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Permit 59 Forrestal Circle South (2)
e CITY OF ATLANTIC BEACH ,, > `'%� 800 SEMINOLE ROAD �' _ • ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 .;. 01. c.):& INSPECTION EMAIL REQUEST: Building- dept @coab.us Application Number 08- 00000285 Date 3/03/08 Property Address 59 FORRESTAL CIR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc water connection Owner Contractor TUCKER EMERGENCY REPAIR PLUMBING INC 59 FORRESTAL CIRCLE 1195 WHISPERING PINES RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32259 (904) 230 -3447 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/30/08 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 7 r s ,r CITY OF ATLANTIC BEACH 08� � I I 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 st1 OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5 BUILDING - DEPT ©COAB.US ` PLUMBING PERMIT APPLICATION DUVAL COUNTY / �I�g NO O 3 - g • �l CI YES PERMIT # . :•W,. ;' .., , . , .. _ 1 E r ' ' 4. NAME: 5. ADDRESS PHONE: Sanne IF DIFFERENT FROM JOB ADDRESS: 6. at-k k - g (f)(64 7. NAME OF COMPANY: 8. ADDRESS.: 9 STATE OF • RIDA LICE SE N0: 10. C L� PHONE: ci qq 1 13. FILE PHONE: 14. E�AIL ADDRESS: (4 0 (i t -.4 (,) Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE to L ,,w� Rj"y" •'�, a e o-. s eE: / ,.i, '�a ._ v'S ^:'c , as „J P"?;57 lr, ❑ '06 FLORIDA BUILDING CODE- ID NEW PLUMBING ❑ RE -PIPE y ❑ OTHER: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER I WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03: REVISED: 1/10/2008 7 -;', r- � „ �, , \ „t CITY OF ATLANTIC B f = . , .. =;. 800 SEMINOLE ROAD EACH , " ATLANTIC BEACH, FLORIDA 32233 z INSPECTION PHONE LINE 247 -5826 j J, ji Application Number _ 9- 0002 Property Address 59 FORRES06 Date 12/12/02 Tenant nbr, name SESTAL CIR Application description INSTALL 11 FIXTURES Property Zoning PLUMBING ONLY Application valuation . TO BE UPDATED 0 Owner Contractor TUCKER, EVA DOBSON CONSTRUCTION CO. 59 FORRESTAL CIRCLE 4 9 ARDELLA ROAD ATLANTIC BEACH (904) 241 -9664 FL 32233 ATLANTIC BEACH (904) 246 -0662 FL 32233 Permit PLUMBING PERMIT Additional desc . Permit Fee Issue Date . . . 112.00 Plan Check Fee Valuation 00 Fee summary Charged 0 g Paid Credited Permit Fee Total Due Plan Check Total 112.00 112.00 .00 .00 .00 Grand Total 112 00 .00 .00 .00 112.00 .00 .00 0 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 W RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS„ ISSUED ACCORDING TO APPROVED PANS WHICH ARE PART OF THIS PERMIT AND SUBJECT WITH THE CONSTRUCTION LIEN LAW CAN LBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. LA BUILD 7• 'IAL q2.4-A***" CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: .S9 FM C C OWNER OF PROPERTY: 4 VIA ` Crit TEL. o �� , f (o ( y PLUMBING CONTRACTOR: o & "-" C . j NC, CONTRACTOR'S ADDRESS: as-? C ✓r 7 7f ( t) ' t 7 / DK STATE LICENSE NUMBER: C (-- O S 7 j d TEL. Z t ° C P 6 2 -- HOW MANY E LLOWING FIXTURES -PIPE OR NEW SINKS / SHOWERS LAVATORY / WATER HEATERS l BATH TUBS r DISHWASHERS URINALS DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER ( WATER RE -PIPE ( ST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 + $35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: • , SIGNATURE OF CONTRACTOR: 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 -5826. CITY OF , No. 34537 ATLANTIC BEACH When Validated, This FLORIDA Becomes an Official Receipt. 20_ NAME J 71 -------4"-- 9f ADDRESS ,3j5 4 -i----` _c_ ex-e.._ CITY CQ , 3z J ------ Ce ., #( . ,, .L C-1._ -.7-e-e * /S":7° c) S •=i - S f- - C 0 $15.91 74 bttu 11/15✓11 11 Receipts 19137 4 91111113291991 , ? ,,... . , . 2X JUL 2 8 1993 Building and Zoning APPLICATION FOR FENCE PERMIT Owners Phono Job Address 5q (D/7 C) - e- A -5 Lot Block and/or Unit # SubdiVi:.;i oil A v itt,4 Contractor if different from owner_ L_7 _ __ I- -- - - Valuation of fence $ Corner or interior Jot. Ye-S T>pe co nstructionqFP0 7 ON __t- ikfr- __FENC4A)6- Show location and height of fence as well aL; location cal streetts>. / Ne‘A - "V e orfue rhra \ ;(` , *-f' •-, -*, ‹,_. ,',,* ';',. .). ,., ' V(''''' , Cr ,„, 0 le c',5 0 4,- P7'.'t 1. . „„---'., 77f-tre 4 ■", ''',,,,- r 9 ‘ 71'\ Potty, -- r — rc .„ 0 ,— i lk 1 ---4, , _ I i 4;0474 1 i Owner signature / Date 1--. ` ,--- L.cnt:ac-tor signature CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22595 Address: 59 FORRESTAL CIRCLE EAST Permit Type: MECHANICAL ATLANTIC , FL 32 333 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/30/2001 Name: TUCKER Total Fees: 37.00 Address: 59 FORRESTAL CIRCLE EAST Amount Paid: 37.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/30/2001 Phone: (000)000 -0000 Work Desc: REPLACE HEAT PUMP AND Al , . ■, I R CONTRACTOR (S) APPLICATION FEES DONOVAN HEATING AND AIR „ R . 37.00 ~ ' t \ x y a w � �M AS � „,,,=4..:„e-,,.%5'13V,."': > Y k �' 2 . � �Wn 3i. a< FINAL 4. w � .� • .w, f ''� _� ,it' � ; .a ,, �' � � .; '.4 t 4 wa^• M i k { L bE � NOTICE INSPEC 'a T-BE REQUESTED. AT LEAST 24 HOURS PRi9ft TO INSPPCTION BUILDING MATERIAL RUBBI , SM B R - I S1 . OM T. .s WOR MUST NO BE PACED IN Pt LIC SPACE, AND MUST BE CLEARED L AND HAt1tEWAVVAY BY EITHER CONTRACTOR OR OV1R - --4* "FAILURE TO COMP$, WITlt T I ONST * LJCTION LIEN „,. AN - RESIAkT IN THE PROPERTY OWNER PAYING LOIN e E , 'ITS” ISSUED ACCORDING TO APPRO PL H'�S S H RS T F � R t� SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRH' Y, C�)Z liait.t.,60 (37.00 14 ATLANTIC BEACH BUILDING DEPT. Dates 8/38/91 01 Receipts 1085204 CHECKS 09100003'21900 MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INNPORIIJIATION ; LOCATION tNI'ORMIIMATION Permit Number: 22596 Address: 128-3 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):604 Block: Section: 1 Square Feet: Subdivision: SALTAIR Est. Value: _Parcel Number: lmprov. Cost: OWNER INFORMATION Date Issued: 8/30/2001 Name: ARMSTRONG PROPERTIES Total Fees: 47.00 Address: 128 -1 SEMINOLE ROAD Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/30/2001 - Phone: (904)707 -9672 Work Desc: INSTALL HVAC CON'RACTO.R{SL . 47 _ . � . APPLICATION FEES' DONOVAN HEATING AND AIR PEkMIT `_ 47.00 a. 2 I ROU MECHANICAL,,. `� {, i �.,, 1 N ,, N " NOTICE INS! MUST BERgeUESTEDAT LEAST 24 HOUR P,I is IR TO 1I PECTION µ BUILDING MATERIAL, RU DEBRIST ROM THIS WC3 &K MU N OT LACED !JO. VBLIC SPACE, AND MUST BE CLEAR 0 UP AND PfAigiED AWAY BY.EITHER CONTRACTOR OR VAINER , "FAILURE TO COMPLY W TH CON STII CT( LIEN . CAN 'Ric IN THE R PROPERTY OWNS � - YIN • . . a te ,, t)ILD 0' ~ „ NT" I ISSUED ACCORDING TO APP)2 1/.ED„P A S It I ArI A T ttF r {T AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE Vt�O . _ LA G<— "X ' ATLANTIC BEACH BUILDING PT` $488 14 Date: 8/38/81 81 Receipt: 8885284 — --_ PECKS 8239 881888832221989 • • • • BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC •EACH. PLORIOA 31.133 APPLICATION FOR MECHANICAL PERMIT CAL41N NUMBER IMPORTANT — Applicant to complete all items in sections I. II, I11, and IV. I. . LOCATION Str.•1 Addr.nt /28- ? —CL ///vii—le £4./ • OF lab...sang SI•••trt let.•••. IUILDING Awd S.L- di.ida• I1. IDENTIFICATION — To be completed by all applicants, In ceerid..dian ai p..mit q:... for do:nq 11.• .e.1 a d•rerib.d 4. th..b... If. bar.nf .. h.reb with H. • •tt•clud pl ...oh pert h•r•al sad < b ane said .ml In .eeerd.we• of good.Pneflee lid•d r1hvelm. and twat kaftans .. s •eeord•.c• �:1h the C it y a( Ld.an.iR. well rend rbnd.rdr N.n.. •{ h/i <h•nl .i F /NI�i C.n1r.<terr Coe tee attar Print t7�w�l L M...r 7477 Property Owner PA • • Sis••hn ./ Ow., /� Si oaten el or Awlhawitad Aq.nl Arehfl•d ar Eagle... . III. GENERAL INFO AIATION A. Type has tins feel: B. r71 / � M< I! OTNEA CONlT11U CTION [BEING OO�N j TNt3 aull.O1NO an SITE 7 / ❑ 6.4 — O 1? Q N• hand ❑ C.. ,. Utility ❑ 011 IF TES. GIVE NUMBER OF CONSTRUCTION ❑ Other — Specify PERMIT .7„ A A 6 6.22 / IV. C . ocA. BgUIPMBPfT TO 11 INSTALLED HAT E OF WORK , (Pnwide esrwplote Ifd of componeeh on Wok al MI. I esldenttsl or Q Commercial CT' Hut ❑ Sp.e. ❑ lima ..4 Co Row nhe! 0 Ro l5V New Building • d P1/ G ^f• wdnl.wiws: ❑ E . Week li ❑ Existing Building (j ❑ ...K Syetonst Malaria /J .1 ./ / 4 / 10,„,„Z Replacement at existing system `/ tJ•dn.ns eep.clly • Ili, a , R ❑ New Installation (No system previously Installed) • ° Q ❑ Rdris.roties Q Extension or add-on to misting system ' ❑ Coaling hoes: Capacity ❑ Other — specify • ❑ R.. t ins.. Nona .r of h..ds k /� ❑ Elam ie. 4 MenIIR ❑ Ewialsc (awwrlr) (J/ • • THIS VACS FOR CMTtCS USA ONLY ❑ . G.aetlae pea... (wenaberl (B•••••dl • ❑.• Tub. (a.n•)..v • Remeris ❑ LJC asolel ( awnrb.rl • 0 Uaf ..d pse* wee. ... .prom.* . ❑ Weft Feral) ApApproved .. by II.� ❑ 011.. — 'Specify p.rndt kw • LIST ALL EQUIPMENT ADS CONDITIONING AND REFRIGERATION EQUIPMENT Number Dane Description Yodel Number ][aatrtaetarer ) Jppsen t +tee) Aiwscf HEATING - vuRNACEZ. BOILERS, FtRAPI.ACES Number Unita Deeoriptlee Yodel N au CY Number Ya taaistrer (> p�ed l]7 • TANIS Bow *any Nam111a1 Capacity' 'L794 Liquid Name of Serial AppevviiI sad Dixasc Siam Canttda.d Yammtaat�vr No. "%ea'1 • • • • • • BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC SLACK. Pt CPI OA 31a37 APPLICATION FOR MECHANICAL PERMIT CALLdN NUMBER • • IMPORTANT — Applicant to complete all items in sections I, II, III, and IY. I. . LOC S"9,C ." pF •IITioN Sh••t Addr•o. �/ i f% Z / !/C f+ OF Inl•n•YHny 51.••h. ietr... WILDING And SYL- dIvidnn • II. IDENTIFICATION — To be completed by all applicants. In c.e.id.rdion al petanit qiY•n for doing Ih• �a.Y a d..erib.d i^ Ih..b iI•L...•. .• 6•.,6 will. Ih• •It•etu.J pl ^d tp•edie,dan..hich •. ..I h•reei •.d i r ' I. p neill. ...Id .a.Y • .sterol• ^< of goad.ppctIc lilted' p ^ •<co.duc. �:Ih Ih. City a( JacY.an•iU Ndin.nen s.d lt•ndud. Nam. d M.eII•w6s1 C N.m. •( J Prewar*? 0..• -' .V� , ., SI A.the •! Agent � , 1 %)..10 A f e/ N Aelhal..d . .nl 1,. Y.• . r•1il.d .r Eegl•••■ • III. GENERAL IN ATION A. Typo of •11.7 feels E. B..�rie IS 0744E14 CONSTRUCTION BEING DON( ON THIS BUILOIMG ON SITE/ ❑ C • ❑. LP ❑ N•hni ❑ Control Ut81ly ❑ Olt If U. GIVE NUMBER OF CONSTRUCTION P UNIT ❑ Other — Spodly IV. MKMAMICAI. IgUIFMINT TO 11 INSTALLED MATURE OF WORK Sy.h .1 Campo ...eh complet• 110 a( ow beck a! Ihi. I a or , ❑ Residential � i c7 H. — / f � _• ❑ Commercial . V ❑ Spice ❑ E<w — wd / mil" Connell Cl Ater ❑ New Building �' / j f N. G.drllowl.7: ❑ Eon fd2 :Intl ❑ Existing Building V `� . CI Dee* m: M.}..;.1 GG"' _ T1t{dn. ❑ Replacement of existing system v • Maslow., capacity c.f.". New installation (Na system previously Installed) • 6 ❑ Ilel.f7en N.e ❑ Extension ar ada•nn la existing system I (f CI Coed*, immr: C.pecily 1-$1." 0 Other 9perJly • ❑ P.. 4.1^11«.. Mimi... e! /«d. I.YIII`•.) ❑ . (imam THIS SFACi Mo( M • OiCa UM 0111.7 pen ^. inrmbor) • • a. T..1a 1.Ynf...i (i1...1..d1 . ❑ UDC on/el (..mb.rl it Ust..d annum mem ❑ ledere H.wit Appe..d 6 w 1 pe 1 (] ow... - -' Spwlly Pencil fn. • LINT ALL SQVIPItiEENT • AXR. CONDCLIQNI34G AND LE.FsuGERATIQN eQl(IFMENT • . ZfUmbew Volta D..ar gUtes Model Number Manufacturer 'D . Manufacturer (J .� , . 111111111111Pa I I .1111111 s?J .W,,_ Af/..�' — ' MATING - FURNACES. UOI LER.Y, FTA.6YI..UCE3 Pfmb.r Volta D..ariptIce i Model Number Maautactumer (11 TANS Mow YET 7.11kaithmal � 'n'P'e Liquid and Name of Serial Apzzi. T g l^Antalned Maaafaaturwr No. �� • 0002926 DEPARTMENT OF BUILDINGS CITY OF ATLANTIC BEACH PElttlXT rittr0fllA1"T00K - _ - _ LOIC14•X1314 XKY01triATI'DM _ - permolt tiut+tbes a 2,26 Acactreteat a '*"9 rOlitterrrAt. CXKCL1x Ste. r.z it: 'Type,* T1tX0At. ATLAIrr.r0 atr4M tt, :t t. 0RXLOA 322 +Clesetas ox itartc a ADDY YL1DK Cotlett Type3 WOOD P*AAL" t.tat a i I fd a Aetcst; lont Prop o e l fume a SXtllt.A Ir"'A !'1*1.V* Tc»vflahlp s Miffs a 0 D‘ee3.13.n9tt* 1 0O43*** 0 ZUDci1vitoma a m A.B. VILLA UKST . t Ic t1 sateil V*3.1,30 t *0. 000 iapr0v. 00*6t a *0.0 0 Total eees: *20.40 .z A *20. 40 ra�x�rn � , ,, Det *I ii f ' ; w 4F' 0 . N r c > , :I1 s !s , /01 3 C?A14P $V . x 90tlT .E1 3.0 r p 1 ."+D. 4 JM "t'RI1t + v y� wr rRrY� x '� f a lt•1"'L . l�'+E":A'"1""'C1H T+F'� WO , «,,. w. � , k ��- . � h�2 � r ,AATxC7'11 10' ..r .w 4+. + �,4� - .. �v�M, 4 w..w, r ' e,r AI►$C!. WA'T11t t14PACT refs 0200.00 Adcleaa 1i � � �� ,$�.AL 1�t�'1 'f�t3. q��y y�It }����` �+ �r Yf��rt �. ��� cr�ra 40 fi s T � - r tit rL.0, lts0s �� t3 23 Ztt ti xnr V.� Vls p b �ah 4,1', , *0 r ow' % i, RA At ` O AR -0 1t. K. *00. 00 iriniill% lot) IthortINI 0AEt Z.X. al 0. ti0 M1t' a ,d b y i.. XO WATieR TAP 020 A44?0' op** a ., 004 , 11!♦ J►'V.'LpKt.l'1'e s tt ," : `1" AP 00.000 .. . ¢y s, 1A .s , XLI et PLCaRZDA 32244 n r"D1tAttLX0 tSIN tilt *0 LEI.ce°tttet a q tnK... Ty pe a 0 Ile- z�N OCT rant 0 . ► , � t m t rr� 4k A *' t XO'r1f"M I P e *0 . 4 y 2 `[ k, l iJ 00 ' 4 a t � °t k` ? s� �Pr ' d� ; ` t a d ` .4ns#, c. i,. »�s , j `'g e-� , NOTES: NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.` "FAILURE TO COMPLY WITH THE MECHANICS' LIEN. LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDINh 1MPROVEMENTS't ISSUED ACCORDING TO APPROVED PLANS WHIC ARE PART OF THIS PERMIT AND SUBJECT l F�fE' C FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. S EP d 4 ►, 1 , ATLANTIC EACH B D RTMENT , . e By : / tt r" cli'? .,r CITY OF ATLANTIC BEACH, FLORIDA — 64.49 4- Approved by APPLICATION FOR ELECTRICAL PERMIT / 883 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ? ` 19 / IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 211 1/ 0, o G.fi"c--7 ELECTRICAL FIRM: .. /t ( MASTER LECTRICIAN SIGNATURE JOURNEYMAN] NAME l r�yVl rn 1 1 ►\ ADDRESS: • _ ® • E'.$ J/i" l v • Pl S BOX BLDG. SIZE BETWEEN: RES. (44 APT. ( ) COMM. ( 1 PUBLIC 1 ) INDUS. ( 1 NEW ( ) OLD ( ) REIN. ( ) ADDITION (1 TRAILER ( ) TEMP. 1 ) SIGNS ( 1 SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR (' ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) /5- 0 SWITCH OR BREAKER AMPS / PH W VOLT RACEWAY EXIST. SERV. SIZE / 5O AMPS / PH W 2—Cle RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS 1 7 4 CONCEALED OPEN TOTAL RECEPTACLES /0 CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT /8 .3 0 , ' FLUORESCENT & M. V. FIXED I 0.100 AMPS. ' OVER APPLIANCES i BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KIN-HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS 1 11 11 0002941 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PL:RnrT rUra tnATr'DH - w- L.0CATX00 .XHP'0ffATxon - N"+srraasY't fftj tser s 2'41 AdOr 0 s .. '0 % t"'XDt)LIKR "s LANS rext z.t T'y'po'! rt NttIrt A`r.LANTXC 1st AOtt, Prt '3'2= c16033 ar 'Cora s NEW - - L,ISOAL !?t! l6tPTX0H - Ccrrx#t.r. .t s 110DtJLAIV Lot I *1 black t h t*'ca'taDnn s Pr-operated Uet*s $XN MLS,: rArtXLX To'wnehxprt *tit": 0 01...1.13.09 01 1 Code t 0 SubdZ•?1*1Dn I OCeAKWALIV UN2Y 2 e etx0etet Value: *1000.00 ` X1 prOv goat s *0.00 ittprk4 *10. 00 N3 k 'i•-•:?, e , ' R L -'t' U �1" Gait . '; ', 6 1 e r s !« la 4 bv° e dy 4 `tl aft S , " . 1 'Il ib � a ,..,:',?=°4',.'''''''''''''''''''''''I t , tl , *ttAT'xo3N ....a., - , - ? . ' il ...W -«.. rtP'rt.r A't"XttH >m'Mxl »... - -_ . � e { '� '' '. �t� P Spin X"t. *10. 00 Acddre i s .` IPo DLSRt "13 LANS 'If#, It I itt'A,ic? P to. Kip x� ' 'z 5�� 4 � ' r C ' II AaDli t " A , ° ' 3' � , � � " C ' ! ` M1� t y � ht 6, x, 1 ?Ab0U t Alex -n. R. ".3. to. 0D 4taD it4t "tatn tirron --- ttAD0H 0*v:I D3C *0. 00 Naga t ... tolt � $0'1'x 0000:141 Ia , .,, WA*P 1+t TAP � *0. Actor > s I ' 'wM> #1it 1"M" *0.00 gz a, a t3VDItAUt.XL+ st/APIE *0.00 L1-Cefl� - � r Types 1 Pte- Xtrart T rest *0. 00 Ir� a � � s" wt c. N 2ltrAt:"r r*" rt .; 11►0 3 NOTES: NOTICE -- ALL CONCRETE 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. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN t THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." vA.IIInTII DiiTC. 89/I I t >._ ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE JO REV TI 4iit e VIOLATION OF. APPLICABLE PROVISIONS OF LAW. TENDEI1ED sta. iitECEIPT R 612: �. M ATLANTIC EACH BUILDING DEPARTMENT 'IL-*--'4 By: -> c). j APPLICATION FOR FENCE PERMIT Owners name � � � V � phone e; at ke52, 2 Job address--- 2_V `� - �1✓s% ��!X - / r _ 1 - 52,z 3J Lot 61 block and /or unit # 1— subdivision / ', / / Contractor if different from owner Valuation of fence $ _ � Corner o interior of Type construction Show location and height of fence as well as location of street(s). --'' APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE c _ EP11195 , S E .1 0 H90 Building and Zoning Owner signature Date_', 41 Contractor signature Date I S , CITY OF ATLANTIC BEACH - s . 7 - 800 SEMINOLE ROAD r V w ,4441,04. r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 r J Jn } . INSPECTION EMAIL REQUEST: Building- dept(coab.us Application Number 07- 00001432 Date 10/16/07 Property Address 2303 FIDDLERS LN Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 cu Owner Contractor EBERT, WILLIAM OCEAN STATE HEAT & AIR,INC. 2303 FIDDLERS LANE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249 -8251 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 59.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/13/08 Fee summary Charged Paid Credited Due Permit Fee Total 59.00 59.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 59.00 59.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF _ATLANTIC BE CB MECH_AiNICLL PERIVIIT PPLJCATJON Date: Property Address: 30 F 41/ Owner: LeA/4,11—.„ Telephone #: Contractor: OCea.' F Telephone g: c f— A lt-i c " Illi a r e_5 1 _Contractor Address: 14 l Fax #: Ezlq in consideration of permit mven for acing the work as described in the above statement, we hereby auet to perform said work in accordance I with the attached plans and specifications which are a pan hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice fisted therein Type of Hearing Fuei: If other construction is being clone on this building or site, list the building permit number: Mt • `,.,- 01 Gas: LP Natural t/r,ertral Unit O Oil O Other — Specify NI1CHANIC AT EQUIPMENT TO BE EN ,LED NATURE OF WORK V jleat Space _Recessed t '<entral lFloor le'Resideudal Air Conditioning Room 7,7-entral • Duct System: Material Thickness s 0 Commercial Maximum capacity g fr Ez emu on 7 New • Coolina Tower: Capaciry gpm • Fire Sprinklers: Number of _Heads Ele _ Escalator ('limber) iacemaar o E-;:isring Systela CD Gasoline Pumps ( • TILL (Number) :1 New installation (No system previously installed) P LPG ContRiners (Number) o Unfired Pressure - Vessel • 2 Extension or Add-on to Ef.dsting System 0 Boilers 0 Gas Piping - - - - U Other - Specify 0 Other Specify • LIST ALL EQUIPMENT • AIR COND ITIONIN G, P.EFRItaltATI ON EQUIPMEENT & CONDENSOR'S Approving Number Units D Model # Manufacturer Ton' s Agency 44 ., /W3 c.444-c. L HEATING - FURNACES, BOIT .FRS, FIREPLACES & AIR HANDLER'S ".. Approving Number Units Description Model fr' Mattniiientrei BTU's Agency TaNKS Norainut Capacity Tip Serial Apptaring flowlvlarly & Dimensions r_.'ontained Manufacturer No. Agency 300 Seminole Road • Atlantic Beach, Florida :32233-5445 (9n4c, 74.7_ • F117 (9041247-5545. hiln-I/www ri_ntlantic-bench_fLos wtiotzoor oii:44 FAX 9042488949 OCEAN_STATE_A /C + ATLANTIC -BEACH 14001/001 , ,.. . ettk, (/) CITY OF ATLANTIC BEACB MECHANICAL PEA APPLICATION `.i / • D*te: f O f 1 4 4 7 Property Address: 0 &AA- • Owner, Ti Tekphonme 4:. p1`i 9' Q :S). Contractor: (Dan , 1-4"CC Q n ' i 1 C fi? 1 Telephone #: – J Contractor Address: .14T LD _fin :1Z , d W) Fax t :_L'{Q2:2 is com of parrot pm* wing int wink es demand in die abo•e smtsman. wa bank' atm m psgimtc aid work in aeeoedaace wi,da saebad pbaas gad -peafirniess wbieb ate elan *met and is is mdmce with tee City of Arc Bcooh ordimaees as staortatds of . Type dittoing Fad: If other caostruction is being dine on this building 1�1r1etxdc _ or site, batik bolting ittttnatbttc 0 Gar J2 Natural lDIV , . > . ❑ 011 - • o Other- Sty , . MEC$dNICAI EQUIPMENT TO BE INSTALLED P{ATtJRR OP WORK • S��eat Space _Recessed . 1 " .. 6en - lral Floor • Air CoaditioninF _ Room j ecentral ❑" Duct $�tm: Mahal Thickness 0 Commercial Minimum capacity chn • 0 Refreraritm 0 't . C Cooling Tower. CapaGfry .— ;p® se" aisen,i131uldias • O Fine Sprinklers: r£: Number of Heads O Elevator. Manlift Escalator (Number) pxpJa # af System O Gasoline Pumps (Number) o Tanks • (Numbs;) 0 Newleneliadoa • O LPG Cow:viers fiber) (No mum fly iustaIled) o Gamed Pressure Vessel .. a FamsicQ or Add -ten to > System - O Boilers • 0 Gas Piping . - "•_ • _ • - u orbit - bpectcy – _--• O Other - Specify . • LIST ALLEQUIYT 9IIcotwrror'wiG,xtX73t1 tA11ON ZQIII?MWT & CO?4DZNSOIt's .Approving - ltatbcri Model 3 geoey Tan' s A ' _ . - k . "..erT tSINA` ... . lam 3' - " k•C. • - • nUATn't6 -?t mArAczs, nou.tate. MRSPL►C S do AIR ltattn.LXR's Mang Daiaipdoa Model n Manainainnw BTU's Alieae7 • .. '.. • D . TOM- - Amato isa . Row Mow !e Disoaaiom Cwo�al ��iaa Mo. mow. • • SOU Sem•inote Road • Atlantic Beach, Florid.. ,2233 -5445 1:shnnr- Men 7.4i -CRQO • Ti r : (904) 2.47 • h*rrr rw ri.otiontic- beesch.fi_as • • ti k V f, CITY OF ATLANTIC BEACH '' ; - a 800 SE lVIINO R OAD j j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 " "� elf!> INSPECTION EMAIL REQUEST: Building- dept(Zi coab.us il Application Number 08- 00000257 to 3/ t ' 1 1 081 1 Property Address 59 FORRESTAL CIR Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 47650 Application desc ROOM ADDITION Owner Contractor TUCKER LA BUILDERS 59 FORRESTAL CIRCLE 37074 COSMO TL ATLANTIC BEACH FL 32233 HILLIARD FL 32046 (904) 845 -2025 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE K a Permit BUILDING PERMIT Additional desc . ;I 1 Permit Fee . . . 270.00 Plan Check Fee . . 00 Issue Date . . . Valuation . . 4 650 Expiration Date . 9/14/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. * NOTICE OF COMMENCEMENT REQUIRED * . Must use roll -off container company that is on the City's approved list. Other Fees CITY RADON SURCHARGE .12 ST CONSTRUCTION SURCHARGE 2.26 AB CONSTRUCTION SURCHARGE .25 STATE RADON SURCHARGE 2.39 Fee summary Charged Paid Credited Due u . Permit Fee Total 270.00 270.00 .00 00 ; I Plan Check Total 135.00 135.00 .00 .00! I Other Fee Total 5.02 5.02 00 t .00`` 4 PERMIT. LS4 EIT'gf -IN ACCORDANCE Wt1 PA112CITY OF A1L]AaT1iatEACH 01FtDINANCOD AND THE FLORA 0 BUILDING CODES. ' • =' '7- CITY OF ATLANTIC BEACH 08- f• ' 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 1 5 a OFFICE: (904)247-5826 • FAX NO.:(904)247 -5845 17 BUILDING- DEPTfCOAB.US ' BUILDING PERMIT APPLICATION .. -- - DUVAL COUNTY 1. JOB ADDRESS: 2. VAUJAIION OF WORK , , 3 SCI F1\ UNDER ROOF 5 Forre5 -h G 5 • tKrri - :(■ 52z3 3 y 6 5 0, . 06' , :- 6- . ir- . ' 4. LEGAL DESCRIPTION: B. CLASS OF 1NORK: � 1 r��-� ;� 6. USE OF STRUCTURE LOT () BLOCK I SUB DIVISION �� ) i } i( ��� ❑ NEW BUILDING 1 6MQJ21T12N r, n i Ed RESIDENTIA% A IS ADDITION ❑ CONVERTWG'USt- V V ❑ COMMERCI • L 7. DESCRIPTION OF WORK: ❑ ALTERATION ❑ ACCESSORY BLDG. 6. FIRE SPRINKLER: 11'( �i ) ° I f I x 1 , ` ❑ REP AIR ❑ POOL / SPA ❑ YES a N/A 1 0( Ad I I : Y 0 ;.: ` El NO t 9. NAME: 15. COMPANY NAME; "'- ls .compANy N AM E I- A &II 1 oC- tit• FL Mc __�_..._ L vc , 13 . ►•C I t , C i/ _I ( e 1/- 16. 1 t m 1-S-1-C-.%/1. 24. LICENSEE NAME: 10. ADDRESS: l � 17. STATE OF FLORIDA UCENSE NO.: 25. STATE OF FLORIDA UCENSE NO.: 5 q For eS--0 I Ci r . 5Ld-h CGG S l a t y i rr 18. ADDRESS: 26. ADDRESS: A Aian-F«' �.' J J t' J -3ZZ Z 3 701NC.1151116Tr1• 11 t arcs. F L 3 ad-1(2 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27, OFFICE PHONE: 128. FAX NO.: r - 1 '91 r: lc. 4 I ' ' - 1 3 . CELL PHONE: 21. CELL PHONE: y" 29. CELL PHONE: 'I an c(8g dt SIS2 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30, EMAIL ADDRESS: r evoc -1.uc g� 11 -k , n ,e± i ctioui la-ex np(7 Cpl . crxr) FEE SMtPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LEICER (IF OTHER THAN OWNER) 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 38, 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 7- ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR Of Agent, Power of Mornay or ApsnOy Letter Required) (OuMMM' OnM f ' ' - 'fined: /4 (.5c 7 /,c.0 / pie¢ dater - // - 6 p ed: 7 .-- -1 - ' � / / � Date: 1 / ' 7 !� e fore me thisi efore day of F Yt,(L) t� in the county of re me thi / day Y of e P , 2007 in the county of ' ' uval, State of Florida, has personally appea Duval, a of Florida, h s personally appeared C VR TlitC. -� /i�D /4 Ll� tin by himself declarations herself and affirms that all statements and declarations are by henn b himself / herself and affirms that all statements and declarations are le `. ttwe and accurate. I true end accurate. ,/ r otary Public at Large, State of Fl-- j � , County of AV ( -�l Notary Public I• at Large, State of A County of Y L .... )�❑ teonall ced ` /� y rL (�+ D(� a-D- a 3 43 7o ` -a ■ •ro y Known l ,�� 4 : �� r l03 3 ' (o u Ident fi - I�'R ❑ Pars roduced ntifi.. otary Signature: 1.. _ , , '� Notary Signatu - • _ \ A��- II REVIEWED .., ......., .e, _ �,,,,�,,, SHIRLE GRAHAM REVIEWED F , , Kilt 1 1 11) •,1 ,Ir E b : i� "'P�e�;•,� COABFOr��IJ1,;R�1/I; r,:-'; ' • ,r° 1 �. Notary Public - State of Florida �� jj jj �Y uU vofl , j�qy� 33 • My Commission Expires Feb 14, 2010 �°� i i 9e5-7e9e I ,d � ��� •' Q, Commission # DD 518533 SEE PERMITS FOR ADDITIONAL %°i' REQUIREM AND "'' B onded By National Notary Assn. ' A'Dn CONDITIONS. - - REVIEWED By:/ ��' " DATE: ` - FORM 600A -2004R EnergyGauge® 4.5.2 FLORIDA ENERGY . EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Tucker Builder: LA Builders I Address: Permitting Office: City, State: , Permit Number. Owner. Eva Tucker Jurisdiction Number: Climate Zone: North 1. New construction or existing Addition 12. Cooling systems 2. Single family or multi- family Single family i a. Through- the -Wall AC Cap: 5.0 kBtu/hr _ 3. Number of units, if multi- family 1 — SEER: 11.00, Unducted _ 4. Number of Bedrooms 1 _ b. Through- the -Walt AC Cap: 5.0 kBtu/hr _ 5. Is this a worst case? Yes , SEER: 11.00, Unducted 6. Conditioned floor area (ft 504 ft c. N/A _ 7. Glass type 1 and area: (Label read. by 13- 104.4.5 if not default) _ a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a. (Dble Default) 125.0 ft _ a. Through- the -Wall HP Cap: 5.0 kBtu/hr _ b. SHGC: HSPF: 7.10, Unducted _ (or Clear or Tint DEFAULT) 7b. (Clear) 125.0 ft _ b. Through- the -Wall HP Cap: 5.0 kBtu/hr 8. Floor types HSPF: 7.10, Unducted _ a. Slab -On -Grade Edge Insulation R.0, 90.0(p) ft _ c, N/A _ b. N/A _ _ c. N/A 14. Hot water systems 9. Wall types a. N/A _ a. Concrete, Ext Insul, Exterior R= 11.0.720.0 ft _ _ b. N/A _ b. N/A c. N/A d. N/A — c. Conservation credits e. N/A — (HR -Heat recovery, Solar 10. Ceiling types DHP - Dedicated heat pump) a. Under Attic R =30.0, 504.0 ft 15. HVAC credits MZ-C, MZ-H _ b. N/A _ (CF- Ceiling fan, CV -Cross ventilation, c. N/A _ HF -Whole house fan, 11. Ducts -- PT- Programmable Thermostat, a. N/A MZ-C- Multizone cooling, b. N/A _ MZ- H- Multizone heating) Glass /Floor Area: 0.25 Total as -built points: 4969 PASS Total base points: 5340 I hereby certify that the plans and specifications covered by Review of the plans and TH75 ST this calculation are in • • ce with the Florida Energy specifications covered by this 4 ' ...., .. Code. calculation indicates compliance o� PREPARED B ` i ' a j 1-,_.. with Bef the re Florida Energy comp Code. I y o construction is le t completed • DATE: c� O this building will be inspected for '' compliance with Section 553.908 . `• ' ! �l s li ` s 1 hereby certify that this building, as designed, is in p • 44E--- - "' compliance with the Florida Energy Code. Florida Statutes. coD wi's' OWNER/AGENT: BUILDING 0 - IC DATE: DATE: 0," 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages r i "" 2411 " 11311ww: ""'mt - re- ;. EnergyGauge®(Version: FLRCPB v4.5.2) F ' Copy FILE L 6 ,,, ,,, .......................:.„............, oit ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCOW = 88.6 The higher the score, the more efficient the home. Eva Tucker, , , , 1. New construction or existing Addition — 12. Cooling systems 2. Single family or multi- family Single family — a. Through-the-Wall AC Cap: 5.0 kBtu/hr — 3. Number of units, if multi- family 1 _ SEER 11.00, Unducted — 4. Number of Bedrooms 1 — b. Through - the -Wall AC Cap: 5.0 kBtu/hr — 5. Is this a worst case? Yes — SEER: 11.00, Unducted — 6. Conditioned floor area (R') 504 ft* c. N/A — 7. Glass type 1 and area (Label read. by 13- 104.4.5 if not default) — a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 78. (Dble Default) 125.0 t1 — a. Through- the -Wall HP Cap: 5.0 kBtu/hr — b. SHGC: HSPF:7.10,Unducted — (or Clear or Tint DEFAULT) 7b. (Clear) 125.0 ft — b. Through- the -Wall HP Cap: 5.0 kBtu/hr — 8. Floor types HSPF: 7.10,Unducted — a. Slab -On -Grade Edge Insulation R4/0, 90.0(p) ft — c. N/A — b. NIA — c. N/A — 14. Hot water systems 9. Wall types a. N/A — a. Concrete, Ext Insul, Exterior R=11.0, 720.0 fts — — b. N/A _ b. N/A — c. N/A — — d. N/A _ c. Conservation credits — e. N/A _ (HR -Heat recovery, Solar 10. Ceiling types DHP- Dedicated heat pump) a. Under Attic R -30.0, 504.0 ft* — 15. HVAC credits MZ-C, MZ-H — b. N/A — (CF- Ceiling fan, CV -Cross ventilation, c. N/A — HF -Whole house fan, 11. Ducts PT- Programmable Thermostat, a. N/A — MZ- C- Multizone cooling, b. N/A _ MZ- H- Multimne heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building .... z stiff Construction through the above energy saving features which will be installed (or exceeded) d in this home before final inspection. Otherwise, a new EPL Display Card will be completed : ` ' , . 1 based on installed Code compliant features. 1 111-, r.. -- - _ Builder Signatu - re: t _ '' Address of New Home: Date: ° 11 111- i� ' P City/FL Zip: � m v ' ` *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStcr designation), your home may qualify for energy efficiency mortgage (EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321 /638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. 1 Predominant glass type. For actual glass type and ner N� n 1 ruc 2&4. .2) FORM 600A-2004R EnergyGauge® 4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS:. , , PERMIT #: I BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type /SC Omt Len Hgt Area X SPM X SOF = Points .18 604.0 18.59 1688.0 1.Double, Clear SW 1.6 6.0 20.0 40.16 0.87 697.0 2.Double, Clear NW 1.6 6.0 30.0 25.97 0.92 713.0 3.Double, Clear NE 1.6 6.0 45.0 29.56 0.91 1209.0 4.Double, Clear SE 1.6 6.0 30.0 4275 0.87 1111.0 As -Built Total: 126.0 3730.0' WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Ext Insul, Exterior 11.0 720.0 0.00 0.0 Exterior 720.0 1.70 1224.0 Base Total: 720.0 1224.0 ( As -Bulk Total: 720.0 0.0 I DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Wood 20.4 6.10 124.4 Exterior 20.4 6.10 124.4 Base Total: 20.4 124.4 , As -Built Total: 20.4 124.4 I CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points • Under Attic 504.0 1.73 871.9 1. Under Attic 30.0 504.0 1.73 X 1.00 871.9 Base Total: 504.0 871.9 As -Bulk Total: 504.0 871.9 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 90.0(p) -37.0 - 3330.0 1. Slab-On -Grade Edge Insulation 0.0 90.0(p) - 41.20 - 3708.0 Raised 0.0 0.00 0.0 Base Total : 4330.0 As -Buck Total: 90.0 4708.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 504.0 10.21 5145.8 _ 504.0 10.21 5145.8 EnergyGauge® DCA Form 600A -2004R EnergyGauge8VF1aRES'2004R FLRCPB v4.5.2 FORM 600A -2004R _ EnergyGaugee 4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: BASE AS -BUILT Summer Base Points: 5722.2 Summer As -Built Points: 6164.2 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) {eys 1: Through-the-Well AC 5000btuh ,SEERIEFF(11.0) Ducts: Non. 6164 0.50 (1.00 x 1.000 x 1.00) 0.310 0.950 908.5 (sys 2: Through the - Wan AC 5000duh ,SEERIEFF(11.0) Ducts: Norte 8164 0.50 (1.00 x 1.000 x 1.00) 0.310 0.950 908.5 5722.2 0.3250 1859.7 6164.2 1.00 1.000 0.310 0.950 1817.0 EnergyGaugeTm DCA Form 600A -2004R EnergyGauge®IFIaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R - , EnergyGauge® 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details 1 ADDRESS: , , , PERMIT #: BASE t AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X WPM X WOF = Point .18 504.0 20.17 1830.0 1.Double, Clear SW 1.6 6.0 20.0 16.74 1.07 357.0 2.Double, Clear NW 1.6 6.0 30.0 24.30 1.00 731.0 3.Double, Clear NE 1.6 6.0 45.0 23.57 1.01 1068.0 4.Double, Clear SE 1.6 6.0 30.0 14.71 1.11 489.0 As -Built Total: 125.0 2645.0 ` WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Ext Maul, Exterior 11.0 720.0 2.20 1584.0 Exterior 720.0 3.70 2664.0 Base Total: 720.0 2664.0 I As -Built Total: 720.0 1584.0 I DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Wood 20.4 12.30 250.9 Exterior 20.4 12.30 250.9 Base Total: 20.4 260.8 I As -Built Total: 20.4 250.9 I CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 504.0 2.05 1033.2 1. Under Attic 30.0 504.0 2.05 X 1.00 10332 Base Total: 504.0 1033.2 As -Built Total: 604.0 10332 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Stab 90.0(p) 8.9 801.0 1. Slab -On -Grade Edge tnsu atlon 0.0 90.0(p) 18.80 1692.0 Raised 0.0 0.00 0.0 Base Total: 801.0 As -Built Total: 90.0 1692.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 504.0 -0.59 - 297.4 504.0 -0.59 -297.4 EnergyGauge® DCA Form 600A -2004R EnergyGauge®1FlaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R - EnergyGauge® 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT #: BASE AS -BUILT Winter Base Points: 6281.8 Winter As -Built Points: 6907.8 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Through- the -Wall HP 5000 btuh ,EFF(7.1) Ducts: None 6907.8 0.500 (1.00 x 1.000 x 1.00) 0.480 0.950 1575.9 (sys 2: Through - the -Watt HP 5000 btuh ,EFF(7.1) Ducts: None 6907.8 0.500 (1.00 x 1.000 x 1.00) 0.480 0.950 1575.9 6281.8 0.5540 3480.1 6907.8 1.00 1.000 0.480 0.950 3151.8 EnergyGaugeTM DCA Form 600A -2004R EnergyGauge®VFIaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R K . EnergyGauge® 4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: I BASE AS -BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2635.00 0.0 1 1.00 2635.00 1.00 2635.0 As -Built Total: 0.0 CODE COMPLIANCE STATUS BASE AS -BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 1860 3480 0 5340 1817 3152 0 4969 PASS 1 ......„-;i4iii"..*.. / eat " 7 ,; %G w : EnergyGaugen DCA Form 600A -2004R EnergyGaugeOlFIaRES'2004R FLRCPB v4,5.2 FORM 600A -2004R EnergyGauge@ 4.52 • Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION , REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm /sq.ft. window area; .5 cfm/sq door area. Exterior & Adjacent WaHs 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seat between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from and is sealed to the foundation to the ....... Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is seated to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous Infiltration barrier is _ _ installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1 ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Multi -story Houses 606.1 ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infltratlon reqts 606.1 ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Swritcch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer, Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and instated in accordance with the criteria of Section 610. Ducts In unconditioned attics: R-6 min. insulaatlon. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common wails -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. EnergyGaugetu DCA Form 600A -2004R EnergyGaugee/FIaRES'2004R FLRCPB v4.5.2 MAP OF BOUNDARY `SURVEY DESCRIPTION: LOT 8, BLOCK 1 OF "ATLANTIC BEACH VILLA UNIT NO. 1" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 30, PAGE 56 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ^ STAL CIRCLET':':': F.I.P. 1/2' ............. 21 \�0 NO I.D. (�F MIAMI CUR CURB *.'.'.'.'.'.'.'.'.'.' f/2' INLET NO I.0 C Z . . ; F.I.P. 1. I.1 Cy P.T. • ' ., . ;'.. P.R.C. S7 BF � ' , 4 .. f . X 2 6 F S ors, • X 7 S? gy1 3 . 4 d i ; F 36. NCF i milli • 13, l l CUPke 64, . X : ::': / / 0 F.I.P. 1/2' C9 Tp. l / N P. T D. C`� .. FENCE LEGEND /(Z / ■ N 6' C.L.F. • l / O 0/../6. M.M. •:'.':':':':': 4' M F. LOT 7 ? l � S e� COVE �� F.I.P. NO1 I 2. vir • BLOCK 1 ". ti / ' / STORY 7 ANC. k.? • l 0T 8 1 ` CHIMNEY o - -.0 y / � X e ti� !y l� / 1 • 10.3, e / /59 /` Q /• / ° 37.6' 4 o �� / / CO / . tic CURVE DATA / (� CURVE 1 9 • •'' ARC = 56.98' 6' / / '''' METAL , ) CHORD = 56.64' (P) METAL , •N) = 56.52'(M) /F. NO 1/2' SHED • so RADIUS = 130.00' NO I.D. 0 6-. o. C.B. = S87'59'43'E(P) 9 INYL / \ n j' BLOCK91 C.B. = SBB 'O9' 10'E (M) X6 9 , " CU 2 3' F L's „ 4j: • • ARC = 27.86' 69. F •• ` CHORD = 20.66' (P) c,' /k' 'Q ' , . CHORD = 20.78' (M) (Pi RADIUS = 20.00' . 0 C.B. = N69 '29 '11'W (P) F.I.P. 1/2 \ 6 �F I C.B. = N69 '36 '17'M (M) NO I.D. �` SURVEY NOTES: -' 11 BEARINGS ARE BASED ON PLAT WITH THE EAST LINE OF LOT 8, BLOCK 1. BEING N37'55'55 02 UNDERGROUND UTILITIES, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED BY THIS SURVEY. #3 ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY FIRM MAP PANEL NO. 120075 0001 D. EFFECTIVE 04/17/89, THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X'. C ERTIFIED V ERIE B EC TO AND TI F OR TL THE 14 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. VYSTAR TITLE AGENCY AN NE COMPANY FIT O E F: 15 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF VYSTAR CREDIT UNION AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE. �I EVA B. TUCKER c #6 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE. I� STREET ADDRESS: 59 SOUTH FORRESTAL CIRCLE L ATLANTIC BEACH, FLORIDA a i7 THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY WHICH ARE NOT SHOWN m ON THIS SURVEY WHICH CAN BE FOUND IN PUBLIC RECORDS OF SAID COUNTY. in #8 THIS SURVEY DOES NOT GUARANTEE OWNERSHIP. o #9 TEMPORARY. NON- PERMANENT IMPROVEMENTS AND /OR MAN -MADE ITEMS o SUCH ° n STORAGE PODS. PAVER BLOCKS, FOLLOWING: PLASTIC SCALE: 1" = 30 ' BUILDINGS NOT ON FOUNDATIONS, VEHICLES ON BLOCKS MAY BE ON ,� =+ THIS PROPERTY BUT NOT LOCATED OR SHOWN. ` o u) #10 LEGAL DESCRIPTION POVIDED BY CLIENT. m #11 30' BUILDING RESTRITION LINE FROM STREET R/W LINE, PER PLAT. a3SIA3/1 FP r ,.......—....„.„ 1 C-4 ai cs LE 0 / W z .2 a 4 J '. 1 � w 4t . ¢ V cY t U ,,,, - E ° V 7f. 6 + ....... 0 O IS u im 0 o g o 0 ac •S V , 10 a w di 3 0 g ; v o 0 a� 8 o 0 a O <" • ch ,.mob a C c-6 W a o . # al :174 t I?. S O k - ,_.- _s), is :.= "8 bi _ cc �:b try g {10 E o N r ° 4 ix . - 0 i OA . co o O „5 oa G „ 'r3 (:1 oA cI ' 5) 0 a. Pi w o a to 43 • r! c A 0 0 i. „t' Ra al cp "r7 O . M O g Fr O e ^” O ^O 8 la . PC2 Ng. 4 o 4 Ei: .1) A --0 g § ,ww. OD W CA a4 v} x U A w a- 1 w ? „� > 13 aE ^4 cwt c+i 4 vi ko w-+ c`i c+i �t vi kD e� 00 o; ci '-+ cV 1 0.E O O 17, I ai a Q- Z 0 !1^ * i � Q w as F- fg rr-- 1�+ O 0 0 .4 a s a 0 O .c , u 4 A I A4 Q a ea 44 co 0 o § A r, . e 04 s i s ''� r 0.4 -, U3 -I i g I i °.* -44 O b 4 a --, 5 a :� . cn • y a 1 p .0 d of bA o, ' a ou oo e "g on c ++ -- R Ef? • 4 SA c f) iii ig = col 8 •S 44 4 t... :a to '+-, .ig 0 0 5 ra 4 c 5 0 c..., I W .4 a cr., 4 iri 'C cz. OG cr; O . a — cV M d' Vi vO t-:. oo o; C — N Ki 4 tr; K? Ic) c3 4 1 0 a CO ti 4t la N cA ca m 0 0 0 l s a 0 0 w) A N u o Pee o V) a L. t z 0 Q O 4 F 0 v y y�,1 N it . 0 ...,..! 1 0 g z 0 F" 0 <C G4 to U p4 w g i H w w U U x, 4 a A r O cra %-•+ CV M et' V1 .1:5 t--: E -+ 8 •-+ N t*Y 'd v'1 ■O C" 00 0\ O - . M -+ t11 .-+ at 1C.) w w a rI) - E a i•r� co 13 0 •S ! �` 1 b0 o . o o "E ° \ U ° o .0 i g . � - 1 CU 140 014 ¢,°� a N '. ° �� � o 0 w E 4 ' a �, 0 .0 › ° 0 � . .r, z A ao g x .P3 i o - �: �.c z w W " ` u_ .. L. r-' a . 4.) 14 ' gg . 2 V ---- L. l t44 -0 �0z E <3 w i o a) at g > .0) • ° l o. • 1 r H w O U � • � � j . c- TJ E en .5 Ir. `d z.5 +r a ,� A bO 2 3 g �-' ° T" ;� CT CS" a . al i or, 5 0 tA t rya W04 '4- y '�' -° W ° 0 z �. ., i U 13 ' , z -a g 0 0 c`i IS 4 W ''.' c`i . t to 4, FP-, o'" t g bg . l0 o U o k ? Comp. By RLC Date: 2/27/2008 t LI Public Works Department City of Atlantic Beach Permit No: 08 -255 Address: 59 S. Forrestal Circle Required Storage Volume Criteria: Section 24 -66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre- and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V = CAR/12 Where: V = Volume of Runoff C = Coefficient of Runoff A = Area of lot in square feet R= 25 -yr / 24 -hr rainfall depth (9.3- inches for Atlantic Beach) Predevelopment Runoff Volume; Lot Area (A) = 10,846 ft Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 1,500 10,846 1.00 0.14 Pervious 9,346 10,846 0.20 0.17 Runoff Coefficient (C) = 0.31 Runoff Volume V = 0.31 x 10,846 x 9.3 / 12 V = 2,611 ft Postdevelopment Runoff Volume: Lot Area (A) = 10,846 ft Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 2,000 10,846 1.00 0.18 Pervious 8,846 10,846 0.20 0.16 Runoff Coefficient (C) = 0.35 Runoff Volume V = 0.35 x 10,846 x 9.3 / 12 V = 2,921 ft Required Storage Volume DV = Postdevelopment Runoff Volume - Predevelopment Runoff Volume DV = 2,921 - 2,611 DV = 310 ft Retention 59 S Forrestal_onsite Retention.xls 2/27/2008 I- I rs CITY OF ATLANTIC BEACH `f CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS "°- 800 Seminole Road 904-247-5800 a VP' Atianfic Beach, Florida 32233 -5445 Fax 904 -247 -5845 PLEASE SUB (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date C"l - 3 - r , � ] / /,, PERMI " f , c ,I /i ,, yci 5 ISSUED BY THE • UC Job Address (_,I Permitee: Q.AC.,{ er Telephone # al *1 - 4 64 Permittee Address: 59 F rre5 rft,! Ci rcle 5 Requesting Permission to Construct: Location: (Reference to Cross - Street) 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 Auth� � Yes ( ) No ( ) Date: BeII South Telephone CorrIpW C, :7:7-; r -+q ll A Yes ( ) No ( ) Date: Ferrell Gas ' [ Yes ( ) No ( ) Date: Comcast I MAR % 4 '[ Yes ( ) No ( ) Date: 2. Whenever necessary for �i oonstruc tion, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of a , or an ' _street or easement as determined by the Director of Public Works, any or ail 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. AN work shall meet City of Atlantic Beach .,pr Florida Department of Transportation Standards and be performed under the supervision of !`dt I Y..A.. ikrOVIbT15 (Contractor's Project Superintendent) located at AP Telephone #: '10r7 Q Iq v 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 citv Right of Way are to be included with this application. 7. This perrnittee 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. 1 REVISED OWNER _ " M. * ZAJIMOVIC , fkl '� Notary sic - sw. a Florida Signed: d 1 �/.r�7'i L�li Date: 03 .0 • MpcaareiliMon Before me this 03 day of y G/ cAra t in the County of Duval, --,,,,p-;:;--, ,y E M►�' 1011 State Of Florida, has personally appeared a Commission 000 666821 Notary Public at Large, St to Flo a, County of Duval. � "'�� 9aidsdT hoig hNsYanlNobrY Mycommissionexpires: O 1 Personally SA t T 160 )-01. 2 • e � 0 Produced Identification: 6'd 9P99 sweisi s uogewioiul d£Z :£0 80 90 Uel' -- y ,� CITY ! I F ATL TTIC BEACH PERMIT •.'-.,10, i s!,,, t T aNG I ZOIt y DE1Pil�T�' A PPLICATION G _ � = 800 Seminole Road .s:> V Ailaniio Be, 32233 D8 A57 4 '' ' � : J ai.. (904) 247 -5800 (904) 247 -5845 ach Fax Florida www.coab.us ' i* 4,44R APPLICATION TRACKING F01-1 � i / , ' — REQUIRED DEPT. Prope> Address° _ 1ur r 2 Y N BUILDING O N PUBLIC WORKS • Applicant: 0 Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project: Y N PUBLIC SAFETY N w APPROVAL v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w 1 Y N D.E.P HUFS I I LER Q E Y N S.J.RW.M. CARPER Lu IL n: Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER • APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 0 0 1ST REV 0 !M 1-e7�,.b1Y1 1 .1 0L e- ((oC,tz . .. PLANNING 0 0 2ND REV 0 ;II ; • BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY IS fl 3RD REV 0 0 I r '';'r CITY OF ATLANTIC EEA.CH PERMIT r .__ _ `.5. _ A B G / ZONING DEPARTMENT ' APPLICATION # . i..., '' ' i " go B yea CI �-• : Mantic Beach, Florida 32233 r i 2 !� 1 (904)247-5800 "` n � J,ilar (904) 247 -5845 Fax T ` www.coab.us 1� ' i_______ . 2 �' 2 008 . APPLICATION TRACKING FORM - ----, . RE. - ED DEPT: � M Z N PLANNING Property Address: j , ett £1 � .,G S N BUILDING �/ _ N PUBUC WORKS Applicant: 1._ / 4 /L G.` O Y N N. PUBLIC UTILITIES r� Y N FIRE DEPT. Project: ,/r .ti 77 � Y N PUBLIC SAFETY - APPROVAL - Ei a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w i Y N D.E.P HUFSTETLER A- )-1 )--7/ • ¢ O Y S.J.R W.hA CARPER y L t j t i Y N ARRAY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER • • APPLICATION STATUS - CIRCLE ONE • S BUILDING ,D�Af AP REV1EWED BY: INfTmAL E DAT 0 1ST REV {�'J t:d e P-- 1'- 1(►,(f - c,-1/4,1,‘,Q • . PLANNING � ® 2ND REV 0 rX • `i P� / Q BUILDING "'` `��� � • :LICWO ' PUBUC UTILmES FIRE DEPT. . PUBLIC SAFETY I - 0 0 3RD REV 0 0 ' • r5 ' 4 -3 CITY OF ATLANTIC BEACII PERMIT '' , � BUILDING / ZONING DEPARTMENT • • APPLICATION # . Fi 8 : - ' - �.3 �� 800 Seminole Road jj �� ��� -) . -,, (/ Atlantic Beach, Florida 39733 Ji ;! a . (904) 247 -5800 (904) 247 -5845 Fat . www.coab.ns • APPLICATION TRACKING FORK! REP D DEPT: PLANNING Pro Address: ` S Property 5, Z !' BUILDING . jj ram PUBUC WORKS Applicant' L A Lt. AdieS-rx C s /L dt r Y N . PUBUC U11LmES Y AI FIRE DEPT. Project: , - 17 � Y N PUBUC SAFETY w • - APPROVAL to Q REQUIRED AGENCY: RECEIVED BY: INITIAL DATE w cc Y N D.E.P HUFSTETLER 33 Y N S.J.RW.M. CARPER z Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS _ _ CIRCLE ONE • SITE BUILDING DA AP EWED BY: INITIAL' T // E ❑ ❑ 1ST REV 0 �� S3 l/ ?(v e • • P ING ❑ ❑ 2ND REV 0 ❑ - PUBUC WORKS • . PUBUC UTILITIES FIRE DEPT. - PUBLIC SAFELY 3RD REV ® ❑ • • •0 , . 7 . -, , ,. , ,,,„,f., 7/ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH. FL 32233 OFFICE: (904)2474828 • FAX NO.:(904)247.5845 BUNAING-OEPTOCOAS.US , - - ..... _ 08- , I I I I I BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. VALUATION OF WORK ... 0,- tea, rt UNDER ROM ---'--- 5(1 Forre,-3-i-al (k(lt 5. Aihr)i-ic.-744 '41 ) 5() . 6d 11 - ,-.1,, ..S6 •5q fl. 4. LEOAL DESCRIPTION: 5. CLASS OF MIRK; r r - -, USE TRUCTURE.: 14 flan K. Beac.k. v ;Ile, 0 Pew suguxtra i priDgticarrow ,:,,,- ,) ,,), , , g RESIDENTIAt LOT LEILOCKI,_ SUS DIVISION u n a. 1 09 /topmast 0 CONVERTINdLISE. . ' J 0.. Rpm. 7. DESCRIPTION OF MIMIC: 0 ALTERATION 0 Accessary BLDG. i1.1) J 1 `it'll- tkritiri-CT(‘ ci- izYiq peciii-for moE 0 O l 0 REPNR 0 POOL / SPA colintioR _ THER 0 YES , ,Ori i th 0 NO PROPm7Y °WEER: t , AR , 1 ENOWEEft 9. NAME: 9 COMPANY NNA ,- 23. COMPANY NAME: 1 L- A 6u.iia,er5 oC- N. FL -1-1 it NAME: 24. LICENSEE NAME: Eva . i3. litC1CCI .- itryl Lu-kie_) 10. ADDRESS: 17. STATE OF FLORIDA UCENSE /40.: 25. STATE OF FLORIDA UCENSE NO.: 5 For res t CI r , SOLd-h C,C,- C 151 aio ci 1 18. ADDRESS: 28. ADDRESS: , El fl cu i C be.00,- 1,___ - 522_33 3:7 6 / 4163511 '° 1- r I • 11. OFFICE PHONE: 1 .a.o 12 FAX NO.: 19. OFFICE PHONE 120. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 2 .M I -91,-;tp 4 qot4 V-4 5 z. 13. CELL PHONE: 21. CELL PHONE: 6 29. CELL PHONE: ' 70 r / q 8 C l° A t I . 14. EMAIL ADDRESS: 1 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C V 0 4a C V e r e l a l l&k.L f V k , n 4- I OLIOLift I a -erSnPati? 0-01. corTN FEE SMIPLE irrti foxoss: INONEMIG COMPANY' NIORTGAEMUNCIEFb OF MIER MAN OMMER) . 31. NAME: 33. NAME 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Applcallon is hereby made to obtain a pemit to do the work and InstaNations as Indicated. I certify that no work or instalation has commenced prior to the issuance of a permit and that all work wiN be performed to meet the standards of al laws regulating construction in this jurisdiction. This permit becomes nut 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. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ifiells, Pools, Furnaces, Ballets, Heaters, Tanks, *Jr Conditioners, etc. OWNERS AFFIDAVIT -1 certify that ail the foregoing information is accurate and that ail work wilt be done In compliance with al applicable laws regulating constmdiort and zoning. I wit occupy or use the referenced building or any part therof. unth al inspections are related and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. Ilk** 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 CONTRACTOR WNW*, P000roiAtiotney or Agency tett& Requited) muds) oat Signed: c: 1/-ds .x 7/ 4.‹ / . 6 e p Date: 41 / i - 6 3' E--- .■ Ode: 2_ zi la et Before me eiss of Ftly r 2007 in the county of me this5 day of IF' , 2007 ki the county of Duval, State of Fluids, has persceally D uvai,;ate of Florida, 1;pesonally appeared - Tut c<.-e-r ' /id l,rt i herin by himself / herself and siMrms that al statements and declaration lerd s are by himself / herself affirms that all statements and declarations am true and accumte. Ints and &carafe. Notary Public at Large, State of Ft- . County of DAV 0 -1 Notary Public t Large. State d A . County of 1= Knovai 0 Ponionally Known 1 , .. r pu. --- dU .--.-- o)- 3 D 1 pomduced . .."44 ••- 6 I ': ler (0 3 3 e l& -6 Notary Signature : ' . , . , . Notary AlliteArEr/111111. 7:- I .i (. ‘llIl e0 Shelby L. Rix 1 " . .. SHIRLEY L GRAHAM 4. i :Ts Commission # DD513133 CA .10.0 41 % b it ir - -1. Notary Public - State of Florida 10 Bd reer OL, FORM EILDG01: •,41 r c Expir es Januar y 31, 2010 i ,' it' - Commission Expires Fe 14, 20 , F, F 4to oned Trey Poe = eerifre, eel 850465401e % Commission 1 OD 518533 - '" 44 ToTit' s Bonded By National Notary Assn. $ Y��, i CITY ea i' ATLANT C ' EAC I PERMIT T J • j 4 \S ? 1 G / Z I ,EPA NT . ' 800 Seminole Road f" sAtlan Beach, Flori 32233 A' .. ••.. (SO4) 247 - 000 W n www. c�ah.vs (904) 247 -5845 Fax M� J / �1�� ,\% , /a. A �° i `� "'; C MG FORM V-io APPLICATION RE,;.-ED DEPT: MAE" PLANNING (C C �.-,•. , �[, S rMi BUILDING ��° ®�� Y A l�>�°�s�' c �� I: PUBLIC WORKS L A GC - z dte5 .. „� PUBLIC UTILITIES A�p�c� ;�f �o ' ” Y N FIRE DEPT. Project: Y N PUBLIC SAFETY • cn • APPROVAL w REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w cc Y N D.E.P I IUFS I t t LER Q Y N S.J.R.W.M. CARPER z Lt Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLE � `GG,,YY /l . c .5-og 1 V APPLICATION STATUS _- __ _ CIRCLE ONE: SITE BUILDIN DA AP IEWED BY: INITIAL: DATE: I 0 I l 1ST REV I ® 'e 'sire) I A 3-5-08' PLANNING ® 1 0 1 2ND REV I ® I ' ( B UILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY \ �i 1 3RD REV I 0 I le I I I • • . ( OF A TLANT I C 'EACH ' 08-__I-1--1--11 �� 0 00 SEU INOLE RQAD, ATLANTIC.:ACH. FL 32233 7 i.� i -a OFFICE: 904)247 a ea •FAX 4:801247 '' � BUILDING PERMIT 'PUCATION DUVAL COUNTY 3.vk Knot4oFwoRt , r , tSO. ROD-- '" • t. O ADDRESS: G (J6 ! r l ` r -, 7 a 5q Fdrree rd CirF,J . v. A- Go,rrile- t� FSch522.3E + s a e, ct , - of . 4. LEGAL DESCRIPTS:St p 4 V ` h ' o� LOT t! BLOCK I_ onrISaa UA i ' ' 0„� RATaN ❑AC(f$SORYBLOC i�:' �'+, 7. DESCRIPTION tWRlfi 0 AIR 0 POOL /SPA 0 YES 0 NIA . D OTHER ® NO t� x al! l cln lf n i z x l k! Addition nRRCrcTrtr+tEt • -; p , {�, 23. COMPANY NAME: . COMPANY 9. NAME: 1 1 5 - A f 5 I c'.e r5 o ; 3. T L -1"'r 24. LICENSEE NAME: .va . t3. 1 uCi( ' i m yc)t- , ADDRESS: ,(1. 17. STATE OF FLORIDA LIC NO 25. STATE OF FLORIDA LICENSE NO.: ADD ���; �, �j LL� GCS t 5 t a k" t ` . 5 C 1 rr R U I re5 - t�.0 — . t t✓l l y' W` � to ADDRESS: 28. ADDRESS: t + CU's+l C' CI CJr• C1- : -3j L a 11't Ord 4 � " 11. OFflCE E; 4 12. FAX NO.: 19 PPHONE N0 G R NO.: 27. OFFICE PHONE: 1 28. FAX NO.: 4 4 i - t,. ir, a nti $` 5 a,0a. 1 f 29. CELL PHONE: 13. CELL PFRONE: 21 '0 84 8L. fe i /'- 14. EMAIL ADDRESS: 22, EMM. ADDRESS: 30. EMAIL ADDRESS: evo- itiLver'C net, rift . ne} ( R.. i tci.trn�, A . Corn F semi irr tE Botiogi cok Mr. - 7 1 , 1000AG E uncut OTHER THAN ov) NAME: 31. NAME: 33. NAME: 32. ADDRESS: 94. ADDRESS: 38. ADDRESS: Application is hereby made to obtain a Pernik to do the work and I► ations as indicated. I certify that no work or hlstadlation has commenced prior to the issuance of a perm t and that ati work will be path ,d to meet the standards of ail laws regutating construction in this ded or jurisdiction. This permit becomes null and void if work is not comment Alin six (8) months, or if construction or fo be secured ed for abandoned for a period of sic (6) months at any time after works cot iced. 1 understand that separate permits Electrical Wort, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, H Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing k twar tan Is ac i and that an work will be done in compliance wf h all applcable taws regadalklg construction and zoning. I wB not occupy or ttse the rete ',d buadifg or any part Moroi, until all inspections are tinted and prior to obtaining a certificate of occupancy or completion issued by the 1 g otBcld, as required by lawn. WARNING' 'INNER: *** YOUR FAILURE TO RECORD A NOTICE OF CC NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU tOPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT i ?1ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR1 YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (ICAO n&Prr werier rmyoraae 1t rRS4u 1 Sig,,.d; t� -s�„4 �?' 1 7 1 i �,i se t�eRe a j Or) i v �{ Cate - ' B e f o r e me W i t t d a y of F e JYU ? , � A P l � � - in the county o f i , a ids f ' 5 d a y o f t 1'-' , 2007 a in the court) I Duval, State of Florida, has personalty al Ode of Ftoiida, personally appeared / e.v 5- - ruc(c -=r - Nb1<rr 2, Perin by tinseM / harsaif and affirms that of afaternents and decorations are timeel 1 herself affirms that art stalwarts and declarations are Notary Pubic at Large, state a F1., . County of DA \i0...,1 WIG at Large, Start of Pi . County of At Ike t. Di-- 0i4 - D D)-43=7ti`1.0 ,ri► ■ 01 : /`(, 3 S ' /( b Notary Signature: .. , ,# ` 1I 4I /L! � �>s� ilr .:,rs•1111a11■ I w 4 U. Shelby L. -... _ _ _ wit { L.. GRAHAM Commission # DD513133 ?° - State Ot �* St�w� �. u ..l�.y p� Amide Rowe FORM ': R ; •�:: Expires January 31, 2010 if • ,•v�"7 Feb tat, 201 0 '''41 t 1 it A ttiti I , 11 s a f CITY OF ATLANTIC BEACH ,TJ : • 4 , " 800 SEMINOLE ROAD ' J . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: �r U,il >r Building- dept@coab.us Application Number 08- 00000257 Date 6/05/08 Property Address 59 FORRESTAL CIR Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 47650 Application desc ROOM ADDITION Owner Contractor TUCKER LA BUILDERS 59 FORRESTAL CIRCLE 37074 COSMO TL ATLANTIC BEACH FL 32233 HILLIARD FL 32046 (904) 845 -2025 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . WIRE ROOM ADDITION Sub Contractor . MCKINNEY ELECTRIC COMPANY Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 12/02/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. * NOTICE OF COMMENCEMENT REQUIRED * Must use roll -off container company that is on the City's approved list. Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.