»»»»....».».»................. Fee Simple Title holder (if other than owner) Name........`- ........................................ ............. ......................................................«...........................................................»««..._........ ...«._»... .. .. ..y.... .... ................................. r .... .......................................«».«...........««......».....»..».».......»»...........»............».......... Contractor..... } ..'.. .. ».�... .d.�. '::1.�.. ................................»..»......................»..»...»...»..........».... �,ddrst..... ..G. .. » :.4rt ..(. , ..'r..!_..k.. c .. s ..V..17 ' ........11.. .X�.. ... »...> .rt�, ,t»........_»». Surety (iF .ny).. ........»».».................».».«....»............».......»...............................«..........»............................. .......»..».»...... ..».»......».».».. «».......««_...«...«....»«.....».»......»»...........».»..................................................»..............A-view of bond ....»........................ Name of person within the State of Florida designated by owner upon whoa notices or other &=no ws my be served ''" Name........5.....?:.�- !.e Lt. _..........................................»......».................................... ...........................»......_...»....».».»».......»..»..».........». Address........... .................... ............................................................................................. ............................. - In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provideo in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Addrss........�.4..., 3-� ..........rJ. l j s;J:.. ...�,/� -x" ...... .,r.. J� .............................. THIS SPA"IOU URGOUOM-6 ues DOW%, A ........................ O O FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS PAPERWORK BURDEN DISCLOSURE NOTICE GENERAL-This information is provided pursuant to Public Law 96-511,(The Paperwork Reduction Act of 1980,as amended),dated December 11,1980,to allow the public to participate more fully and meaningfully in the Federal paperwork review process. AUTHORITY-Public Law 96-511,amended; 44 U.S.C.3507; and 5 CFR 1320 DISCLOSURE OF BURDEN-Public reporting burden for the collection of information entitled "Post-Construction Elevation Certificate/Floodproofing Certificate"(FEMA Form 81-31 and 81-65)is estimated to average 12 minutes per response,including the time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the forms. Send comments regarding the burden estimate or any aspect of the collection, including suggestions for reducing the burden,to: Information Collections Management,Federal Emergency Management Agency,500 C Street,S.W. 20472; and to the Office of Management and Budget,Paperwork Reduction Project(3067-0077),Washington,D.C. 20503. G ELEVATION CERTIFICATE O.M.B.Expires May y31,1077 ay 31,1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate,and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION(Lot and Block Numbers,etc.),01 (02 SII va NbvfE UN I r Two PL4T Book Qo. CITY STATE ZIP CODE 'PAGES 3-73-74 DU V A L CLIL) Y F1 - SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM(See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 1 5.FIRM ZONE I Pt hUWATION jlrf AO Zones,, dj�,h) 000 D 4-17 - 89 Q 7.Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): ❑NGVDI 2?, 130t*(d40rlbe:On bablc)t 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BIjE r h building,site,lpdicatj,, t k ,. the community's BFE:I I I I I I.0 feet NGVD(or other FIRM datum-see Section B, Item 7) SECTION C BUILDING ELEVATION INFORMATION 1.Using the Elevation Certificate Instructions,indicat the diagram number from the diagrams found on Pages 5 apo that best describes the subject building's reference level . 2(a). FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I I I I.LJ feet NGVD(or other FIRM datum-see Section B, Item 7). (b).FIRM Zones V1-V30,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I.LJ feet NGVD(or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is L-LZ+.9 feet above or below❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LTJ.U feet above❑ or below❑(check one)the highest grade adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:❑ NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes EXNo (See Instructions on Page 4) 5.The reference level elevation is based on:.z actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place,in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: feet NGVD(or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1.If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C,Item 1 is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I I I I I I.0 feet NGVD(or other FIRM datum—see Section B,Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-311 MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30,AE,AH,A(with BFE),V1—V30,VE,and V(with BFE)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued BFE),a building official,a property owner,or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8-Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size,location of servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the Feature(s)not included in the certification under Comments below. The diagram number,Section C, Item 1,must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. i understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CER FIER'S NAME LICENSE NUMBER(or Affix Seal) "494 o - MiGL�i2 S T1T COMPANY NAME E� &Irueyop 4. taew mac-. A DRESS CITY TATE ZIP -7 fr.f, tai zap �1 3Z Co,'Oel IlWoyld�be }ot this Certificate for:1)community official,2)Insurance agent/company,and 3)building owner. 1 ! ' i- � fit tt COI"; NIS. a: ON WITH ON PILES, SLAB BASEMENT PIERS,OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION BASE BASE FLOOD FLOOD •. "•;::;: •ADJACENT ;`::( y RE ERE LEVELCE ELEVATION ELEVATION REFERENCE ADJACENT GRADE LEVEL GRADE ADJACENT is;: ,.}FC'i"•i'p:,•y:::}:; GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 THE NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE PURPOSE OF THE ELEVATION CERTIFICATE The Elevation Certificate is an important administrative tool of the National Flood Insurance Program(NFIP). As part of the agreement for making flood insurance available in a community,the NFIP requires the community to adopt a floodplain management ordinance containing certain minimum requirements intended to reduce future flood losses. One such requirement is that the community"obtain the elevation of the lowest floor(including basement)of all new and substantially improved structures,and maintain a record of all such information." The Elevation Certificate is one way for a community to comply with this requirement. The Elevation Certificate is also required to properly rate post-FIRM structures,which are buildings constructed after publication of the Flood Insurance Rate Map(FIRM),for flood insurance in FIRM Zones Al-A30,AE,AO,AH,A(with Base Flood Elevations[BFE's]), V1-V30,VE,and V(with BFE's). In addition,the Elevation Certificate is also needed for pre-FIRM structures being rated under post-FIRM flood insurance rules. Use of this certificate does not in any way alter the flood insurance purchase requirement. The Elevation Certificate is only used to provide information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper flood insurance premium rate,and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMR).Only a LOMA or LOMR from the Federal Emergency Management Agency(FEMA)can amend the FIRM and remove the Federal requirement for a lending institution to require the purchase of flood insurance. Note that the lending institution may still require flood insurance. This certificate is only used to certify the elevation of the reference level of a building. If a non-residential building is being floodproofed, then a Floodproofing Certificate must be completed in addition to certifying the building's elevation. Floodproofing of a residential building does not after a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30,AE,AH,A(with BFE's),V1-V30,VE,and V(with BFE's)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A(without BFE's),a building official,a property owner,or an owner's representative may also provide the information on this certification. SECTION A Property Information The Elevation Certificate identifies the building,its owner and its location. Provide the building owner's name(s),the building's complete street address,and lot and block number. If the property address is a rural route or PO box number,provide a legal description or an abbreviated location description based on distance from a reference point. SECTION B Flood Insurance Rate Map Information In order to properly complete the Elevation Certificate,it is necessary to locate the building on the appropriate FIRM,and record the appropriate information. To obtain a FIRM,contact the community or call 1-800-333-1363. The Elevation Certificate may be completed based on either the FIRM in effect at the time of the certification or the FIRM in effect when construction of the building was started. hems 1 -6.Using the FIRM Index and the appropriate FIRM panel for the community,record the community number,panel(or page) number,suffix,and Index date. From the appropriate FIRMipanel,locate the property and record the zone and the BFE(or flood depth number)at the building site. BFE's are shown on a FIRM far Zones Al-A30,AE,AH,V1-V30,and VE;flood depth numbers are shown for Zone AO. hem 7.Record the vertical datum system to which the elevations on the applicable FIRM are referenced. The datum is specified in the upper right corner of the title block of the FIRM. Item 8.In A or V Zones where BFE's are not provided on the FIRM,the community may have established BFE's based on data from other sources. For subdivisions and other development greater than 50 lots or 5 acres,establishment of BFE's is required by community floodplain management ordinance. When this is the case,complete this item. Page 3 SECTION C Building Elevation Information Item 1.The Elevation Certificate uses a building's reference level as the point for measuring its elevation. Pages 5 and 6 of this Elevation Certificate package contain a series of eight diagrams of various building types that are to be used to help determine the reference level. Choose the diagram that best represents this building,record the diagram number,and use the indicated reference level to measure the elevation as requested in Items 2a-d. Item 2.Depending on the property location's FIRM Zone,complete Item 2a,2b,2c,or 2d. Use the reference level shown in the appropriate building diagram as the point of measurement. As shown in the diagram on the back of the Certificate,for all A Zones,the elevation should be measured at the top of the reference level floor. For all V Zones,the elevation should be measured at the bottom of the lowest horizontal structural member of the reference level floor. Reporting of elevations in Items 2a and 2b should be to the nearest tenth of a foot,or aftematively,unless prohibited by state or local ordinance,the reference level elevation may be"rounded down"to the nearest whole foot("rounding up"is prohibited). Item 2(a).For structures located in FIRM Zones Al-A30,AE,AH,and A(with BFE's),record the elevation(to the nearest tenth of a foot) of the top of the floor identified as the reference level in the applicable diagram. Item 2(b).For structures located in FIRM Zones V1-V30,VE,and V(with BFE's),record the elevation(to the nearest tenth of a foot)of the bottom of the lowest horizontal structural member of the floor identified as the reference level in the applicable diagram. Item 2(c).For structures located in FIRM Zone A(without BFE's),record the height(to the nearest tenth of a foot)of the top of the floor indicated as the reference level(from the applicable diagram)above or below the highest adjacent grade immediately next to the building. Item 2(d).For structures located in FIRM Zone AO,the FIRM will show the base flood depth. For locations in FIRM Zone AO record the height(to the nearest tenth of a foot)of the top of the floor identified as the reference level(from the applicable diagram)above or below the highest adjacent grade immediately next to the building. For post-FIRM buildings,the community's floodplain management ordinance requires that this value equal or exceed the base flood depth provided on the FIRM. For those few communities where this base flood depth is not available,the community will need to determine if the lowest floor is elevated in accordance with their floodplain management ordinance. Item 3.Record the vertical datum system used in identifying the reference level elevations for all buildings. If the datum used in measuring the elevations is different than that used on the FIRM,then convert the elevations in Items 2a-d to the datum used on the FIRM,and show the conversion equation under the Comments section on Page 2. Item 4.Indicate if the elevation reference mark used appears on the FIRM. Reference marks other than those shown on the FIRM may be used for elevation determinations. In areas experiencing ground subsidence,the most recently adjusted reference mark elevations must be used for reference level elevation determinations. Item 5.Indicate if the reference level used in making the elevation measurement is based on actual construction or construction drawings. Construction drawings should only be used if the building does not yet have the reference level floor in place,in which case the Elevation Certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be needed once construction is complete. Item 6.Record the elevation measurement of the lowest grade adjacent to the building(to the nearest tenth of a foot). Adjacent grade is defined as the elevation of the ground,sidewalk,patio,deck support,or basement entryway immediately next to the structure. This measurement should be to the nearest tenth of a foot if this Certificate is being used to support a request for a LOMA/LOMR. SECTION D Community Information Completion of this section may be required by the community in order to meet the minimum floodplain management requirements of the NFIR Otherwise,completion of this section is not required. Item 1.The community's floodplain management ordinance requires elevation of the building's"lowest floor"above the BFE. For the vast majority of building types,the reference level and the lowest floor will be the same. If the community determines that there is a discrepancy,record the elevation of the lowest floor. Item 2.Enter date. These terms are defined by local ordinance. SECTION E Certification Complete as indicated. The Elevation Certificate may only be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30,AE,AH,A(with BFE's),V1-V30,VE,and V (with BFE's)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information may also sign this certification. In the case of Zones AO and A(without BFE's),a building official,a property owner,or an owner's representative may sign this certification. Certification is normally to the information provided in Sections B and C. If the certifier is unable to certify to the selection of reference level diagram 6,7 or S(Section C, Item 1),e.g.,because of difficulty in obtaining construction or building use information needed to determine the Distinguishing Feature(s),the certifier must list the Feature(s)excluded from the certification under Comments on Page 2. The diagram number used for the Reference level must still be entered in Section C, Item 1. Page 4 INSTRUCTIONS The following 8 diagrams contain descriptions of various types of buildings.Compare the features of your building with those shown in the diagrams and select the diagram most applicable. Indicate the diagram number on the Elevation Certificate(Section C,Item 1)and complete the Certificate.The reference level floor is that level of the building used for underwriting purposes. NOTE:In all A Zones,the reference level Is the top of the lowest floor;In V Zones the reference level Is the bottom of the lowest horizontal structural member(see diagram on page 2). Agents should refer to the Flood Insurance Manual for Instruction on lowest floor definition. 1 DIAGRAM NUMBER 1 DIAGRAM NUMBER 2 ALL SINGLE AND MULTIPLE FLOOR BUILDINGS(OTHER ALL SINGLE AND MULTIPLE FLOOR BUILDINGS(OTHER THAN THAN SPLIT LEVEL),INCLUDING MANUFACTURED(MOBILE) SPLIT LEVEL),INCLUDING MANUFACTURED(MOBILE) HOUSING AND HIGH RISE BUILDINGS,EITHER DETACHED OR HOUSING AND HIGH RISE BUILDINGS,EITHER DETACHED OR ROW TYPE(E.G.,TOWNHOUSE,ETC.);WITH OR WITHOUT ROW TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT ATTACHED GARAGE. ATTACHED GARAGE. Distinguishing Feature-The first floor is not below ground level(grade)on Distinguishing Feature-The first floor or basement(including an all sides'.This includes"walkout"basements,where at least one side is at or underground garage')is below ground level(grade)on all sides`. above grade.(Not illustrated) ' HIGHER FLOORS (IFANY) ' HIGHER FLOORS i 1 ' (IF ANY) ' 1 1 ' 1 1 1 1 GRADE FIRST FLOOR GRADE FIRST FLOOR BASEMENT(INCLUDING UNDERGROUND GARAGE) REFERENCE REFERENCE LEVEL LEVEL (TOP OF FLOOR) (TOP OF BASEMENT FLOOR') DIAGRAM NUMBER 3 DIAGRAM NUMBER 4 ALL SPLIT LEVEL BUILDINGS,EITHER DETACHED OR ROW ALL SPLIT LEVEL BUILDINGS,EITHER DETACHED OR ROW TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT TYPE(E.G.,TOWNHOUSES,ETC.);WITH OR WITHOUT ATTACHED GARAGE. ATTACHED GARAGE. Distinguishing Feature-The lower level is not below ground level(grade)on Distinguishing Feature-The lower level(or intermediate level)is below all sales".This includes'walkout"basements,where at 6"t one side is at or ground level(grade)on all sides". above grade. HIGHER FLOORS HIGHER FLOORS HIGHER FLOORS HIGHER FLOORS (IF ANY) (IF ANY) (IF ANY) (IF ANY) 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 UPPER LEVEL GRADE UPPER LEVEL GRADE GRADE INTERMEDIATE GRADE INTERMEDIATE LEVEL LEVEL LOWER LEVEL LOWER LEVEL REFERENCE LEVEL REFERENCE OP OF FLOOR LEVEL (TOP OF BASEMENT FLOOR-) Under the National Flood Insurance Program's risk classification and insurance coverage,a floor that is below ground level (grade)on all sides is considered a basement even though the floor Is used for living purposes,or as an office,garage, workshop,etc. Page 5 Note:In all A Zones,the reference level is the top of the lowest floor;In V Zones the reference level Is the bottom of the lowest horizontal structural member(see diagram on page 2). Agents should refer to the Flood Insurance Manuel for Instruction on lowest floor definition. DIAGRAM NUMBER 5 DIAGRAM NUMBER 6 ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR WALLS,WITH OR WITHOUT PARKING AREA BELOW WALLS,WITH OR WITHOUT PARKING AREA BELOW ELEVATED FLOOR. ELEVATED FLOOR. Distinguishing Feature-For all zones,the area below the elevated floor Distinguishing Future-For V Zones only,the area below the elevated - is open,with no obstruction to the flow of flood waters(open wood lattice floor is enclosed,either partially or fully,by solid breakaway walls."When work or readily removable insect screening is permissible). enclosed area is greater than 300 square feet or contains equipment servicing the building,use Diagram Number 7;this will result in a higher insurance rate.The enclosed area can be used for parking,building access or limited storage. HIGHER FLOORS r (IF ANY) HIGHER FLOORS (IF ANY) , ELEVATED REFERENCE FIRST FLOOR ELEVATED LEVEL REFERENCE FIRST FLOOR LEVEL ENCLOSED AREA b y DIAGRAM NUMBER 7 DIAGRAM NUMBER 8 ALL BUILDINGS,INCLUDING MANUFACTURED(MOBILE) HOMES ELEVATED ON PIERS,POSTS,COLUMNS,SHEAR ALL BUILDINGS CONSTRUCTED ABOVE AN UNFINISHED WALLS,SOLID NON-BREAKAWAY WALLS,WITH OR SPACE,INCLUDING CRAWL SPACE. WITHOUT PARKING AREA BELOW ELEVATED FLOOR. Distinguishing Feature-For all zones,the area below the elevated floor is Distinguishing Feature-For A Zones only,the area below the first floor is enclosed,either partially or fully,by solid no-breakaway walls,at contains enclosed by solid or partial perimeter walls,is unfinished,and contains no equipment servicing the building.For V Zones only,the area is enclosed, equipment servicing the structure.The area can be used for parking, either partially or fully,by solid breakaway walls"having an enclosed area building access,or limited storage. greater than 300 square feet. For A Zones only,with an area enclosed by solid walls having proper openings,"'and used only for parking,building access,or limited storage,use Diagram Number 8 to determine the reference level. HIGHER FLOORS HIGHER FLOORS � (IF ANY) (IF ANY) , GRADE / FIRST FLOOR ELEVATED FIRST FLOOR ENCLOSEDAREA REFERENCE LEVEL REFERENCE CRAWL SPACE LEVEL Openir g. GRADE Under the National Flood Insurance Program's risk classification and insurance coverage,a Noor that is below ground level(grade)on all sides is considered a basement even though the floor is used for living purposes,or as an office,garage,workshop,etc. Solid breakaway walls are walls that are not an integral part of the structural support of a building and are intended through their design and construction to collapse under specific lateral loading forces,without causing damage to the elevated portion of the building or supporting foundation.An area so enclosed is not secure against forceable entry. If the area below the lowest floor is fully enclosed,then a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade.Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. if neither of these criteria are met,then the reference level is the lowest grade adjacent to the structure. Page 6 V.S.GMW1110aP*WngOfrlw: 1993—717-1SMO 58 593-117A 6/90 TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address o eexxxizxxs�cexxxx�xexapgaua Please update your records accordingly. Than y s BUILDING CLERK CITY OF ATLANTIC BEACH /vcb � 6 ' DEPARTMENT OF BUILDING R CITY OF ATLANTIC BEACH ..fig LOCATION INFORMATION - 4rmTt lumber'* 75,66 drAekss ,. 2044 DNA VISTA CoURT Pe m "'TPe. MECHAN I CAL, ATLANTIC BtACH, FLORIDA 32233 ° aSs s +' €ar tlrW ------ -- LEGAL DESCRIPTION ---------- Type, wonob F AMEot Section: T�t 0p 0 s s se; 'SINGLE FAFIIL ' ' ova hiP: R r 0 I. Code fubdily is i pra: SELLA NO TE tiro tt VBitte: + Improv. Cca "I F. $x+9,00 vate 9. w - '. RAL ` AiI3 ry mvo TION = ' APPLICATION FEESv ;i ----- CONTRAC STA "COURT � NATE m ACT 7EE �. 0 EEW 9,oAgoveg, RADON #3A ~H R . S $0 .00 �ORMALTI t RADON: CAS _ 5% 4'. C NameC AN TE EAT ,6t CAPITAL IMPROVE. . .C0 . ....._ �e SEWER TAP, MOO CSO NFP'TUN � ACH, FLORIDA 32233 HYDRAULIC SHARE $0 , 00 Typ 3 CROSS CO'N'NECTION � �� �0 SEC.H IMPACT .FEE NOTES: g1g f , NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED.BEFORE POURING t PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILd1.NG 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 AZURE Tt? C MPLY WITH THE MECHANICS' LIEN L.A*CAN RESULT IN ' `H 1'ROPEATY O NER PAYING TWICE FOR BUILDING IMPROVEMENTS." 17 ISSUE) ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND;SUBJECT TO'REVOCATION FOR Ol.'A"fIQN„OF'APPLICABLE PROVISIONS OF LAW. ATS ANTIC:BEACH BUILDING DEPARTMENT D��a i�t,91� tIQ �niFte iftltli5b ..5 , To.t ; I,OIi' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. + LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants. 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 ettachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical Contractors Contractor (Print) Q��/ A Master CA QJ Name of ("S co Ji Property Owner f Signature of OIn.r ----- Signature of or Authorised Architect or Engineer III. BEN FOR i A' Type of he a ' fuel: e• / IS OTHER CONSTRUCTION BEING DONE ON / Electric THIS BUILDING OR SITE7� ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER,OFAQNSTRUCTION 0 Oil PERMIT Q Other — Specify IV. MWH♦ NICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat 13Space C3 Roc sed O Centra) O poor New Building Air Conditioning: ❑ Room TCentrel ❑ Existing Building , ®' Oucf System: Materia Thickness.Zr ❑ Replacement of existing system ✓� Maximum capacity Dpo n c,f,m, New Installation(No system previously Installed) Q Refrigeration Extension or add-on to existing system Q Cooling tower: Capacity 9-pi". ❑ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Monlift ❑ Escabto .__(number) ❑ .Gasoline pumps (number) THIS S1ACE FOR OFFICE USE ONLY (Reeeived) ❑ Tanks (number) Remarks ❑ LPG containe's (number) ❑ Unfired pressure vessel ❑ golfers Permit Approved by Def. ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unite Description Yodel Number Manufacturer 0m) A>pP__V G µxy7596 4 VO DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ;. PERMIT INFORMATION; I.f3GAT I 4�I I NFgRMAT I ON Pet' t ;Number: " 596Adr l �I; V144 DUNA VISTA COURT rm MECH I�iIC L ATLANTIC 'BEACH, PLORIDA 32233 CI t;� . 0f Work; NEW _ LEGAL DESCRIPTION Cafi tr . Typ+w: WOOD PRA IR Lot', Black: Section. P d U seu,; SINGLE FMILY Townshl p: RNO: "wee I cods: Subdiv siox� E t mated Vales $0 .00 Ixnpr v ost SD I Total i>t Amo $25»DD A'TION i APPLICATION FEES" CTORS PERMIT $25100 Ad VISTA COURT WIMPAC FEERD D9 CN, FLOI �� 5 FSE D I d , % A TAP RADON GAS-H.RS. $0 .0 4 NFORM) "iN RADON A - 5 $Q .OO `Name RI 13 COMMA. � ' . I tP OVE. 0011, MZET .0.. . SEWER 'SAP $0. 00 At I ELLE, FL 32201 HAD IA,ULIC ; SHARE $4 .00 . Lia10 MA Tp CROSS CONFECTION �D•.D SEC,H IMPACT FEES SD Lll MOTES _ s�s OTiCE=-ALLCONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 �`FAILUE TO C4MPL1 WITH THE MECHANICS; LIEN LAW CAN RESULT IN THE ROPERTYt,WN, R PAYING TWICE FO SUILDING IMPROVEMENTS." ISSUED ACCORDING TO-APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ,VIOLATION OF-APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT NOV 3 0 1993 .8y' ClitY of Atlantic Bctl: 17 BUILDING AND ZONING INSPECTION DIVISION CITY_OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA S2283' APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between BUILDING S W A— 0 o 2-r£ Sub-division- II. IDENTIFICATION To be completed by all applicants , 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 Jacksonville ordinances and standards of good-practice listed therein. op Now of Mechanical Contractors Contractor (Print) 6ti' ' S Mester Name of Property Owner l,,)".l �" D a* L. Signature of Owner Signature of or Authorised Agent Architect or Engineer III. 68*ML INFORMATION A' Typo of hwtinq fuel: B. IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? �jCS C3 Electric 6es LP O Natural ❑ Contra(Utility IF YES, GIVE.NUMBER OF CONSTRUCTION 0 OS PERMIT ;0k� O Oth.r.— Specify IV.MICF1ANICAL SWIPMENT TO M 1NSTAUSD NATURE OF WORK (ProvWo comoeft est of components on back of this form) liesidentiai or ❑ Commercial 0• Meat. 0 Space` 0 Recessed O Central 0 Hoon New Building 0 Nr Conddioninq: 0 Room E3 Central ❑ Existing Building 0 poet System: Material Thirknan 11 Replacement of existing system k Ma:irnwn capacity e f m, Q New installation(No system previously inst#�Hed) Extension or add-on to existing system C3 Rsifrigorat'wn El other Specify © 'Cooling tower: Capacity 9�P•+a• 0 Fire sprinklers: Number of hoods 0 Elevator 0 Menlift 0 Escalator (.number) THIS SPACE POI( OPftICE Ulf ONLY Q ,$*NOR*pumps -(number), (Rowivadj Q. Tan4 (number) Remarks Ve aentaine, . (number) 13 U*4redWww a vow Q logo" Permit Approved by tlsfa ' Other sem, Permit Fes EST ALL EQUIPMENT AIR COPGXnO1NING AND REFRIGERATION EQUIPMENT Nuamber Vslltsi Deacrlptaooh Modd Number Manutaetu w (�� CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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 P. 0. BOX 330150 ATLANTIC BEACH,FL 32233;0150 ��� /�/ ZS�- y- ELEcC-TRII�CAL� FIRM:) E E 1U NAME_ �',.Ya_I�IDS t'C DS� IICQ ADDRESS::2b441 1ZI, L- RFD-BOX BLDG.SIZE BETWEEN: RES. AFT.( ) ' COMM. ( I - PUBLIC ( 1 INDUS. ( y NEWJ OLD ( ) REW. ADDITION ( ) TRAILER ( I TEMP. 1 SIGN ( ) SO. FT. SERVICE: NEWNN REASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. &WITCH OR BREAKER PH 1,, W RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE N0. SIZE NO. SIZE 4 LIGHTING OUTLET& CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.3p AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. ' FIXED 0.100 AMPS. OVRR L APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE1L HEAT: KW-HEAT at VER MOTORS H.P. VOLTAGE PHS NO. j p, VOLTAGE PHS MISCELLANEOUS t "PSR•3644 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ,._ PERMIT INFORMATICS ------ -------- LOCATION INFORMATION Pe.rini t ember* 7353 Address v 2044 DUNA VISTA -COURT Pe mit, 'TYP PLUMBING ATLANTIS' BEACH, ;FLORIDA 32233 r NEW LEGAL DESCRIPTION Cont r . Type: WOOD FRAME Lot Block: Section: Propo d Use* SINGLE FAMILY Township: RNO: 0 :dwellings: Code; 0 Subdivision: SELVA NORTE imprOv. D" 3 Word: Da HINt r N NEW, S O LLY RESIDENCE TION --------- --- AP'P'LICATION FEES .. . u �I+ta e CATH PHI LL+II' � _PE 78 .--- ;I3dd STA COURT A4 x `FEE Ph ane: k WA'T'ER METER/TAP $0 ,00 RADON GAS-H.R. S. S0 .t'0 . ., .».._ ,�: TR I FORM � -- _. ,�AI?G?N..,ta� ._- � S,4?.._4�t3 . - , „ - CAPITAL IMPROVE. 0.00 Addy ems R 1,10 H" 24TH STFEET" SEWER TRPa.t?t { jF LE BEACH , FL 32250 HYDRAIaSCHAkE 0 r , NOTES; NQTICE—ALL CONCRETE FORMS AND FOOTIftGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ,BUILDING MATERIAL RUBBISH AND DEBRIS M A IS FRO 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 MECHANICS' LIEN LAW CAN RESULT IN 1'N PROP RTY OWNER PAYING TWICE FOR WILDING IMPROVEMENTS. ,.iSSUED ACCORDING TO APPROVED PLAN"HICH ARE PART OF THIS PERMIT AND SU N�'F�p�FOR iIIOLATION OF�4PPLICASLE PROVISIONS OF AW. TIiEz 'li: f tIM A.Ob. ATLAN IC.BEACH OD BUILDING DEPARTMENT MPT Nil!t iog612t• ICY bj B " L CITY OF ATLANTIC BEACH APP�LfICATION FOR PLUMB NG PERMIT JOB LOCATIC)N : _ � __ _______ OWNER OF PROPERTY :--� I , -Q - f�,1V/4 ------------ BUILUIHG CONTRACTOR:_..___ �'j(/1 ___ PLUMBING CONTRACTOR _-__ �47-IV- SQ/ /_[ � 1.Z0 ' ___-_----- AHD ADDRESS: -� -__--------------------------------_-_-_-_-- TELEPHONE NUMBER: _--c2�1-Jfa-0 3_________ STATE LICENSE NO: � QOo--------------------------- TYPE _ _ _________ ____ ____TYPE OF BUILDING ---Xv,y,d, -------------------- ISINKS ------t; ----- 7_-_LAVATORY ______ __ WATER HEATERS _____ _____BATH TUBS �___.-_DISHWASHERS URINALS 1------DISPOSALS CLOSETS AWASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE ' -IUNT:______-___ x $3. 50 + S15. 00 --------------------------------------_-- -------------_-_-_----- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE: WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 247-5626 CYTY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address r f�( .� U t S A C Date C - l 3 T- ) Heated Square Footage @ $ .S1 b Per sq ft = $ 1V�� l Garage/Shed , @ $ 1 d.00 per sq ft = $_ /0�'�_ Carport/Porch � g @ SZ'3 -06 per sq ft = $ 3, 681 Deck C @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ AW .. 7/ /-1 D ° $ i4160 o 0 Total Valuation 1st $f �y o &/. 132 186 .. 00 $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ 0 a + 1/2 Filing Fee $� �3 p� (1 ) Fireplaces @ $15 .00 0 BUILDING PERMIT FEE $ 6?6 41 BUILDING PERMIT $ My- WATER CONNECTION IVO SEWER CONNECTION $ / S .Oa, WATER METER/TAP $ /�S•� CAPITAL IMPROVEMENT RADON (HRS) .0 05 { °1 RADON (CAB) 00d45 SECTION H PAVING HYDRAULIC SHARES $ _ OTHER 5C $ / 0' '11Z GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical___ _; pILjmbing_____ Electric/New Electric/1'emp _ _ ; SwimmingPool_ _ Septic Tank Well ; Sign_-- __._Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: FLA. 1967 LAWS {f� RAMCO FORM AOf FS 713.13 1a�1R�i Awk N ofirr of Or-—n ettrrMrttf IlRKPAR[ IN PUPLICAT[I Zo fuhom it mug ram= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property.............................................. ................................................................................................................................................. .......... .....................�o.T.......�.2..�......U.N..!..:T...� ..I......s. . .. .......Ng -T .................................................... oN........DuN�l:..............V... ....."�......c.ou .. ..}............................................................................... ........ A-/lA� � aCA...i*. CL......................................................................................................................... ... . : General description of improvements.........Ne,...wY .........n.a.i.f :Y1 n. ......,C.. am....e............................................................... ............................................................................................................................................................................................................................................... .............................................................................................................................................................................................................................................. Owner........V.f ?..n, .t::.l........F-::........�.f./.I.........�a �C/........../q:..........��.1....1. -1.P-S............................................ Address........ ....'�8..A1C?....... h. ....... x'.. :.n. ......... �.�1..,... .. C..... ...1..��..�T.�C..... G�.......... d Owner's,interest in site of the improvement.................................................................................................................................................. Fee Simple Title holder (if other than owner) Name..........................................................................................................................................................................................l......................................... i Address........................................................ ................................................................................................................................................................... . . LOA-2Q............�..1.......S... ....................................................................................................................Contractor...... i .. 1..(� . .......................... Address.....C ............../Y........... / `Z°...... ..t..........,......�,1 :......i � .... ...L.......2„ Surety (if any).................................................................................................................................................................................................................. Address.......................................................................................................................................................Amount of bond $................................ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name.................................................................................................................................................................................................................................... Address....................................................................................................................:......................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice. as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name..................................................................................... .................................................................................. Address.................................................................................................................................................................................... THIS fPAC[ FOR RtCOROtR'f USC ONLY I V �-. / CITY OF •NCi,FhT'/ Di 31-MIIPTION Suc;tion �..__., uNI ! 2— tl,.:t1 !l ; l.f1H,m ��:�t :to= P 14W: �(anti 1�1•�Mo,1 ;uDd�vlaionl_.-L�2�4, 1� —_— QR. ---------- Building and Zoning attrlrt llnn+t� ad`�`� DuIVA Vls.TA ecUR�.- rat~acr f'TzOrt of WORKWORKlc hddrea> ---- -.._.----..._..----'--- -_ 1. � 4 - - If In a FLOOD HAZARD Complete Pogo 3. tlrial , Pegr_rtptiohe__ls.4ls�.�0.rL1_.TLOYIaC'*_ ._._ ClIuLwo of .Work t / Mvw Rnmmd9l/Add,ition)�_„��)r1� caninG IMPORMATIOH Type of t; Conotrttationt���S on i ng Propon ed 11 ratimsated ValueI� b0• DO, 'lett'il+tt__y......,.n+a_MAfIt.._......__rr..._rr__..rrw.+r__ ..- .. ..—_. 1 xcvptionn orHdf�gt•ldiat�,---w-,._.-�.____...- - '---- ■riltnC�e Grahtvdt-------__.-------rwM-_..` Solid or Filled ----------------------------- ---------r_—r. OWNER 114FORHATION /� y j�Nvthod o! ------------ ------ Property nvnrrsS, p �.Y1.L;,�l✓l -LCv! �vM. ��1, 5 _- F'h4ns1�P. .�Ct-��. .t_✓ .. "ailing _ �l .2'f7- �8�8 H- Addroaar�B(I(I,(� J'iCG.� 4 -----•---------- - Qs< nt7✓r�.��� e9��.�----L- -3�� 5© zi�+t_ ...__..__•'_. -_ ., wM---._._amu,_-� CONTRACTOR 111F'ORMATSOOI Contractor ---------�'.1X �.r .. .1 G«--_------ Phonet,L-444 =5.55(o Meiling ,, 1. AddceRat_-..+ �_1 .. _ .Y"U9.242.1L t- ----•---------- sp..o.Y ----------------- Zipt_3�p.$2-.,...._ . � , Fxpirp(�04n" q// Llaona• NuRlborA.1:!_a :.Q �Bk7-_-----..- _--------- Drtal./�1�-1 7 -- I 14tR211Y CERTIFY THAT ! 1109 ROAD AND 0MA11I11E0 11110 APPLICATION A11D MHOY THC SAI'lE TO ('t: Tt:'.lf AND CORRt{f:T, AL. IROYIJIGMII OF THE LAMS AND ORVIHAMCCi OOVERNIHO T141r, TYPE OF ru+31: .;: : t i y• a1 • CfIHpLIEO WITH, M11E711011 9PFCIFIC0 HLRMIN OR HIM 1119 GRANTINu OF A Ot:RMIT DOM',, N'-1T .'P(" .-' •'' GIVE AUTHORITY TO VIOLAtb 94 CANCEL THB PROVISIONS Or May FF.PCRAL, ;iTAIC OR LC+:AI I., :.:. RYOULATION3, ORDINANCES, OR LAWI IN ANY MANNEII, T11WIL1118n t111: GAYFpHiMq (IF Cfnl!1Tn;n'tIt^. • ! �• �,;<+ ttR/ORNAHf:!< uI CONSTRUCTION 01 THV PRnjitCf. I UllVCRn1A►IP T1lAT TI/C t5;:UAN+:E 11r tilt'. rtl01,17 7 ",ti'�:,'ti' ,•+,,; ct)NTiIIOCNT UPON-MC AROYb. iMFORMATION 1191110 TRUE A140,C014I1EC1 A11D THAT 1119 O9_AIC; AND •r, I DATA RAVC DEER OR $1fAL1. bC 111 YIDto AS REt1UIRED. • _ Ovn�•r 5Signlltttrte� - „•• _ t)et«_ • i contruntor ai9ltatur ....,��..._--......... ..... .., ..-�.. __.._!)nte�.. .��J CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER^ FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. J0 BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) li ® WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) / SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) G SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) :Z / COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) I DISHWASHER (2) 2-- WASH SINK EACH SET OF �i V KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) 61) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) / LAVATORY, BARBER/BEAUTY f ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) O LAVATORY, SURGEONS (2) JACUZZI (2) �) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS__ @ $20.00 EACH $ C w, JOB INFORMATION ,)6 yy lJ AM f A78 C 7-, FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:--- � ----------------------------------- Flood Zone: Y� -*-- ------------------- Required Lowest Floor Elevations--------------- If -__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 Acknowledgements I understand that the issuance of this permit is contingent upon the above information being correct and that the plana and supporting date 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 proposed development. ( v Date_ 3)_ -Applicant's Signature 1./ �/V -- .! � ----- ----------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department ___________ __d_ ____________________ Builing____Department Representative page 3 t i"'! 1, Y � OUILUW ; WULIC CONTRW 100,1�' K 0 T 02\2 5EK VA N0PTC : PERM11TINC- 1 K1 AILANTIC W 1 F 4. QXrGE : ATnANTIC OCAWNU Qj 21 ,: 3 : W5RMTf NO , : J1.1R1.S10TCTION Nn . U 1 UOL i.C.7 or addition 1 , Now Conotrur K On z , Singlu family AtmeNd ui Multifnmily aLtachud 2 . Ungle-Famik.'' 0 it Multifamily-Nn . of unit..,-. 3 q . If Multifamily , K this a worst nano oyes/no ) i 5 Qund 1 t i anud f lu"Y or no ( sq , f t , ) S . 2770 , 00 I - WadumAnn! covo ovnrhang ( ft , ) 6 . 1 .40 T Porch uvwMang Ungth ( ft . ) 7 , 12 on Mono Oren and nype . sinol,� Pane Mal Gla=,; 80 . Tink vi 1 m ay so I a 1 001i UK 0 .0sqft 0 .000qft 110ur QP0 and insulnKon ! 216 .00 ft- framl, 1 1 11�111"v j -n K- value 10a.- Q J 1', 1 T nou 1 a 1 1 a o R Y 1 u 104 R- 1 1 00 1 70 00WqJ K On WWWWH : P � Tnw" Wt ion R V61HO ) 3 I x R- A 0 0 ,D 0, diotl ibution Wynt vM ing my"tum in , TypCenivni All- LQ , Hnat inU 4yUnm ^ I n . TXpa < t!r.afat. KWL watov nystom : 10 . Typo , Eloctfic K . Huh Watcv Credits ! ( HR-Heat. Rnuovory , 16 _ DHP-Dedicat ed Heat Pump ) 17 . 1 o f i I L r a L i an pr ac t i c c : I , 2 o v 1 .77 W A IVAC 0 jdj ts ( CV CA-IJ TI an , CV-C rots vent 13 . HF -Whole house fan , RR -Aulc vadiant- Wrier , 417- MIJIUMne ) FPT must not oxcped 100 P0 into I h , TO n I Woo po i nt 19b 46047 .02 lc Kj c py ify t hot tho Plans ryl Reviaw nf th- Plans and specificw!: !=:; h i �ovei od by KhK -alculai ion Adi; vkw-_� oion ai � P OUMPI ianna with LIF n -WPI imw � with t: he F16i Ad EnQv,> con2trlig t ion in completv, 1 hwildinn will ba i "SPOLLSd T vcvnrdan( n with qoctiovi ---------------- 't"S,-s' "b"u" i 1.d i n a i n w ! Lh ,,h Flov ida Energy OWNER/AGENT BUILDTNG OFFICIAL '. ill.' n! ' [ CummuniLy qffair' '�� �' C0�[ FOR 3i|IiDING PONVTR!}CTIDN 1nL PrV, iL �v� Maihnd A NORTH | �UjLoEPWILLI4- 00NTRACTORS N(iRTE ! PE| CIMATE AT| ANTIC BEACh FL 1C C : ATLAVTTC CEAZONE2 '/ / 3 I., T! PERH1T NU | JUQISDTC—I0N —� i New conoLrucL1`,n or add ! Lion l Now Conat) untjon � �lnAlm fam� ly doLuch�J n / 410lLifami1 / aLtoched 0 Single-Famll>' ---- � IF Multifamily No Of unl�� � ' ---- � ' O 1 . IF Multifamlly , in this u wain oaae � . CundiLioned floor arad Qq 'ft . ) 5 ' 277O0O ----- 6 Pr—d0mlnanL r move ovehano ( ft ' ) � . 1 ' 1D ---- 7Porch ovorhang langth ( ft ' ) l� OO ----' G 61=2 arra and type ^ ' � ��� ----- ' Gingle P , n� T)��bl� Pana a Clemr G}a�o ' D 0nqfL _- OoqFL L Tint , film or solar screen 8bO0�qft O ~~OoYfL ----' 9Floor type and inoulatimn � ' ' ----- n . Nab on grade ( R-value , pe/lmajwr ) 9a .R= 0 ,00 , 216 .00 ft 1O .NoL Wall Lypo area and inoulatiun � ' ---- .� ' [xLwriVr ] 2 . Wood frame ( ZnsulaLion R-value ` 10a-2 R=11 .00 , 1974 OOtqft a Adianmnt : 2 , Wood frame ( Tnoulation R-valuy ) lOa-2 R=1l .S0 , l79 �~DaqFL ---- 1l C� lllnY Ly9e urea and inoulailon � ' ---- a Un't�) ettl� ( lHOU l0tlon X va! os ) 11a 'R=30 'OO , 2i8a OD�qft dloLri�utivn cyaivmo ' ----- Typo , Can, rul A/-, SFERI 10 .00 Type : Heat pump ---- syxtmo � 1 � . Typo � ElocLric ---- [reditu : { UR-HuaL Ro^^�e�'y , 16 — ---- DHP-Dmdicaiwd l7ZnFilL/0ti*n p/acLlcm : L , 2 17 ' � lO ||VAC Credin ( CF-Coiling Fan , CV -�� uua HF-Whole house fan , RB-Atti( rmdiant Wrier , MZ MZ-Mu) tizonm ) 19EPI ( must not exceed 100 pVlnta ) 19 q3 8� a ' Total As _BuilL pminLa b . Total Base point:-; 19b ' 46O47 'O2 ----- [ H�rmby oerMy that the pleno and | Rovinw of the Plans and Spec iFica&ono �;� �iFioatlons covored by this ralcu- / covered by thia calculation indicate,_ l.`tion arc in compliance with the umplivnco with the F]ori& Energy Flu' id� [narS� Cude | Code . Befo) o construction is cumplowd | i |'K buildinj will be Lnspaoted for in acrurdancm with Suckimn fS, ", nrhin huildlng io ' ' �UILDIN0rFICT�L � l / INF{L ".TTLIAUC[ MMPONENT5 CECTTON FT0UZREMENTQ FOR FAM PRACTIC[ 6j6 . 1 COMPLY WIT|| ALL IN-IiTRATI0N PPE5CRIPT1VE , � �| n'|owo 6O6 1 M'/vimuw ui O �4 CFM p�r linmar foot of opereblo unoh crar� 1u, 14 "Wing gWo doors \ . CFM peT eq . ft . of door araaouli6 pan�] ^ in�ula1 od ur glaoa dnm�a only . wna1h`�r-�LrippeJ wiyn ��almd PRAClIC[ �� 6O6 - 1 COMPLY WITH PRACTICE Vl AND THE FOLiOWTMG : --- -- ----- --------------------------------- ---------- ----- ---- --- ----- C, Uriur Walls 606 . 1 Tup plate �m)etraLlon� oe�alud . Infllt ) ,Lion bar) iwr � Flmor ,': installed . Tole plate/floor joint aulked of �ual,d . ' - ----- ------------------------- ---- -------------- ---------------- ---------- [Mrior Walls 606 . 1 P0nP1r^iinn: , joins and cracks on Werior & Callln�o caulked , oealmd or gaskeLad ' DuctWork 606 ' 1 Duct-work in unconditioned apaoe must ba aeale& ---- -------- --------- ------------------ - -'------ -------------------------- Fi.eplacma 606 . 1 EqulpPad with uuLajdm combustion air , doors and flur, dampora ' --' - -------- - ---- - ------ -- ---- ---- -- -- ----- -----'--------------------- Evhau�t �ona �06 . 1 Equipped wlih damppi Combustion deViceo ow�-, 6O6 . 1 .A � 2 � r^`wL,/~�Llun bO� . 1 Be in un� oAli tlomed excopt dirmct vent ) , draw App] i�n� �a air fro:/ onK `10i1ionmd spoon , exWoL to ouLw;d� C�oLing /cOn ohall kC dumpmrod and u�c ioi�,m �| L���:� ignitinn MIM? 7R[nM7PTTV7 M[A�U&-� ( m:oi b�' m�i �r ex� e�d�J by oll rmoLdmn�es � ) *� WaL�r MOM 6l2 ' I rmWply with af [ iAon�y '-"quj} moenity in TabL" o-12 Switch m clpa/ ] y markmJ clrruit brmaker ( 0l0n1rio | or cutoff ( 000 ) mo"K bo pruviNd . Extm) n1l or builL - lo hoot Lrap regulrmd ' ' - - ----- ---------' -- ----- ------ ----- - --- - -- -- ------------------- �wlmming Pools 612 . 1 Spae and heated pools must have oovera ( exuept oolar & Wan heated ) . Non - commercial pools must hevo a pump tlmlr Gas cps & pool heaters muoL have a minimum thermal efficiency of 78 percent . -- - ------ ---- ----- ---------- --' - '- --- -- --- -------- --------- ----' 8howor Heads 612 . 1 Water Flow moe1 ba /*aLricLud to no more than 3 gal Uno pmr mlnuto at OO PSIG , ---- - - ----------------------------------- ------- ---------------------- -------- HV�C Du�L 610A All Jurts , fittings , mechanical equipment and plenum ��unotru�tiun chambers Moll b� mmchanically attached , sealed . lno iun ulaLn� ] MA 1notelled in zccordancm with Lha critmria 7noVol l" V,W/ Of G"cLion & A10 . 1 .A8C .3 Duck in attica muc� | , inulaL*d Lo a minimum Df R-6 . Air handlero mhall nu1 bo i ",KAled in at1ioo un\e"a in manhanical cloo�L thermo�ia� �'�r nach oyc�^�n/ CeiLlnQn minimum R- 19 . Common Wallo - Frame R-l2 or M2 ' 1 CM r 3 Loth oidan Common coiling & flmors R-l1 . �! 1 , , l I l lo v 1 , 3 * I v i i : f ; A 1 1 1 A f 1 1 4 l v l ; l l l i � 3 z �TVVWF: CALCULATIOW wit ? ! jl � " ; BASE U- SUILT OR IFN ARFA SSPM POINTS i TYPE SC ORTEN AREA SPM 5OF POINK"; 8 12765 . 2 UP N 11M 380 .62 260 0 .0 10 " A '50 2 L,f Do 'A 1276 rim p rl 50 '0 1003 or H 10 '0 30 1 1072 1 5 .0 5 p 0 q0Q 565n �n 23 '0 70 7 so 1400 P F.":1. I & M 70 .7 1095 71 7 .7 12 .0 06 2 nT- our up 30 ,0 06 .2 Mc M E22 . 4 10 , 0 06 .2 To 1707 , w 106 .00 65M 6974 .0 DBL OLT: J 45 .0 79 . 7 08 3172 . DDL CI-._R w 25 -0 79 ,7 .31 621Z'7 Ise t�L- c L-F LJ . 1 x COND . FkOOR • TOTAL GLAqf AD.J . GLAW ADJ GLA05 GKAW�.- A R F AREA FACTOR POINTO POTNT& r 0 1 N T 514 .00 27 ,33q ,90 23 ,230 . 54 1-J R E A WM P n I N 1 CAL Wood 11 .0 1071 , 0 1 .70 3 0 5 5 . 1 cy 1 j Q W)d F v r111. 11X IM i.,? ' 70 Tw ! jwv,� 22 .0 OM 171 t 0 7M 15 - 2 0 .6 1711 .0 undcl Al-tic. Wo 21310 '00 1100 -11 F I MRS— M60 - 07 ,0 -7092 ,0 on Grad.,-., 216 .0 ' 41 .20 609W.-, fNFTLTRATION------ - -- 2770 , 0 8 .0 22J60 .0 PvacLice H2 2770 .0 0 .00 n?l no . �D TOW MMMER POINK-, 11 ,001 . 60 41 642 .6-4 T ,,,n0L ING rnw[ CAP DUFT 5YSTEM CREDU COOLING P C.)T N T Q omny;1 MATTO MHUT M U LT F, 1 N T . 000 53 : Y. , , r.-� r r , :- t i t f -� , i � � r : r t . , Y � � r•..� Y r.;i-., 3 � , , � :. � - . I I r I I I T 1 I F'(11 M T _ TYPE 5C ..1 T EN AREA , P h ,O F ;. . 5 , .0 7 , _ 1 5 1 �) "1, l m f'•f 12 . 0 . -. i . 14 1 n � . 1_ � I ILEK i 125 � : 1.2 ,0 ,, 7r _ I089 i �r.: ,"1 r „^' DRI, .ill, l 1 . .. 1 to 120 _ C OI`dD , FLOOR TOTAL GLAQq AQ;T .. GLA90 _ ADj , , � AREA�v 1,.., FACTOR z I..._C O _� �- O u N T �J I N . - R_._ r,..�I N 1 v ^ f`S I �, 2 ,770 .00 511 .00 7 , 110 , 10 0 .60 GAO 70 .6 FA wrad 22 .0 30 ,30 270 2100 .0 At K 2484 . 0 100 2 0 : I 1 i I r—r TPA ,-TON ... ... 5TAL WINTER POTr.lT' 13! nL .J Y S T E M HEATING T.}�1' 1 1,.t.TOTAL 1,.1 9 t 'CAP DUCT 11.�� 1 iti I _Y U M k. CREDIT I�i E 4�I } I( 7 T Nj-.', �_ 1 1 f ,I I :� ~ �": PSI 1,I I, - 1, COMPON ,1 T C n M I.!l.w.T I 1 l 1 i,_T h I'.'1...T P O 1.NK v 1 A 1 1 i 1 b 111A oil *ni T PIRT X MU IJ Y CRFDIT 10M toy, T pu on 0600 T3:Tr t i F I I 1 1 4 1 1 i 1 1 ky A A 4 4 13 t 0 1 1 4 T* u 1 " 1 1 + 1 1 f I A i CAMMARY 14 *1 ******1 yj 14 4 3 41 A r FfTl f******* BAM AS-BUILT G 'r!F A T I N G HOT WATFP TOTAL conLINQ HEATING H01 WATER TOM MINTS POINTS A POTNTq PUMT9 POTOM, POINTS POINTS PO 1 N 15212 , 0 16 ,017 , 02 i r. r16306 , 3 14SQ1 . 7 15 ,510 , 0 FPT 98 ,05 *Tit ! , 111 TTI rNEP/,.Y C! ID[ Fm/ dc�ail�d LnfurmoL �nn m f^r any TT[M kntod , EPT= 089 �[A Fvrm 6O0A-9� "O 70 80 90 1OO ' - - -- �- -- - - --' --- -- ------- -------X- ' luw ,r t|�m [PI Lhu mor; affAionL the home �ESIOENTIA| FNF�6Y P[CFORMANC[ RATIN� �HEEF |� igh Efficiency �lNG| U' R FICK TINT � - -- ---- '----X------- | 1NOVLATTDN . . . . . . . . ' . . . ' ' ' CullinQ R-;uluu . . . . . . . . . 30 .0 / -------------- - -- -X � R-O R- 7 [hill R-Va|um . . . . . . . . . 11 .O / ------------- ---- ---X / R-19 FloOr R-Value . ' . ' ' . ' ' ' 0 .0 / X--------- ----------- | �0N�ITIONER . . . . . . . . . . . . . 1D '0 SEER 17 .0 " E[Q/EED . . . . . . . ' . ' ' 1O O / �------ -------------- / 97 EER 16 .O H( WnTEM c. G HSPF l� .D 0 73 AF�[ D .9O � 8J 0 96 � [F / . ' ' � � . � . . . � . O '� . 2 � - -- ------X'- --- --- / O �4 O 9O 6a� [F . . ' . . . . OO | - ----- --- - ----- ----- � CTH[R FEATURES ' ' . . . . . ' . . ' . . T cu� Lify WAi Wle�L ow ) gy aaxlno fmaturto requirod fmr the Florida Energy undo have been inctal ]ad in this houw Oull��, �__- [norg� �ud� fur 8uildin� �on�� roct � m. � �q3 ')opa''tmenf AmmunAff*iFL-EPi CAPDK� MUM GUID : For doLailad LnfOr= lon of 1h, EPI rating numbor or [or any TTEM { ioted , ask your Ouildwr ful Wn Form 600A-93 or Form 6008-93 O lO 20 30 10 W 60 70 80 90 1DD / ---------------------- ------- -- '- ---' X- / Th- maximum allowable EPI in lOD . Thn Iowan the EPI the more effiolent LK home MqMENTIAL ENER6Y PERFORMANC[ RATINQ 3 |E[T 1 P�Y ow Efficiency High Effiolenc y �INPL Ci[< DBL TINT A-O R-7 Ual � R -Valum ' ' ' ' . . . ' t10 ` ---- '—' --- '- - —'X | R-O R-l9 FLnm) ;alua ' . . . . . � 'O | X-- ' ----- --- - - ---- | AIR CDHDITZONER . ' . - . ' ^ . ' ' . . . 10 '0 SEER 17 .D lD 'O ! X------ --------- -- --- | 9 7 EER 16 -D HEATING 5YSTFM . . . . . . ' ' . ' . . 6 8 HSpF 12 .O COP/HSpF . ' 7 O ' X-------------- ------ � O78 AFUE OD ��� AFU� ' . . O 'O� | - ----- ---- ----- ------ � �A7rR � 0 ' V4 D '9O "j� \ - -----------' - -- - | 0 ,4D O5O � la� T- 1 I co / tify that these energy saving [maLuraa roqulred for Lhr Florlda EncrUy Codm |)eve been installed in this huu2u ' 8uilder Add) aoa� iQnaturP / C� �y/Zlp FloriJu Enmrgy Code for Building Con:tructtoo - l993 Flu i/!z OF Community AfUlr� FL-EPL CARD93