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Permit 2184 Fairway Villas Lane r � � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD / ! ATLANTIC BEACH, FL 32233 f INSPECTION PHONE LINE 247 -5826 Application Number 06- 00032890 Date 5/02/06 Property Address 2184 S FAIRWAY VILLAS LN Tenant nbr, name REROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 993 Owner Contractor COATES OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 993 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y 4,.., to‘ % „1.- .'-'-,. -..'..,,, BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 2-( h9- c 2 c vti Vl (c1 S l__..kt Date 5 l r Heated Square Footage @ $ per sq ft = $ Garage /Shed $ v �� @ per sg $ Carport / Porch 4 $ ' 0 per sq ft = $ Deck @ $ per sq ft = $ Patio $ per sq ft = $ TOTAL VALUATION: $ 9( $ Total Valuation 1 S ` $ /CM C $ Remaining Value $6 per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 40 ZONING: _ + %2 Filing Fee '$ ■C) FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: . BUILDING PERMIT FEE $ 670 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT. $ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER GRAND TOTAL DUE: e-0 $ CITY OF ATLANTIC BEACH Cc: appw W,s BUILDING / ZONING DEPARTMENT D. Ford f6,401 800 Seminole Road i4"�f ains� ?f k" Atlantic Beach, Florida 32233 S. Doerr vii19. (904) 247 -5800 (904) 247 -5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ar) ' ,39,Rcio (0 Property Address: c2 1 84 Flt (1,00,y V I I I Q' Ln . Applicant: C. e U Q t `' Project: P- t This permit application has been: n Approved El Reviewed and the following items need attention: '' Please re- submit your application when these items have been completed. Reviewed By: v Date: 5(( (v_(- Date Contractor Notified: J 1 CITY OF ATLANTIC BEACH v " ROOF a PERMIT APPLICATION PLEASE SUBMIT (2) COMPLETE SETS OF PLANS WITH APPLICATfON. Date: Q / /1m-/ Job Address: 9 J (F //ebV4/9 % YJL-L% S LA/ 5 /977_ 6c/{ r2 . v272 Owner of Property: Ch'x7 /4 a DE e1// C rw Address: 6, k " , c e - A r r Gi v ? / y . 3 F r i / r P / N 4 ' / V / G t ✓ 7 5 1 J 5' , Telephone: ,e f ,f, y '3 Contractor: State License Number: Contractor's Address: Telephone: Fax: Scope of Work: oferne I,6- eX f5 r 9C '- 06, M,J4' f / 0 5/5 7ff/.U'fv 1` "AV k--:�' 4.0 i) 6 ACS Deck Slope: ' /o /, Greater than 2:12 V & 3 Less than 2:12 J1/) Valuation of work: x/93, 73 /nfrC `5 .t Acu i y i p . Duw(P5T-E-- — Product Name (Example: Timberline): 3/ gd A a/ we/ate t t'-)1 Manufacturer (Example: GAF): Ca7ei1$ ro,Q,U,�� j . ,,, j �,�v ,,P05f-- /cam -z - ASTM Designation(s): u if5771I a 1,3e,.7.71/E Required Inspections: Shea • and inal Signature of Owner: Date: 3/ /. - Ve9 AS TO OWNER: Sworn to and subscribed before me this day of icy 20 4 le State of Florida, County of Duval �) L Notary's Signature: e-a------ t ❑ Personally known ic - OW al 1111? Produced identification • • 4pt41`rs: ExExpires Feb 1�' ' i ' Type of identification produced 324 I/O 2 3 '•."tv;;; a Commission 0 DO 518833 P Bonded By National Notary Assn Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 2/21/03 .5 AN ,r�j J 9�` CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: ©/ /Zlt/ a4 Job Address: Q /--"/./bety, / V,L 4S L 5 . / 1 L . 6 CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. et Nobly Pub k • Sisk d Robb r8. Commission Espies Fsb 14, .. Commission 1 DD 518533 PROPER / 1 R/BUII DER Bonded By National Notary Assn. SWORN TO AND SUBSCRIBED BEFORE ME THIS t OF 4, 20 0.10 NOTAR PUBLIC MY COMMISSION EXP . NOTE: PHRASES UNDERLINED ABOVE. OPW 01 May 06 Tentative Roofing plan for 2184 Fairway Villas Ln. S TIM 4 -7 May n Obtain roofing permit (submit 01 May) p Upon approval order roofing Materials for delivery. a Get Dumpster delivered ( Sked for 4 May) Strip current roofing materials down to sheathing, inspect drip edge, replace as necessary Obtain and complete sheathing inspection a Replace sheathing if necessary a Cover sheathing with felt paper and shingles, install plumbing vent stack seals, install ridge vent and caps o Schedule and complete final inspection Call for dumpster removal Basic materials list 21 sq(63 bundles) 3 tab 20 year shingles 5 rolls 15 w felt paper 40 ft Ridge cap 3 Plumbing stack caps 1 cs Coil roofing nails 1 " 5 lbs Simplex nails 7/8 " (If needed) 'A2 " plywood, seam clips, 8d nails as required by inspection for sheathing replacement. Misc: razor blades, square, chalk line, chalk, speed square, hammers, shovels, etc s Dear Sir: I have personally been involved with the installation of 9 roofs. I own all the required tools including a coil nailer gun, compressor, ladders, hand tools etc. I am completely familiar with the roofing process from start to finish. I personally built and roofed the shed, and then recovered the roof at my residence at 2143 Fairway Villas and was the lead man in charge of the roof at 2160 Fairway Villas( the homeowners are close friends) . Please consider my homeowners permit. ' - spec j.. lly,. ,/ Christ, p r J. Coates '. . o. i \ -7\-------r-----. _ / \ t , a , Terfif irtttr of Orru 't \ CITY OF nr \ `' "344 BMA - Faildilt " i' partnw t of ltithing 31ttspP1'iintt 1, N 1/4 This Certificate issued pursuant to the requirements of Section 109 of the Southern Building Code certifying hern Standard that at the time of issuance this structure was in complianc with the e various ordinances regulating building construction or use. For the following. IR T _ _— Use Classification . n r g 3 T' t r . Group Bldg. Permit No. —_ -- ______ Type Construction __F __F __Fire Distric Owner of Building jay ;�fL � ii p ke s_� S- Address __ — "�__ Building Address 7lt}�¢M3 ll �i Vim_____._ ' 1 _ Lane Y AQ Locality r ! Buildin fficial e By: ''`- � -- t L Date: ___ _� t 1 1 POST IN A CONSPICUOUS PLACE 1^ J`''`lr1 I C Y °, CITY OF ATLANTIC BEACH , .►t , 1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 04- 00028312 Date 5/18/04 Property Address 2184 S FAIRWAY VILLAS LN Tenant nbr, name HVAC W /W /O Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor SHILLING, GEORGE DONOVAN HEATING & AIR 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241 -3785 Permit W /W /O MECHANICAL PERMIT Additional desc . Permit Fee . . . 142.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 142.00 142.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 142.00 142.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ‘ ...... (:) , 6 16... C , l ock BUILDING OFFICIAL k'SR -3844 $ „ ,. 8859 , DEPARTMENT OF BUILDING CITY OF ATLANTIC, BEACH R ER4 } q gy p x r r SS -W -- . » L CA" IoN INFOR,IMi,A?jI N ^-- �- . . rM iT�'tI'Ir T Adc,z ; 218 FAIRWAY VILLAq LANE $OUTIi pe; MECHANI ° .0 ATLA,NTI BEACH, FLORIDA 32 2 33 �'lass of Work IRATIO �`N Est . W rk a At�T WOOD E- F R ~�- . .._ --- LEGAL DESCRIPTION tF €I' ,St NOLE FAMILY' crt: BI ra Etir�_.. E i ted Value: �,0 , Iad �a . I aa: I'AIRi A VILLAS I mp av , Cost $+ . CD Total ,y 23 t?#'7 1 : : ''''° '''',,;, i ` APPLI 'ATION F ° l F ' ., p= y : �E'ER/41T BLS .x.23.0 Add e ; . , VILLA LANs Ot1T . 6#A , T'MPAO ® FEES ",�; 0 , CI? = y *# 0 'LORI 1 a" RADON � GA - R R , $ , $ < R - *7 �, . a g'C AT X0 1 Name: " RADON "AH 5 % $O . D Mt D CONS ,' TI ON Ir4aw. "AFIT. IMPRO'J ' Sri' r' s °` 5 . . . ,� �� SEWE R TAP D < 00 JACK . , ILLE. F L 32210 n ' ; 4 W 0SE .ONI~IE�"TI N O0 .c w Type = ",. 0 _ .s ,:,, `=# N T 'Rta AR{ 1 r r "Sc A �, -. % « gi a t ,NOTES•; 5,: I NOTICE -- ALL CONCRETE FOAMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING 7" . PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDFNG. MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE t , Cl-EARED. AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER " "FAILURE TO C©MPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN E. APROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." and" ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR A' ION OF APPLICABLE PROVIStONS OF LAW. BEACH BUILDING DEPARTMENT 000000(0 t>tIIFp�> i4 Dates 7/28/94 OI Rept 4(1 7 z 1 r BUILDING AND ZONING INSPECTION DIVISION OF ATLANTIC BEACH C)N ATLANTIC APPLICATION FOR 1V $1111181 ECHANICAL PERMIT NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: o \ \cb(VI.."-)4 *S \ y∎NU1Jq_ OF WILDING Intersecting Str t$: stwee And Sete - division (L V,jfSl� ms � 11. 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 •ttaclyd plans end specifications which area part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Neese of Mechanical c� \ Gnbaaten (�� / l Nome .cam (hint) Mechanical (s) ��J. A. , Std... Master AC.,.C.J 56 V \\ � Property Owner ^ _ S nimir.\\VAL\ek igre e/ wn \\W\ er S AW O Agent er \� A f ssr. d Anhiteet .r Engineer 111. ileill AL INFORMATION A. Typo of hooting fool: B. erawsc IS OTHER ooN$TRICTION KIN. DONE OR TNIS SIRLOIN. OR SITE? O Gee -- O tl Q N.twrel 0 Control UWNNy O oR IF rss..IVE NIIMKR OF CONSTRUCTION PERMIT O Olh.o - Semi ft, IV. MPcNANICAL BQUEIMWT TO N INSTALLED NATURE OF WORK (Provide arnpbl. Eat of arnpn.nes en bed of this form) @^ Residential of 0 Commercial 0 (teat 0 Spa 0 Reowed 0 Central 0 Nose 0 New Building Ai. Ceswbtiorsing: 0 Rowe �Coehel CO-- ExIding Sunning 0 ! System: Materiel (...A: placement of existing system maximum coma? afa< ❑ New Installation (No system previously installed) Q R.I*;N,rti.,, O Extension or sddon to existing system 0 Cooling tower: C.pcity B ❑ Other — SS tower: 0 Roe sprinklers: Number of hoods O ese.ter O Monlift 0 b..1.t r,..—.....,.— —Issn ui) (fir) TtN1S Imes POR acme we ONLY O G.sepn. w -'�— 1Meelved) O Tenkt R.w.rb O LPG csntei (s embers O Wood promos mew O Seim Paw* Append tW O ORhor — Sp•ify Pormsit LIST ALL EQUIPMENT AIR CONDI77ONING AND REFRIGERATION EQUIPMENT /lumber tlaita Dssertpt*s aloft! Number vzir A re kr4,Dw \aga(71/4.71.1. a qysisdkNk D EPARTMENT OF BUILDING I clrr of ATLANTIC BEACH, FLORIDA '7 PERMIT TO BUILD / PERMITNQ (1 7 i THIS PERMIT MUST BE POSTED ON JOB 1 I Date_ S Valuation $ 40 ,418.00 r ag Ia6.00 T Fee $ 156 °() 92 1511./ 1CKT r g at IA 1041/81 i This permit not valid until above fee has been paid to City Treasurer, and is 7167 1 + subject to revocation for violation of applicable provision of law. •�~� I DO If 1 r � ; �` <'' I n 10/1!/6+ This is to certify that SS (MUM etCaMPANY ve has permission to build S :le Femil Classification Owned by BtOj Zone Lot 2 House No. Block. =_S� According to approved plans which are I" iii. part of this permit 1 ' NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ---► AFTER DATE OF ISSUE al �- o Building material, rubbish and debris 1 from this work must not be placed in public space, and must be cleared 2 up and hauled away by either con- i .tract r . owner, r , ,.. FOR OFFICE Building Official. USE ONLY PERMIT DATE i NUMBER { CONTRACTOR PLUMBING 1111.11111111.111111 ELECTRICAL MIIIIIRM SEWER IIIIIIIIMIIIIII WATER FOR OFFICE USE ONLY Date._..... se CITY OF ATLANTIC BEACH Permit #- -- �--- ----F« $.___— Valuation S- .._.._ -_ FLORIDA House # APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantie Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, ahall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub - contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrssment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can he verified. August 21, 1985 Date owner_ $tokes & Collins A Address 9000 Cypress Green T D Dr No. �l /0 Architect Perez & Assoc. - BayMbA"daV ;lay 737 -4504 _...._... ......._ _ .Address..._.._ _.._.._._ Telephone No — _ ._ CootractorBuilder_ & Co Ad�...9000 Cypress Greenrelepbone No731 - 8170 Lot Na .........._.._ _.._.. No., - .____.._ Sub Division_.. Fa i rwa Y Vii las ,..._. _Zone_. 3 ___. Fairway Villas Ln 3 i �{e ,�; �, L S t wo �u e "" " " �d. ta Sts. Valuation 34 , 500 r � Single �. _ _- ... ..._.. .For what purpose will building be used frame Dimensions of Building see p lan s site Type constrnetion g _Dimensions of Lot... _ +.. Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof truss Si Ho: will Building e H eated? Strip central solid filled g Will-Building be on Solid or Filled Ground? 2 sue of Ceiling Joists 2 x 4 , Distance on Centers , Greatest Span. M Sze of Floor Joists 2x4 , Distance on Centers -. -- .-- .. , Greatest Span • Size of Rafters , Distance on Centers . , Greatest Span. This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. spectiona required, r see site L When steel is in place and ready to pour footing. lace and read to W p y Pou commas and/or lintel. z �, ^ ''? L When steel is in v E? x 3. When steel is in place and ready to pour beam. t. When framing .a i N .� arcing is completed. 1 When rough plumbing is completed, and ready to cover up. c- . , S. When septic tank drain field or sewer is laid but before it is covered. W ` -. ��'. W A T. Electrical inspection by City of Jackaozville. 41' AG /�� � p' m S. Final inspection. Note: In case of any refection, re- inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said ,rk in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building `etions of the C tic B of Buil _ Address -` 4 , FORM 900-A-84 RESIDENTIAL CALCULATION CUMATE zoNas 1 3 3 COMPONENT WINTER GROSS SUMMER 1-1'.174% GROSS- 1 WINTER 1 SIJMIAIR _ AREA x WPM az POINTS AREA x SPM ■ POINTS R 0-2.6 31.4 - 16.2 . R 2.7-3.9 19.3 11.5 CONCRETE R 4.0-5.9 _ _ 15.6 9.9 C/) R 8.0 &UP 13.1 9.2 _ 4 FRAME R 0-10 26.1 OR R 11.0-16.9 944 7 . 8 _DO 9.2 BRICK R 19-25.9 4.9 6.6 _ _ _ . ._ _____ _ VENEER R 26 & UP 3.8 42 _ ,-- 7.8 COMMON 2.5 MOD OR METAL 21 _ 247.7 5202 -2.1 36.4 764 , CO cr INSULATED 235.6 14.5 STORM DOOR 124.4 29.0 -- -- ----- --- COMMON 81.9 4.6 ---- - --- AP- 1.fr R 19-21.9 1n7 5.0 c160 1028 UNDER R 22-29.9 4.1 5.0 ATTIC R 30 & UP 3.3 , i 3.7 - 0 Z R 6-7.9 14.2 - 14.9 3 R 8-9.9 10.9 112 W SINGLE R 10-11.9 9.2 9.5 C..) ASSEMBLY Et 12-18.9 6.7 7.0 -- 77\ - NO ATTIC R 19-21.9 5.0 5.5 COMMON 4.8 1.5 AP' ' . 4.$ - X R 7-10.9 6.5 oc . -. . 2.1 0 - WOOD R 11-18.9 5.6 1.8 ci) R 19 & UP 4.0 1.3 ut 1 1 z z R 0-2.9 _ _ 19.4 2.4 6.0 R3-5.9 1 37 U. 0 c.) R 6-10.9 93 2.6 z m CONCRETE R 11-18.9 8.2 ____ 2.2 ___ ______ _ _ _ _ ___ ° cc R 19 8 UP 4.4 1.8 . g COMMON 4.8 1.5 EDGE INSULATION PERIMETER WPM X CD 4 R 0 133,3 923 12,359 5 g R 3-5.9 69.5 co g PERIMETER R 64 UP _46.4 _ •• AP. 111°P / 9-34 FORM 9004-84 CLIMATE ZONES 1 2 3 I WINTER _SUMMER . , OR AREA SOL DBL WOF GROSS OR AREA SINGLE DOyBLE SOP GAO$$ (9F) WINTER CLR TINT CIA TINT (9F) ><UMMSR POINTS �� N 15 s7.a 120.8 1.00 2361 N NE 157.4 120.8 15 i 123 120 101 1.00 2196 = ' T . NE 221 186 190 159 E 30 57. 120.8 . 99 4675 E 30 , i, 242 201 209 .94 ' 8150' Z SE 157.4 120.8 SE 261 219 220 189 $ 0 jli . 120.0 .76 0 S 0 190 160 160 134 .91 0' a i SW 157.4 120.8 SW 261 219 228 189 4 w 57. 157.) 120.8 .94 8482 w 57.33 � 242 251 209 .94 15574 N i NW 157.4 120.8 NW , , 221 186 190 159 5 H 46.4 79.3 H 489 408 432 360 9 MASS STIR- T(1TAT. 1 5 51 R Ca.ASS SUR- TOTAJ. '2i974 o Z2 8 H a HORIZONTAL GLASS (SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC. 902.2(0)5. TINT MULT. MAY 91 -` , USED FOR GLASS WITH SOLAR SCREENS. FILM, OR TINT. Q TOTAL. GROSS WINTER POINTS 1 4 5. 2 1 I TOTAL. GROSS SUMMER POINTS T � , d. c 4 (--'\ R - 4.2 -4.9 45582 1.14 51963 _ R - 4.2-4.9 41017 1.14 46759 G .- J R -6.8 1.12 R- 5.0 -8.8 1.12 M Rnt8.7&UP _- 1.09 R 8.7AUP 1.09 DUCTS IN CONDI- DUCTS IN CONDI. I, TIONED SPACE 1,00 TIONED SPACE 100 r HSM FROM 9G IIIIMMIIIIIIIM 1 t CSM FROM 9H ► ► 8 IIIIInrnaMM s DIVIDE BY I DIVIDE BY I CONDmONED 20785 T 1028 20.2 CONDmONED 38810 ' 1028 37.8 FLOOR AREA - I WINTER POINTS FLOOR AREA 1 SUMMER pOli TS . _ CALCULATE ENERGY PERFORMANCE It1 DEX _ WINTER SUMMER HOT WATER E.P.I. • ADJUSTMENT ADJUSTED CREDIT PTS. PENALTY CALCULATED POINTS POINTS PTS. (811 SUBTOTAL _ MULTI. (aB1 E.P.I. - (9C ± 22) PTS. (9E) E.RL 20.2 +_ 37.8 _ 0 _ 58.0 x 1.25 72.5 - 0 + 3 aa 75.5 THE CALCULATED E.P.I. MUST BE EQUAL TO OR LESS THAN 100 POINTS. 9B 1 _ ADIIUSIMENT_M . ULTiP __ _ _ _ CON DITIONED 901- 1101- 1301- 1501 - _ _ __- -1701_ _ 1901- 2101 FLOOR AREA (SO. FT.) 0-900 1100 1300 1500 1700 1900 2100 _ ADJUSTMENT 1.21 1.25 � 1.31 1.38 1.42 1.49 1.57 1.88 1.74 MULTIPUER 9 -35 LESI:eti 9C 1 DESIGN CREDIT POINTS (CP) 1 HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CP) 1 NATURAL GAS/PROPANE HEATING MULTIZONE NC SEPARATED BY DOOR par 6 OIL HEATING 12. CROSS VENTILATION (1 CP p room) 1 12� ,� WHOLE HOUSE FAN (min. 1.5 crids.f.) WO 5 OD STOVE s' ; 4 9E I DESIGN PENALTY POINTS 7 ' WASHER AND DRYER IN COND SPACE TOTAL GLASS OPENS LESS THAN 40% FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 I ,C - 9C TOTAL (not to exceed 12 points) 0 FIREPLACE WITH INSIDE COMBUSTION AIR * 8 OF 1 WINTER OVERHANG FACTOR (WipF) 9F 1 SUMMER OVERHANG FACTOR (SOS ' P ' • FEET N NE E SE S SW W NW FEET N •NE E ; n sE 11 SW W NW rl:." " : 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 i 00 1 - 1.9 1.00 0.98 0 ',! 0.75 0 0.83 0. 1.00 1-1.9 ', 2-2.9 () 0.98 sI 0.77 .9 1. �.� 1.00 �0. Q� 0.98 0. 7 0.98 0. 1.00 0 47* 1.00 2-2.9 4E4 0.98 G&W 0.92 0.92 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.1 # 0.95 0.89 0.88 0.85 0.88 0.89 0.98* ". y. 9 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0A1 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-6.9 0.99 0.88 0.79 0.78 0.79 0.78 0.79 0.88 8-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.98 1.00 8-8.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.86 7 -7.9 1.00 0.99 1.00 0.93 0.94 0.98 0.97 1.00 7 -7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 T 8-8.9 1.00 0.99 1.00 0.95 0.98 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.88 0.77 0.88 0.70 0.81 . 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.87 0.76 0.87 0.88 079 +"a.4,4 . 10 -10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.86 0.88 0.76 0.68 0.66 0.77 • 11 -11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11 -11.9 0.97 0.76 0.84 0.64 ; 0.76 0.64 0.84 0.78 V t51'...:1,,' 12 UP 1.00 1.00 1.00' 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.83 0.84 \ 0.78 0.64 0.8. GI ' ,, . 9G 1 HEATING SYSTEM MULTIPUER (HSM) _ ' .� ' NEAT PUMP COP 2.5 -2.6 2.7 -2.8 29-3.0 3.1 -3.2 ' ' 3. -3.4 3.8 A I� • � HSM CO .37 .34 .32 « '' ' SOLAR HEATING SYSTEM +28 (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) � ELECTRIC STRIP HEAT 1.0 , NATURAL GAS/PROPANE/OIL 1.0 (SEE TABLE 90 FOR CREDITS) A PTAC & ROOM HEAT PUMPS MINIMUM COP 2.2. HSM FOR COP 2.2 - 2.4 =•.45. r , � a .,, SEE TABLE ABOVE FOR COP > 2.4 rt 9H 1 COOLING SYSTEM MULTIPLIER (CSM) r ELECTRIC EER/SEER 7.8 -7.9 8.0 -8.4 8.5-8.9 1 9.0 -9.4 I 9.5 -9.9 1 10.0 -10.41 10.5 -10.9 i 11.0.11.9 12.0-UP CSM .81 I 0.76 I 0.72 0.68 0.85 0.82 0.50 I COP 0.40-0.44 0.45-0.49 0.50 -0.64 0.55-0.59 0.60 -0.64 0.61-0.69 0.70 i UP ' w GAS CSM 1.50 1.25 1.20 I 1.09 I 1.00 I 0.92 0.59 I MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS; MINIMUM M FOR ROOM UNITS AND PTAC, CSM FOR EER 7.5 - 7.7 • .87. SEE TABLE ABOVE FOR EER > 7.7. ROOM UNITS AND PTAC. 91 1 HOT WATER CREDIT POINTS (HWCP) * , • JLECTRKI RESISTANCE WATER HEATER r 4A8 WATER HEATER fi INSTANTANEOUS WATER ELECTRIC • 10 HEATER GAS 4 ' 8 ELECTRIC BACKUP 12. at " '` HRU (NC) WATER HEATER GAS BACKUP 0 HRU (HP) WATER HEATER ELECTRIC BACKUP 1 p 7 � ' GAS BACKUP 14.9 :', `,' * HEAT PUMP WATER HEATER COP 1.80 -1.59 1.90 -2.19 2.20 - 2.49 2.50 -2.79 2.80 -300 ; ,;r x ' " (DEDICATED HEAT PUMP) 1 CREDIT POINTS 9.0 11.4 13.1 14.4 1J.4 OVERALL SOLAR FRACTION' • 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR i ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24 HOT WATER a GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.6 , 00 a OVERALL SOLAR FRACTOOp( *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM + 1 21.2 22.6 .,., 9 -36 ENERGY DATA SHEET (►iii ` " .1 P∎11 / ' , , .■A A DATE: JOB ADDRESS: ! !1.� EPI: c: L - ) ���i t� : ... 1 �. It .. . � • 1. Type Insulation in Walls R- ) 2. Type Insulation in Ceilings ( QLL C\ q R _i 3. Type Insulation for Wood Floors --- R- 4. Concrete Slab Edge Insulation R- 5. Insulation Around Ducts In Condit. Space-------- 6. Type Heating System t k# � i / L I � i _.�. A. COP c�7 r) 7. Type Cooling System • i .� .,�,,,�.! \ _ jib b EER -"1 . e 8. Type Hot Water Heater <, Q_CJOU_L 9. Type Glass in Windows and Doors: Double Glazed Tinted • Single Glazed Tinted 10. Type Exterior Doors (^D___ 11. Fireplace? C w /Inside Combustion Air w /Outside Combustion Air 12. Woodstove? 13. Are the dimensions of all windows and doors shown? If not, this is required 'either on floor plan, elevations or in a sched e. 6( 14. Size of Roof Overhang? . 15. Are the washer and dryer located n floor plan? QJ.) 16. Any ceiling fans? If so, identify on fl plan. 17. Is a multi -zone A/C system to be used? 18. Is the building oriented on plot plan with compass directions? • ' 4 19. Is there a whole house fan (attic -type fan with 1.5 CEM /SF)? I certify that above is the correct data used to calculate the EPI on the energy form sulxnitted, and willbe incorporated in the subject job. GTrxrn! ( I Q ∎ '� _. t FAIAWAy VILLA _.. S �.� STOKES & COMPANY I ,:: Q BUILDERS & LAND.__DEVELOPERS u; w. w l H t i 4 , CItl : - 7 W n 1 r_____ ____ _ t 1 •& SETOAC1Z ----- '1 SETeAcx. I � i UNIT 'Al2 A P R 9Y { �C > 1 C. T1 C fit:' �t1; BEACH 71 JG Cr')C- - � SET _ lo' j - •e„.._. O _ � J.E. A. ESEMEt�T _. __4' 810E WALK 7 FAIRWAY V STOKES & COMPANy l .. ,, O4`11-3 BUILDERS & LAND DEVELOPERS ' r Ill CL . 7 W - II IL J Q 2 ... - - ..., - T . _fi, . _ • S SETE34UG --- _._/ `I l SETsAGiG i t ', I ' I .UN IT /Al21 i 1 10 ( !tf -PROVEt] .! l , 1 t ._ , iTaC BEACH ` r ^ G Cr7 . 2 7 '2 . • 1S1SE'TF3AGK.. -.__ ._._ (10i. > i • `1. S J. E.4. EA SEMENtT - -¢' SIOf L4 . PLUMBING WORKSHEET J - SINKS SHOWERS / DISHWASHERS a CLOSETS / BATH TUBS FLOOR DRAINS WASHING MACHINE / WATER HEATERS f DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT 1/ C 3 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * FIXTURE UNIT BREAKDOWN 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. / BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (I UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK - OPERATED (8 UNITS) (4UNITS) BATHTUB (W /OR W/O OVERHEAD (2 SHOWER STALL, DOMESTIC (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK /WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH �� 1 o. `'4) 2& ADDRESS MECHANICAL PERMIT,/ -------- PLUMBING PERMIT II __- - BUILDING PERMIT WORKSHEET ELECTRIC PERMIT -- TEMPO ELECT. 1/ Heated Square Footage /C7; g @ $ �� 37) per sq ft = $ Garage /Shed @ $ 16 OO per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio ‘O @ $ 9 per sq ft = $ TOTAL VALUATION $ . Total Valuation Data 1st $ Remainder Valuation @ $ per thousand or portion thereof TOTAL BUILDING FEE $ + 2 FILING FEE $ FIREPLACE @15.00 $ TOTAL BUILDING PERMIT $ PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ ( @10.00 per fixture unit) APPROVED BY: , TOTAL BUILDING /PLAN FILING FEE $ /(1,06 TOTAL WATER METER CHARGE $ Kr-6° A +, , 0 J �' TOTAL SEWER IMPACT FEES $ / � 3 _el CITE ''� f . "r1 TOTAL WATER CONNECTION CHARGE $ ,6 6 u MISCELLANEOUS CHARGES $ J C - �) ) E / GRAND TOTAL DUE: 60 t DEPARTMENT OF BUILDING /� CITY OF ATLANTIC BEACH, FLORIDA 7 6 9 PERMIT NO. VV V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 1 85 19 Valuation $__$1N Fee $ L_ 550 This permit not valid until above fee has been paid to City Treasurer, and is T subject to revocation for violation of applicable provisions of law. 11/ T 1 7P8 I II /II/8 This is to certify that DOE HRH PLUMBING COIF has has permission to b d • PL USING a STOEM Classification_ RFS;�1fl'I I Zone Owned by Lot Block S/D House No. 21$4 FAIRWAY VILLAS LARNE SOUIH According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �______♦ -n AFTER DATE OF ISSUE o Building material, rubbish and debris --1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra o' owner. '0; ..6a .) Buildin Offi FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER A • CITY OF ATLANTIC BEACH p-1 c n of FOR mini! N8 PERM? • OATt 1 (9 _ _____ LCCATI • •- t - . - -' • SING FIRH t')61\1 m17tu C D, 1 . . POSTED U ow/cover oOCImn ow. LICENSE NO. 1 b R''1 - O WD - (p STATE CERTIFICATE No. C - BUI +Lost OR ••• - S - • <,,. TYPE OF BUJ LDI tie _LOOMS VATUW .,.LIMIER WATERS MIMS .,i_OISPOSALS _as:Lo s _Loma woes .._„MOOR DRAINS OTHER _ J.A, ToTAL FIXTURE cosh 1 NSTALLAT1 aN aF PLUI4I IBi AND F I Xf �tI S usi BE IN 1 1 MI I TN THE MOST cD1T1 ON OF TI£ S 011t�lEl t P L Ph CCaE. CITY O F :ATLANTIC ' BEACH,' FLORIDA ' - ' - `: -- 7' APPLICATION FOR ELECTRICAL PERMIT 4 � ' ( DATE a ' `. � ` TO THE CHIEF ELECTRICAL INSPECTOR: IMPORTANT NOTICE: 19 W IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED P IN THE FOLLOWING, S, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. PLANS AND SPECIFICATIONS, ELECTRICAL FIRM: e ,» r 4 MASTER ELECTRICIAN SIGNATURE 0000 (p NAM . ..:1 -. ..... A ESSa ■ LC ...I - .i 4 / _fib �.a R FD pX BLDG. SIZE °P ! A s BETWEEN: RES.( APT. 1 ) COMM. ( ) PUBLIC 1 ) INDUS. ( ) NEW 1 ) OLD ( ) RE ADDITION 1 ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) W' ( 1 SO. FT. • SERVICE: ,y : NEW ( } ,, INCREASE ( ) , REPAIR ( ) ; _... ... FEE CONDUCTOR SIZE 1 AMPS COPPER ( ALUM. , SWITCH OR BREAKER Ate AMPS IOINEIIIP , VOLT _ ivied!, EXIST. SERV. SIZE AMPS PH W VOLT FEEDERS NO. SIZE ; -. -, -; _' NO. SIZE NO. _ SIZE '`i` LIGHTING OUTLETS CONCEALED OPEN ..., .. . TOTAL ,,. t RECEPTACLES CONCEALED i • i TOTAL o.ao AMPS. . OPE SWITCHES s, ; 31•100 AMPS . t INCANDESCENT - t FLUORESCENT & M. V. FIXED . 0.100 AMPS. OVER APPLIANCES a . 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. 1 H.P. 1111111 .. in VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. li I I OVER 600 V. 1 \ — - DEPARTMENT OF BUILDING PERMIT ND CITY OF ATLANTIC BEACH. � i PERMIT TO 311 .?� I THIS PERMIT MUST BE POSTED ON JOB 1•ti�CT I 19 ■ - 9 ! s ii /21 /B` I Date 8 80 tincAc ` Fee$ 1 ! n Il/ i /i3• k Valuation $ to City Treasurer, and is has been paid CONDITIONING l icabe pins of law. I 19tJ , This psubje not valid until above fee NU , g_ AIR subject to revocation for vio lation of�+a applicable (ANSTATE NEATI ,i This i to certify that 1 has permission to lidld INSTALL 1TEAT & AIR Zone i Classification — -� S � �� Awned by ,,.��� B Lot 21 I �!� -4+�" ar t of this permit TE FORMS ■ House No• hick are P NOTICE —ALL CONCRETE BEFORE POURING. MUST BE IN I A ccording to approved plans w AND FOOTINGS SPECTE Z MONTHS PERMIT VOID SIX ISSUE I AFTER DA r m aterial, rubbish and debris m ust not be placed ' O Building cleared 4 e from this work and m ust be >u public s pace, either con - up and hauled away by I owner. le , i Building Q 'cial. CONTRAC U iiIR DATE USE ONLY PLUMBIN ELECTRIC SEWER • WATER .i+.F _craw" 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. I• Street Address F LO CATI ON . (u • t L. Z OF M Intersecting streets: Between BUILDING And Subd L IA) ' tt - 11. 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 accor with the attached plans and specifications which are a pert he and in accordanc with t he City of Jacksonville ordinances and standards of good practice listed therein. t o Name Mechani Centracto r(Printcal l " C ontrtors tilk Name of Mes ac+er IIIIIIIIIIIIIIIIIIIIIIIII wit,: r property Owner • Signature of • or Authorized Agen Signalun o ..a� •� `:_.n.._ _ Architect or Engineer o ' TION A. Typo of heating fuel: x E3. Hectric IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? S Q Gin — ❑ LP ❑ Natural ❑ Central Utility 0 OR IF YES. GIVE NUMBER OF CONSTRUCTION �`f Q O tMf _ Spe c i fy PERMIT 1 IV. MlIANICAL EOUIPMENT 70 SE INSTAUJo (Provide complete list of corn ATURE OF WORK ponent. on back of this form) ` Residential or ❑ Commercial Heat CI Space ❑ Recessed * Central 0 Floor New Building Air Conditioning: ❑ Room Central t( ❑ Existing Building Duct System: MatoriellAn. , � , TUiekna•• _1 ❑ Replacement of existing system Maximum capacity ,73 t�(� cloy,. 1 New installation (No system previously installed) ❑ Raf ❑ Extension or add -on to existing system Q Cooling tower: Capacity D Other — Specify g•p .m• ❑ Fire sprinklers: Number of hose O Elevator ❑ Manlift ❑ Escalator (number) 0 . 6awlin puTK (number) THIS SPACE FOR OFFICE USE ONLY 0 Tanks (number) (R.o.lwd) Ramerks 0 Il6 oontain011 (number) Q U *fond pr ssw. vosser 0 ! Permit Approved by Dote 0 o - Specify Permit Foe LIST: ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unite Degesiptioa Yodel Number h[ananufa cturer I Y w �iprZ og _, ® ,,, ... ... 1