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Permit 1853 1855 Forsyth Court CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 9/27/04 Parcel Number 172123- 0000 -6 -2 Property Address . . 1855 FORSYTH CT ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner BEACHES HABITAT Contractor BEACHES HABITAT 904 241 -1222 Application number . . 04- 00027555 000 000 Description of Work . . TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone Approved Building Offi ial VOID UNLESS SIGNED BY BUILDING OFFICIAL I . I . r`' i 61 #: F S CITY OF ATLANTIC BEACH ;. 800 SEMINOLE ROAD 1 -,1 ATLANTIC BEACH, FLORIDA 32233 J � : 2 , V INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027554 Date 7/07/04 Property Address 1853 FORSYTH CT Tenant nbr, name DPLX W/1855 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit MECHANICAL PERMIT Additional desc . Sub Contractor . OCEAN STATE HEAT & AIR Permit Fee . . . 71.00 Plan Check Fee .00 Issue Date . . . Valuation . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 71.00 71.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 71.00 71.00 .00 .00 Y I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C .41 BUILDING OFFICIAL t . r'`'i, CITY OF ATLANTIC BEACH '' s J yj f MECHAN PERMIT APPLICATION 4.013 E y- Date: 7— 7 (Pr" �� — Property Address: //�5� G �?T • Owner: 661 .J' 111:444:21 Telephone #:.2 5 Contractor: Ca' ST.c?i , / Telephone #:,, 7 � a.��/ Contractor Address: / �6 41 ' z','',- Fax #: ,izi-0 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: Electric �/ ❑ Gas: _LP Natural _Central Utility t7 _ X 2`7 S 7 CI Oil T ❑ Other - Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _ Space _ Recessed . Central _ Floor +)( Residential Air Conditioning: _ Room ■ entral Duct System: Material I „,, Thickness/Z.& ❑ Commercial Maximum capacity COO cfm ❑ Refrigeration New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) 9 ` New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add -on to Existing System t ❑ Boilers ❑ Gas Piping ❑ Other - Specify ❑ Other - Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Descriptir Model # Manufacturer Ton' s Agenc / /j - P/1 kkI CU- V A Aze— C y HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency 0101- / /'4/A,Q2/ '/ /, , .TANKS Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http:/ /www.ci.atlantic- beach.fl.us x v l ? ? , t CIT Y OF ATLANTIC BEACH � 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 _ -.4Pa 0 , INSPECTION PHONE LINE 247 -5826 '''' Application Number 04- 00027554 Date 3/25/04 Property Address 1853 FORSYTH CT Tenant nbr, name DPLX W/1855 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit PLUMBING PERMIT Additional desc . 11 FIXTURES Sub Contractor . BEACHES HABITAT Permit Fee . . . 112.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .00 .00 A f 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 ARE PART OF THIS P T SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4 %, %... 4her C . BUILDING OFFICIAL 1 � CITY OF ATLANTIC BEACH s PLUMBING PERMIT APPLICATION ...., Date: 3 - Property Address: 45 -3 /b.2S y /1") C Owner: E 4 G A A . 5 !d(), r�i9iT Telephone #: 2 / /2 Contractor: /3j,4/ f 1 / j/9'/ Telephone #: Contractor Address: /67/ ,19,4,/5 Fax Fax #: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: ❑ Re -Pipe b'-1 - •Z� 5S' '+ Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers ( Sinks Disposals Urinals Floor Drains l Washing Machine Lavatory l Water 1 Sewer ' Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: / ( X $7.00 + $35.00 = / (2.6) - 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845. http : //www.ci.atlantic- beach.fl.us PERMIT WORKSHEET Certificate of Occupancy q V Job Address: f 853 { Yt G--. Type Work: a/o` Property Owner: t4_s KpCY' . - Phone # Contractor: � Phone # .� ��IT1�T 7 � 1 Z— Permit #: 5S-4 Date Issued: Building Inspections: Footing FOUNiPNT t ON) Slab 0 - -c 4 ol`f L 2743+ Tie Beam Lintel Nailing / Sheathing u. 3 ,04---/ Framing / Cover Up 1,22-044 Insulation - 7_44 Final Building ('2;1 O Tree Permit # YES NO Electrical Permit # , j Date / Copy to 04 2 15S&4 JEA Li - I Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA '7 - ate n � Temp. Power Released to JEA Temp. Pole Released to JEA Final ming min Released to JEA Mechanical Permit # OA/ - 9 7S:Sd/ Inspections: Rough q_20.--014- Final Plumbing Permit # 0.4 _ z/65 �. Inspections: Rough / Underslab 3 LC, Topout 'j Water / Sewer Final 9, r, 61 Drainage Inspection: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing Final Fire Inspection: Failed Inspections: Date Paid: % rhie D- ;.•1• Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: { 12-3 I Contractor Name: 13 CIA Cht 5 flaf✓ r 4 Permit #: ( 1c Property Address: 1 IJ 6 . Po /ZS LjTk C Legal Description: L0+ L ►` � 1� G V Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Resident - Commercial - Other: I) or 11.* Lowest Floor Elevation: -) 1 Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. - - - Public Works 7_ 9, 3 _ p v p, 2� "" a c° c y O Planning Dept. o C_ a 8- v� / o 9 - g -Uz/ S /3 Building Dept. 5 y, -( z Y Final Survey with FFE !(Yes No All Re- Inspect Fees Paid No PLOT PLAN LOT 6, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK PAGES AND OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Ili 1 1 1 I 1 1 N89'26'40 "E 120.58' 1 _ _ _ 4/ •\--- 00 20' BUILDING RES FICTION LINE L 0 T 7 co ( � _ cr_ ,;,-,_ --\ vv. 3 1=e ma c.. `� j M o Z 2 4=b; f 'SS O A p `\ \ < CP 'lam, 2 Ng/ zI � Z Z m ��� �� � Cp r oI 0 C-,<</S) FFE=13.40 � c N �& 1340 12.3 . Q 10 P 1-• \ N6 \R � \ � � �' o �'�� o I 2 2 2 , , �, tiF "°c) �° _, PUBLIC DRAINAGE , � I ,r- EASEMENT rY y \ / ��� Z o 6 28 ��' \ �, �J��o j o' , L 0 T 5 ` � S 4 �� `�- 12.3 ,/ �� P 11,53 g O, o o.- 1 G , e o q/ '` 7.5' JEA ELECTRIC EASEMENT �Uj CO 1 I i ® ..O . JAN - 26 - 2004 MON 03:46 PM ATLL BCH, PUBLIC WORKS FAX NO. 904 247 5843 P, 03 DEPARTMENT OF PUBLIC WORKS �f � � ; ,v_ 1200 SANDPIPER LANE tt' 41 + ATLANTIC BEACH, FLORID 32233 -4318 TELEPHONE: (904) 247 -5834 4, r PAX; (404) 247 -5843 '( SUNCOM: 852.5834 t' f ;;,,� http: / /ci.atlantic- beaeh.ft.us 4� , � ti e,. 1 � }q f J r, * i' rlC r ' PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Q - 2.--7 c Li Applicant: !`xCO c K- HU'W-'1 Address: LeS Fa 6"-/1 t C . _ Proj ect: D j'1 r o Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: . ..,a;� >� � a / /r , .... C ..:ter: ,;.:%.,,,,i: . /.�'! /'" F *% 4 ±� Pf r ,.- - g,40 i-p-a,ov A Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Rev' ed by Donna Kaluzniak, Public Utilities Director Date a Si: ture ' Contractor Notified Date 6Z Mel /49‘../44/ A JAN -26 - 2004 HON 03:46 PM ATL. BCH, PUBLIC WORKS FAX NO 904 247 5843 P, 02 7r +� A ,; DEPARTMENT OF PUBLIC WORKS r �i, 1200 SANDPIPER LANE i t 41 r te:,' ATLANTIC BEACH, FLORIDA 32233 -4318 TELEPHONE: (904) 247 -5834 FAX: (904) 247 -5843 • i 1 1 . l r SUNCOM: 852 -5834 "^^ a + http: / /ci.atlantic- beach.ti us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: 14__�c_.._C1_ S N(U1 T C4- Address:, Project: o Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. )( Your permit application has been reviewed by the Public Works Department and the followings . ms need attention: r- ,/ Ae. r4111, riPririfigreFWMFtIMMMIllrAilliltver?"&tri#11:;41,- . :1 �'r• .r r � OS/ / 60' ,,-,1e, r .� = r' 11110-vr-2,, - Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, EL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. 1Zevi ed by Donna Kai _ • iak, Public Utilities Director 1410 • Signature i - Date J/ Q Contractor Notified Date ) / j l'l &,y -,: ~. CITY OF ATLANTIC BEACH % " 4 .J 800 SEMINOLE ROAD r, ti ; - r) ATLANTIC BEACH, FLORIDA 32233 ,,;� $ INSPECTION PHONE LINE 247 -5826 Application Number 03- 00027434 Date 12/29/03 Property Address 1853 FORSYTH CT Tenant nbr, name NEW DUPLEX Application description . . FOUNDATION ONLY Property Zoning TO BE UPDATED Application valuation . . . 60000 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit FOUNDATION ONLY Additional desc . Permit Fee • . . .00 Plan Check Fee . . .00 Issue Date . . • 12/29/03 Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand -1 .00 .00 .00 .00 , i tiZz . eA- et-e- erizrec.,4v 771.4,- ii24.:.c. 7Z , BUILDING MATERIAL, RUBBISH -. E, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER COI. .. 3TRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWA.._ DING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV‘,... R.OVISIONS OF LAW. •-• `"\--• C '' / °'.' --k..„, ft 1„ Y BUIL DING OFFICIAL 12.,L1, CITY OF ATLANTIC BEACH D. Ford i BUILDING / ZONING DEPARTMENT s. Doerr _a A. - 800 Seminole Road � s) _, Atlantic Beach, Florida 32233 3 7 ,� ,,,,,-4- a, - (904) 247 -5800 �� (904) 247 -5845 Fax / tit!) . PLAN REVIEW COMMENTS Permit Application # C)3 - o? - 7'4i • Property Address: / 8 5 3 // S S r-( r r f -g. e--1 Applicant: ( - 8rui l) r / L r /r.'r f Project: l-C' Lti- (in L r (,M,2 Gtr l r j This permit application has been: Approved ❑ Reviewed and the following items need attention: Please re- submit y application w en e items have been completed. Reviewed By: \ , Date: 2 ;- C� . 0 Book. 11484 Page 2044 NO "110E OF COMMENCEMENT State of t_ 0 3 =437.4., Tax Folio No. County of — 01kNJAL To Whom It viay Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: v o,1n)& in 1 2. 0 5- Iv ft. b Iwo it o 1_0-r ,3 11 Address of property being improved: /' /Jei i <'R T)a C- - C��LFY) A r . Re. g. FL 31-133 General description of improvements: ' 'r - C ..)5`,A4_ 2)1A/2. - >e - 12 Owner: 3 & ' 1}c/{!Fs )) A$I t'.�RT" Address: 167 FRS ��e. s 9 ✓F A c 3 • • er's interest in site of the improvement: —e Simple Titleholder (if other than owner): Name: Contractor: vf-A c)} t s A-*i TAT Address: /Z 7 1 f Q4-,. i t � �z'� f E,t c 32 -33 Telephone No.: %2. u//^ lZ =-2 Fax No: 7 ' 9- 21// ^ yy/v Surety (if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of.any person snaking a loan for the construction of the improvements Name: Address: Phone No: . Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �1 Signed: /'. �.-- Date: 1) / ( ?l t7t.3 oc# B / Before me this day of &. �'• in tie,C • ty of Du • Sate aoF; 2101041.348010 Of Florida, has personally appeared g i1l, /r . %, '� St Page: 204 Notary Public at Large, State of Fl n•r I ounty of F al. Filed Recorded 11/19/2003 My commission expires: � C. / /J'�,.T'' 1FUL 04:17;43 PM Personally K _ JIM FULLER Known: or CLERK CIRCUIT COURT Produc �. : Py... • • DUVAL 1.00 COUNTY ii∎ ,., MY COMMISSION # DD 12130 T619CT rim RECORDING ING 5.00 EXPIRES: May 27, 2006 � 1.00 � ��`•�o PLOT PLAN LOT 6, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK PAGES AND OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. i , I I I N8926'40 "E 120.58' 1 — 1 4/ -.... 1 -03 co 20 BUILDING RESTRICTION LINE L 0 T 7 (O �� ci, z0 \ ,. . .ss *. 'it ijil 1/1/ 0C \ ri (11 A o � �Q FFE =13 1 13 1 Q \ v' / ��' o I 2 2 • ?, /1 <A, �\G� o0 PUBLIC DRAINAGE `Q�• • F ` Z I EASEMENT r Y y .�� �G� 28 IS \ 0` c) p L 0 T 5 Op 5 rt. / o,J s �,��� 12.3 / c P � c , P 11.53 Ix 7.5' JEA ELECTRIC EASEMEN G � � � � ■ BEARING HEIGHT f-CHEPULE lj. - 1 — 111E1 "zr t 10 " f` !117 I i — ,,,,,.-- t CIO T 'T0 iiT � r „ • L? NOTES: _ • � t , QS r 1) RE=ER 10 , I 91 (FEL0MMEND.4TIONA I �A CL) U. •"L; Ee ' - S HANDLING INSTALLATION AND TEMF AP BC t;ING)' al 0 Ei 4 Q 0 P.EFEE 10 EINLIN ERE2 DP WINGS FOP PFPMH {EN j V Lit _ -.-a b RA0,ING REQUIRED T( 61 U 0 t'' - t3 c E L 2 ) ,ALL TRUSES (INCLUDING. T1USSE DE � Q '�'' +U t.11 R1 �i VP.LLE ( FFAMIN0', Mt.'.. EtE . 9MPLE EL! T i i v cn r) r .0 (. EF 10 c 7 v10. FOP DECKED OR P P G C ) • .J Ll ALTERNATE FiRA0l NG PEOUI7EME3IT2 T - , - - - .p ! " 1 U v C ( - ; VALLEIS AF_E TT' 7NVEN7IJNALL : • !D r^ �,• E s� �� FRAMEGBi9UILDEF c.) O O - _ v: Y � i ALL TRUS E ARE DES] 1E OP L' ' O r� � � ; • MA '1IMUM 3F 4�ING. UNLE "T HEPW' _ 1C7 ED _ V i ..% .....1" r r ' - - , � Q ) ALL WALL H 0 WN Uf l F M l'i I"_' I -Y. t- 'I'• 4. + 0 c3 {� PLAN ARE _91151DEREC EE L. A.D c- t- r) ? Q 6EAP 0 uNLESP OTHERWISE PIOTEP r � I _ E :•••-, +, (.5 i1, 5 4: TRU ML PE If ,_LET s.. ul ,, - WITH THE OF P :NG U" n G co '_. 4 0 c • C: ) O AL 6301 TP h- HANGS E EIMFSOhI I I -i )11 `- ; .. ' MI HL °25 LINLE OTHERWISE E . L _ a c o P _ 47 c 931. TRL HANGEPS T 01 SIInPtiJN I � T - - o o d y c , H0 22 UNL : QTHEPU SE PI0TEE _ Q cn L cn 0 d L7 C"..... 2 � Q C F PMIHEADE !LINTS_ (HPP 0E Tl C.) (o 0 7 .. � FUPNlSHEG E GUILDER I G i S fl C h U C r v ® Rudders ; I� 1 _�U . FirstSource 1 1" c o . t? r �' _- Gunnell , ,, . : .c: ° 0 I, - = y 0 a: W C3 7, E. a 0. , _ r. a' .N E Jacksonville I C r N .:3 -1.1) N 0 F tIE 1 -1 ,1 n" v ') s a) O Lake City a. .p co L_ J 4) V j y .p E C + ; c r <� . 0 to r_i C) U c +- _i • O . 4144 i `' ' - ' E) C.) BEACHES HABITAT 70 C +. °' oorESs m o c ca. t : ' 1853 -1855 FORSYTH CT. �` wA� \� y o G L: v; Si_ ?. •c%) a. . x E a - 'a 3 BEDROOM DUPLEk -L, 4_ . a'a 1.- c :a. a. v 1 Ts Q L U 0= x C 151 o W 3 -0 c 0 cO 12/31/03 GP d64511 , - 1 1 -,- r< ---7-7 /F ---- /1, 0- - . . r........................, , : : 11 I C J 011 , - I , 1 1 1 1 II 1 I : ri-i-)z_ II ' I 1 , ,:,.. , .--- 1.- -- _ II _ , 1 1 - , 1 TO'll • i - , TO 1 .-- -1,-: 1 I . I I -1 ,'-' 7 - I 1 19,1...: I I _ , II , , 1 \-- 1 1 I IT j ----- ' I I ' I ' I ' 1 1 . - . ' 1 1 r : . : : I 1: .1 , 1 1 . . ..1 , , , _ _,, _ _ , l _, _ 1 _, _, _1 : -- -.;_l .,_-_-1 -- -- -71 - 7-- , '_--i 7, -__ --.1, - -=-4 - I_ HI _::1 ,_iir ...... ±,I .. , ,zi, ,_.,-: 31 3, _ ,_, .,, I i I . ---- \ Builders FirstSource Project Information for: J64511 Builder: BEACHES HABITAT Address : 1853 -1855 Forsyth Ct Atlantic Beach, Florida Ja 41. + ' County: DUVAL Truss Design Engineer: 1 ' . Paine, PE Truss Count: 8 Florida License Number: 4 Builders FirstSource, Jacksonville, FL. 32244 Design Program: MiTek 2000 4.2 Truss Design Load Information: Gravity: Wind: Building Code:FBC2001 Roof: 42.0 Wind Standard: ASCE 7 -98 Floor: N/A Wind Speed: 120 mph Note: See the individual truss drawings for special loading conditions. Engineer of Record: Lawrence A. Paine, PE Florida P.E. License No. 21475 Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Truss Design Engineer:Lawrence A. Paine, PE Florida P.E. License No. 21475 Company: Builders FirstSource Address: 6550 Roosevelt Blvd. Jacksonville, FL 32244 Notes: 1. Determination as to the suitability of these truss components for the structure is the responsibility of the building designer /engineer of record, as defined in ANSI/TPI 1 -1995 Section 2.2 2. The seal date shown on the individual truss component drawings must match the seal date on this index sheet. 3. The loads indicated on all referenced girder trusses are consistent with the truss placement plan numbered J64511 provided by Builders First Source - Jacksonville, FL and dated 12 -31 -2003. Loads applied by non -truss elements and basic load parameters /design criteria are to be reviewed and approved by the Engineer of Record /Building Designer. Otherwise, the Truss Design Engineer's responsibilities are limited as stated in Chapter 2 of ANSI/TPI 1 -1995. # Truss ID Dwg. # Seal Date 1 CJO1 J1057586 1/6/04 2 CJO3 J1057587 1/6/04 3 EJ05 J1057588 1/6/04 4 T011 J1057589 1/6/04 6 T03 J1057591 1/6/ / 8 T04 J1057593 1/6/04 Job Truss Truss Type a Qty ' Ply 1853 -1855 FORSYTH CT. 1 J1057586' J64511 CJO1 ROOF TRUSS 8 1 I I (optional) Builders FirstSource, Jacksonville, FL. 32244 4.201 SR1 s Oct 17 2001 MiTek Industries, Inc. Mon Jan 05 17:56:33 2004 Page 1 -2-0 -0 1 1-0 -0 1 -0 -0 I \1 / 2 -0 -0 3 �S = 1:5.8 4.00 1 �! u� __ 2 a iiiiiiialli of 1 / / \\\ 2x4 = 5 4 0 -11-4 1 -0-0 0 -11-4 0-0-12 LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) 1/deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.31 Vert(LL) -0.00 2 >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.00 Vert(TL) 0.08 1 -2 >319 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) 0.00 3 n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I /deft = 240 Weight: 6 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 1 -0 -0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10 -0 -0 oc bracing. REACTIONS (Ib /size) 3 = -95 /Mechanical, 2= 272/0 -3 -8, 5 =19 /Mechanical Max Horz2= 99(load case 2) Max Uplift3=- 95(Ioad case 1), 2=- 477(load case 2) Max Grav3= 216(load case 4), 2= 272(load case 1), 5= 19(load case 1) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =34, 2 -3 = -51 BOT CHORD 2 -5 =0, 4 -5 =0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 95 Ib uplift at joint 3 and 477 Ib uplift at joint 2. LOAD CASE(S) Standard `11 11111 1 1 1'' ` O NCE q p '' ‘1.. StFIC ; v .•'VH q �� . (t‘ , ='k i No.21475 .* - * - • ,p • STATE OF • . ', ` S Sj ONAL_E N .` '' ' 1 ttI1t 111` January 6,2004 A, Warning - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII -7473 BEFORE USE C. Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component to be Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer - not truss li ''' ' Butithrs i designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the `; , .; responsibillity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance }.. =N regarding fabrication, quality control, storage, delivery, erection and bracing, consult OST -88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 -. -n' €. „ t t V.J V CAA rc V Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 Job Truss Truss Type Qty Ply I 1853 -1855 FORSYTH CT. J1057588 J64511 EJ05 ROOF TRUSS 44 1 (optional) I Builders FirstSource, Jacksonville, FL. 32244 4.201 SR1 s Oct 17 2001 MiTek Industries, Inc. Mon Jan 05 17:56:34 2004 Page 1 - 2 - 0 - 0 5 2-0 -0 5 -0 -0 l 3 scale':` /11 " =1' \ / 4.00 FIT u4 j �I % i g. j 0 I 1 / u 1 zxa= 4 4 / / / 1 5 -0 -0 5 -0 -0 LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) I /defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.34 Vert(LL) -0.03 2-4 >999 MI120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.14 Vert(TL) 0.14 1 -2 >182 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 3 n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/defl = 240 Weight: 19 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 5 -0 -0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10 -0 -0 oc bracing. REACTIONS (lb /size) 3= 102 /Mechanical, 2= 347/0 -3 -8, 4 =72 /Mechanical Max Horz2= 200(load case 2) Max Uplift3=- 236(Ioad case 5), 2=- 386(load case 2) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =34, 2 -3 =25 BOT CHORD 2-4 =0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord dead load and 5.0 psf bottom chord dead Toad, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind, If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 236 Ib uplift at joint 3 and 386 Ib uplift at joint 2. LOAD CASE(S) Standard t tlt111,� `` ' .•‘ . P4 L',q��- 10 _ * No.21475 : * - * - ,p STATE OF '„, cs s /ONAI -el' 0` / '1jt111t .,,. January 6,2004 j Warning - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII -7473 BEFORE USE Design valid for use only with MiTek connectors. This design is based only upon parameters shown. and is for an individual building component to be v Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer - not truss,`'' designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the .. rs responsibillity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance li # [� • t � regarding fabrication. quality control, storage, delivery, erection and bracing, consult OST -88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 r ( t-- t F j Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 Qty Ply 1853 -1855 FORSYTH CT. IJ ob T ss Truss Type J1057590I 1J64511 T01 ROOF TRUSS 2 1 (optional) Builders FirstSource, Jacksonville, FL. 32244 4.201 SR1 s Oct 17 2001 MiTek Industries, Inc. Mon Jan 05 17:56:35 2004 Page 1 1 -2 -0 -0 5 -0 -0 i 10 -5 -12 17 -8 -14 25 -0 -0 2 -0 -0 5 -0 -0 5 -5-12 7 -3 -2 7 -3 -2 Scale = 1:47.3 4x10 = 3x6 II 6x8 = 5x6 II 4.00112 3 4 5 6 vo 2 /� ,h \�T ` , i p a O Ci ul 3x4 = 11 10 9 8 7 2x4 I I 6x8 = 3x4 = 2x4 II 4x6 = v. 5 -0 -0 10 -5_12 I 17 -8 -14 25 -0 -0 5 -0 -0 5 -5 -12 7 -3 -2 7 -3 -2 Plate Offsets (X,Y): [3:0- 5- 8,0 -2 -0], [6:0- 0- 0,0 -2 -8], [7:0 -2- 12,0 -2 -0], [10:0- 4- 0,0 -3-4] LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) I /defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.95 Vert(LL) 0.26 8 -10 >652 MI120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.67 Vert(TL) 0.21 8 -10 >808 BCLL 10.0 Rep Stress Incr NO WB 0.86 Horz(TL) -0.06 7 n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min l /deft = 240 Weight: 115 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 4 -5 -10 oc purlins, except end verticals. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 4 -3 -13 oc bracing. WEBS 2 X 4 SYP No.3 `Except* WEBS 1 Row at midpt 5 -7 6 -7 2 X 4 SYP No.2D 2 Rows at 1/3 pts 5 -10 REACTIONS (Ib /size) 7= 886/0 -3 -8, 2= 597/0 -3 -8, 10= 2082/0 -3 -8 Max Horz2= 245(load case 2) Max Uplift7=- 970(load case 5), 2=- 696(load case 2), 10=- 2131(load case 2) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =34, 2 -3= -867, 3-4 =673, 4 -5 =673, 5 -6= -375, 6 -7= -332 BOT CHORD 2 -11 =778, 10 -11 =813, 9 -10 =1880, 8 -9 =1880, 7 -8 =1880 WEBS 3 -11 =407, 3 -10= -1556, 4 -10= -640, 5 -10= -2623, 5 -7= -1546, 5 -8 =327 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition 11 partially enclosed building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide adequate drainage to prevent water ponding. 3) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 970 Ib uplift at joint 7, 696 Ib uplift at joint 2 and 2131 Ib uplift at joint 10. \ \ 1 1 l f I 1 1 1 / �' 4) Girder carries hip end with 5 -0 -0 end setback \ � .N CE A . P /'� - 4 • ' • - LOAD CASE(S) Standard 1) Regular: Lumber Increase =1.25, Plate Increase =1.25 :: * i No. 21475 : * — Uniform Loads (plf) * — Vert: 1 -3= -54.0, 3 -6= -90.6, 2 -11 =- 30.0, 7 -11= -50.3 _ Concentrated Loads (Ib) ,0 STATE OF Vert: 11 =- 245.0 /5 0 P t SP' .•' ki ", S /ONALEN \. ' ' / /11111 \ \ \ January 6,2004 NOTES Desi vat d for u se r o nl y w th MiTek ameters nectors. T des g is based ed on y up S A par INCLUDED , and i for a i d a lb il g 1 co 7 p nt o be USE d ' ll sign , a, ,, B I nstalled and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer not truss WI ers designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the a ''_ responsibillity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance . ' �# (� r,�,_,y- �y p [ .n �! regarding fabrication, quality control, storage, delivery, erection and bracing, consult OST -88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 !-"' i f r�- s t• -e �y { E E F E ( Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 4 f [ CC 44// V t..t I v tJ • Job Truss Truss Type Qty Ply 1853 -1855 FORSYTH CT. l J1057592 J64511 T03 ' ROOF TRUSS 32 1 , _ (optional) Builders FirstSource, Jacksonville, FL. 32244 4.201 SR1 s Oct 17 2001 MiTek Industries, Inc. Mon Jan 05 17:56:36 2004 Page 1 -2 -0 -0 , 6 -9 -7 12 -9 -2 18 -8 -13 25 -0 -0 2 -0 -0 6-9 -7 5 -11 -11 5 -11 -11 6 -3 -3 4.00112 3x4 1' Scale = 1:55.4 7 1 3x4 3x4 % 6 3x4 5 \ \ 4 / 3x4 % � /� �.� 3 \ o Q 3x6 � 12 11 10 9 8 2x4 I I 3x4 = 3x4 = 3x4 = 3x4 = 6 -9 -7 12 -9 -2 __ 18 -8 -13 25 -0 -0 1 1 6 -9 -7 5 -11 -11 5-11-11 6 -3 -3 LOADING (psf) SPACING 2 -0 -0 CSI DEFL in (loc) I /defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.56 Vert(LL) 0.23 10 -12 >999 MI120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.53 Vert(TL) -0.20 10 -12 >999 BCLL 10.0 Rep Stress Incr YES WB 0.84 Horz(TL) -0.08 8 nla BCDL 5.0 Code FBC2001 (Matrix) ; 1st LC LL Min 1/deft = 240 Weight: 141 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 3 -11 -2 oc purlins, except end verticals. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 4 -1 -1 oc bracing. WEBS 2 X 4 SYP No.3 WEBS 1 Row at midpt 7 -8, 6 -8 REACTIONS (Ib /size) 8= 1032/0 -3 -8, 2= 1161/0 -3 -8 Max Horz2= 914(load case 2) Max Uplift8=- 1137(load case 2), 2=- 1092(load case 2) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =34, 2 -3= -2458, 3-4= -1668, 4 -5= -893, 5 -6= -802, 6 -7 =28, 7 -8= -142 BOT CHORD 2 -12 =2271, 11 -12 =2271, 10 -11 =2271, 9 -10 =1533, 8 -9 =802 WEBS 3 -12 =202, 3 -10= -791, 4 -10 =458, 4 -9= -899, 6 -9 =713, 6 -8= -1122 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 15 ft above ground level, using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure C ASCE 7 -98 per FBC2001 If end verticals or cantilevers exist, they are not exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1137 Ib uplift at joint 8 and 1092 Ib uplift at joint 2. LOAD CASE(S) Standard ` ,11111 11 ' � �N CE q • p q ` Q�•• • �•(1F1c • •• / 'L 4 - * No.21475 1* - * - p • STATE OF • -11 .. P LOR1I P' �� / i �� S,ONALE� 1` ` \ January 6,2004 A Warning - Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE MII-7473 BEFORE USE Off Design valid for use only with MiTek connectors. This design is based only upon parameters shown, and is for an individual building component to be Installed and loaded vertically. Applicability of design paramenters and proper incorporation of component is responsibility of building designer - not truss '''''' -14::','; u[iftrs designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction i5 they'. responsib Illy of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance < regarding fabrication quality control storage, delivery , erection and bracing, consult OST -88 Quality Standard, DSB -89 Bracing Specification, and HIB -91 FirstSource : Handling Installing and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofno Dove, Madison, WI 53719 - • — I rrl rn 1 a n D n o o T �q O N I 3Q o Z ° m oQ Q ° m_ c Z 00 0 0 5 CD 7C c (pA � CCm m D 7p 7 Q �7o� mc� ,,, m aNm Z 7� o o QQ ( 2, 0 - � ° - '< o 60 p Q c 7 n a; o Qwo 6' 0 P., 3 Q 7 Q o 7' QB -00 <O � Q O 03 (D O �o � 0 Qn m 30 N m a0 r C O Q o ' B O O • x „ 7 0 Q°Q <QD z O o 0 0 CD o o n 6 Q 7 L„ Q - 7 0 c -1 0 0 n (D 7 cn (D 0 7 (D o n -� (D 7 7 =v (0 00 oCD QQp c O 0 Q 5 • c o 2 " Z O n Q Q a Q 7 0 Q� N a-< • m w C7 O n , D O TOP CHORD 3 \ (� D Z m =0z - N Z Z D m =i O rn � 0D C fD r_ n m -a - Z m c -+ m n m cr a, ' (n ••O ' W ■ O - m m y O ` -I _ • V iii '' CD /Bum rn o 0- o rn m a - D c" 5® O W Mit 7 r te• o , -.1 �' O O M m 0 O i , o D V v -1 w 7:3 CA z V -f M o = 7° 0 O m On N y N 3 z; Li: i V W 0, ,II TOP CHORD F- 0 Cn A CO N O N W V - - - co N pct ▪ (D0 (D�J ` ^O On> C =o' .°O fp7 " 00' ) 00c �C OC 0` 0 On 0 3 c w n o (Q . o 70 Q 70 N 0 7- L^o <.0 o o 0 0,-.r, ( 0r , ,- C N ° •O 0 0 3 CR CO O °C -0 C O n 00 7 p'(Q 7 (Q n a s 0p v, aCD �'-6 N' Q 0- .8 7 N 0 7 O a n C 3 � Qn T to Q o • O rn � m. ° Q" n n n" " � o °� o _ rn _ 7 m ohm o a00 -' O M 7 p a O N0 " o p 3 _ :-+ 0 0 v '7 -- -o " • t2 .0 " Q(0 (D = ® N o o -• O S- o Q N • (D - o F Q 0 0 N 0 0 . O (D C O o (O N o O 07 o O N 0 a" C , V O ° 0 0 Q N v' Q n. o- O 3° 3 .. :<- , 4 0 7 0 0 7 7 7 - a D 6 3 , N ti ( O -. • 0 7 0 O c 7 0 Q °- O Q n � + ° C ° m ° 3 O // 3 Br O N 0 O Q 77 N o (. 3 O g. n ' - 'a ° a oc -. 7 -9, 7 n Q 0 a N 0 o O O.o O , 7 O' a N O 0 N N -o0 3 0 O o :6;., 07 - ` Q' ^ � 0 3' o° s 5 ' Q 7 Q m Q 7 fl � o ( °�" o o ao c o ii - � Q O� ° N N 7 CQ _.� ° O N 7 a N 0 ° C Q 0 7 (Q -O a) ( C CD `n a " O 6 - '` N n 0D 3 a N 7 0 '- 0- 3 n n O " 5 ". 5 °o °c Q� 'C Q" Q " a0- 07 m° 7a 00 -.- 0 0 ,..< • K 0 N n (D O 6 0 ` 0 7 7 , -0 N O a 7 O O 0 n N " 0 7 ° `C ..�. O N L Duplex L or R HVAC Load Calculations for Beaches Habitat P.O. Box 50939 Jacksonville Beach, FL 32250 RHVAC RESIDE L N O TLA, AD 1 ; Prepared By: Glenn Jones Ocean State Heating & Air Conditioning 1476 Atlantic Boulevard Neptune Beach, FL 32266 (904) 249 -8251 Friday, December 19, 2003 4 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Ocean State Htg & A/C Duplex L or R Neptune Beach, FL 32266 -1798 Page 2 Project Report General Project Information Project Filename: C: \Elite \Rhvacw \Projects \Beaches Habitat \Duplex- L- R- 1100.rhv Project Title: Duplex L or R Designed By: Ocean State Heating & Air Conditioning Project Date: Friday, December 19, 2003 Client Name: Beaches Habitat Client Address: P.O. Box 50939 Client City: Jacksonville Beach, FL 32250 Client Phone: 241 -1222 Client Comment: Company Name: Ocean State Heating & Air Conditioning Company Representative: Glenn Jones Company Address: 1476 Atlantic Boulevard Company City: Neptune Beach, FL 32266 Company Phone: (904) 249 -8251 Company Fax: (904) 249 -8949 Design Data Reference City: Jacksonville, Florida Daily Temperature Range: Medium Latitude: 30 Degrees Elevation: 26 ft. Altitude Factor: 0 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: 27 0 0 72 0 Summer: 96 78 50 75 51 Check Figures Total Building Supply CFM: 761 (5.2 AC /hr) CFM Per Square ft.: 0.692 Square ft. of Room Area: 1,100 Square ft. Per Ton: 607 Building Loads Total Heating Required With Outside Air: 22,673 Btuh 22.673 MBH Total Sensible Gain: 16,733 Btuh 85 Total Latent Gain: 2,963 Btuh 15 % Total Cooling Required With Outside Air: 19,696 Btuh 1.64 Tons (Based On Sensible + Latent) 1.81 Tons (Based On 77% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. .\ EI ,4.,\Dh.,nn,.ADrninn +o \Roonhoe I- inhitat \ Ill inlcv_I - R -11 nf1 rhv Friday. December 19. 2003, 2:09 PM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Ocean State Htg & A/C Duplex L or R Neptune Beach, FL 32266 -1798 Page 3 Total Building Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 100 3,262 0 4,870 4,870 10D Door Wood Solid Core 18 373 0 204 204 12C Wall R -11 + 1/2" Gypsum(R -0.5) 982 3,976 0 2,175 2,175 13C Part R -11 + 1/2" Gypsum(R -0.5) 120 243 0 174 174 16G Ceiling R -30 Insulation 1101 1,635 0 1,635 1,635 22A Slab on Grade No Edge Insulation 153 5,578 0 0 0 Subtotals for structure: 15,067 0 9,058 9,058 People: 4 920 1,200 2,120 Equipment: 0 3,600 3,600 Lighting: 0 0 0 Ductwork: 1,079 0 1,522 1,522 Infiltration: Winter CFM: 132, Summer CFM: 59 6,527 2,043 1,353 3,396 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Sensible Gain Total: 16,733 Temperature Swing Multiplier: X 1.00 Total Building Load Totals: 22,673 2,963 16,733 19,696 Check Figures Total Building Supply CFM: 761 (5.2 AC /hr) CFM Per Square ft.: 0.692 Square ft. of Room Area: 1,100 Square ft. Per Ton: 607 Building Loads Total Heating Required With Outside Air: 22,673 Btuh 22.673 MBH Total Sensible Gain: 16,733 Btuh 85 % Total Latent Gain: 2,963 Btuh 15 % Total Cooling Required With Outside Air: 19,696 Btuh 1.64 Tons (Based On Sensible + Latent) 1.81 Tons (Based On 77% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. r,.% r- r.,_ %nt-..-- ... \n..- :„„4- k o,,,,.,hnn L.1.-.1,4,+\ 1 ..1:2_1 inn rhv Frirlav Ilaramher 19. 2003. 2:09 PM Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Ocean State Htg & A/C Duplex L or R Neptune Beach, FL 32266 -1798 Page 4 System 1 Room Load Summary Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM -- -Zone 1 - -- 1 Master Bedroom 181 3,484 45 0 -0 0 2,771 720 126 1.00 126 126 2 Bath 1 /2,Laundry 154 1,035 13 0 -0 0 1,786 0 81 1.00 81 81 3 Kitchen 112 736 10 0 -0 0 2,969 0 135 1.00 135 135 4 Dining 100 3,364 44 0 -0 0 1,492 346 68 1.25 85 68 5 Living 225 5,964 78 0 -0 0 3,332 606 152 1.25 189 152 6 Bedroom 3 184 4,809 63 0 -0 0 2,042 801 93 1.00 93 93 7 Bedroom 2 144 3,281 43 0 -0 0 2,341 490 107 1.00 107 107 System 1 total 1,100 22,673 295 16,733 2,963 761 816 761 System 1 Main Trunk Size: 12x12 in. Velocity: 826 ft. /min Loss per 100 ft.: 0.109 in.wg Cooling System Summary Cooling Sensible /Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 1.64 85% / 15% 16,733 2,963 19,696 Recommended: 1.81 77% / 23% 16,733 4,998 21,731 Actual: 1.73 77% / 23% 16,000 4,800 20,800 Equipment Data Heating System Cooling System Type: Air Source Heat Pump Air Source Heat Pump Model: PF1 MNA024 PH10JA024 Brand: Payne Payne Efficiency: 7.0 Btuh 10 SEER Sound: Capacity: 17,500 20,800 Btuh Sensible Capacity: n/a 16,000 Btuh Latent Capacity: n/a 4,800 Btuh Pririav rlaramhar 14 Pnna 2'nn PM FORM 600A -2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: DUPLEX -L -R -1100 Builder: Beaches Habitat Address: Permitting Office: Atlantic Beach City, State: Atlantic Beach, Fl 32233- Permit Number: Owner: Jurisdiction Number: Climate Zone: North l. New construction or existing New 12. Cooling systems 2. Single family or multi - family Single family - a. Central Unit Cap: 23.5 kBtu /hr - 3. Number of units, if multi - family 1 - SEER: 10.00 _ 4. Number of Bedrooms 3 _ b. N/A - 5. Is this a worst case? No _ - 6. Conditioned floor area (ft 1100 ft c. N/A - 7. Glass area & type Single Pane Double Pane - a. Clear glass, default U- factor 0.0 ft 100.0 ft - 13. Heating systems b. Default tint 0.0 ft 0.0 ft - a. Electric Heat Pump Cap: 24.0 kBtu /hr - c. Labeled U or SHGC 0.0 ft 0.0 ft2 HSPF: 7.00 8. Floor types - b. N/A - a. Slab -On -Grade Edge Insulation R =0.0, 153.0(p) ft - - b. N/A _ c. N/A - c. N/A - 9. Wall types - 14. Hot water systems a. Frame, Wood, Exterior R =11.0, 982.0 ft - a. Electric Resistance Cap: 50.0 gallons - b. Frame, Wood, Adjacent R =11.0, 120.0 ft - EF: 0.92 c. N/A - b. N/A - d. N/A - - e. N/A c. Conservation credits 10. Ceiling types - (HR -Heat recovery, Solar a. Under Attic R =30.0, 1101.0 ft - DHP- Dedicated heat pump) b. N/A - 1 15. HVAC credits CF, - c. N/A (CF- Ceiling fan, CV -Cross ventilation, 11. Ducts - HF -Whole house fan, a. Sup: Unc. Ret: Unc. AH(Sealed):Attic Sup. R =6.0, 25.0 ft - PT- Programmable Thermostat, b. N/A MZ -C- Multizone cooling, MZ -H- Multizone heating) Glass /Floor Area: 0.09 Total as -built points: 19795 PASS Total base points: 20047 I hereby certify that the plans and specifications covered 1 ! Review of the plans and SH S T •. by this calculation are in compliance with the Florida specifications covered by this 9?O., Energy Code. calculation indicates compliance ;;;,,',', '' 40. with the Florida Ener Code. 1 `\, % 1 PREPARED BY: Ocean State -Glenn Jones - __. : i" Before construction is completed : a : v DATE: this building will be inspected for � * -,... ! ' a I hereby certify that this building, as designed, is in compliance with Section 553.908 ".../;-......4.. .► `':: c�S compliance with the Florida Energy Code. Florida Statutes. 0 OD .. wE '' OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: EnergyGauge® (Version: FLRCPB v3.30) FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , Atlantic Beach, FI, 32233- PERMIT #: I BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 1100.0 20.04 3967.9 Double, Clear E 1.5 6.0 15.0 42.06 0.91 575.9 Double, Clear W 6.0 6.0 20.0 38.52 0.53 408.6 Double, Clear W 1.5 6.0 20.0 38.52 0.91 703.7 Double, Clear N 1.5 6.0 15.0 19.20 0.94 270.3 Double, Clear N 1.5 6.0 15.0 19.20 0.94 270.3 Double, Clear E 1.5 6.0 15.0 42.06 0.91 575.9 As -Built Total: 100.0 2804.8 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 120.0 0.70 84.0 Frame, Wood, Exterior 11.0 982.0 1.70 1669.4 Exterior 982.0 1.70 1669.4 Frame, Wood, Adjacent 11.0 120.0 0.70 84.0 Base Total: 1102.0 1753.4 As -Built Total: 1102.0 1753.4 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 18.0 6.10 109.8 Exterior 18.0 6.10 109.8 Base Total: 18.0 109.8 As -Built Total: 18.0 109.8 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 1099.7 1.73 1902.5 Under Attic 30.0 1101.0 1.73 X 1.00 1904.7 Base Total: 1099.7 1902.5 As -Built Total: 1101.0 1904.7 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 153.0(p) -37.0 - 5661.0 Slab -On -Grade Edge Insulation 0.0 153.0(p -41.20 - 6303.6 Raised 0.0 0.00 0.0 Base Total: - 5661.0 As -Built Total: 153.0 - 6303.6 INFILTRATION Area X BSPM = Points Area X SPM = Points 1100.0 10.21 11231.0 1100.0 10.21 11231.0 EnergyGauge® DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.30 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , Atlantic Beach, FI, 32233- PERMIT #: BASE AS -BUILT Summer Base Points: 13303.6 Summer As -Built Points: 11500.1 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 11500.1 1.000 (1.090 x 1.147 x 1.05) 0.341 0.950 4915.9 13303.6 0.4266 5675.3 11500.1 1.00 1.318 0.341 0.950 4915.9 EnergyGaugeTM DCA Form 600A -2001 EnergyGauge® /FIaRES2001 FLRCPB v3.30 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , Atlantic Beach, FI, 32233- PERMIT #: 1 BASE I 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 1100.0 12.74 2522.5 Double, Clear E 1.5 6.0 15.0 18.79 1.04 291.9 Double, Clear W 6.0 6.0 20.0 20.73 1.17 483.7 Double, Clear W 1.5 6.0 20.0 20.73 1.02 424.3 Double, Clear N 1.5 6.0 15.0 24.58 1.00 369.5 Double, Clear N 1.5 6.0 15.0 24.58 1.00 369.5 Double, Clear E 1.5 6.0 15.0 18.79 1.04 291.9 As -Built Total: 100.0 2230.9 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 120.0 3.60 432.0 Frame, Wood, Exterior 11.0 982.0 3.70 3633.4 Exterior 982.0 3.70 3633.4 Frame, Wood, Adjacent 11.0 120.0 3.60 432.0 Base Total: 1102.0 4065.4 As -Built Total: 1102.0 4065.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 18.0 12.30 221.4 Exterior 18.0 12.30 221.4 Base Total: 18.0 221.4 As -Built Total: 18.0 221.4 CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 1099.7 2.05 2254.4 Under Attic 30.0 1101.0 2.05 X 1.00 2257.1 Base Total: 1099.7 2254.4 As -Built Total: 1101.0 2257.1 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 153.0(p) 8.9 1361.7 Slab -On -Grade Edge Insulation 0.0 153.0(p 18.80 2876.4 Raised 0.0 0.00 0.0 Base Total: 1361.7 As -Built Total: 153.0 2876.4 INFILTRATION Area X BWPM = Points Area X WPM = Points 1100.0 -0.59 -649.0 1100.0 -0.59 -649.0 EnergyGauge® DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.30 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details 1 ADDRESS: , Atlantic Beach, FI, 32233- PERMIT #: BASE AS -BUILT Winter Base Points: 9776.4 Winter As -Built Points: 11002.1 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 11002.1 1.000 (1.069 x 1.169 x 1.05) 0.487 1.000 6999.1 9776.4 0.6274 6133.7 11002.1 1.00 1.306 0.487 1.000 6999.1 EnergyGaugeTM DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.30 FORM 600A -2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: , Atlantic Beach, FI, 32233- 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 3 2746.00 8238.0 50.0 0.92 3 1.00 2626.61 1.00 7879.8 As -Built Total: 7879 CODE COMPLIANCE STATUS BASE AS -BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 5675 6134 8238 20047 4916 6999 7880 19795 1 PASS 0-�... '� , o; ,(0.:1/4,..2.,.:,,„,...„: ,,...,:,„„,",„<„...,...0 \,..:0, u Cp • WE B . EnergyGaugeTM DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.30 FORM 600A -2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details 1 ADDRESS: , Atlantic Beach, FI, 32233- 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.ft. door area. Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal 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 top plate. 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 sealed 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 Infiltration 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 6 -12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. Swimming Pools & Spas 612.1 I 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 installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R -6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. EnergyGaugeTM DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 83.0 The higher the score, the more efficient the home. , , Atlantic Beach, FI, 32233 - 1. New construction or existing New - 12. Cooling systems 2. Single family or multi- family Single family - a. Central Unit Cap: 23.5 kBtu /hr - 3. Number of units, if multi - family 1 - SEER: 10.00 - 4. Number of Bedrooms 3 - b. N/A - 5. Is this a worst case? No - 6. Conditioned floor area (ft 1 100 ft c. N/A - 7. Glass area & type Single Pane Double Pane - - a. Clear - single pane 0.0 ft 100.0 ft - 13. Heating systems b. Clear - double pane 0.0 ft 0.0 ft - a. Electric Heat Pump Cap: 24.0 kBtu /hr - c. Tint /other SHGC - single pane 0.0 ft 0.0 ft2 - HSPF: 7.00 - d. Tint/other SHGC - double pane b. N/A - 8. Floor types - - a. Slab -On -Grade Edge Insulation R =0.0, 153.0(p) ft - c. N/A - b. N/A - - c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap: 50.0 gallons - a. Frame, Wood, Exterior R =11.0, 982.0 ft - EF: 0.92 - b. Frame, Wood, Adjacent R =1 [0, 120.0 ft - 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, 1101.0 ft _ 15. HVAC credits CF, - b. N/A - (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts - PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Attic Sup. R =6.0, 25.0 ft - MZ- C- Multizone cooling, b. N/A MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) ; :.0, 'itiE STAT '• . in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: ? s ) ' 1 ci ' City /FL Zip: • ............ : ... -.5 Address of New Home: co v w.. t¢. : *NOTE: The home's estimated energy performance score is only available through the FLA /RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at x v.fsec.ucf.edu 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. EnergyGauge® (Version: FLRCPB v3.30) *'‘5 1 -' 1 " l- 1'1 .r1 ` 6 ■ / 1 r ' '` CITY OF ATLANTIC BEACH - J 800 SEMINOLE ROAD 1...._,..; a ��� - , , ATLANTIC BEACH, FLORIDA 32233 �,'� ,�, INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 04- 00027554 Date 3/12/04 Property Address 1853 FORSYTH CT Tenant nbr, name DPLX W/1855 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit BUILDING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 3/12/04 Valuation . . . . 59503 Other Fees CITY RADON SURCHARGE .27 CAPITAL IMPROVEMENT 325.00 ST CONSTRUCTION SURCHARGE 4.97 k. AB CONSTRUCTION SURCHARGE .55 STATE RADON SURCHARGE 5.24 SEWER IMPACT FEES 1250.00 " WATER IMPACT FEE 370.00 WATER CONNECT /METER ONLY 85.00 WATER CROSS CONNECTION 35.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2076.03 2076.03 .00 .00 Grand Total 2076.03 2076.03 .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. C ... r BUILDING OFFICIAL C CITY OF ATLANTIC BEACH ord 01-A4-4, - DEPARTMENT �. sus BUILDING / ZONING DEPAR oe . J 1 f E Sf� 800 Seminole Road r pe r, _.. - J Atlantic Beach, Florida 32233 �ris��� , (904) 247 -5800 et (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: --) 1 3 F V " Applicant: 13 - 1(, ti f . tf\ J I TF Project: nOP r 4 L AI / 8 c;6 This permit application has been: E/ Approved El Reviewed and the following items need attention: Please re- submit your application w en hese items have been completed. r Reviewed By: 0 i° Date: t '' t i .-C) y DEPARTMENT OF PUBLIC WORKS O `l**/ -3 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233 -4318 TELEPHONE: (904) 247 -5834 FAX: (904) 247 -5843 SUNCOM: 852 -5834 ±„) \ n : v http: / /ci.atlantic- beach.fl.us ,W • 'ter ^_ PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # OH - 2-1 Applicant: -o' Ca C)` -.S 1`-lQL {') it 6L+ Address: 1 j ? Pc-) -r , `-s\.)1"-L -- t - ( 1 . Project: DVL LAI / 16 Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the following items need attention: '' �__ // — W azc2 �'�lo.-- - rA p .5 A L L44 e . 0111J 1 2- - _ Ai. di 44.S'i .. ' / i , C i, , 1/ ' 6 ' , I ■ Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Reviewed by Donna Kaluzniak, Public Utilities Director ..,Ii ! . i....l Date v Signature Contractor Notified Date j ct > ePd i /; 310 y F . DEPARTMENT OF PUBLIC WORKS "f '1 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233 -4318 TELEPHONE (904) 247 -5834 ..• - .w J FAX: (904) 247 -5843 " SUNCOM:852 -5834 0'7 - 1 =+ http: / /ci.atlantic- beach.fl.us t" ' PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # Applicant: 14,?, Address: 1 0 5 5 -�(_ S C-_ Project: Dlick._y (Ay j J Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the following items need attention: l � G � g aiGvA-et_ kevflo 6 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Re 'ewed by Donn. Kaluzniak, Public Utilities Director 4 Date Z o Af Signature Contractor Notified Date ,, yed 4.'310 `-f ✓ �1+`1 4 - CITY OF ATLANTIC BEACH Faun BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND . ) DUPLEX CONSTRUCTION) Ott_ Date: /Z J Z 1c3� Job Addre lfs 1 /f5'1- '. Tr) (4 tA P2 r,yJ Owner of Property: R. erC.L. j �< it Address: /d? F� �:is ✓r . � ; F i Y2 2.33 Telephone: 9 5 -25/) Legal Description: Block Number: Lot Number: 4 Zoning District: PR,Axir Contractor: r er44.-4. /v),7 State License Number: Contractor's Address: / L ti s 4 , ' c+ / sr 3 Z Telephone: l D tf _ 231) / 2 2 z- Fax: //'U -j/ ` a Describe proposed use and work to be done: L- -o,Jj> .? .. 6j Es/ , .,Jr - . /I c Present use of land or building(s): 1/42.4 'f" L ka44P Valuation of proposed construction: coo. Is approval of Homeowner's Association or other private entity required? /4 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ O. Applicant certifies that no change in site grade or fill material will be used on this project. AYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 5 r - E - P7-7;9 cj•1e2) • 5-4-j / €.K e A4r Qt°•rEa . E'ee.A.>>r ❑ NO. Applicant certifies that no trees will be removed f this project. ['YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. 5 ,4 fi ? j, c /.4 c E 6 4.,4 /7 Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: /LP—Ai Date: I Z• )f t /P.? I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: � 7.--C7 Date: / Z /� 2 Address and contact information of person to receive all correspondence regarding this application (please print). Name: A-144_ �,� % Lt Mailing Address: I t 7> re,4A) . 4 ✓ie 4 ■ "r'c . c44 2 z J3 Telephone: 90 A,/ 2.6 ._ 12 22 Fax: q..9_2 3 / 32 0 E -Mail: AS TO OWNER: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval y � Signature: o `Yi 1,4)4 Notary's Si nature: 1- . r c _ JENNIFER SCHLUETER ? *. MY COMMISSION # DD 121301 EXPIRES: May 27, 2006 personally known _ ;;•; ARr Bonded Thru Notary Public Underwriters ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ,� Sworn to and subscribed before me this day of O , 20 6 State of Florida, County of Duval Notary's Signature: t �► - CIV`-^'' " ` ••�r'. - JENNIFER SCHLUETER +M . yy �= MY COMMISSION # DD 121301 ersonally known ■ EXPIRES: May 27, 2006 ❑ , k 1;1 } • . Bonded "Nu Notary Public Undennters 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 2 Revised 1/14/03 ;t = CITY OF ATLANTIC BEACH 7.d4 I\ b� d $ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00100021 Date 8/11/03 Property Address FRANCIS AVE Tenant nbr, name FINAL ENGINEERING PLAN RE Application description . . SUB PRELIM PLAT REVIEW Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CONNELLY & WICKER, INC. JAX BEACH FL 32250 Permit SUB. PRELIM. PLAT REVIEW Additional desc . Permit Fee . . . 250.00 Plan Check Fee . . .00 Issue Date . . . 6/26/03 Valuation . . 0 Expiration Date . 6/26/03 Special Notes and Comments APPROVED AS NOTED: PROVIDE INCORPORATION DOCUMENTS FOR "FRANCIS COVE III HOA" INCLUDING OFFICERS NAMES AND ADDRESSES. PER BOB KOSOY Fee summary Charged Paid Credited Due Permit Fee Total 250.00 250.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .00 .00 4 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. BUILDING OFFICIAL J w e - ' CITY OF ATLANTIC BEACH , FLOOD PLAIN DEVELOPMENT INFORMATION Location: er-Or3'.s FaWY y7 6- Type of Development: PEA 1...9 ` -9 Flood Zone: X1 Required Lowest Floor Elevation: a 'SAD If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: .- , �r Date: z 'z,J Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 3-3`1 27-11Rtui`sC Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. January 21, 2004 Ms Donna Kaluzniak Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Ms Kaluzniak, I have submitted a building permit application for a duplex at 1853/1855 Forsyth Court. Beaches Habitat will not be installing a fire sprinkler in this structure. In addition, we will not be installing an irrigation system. Please give me a call (904- 241 -1222) if you require any additional information. Sincerely, _ e-J Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241 -1222 CITY OF ATLANTIC BEACH e J ,,, � FLOOD PLAIN DEVELOPMENT INFORMATION Location: er-OrS Fb0?) - 7 4r Type of Development: PE) /.22 1 ` - 17c41 Flood Zone: Required Lowest Floor Elevation: /3 i/v If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: - Date: /72/z1Q1 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 tyQ,; - CITY OF ATLANTIC BEACH � ) J ` 1 BUILDING / ZONING DEPARTMENT � ins F, „R_ s .Doerr_ 'T., p 4, ° 800 Seminole Road - , Atlantic Beach, Florida 32233 k , dt . ` (904) 247 -5800 e 3` ( 904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # Q-/ -- ----- = 9 Property Address: 1 S ` -7 3 F01 7 -k (Ti Applicant: 2 C4 4 ---l/! 0 rill Project: Dv 1 e ivy 10 e3 6 T runt application has been: Approved 0 Reviewed and the following items need attention: Please re- submit yo ap . tion when these items have been completed. I f Reviewed By: ! DrV2h- Date: 0 / ' Z 3 ,0 r CITY OF ATLANTIC BEACH -40f 1 , � FLOOD PLAIN DEVELOPMENT INFORMATION Location: / ffs r.3"S" Fb 1 y ?,4,4 Type of Development: /Dgr /..q ` - 1 LE X Flood Zone: Required Lowest Floor Elevation: a3. 'SAD If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: •-,�. Date: /7 / / Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 A 7, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00026580 Date 7/28/03 Property Address FRANCIS AVE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241 -1222 Permit TREE PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 7/28/03 Valuation . . . . 0 Expiration Date . 1/25/04 Special Notes and Comments REMOVE 148" OF PINE TO BE MITIGATED WITH 74" TO BE PLANTED ON SITE OR PAID INTO THE TREE FUND. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check. Total .00 .00 .00 .00 Grand Total .00 .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. BUILDING OFFICIAL DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE t r ATLANTIC BEACH, FLORIDA 32233 -4318 " . TELEPHONE: (904) 247 -5834 A 1 r FAX: (904) 247 -5843 �.r SUNCOM: 852 -5834 http: / /ci.atlantic- beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # (Dui 6 Applicant: 1 6t. ck S 1 (1 C't Address: ) B F V T C / Project: DU ° L i t LA` r/ 1 S ._ 3 ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. )( Your permit application has been reviewed by the Public Works Department and the following i -ms need attention: 7,L tiy rte 1 i/ �� kr !ice`:. t y . Ate" -4%at _ X441, ti �` /• -`r - 2 Z, 6 �, ?VI O rS/o % of fie_ JO s Q Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Revi - ed by Donna Kalu , Public Utilities Director Date /2-0' Signature Contractor Notified Date - t)c // /' /e q c yi ats; � • 1 RECEIVED .�__ r rah ,d� _.- s> C ITY OF AT F 1" - r? ill l--,- -- I , / E - a - ;CITY OF ATLANTIC B ACI�` - Qu i \f BUILDING PERMIT APPLICATION 2 2 200 s ' (FpR NEW SINGLE FAMILY RESIDENCE AND PP(.;\ - DUPLEX CONSTRUCTION I JAN 21 ■ B� , � _ ate: Il Z�/ c .r J , x5Y 3 2-1-. PL r y Owner of Property: Recz- _f ,A in 4. Address: 201 F;Q e, 4 , 3. z-A, Cl- Y2 7 -33 Telephone: Yo f -254/ -- / 7-2-2- Legal Description: Block Number: Lot Number: Zoning District: /R,niXrs 4.„. Contractor: >a e g /,)p 4; -A State License Number: Contractor's Address: /L Y/ rrn.,..1 i .. 4', "971 17 c" � ' 3 Z 23,.7 Telephone: 9D 1/_ 2 L /22 i_ Fax: 4b Y - 2-/1 - 4 /j'rc) Describe proposed use and work to be done: Z-0,4) A' c L.P Es/ ye - a r - < .4 c = 1 Present use of land or building(s): V ttj,1d Lcc„ce Valuation of proposed construction: cad. Is approval of Homeowner's Association or other private entity required? .4 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ O. Applicant certifies that no change in site grade or fill material will be used on this project. [ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 5 t - P" Pr, c.,tie) 5. z, 4 €...A . )A.g -r Qe v,c.) 16:44 4 ❑ NO. Applicant certifies that no trees will be removed for this project. [YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. 5FF l,17 ?/9ej" c Z /.4't 4= 6 e.,4 °— Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: 7 .h t/ Date: ,' Z.1/ 1 . - /0.7 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: ��-1ed Date: / Z i 2 Ay Address and contact information of person to receive all correspondence regarding this application (please print). Name: "4-24.4. FAA - gy Y Mailing Address: 1,4 7/ rQA.06l t A ✓F Arc- ge-r4, FL 2 7 2 33 Telephone: 9 2.54_ 1222 Fax: 940.9 29/ /J) E -Mail: AS TO OWNER: Sworn to and subscribed before me this / � day of 1./G- 2063. State of Florida, County of Duval Notary's Signature: 1 �!. i 4 r , ��t :� tiy�, ,r JENNIFER SCHLUETER I*; •t . MY COMMISSION # DD 121301 l •• % ' EXPIRES: May 27, 2006 I� rersonally known 4R� ;�, aorgedThru Notary PubgoUnderwriters ! ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this f Zi day of . / , 20 f. State of Florida, County of Duval _ Notary's Signature: '► 4 1 •Si �-^' " -4 J'." JENNIFER SCHLUETER M ' 4 MY COMMISSION # DD 121301 lye "' *= ersonally known V - • _ ..: EXPIRE M ay 2 7 , 2 006 tiii ' Bonded fixu Notary Public Un den " Me1s ❑ 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 2 Revised 1/14/03 CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: �S,3 /�,;"3 F k1 >rz Gr Type of Development: /c Es /27 , c. Flood Zone: Required Lowest Floor Elevation: /3 -VD If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: A-RA), 7 Date: /7 ) , z10.3 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 i " � {A $ i � CITY OF ATLANTIC BEACH , `%' 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 )» Application Number 03- 00026580 Date 7/28/03 Property Address FRANCIS AVE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241 -1222 Permit TREE PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 7/28/03 Valuation . . . . 0 Expiration Date . 1/25/04 Special Notes and Comments REMOVE 148" OF PINE TO BE MITIGATED WITH 74" TO BE PLANTED ON SITE OR PAID INTO THE TREE FUND. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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. BUILDING OFFICIAL , A „, CITY OF ATLANTIC BEACH y '” 800 SEMINOLE ROAD j ba ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 03- 00100021 Date 8/11/03 Property Address FRANCIS AVE Tenant nbr, name FINAL ENGINEERING PLAN RE Application description . . SUB PRELIM PLAT REVIEW Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CONNELLY & WICKER, INC. JAX BEACH FL 32250 Permit SUB. PRELIM. PLAT REVIEW Additional desc . Permit Fee . . . 250.00 Plan Check Fee . . .00 Issue Date . . . 6/26/03 Valuation . . . 0 Expiration Date . 6/26/03 Special Notes and Comments APPROVED AS NOTED: PROVIDE INCORPORATION DOCUMENTS FOR "FRANCIS COVE III HOA" INCLUDING OFFICERS NAMES AND ADDRESSES. PER BOB KOSOY Fee summary Charged Paid Credited Due Permit Fee Total 250.00 250.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00100021 Date 8/11/03 Property Address FRANCIS AVE Tenant nbr, name FINAL ENGINEERING PLAN RE Application description . . SUB PRELIM PLAT REVIEW Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor CONNELLY & WICKER, INC. JAX BEACH FL 32250 Permit SUB. PRELIM. PLAT REVIEW Additional desc . Permit Fee . . . 250.00 Plan Check Fee . . .00 Issue Date . . . 6/26/03 Valuation . . 0 Expiration Date . 6/26/03 Special Notes and Comments APPROVED AS NOTED: PROVIDE INCORPORATION DOCUMENTS FOR "FRANCIS COVE III HOA" INCLUDING OFFICERS NAMES AND ADDRESSES. PER BOB KOSOY Fee summary Charged Paid Credited Due Permit Fee Total 250.00 250.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 250.00 250.00 .00 .00 4 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. BUILDING OFFICIAL • / f i,f, :r JI , 1 T, -i, CITY OF ATLANTIC BEACH P ERMIT CALCULATION SHEET is Date: - L S ©3 I I Address ST II I I I lI , Heated Square Footage z @ $ 'r Z per sq $ _ $ Sr' yr6 Q I j I Garage he 2 7. @ $ 11 per sgft =$ / /d l Carport / Porch ,,.,. @ $ ! per sq ft = $ 9 1 Deck I� @ $ per sgft= $ 1 1 Patio @ $ per sgft = $ 1 TOTAL VALUATION: .r �� "3 Total Valuation $ , i $ I I ICI Value $ Remaining $ .per thousand or portion thereof CONSTRUCTION TYPE:---- TOTAL BUILDING FEE $ ZONING: (t S - 7, + 1 /2 Filing Fee $ , FLOOD ZONE: ie, ( ) Fireplaces @ $35.00 $ — IMPERVIOUS SURFACE: # 717) 7. BUILDING PERMIT FEE $ 1 1 WATER IMPACT FEE $ 3 7 0 ! r SEWER IMPACT FEE $ / 2 S - o WATER METER/TAP $ Pr' 1 CAPITAL IMPROVEMENT $ 3 2 $ ■ SEWER TAP $ — D C 010 (5 SON HRS .0050 $ ' SECTION H PAVING ( ) $ _ j CROSS CONNECTION $ O _ 1 3 s ST(! /mS') SURCHARGE $ OTHER. $ ! GRAND TOTAL DUE: 1 111 M1 ,/ r WATER IMPACT FEE WORKSHEET ADDRESS: r 3 r-v /2. S rit Cr DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 ( y Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 2- 1 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountar Icemake � 1 , Floor drains 2 Hose bib 1 Z '!I Kitchen sink, domestic 2 , ?j II Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory • 1 Shower compartment, domestic 2 Sink j 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNIT MULTIPLIED X 20 TOTAL $ O z a M - z dy N — — b a :nA W N r. o, tnA W N — M C/] d — G H maz_ > o� 07 ?�� °" °T N n Huos _ o P PZ dm 4m gw ? g ww4ro49 9, gag „ m m E. w n w g0 `C . 2 9 '° „ 'n^ ° 2 g s n c•'n . r, g p, m mi _ Z c 2 ° Gl 4' 4' 4' 4' 4' 4' 4' 4' d n ° r n H nn = n4• s .ngnnna- 6n2 ;'"n m E �gs ' t °.w n g m m m - n as — _5' = m P2- 0 n n o ^ n , d n g 55 ' g C n m ° m � ° ° _ e n 9 � E 5 n ° n � m ° � o. �• � m .. 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E o. �.. $ . n n --- j O crs y a u K 'G '� 'C K 'G 'C 'G -G -G 'G 'G 'C 'C 'C `� 'G 'G 'G 't 'C 'C K 'G 'G 'C '< $ u w v C W 1 1/ w P. `m` W d a 1 w 1 v u a 1 u S m �z z z z �z zzzzz r\ zzzzzzzz z z z z 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 z c z z z z ( z zz z zz z zzzz zz zzzzzzzz z z z z z` a \ C a \ \ \ -$:5..; <�C ` as \ \ \CA\\ > a a > a - � CITY OF ATLANTIC BEACH � � "^ F 4-) 800 SEMINOLE ROAD • ATLANTIC BEACH, FLORIDA 32233 Y`~ INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027554 Date 4/01/04 Property Address 1853 FORSYTH CT Tenant nbr, name DPLX W/1855 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit ELECTRICAL PERMIT Additional desc . NEW 150 AMPS SVC Sub Contractor . CMA ELECTRICAL CONTRACTORS Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4 BUILDING OFFICIAL Nar. 31 200 • PHONE NO. : 9047640038 .3E4CHES HAZ:7",g „c crry 0,p A, r cif Ft oRro 44/I.iLICA.TIONPO.R tx„..,,cr.Rre,41 rtv.r To Tv carEFAxcnticiu. wivenot r) N z iFo rtrovorNicmc. ; CONstitnitArioN CfP PRILYT r.l.tvav roR, rt.; , . „ ptvoxt 3, waitx gctittrwcz ArrAmx:p " AccaRDANcE :RE ,414'0LATioNs, AM; all' OP An°. ":4.NTIC'Arr:;. 474.4 Elcri(lcam: TER •,. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 9/27/04 Parcel Number 172123- 0000 -6 -1 Property Address . . 1853 FORSYTH CT ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner BEACHES HABITAT Contractor BEACHES HABITAT 904 241 -1222 Application number . . 04- 00027554 000 000 Description of Work . TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved cy Bui ding Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 1 911 Contractor Name: bC bak HCU2 1 + CI* Permit #: 9 _ 5 Property Address: 1 0.C FCieS \rri Legal Description: F .Y'1 C -S CO'- - Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single- Family Resident - Commercial - Other: DL L' Lowest Floor Elevation: y S J 1 -4 Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works ',� ‘1 0 — 2 u I Planning Dept. a q - 8 -p - ( / 4,6 Building Dept. - 2 f 1 9 - 2 - L' , ( Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No PERMIT WORKSHEET Certificate of Occupancy C1 12:1) Job Address: � Type Work: i DPL_X Property Owner: `� Phone # L t.0 Ives l�tcc.br Ict f '-1 I !U Z. Contractor: / r I _ L Phone # /, ctc1 1 e.S f la_ b r �(. 7 o2-t I/ Z2 Z Permit #: Date Issued: 6.12. 0 4 0 - 02 . 1,55S Building Inspections: Footing Slab 3 -31 -p4 Tie Beam Lintel Nailing / Sheathing ( •3-0s -1 Framing / Cover Up - 7- 77-a Insulation 7 - Z Final Building C► k 2,1 C Tree Permit # YES NO Electrical Permit # 04 JEA , Z , Date / Copy to - 1 ✓ o Temp, Pole Permit # Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric '7- 7,Z -04 Released to JEA "7- 2Z -6c4- Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit # (j)1..1 - Q '1S<C C Inspections: Rough -7 - ZZ- 04 Final Plumbing Permit # 6 4 - 2"? S �,r, Inspections: Rough / Underslab 3rz& Topout - 2-4 Water / Sewer Final Drainage Inspection: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing Final inspection: ' nspections: Date Paid: Date Paid: . M OD o In is O ( m N ; O cD f- C o M LL O o I` O ; t O I U Z Z ,-1 •?off —"N 11o Z Z 1- w Q 501 I A o� � � ¢ U N LO WI- a? Q w �m I�9 O l r = =mo � f0 & L I� (V w -.ww � � Z CO � :, F.) Lo ° 2 50 Nc /- � � � In r ww�` rt M CC d��,� IN ed 0 II N II Qm (nU H� $i O \ ��`y\ � O O 0 ? II Z� • in k °d 0 � \ a� N U V) c4 a o Q w J 5 C U ' C d ? n m 1- n (/� Z Zi 1--_ J _ t o \ � d, 6 �� G 6t` b ?� � W Q a � N `k � '6v�, s o S w 0(nm 0 VV � QO Z Z 0 J O t' 0, N o� z D m w N V • p9 w Z cs, ti Q 1... Q -, w H 1 .' ¢ J Q //^� 4. 4O I -. Q O V Q ,. w >.- W CO Z O r"� [fi I O -f - rye 1 w W a J w ~ O ~ O Z Q V 0 Lo W n pU�- UW w ed ? �o J z 3 o Q (nVJ Z ° z: O ¢ D oN Z I- Q O m Z ¢ CO O 0 pd'¢ O O wO 0 to N� W Q ccE 0 w N w (X Q WJZ W U O W w Il ~ } P cD Z = LLI = J cr , J Z w 0oCCo ��Q =a°' mo o: ii O > - w zU4. O - d O I=- LI U �� -- D m Z W (n' J 0 ,-- _ ? t•-••• a N ----- U z ww�a }W�- p 0� N f_ Z L� -- CO m w�00�Q m} __ ¢ -_ -- D. -4omM O Q O O U - >z Y . 0 . zZLJ = Z I.' JwQwa O XX LOl 1N3WN2�3AO3 JO d32� d 4311 d1dNfl ° z o 0 U C E Z r- N J M 4 I— _ >- Q e , f , ,L`l f 15 :. . CITY OF ATLANTIC BEACH .i '' ��_ iJ 800 SEMINOLE ROAD "y ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04- 00027555 Date 4/01/04 Property Address 1855 FORSYTH CT Tenant nbr, name DPLX W/1853 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . • 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit ELECTRICAL PERMIT Additional desc . NEW 150 AMPS SVC Sub Contractor . CMA ELECTRICAL CONTRACTORS Permit Fee . . . • 95.00 Plan Check Fee . . .00 Issue Date . . . • Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT PART PROPERTY S PERMIT R AND SUBJECT TO REVOCATION FOR VIOLATION OF ISSUED E PROVISIONS S ONS OF LAW. PLANS a,w. c I / 4(141 k, BUILDING OFFICIAL CITY OF ATLANTIC BEACH e 800 SEMINOLE ROAD , ATLANTIC BEACH, FLORIDA 32233 :f —_:, ,., INSPECTION PHONE LINE 247 -5826 J%31 04- 00027555 Date 6/02/04 Application Number Property Address 1855 FORSYTH CT Tenant nbr, name DPLX W/1853 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . • 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit MECHANICAL PERMIT Additional desc . Sub Contractor . FLORIDA WEATHER INC. .00 Permit Fee . . . • 71.00 Plan Check Fee . Issue Date . . . • Valuation . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 71.00 71.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 71.00 71.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ( , wojej mo '+„ BUILDING OFFICIAL _s i ,� CITY OF ATLANTIC BEACH - 1, ,r MECHANICAL PERMIT APPLICATION _ ° is Date: 6 7z /0 Al Property Address: /6E / (31T4 �` Owner: '`~"e`el - Lt. r T : . l ig , Telephone #: Contractor: fl Or. LA) '&-t w -L _. Telephone #: Contractor Address: (1 1 1 'eJL at/J.. t/ Fax #: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building � or site, list the building permit number: O/Electric ❑ Gas: _LP _Natural _Central Utility Ye boo 27s ) ❑ Oil o� ❑ Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _ Space _ Recessed _ entral _ Floor Residential ❑ it Conditioning: _ Room _ Central ]Duct System: Material fle, Thickness /e 5 ❑ Commercial Maximum capacity 420c) cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ Manlift Escalator (Number) O Rept ent of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other - Specify ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Age > y ( 644 atA(ZtACQC1 "4 Aer:c.m44 HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency t r v ticl l-ed - Tv v� d es. -fT , ` - (,0 0 0 /(--- TANKS Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us ' , CITY OF ATLANTIC BEACH ■ 800 SEMINOLE ROAD --, -r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027555 Date 3/25/04 Property Address 1855 FORSYTH CT Tenant nbr, name DPLX W/1853 RAD /SCHG 1105 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 59503 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit PLUMBING PERMIT Additional desc . 11 FIXTURES Sub Contractor . BEACHES HABITAT Permit Fee . . . 112.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/04/05 Fee summary Charged Paid Credited Due Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .00 .00 1 a BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESUL THE PROPE O PA G TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHIG ART OFT I PER JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL rS r�,vrf, CITY OF ATLANTIC BEACH ms PLUMBING PERMIT APPLICATION 1 4 . Date: 3 - o Property Address: I ' /goes y/) c / Owner: reE e.ehES 14119S//6/ Telephone #: q -/L 2 Z Contractor: /3E4G l E5 /11 � er Telephone #: Contractor Address: /6 ,6 .9•J e/S Fax #: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, . New list the building permit number: ❑ Re -Pipe / Number of Fixtures: sg Bath Tubs Showers _ Closets Shower Pans Dishwashers 1 Sinks Disposals Urinals t Floor Drains t Washing Machine oV, Lavatory 1 Water Sewer 1 Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: / / X $7.00 + $35.00 = //A • t° 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : //www.ci.atlantic- beach.fl.us J tR CITY OF ATLANTIC BEACH J� o. 800 SEMINOLE ROAD \ " 1 * ,; 1 ATLANTIC BEACH, FLORIDA 32233 ______2 t i .._ ; a INSPECTION PHONE LINE 247 -5826 04- 00027555 Date 3/12/04 Application Number 1855 FORSYTH CT Property Address R W/1853 RAD /SCHG 1105 Tenant nbr, name TWO FAMILY RESIDENCE Application description TO BE UPDATED Property Zoning 59503 Application valuation . . • Contractor Owner BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 JAX BEACH FL 32240 FL 32233 ATLANTIC BEACH ( (904) 241 -1222 (904) 241 -1222 Permit BUILDING PERMIT Additional desc . .00 Plan Check Fee .00 Issue uet Daate te • • • • 3/12/04 Valuation . . . . 59503 ss Other Fees CITY RADON SURCHARGE .27 CAPITAL IMPROVEMENT 325.00 ST CONSTRUCTION SURCHARGE 4.97 AB CONSTRUCTION SURCHARGE 55 5 STATE RADON SURCHARGE 1255.24 SEWER IMPACT FEES 00 WATER IMPACT FEE 370.00 WATER CONNECT /METER ONLY 85.00 WATER CROSS CONNECTION 35.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 .00 .00 Plan Check Total . .00 Other Fee Total 2076.03 2076.03 .00 Grand Total 2076.03 2076.03 .00 .00 D BUILDING MATERIAL, RUBBISH AND DEBRIS CONTRACTOR OR OWNER. "FAILURE TO COMPL WITH THE CONSTRUCTION LIEN LAW CA CAN UP AND HAULED AWAY BY EITHER CO WHICH ARE PART OF THIS PERMIT R AND SUBJECT IMPROVEMENTS" TO REVOCATIION FOR VIOLATIONOFIAPPLICABLE PROVISIO OF L W PLANS WHI 4 ING OFFICIAL:. CITY OF ATLANTIC BEACH D. Ford J BUILDING / ZONING DEPARTMENT S. Doerr ss� t � 800 Seminole Road ,., ' 7, �F�—..� j- Atlantic Beach, Florida 32233 i . --' (904) 247 -5800 N (904) 247 -5845 Fax ' ,C;13 9 PLAN REVIEW COMMENTS Permit Application # c Property Address: 0 (, c ) y am` -� \. Tt \ Applicant: E-r\C'fA S 1--\ I'T n I Project: __ t.) t-ji L } Lam` 0* ,a This permit ermit application has been: l� Approved ❑ Reviewed and the following items need attention: Please re- submit your application when these items have been completed. C , l Date: i h' .--0 V Reviewed By: x / } 7 WATER IMPACT FEE WORKSHEET ._S /L SY rtt- f ADDRESS: _ - Df2AINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial _ 3 2 ( Z Automatic clothes washers, residential Bathroom group consisting of water closet, lavatory, 6 y raj Bidet, and bathtub or shower Bathtub (with or without overhead shower or whirlpool 2 attachments) Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountai" lcemaker IA Floor drains 2 Hose bib Kitchen sink, domestic 2 1 Kitchen sink, domestic with food waste grinder and/or 2 dishwasher Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink I 2 Urinal 4 Urinal, 1 gallon per flush or less ' 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 n TOTAL NUMBER OF UNITS / Ps MULTIPLIED X 20 TOTAL $ 3 70 \. \ \ \ .\\ aaa<aa aa< < << <4 .t5 ,� zzzz zz aaaaaa «a «a <a< a a zzzzzz zzz a as a _�_ _ z zzzzzzzzz z z z zz zzzzzzz o 0 0 0 0 0 ' 0 0 0 0 0 0 0 0 0 0 0 ° o o z .o ° °z° zzzz \. i ° ,� , u SR u '3 u 3 u '3 u u u u '� u u E 444444 rrr 4444 rrr r rr 4444444 . 8 U ,A 3 u m F a h ° o 3 E ;{ o- a a< a - U % a o a b U 6 .1.7 , 1 m N -° e m 0 a m - ra 2V bg i $ '6a_ g YY S p a „ ,,'C' _ _,0.m 5. - W S ••. 5 '� ^ ; r ° o A % 3 U m U m 0 u m p 4... ° U V U V ° e cam mmm t� ko E1 O A 0 .. 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" E...---t..1--. p E m h o CC 0 m E.. _ oo e , ,,i 0 w m E a L y . c U ems. O 0 u .O C . 0 m � : u m .5 U A m .2 O W m �, r e p O ' 0o m 0 m E u e n d - u ° e0 'O 3 E E u �' u o W - W Q = W c u'0 o p Ep � am6S VZ pr o° � E o m 5":"t!, .-.5.1".7.-5.214-87,.'- ."2 8 s i h u 5% 5 o o r c s o .3 - W o o o o a u c E t . r .0 a u a m ' W ..0-g s U v o- E E° ti W E L °° o _. -° � E 5 y r u � - . '' m ✓ r 0 w C Q M F NM 3 F N r�1 ..1F Q.d •.. F p S U h C i n J. 5 0. 7 E E Q N, �tl y W _ N 'u ' .5 w i m m m w v m w m s i O u ai U W - r chit; d .. %a dci d dui c,:d SQ ^W ¢.: m U W . caOx P. F. G o O ^ li _ - - ni ..ie �n �croo o. . CITY OF ATLANTIC BEACH 6p Ford L .I.V. L I 911S c '� ,. BUILDING / ZONING DEPARTMENT s. Doerr s s 800 Seminole Road Atlan Beach, Florida 32233 `" (904) 247 -5800 .- (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # OH "` 2 5 `,: Property Address: 1 Q S F G /1H CT. Applicant: 13.-i\c,f-ts kf Z13 f i fk T Project: DU T L C'v L1 / I 3 This permit a lication has been: Approved ❑ Reviewed and the following items need attention: Please re- submit yo a s . 1 ' ation when these items have been completed. Reviewed By:vt.__ Date: e" / "e?" 5 --a €--/ , r , CITY OF ATLANTIC BEACH y s 1 1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 Pr. ? INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 03- 00026580 Date 7/28/03 Property Address FRANCIS AVE Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . • 0 Owner Contractor BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241 -1222 Permit TREE PERMIT Additional desc . .00 Permit Fee . . . • .00 Plan Check Fee . Issue Date . . . • 7/28/03 Valuation . . 0 Expiration Date . . 1/25/04 Special Notes and Comments REMOVE 148" OF PINE TO BE MITIGATED WITH 74" TO BE PLANTED ON SITE OR PAID INTO THE TREE FUND. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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. BUILDING OFFICIAL DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE '' ,1 4 � : ATL BEACH, FLORIDA 32233 -4318 y 0 ; - TELEPHONE: (904) 247 -5834 - FAX: (904) 247 -5843 u SUNCOM: 852 -5834 b http: / /ci.atlantic- beach.fl.us >' try `'c It PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 04 - --- 6 L I Applicant: f C a.0 h - .S 1A (LL 21 a Address: 1 S 53 F oc- \' // f (; Project: D U f 1. ` ')L., 4/ 1 p) 5 ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. X Your permit application has been reviewed by the Public Works Department and the following items need attention: l J '.1 / L- 0 � f� " "; / .riL'' 9` f� /'/ C ✓.r:.i' , S %J r te - II' � 1 — I i ./ ; is • / - S# / /41 4, _ 1 • 11 ' a4Z) Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Revi ed by Donna Kaluzniak, Public Utilities Director i / 4IP ��../b Date o Sit., . ture Contractor Notified Date /%91,70(1 ' CITY OF ATLANTIC BEACH 1' PERMIT CALCULATION SHEET !)tit � r .x:': . Date: 5_ ,G'' 1 0_3 1 Address ,�* ...µ i 4 S /Cc t2. S yrhL- ( / Heated Square Footage //OS / 0 - - @ $ .'S 2.- per sq ft = $ 6 yl C ( I 1 I Garage L• ■ 2 7. @$ Lj 1 per sq ft = $ / J 0 9 ,1 Carport / Porch .fi 2- @ $ 1 ? per sq ft = $ 9 3 G � , Deck @ $ per sgft =$ Patio @ $ per sq ft = $ TOTAL VALUATION: $ .5 S - °„3 Total Valuation $ 1 $ 1 $ I I \ Remaining Value $ . per thousand or portion thereof I- 1 CONSTRUCTION TYPE:'] TOTAL BUILDING FEE $ ZONING: R 3 - 2 - + 1/ Filing Fee $ g I FLOOD ZONE: yC O Fireplaces @ $35.00 $ -$ — i IMPERVIOUS SURFACE: ?SD 70 1 1 BUILDING PERMIT FEE $ WATER IMPACT FEE $ 3 7 - 0 I - SEWER IMPACT FEE $ 12 S WATER METER/TAP $ PC ' !' CAPITAL IMPROVEMENT $ 3 2 5 - SEWER TAP $ — p !' C 014 II RADON FIRS .0050 $ ' SECTION H PAVING ( ) $ , O- CROSS CONNECTION $ 3 3 I, ST( -) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1 '