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Permits 5805 & 5806 Fleet Landing Blvd fF� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ±.� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000324 Date 7/29/08 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc VILLA HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ R.P.C. GENERAL CONTRACTORS 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1060 . 00 Plan Check Fee 530 . 00 Issue Date . . . . 3/26/07 Valuation . . . . 300000 Expiration Date . . 12/29/07 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .41 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 9 . 92 AB CONSTRUCTION SURCHARGE 1 . 10 STATE RADON SURCHARGE 7 . 95 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 460 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1060 . 00 1060 . 00 . 00 . 00 Plan Check Total 530 . 00 530 . 00 . 00 . 00 Other Fee Total 2054 . 38 2054 . 38 . 00 . 00 Grand Total 3644 . 38 3644 . 38 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t}-Ltjr BUILDING PERMIT APPLICATION J 6 �r CITY OF ATLANTIC BEACH "!J�311 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 ■ Fax:(904)247-5845 Job Address: 69o-5 rLLGGT Z-qwD/Alf> &YD . 1Q)Q7'iq Permit Number: Legal Description or--rn - Di2G-h/ /JE �=5 �T' ��C. 37 ,r- J�EC. f�GG iAl I6JWN ►P �3-SD. c�� 9 E 6*ry oe-,:JW4SoA1?,o1e a. T vGi9T z✓Ret. Co. )qok i DIJ aluation of Work(Replacement Cost$_ -'310, 00• ■ Class of Work((Circle one): Addition Alteration Repair ■ Use of existing/proposed structure s)(Circle one): Commercial 4esidentia]If an existing structure, is a fire sprinkler system installed? (Circle one): oqes�iD Is approval of homeowner's association or other private entity required?(Circle one): Describe in detail the type of work to be performed: VIu,P l ymc- 'DuPcC K Propertv Owner Information fJ � I40t, CO�IIT/NU t A/(� G4Rtr 11�T/RLC/YlE/�T �U/�/b 1;7�/DitJ ..�ivG 7�6A acne: 1Address:04),6�- T - �Fn/ N /�/i►' City ItF State_Zip 21 Phone q��/-oZ q�' OD Contractor Information: Q Name of Co pany: �� (a' � Qualifying Agent:16'r& Address: V City 3—Z25State_ L Zip Z3 Office Phone &41-414 16, Job Site/Contact Number 044- 532. State Certification/Registration# Office Fax# OC/- 1- Architect Name & Phone # o 2 y- ft L L hs-,Oc. G IA KE -'9460 Engineer's Name & Phone # -3- ,r9 Q(F,p Application is hereby made to obtain a ermit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standardsofall laws regulating construction in this urisdiction. This permit becomes null am void if work is not commenced within six(6)months, or ifconstruction or worts suspended or abandoned fora period of six(6)months at any time after work i, commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks and Ai, Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and mi ed this application and know the same to be true and correct. All provisions of I ws and ordinances governing this p. of work will be complied with wheth r ec ied herein or not. The granting ofa ermit does not presume to give author' o violate orcancel the provisions on other federal,state, or local law re u construction or the performance of�onstruction. Signature of Property Owner: f Water Lawns No More Than Two Days a Week Sworn to and subscribed before Think ;me this -P-2 Day of o Two Notary Public: _� C rly . J es rowY Pott^ Notary Public State of Florida �E fission#DD56716F ' f� Elizabeth Teske September 3 201 t !,I /J,,,�s �Q� es a = My Commission DD415196 y Fain•mwrance,Inc BOO-385-7f 9j of K� Expires 0410512009 DO NOT WRY14LY :evi w Result(Circle one): /J .<✓ i Doc # 2007038237, OR BK 13790 Page 88, Number Pages: 3, Filed & Recorded 02/01/2007 at 04:03 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00 THIS INSTRUMENT PREPARED BY AND RETURN TO: JOHN M.WELCH,JR.,Attorney Fla.Bar No.212873 Foley 8 Lardner LLP One Independent Dr.,Suite 1300 P.O.Box 240 Jacksonville,FL 32201-0240 Permit No.06-00033328 Tax Folio No.169384-0010 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Section 713.13, Florida Statutes,the following information is stated in this Notice of Commencement. 1. Description of Property: See Exhibit A attached hereto. The street address of the property is: various 2. General Description of improvement: Construction of residential buildings and activity center 3. Owner: Naval Continuing Care Retirement Foundation,Inc. One fleet Landing Boulevard Atlantic Beach,FL 32233 4. Owner's Interest in the Site of the Improvements: Fee simple owner. 5. Fee Simple Title Holder(if Other Than Owner): N/A 6. Contractor: RPC General Contractors,Inc. 248 Levy Road Atlantic Beach,FL 32233 7. Surety On Any Payment Bond: Not applicable 8. Any Person Makino a Loan for the Construction of the Improvements: JACK.580322.1 OR BK 13790 PAGE 89 Wachovia Bank,National Association 225 Water Street,Third Floor Jacksonville,FL 32202 Attn: Lisa Braman and Lorraine Cross 9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in Section 713.13(1)(a)(7). Florida Statutes, which service shall constitute service upon Owner. None 10. In addition to himself, Owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(b),Florida Statutes: a. Lender named in Paragraph 8 above. b. Contractor named in Paragraph 6 above. 11. Expiration Date of Notice of Commencement(the expiration date is two(2)years from the date of recording unless a different date is specified): Signed: NAV CONTINUING CARE RETIREMENT FOU ION,INC. By: J s rve Ex cutive 'rector and Authorized Agent STATE OF FLORIDA COUNTY OF DUVAL Sworn to and subscribed before me this 29th day of January,2007,by John Meserve,Executive Director and Authorized Agent of Naval Continuing Care Retirement Foundation, Inc., a Florida no-for- profit profit corporation,on behalf of the corporation. Such person(notary must check applicable box) is/are personally known to me;or 0 produced a current Florida driver's license as identification;or Q produced as identification. Q, jAffix Notary Seal) (—(2, �(. pyl,g TILINS [Print or typo name] W0011d1AIS8M#DD28 M Notary Public,State of E)RRE8:F&uW19,2008 Commission No. 11'"rdNaYryR°"Wd""1. My Commission Expires: JACK.580322.1 OR BK 13790 PAGE 90 EXHIBIT A A PART OF THE ANDREW DEWEES GRANT, SECTION 37, AND SECTION 5, ALL IN TOWNSHIP 2 SOUTH,RANGE 29 EAST, CITY OF JACKSONVILLE AND THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCE AT THE SOUTHWEST CORNER OF THAT CERTAIN TRACT OF LAND TO THE CITY OF JACKSONVILLE, BY CONDEMNATION RESOLUTION NUMBER 70- 801-236,AND BEING RECORDED IN OFFICIAL RECORDS VOLUME 3202, PAGES 481 THROUGH 485 OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY, SAID POINT ALSO BEING ON THE EASTERLY RIGHT-OF-WAY LINE OF MAYPORT ROAD AND/OR STATE ROAD NUMBER 101 (A 100 FOOT RIGHT-OF-WAY AS NOW ESTABLISHED); THENCE SOUTH 09°53'10" WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE OF MAYPORT ROAD, A DISTANCE OF 850.00 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY LINE; THENCE LEAVING SAID RIGHT-OF-WAY LINE RUN NORTH 88055'40"EAST,A DISTANCE OF 534.02 FEET TO THE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 14°16'44" WEST, A DISTANCE OF 1.07 FEET; THENCE NORTH 01104'20"WEST, A DISTANCE OF 119.40 FEET TO THE SOUTHWEST CORNER OF LOT 1, COURTYARDS AT MAYPORT, AS RECORDED IN PLAT BOOK 49,PAGES 67 THROUGH 67C OF SAID CURRENT PUBLIC RECORDS; THENCE NORTH 88°55'40" EAST, ALONG THE SOUTH LINE OF SAID PLAT, A DISTANCE OF 598.78 FEET TO THE SOUTHEAST CORNER OF LOT 13 OF SAID PLAT; THENCE SOUTH 09053'10" WEST,A DISTANCE OF 1158.12 FEET TO A POINT ON THE SOUTH LINE OF SAID SECTION 5, TOWNSHIP 2 SOUTH, RANGE 29 EAST; THENCE SOUTH 89023'12"WEST ALONG THE SOUTH LINE OF SECTION 5, A DISTANCE OF 482.25 FEET; THENCE NORTH 09053'10" WEST, DEPARTING SAID SOUTHERLY SECTION LINE, A DISTANCE OF 361.90 FEET TO A POINT OF INTERSECTION WITH THE SOUTHERLY RIGHT-OF-WAY LINE OF MAYPORT CROSSING BOULEVARD (A VARIABLE WIDTH PUBLIC RIGHT-OF-WAY); THENCE ALONG AND AROUND A CURVE IN SAID RIGHT-OF-WAY LINE CONCAVE WESTERLY AND HAVING A RADIUS OF 50.00 FEET FOR AN ARC DISTANCE OF 157.08 FEET TO THE WESTERLY LME OF LANDS DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 6032, PAGE 199, OF SAID CURRENT PUBLIC RECORDS, THE ARC OF LAST SAID CURVE BEING SUBTENDED BY A CHORD BEARING AND DISTANCE OF NORTH 09053'10"EAST,A DISTANCE OF 100.00 FEET; RUN THENCE NORTH 09053'10"EAST ALONG THE EASTERLY BOUNDARY OF LAST SAID LANDS, A DISTANCE OF 569.61 FEET TO THE NORTHEAST CORNER OF SAID LANDS DESCRIBED IN AFORESAID OFFICIAL RECORDS VOLUME 6378, PAGE 657; THENCE SOUTH 88055'40" WEST, A DISTANCE OF 92.23 FEET TO THE POINT OF BEGINNING, JACK.580963.1 .. ,i t f ,. Graham Shirley To: Kaluzniak, Donna Subject: RE:The palms at fleet landing/new duplex From: Kaluzniak,Donna sent: Tuesday,March 20,2007 4:36 PM To: Carper,Ride,Graham Shirley Subject: RE:The palms at fleet landing/new duplex Shirley, I'm sorry, I was thinking the'other" Palms. If I've already calculated the water/sewer fees for their type of units, and you know what to charge, i don't need to see the plans. If I haven't, then I need to see the floor plans for the various types of units so I can calculate fees. -Donna From: Carper,Ride Sent: Tuesday,March 20,2007 4:25 PM To: Graham Shirley;Kaluzniak,Donna Subject: RE:The palms at fleet landing/new duplex Shirley, because they are still operating under their infrastructure permit requirements for erosion control, etc. 1 don't need to see any plans until they start getting CO's. Rick From: Graham Shirley Sent: Tuesday,March 20,2007 4:10 PM To: Carper,Ride Kaluzniak,Donna subject: The palms at fleet landing/new duplex Importance: High How do you want to review these plans ...Do you want the master plans sent to you. They are all the same as the master plans that you have reviewed. 1 know we have addressed this before but I don't remember what you wanted to do. Thanks Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept@coab.us 1 Graham Shirley From: Carper, Rick Sent: Tuesday, March 20,2007 4:25 PM To: Graham Shirley; Kaluzniak, Donna Subject: RE: The palms at fleet landing/new duplex Shirley, because they are still operating under their infrastructure permit requirements for erosion control, etc. I don't need to see any plans until they start getting CO's. Rick From: Graham Shirley Sent. Tuesday,March 20,2007 4:10 PM To: Carper,Rids;Kaluzniak,Donna Subject The palms at fleet Landing/new duplex Importance: High How do you want to review these plans ...Do you want the master plans sent to you.They are all the same as the master plans that you have reviewed. I know we have addressed this before but 1 don't remember what you wanted to do. Thanks Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept@coeb.us 1 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (New/Residential & Commercial) Date: Z P-& `p 7' Job Address:-0 l `��G�7ND/1�1� 61,90• GVW Owner's Name: DSA F -- LANDIA! Address: �Al�I�L�L-'++t'�>� i j &VD K SLA mc-NAA, 322-2Z Phone: 900 Contractor: PC, la�d)�,Pl1C��,UTi1?AG I'02S i�L State License Number: UIL 0400 X? Address:A49 Levil 4Ap Phone: 40q // City: State: Zip: ?)27-?,3 Fax: qC>q Describe proposed use and work tome done: ALIQ�17-- V,Aa-, m Total Square Footage ouGL> Total Heated Square Footage (i�,3 Present use of land or building(s): F}►f L 4),j)) Valuation of proposed construction: ` ,50,0 600• Is approval of Homeowner's Association or other private entity required?/Vo If yes, please submit with this Application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area? ��— y �� i`T� � pr i r4— ,Z—Doo- 332 ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane,AB, Telephone#is(904)249- 5834,Rick Carper,Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST,AS IT IS DETAILED AND TECHNICAL, AS WELL AS CONTAINS LANGUAGE SPECIFIC TO ADOPTED CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE,BUILDING,PLUMBING,MECHANICAL,ELECTRIC." 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 • http:/hvww.coab.us Page 2 Revised 6106 PUBLIC'WORKS AND PUBLIC UTILITIES.FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: C" OgA! �' C FTS dna ICJUG--S Mailing Address':/,�,qo '/L'/% K047p �Ll�jJflG //CN 62--75!) Telephone: d� "T`7��P Fax: �d'7 `��"yN��' E-Mail: � e I hereby certify that I have read and examined this application and attached documentation 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 th overning of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the o rmation being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before ii day of (�� ,20 State of Floaever� Jones Commission#OD567168 Notary's Signature: o` Expires September 3,2010 OF F4� Dnndea troy ran-insurance inc 800.365.7019 ffr-personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: rlw AS TO CONTRACTOR: p Sworn to and subscribed before me this u(�- day of 20 State of Florida,County of Duval 2�P�v pUe�' rly p Notary's Signature: . Commission#DD567168rsonally known N ` Expires September 3,2010 0 9TF OF t��\Bonded Tray Fam-Insurance,inc 800-385.7019 F-1 Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 • http://www.coab.us Page 4 Revised 6106 Doc # 2007038237, OR BK 13790 Page 88, Number Pages: 3, Filed & Recorded 02/01/2007 at 04:03 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00 THIS INSTRUMENT PREPARED BY AND RETURN TO: JOHN M.WELCH,JR.,Attorney Fla.Bar No.212873 Foley&Lardner LLP One Independent Dr.,Suite 1300 P.O.Box 240 Jacksonville,FL 32201-0240 Permit No.06-00033328 Tax Folio No.169384-0010 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance With Section 713.13, Florida Statutes,the following information is stated in this Notice of Commencement. 1. Description of ProvertV: See Exhibit A attached hereto. The street address of the property is: various 2. General Description of Improvement: Construction of residential buildings and activity center 3. Owner: Naval Continuing Care Retirement Foundation,Inc. One fleet Landing Boulevard Atlantic Beach,FL 32233 4. Owner's Interest in the Site of the Improvements: Fee simple owner. 5. Fee Simple Title Holder(if Other Than Owner): NIA 6. Contractor: RPC General Contractors,Inc. 248 Levy Road Atlantic Beach,FL 32233 7. Surety On Any Payment Bond: Not applicable B. Any Person Making a Loan for the Construction of the Improvements: JACK.580322.1 OR BK 13790 PAGE 89 Wachovia Bank,National Association 225 Water Street,Third Floor Jacksonville,FL 32202 Attn: Lisa Braman and Lorraine Cross 9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in Section 713.13(1)(a)(7), Florida Statutes, which service shall constitute service upon Owner. None 10. In addition to himself, Owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(b),Florida Statutes: a. Lender named in Paragraph 8 above. b. Contractor named in Paragraph 6 above. 11. Expiration Date of Notice of Commencement(the expiration date is two(2)years from the date of recording unless a different date is specified): Signed: NAY CONTINUING CARE RETIREMENT F0U ION,INC. By: 'I s rve Ex cutive 'rector and Authorized Agent STATE OF FLORIDA COUNTY OF DUVAL Swornto and subscribed before me this 29th day of January,2007,by John Meserve,Executive Director and Authorized Agent of Naval Continuing Care Retirement Foundation, Inc., a Florida n5-for- profit corporation,on behalf of the corporation. Such person(notary must check applicable box)ariislare personally known to me;or O produced a current Florida driver's license as identification;or O produced as identification. [Affix Notary Seal] (u SAL&TIAiPgd [Print or type name] AtYQ0MA80M#DD28W Notary Public,State of dDMRE8 F'Musyt9,aoae Commission No. e4wanmriorr�uw�.�r,. My Commission Expires: JACK.580322.1 OR BK 13790 PAGE 90 EXHIBIT A A PART OF THE ANDREW DEWEES GRANT, SECTION 37, AND SECTION 5, ALL IN TOWNSHIP 2 SOUTH,RANGE 29 EAST, CITY OF JACKSONVILLE AND THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCE AT THE SOUTHWEST CORNER OF THAT CERTAIN TRACT OF LAND TO THE CITY OF JACKSONVILLE, BY CONDEMNATION RESOLUTION NUMBER 70- 801-236,AND BEING RECORDED IN OFFICIAL RECORDS VOLUME 3202, PAGES 481 THROUGH 485 OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY,SAID POINT ALSO BEING ON THE EASTERLY RIGHT-OF-WAY LINE OF MAYPORT ROAD AND/OR STATE ROAD NUMBER 101 (A 100 FOOT RIGHT-OF-WAY AS NOW ESTABLISHED); THENCE SOUTH 09°53'10" WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE OF MAYPORT ROAD, A DISTANCE OF 850.00 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY LINE; THENCE LEAVING SAID RIGHT-OF-WAY LINE RUN NORTH 88055'40"EAST,A DISTANCE OF 534.02 FEET TO THE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 14°16'44" WEST, A DISTANCE OF 1.07 FEET; THENCE NORTH 01*04'20"WEST, A DISTANCE OF 119.40 FEET TO THE SOUTHWEST CORNER OF LOT 1, COURTYARDS AT MAYPORT, AS RECORDED IN PLAT BOOK 49,PAGES 67 THROUGH 67C OF SAID CURRENT PUBLIC RECORDS; THENCE NORTH 88°55'40" EAST, ALONG THE SOUTH LINE OF SAID PLAT, A DISTANCE OF 598.78 FEET TO THE SOUTHEAST CORNER OF LOT 13 OF SAID PLAT; THENCE SOUTH 09°53'10"WEST, A DISTANCE OF 1158.12 FEET TO A POINT ON THE SOUTH LINE OF SAID SECTION 5, TOWNSHIP 2 SOUTH, RANGE 29 EAST; THENCE SOUTH 89°23'12"WEST ALONG THE SOUTH LINE OF SECTION 5, A DISTANCE OF 482.25 FEET; THENCE NORTH 09°53'10" WEST, DEPARTING SAID SOUTHERLY SECTION LINE, A DISTANCE OF 361.90 FEET TO A POINT OF INTERSECTION WITH THE SOUTHERLY RIGHT-OF-WAY LINE OF MAYPORT CROSSING BOULEVARD (A VARIABLE WIDTH PUBLIC RIGHT-OF-WAY); THENCE ALONG AND AROUND A CURVE IN SAID RIGHT-OF-WAY LINE CONCAVE WESTERLY AND HAVING A RADIUS OF 50.00 FEET FOR AN ARC DISTANCE OF 157.08 TEST TO THE WESTERLY LINE OF LANDS DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 6032, PAGE 199, OF SAID CURRENT PUBLIC RECORDS, THE ARC OF LAST SAID CURVE BEING SUBTENDED BY A CHORD BEARING AND DISTANCE OF NORTH 09053'10"EAST,A DISTANCE OF 100.00 FEET; RUN THENCE NORTH 09053'10"EAST ALONG THE EASTERLY BOUNDARY OF LAST SAID LANDS, A DISTANCE OF 569.61 FEET TO THE NORTHEAST CORNER OF SAID LANDS DESCRIBED IN AFORESAID OFFICIAL RECORDS VOLUME 6378, PAGE 657; THENCE SOUTH 88055'40" WEST, A DISTANCE OF 92.23 FEET TO THE POINT OF BEGINNING. JACK.580963.1 a = V. .j CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept&gab.us Application Number . . . . . 07-00000324 Date 3/26/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description MULTI-FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc VILLA HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ R. P.C. GENERAL CONTRACTORS 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1060 . 00 Plan Check Fee 530 . 00 Issue Date . . . . Valuation . . . . 300000 Expiration Date . . 9/22/07 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .41 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 9 . 92 AB CONSTRUCTION SURCHARGE 1 . 10 STATE RADON SURCHARGE 7 . 95 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 460 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1060 . 00 1060 . 00 . 00 . 00 Plan Check Total 530 . 00 530 . 00 . 00 . 00 Other Fee Total 2054 . 38 2054 . 38 . 00 . 00 Grand Total 3644 . 38 3644 . 38 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Graham Shirley From: Carper, Rick Sent: Tuesday, March 20, 2007 4:25 PM O� To: Graham Shirley; Kaluzniak, Donna Subject: RE: The palms at fleet landing/new duplex Shirley, because they are still operating under their infrastructure permit requirements for erosion control, etc. I don't need to see any plans until they start getting CO's. Rick From: Graham Shirley Sent: Tuesday,March 20,2007 4:10 PM To: Carper,Rick; Kaluzniak,Donna Subject: The palms at fleet landing/new duplex Importance: High How do you want to review these plans ...Do you want the master plans sent to you. They are all the same as the master plans that you have reviewed. I know we have addressed this before but I don't remember what you wanted to do. Thanks Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept@coab.us 1 Graham Shirley To: Kaluzniak, Donna Subject: RE: The palms at fleet landing/new duplex From: Kaluzniak,Donna Sent: Tuesday,March 20,2007 4:36 PM To: Carper,Rick;Graham Shirley Subject: RE:The palms at fleet landing/new duplex Shirley, I'm sorry, I was thinking the"other" Palms. If I've already calculated the water/sewer fees for their type of units, and you know what to charge, I don't need to see the plans. If I haven't, then I need to see the floor plans for the various types of units so I can calculate fees. -Donna From: Carper, Rick Sent: Tuesday,March 20,2007 4:25 PM To: Graham Shirley; Kaluzniak,Donna Subject: RE:The palms at fleet landing/new duplex Shirley, because they are still operating under their infrastructure permit requirements for erosion control, etc. I don't need to see any plans until they start getting CO's. Rick From: Graham Shirley Sent: Tuesday,March 20,2007 4:10 PM To: Carper,Rick; Kaluzniak,Donna Subject: The palms at fleet landing/new duplex Importance: High How do you want to review these plans ...Do you want the master plans sent to you. They are all the same as the master plans that you have reviewed. I know we have addressed this before but I don't remember what you wanted to do. Thanks Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept@coab.us 1 ,,S r� lry rJ�� Sil CITY OF ATLANTIC BEACH ' ? PLAN REVIEW SHEET tetl yJ;tf�' Building Department Public Works&Public Utilities Departments '�r- 800 Seminole Road 1200 Sandpiper Lane R. Carpbr"— Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzrliets-- (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application 00,3 2 Property Address Y /V'/ /V/ Applicant: l� eS V,l Project: ��[� AhIn'J" This pe mit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Af� v n I I/ AdU;l 1 3 114 Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: FORM 60OA-2004R EnergyGauge®4.5.2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: vilta5805 Builder. Address: 5805 Orion Blvd. Permitting Office: City, State: Atlantic Beach,FL 32233- Permit Number: Owner: Jurisdiction Number: Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:39.4 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER:21.00 _ 4. Number of Bedrooms 2 _ b.N/A _ 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1670 ft2 c.N/A _ 7. Glass type I and area:(Label reqd.by 13-104.4.5 if not default) _ a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble,U==0.4)212.7 ft2 _ a. Electric Heat Pump Cap:39.4 kBtu/hr _ b. SHGC: HSPF:8.00 _ (or Clear or Tint DEFAULT) 7b. (Clear)212.7 ft2 _ b.N/A _ 8. Floor types _ a. Slab-On-Grade Edge Insulation R=2.0, 126.0(p)ft _ c. N/A _ b.N/A c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons _ a. Concrete,Int Insul,Exterior R=21.0, 1000.8 ft2 _ EF:0.94 _ b.Concrete,Int Insut,Adjacent R=21.0, 142.2 ft2 _ 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=22.0,1670.0 ft2 15. HVAC credits PT,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:Unca AH:Garage Sup.R=6.0,80.0 ft MZ-C-Multizone cooling, b.N/A _ MZ-H-Multizone heating) Glass/Floor Area: 0.13 Total as-built points: 13658 PASS Total base points: 20822 1 hereby certify that the plans and specifi i s covered by Review of the plans and 4T1 ST.� this calculation are in corn with F rida Energy specifications covered by this O Code. calculation indicates compliance 'G4 =it.�'O•e.0 PREPARED BY: with the Florida Energy Code. f" DATE' Before construction is completed this building will be inspected for 0 > 1 hereby certify that ti-L.INAlding,as designed,is in compliance compliance with Section 553.908 with the Florida Energy Code. Florida Statutes. 00D wila tq� OWNERIAGENT: BUILDING OFFICIAL: DATE: DATE: 101 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass output on pages 2&4. Ff g EnergyGauge®(Version: FLRCSB v4.5.2) )47 BY:_ ------------- FORM 60OA-2004R EnergyGauge®4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Paints Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF=Points As 1670.0 18.59 5588.0 t.Double,U=0.45,Clear W 1.0 1.0 150.2 40.61 0.53 3235.0 2.Doubte,U=0A5,Clear N 1.0 1.0 52.5 21.45 0.71 800.0 3.Double,U=0.45,Clear S 1.0 1.0 10.0 37.91 0.52 197.0 As-Built Total: 212.7 4232.0 WALL TYPES Area X BSPM = Points Type R Value Area X SPM = Points Adjacent 142.2 0.70 99.5 1.Concrete,Int Insul,Exterior 21.0 1000.8 0.17 171.6 Exterior 1000.8 1.70 1701.4 2.Concrete,Int Insul,Adjacent 21.0 142.2 0.17 24.4 Base Total: 1143.0 1800.9 As-Built Total: 1143.0 195.9 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 21.0 2.40 50.4 1 Adjacent Wood 21.0 2.40 50.4 Exterior 42.0 6.10 256.2 2.Exterior Insulated 21.0 4.10 86.1 3.Exterior Insulated 21.0 4.10 86.1 Base Total: 63.0 306.6 As-Built Total: 63.0 222.6 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM= Points Under Attic 1670.0 1.73 2889.1 1.Under Attic 22.0 1670.0 2.11 X 1.00 3523.7 Base Total: 1670.0 2889.1 As-Bulk Total: 1670.0 3523.7 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 126.0(p) -37.0 -4662.0 1.Slab-On-Grade Edge Insulation 2.0 126.0(p -38.53 -4855.2 Raised 0.0 0.00 0.0 Base Total.• -4662.0 As-Built Total: 126.0 -4855.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 1670.0 10.21 17050.7 1670.0 10.21 17050.7 EnergyGauge®DCA Form 60OA-2004R EnergyGauge®IFlaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach, FL, 32233- PERMIT#: BASE AS-BUILT Summer Base Points: 22973.3 Summer As-Built Points: 20369.7 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Central Unit 394006tuh,SEER/EFF(21.0)Duds:L4xXS),Unc(R),Gar(AH),R6.0(INS) 20370 1.00 (1.09 x 1.147 x 1.00) 0.163 0.902 3735.4 22973.3 0.3250 7466.3 1 20369.7 1.00 1.250 0.163 0.902 3735.4 EnergyGaugeTM DCA Form 60OA-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach,FL,32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF= Point .18 1670.0 20.17 6063.0 1.Double,U�.45,Clear W 1.0 1.0 150.2 8.54 1.17 1497.0 2.Double,U=0.45,Clear N 1.0 1.0 52.5 12.35 1.02 660.0 3.Double,U=0.45,Clear S 1.0 1.0 10.0 1.34 2.73 36.0 As-Bullt Tom: 212.7 2193.0 WALL TYPES Area X BWPM = Points Type R Value Area X WPM = Points Adjacent 142.2 3.60 511.9 1.Concrete,Int Insul,Exterior 21.0 1000.8 1.73 1730.0 Exterior 1000.8 3.70 3703.0 2.Concrete,Int Insul,Adjacent 21.0 142.2 1.56 221.4 Base Total: 1143.0 4214.9 As-Built Total: 1143.0 1951A DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 21.0 11.50 241.5 1.Adjacent Wood 21.0 11.50 241.5 Exterior 42.0 12.30 516.6 2.Exterior Insulated 21.0 8.40 176.4 3-Exterior Insulated 21.0 8.40 176.4 Base Tom: 63.0 75&1 As-Sullt Total: 63.0 594.3 CEILING TYPES Area X BWPM = Points Type R Value Area X WPM X WCM= Points Under Attic 1670.0 2.05 3423.5 1.Under Attic 22.0 1670.0 2.45 X 1.00 4091.5 Base Total: 1670.0 3423.5 A"uilt Total: 1670.0 4091.5 FLOOR TYPES Area X BWPM' = Points Type R-Value Area X WPM = Points Slab 126.0(p) 8.9 1121.4 1.Slab-On-Grade Edge Insulation 2.0 126.0(p 12.47 1570.8 Raised 0.0 0.00 0.0 Base Total: 1121A As-Built Total: 126.0 1570.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 1670.0 -0.59 -985.3 1670.0 -0.59 -985.3 EnergyGauge®DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FIRCS13 v4.5.2 FORM 60OA-2004R EnergyGauge@ 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: BASE AS-BUILT Winter Base Points: 14595.6 Winter As-Built Points: 9415.7 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Electric Heat Pump 39400 btuh,EFF(8.0)Ducts:Unc(S),Une(R),Gar(AH),R6.0 9415.7 1.000 (1.069 x 1.169 x 1.00)0.426 0.950 4764.7 14595.6 0.5540 8086.0 9415.7 1.00 1.250 0.426 0.950 4764.7 EnergyGauge"A DCA Form 60OA-2004R EnergyGauge4D/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: 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 2 2635.00 5270.0 40.0 0.94 2 1.00 2578.94 1.00 5157.9 As-Built Total: 5457.9 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 7466 8086 5270 20822 3735 4765 5158 13658 E' PASS o4z%E sT, e cOD WE EnergyGaugeTM'DCA Form 60OA-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 5805 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COItIPOl+1EMM SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Dori 606.1.ABC.1.1 Maximum:.3 drnlsq.ft.window area;.5 cfnVsq.ft.door area. Exterior&Adjacent Wags 606.1 ABC.1,2.1 Caulk,gasket,weatherstrip or seal between:windowstdoors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at comers;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 rimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceikngs;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 seated at the perimeter,at etrations and seams. Recessed Loft Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-1C rated,installed aside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfrn from conditioned space,tested. Mufti-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 612.1.ABC.3.2.Switch or clearly marked cir breaker electric or cutoff s must be provided.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readi accessale manual of automatic thermostat for each s tem. 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 60OA-2004R EnergyGauge4D/FlaRES'2004R FLRCSB v4.5.2 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =90.8 The higher the score,the more efficient the home. 5805 Orion Blvd., Atlantic Beach, FL, 32233- 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:39.4 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER:21.00 4. Number of Bedrooms 2 _ b.N/A 5. Is this a worst case? No _ 6. Conditioned floor area(ft2) 1670 ft2 _ c. N/A _ 7. Glass type and area:(Label reqd.by 13-104.4.5 if not default) a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble,U=0.4)212.7 ft2 _ a. Electric Heat Pump Cap:39.4 kBtu/hr _ b.SHGC: HSPF:8.00 _ (or Clear or Tint DEFAULT) 7b. (Clear)212.7 ft2 - b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation R=2.0, 126.0(p)ft _ c. N/A b.N/A c.N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons a. Concrete,Int Insul,Exterior R=21.0, 1000.8 ft2 _ EF:0.94 b.Concrete,Int Insui,Adjacent R=21.0, 142.2 ft2 _ 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=22.0, 1670.0 ft2 _ 15. HVAC credits PT,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:Garage Sup.R=6.0,80.0 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) Og f>IH ST,tT�0 in this home before final inspection.Otherwise,a new EPL Display Card will be completed ra'; based on installed Code compliant features. r Builder Signature: Date: Address of New Home: City/FL Zip: coD WrA *NOTE. The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. Ifyour score is 80 or greater(or 86 for a US EPADOE EnergyStarTmdesignation), your home may qualms 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 www.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. 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass output on ages 2&4. EnergyGauge®(Version:FLRCSB v4.5.2) ice•> h s y CITY OF ATLANTIC BEACH --� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptkeoab.us Application Number . . . . . 07-00000774 Date 6/05/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc NEW TILE ROOF SINGLE FAM HOME ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PROFESSIONAL SUNSHINE ROOFING 1017 IRELAND DR DELTONA FL 32725 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 12/02/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD r; s ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptkcoab.us Application Number . . . . . 07-00000775 Date 6/05/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc NEW TILE ROOF SINGLE FAM HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PROFESSIONAL SUNSHINE ROOFING 1017 IRELAND DR DELTONA FL 32725 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 12/02/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s -Ljrj; BUILDING PERMIT APPLICATION J S1 CITY OF ATLANTIC BEACH �r35� f, 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: �� C �`e` Z,,90J D1 A* AtIO Permit Number: Legal Description Valuation of Work(Replacement Cost) $ 4� dz620 C9 ■ Class of Work(Circle one): Addition Alteration Repair ve ■ Use of existing/proposed structure(s) Circle one): Commercial "es ■ If an existing structure, is a fire sprier system installed?(Circle one): N/AIs approval of homeowner's association or other private entity required?(CYes No /U Describe in detail the type of work to be performed: Property Owner Information Name: Address: City State_Zip Phone Contractor Information: Name of Company: 6/ k ,' / e/`1 u vi g Agent: Address: , u t 'City e State Zip Z-24: - o� Office Phone 2 K6 - Wi f ?_3Job Site/C ntact Number State Certification/Registration# CCG 60,/ / Office Fax# J746 Architect Name'&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance qfa permit and that all work will be erformed to meet the standards ofall laws regulating construction,an thisjurisdiction. 1P'his permit becomes null and void ifwork is not commenced within six(6) months, ora construction or work is suspended or abandoned for a period of six (6) months at any time after work as commencedf I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditio�zers, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereb certify thatI have read and examined this application and know the same to be true and correct. All rovisions o 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 authorhty to violate or cancel the provisions bfany other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: ! Signature of Contractor: Sworn to and subscribed be re rjia Sworn toAnd slabsjibed this_Day of I this o r� N � � 1k V Notary Public: Notary Pub c: REVISED 03.05.07 BP50OUO3 CITY OF ATLANTIC BEACH 8/27/07 Request For Inspection - Inspection Details 11:29: 46 Application number 07 00000324 000 000 P#plication type . 3 OR MORE FAMILY BUILDING Te?iant number, name Permit type/seq BLDG 00 BUILDING PERMIT Property address . 5805 FLEET LANDING BLVD Inspection area . . Type information, press Enter. Inspection type (F4) . . . . . 66 PZ FINAL LANDSCAPING Request date, time . . . . . . X307 _ 1=AM, 2=PM, Blank=No priority Inspector assigned (F4) . . . RC s*fRROR*- Request entered by . . . . . . SLG Additional points . . . . . . Inspection points . Display inspection results . . Y=Yes Edit comments . . . . . . . . Y Y=Yes F3=Suit F4=Prompt F6=Accept/add more F10=Inspector inquiry F12=Cancel S. k1 , s iJ's CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD y J J t ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2coab.us Application Number . . . . . 07-00000396 Date 3/30/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc HVAC HOOK-UP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AMERICAN ELECTRICAL CONTRACTOR Q/A:GRASS, ROBERT 5065 ST. AUGUSTINE RD. #3 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------- - ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ofA&mdc Beach Pel7nit � a To: JEA Electric Order Fulfillment, (Fax No.: 665-7372) Attention: Carol Schweizer/Lorie Craven,21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit - Date: Service Address: `58t9J'- liter L IWLInl6--- -ABW/ . Owner: rCr.,,5Tr LjwLy6_ Owner Phone: Electrician: Arn6ej G9t\f Electrician Phone: !��2O Type of Work: New Service [___] M Home Subfeed Increase Service Li Meat & AC Li Repair Service Other Rewire [_] ether Description: Temp Pole Li Service Type: [_,Overhead (Repair/Replace) Underground(New Services) Building Use: L jResidential LJChurch "Environmental LJM-Home f1Commercial LJOther Other Use Description: Service Suet New Service:' Amps: Volts:- - - Phase: Existing Service.-Amps: Volts: Phase: E-mail:cravll(7,jea.com or schwrcln(c77lea.corn or reso_n2}ea.com CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION f n17. 7 Jj J� Date: LProperty Address: Hvp- Owner: 19�_ n � Onr4 ,a&rs Telephone #• Contractor: - Telephone Contractor Address: PD- Fax Contractor Signature: (�ga" 07� 'AA�� 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. Building: Building Type: ❑ Trailer Service: if other construction is 2 New Of Residence ❑ Temp. 0 New being done on this building O ❑ Old ❑ Commercial ❑ Signs ❑ Increase site,numb a building ❑ Re-wire O Addition Sq.Ft. ❑ Repair M Conductor Size: AMPS: COPPER ALUMINUM Switch or `, RACE (� Breaker AMPS a00 PH 1 W VOLT 1Q WAY 1' Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 3 Switches Incandescent co Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER l H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si n 11 F Miscellaneous r 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845 o httn://www.ei.atiantic-beach.n.us Revised 1/04 HP Officejet 7410 Log for i Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Mar 30 2007 11:36AM Last Transaction Date Time Type Identification Duration Pages Result Mar 30 11:35AM Fax Sent 96657372 1:23 3 OK CITY OF ATLANTIC BEACH 840 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � 3 INSPECTION EMAIL REQUEST: Building.-denjoa coab.us Application Number . . . . . 07-00000463 Date 4/06/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------------- Application desc NEW PIPE/FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KING PLUMBING CONTRACTORS INC PAUL T. KING 6900 PHILLIPS HWY, SUITE 50 JACKSONVILLE FL 32216 (904) 296-2568 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 147 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/03/07 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 147 . 00 147 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 147 . 00 147 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH � 5r J Y PLUMBING PERMIT APPLICATION Date: 4� Property Address: `aP_-t sa✓► ;`tea O U J Owner: le le Telephone#: Contractor: Telephone#: c 'q 6 Contractor Address: C` "? 1 �� ' i 'S Fax#: , Contractor Signature: In consideration of permit given for doing the work as described in the above statemeX we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and m ordance 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, X New list the building permit number: ❑ Re-Pipe Number of Fixtures: IBath Tubs �_ Showers Closets Shower Pans _ Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer / Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845. http://www.ci.atiantic-beach.fl.us Revised 9/06 , a CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must 'be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies'are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational.All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 r <�' CITY OF ATLANTIC BEACH i� 8fl0 SEII+IINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildine-deptna�coa6.us Application Number . . . . . 07-00000324 Date 8/01/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description 3 OR MORE FAMILY BUILDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc VILLA HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ R.P.C. GENERAL CONTRACTORS 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 69. 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/28/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69. 00 69.00 .00 .00 Plan Check Total . 00 . .00 . 00 . 00 Grand Total 69. 00 69.00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CPTy OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA RUiLDING CODES CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION f Date: Property Address: aG Owner: �T ' e- -We )151rrl- 4�d/"elephone#: Contractor: Telephone#: Contractor Address: _u>rrT L Faz#: 7-S_7.e -Oy Contractor Signature: In consideration of permit given for doing ihe 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 �, d�dd� s Z Ll Oil / / / Other-Specify 9 29 � C- MEC CAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed /e�Central _FloorResidential ifAir Conditioning: _Room Central Duct System: Materia614eA'/V:< Thicknes ❑ Commercial Maximum capacity cfin Ll Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Ll Fire Sprinklers: Number of Heads LJ Existing Building ❑ Elevator: __ Manlift Escalator (Number) Ll Replacement of Existing System Ll Gasoline Pumps (Number) ❑ Tanks (Number) New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel LlExtension or Add-on to Existing System Ll Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 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• httn://www.ci.atlantic-beach.fl.us Revised 1/04 t-��11'jr it fry. `= CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptocoab.us Application Number . . . . . 07-00001160 Date 8/16/07 Property Address . . . . . . 5805 FLEET LANDING BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc EARLY POWER ---------------------------------------------------------------------------- Owner Contractor ------------------------ �� ------------------------ R.P.C. GENERAL CONTRACTORS 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 300 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 300 . 00 300 . 00 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 300 . 00 300 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES WG-13-2007 09:46 AMERICAN ELECTRICAL CONT 7371099 P.02 I ` EARLY POWER AGREEMENT & RELEASE CITY 017 ATLANTIC BEACH .3 Electric power is.requested now under the conditions and terms of this fully executed Agreem mt&Releme Job Address: Permit No. 07 -000co 3�`f i Service Type(Circle One): Overhead ndergTvuad We,the undersigned General Contractor and E lectriciar,uadw t rid and agree: 1. "Early Power is purely for our constriction convenience, it ie t require¢ lry Codes and does not substitute for Proal Inspections or the C! (Certifiicate of Oecupancy'}�t at must bo issued&its re occupancy, and as such is at the discretion of tate Buil ung Official. 2. The City of Atlantic Bcach will make a tial ine+ction prior to the early power energ>_ng. All rough inspochons must have prior Approval, ' fading mebper base connections. 3. Occupancy or use of the new construclion before a formal C/O constitutes fraudulent use of the early electne se r"Ce. Suo actiero is W slyhibited and penalized by Tho City of Atlantic Beach Ordinances. A violation of this Agreem t shallproresult in a request for prompt rewovat of electric service after a twenty-faw hoar notice. 4. "Early Power"release authority is the E1 ctrician and/or the Contractor and must not occur before: a. gout t, vices sad f installed(or bLiudwd ofd safely. b. Panl s oomplcte with br cers d cover and(labeling requued at final inspection). c. Service comwctto»and groundin is complete. d. The electric system has safely pa is throelectrioal cheek. e. Meter can isspeimanently marks with address. f. Temporary dress numbers disp eyed(Permanent numbers are required for C/O). I 5..' Pay;300.administration fee,any tion fees and any outstanding requirements must be satisfied prior to release. 11 6. This fully comploted form is to be submi�ted to the Building Department by Lund,mail or fax. I 7. Future such Agree a is willnot be acpted from those who violate any one of the above Items. CONTRACTOR i DATE PRINT NAME .--,--- L F1 BCTRICIAN DATE /*6 PRINT NAMl /'a IUYS S i Soo 9emiable Road,Atlantio Beach FL 32233 Yboae:(904)247-5826, Pax:f 904p47-5945 http:/j%vNvw c .us revised 11.29.06 . i I a Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTTIFICAT`E OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: Un 36vw rff r#jCf6r2)__1 Permit #: __ OT,�C+ Property Address: L L LLI 1�� Legal Description: 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: $ -Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works 5•�� 5. Public Utilities 7 Building -Planning Final Survey with FFE l/�es No All Re-Inspect Fees Paid L'-<es No Termite Treatment LI. <es No Page 1 of 2 a Brugman Kerri From: Carper, Rick Sent: Wednesday, September 05, 2007 3:54 PM To: Brugman Kerri Cc: Deming, James Subject: RE: Final CO inspection Kerri, I completed this inspection when I did the landscaping last week. No significant issues-approved for PW. Rick Ricky L. Carper, P.E. Public Works Director/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper@coab.us PH: (904)247-5834 Fax: (904)247-5843 From: Brugman Kerri Sent: Wednesday, September 05, 2007 3:38 PM To: Kaluzniak, Donna; Carper, Rick; Deming, James; Walker, Chris; Nodine, Phil Cc: Matthews, Carlene; Lanier,Joyce; Graham Shirley Subject: Final CO inspection A final CO inspection has been requested for the address listed below by Steve Smedley. Steve can be reached at (904)219-8532 Thanks. From: Steve Smedley (mailto:Steve@rpcgc.com] Sent: Wednesday, September 05, 2007 10:10 AM To: Building, Dept Subject: Fleet Landing - Final CO Inspection Request Address: 5805 Fleet Landing Blvd. Permit#: 07-00324 Inspection: Final CO Clan i C- 09nrgm" City of Atlantic Beach 9/5/2007 Page 1 of 1 Brugman Kerri From: Walker, Chris Sent: Thursday, September 06, 2007 8:07 AM To: Brugman Kerri Subject: RE: Final CO inspection All of these are private but I believe they have all passed. From: Brugman Kerri Sent: Wednesday, September 05, 2007 3:38 PM To: Kaluzniak, Donna; Carper, Rick; Deming,James; Walker, Chris; Nodine, Phil Cc: Matthews, Carlene; Lanier,Joyce; Graham Shirley Subject: Final CO inspection A final CO inspection has been requested for the address listed below by Steve Smedley. Steve can be reached at (904)219-8532 Thanks. From: Steve Smedley [mailto:Steve@rpcgc.com] Sent: Wednesday, September 05, 2007 10:10 AM To: Building, Dept Subject: Fleet Landing - Final CO Inspection Request Address: 5805 Fleet Landing Blvd. Permit#: 07-00324 Inspection: Final CO GZm7i&. C--Orugman City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, F132233 (T) 904.247.5800 (F) 904.247.5845 kbrugman cr coab.us 9/10/2007 Sep 10 2007 4: 05PM RPCGENERRLCONTRRCTORS 9042414427 p. 3 =Turner _ r IMPest !"3Control What's Bugging You? CERTIFICATE OF COMPLIANCE FOR TERMITE PROTECTION INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6.&1816.1 CONTRACTOR: RPc General camacws,Mc. PERMIT#: 0-7,-U6 SITE -',- SITE LOCATION: SM Plast La K&W Parkway Atlantic Beach,FL 32233 , DATE OF TREATMENT: o8/2amar TIME OF TREATMENT: 12:30:00 PM AREA TREATED: SQUARE FOOTAGE: 2700 LINEAR FOOT: IDENTITY OF APPLICATOR: KNIGHT,DAVID PRODUCT NAME: PREMISE PRE CONSTRUCTM INSECTICIDE,TERMIDOR e0 wG TERmarmDEmsECTICm t CHEMICAL NAME IMIDACLOPRID,RPRONIL (DIFFERENT FROM PRODUCT) FOR BAR SYSTEMS-13ST C�-IENMCAL NAME THAT VWLL BE USED IF TERMITES ARE DETECTED) PERCENT CONCENTRATION:0.10%,0.06% (FOR BAIT SYSTEMSF YOU DON'T HAVE THE%=TELL HOW MANY sTATIONs PER FOOT) NUMBER OF GALLONS: 159.00Gk 14.00PA (FOR BAR SYSTUS-ENTERO OF STATIONS USED) FINAL STATEMENT: THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR TI-E PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE NTH THE RULES AND LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRIGULTURE AND CONSUMER SERVICES, GREE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE: B 17 TI D PE NTROL,LLC. MAIN OFFICE C 480 EDGEWOOD AVENUE SOUTH JACKSONVILLE,FL 32205 PHONE:904355300 FAX:904-353-1488 LETTER OF TRANSMITTAL General Contractors, Inc. 248 LEVY ROAD / P.O. Box 330115 ATLANTIC BEACK fLORIDA 32233 (904) 241-4416 /fAX (904) 241-4427 COMPANY: City of Atlantic Beach ATTENTION: Shirley Graham ADDRESS: 1200 Sandpiper Lane DATE: April 12,2007 REFERENCE/JOB: The Palms @ Fleet Landing CITY/STATE/ZIP: Atlantic Beach,FL 32233 #050179 WE ARE SENDING YOU: ® ATTACHED ❑UNDER SEPARATE COVER VIA Hand Delivered THE FOLLOWING ITEMS: ❑SHOP DRAWINGS ❑PLANS ❑SAMPLES ❑SPECIFICATIONS ❑COPY OF LETTER ❑CHANGE ORDER ❑ OTHER COPIES DATE No. DESCRIPTION Sea. 4/12/07 Product Approval for New Integra ICF Sea. 3/01/07 RFI to Architect with response regarding new ICF system THESE ARE TRANSMITTED AS CHECKED BELOW: ® FOR APPROVAL ❑APPROVED AS SUBMITTED ❑RESUBMIT COPIES FOR APPROVAL ® FOR YOUR USE ❑APPROVED ❑SUBMIT COPIES FOR DISTRIBUTION ❑ AS REQUESTED ❑RETURN CORRECTED PRINTS ❑ FOR REVIEW AND COMMENT ~�1 Remarks. rn ow SIGNED: Beverly Jones Contract Administrator Copy to File. i VN o% 3p775 � A2a'1ADOW a • �"''►, ��. �o\p\PQles Q\fis .--•" �� ../" R�.fro P �/ _/ ndK� ^boat tMona9e� .---� �--''" ��,� � p. promo '� � f�X $G�tt �... gee\a8t 0A net Nub menry9vy to N'�duta. s� \ t1t�`J NG•CE5 "--'-•�" tha CF sy ft�°o E�taSP{\�uPa�Q;�� \ � -"''�/ 1 E " J 2 tc -• nu en �! ,�,tt� •',fes,...,.,./ -,,...--_ �, annum bell Q'00A a c�umn. dot's' _ an ced th mC-oste eke ooss SeG ahs 9 c° ° °o��en°hebotcom l 3 r,,,,O d��atth{d a �m a pCF SEA sn hetp°ut ke tpe+nte��$� and the cast in place concrete lintel at the top. 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HALL 5EOTION A5,1 %A E, I U;!- Iz-G+' t ` f S ti , e , , � r f Au V A l Ep EVATiO1�11; CERTI �CA'i E OMB No. '1660-0008 .S.CEPARTivIEhlT OF HOMELAND SECURITY 1~� ederal Emergency Management Agency I Expires February 26,2009 ationai Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For.Insurance Company Use: Al. Building Owner lyame M eL K � 13La Fipe �.Ar--fl Policy Number Cl(lY�'t• Cil i 42. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number (A _15 -58 CI-S -SES a G 11/J.0 F1 f yr-1— t/-).-©.07 CityT ,rAL State ZIP Code 2Z Li 43. Prop y Description(Lo and Block Numbers,Tax Parcel Number,Legal Description,etc.) A ' O L ort 5 t Z 'b L)i_. v--- 31 ,n fD w s P.P IA/�Q S �l�'�✓`tel _ 44. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) ` '—J—; 45. Latitude/Longitude:Lat. JJ j"- 'L1 Z'Z Long. L.. !,%q- 24—3 5 _ Horizontal Datum: ❑MAD 1927 &NAD 1983 46, Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. 47. Building Diagram Number_, 48. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) G sq ft a) Square footage of attached garage ///0 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attach garage enclosure(s)walls within 1.0 toot above adjacent grade walls within 1.0 foot above adjacent grade tt�y c) Total net area of flood openings in A8.b ON sq in c) Total net area of flood openings in A9.b sq in SECTION E-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 31,NFIP Community Name&Community Number B2.County Name B3.State 120 o�7 , AC_ sa. 0 lf� u V A t l=/o/`,' d z B4.Map/Panel Number B5.Suffix B6.FIRM Index 87.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12oo-n ©z4z- �.-16_I�59 S -1 s - 19 35 � . 10, Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile 6.F.IRM ❑Community Determined ❑Other(Describe) 11. Indicate elevation datum used for BFE in Item B9: tZ`4NGVD 1929 ❑NAVD 1988 ❑Other(Describe) 12. Is the building located In a Coastal Barrier Resources.System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) L Building elevations are based on: ❑Construction Drawings" ❑ Building Under Construction's ❑ Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. 2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,ARIA,ARAE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the bullclj>diagram specified in Item A7. Benchmark:Utilized Q S N aVertical Datum /u G V Q C1 Conversion/Comments rC��htteck the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor) to �t�t feet ❑meters(Puerto Rico only) b) Top of the next higher floor /Q . A� ❑feet ❑meters(Puerto Pico only) c) Bottom of the lowest horizontal structural member(V Zones only) i.j . !Ir❑feet ❑meters (Puerto Rico only) d) Attached garage(top of slab) /o _4�?�feet ❑meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building /0 feet ❑meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) --t_.30 91 feet ❑meters (Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 1_.190 feet ❑meters (Puerto Pico only) SECTION D-S'a RFVEYOR,ENGINEER, OR A'RCHI'TECT CERTIFICATION this certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify-elevation nformation. 1 certify that the information on this Certificate represents my best efforts to interpret the data available, understand that any raise statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here If comments are provided on back of form. ;ertifier's Name License Number I A A./ I`Y A n �'?I/� S 5-7 12-- ritle L-A Company Name F1O� .`C� SQA Slur V�4- _ address City State - ZIP Code 319nature Date Telephone -7 i�-v 3-76 -0310 .MA Form 81-31, February 2006 e reverse side for continuation. Replaces all previous editions IMPORTANT: IPthese spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Address(includ'ng At,,Ur4t,Suite,an /or Bldg,No.)or P.0. Route and Box o. Policy Number s S C3oK Se in C� ,� F(QC L ,/)., OL.0 City - State VL ZIP Code Company NAIC Number 322 SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(t)community official,(2)insurance agent/company,and(3)building owner. Comments � , ,—tpC C op—&- 5lgnature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate Is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,If available. Check the measurement used. in Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is _❑feet 11meters 11above or ❑below the HAG. b)Top of bottom floor(Including basement,crawl space,or enclosure)Is i❑feet ❑meters ❑above or (17 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in SectiA Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ,^_feet t meters ❑ above or LJ below the HAG. E3. Attached garage(top of slab)is ❑feet❑meters [f above or 7 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters n above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? Yes ❑No ❑Uni<nown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-Issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B:and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here K attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) rhe local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable Item(s)and sign below. Check the measurement used in Items G8. and Gs. 3t. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation date in the Comments area below.) 32. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 33. ❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compiiance/Occupancy Issued 37.This permit has been issued for: ❑ New Construction Substantial improvement 38.Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR) Datum 39.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum Local Officlzl's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachmanir, FEMA Form 81-31, February 2006 Replaces all previous editions Bufldng Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. Ito.)or P.O. Route and Box,No. Policy Number City State ZIP Code Company NAIC Number If using the Elevation Ceiiificate to obtain NFIP flood insurance, affix, at least two building photographs below according to the instructions for Item M. Identify all photographs with: date taken; "Front View"-and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildingdept@,coab.us Application Number . . . . . 07-00000299 Date 3/16/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TP01 TEMP POLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AMERICAN ELECTRICAL CONTRACTOR Q/A:GRASS, ROBERT 5065 ST. AUGUSTINE RD. #3 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/12/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Ilo D7 Property Address: (p Q � LAi;�l e Owner:� &;l.l,kAJi;hJe Telephone#: 241 ' y116 0(1 Contractor: C<<'? �� /i f lephone #: Contractor Address: Contractor Signature, In consideration of permit glVen for doing the work as scribed 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. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence X Temp. New being done on this building Li Old El Commercial ❑ Signs ❑ Increase Pe site,list the building g Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch ora LW RACE Breaker AMPS PH W VOLT /IZO WAY PUC. Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN if)AMP" 31 100 AMPS I Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sin Miscellaneous Um 12 120 te- 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• httn://www.ei.atiantic-beach.fl.us Revised 1/04 q O CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept&coab.us Application Number . . . . . 07-00000325 Date 3/26/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description MULTI-FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc VILLA HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ R. P.C. GENERAL CONTRACTORS 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 1060 . 00 Plan Check Fee 530 . 00 Issue Date . . . . Valuation . . . . 300000 Expiration Date . . 9/22/07 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .41 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 9 . 92 AB CONSTRUCTION SURCHARGE 1 . 10 STATE RADON SURCHARGE 7 . 95 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 460 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1060 . 00 1060 . 00 . 00 . 00 Plan Check Total 530 . 00 530 . 00 . 00 . 00 Other Fee Total 2054 . 38 2054 .38 . 00 . 00 Grand Total 3644 . 38 3644 .38 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Zufste� Building Department Public Works&Public Utilities Departments 4 lilt 800 Seminole Road 1200 Sandpiper Lane R.Car Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzvjgl (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS �j Permit Application # d 7- e!�� 0 3l Property Address '2d 6 �l�1 T ZIM d" 07 9 +�✓�yd N Applicant: Project: Thisrmit application has been: tApproved as noted by the Department. Final application approval must come from the Building Department. F-1 Reviewed and the following items need attention: ire S 4 . z 112 Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the corr ct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: BUILDING PERMIT APPLICATION , .' CITY OF ATLANTIC BEACH J 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 ■ Fax: (904)247-5845 Job Address: 6WP Gc-T-t&nb/y& 61VD , IV0-0 Permit Number: Legal Description Ak- or- -MOkL'1 V IJP V4&L 5 7 ,f- J`SL C. 6- Al R/i✓6,6F a9Z- e,*7-y �so�rille Q �.T vG �✓#t. Co. o,2i aA Valuation of Work(Replacement Cost$ .3x,ab ■ Class of Work(Circle one): Addition Alteration Repai4esid!en;tiaj��)■ Use of existing/proposed structur�s) Circle one): Commercial If an existing structure, is a fire sprinkler system installed?(Circle one): 4es�jD Is approval of homeowner's association or other private entity required? (Circle one): Described�in detail the type of work to be performed: Property Owner Information ,61A-VA(, Co,vriNutAl ,p 'Name: Address:04)9 /" `ET LfFn/ A16 /S/!DCity F State_Zip 22 3 Phone SOL/-oZ )- DD Contractor Information: Name of Co }pany: Q� Qualifying Agent: e-re ah t Gu�S Address: �I 7V City State�_Zip 3 Office Phone g1'4q l Job Site/Contact Number 953Z. State Certification/Registration# 41- fi / Architect Name &Phone # o 69 -4dc. G Ai KE - Engineer's Name &Phone !!, t 9 o4,0 Application is hereby made to obtain a ermit to do the work and installations as indicated. I certify that no work or installation has commenced prior to tht issuance of a permit and that all work will be performed to meet the standards o all laws regulating construction in th' ''u Isdiction. This permit becomes null ant void if work is not commenced within six(6)months, or if construction or words suspended or abandoned for a period of siz(6)months at any time after work i, commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks and Ai, Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL: INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and xamined this application and know the same to be true and correct. All provisions of laws and ordinances governing this p ofwork will be complied with wh r s ified herein or not. The granting of a ermit does not presume to give authority to violate or cancel the provisions ojan, other federal,state, or local law e construction or the performance ojconstruction. Signature of Property Owner: Signature of Contracto . Sworn to and subscribed before Sworn to and subser' ed befo e me this *4J Day of l'� 7 this�Day of Notary Public: Notary Public: oP �, Beverl)J. Jones Commission#DD567168 o`'AY." Notary Public State of Florida Jy �o Expires September 3,2010 Elizabeth Teske n of V5� aonoeo Troy Fain-Insurance.Inc.600.385.7019 a My Commission DD415196 N 'kor Veda Expires 04/05/2009 DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY ,evie (Circle one): Doc # 2007038237, OR EIK 13790 Page 88, Number Pages: 3, Filed 6 Recorded 02/01/2007 at 04:03 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00 THIS INSTRUMENT PREPARED BY AND RETURN TO: JOHN M.WELCH,JR.,Attorney Fla.Bar No.212873 Foley 8 Lardner LLP One Independent Dr.,Suite 1300 P.O.Box 240 Jacksonville,FL 32201-0240 Permit No.06-00033328 Tax Folio No.169384-0010 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Section 713.13, Florida Statutes,the following information is stated in this Notice of Commencement. 1. Description of ProDertv: See Exhibit A attached hereto. The street address of the property is: various 2. General Description of Improvement: Construction of residential buildings and activity center 3. Owner: Naval Continuing Care Retirement Foundation,Inc. One fleet Landing Boulevard Atlantic Beach,FL 32233 4. Owner's Interest in the Site of the Improvements: Fee simple owner. 5. Fee Simple Title Holder(if Other Than Owner): N/A 6. Contractor: RPC General Contractors,Inc. 248 Levy Road Atlantic Beach,FL 32233 7. Surety On Any Payment Bond: Not applicable 8. Any Person Making a Loan for the Construction of the Improvements: JACK.580322.1 j OR EX 13790 PAGE 89 Wachovia Bank,National Association 225 Water Street,Third Floor Jacksonville,FL 32202 Attn: Lisa Braman and Lorraine Cross 9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in Section 713.13(1)(a)(7), Florida Statutes, which service shall constitute service upon Owner: None 10. In addition to himself, Owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(b),Florida Statutes: a. Lender named in Paragraph 8 above. b. Contractor named in Paragraph 6 above. 11. Expiration Date of Notice of Commencement(the expiration date is two(2)years from the date of recording unless a different date is specified): Signed: NAV CONTINUING CARE RETIREMENT FOU ION,INC. By: J s rve Ex utive 'rector and Authorized Agent STATE OF FLORIDA COUNTY OF DUVAL Sworn to and subscribed before me this 29th day of January,2007,by John Meserve,Executive Director and Authorized Agent of Naval Continuing Care Retirement Foundation, Inc., a Florida nol-for- profit corporation,on behalf of the corporation. Such person(notary must check applicable box)Wiislare personally known to me;or O produced a current Florida driver's license as identification;or O produced as identification. [Affix Notary Seal] �p 7` tQ Ngpgq [Print or We name] MYDOWASSIONIDD28 M Notary Public,State of eamo RM-FA i rn Commission No. My Commission Expires: JACK.580322.1 OR SK 13790 PAGE 90 EXHIBIT A A PART OF THE ANDREW DEWEES GRANT, SECTION 37, AND SECTION 5, ALL IN TOWNSHIP 2 SOUTH,RANGE 29 EAST,CITY OF JACKSONVILLE AND THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCE AT THE SOUTHWEST CORNER OF THAT CERTAIN TRACT OF LAND TO THE CITY OF JACKSONVILLE,BY CONDEMNATION RESOLUTION NUMBER 70- 801-236,AND BEING RECORDED IN OFFICIAL RECORDS VOLUME 3202, PAGES 481 THROUGH 485 OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY,SAID POINT ALSO BEING ON THE EASTERLY RIGHT-OF-WAY LINE OF MAYPORT ROAD AND/OR STATE ROAD NUMBER 101 (A 100 FOOT RIGHT-OF-WAY AS NOW ESTABLISHED); THENCE SOUTH 09°53'10" WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE OF MAYPORT ROAD, A DISTANCE OF 850.00 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY LINE; THENCE LEAVING SAID RIGHT-OF-WAY LINE RUN NORTH 88055'40"EAST,A DISTANCE OF 534.02 FEET TO THE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 14116'44" WEST, A DISTANCE OF 1.07 FEET; THENCE NORTH 01'04'20"WEST, A DISTANCE OF 119.40 FEET TO THE SOUTHWEST CORNER OF LOT 1, COURTYARDS AT MAYPORT, AS RECORDED IN PLAT BOOK 49,PAGES 67 THROUGH 67C OF SAID CURRENT PUBLIC RECORDS; THENCE NORTH 88°55'40" EAST, ALONG THE SOUTH LINE OF SAID PLAT, A DISTANCE OF 598.78 FEET TO THE SOUTHEAST CORNER OF LOT 13 OF SAID PLAT; THENCE SOUTH 09°53'10"WEST, A DISTANCE OF 1158.12 FEET TO A POINT ON THE SOUTH LINE OF SAID SECTION 5,TOWNSHIP 2 SOUTH, RANGE 29 EAST; THENCE SOUTH 89°23'12"WEST ALONG THE SOUTH LINE OF SECTION 5, A DISTANCE OF 482.25 FEET; THENCE NORTH 09°53'10" WEST, DEPARTING SAID SOUTHERLY SECTION LINE, A DISTANCE OF 361.90 FEET TO A POINT OF INTERSECTION WITH THE SOUTHERLY RIGHT-OF-WAY LINE OF MAYPORT CROSSING BOULEVARD (A VARIABLE WIDTH PUBLIC RIGHT-OF-WAY); THENCE ALONG AND AROUND A CURVE IN SAID RIGHT-OF-WAY LINE CONCAVE WESTERLY AND HAVING A RADIUS OF 50.00 FEET FOR AN ARC DISTANCE OF 157.08 FEET TO THE WESTERLY LINE OF LANDS DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 6032, PAGE 199, OF SAID CURRENT PUBLIC RECORDS, THE ARC OF LAST SAID CURVE BEING SUBTENDED BY A CHORD BEARING AND DISTANCE OF NORTH 09053'10"EAST,A DISTANCE OF 100.00 FEET; RUN THENCE NORTH 09053'10"EAST ALONG THE EASTERLY BOUNDARY OF LAST SAID LANDS, A DISTANCE OF 569.61 FEET TO THE NORTHEAST CORNER OF SAID LANDS DESCRIBED IN AFORESAID OFFICIAL RECORDS VOLUME 6378, PAGE 657; THENCE SOUTH 88055'40" WEST, A DISTANCE OF 92.23 FEET TO THE POINT OF BEGINNING. JACK.580963.1 } t; P , 1 it r iP • i � \i rj rLI�lr CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION �~ (New/Residential & Commercial) Date: /26/07 Job Address: l" J6e7-1-,NM/Al�-1 61M JUOR7-4 Owner's Name:�f}y ,c�1'/Nu rNLy Cil�6 RE-r1QaMr=:- rr jrU4A--A-T.- -, Address: ONE 6tt--w'L rwb w& &V D• F}ANTI e- 322 3 Phone: Contractor: PC C?�%,��.PACJ�0 �1�G+`O,�S , 0(-. State License Number: ( I C O4D(p 6 Address: - f l-Ey � Gwq Phone:q 04 —,:a1//_ ilzl City: KL'u-riC, 6C-Pr--A State: Ti,- Zip: 223 Fax: 904-.�444��-7- Describe proposed use and work to be done: _ /Yi VON, 1n i Total Square Footage 49, 4i: Total Heated Square Footage Present use of land or building(s): Y�i rY /fit N l2 Valuation of proposed construction: A5z,e&- "e,Is approval of Homeowner's Association or other private entity required? //0 If yes, please submit with this Application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area? ��- � �� 5 i7-2�- # /)6-6�9)3332 9 ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane,AB,Telephone#is (904)249- 5834,Rick Carper,Director. PROCEDURE: INORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST,AS IT IS DETAILED AND TECHNICAL, AS WELL AS CONTAINS LANGUAGE SPECIFIC TO ADOPTED CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE,BUILDING,PLUMBING,MECHANICAL,ELECTRIC." 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fag: (904)247-5845 • http://Nvww.coab.us Page 2 Revised 6/06 PUBLIC WORKS AND PUBLIC UTILITIES.FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: RPC (.�- C- • � 7)Ic I(it, Mailing Address:oP�8 LCV 1/ �Dl1 7�C h AITtc ��-7`1G/�, i'E- 322Z3 D Telephone: e?6 ,41-x- 44 Fax: �� I' E-Mail: I hereby certify that I have read and examined this application and attached documentation 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 th governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upo ve information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: 3 AS TO OWNER: Sworn to and subscribed before me this day of State of Flori w, o�PaY P4/e�, Beverly J. Jones w Commission#DD567168 Notary's Signature: " _9,de4 4 o� Expires September 3,2010 i �OF F.� Bonded Troy Fain-Insurance,Inc.800.385.7019 Personally known ❑ Produced identification Type of identification produced Signature of Contractor: 7-- Date: 6 AS TO CONT CT R: Sworn to and subscribed before me this day of/ �-- ,20 . State of Florida,County of Duval Beverly J. Jones Notary's Signature: O e!, * Commission#D0567168 ,�, N9� Expires September 3,2010 f� rersonally known OF V7 Bonded Troy Fain-Insurance,Inc 800-385-7019 ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 • littp://www.coab.us Page 4 Revised 6106 Doc # 2007038237, OR SK 13790 Page 88, Number Pages: 3, Filed b Recorded 02/01/2007 at 04:03 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27.00 THIS INSTRUMENT PREPARED BY AND RETURN TO: JOHN M.WELCH,JR.,Attorney Fla.Bar No.212873 Foley&Lardner LLP One Independent Dr.,Suite 1300 P.O.Box 240 Jacksonville.FL 32201-0240 Permit No.06-00033328 Tax Folio No.169384-0010 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Section 713.13,Florida Statutes,the following information is stated in this Notice of Commencement. 1. Description of Pr Derty: See Exhibit A attached hereto. The street address of the property is: various 2. General Description of Improvement: Construction of residential buildings and activity center 3. Owner: Naval Continuing Care Retirement Foundation,Inc. One fleet Landing Boulevard Atlantic Beach,FL 32233 4. Owner's Interest in the Site of the Improvements: Fee simple owner. 5. Fee Simple Title Holder(if Other Than Owner): N/A 6. Contractor: RPC General Contractors,Inc. 248 Levy Road Atlantic Beach,FL 32233 7. Surety On Any Payment Bond: Not applicable 8. Any Person Making a Loan for the Construction of the Improvements: JACK.580322.1 OR EK 13790 PAGE 89 Wachovia Bank,National Association 225 Water Street,Third Floor Jacksonville,FL 32202 Attn: Lisa Braman and Lorraine Cross 9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in Section 713.13(1)(a)(7), Florida Statutes, which service shall constitute service upon Owner: None 10. In addition to himself, Owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13(1)(b),Florida Statutes: a. Lender named in Paragraph 8 above. b. Contractor named in Paragraph 6 above. 11. Expiration Date of Notice of Commencement(the expiration date is two(2)years from the date of recording unless a different date is specified): Signed: NAV CONTINUING CARE RETIREMENT FOU ION,INC. By: J s rve Ex cutive 'rector and Authorized Agent STATE OF FLORIDA COUNTY OF DUVAL Swom to and subscribed before me this 29th day of January,2007,by John Meserve,Executive Director and Authorized Agent of Naval Continuing Care Retirement Foundation, Inc., a Floridano-for- profit corporation,on behalf of the corporation. Such person(notary must check applicable box)1 /are personally known to me;or O produced a current Florida driver's license as identification;or O produced as identification. Q,y— [Affix Notary Seal] ��(, /wtit— p G.RFM [Print-type name] WCOM6088IONIDD2MM Notary Public,State of FORM Fdwmy io,zw Commission No. EON-- "�Ns""�0 ""`° My Commission Expires: JACK.580322.1 OR BK 13790 PAGE 90 EXHIBIT A A PART OF THE ANDREW DEWEES GRANT, SECTION 37, AND SECTION 5, ALL IN TOWNSHIP 2 SOUTH,RANGE 29 EAST,CITY OF JACKSONVILLE AND THE CITY OF ATLANTIC BEACH, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCE AT THE SOUTHWEST CORNER OF THAT CERTAIN TRACT OF LAND TO THE CITY OF JACKSONVILLE, BY CONDEMNATION RESOLUTION NUMBER 70- 801-236,AND BEING RECORDED IN OFFICIAL RECORDS VOLUME 3202, PAGES 481 THROUGH 485 OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY, SAID POINT ALSO BEING ON THE EASTERLY RIGHT-OF-WAY LINE OF MAYPORT ROAD AND/OR STATE ROAD NUMBER 101 (A 100 FOOT RIGHT-OF-WAY AS NOW ESTABLISHED); THENCE SOUTH 09°53'10" WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE OF MAYPORT ROAD, A DISTANCE OF 850.00 FEET TO A POINT ON SAID EASTERLY RIGHT-OF-WAY LINE; THENCE LEAVING SAID RIGHT-OF-WAY LINE RUN NORTH 88055'40"EAST,A DISTANCE OF 534.02 FEET TO THE POINT OF BEGINNING FOR THIS DESCRIPTION; THENCE NORTH 14°16'44" WEST, A DISTANCE OF 1.07 FEET; THENCE NORTH 01°04'20"WEST, A DISTANCE OF 119.40 FEET TO THE SOUTHWEST CORNER OF LOT 1, COURTYARDS AT MAYPORT, AS RECORDED IN PLAT BOOK 49,PAGES 67 THROUGH 67C OF SAID CURRENT PUBLIC RECORDS; THENCE NORTH 88°55'40" EAST, ALONG THE SOUTH LINE OF SAID PLAT, A DISTANCE OF 598.78 FEET TO THE SOUTHEAST CORNER OF LOT 13 OF SAID PLAT; THENCE SOUTH 09'53'10"WEST,A DISTANCE OF 1158.12 FEET TO A POINT ON THE SOUTH LINE OF SAID SECTION 5, TOWNSHIP 2 SOUTH, RANGE 29 EAST; THENCE SOUTH 89°23'12"WEST ALONG THE SOUTH LINE OF SECTION 5, A DISTANCE OF 482.25 FEET; THENCE NORTH 09153'10" WEST, DEPARTING SAID ". SOUTHERLY SECTION LINE, A DISTANCE OF 361.90 FEET TO A POINT OF INTERSECTION WITH THE SOUTHERLY RIGHT-OF-WAY LINE OF MAYPORT CROSSING BOULEVARD (A VARIABLE WIDTH PUBLIC RIGHT-OF-WAY); THENCE ALONG AND AROUND A CURVE IN SAID RIGHT-OF-WAY LINE CONCAVE WESTERLY AND HAVING A RADIUS OF 50.00 FEET FOR AN ARC DISTANCE OF 157.08 FEET TO THE WESTERLY LINE OF LANDS DESCRIBED AND RECORDED IN OFFICIAL RECORDS VOLUME 6032, PAGE 199, OF SAID CURRENT PUBLIC RECORDS, THE ARC OF LAST SAID CURVE BEING SUBTENDED BY A CHORD BEARING AND DISTANCE OF NORTH 09053'10"EAST,A DISTANCE OF 100.00 FEET; RUN THENCE NORTH 09053'10"EAST ALONG THE EASTERLY BOUNDARY OF LAST SAID LANDS,A DISTANCE OF 569.61 FEET TO THE NORTHEAST CORNER OF SAID LANDS DESCRIBED IN AFORESAID OFFICIAL RECORDS VOLUME 6378, PAGE 657; THENCE SOUTH 88055'40" WEST, A DISTANCE OF 92.23 FEET TO THE POINT OF BEGINNING. JACK.580963.1 41. �ry f�j FORM 60OA-2004R EnergyGauge®4.5.2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: v11145806 Builder: Address: 5806 Orion Blvd. Permitting Office: City, State: Atlantic Beach,FL 32233- Permit Number Owner: Jurisdiction Number: Climate Zone: North 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:39.4 kBtu/hr _ 3. Number of units,if multi-family 1 - SEER:21.00 _ 4. Number of Bedrooms 2 _ b.N/A 5. Is this a worst case? No _ 6. Conditioned floor area(ft2) 1670 ft2 _ c. N/A _ 7. Glass type and area:(Label regd.by 13-104.45 if not default) _ a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble,U=0.4)212.7 112 _ a. Electric Heat Pump Cap:39.4 kBtu/hr _ b.SHGC: HSPF:8.00 _ (or Clear or Tint DEFAULT) 7b. (Clear)212.7 ft2 _ b.N/A _ 8. Floor types a. Slab-On-Grade Edge Insulation R=2.0,126.0(p)ft _ c. N/A _ b.N/A _ c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons a. Concrete,Int Insul,Exterior R=21.0, 1000.8 ft2 _ EF:0.94 _ b.Concrete,Int Insut,Adjacent R=21.0, 142.2 ft2 _ 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=22.0,1670.0 112 15. HVAC credits PT,CF, _ b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A _ HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Una Ret:Unc. AH:Garage Sup.R=6.0,80.0 ft MZ-C-Multizone cooling, b.N/A _ MZ-H-Multizone heating) Glass/Floor Area: 0.13 Total as-built points: 13658 PASS Total base points: 20822 I hereby certify that the plans and specifications covered by Review of the plans and this calculation are in compo ce with. Florida Energy specifications covered by this p4 3T,�j80 Code. calculation indicates compliance with the Florida Ener PREPARED BY: Energy Code. Before construction is completed DATE: this building will be inspected for a I hereby certify that this building,as designed,is in compliance compliance with Section 553.908 with the Florida Energy Code. Florida Statutes. cOD WE OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass output on pages 2&4. EnergyGauge®(Version:FLRCSB v4.5.2) FEB 2007 B Y: ----------------- FFORII 60OA-2004R EnergyGauge®4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5806 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF= Points .18 1670.0 18.59 5588.0 1 1.Double,U=0.45,Clear W 1.0 1.0 150.2 40.61 0.53 3235.0 2.Double,U=0.45,Clear N 1.0 1.0 52.5 21.45 0.71 800.0 3.Double,U=0.45,Clear S 1.0 1.0 10.0 37.91 0.52 197.0 As-Built Total: 212.7 42320 WALL TYPES Area X BSPM = Points Type R Value Area X SPM = Points Adjacent 142.2 0.70 99.5 1.Concrete,Int Insul,Exterior 21.0 1000.8 0.17 171.6 Exterior 1000.8 1.70 1701.4 2.Concrete,Int Insul,Adjacent 21.0 142.2 0.17 24.4 Base Total: 1143.0 1800.9 As-Built Total: 1143.0 195.9 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 21.0 2.40 50.4 1.Adjacent Wood 21.0 2.40 50.4 Exterior 42.0 6.10 256.2 2.Exterior Insulated 21.0 4.10 86.1 3.Exterior Insulated 21.0 4.10 86.1 Base Total: 63.0 306.6 As-Built Total: 63.0 222.6 CEILING TYPES Area X BSPM = Paints Type R-Value Area X SPM X SCM= Points Under Attic 1670.0 1.73 2889.1 1.Under Attic 22.0 1670.0 2.11 X 1.00 3523.7 Base Total: 1670.0 2889.1 As-Built Total: 1670.0 3523.7 FLOOR TYPES Area X BSPM' = Points Type R Value Area X SPM = Points Slab 126.0(p) -37.0 -4662.0 1.Slab-On-Grade Edge Insuiation 2.0 126.0(p -38.53 -4855.2 Raised 0.0 0.00 0.0 Base Total: -4662.0 As-Built Total: 126. -4855.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 1670.0 10.21 17050.7 1670.0 10.21 17050.7 EnergyGauge®DCA Form 60OA-2004R EnergyGauge®lFlaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 6806 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: BASE AS-BUILT Summer Base Points: 22973.3 Summer As-Built Points: 20369.7 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Central Unit 39400btuh.SEER/EFF(21.o)Ducts:Unc(S),Unc(R),Gar(AH),R6.0(INS) 20370 1.00 (1.09 x 1.147 x 1.00) 0.163 0.902 3735.4 22973.3 0.3250 7465.3 20369.7 1.00 1-250 0.163 0.902 3735.4 EnergyGaugeTM'DCA Form 60OA-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 6806 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Ngt Area X WPM X WOF= Point .18 1670.0 20.17 6063.0 1.13ouble,U=0.45,Clear W 1.0 1.0 150.2 8.54 1.17 1497.0 2.Double,U=0.45,CIear N 1.0 1.0 52.5 12.35 1.02 660.0 3.Double,U=0.45,CIear S 1.0 1.0 10.0 1.34 2.73 36.0 As-Built Total: 212.7 2193.0 WALL TYPES Area X BWPM = Points Type R Value Area X WPM = Points Adjacent 142.2 3.60 511.9 1.Concrete,Int Insul,Exterior 21.0 1000.8 1.73 1730.0 Exterior 1000.8 3.70 3703.0 2.Concrete,Int Insul,Adjacent 21.0 142.2 1.56 221.4 Base Total: 1143.0 4214.9 As-Built Total: 1143.0 1951A DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 21.0 11.50 241.5 1.Adjacent Wood 21.0 11.50 241.5 Exterior 42.0 12.30 516.6 2.Exterior Insulated 21.0 8.40 176.4 3.Exterior Insulated 21.0 8.40 176.4 Base Total: 63.0 768.1 As-Buift Total: 63.0 694.3 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM= Points Under Attic 1670.0 2.05 3423.5 1.Under Attic 22.0 1670.0 2.45 X 1.00 4091.5 Base Total: 1670.0 3423.5 As-Buift Total: 1670.0 4091.5 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 126.0(p) 8.9 1121.4 1.Slab-On-Grade Edge Insulation 2.0 126.0(p 12.47 1570.8 Raised 0.0 0.00 0.0 Base Tom: 1121A As-Buift Total: 126.0 1570.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 1670.0 -0.59 -985.3 1670.0 -0.59 -985.3 EnergyGauge D DCA Form 60OA-2004R EnergyGaugeO/FlaRES'2004R Fl_RCS13 v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5806 Orion Blvd.,Atlantic Beach,FL, 32233- PERMIT#: BASE AS-BUILT Winter Base Points: 14595.6 Winter As-Built Points: 9415.7 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Electric Heat Pump 39400 btuh,EFF(8.0)Ducts.Unc(S),Unc(R),Gar(AH),R6.0 9415.7 1.000 (1.069 x 1.168 x 1.00)0.426 0.950 4764.7 14595.6 4.5540 8086.0 9415.7 1.00 1..250 0.426 0.950 4764.7 EnergyGaugeTM'DCA Form 60OA-2004R EnergyGauge6/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 5806 Orion Blvd.,Atlantic Beach, FL,32233- PERMIT#: 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 2 2635.00 5270.0 40.0 0.94 2 1.00 2578.94 1.00 5157.9 As-Built Total: 5167.9 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 7466 8086 5270 20822 3735 4765 5158 13658 PASS___ Q�TIiE ST,�B a ` CDD we EnergyGaugeTM DCA Form 60OA-2004R EnergyGauge0/FIaRES'2004R FLRCSB v4.5.2 FORM 60OA-2004R EnergyGauge®4.5.2 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 5806 Orion Blvd.,Atlantic Beach,FL,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 dm/ .ft.window area;.5 cfm/sq.ft.door area. Exterior&Adjacent Wall 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 comers;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 to late. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"seated 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 wafts&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 Ings where a continuous infiltration barrier is installed that is sealed at the er,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 612.1.ABC.3.2.Switch or clearly marked cir breaker electric or cutoff as must be provided.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 oallons Der 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 waft-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2004R EnergyGauge®/FlaRES'2004R FLRCSB v4.5.2 P ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =90.8 The higher the score,the more efficient the home. 5806 Orion Blvd., Atlantic Beach, FL, 32233- 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:39.4 kBtu/hr 3. Number of units,if multi-family 1 - SEER:21.00 4. Number of Bedrooms 2 _ b.N/A _ 5. Is this a worst case? No _ 6. Conditioned floor area(ft2) 1670 R2 _ c. N/A _ 7. Glass type I and area:(Label reqd.by 13-104.4.5 if not default) a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble,U=0.4)212.7 ft2 _ a. Electric Heat Pump Cap:39.4 kBtu/hr _ b. SHGC: HSPF:8.00 _ (or Clear or Tint DEFAULT) 7b. (Clear)212.7 ft2 _ b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation R=2.0, 126.0(p)ft _ a N/A b.N/A _ c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons _ a. Concrete,Int Insul,Exterior R=21.0, 1000.8 ft2 _ EF:0.94 _ b.Concrete,Int Insul,Adjacent R=21.0, 142.2 ft2 _ b.N/A a 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=22.0, 1670.0 ft2 _ 15. HVAC credits PT,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:Garage Sup.R=6.0,80.0 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 4 T8g sT Construction through the above energy saving features which will be installed(or exceeded) O _ in this home before final inspection.Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. �e Builder Signature: Date: 4 Address of New Home: City/FL Zip: GaD w>V,�`� *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPADOE EnergyStar'designation), 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 www 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 8501487-1824. 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass outtp�ut on ages 2&4. EnergyGauge®(Version:FLRCSB v4.5.2) ` f `4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 v r� s31:�f` INSPECTION EMAIL REQUEST: Building-depLQcoab.us Application Number . . . . . 07-00000325 Date 8/01/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description 3 OR MORE FAMILY BUILDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ------------------------------------------- --------------------------------- Application desc VILLA HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ . R.P.C. GENERAL CONTRACTORS. 248 LEVY RD ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 69.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 1/28/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69. 00 69.00 .00 .00 Plan Check Total .00 . 00 . 00 .00 Grand Total 69.00 69.00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrFH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH r, r� MECHANICAL PERMIT APPLICATION Date: - - 4 7) Property Address: Owner: /Il6e i=fA;C PX9,+ Telephone#: Contractor: Telephone#: -22:7-E3 VIY2 Z Contractor Address: /S!0 7fJ P4a, a 7-_ 44 Fax#: ?2-2 Sia— 9 -t ix., Contractor Signature: 2� 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 ❑ it 17 ,7 000 33,5 ,13' Other—Specify G w 1�e l2m %, MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed )C Central _Floor O Residential Air Conditioning: —Room Central Duct System: Material 6ll104VIZ i 'hicknes4q&__ ❑ Commercial Maximum capacitycfm LI Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Ll Replacement of Existing System L] 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 Agency G✓/ �v�1 c�i2tld�l' h�W ejy,/n/�7 HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 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• httn://www.ei.atiantic-beach.fl.us Revised 1/04 'S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 —Vj 19 INSPECTION EMAIL REQUEST: Building-dept(cr gab.us Application Number . . . . . 07-00000395 Date 8/20/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------- ------------------------------------------------------------------- Application desc new service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AMERICAN ELECTRICAL CONTRACTOR Q/A:GRASS, ROBERT 5065 ST. AUGUSTINE RD. #3 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . 3/30/07 Valuation . . . . 0 Expiration Date . . 2/16/08 ------------------------------------------------------------- --------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. `}y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r' r) " -- ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 d 151 1>r INSPECTION EMAIL REQUEST: Buildin�deptccoab.us Application Number . . . . . 07-00001161 Date 8/16/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 --------------------------------------------------------------------------- Application desc EARLY POWER -----------------------------------AA-1"--------------------------------------- Owner ---------- � �1, Contractor -------------- ------------------------ R.P.C. GENERAL CONTRACTORS 248 LEVY RD / ATLANTIC BEACH FL 32233 (904) 241-4416 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 300. 00 Plan Check Fee . 00 . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 300 . 00 300 .00 . 00 . 00 Plan Check Total .00 . 00 . 00 . 00 Grand Total 300. 00 300 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES AUG-13-2007 08:46 AMERICAN ELECTRICAL CONT 7371099 P.03 i #XV; yEARLY POWE AGREEMENT & RELEASE CITY O ATLANTIC BEACH Blcctric power is requested now tinder the conditions and terms of this fully executed Agreement&Rcicase ' I Job ddreas: 77 N Y i j� Permit No. Q7'!!� J,+J,. Service Type(Circle One): Overhea ' Unde d We, the undersigned General Contractor sad Eicetrioian,understand and agree: 1. "Early Power" is ur ly for our con coon convenience, it is not required lry Codes and does not substttutc for Final peotions or the G (Cettift�:a to of Ocoupan6yT%at must be issued Senora occupancy, and as eucb is at the discretion of the Buil g Official 2. The City of Atlantic Seaah will make a pecial inspegbon pricer to the early power energizing. All rough inspections must have prior Approval,in Ming meter base connections. 3. Occupancy or use of the naw an before a formal C/O constihrtes fraudulent use of the early clectftc service. Such action is exp sly prohibited and penalized by The City of. Atlantic Beach Ordinsaces. A violation of this Agreem nt shall result in a request for prompt,removal of electric service after a tw®ty- our hour notice. 4. "Early Power"relmse authority is the El 'ciao and/or the Contractor and must not occur before: a, Equipmtxlt,devices and fvdvres io�stalled(or blanked oM safely. b. Panel is complete with breakers d cover,and(labeling required at final inspection). e, Setvile conn�ecti and proud is c plebe. d', Tho elactrtc system has safeRdisp ed t cdPu'glt electrical check. e. Meter can is ppe�rmanentl arith address. f. Temporary aiidresanumbers ayed(Permment numbers are required for 00). 5..' Pay$300,ad=iaWration fcc,any minsp oa ion fee®and any tshuming recquitemants must be satisfied prior to release. 6. This fully oo mplated fort is to be submitted to the Building Department by hand,mail or fax. 7. Future such Agre eats will not be accepted from those who violate any one of the Above items- DATE DATE �U er, PRINTNAMB S;i.BCTRIC[AN `7 l V 1 DAZE Iq f/ Purr NAIL• Lha L-. �•fZ,�►s�. 800 Seminola'Road,Atlantic Beach FL 32233 Phone:(904)247-5826. Fzc:(904)247-5845 htty• vZyw cpaU us revised 11,29.06 i TOTAL P.03 IL,i + iia j` CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: 4 4gao� Owner: O, I A_ee4 Lnni Telephone #: Contractor: O tT f-1-11 Cl t' E I W TK)(1P{L �� (,�' Telephone #: �J Contractor Address: Fax #: Contractor Signature: 2L� 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 pan hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: if other construction is 4 New 0 Residence ❑ Temp. 0 New being done on this building Or site,list the building ❑ Old ❑ Commercial ❑ Signs ❑ Increase Per iumsy, � ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W C VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter « Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN (,1, Receptacles CONCEALED OPEN c 3 Switches Incandescent I Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si n Miscellaneous o K- 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ei.atiantic-beach.fl.us Revised 1/04 Be ni Permit To: JEA Electric Order Fulfillment, (Fax.No.: 665-7372) Attention:. Carol Schweizer/Lorie Craven,21 Nest Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit# Date: Service Address: IST' L.�N'.b A16 BLV,b . Owner: Owner Phone: Electrician: ycrzi a48 vC1 . Electrician Phare: Type ofWork: New Service M-Home Subfeed � Increase Service Heat & AC Li Repair Service Other [� Rewire [ _] Other Description: Temp Pole Service Type: [_,Overhead (Repair/Replace) Underground(New Services) Building Use ]Residential LJChurch "Environmental LJM-Home LCoinmercial [Other Other Use Description: Service Size: New Servicer Amps: Volts: Phase: Existing Service.-Amps: -'Nolte: _Phase.- E-mail: hase:E-mail: crayli(a,,,ea.com or schwci�(aJ�ea.com or resom(�ea.com BP50OUO3 CITY OF ATLANTIC BEACH 8/27/07 Request For Inspection - Inspection Details 11:30:34 Application number 07 00000325 000 000 Application type . 3 OR MORE FAMILY BUILDING Teant number, name Permit type/seq . BLDG 00 BUILDING PERMIT Property address . 5806 FLEET LANDING BLVD Inspection area . . Type information, press Enter. Inspection type (F4) . . . . . 66 PZ FINAL LANDSCAPING Request date, time . . . . -$2707 _ 1=AM, 2=PM, Blank=No priority Inspector assigned (F4) . . . RC *ERROR* Request entered by . . . . . . SLG Additional points . . . . . . Inspection points . Display inspection results . . Y=Yes Edit comments . . . . . . . Y - Y=Yes F3=Exit F4=Prompt F6=Accept/add more F1O=Inspector induiry F12=Cancel Florida Building Code Online Page 1 of 3 e BCIS Home Log In Hot Topics Submit Surcharge i Stats&Facts Pu C Staff B Product Approval i USER: Public User 'hope Ito 14 Product Approval Menu > Product or Application Search > Application List> Application Detail FL # FL2199-R1 Application Type Revision Code Version 2004 �k Application Status Approved Comments Archived F11 Product Manufacturer PHIL-INSUL CORP - INTEGRASPEC Address/Phone/Email 735 Arlington Park Place Unit 11 Kingston, (613) 634-1319 michel@integraspec.com Authorized Signature Michel Philippe michel@integraspec.com Technical Representative Michel Philippe Address/Phone/Email 735 Arlington Park Place Unit 11 Kingston, (613) 634-1319 michel@integraspec.com Quality Assurance Representative Benoit Regimbald Address/Phone/Email 735 Arlington Park Place Kingston, (613) 634-1319 ben@integraspec.com Category Structural Components Subcategory Insulation Form Systems http://www.floridabuilding.org/pr/pr_app_dtl.aspx 4/12/2007 ,Florida Building Code Online Page 2 of 3 Compliance Method Evaluation Report from a Product Eval Evaluation Entity ICC Evaluation Service, Inc. Quality Assurance Entity Intertek Testing Services-ETL/Warnoc Validated By Intertek Testing Services - ETL/Warno Certificate of Independence Referenced Standard and Year (of Standard Standard) ASTM C 578 ASTM D 1761-88 ASTM D1929 ASTM E 119 ASTM E84 Equivalence of Product Standards Certified By Sections from the Code 1917.4.12 2314.4.4 2603.3 2603.4 2612.2 Product Approval Method Method 1 Option C Date Submitted 09/14/2005 Date Validated 11/01/2005 Date Pending FBC Approval 10/07/2005 Date Approved 11/08/2005 Summary of Products FL # i-1 Model, Number or Name JEDescription 2199.1 11integraspec ICF IMonolithic Insulating Con( Limits of Use (See Other) Installation Instruction Approved for use in HVHZ: PTID 2199 R1 I Installi Approved for use outside HVHZ: Verified By: Impact Resistant: Evaluation Reports Design Pressure: +/- PTID 2199 R1 T ASTM Other: For use in Residential, Commercial, PTID 2199 R1 T ICC EE Institutional and Agricultural multi-level and Ind�endence.pdf http://www.floridabuilding.org/pr/pr_app_dtl.aspx 4/12/2007 Florida Building Code Online Page 3 of 3 retrofit combustible and non-combustible PTID 2199 R1 T ICC E. construction, in exterior and interior structural PTID 2199 R1 T Intert( walls, foundations, retaining walls, load bearing Independence.pdf walls and sound proof walls. Not for use in PTID 2199 Rl T Intert( HVHZ. Report u%pdf PTID 2199 R1 T Intert( PTID 2199 R1 T UL Cei Independence.pdf Back I Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824, Suncom 277-1824, Fax(850)414-8436 © 2000-2005 The State of Florida. All rights reserved. Coovrioht and Discl Product Approval Accepts: 4.q � aCfaec. BOW Ver151�n 5sturad weR+�r► http://www.floridabuilding.org/pr/pr_app_dtl.aspx 4/12/2007 Varftnwk WwWw Undeirwriters Labofatodes Inc., July 6,2005 BASF Corp. Ms.Christine Morey Styrenic Foams Div. 100 Campus Drive Florham Park, NJ 07932 Our Reference: 85817 05NK07317 Subject- Repori On Ignition Properties Tests DearMs.Morey: This Report summarizes the data developed on samples provided and subjected to the flame test described in ASTM D1929-91. GENERAL: Preliminary investigations are initiated to obtain information with respect to a product or products prior to submittal to Underwriters Laboratories Inc.for Investigation.Classification and Follow-Up Service. This Report does not constitute evidence of such a submittal to Underwriters Laboratories Inc. MVI : The samples were tested in accordance with ASTM D1929-91"Standard"fest Method for Ignition Properticsol'Plastics." ASTM D1929 covers a laboratory determination of the flash ignition temperature and spontaneous ignition temperature:of plastics using a hot-air furnace. This standard.should be used to measure and describe the response of materials,products or assemblies to beat and flame under controlled conditions and should not be used to describe or appraise the fire hazard or fire risk of materials,products or assemblies under actual fire conditions. However,results of this test may be,used as elements of a fire hazard assessment or factors,which are pertinent to an assessment of the fire hazard or fire risk of a particular end use. SAMPMS: The samples utilized in this investigation were neither prepared nor selected by a Laboratories' representative such that no verification of composition can be provided. The samples consisted of foam material designated Korean made F material and Mexican made BFL mate". ;W1 July b,2005 Page 2 BASF ASTM 01929 WT RE51lJLTS: The resuitrs as tabulated below are considered applicable only to the specific samples tested. IGNMON PROPER7171PS Minimum Flash Ignition Minimum.Self Ignition Desi ion. __.�_._.___ rr► ..�,.._ t Korean F 410°C 490°0 Mexican BFL 4106C 49O*C SUMMARY: The Classification Marking of Underwriters Laboratories Inc.on the product is the only method provided by Underwriters Laboratories Inc.to identify products which have been produced tinder its Classification and Follow-Up Service. No use of a Classification Marking has been authorized as a result of this investigation. Since the anticipated work has been completed,we have instructed our Accounting M-purtment to terminate the investigation and invoice you for the charges incurred to date. Should you have any questions,pimse contact the undersigned. Very truly yours, Reviewed by, JULIE MARSHALL(Fxt.420128) JAMES F.SM1114 CAS Specialist I Lead Engineering Associate 3O19LFD 3O19EFP1) ICC EVALUATION SERVICE,INC. Evaluate■ Inform■ Protect °. Los Angeles Business/Regional Office■5360 Workman Mill Road■Whittier,CA 90601 (562)699-0543 phone■ (562)695-4694 fax Certification of Independence for Evaluation ICC Evaluation Service, Inc. (1) ICC Evaluation Service, Inc., does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products for which evaluations are issued. (2) ICC Evaluation Service, Inc., is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. (3) ICC Evaluation Service, Inc., does not have, nor will acquire, a financial interest in any company manufacturing or distributing products for which reports are being issued. (4) ICC Evaluation Service, Inc., does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. joz Ze" . n Nosse- President ICC Evaluation Service, Inc. Business/Regional Office•5360 Workman Mill Road,Whittier,California 90601■(562)699-0543 www.icc-es.org Regional Office■ 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599.9800 Regional Office■4051 West Flossmoor Road,Country Club Hills,Illinois 60478 0 (708)799-2305 1 -� ESR-1147 1 , S REPORT TM Issued May 1, 2004 This report is subject to re-examination in one year. ICC Evaluation Service, Inc. BusinesslRegional Office■5360 Workman Mill Road,Whittier,California 90601 ■(562)699-0543 Regional Office■900 Montclair Road,Suite A,Birmingham,Alabama 35213 ■(205)599-9800 www.icc-es.org Regional Office■4051 West Flossmoor Road,Country Club Hills,Illinois 60478■(708)799-2305 DIVISION:03—CONCRETE The forms are available in a standard length of 48 inches Section:03130—Permanent Forms (1219 mm), an interlocked height of 12'/4 inches (311mm) and five standard overall widths, of 9 inches (229 mm), 11 REPORT HOLDER: inches(279 mm), 13 inches (330 mm), 15 inches(381mm), and 17 inches(432 mm).The five widths have concrete core PHIL-INSUL CORPORATION widths of, respectively, 4 inches (102 mm), 6 inches (152 735 ARLINGTON PARK PLACE, 11U mm),8 inches(203 mm), 10 inches(254 mm),and 12 inches KINGSTON,ONTARIO K7M 8M8 (305 mm). The forms have interlocking edges at the top, CANADA bottom and sides. The forms are filled with concrete to (613)634-1319 provide a solid monolithic concrete wall,which complies with www.intepraspec.com the flat ICF wall system requirements specified in Section R611.3 of the IRC. plcfrD.phil-insul-corp.com 3.2 Materials: EVALUATION SUBJECT: 3.2.1 Polystyrene: The EPS foam plastic boards are INTEGRASPEC INSULATING CONCRETE FORMS(ICF) expanded from polystyrene beads, identified as BASF BFL 327 (evaluation report ER-3401), and comply with the 1.0 EVALUATION SCOPE requirements of ASTM C 578.The boards are nominally 2.5 inches (64 mm)thick, with a 1.50 pcf(20.1 kg/m3) density, Compliance with the following codes: and a flamespread index of less than 25 and a smoke- * 2000 Intemational Building Code'(IBC) development index of less than 450 when tested in accordance with ASTM E 84. ■ 2000 International Residential Code'(IRC) 3.2.2 Concrete: The concrete is normal-weight concrete, ■ 2002 Accumulative Supplement to the International complying with the applicable code,with a maximum'/2 inch CodesTM (12.7 mm) aggregate size for 4-inch- and 6-inch-thick (101 Properties evaluated: and152 mm)concrete walls and a maximum'/,-inch(19 mm) aggregate size for 8-inch-(203 mm), 10-inch-(254 mm)and ■ Formwork for structural concrete 12-inch-thick (203, 254 and 305 mm) concrete walls. Concrete shall have a minimum compressive strength of 2500 ■ Surface burning characteristics psi (17.24 MPa) at 28 days. If construction of the ICF wall ■ Crawl space fire evaluation system is based on the IRC, the concrete shall comply with Sections R404.4.5 and R611.6.1. 2.0 USES 3.2.3 Web Spacers: The web spacers, manufactured by Integraspec Insulating Concrete Forms are used as United Plastics,of Leominster,Massachusetts[6-and 10-inch permanent formworkfor reinforced concrete load-bearing and (152 and 254 mm)webs]and by PPD Thermoplastiques,of nonload-bearing exterior and interiorwalis;beams and lintels; Waterville,Quebec,Canada[4-,6-,8-,and 12-inch(102,152, and foundation and retaining walls.The forms are limited to 203, 305 mm)webs], are injection-molded from high-impact buildings of combustible construction.The forms are used in polystyrene resin. The spacers, which slide into the form construction of exterior and interior walls,and foundation and channels,are available in 4-inch(102 mm),6-inch(152 mm), retaining walls. The forms remain in place after setting of 8-inch (203 mm), 10-inch (250 mm)and 12-inch (305 mm) concrete and shall be protected by an approved interior and widths, and can be combined for increased concrete core exterior finish material as described in Sections 4.1.1 and thicknesses. 4.1.2 of this report. 3.0 DESCRIPTION 3.2.4 Channel Inserts:The channel inserts,manufactured by United Plastics,of Leominster, Massachusetts, and PPD 3.1 General: Thermoplastiques, of Waterville, Quebec, Canada, are injection-molded from high-impact polystyrene resin. The Integraspec Insulating Concrete Forms consist of two channel inserts into which the web spacers are inserted are dovetailed expanded polystyrene (EPS) face boards embedded and fusion-bonded inside the EPS panels during connected with plastic cross spacers perpendicular to the the EPS injection process. The vertical channels are on the EPS boards, forming a hollow-core ICF form. The spacers dovetailed side of the boards, 8 inches(203 mm)on center, slide into plastic support tracks molded into the interior face and additionally serve as 15/,-inch (41 mm) furring of the EPS boards.See Figure 1 of this report. strips/studs. REPORTS—are not to be construed as representing aesthetics or any other auributes not specifically addressed,nor are they to be construed as an endorsement ofthe subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,Inc.,express or implied,as to any finding or other matter in this report,or as to any product covered by the report. Copyright©2004 Page 1 of 4 Page 2 of 4 ESR-1147 3.2.5 Integra-Buck:Integra-Buck,which is used to form the 4.1.3 Crawl Space Installation: Integraspec Insulating rough opening sides for windows and doors, is an EPS Concrete Forms are permitted to be installed in a crawl space componentthat slides perpendicularly inside the EPS board's only under the following conditions: vertical dovetail grooves. ■ Entry to the crawl space is limited to service of utilities, 3.2.6 Reinforcement:Deformed steel reinforcing bars shall and heat-producing appliances are not permitted. be Grade 60 steel, depending on the structural design, and ■ There are no interconnected basement areas. shall comply with Section 1903 of the IBC. If construction of the ICF wall system is based on the IRC, reinforcing steel Air in the crawl space isnot circulated to other parts of the shall comply with Sections R404.4.6 and R611.6.2 of the IRC. building. 3.2.7 Other Components:When required by the building • Ventilation of the crawl space is provided in accordance official,wood members in contact with concrete for plates or with the applicable code. windows and door framing, shall be pressure-treated in 4.1.4 Foundation Walls:The wall system is permitted to be accordance with the applicable code, and shall be attached used asafoundationstemwallwhensupporting wood-framed with galvanized steel fasteners in accordance with Section construction and when the structure is supported on concrete 2304.9.5 of the IBC.Materials other than wood,such as vinyl, footings complying with the applicable code.For jurisdictions are permitted for window and door framing if approved by the adopting the IRC,compliance with Section R404 is required. building official. 4.1.5 Foam Plastic Protection: In jurisdictions that have 3.2.8 Standard and Accessory Forms: Standard and adopted the IRC, compliance with Section R324.4 shall be accessory forms include the Standard Form Unit;90°Corner required. Areas of very heavy termite infestation shall be Unit; 45° Corner Unit; Taper Top Panel; Integrabuck; and determined in accordance with Figure R301.2(6)of the IRC, IntegraT-wall. as applicable. 4.0 INSTALLATION 4.2 Design: 4.1 General: 4.2.1 General: Structural analysis and design of the concrete shall be prepared in accordance with Chapter 19 of The Integraspec ICF wall system shall be supported on the IBC, assuming a monolithic concrete wall of uniform concrete footings complying with Chapter 18 of the IBC or thickness.Design loads shall comply with Chapter 16 of the Chapter 4 of the IRC. Vertical rebars, embedded in the IBC. footing,shall extend a minimum of 24 inches(610 mm) into When the flat ICF forms are installed on buildings that do the wall system. Installation of Integraspec Insulating not conform to the applicability limits of Sections R404.4.1 Concrete Forms shall comply with this report,the applicable and R611.2 of the IRC,the structural analysis and design of code and the manufacturer's published installation the concrete shall be prepared in accordance with ACI 318, instructions. The manufacturer's published installation and Chapter 19 of the IBC or Section R612 of the IRC. instructions shall be available at the jobsite at all times during installation. Design calculations and details for specific applications shall be furnished to the code official to verify compliance with 4.1.1 Interior Finish: Integraspec Insulating Concrete this report and the applicable code.The individual preparing Forms exposed to the interior of the building shall be finished such documents shall possess the necessary credentials with an approved 15-minute thermal barrier, such as regarding competency and qualifications as required by the minimum'/Z inch-thick(12.7mm)regular gypsum wallboard. applicable code and the professional registration laws of the The gypsum wallboard shall be attached to the channels with state where the construction is undertaken. minimum ll/,-inch-long (41 mm), No. 6, Type W, coarse- thread gypsum wallboard screws spaced 12 inches(305mm) 4.2.2 Alternate Design: In lieu of calculations required by on center horizontally and 16 inches (406 mm) on center Section 4.2.1 of this report,the structural design of reinforced vertically. The screws have a minimum allowable pullout concrete formed by the Integraspec ICF wall system for capacity of 153 pounds (680 N)and a lateral capacity of 34 residential construction is permitted to comply with the pounds(150 N). Prescriptive Method for Insulating Concrete Forms in Residential Construction(publication No.EB118),dated May 4.1.2 Exterior Finish: 1998,published by the Portland Cement Association(PCA), 4.1.2.1 Above Grade: Integraspec Insulating Concrete subject to all applicability and use limits for a flat ICF wall Forms above grade shall be covered on the exterior face with system specified in Table 1.1 of that document. The PCA a weather-resistive barrier and an approved wall covering document shall be made available to the building official upon complying with the applicable code or listed in an ICC-ES request. Buildings constructed with the Integraspec ICF wall evaluation report.The wall covering shall be attached to the system and designed in accordance with this section(Section channels with coarse-thread screws. The screws shall be 2.3.2) shall not exceed a height of two stories plus a corrosion-resistant and have sufficient length to penetrate basement,where the maximum unsupported wall height is 10 beyond the back side of the embedded channels a minimum feet(3048 mm). of 3/5 inch (9.5 mm). The screws have a minimum allowable 4.2.3 Design in Accordance with the IRC: Insulating pullout capacity of 153 pounds(680 N)and a lateral capacity concrete walls constructed with the Integraspec ICF wall of 34 pounds(150 N). system shall be designed and constructed in accordance with 4.1.2.2 Below Grade:The exterior below-grade surface of Sections R404.4 and R611 of the IRC. the Integraspec Insulating Concrete Forms shall be damp- 4.2.4 Special Inspections: Special inspection shall be proofed or waterproofed in accordance with Section 1806 of provided as noted in Section 1704 of the IBC,for placement the IBC or Section R406 of the IRC,as applicable.The damp- of reinforcing steel and concrete and for concrete cylinder proofing and waterproofing materials shall be approved by testing. Special inspectors shall comply with the applicable authorized Phil-Insul Corporation representatives and the code.Special inspection under the IRC is not required when code official, and shall be free of solvents, hydrocarbons, the walls comply with the prescriptive requirements of ketones and esters that will adversely affect the EPS foam Chapter 4 or Chapter 6 of the IRC.Otherwise, requirements plastic. of the IBC apply. i Page 3 of 4 ESR-1147 5.0 CONDITIONS OF USE 6.3 Data in accordance with the applicable sections of the Integraspec Insulating Concrete Forms described in this ICC-ES Acceptance Criteria for Concrete Floor, Roof report comply with those codes specifically listed in Section and Wall Systems and Concrete Masonry Wall Systems 1.0 of this report,subject to the following conditions: (AC 15),dated June 2003(effective July 1,2003),and in accordance with the applicable sections of the ICC-ES 5.1 Installation complies with this report,the manufacturer's Acceptance Criteria for Foam Plastic Insulation(ACI 2), published instructions and the applicable code. dated July 2002(effective January 1, 2003); including 5.2 Integraspec Insulating Concrete Forms shall be reports of testing performed in accordance with ASTM separated from the interior of the building with an C 578 showing compliance with the requirements for approved 15-minute thermal barrier, except for crawl flexural strength, compressive strength, and density space construction as described in Section 4.1.3 of this testing. report. 6.4 A quality control manual. 5.3 Integraspec Insulating Concrete Forms shall be limited 7.0 IDENTIFICATION to buildings of combustible construction. Each pallet of Integraspec Insulating Concrete Forms covered 5.4 Integraspec Insulating Concrete Forms are produced by by this report shall be identified by a label bearing the Contour Products, Inc., in Kansas City, Kansas, under manufacturer's name(Phil-Insul Corporation)and trademark a quality control program with inspections by Intertek (IntegraSpec),the bead supplier(BASF)lot and bag number, Testing Services NA Ltd. (AA-688). the name of the inspection agency(Intertek Testing Services 6.0 EVIDENCE SUBMITTED NA Ltd.)and the evaluation report number(ESR-1147). 6.1 Manufacturer's descriptive literature. Additionally,the spacer packaging shall identifythe product manufacturer(United Plastics or PPD Thermoplastiques). 6.2 Manufacturer's published installation instructions. Page 4 of 4 ESR-1147 t' 1225¢n ji cnl h IIrr Jd;ea r 32,39 am .Su(:.icd l.cJ i k _ ,tutaElt.i�lttr F i r I ; vw ,w, f +.+tet attl Width Axz,&:A. t,-!cru _`- ISO VIEW END VlEW Typical IntegraSpec EPS Panel Integra Spacer Available inK-. j& 1'arious Sues Q 1_tx!king ClipInterlocking Knobs Recesses on Top and Bollom Edges II, ( { tt ✓ f VcnicaliPlastic Insert tFastening Stfyp 1 Stud, Inside'EfFal 8 in O.C. (3f4"rcccssgd behind t' r( ell indicAO�. tegraSpcc 1Name Plates an Panel) Doc Tail FIGURE 1 CERTIFICATE OF INDEPENDENCE According to Chapter 9B-72.110 Department of Community Affairs Florida Building Commission Intertek Testing Services NA,Inc. This is to certify that this agency is an independent third party organization with no organizational,managerial or financial affiliation with manufacturers, suppliers or vendors of products under its testing, inspection or certification program. By my signature,I further certify to the following: a. Intertek does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products tested or labeled by the agency. b. Intertek is not owned, operated or controlled by any company manufacturing or distributing products it tests or labels. c.The Florida registered architect or professional engineer performing an evaluation does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the reports are being issued. d.The Florida registered architect or professional engineer performing an evaluation does not have,nor will acquire, a financial interest in any other entity involved in the approval process of the product. Date Signature Subscribed and sworn (affirmed) before me This 19- day of M my 2004 Signature of Notary NOTARY SEAL GLORIA A.KLEIN Notary Public,State of New York Registration No.01 KL6018411 Qualified In Cortland County My Commission Expires January 11,200_7 t , CITY OF ATLANTIC BEACH LL 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 \ INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: BuildinQ-deDtaa,coa-.US Application Number . . . . . 07-00000464 Date 4/06/07 Property Address . . . . . . 5806 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW PIPE/FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KING PLUMBING CONTRACTORS INC PAUL T. KING 6900 PHILLIPS HWY, SUITE 50 JACKSONVILLE FL 32216 (904) 296-2568 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 147 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/03/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 147 . 00 147 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 147 . 00 147 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH Y t PLUMBING PERMIT APPLICATION Date: Property Address: �� rte— ( -e t'_ , , j `.. Owner: 't` C.-Q -; i'w�^ Telephone#• Contractor: %p /r. 1 !�i'�� Telephone#: `� ±2 Contractor Address: �` s i I�' �Fax#: ,297 6 � Contractor Signature: In consideration of permit given for doing the work as described in the above Ntptethent,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof an ccordance 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, AX New list the building permit number: Li Re-Pipe ;_ice 5"Y Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine _ Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904)247-5845. http://www.el.atlantic-beach.fl.us Revised 9/06 i CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must 'be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies'are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 ETL S EM KO REPORT OF A FIRE ENDURANCE TEST PROGRAM CONDUCTED ON INSULATING CONCRETE FORMS CLIENT: PHIL-INSUL CORPORATION 735 ARLINGTON PARK PLACE,IIV KINGSTON,ONTARIO K7M 8MB REPORT BY: INTERTEK TESTING SERVICES NA LTD. 211 SCHOOLHOUSE STREET COQUITLAM,B.C. WK 4X9 REPORT NUMBER: 3060838 DATE: JULY 5,2004 All services undertaken are subject to the following general policy: 1. This report is for the exclusive use of Intertek Testing Services NA Ltd.'s (Intertek's)client and is provided pursuant to the agreement between Intertek and its client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party,other than to the client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report. 2. Only the client is authorized to copy or distribute this report and then only in its entirety. Any use of the • *+ Intertek name or one of its marks for the sale or advertisement of the tested material,product or service must C�r1 first be approved in writing by Intertek. '+ 3. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product or service is or has ever been under an Intertek certification 4=1 program. Intertek Testing Services NA Ltd. 211 Schoolhouse St.,Coquitlam,BC V3K 4X9 Telephone:604-520-3321 Fax:6045249186 web:www.intertek-etfsemko.com PREFACE This report describes the tests, standards, and details of the test specimens as installed for this program. This product has met the performance requirements to be eligible for an Intertek Testing Services NA Ltd. Certification Program. The report does not imply product certification. Products must bear labels in order to demonstrate Intertek/Wamock Hersey Certification. Intertek/Warnock Hersey authorizes the client to reproduce this report. It must be copied in its entirety. TABLE OF CONTENTS PAGE TABLE OF CONTENTS 1 INTRODUCTION 2 MATERIAL SPECIFICATIONS 3 TEST SAMPLE INSTALLATION 5 THERMOCOUPLE LOCATIONS 6 THE FIRE TEST 7 FIRE TEST OBSERVATIONS g FURNACE TEMPERATURE/TIME CURVE 9 UNEXPOSED SURFACE TEMPERATURES 10 PHOTOGRAPH 11 THE HOSE STREAM TEST 12 CONCLUSIONS 13 Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 2 of 13 INTRODUCTION On June 24, 2004, Intertek Testing Services NA Ltd./Warnock Hersey conducted a three hour fire endurance test on IntegraSpec" insulating concrete forms (ICF)/building system submitted by Phil-Insul Corporation. Testing was conducted in accordance with CAN/ULC 5101-M89, NFPA 251, and ASTM E119-98 (UBC 8-1), Standard Test Methods for Fire Tests of Building Construction and Materials,with exception to the size of sample being tested. The fire resistance of the wall assembly is provided by virtue of the 6 in. concrete wall thickness. The objective of the test was to determine whether the polystyrene web, a component of the form system, would melt out and cause a loss of support for the non-fire side standard 1/2 in. gypsum thermal barrier and consequently create a through opening in the concrete wall,and/or flaming of the polystyrene web and expanded polystyrene foam on the unexposed side, or create openings in the concrete wall that would result in the ignition of cotton waste. A reduced scale sample was selected for the fire endurance test, as these results would be shown with equal certainty whether the sample was tested on a reduced scale or on a full scale basis due to the small size of the plastic webs. The fire test sample was constructed to be representative of the code requirements for a foam insulated concrete wall system. A wall incorporating the use of foam plastic as a component of its construction requires the use of a thermal barrier. The 1994 Uniform Building Code states in Chapter 26, Section 2602.4, "The interior of the building shall be separated from the foam plastic insulation by an approved thermal barrier having an index of 15 when tested in accordance with UBC standard 26-3. The thermal barrier shall be installed in such a manner that it will remain in place for the time of its index classification based on approved diversified tests. The Phil-Insul Corporation. insulating concrete form system was tested in accordance with UBC 26-3, Room Fire Test Standard For Interior of Foam Plastic Systems, (refer to Intertek/Wamock Hersey report number 3050556), and met the conditions of acceptance for a 15 minute index. The standard 1/2 in. gypsum wallboard thermal barrier and mounting method used on the test sample evaluated in this report were identical to that used for the construction of the test sample for the room fire test. Phil-Insul Corporation July 5,2004 Report No.3060838 Page 3 of 13 MATERIAL SPECIFICATIONS Description: Interlocking, stackable, expanded polystyrene (EPS) foam concrete form units Height: 12-3/4 in. Length: 48 in. Width: 2-1/2 in. Overall Thickness: 11 in. Material: Type II expanded polystyrene foam(EPS), nominal 1.60 pcf density Bead Type: BASF BFL-327 Colour: White Web Description: High impact polystyrene (HIPS) reinforcing webs cast into the EPS-ICF panels Web Dimensions: 12-1/2 in. high by 9-5/8 in.wide by 1-5/8 in.thick Web Spacing: 8 in. Web Colour: Black Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 4 of 13 FIGURE I INSULATING CONCRETE FORMS 12.75 in 31.1 cm a ' $48.0 in a 121.9 cm Expanded Polystyrene(EPS)Foam Concrete Form Unit j t 6 4 2 .ldQ 444 M $A co VAdh HGA CM High Impact Polystyrene (HIPS) Reinforcing Web Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 5 of 13 TEST SAMPLE INSTALLATION The IntegraSpeco Insulating Concrete Forms (ICF)/Building System insulating concrete form units were assembled to construct a concrete wall form. The finished form dimensions were 6 ft. in length by 6 ft. in height. Concrete was pumped into the form,packed, and heat cured for two weeks prior to running the fire test. The heat curing process was able to dry the concrete to prevent spalling during fire exposure and achieve a normal concrete moisture content. Standard 1/2 in. gypsum wallboard oriented vertically was installed over the foam panels on the non-fire side only and was fastened to the polystyrene web using 1-1/2 in. standard drywall screws spaced 12 in. apart vertically and 16 in.apart horizontally. Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 6 of 13 THERMOCOUPLE LOCATIONS A total of three 24 gauge Type K welded thermocouples were installed on the face of the sample wall underneath ceramic insulating pads as required by the standards to determine unexposed surface temperature rise performance. Thermocouple No. Location 1 Centre of top left quadrant, 10 in.below upper exposed surface 2 Centre of test wall sample 3 Centre of bottom right quadrant, 10 in.below upper exposed surface Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 7 of 13 THE FIRE TEST The test assembly was mounted on our pilot scale vertical fire test furnace. The furnace opening has dimensions of 58 in. in width by 62 in. in height. Furnace temperatures are measured by six uniformly distributed thermocouples, horizontally extending to 12 in. from the test wall. The exhaust opening is located along the back of the furnace. Six natural gas burners are located in the furnace,as are ten 2 in.secondary air inlets. The burners were ignited and controlled to maintain furnace temperature rise to confonn as closely as possible to the standard time/temperature curve. After three hours of fire exposure, the test was discontinued. Observations, furnace temperatures, and unexposed temperatures were recorded throughout the test duration. Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 8 of 13 FIRE TEST OBSERVATIONS TIME EXPOSED SIDE UNEXPOSED SIDE 5:00 No change 10:00 1 No change 19:00 Minor spalling on surface 30:00 No change No change 40:00 1 Slab is warping 60:00 No change No change 120:00 No change No change 180:00 1 No change,test discontinued No change Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 9 of 13 FURNACE TEMPERATURE/TIME CURVE AVERAGE TEMPERATURE OF FURNACE DURING THE FIRE TEST 2500 s x� 2000 4 x LL 1500 ¢ , � •; � �''�� ., ' _ '' � $� ''`jta aur o�� yyy�p 3 CD 1000 t'" > xS s c +& � �.� N �F f� r as °� t`➢��#a rs �.� +4 aI@}�8�5 �`'e s 500 t d s 0 0 30 60 90 120 150 180 Time (min.) --Average Furnace Temperature —Required Furnace Temperature Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 10 of 13 UNEXPOSED SURFACE TEMPERATURES 200 180 160 3 Y z � � g: 140 .x .... ,. .` + i f � 120 c 100 r 80 r 60 r � 40x2,� y rr x tr Jif E � 5 20 0 0 30 60 90 120 150 180 Time (min.) —TC#7 —TC#8 TC#9 Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 11 of 13 PHOTOGRAPH + , f r d � � 7 �a Unexposed Side After Fire Test,with Portions of Gypsum Wallboard Removed Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 12 of 13 THE HOSE STREAM TEST The reinforced concrete was too fragile to move for the hose stream test, however, it was not possible to physically remove the plastic web connectors from the concrete. From this we know that the hose stream test would not be able to create a through-opening by dislodging the plastic webs. Phil-Insul Corporation July 5,2004 Report No. 3060838 Page 13 of 13 CONCLUSIONS The Integra5peco Insulating Concrete Forms (ICF)Building System protected by a 1/2 in. standard gypsum wallboard thermal barrier, installed as described in this report, met the criteria of acceptance of CAN/ULC S101-M89, NFPA 251, and ASTM E119-98 (UBC 8-1), Standard Test Methods for Fire Tests of Building Construction and Materials, for a three hour fire resistance rating. The high impact polystyrene web did not melt out and did not cause a loss of support for the non-fire side standard 1/2 in. gypsum thermal barrier. As no through-openings developed in the concrete wall section, no possibility of ignition of cotton waste occurred. There was no occurrence of burn-through or through-openings in the concrete wall,nor was there flaming of the high impact polystyrene and expanded polystyrene foam on the unexposed side. There was enough strength in the webs to pass a hose stream test. The IntegraSpec®Insulating Concrete Forms (ICF)Building System is consequently eligible for a three hour fire resistance rating,based on concrete thickness and that the test showed that web burn- through will not occur. INTERTEK TESTING SERVICES NA LTD. Tested and r. Reported by: Greg Philp Technician—Construction Products Testing i i Reviewed by: X15/1 / ' Mi sel Van Geyn,A.Si Manager—Fire TestingTechnical Programs GP/bjm C,\Documents and SemingsTrendavly DocumentsM-DATA\490-V;MRM004-491 Rp4s\pW-insu13060838,ju1-04.doc REPORT OF PRODUCT EVALUATION CONDUCTED ON IntegraSpec Insulating Concrete System FOR PHIL-INSUL CORPORATION Unit 11U-735 Arlington Park Place Kingston, Ontario Canada K7M 8M8 Attn: Michel Philippe MANUFACTURED BY CONTOUR PRODUCTS FACILITY KANSAS CITY,KANSAS REPORT PREPARED BY: INTERTEK TESTING SERVICES NA LTD. 3210 AMERICAN DRIVE, MISSISSAUGA,ON. CANADA L4V 1133 PROJECT NUMBER: 3050148 REPORT NUMBER: 1 DATE: December 16,2003 Phil-Insul Corporation Contour Products-Kansas City, Kansas Facility Project No. 3051048 December 16, 2003 Report No. 1 TABLE OF CONTENTS PAGE INTRODUCTION ......................................................................................................................... 1 PRODUCTDESCRIPTION ......................................................................................................................... 1 TESTPROGRAM ......................................................................................................................... 2 SUMMARY OF TEST RESULTS................................................................................................................. 2 CONCLUSION ......................................................................................................................... 3 APPENDIX1—TEST DATA .............................................................................................................. 3 pages APPENDIX 2—PHOTOGRAPHS....................................................................................................... 6 pages APPENDIX 3—TEST EQUIPMENT.....................................................................................................1 page Phil-Insul Corporation Contour Products-Kansas City, Kansas Facility Project No. 3050148 December 16, 2003 Report No. 1 PREFACE All services undertaken are subject to the following general policy: 1. This report is for the exclusive use of Intertek Testing Services NA Ltd.'s (Intertek's) client and is provided pursuant to the agreement between Intertek and its client.Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assume no liability to any party, other than to the client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report. 2. Only the client is authorized to copy or distribute this report and then only in its entirety.Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. 3. The observations and test results in this report are relevant only to the sample tested.This report by itself does not imply that the material,product or service is or has ever been under an Intertek certification program. Phil-Insul Corporation Contour Products-Kansas City, Kansas Facility Project No. 3050148 December 16, 2003 Report No. 1 Page 1 of 3 INTRODUCTION Intertek Testing Services NA Ltd has conducted a testing program for Phil-Insul Corporation on the IntegraSpec Insulating Concrete System comprised of expanded polystyrene thermal foam insulation connected with polystyrene reinforcing web material as follows: This report covers the screw withdrawal and lateral resistance tests on the high impact polystyrene channels cast into EPS foam to create a positive connection between interior and exterior EPS walls and to serve as an anchor point for surface finishing materials. The EPS foam panels complete with high impact polystyrene channels were sampled by Gene Wheat, of Intertek Testing Services NA Ltd. on November 25, 2003 from Contour Products—Kansas City, Kansas facility. Samples were received for testing December 4,2003. Testing was performed between the dates of December 9,2003 and December 12,2003. PRODUCT DESCRIPTION Foam Description: Phil-Insul Corporation IntegraSpec Insulating Concrete System manufactured at Contour Products Kansa City,Kansas facility. Material: Expanded polystyrene foam manufactured from one (1) bead type identified as BASF BFL 327. Foam Panel Dimensions: Standard Panel: 12-1/4" (311 mm) high X 48" (1219 mm) long X 2- 1/2"(64 mm)thick including ribs each side. Inside Corner Panel: 12-1/4" (311 mm)high X 21-1/2" (546 mm) long X 5-1/2" (140mm)wide X 2-1/2"(64 mm)thick including ribs. Outside Corner Panel: 12-1/4" (311 mm) high X 32-1/2" (825 mm) long X 16-1/2"(419 mm)wide 2-1/2"(64 mm)thick including ribs. Color: White Web Description: High Impact Polystyrene reinforcing webs are cast into EPS foam to create a positive connection between interior and exterior EPS walls and to serve as an anchor point for surface finishing materials. Web Material: High Impact Polystyrene Web Spacing: Every 8"(203 mm)on centre oriented vertically Web Color: Black Phil-Insul Corporation Contour Products-Kansas City, Kansas Facility Project No. 3050148 December 16, 2003 Report No. 1 Page 2 of 3 TEST PROGRAM Testing of Fasteners Testing of foam insulating panels with high impact polystyrene channels cast into EPS foam to create a positive connection between interior and exterior EPS walls and to serve as an anchor point for surface finishing materials for screw withdrawal and lateral resistance test Testing was conducted in general accordance with sections 3.9 and 3.10 of ICBG ES AC 116 (July 2001) "Acceptance Criteria for Nails And Spikes" and in conjunction with ASTM D 1761-88 (Reapproved 2000) "Standard Test Methods for Mechanical Fasteners in Wood" using the following test methods: A. Screw Withdrawal: ASTM D1761-88(Reapproved 2000)Modified B. Lateral Screw Resistance Test: ASTM D1761-88(Reapproved 2000)Modified SUMMARY OF TEST RESULTS Testing of Fasteners TEST TYPE TEST METHOD RESULT A Screw Withdrawal ASTM D 1761-88 Average Ultimate Load: (Reapproved 2000) 680 N(153 lb.) Modified B Lateral Screw ASTM D 1761-88 Average Ultimate Load: Resistance Test (Reapproved 2000) 630 N(141 lb.) Modified Average Load At 75%of Proportional Limit: 150 N (34 lb.) Phil-hisui Corporation Contour Products-Kansas City, -Kansas Facility Project No.3050148 December 16,2003 Report No. 1 Page 3 of 3 Measurement Uucsrhunty-Since this test was conducted in compliance.with a standard that sets limits on the sources of umcertamty and specified the form of reported results, no measurement uncertainty evaluation has been included in this report Tested and reported by Paul Roberts Respectfully submitted, INTERTEK TESTING SERVICES NA LTD. REVIEWED BY Paul Roberts Vern W.Jones,C.E.T. Physical Testing Services Manager Physical Testing Services PR:VWJ:pr 2 cc: Client cc:ITS,Coquitlam Office,B.C. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 1 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No. 3050148 December 16,2003 Report No. 1 APPENDIX 1 Page 1 of 3 TEST DATA Testing of Fasteners A. Screw Withdrawal ASTM D 1761-88(Reapproved 2000)Modified Procedure: Number 6 size drywall screws were driven into the centre of the flat 40 min (1-9/16") wide face of the polystyrene channels for a distance of 10 min(3/8")without pre-drilling holes.The screw insertion depth was based on the use of 41 mm (1-5/8") long screws being driven through 13 mm (1/2")thick drywall wallboard and approximately 19 mm (3/4") thick plastic foam thermal insulation before contacting the faces of the polystyrene channels during normal installation procedures. The screws were driven into areas centered between the reinforcement walls that join two sections of the polystyrene channels together. Some of the screws were inserted approximately 108 mm(4-1/4") and others 70 min(2- 3/4")from the end of the face of the polystyrene channels(see photographs No. 1,2 and 3). The outer layer of plastic foam insulation was removed and the polystyrene channel specimens were placed in a holding fixture affixed to the bed of the testing machine having a 13 mm wide slot to support the edges of the face of the polystyrene channel for a length of approximately 216 mm (8-1/2"). The heads of the screws were gripped using a suitable fixture and the screws were extracted at a cross head speed of 2.5 mm/min(0.10 in/min)(see photograph No.4). Results : Test Number Location Load N lb 1 108 min(4-1/4")from end of face 641 (144) 2 70 mm 2-3/4")from end of face 658(148 3 108 mm(4-1/4")from end of face 672 151 4 70 mm(2-3/4")from end of face 703 158 5 108 mm(4-1/4")from end of face 703(158 6 70 mm 2-3/4")from end of face 703 (158 7 108 mm(4-1/4")from end of face 698 157 8 70 mm 2-3/4")from end of face 685(154 9 108 mm 4-1/4" from end of face 667 150 10 70 mm(2-3/4")from end of face 667(150 Average 680(153 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 1 continued Page 2 of 3 TEST DATA continued Testinz of Fasteners continued B. Lateral Screw Resistance ASTM D 1761-88(Reapproved 2000)Modified Procedure: Oriented strand board 305 mm(12")long by 51 mm(2")wide by 13mm(1/2")thick was attached to specimens of foam panels 40 mm (1-9/16")wide containing the polystyrene channels using number 6 size drywall screws 41 mm(1-5/8") long. Screws were driven through predrilled and counter sunk holes in the oriented strand board into the centre of the flat 40 mm (1-9/16") wide face of the polystyrene channels without pre-drilling holes in the channels. One screw for each board was driven through the centre of each board 51 mm(2")from the end of the board into the centre of a foam panel specimen 40 mm (1-9/16") wide by 333 mm (12-3/4") long (including all protrusions) by 64 min (2-1/2") thick at a distance of 100 mm (4") from the end of the specimen. This placed the position of the screws centered between the reinforcement walls that join two sections of the polystyrene channels together and 70 mm (2-3/4") from the end of the face of the polystyrene channels(see photographs No. 1,2 and 3).A board was attached to each end of each foam panel tested using one screw per board fonning a specimen approximately 508 mm(20")long with an over lap section 150 mm (6")long on each end of each foam panel specimen tested. The free ends of the attached boards were placed in the jaws of the tester. A tension load was applied to each specimen using a cross head speed of 2.5 mm (0.10 in/min) (see photographs No. 5 and 6). The load, verses the amount of movement,the maximum load at failure at the weakest attachment point and the mode of failure was noted.The amount of movement at each attachment point was taken as the total amount of movement divided by two. Test Load Vs Movement N(1b.) Number @ 0.25 mm @ 0.38 nun @ 1.27 mm @ 2.54 mm @ 5.08 mm @ 7.62 mm 0.01 in. (0.015 in.) (0.05 in. 0.10 in. (0.20 in.) (0.30 in.) 1 30(6) 40(10) 100(23) 140(32) 220(50) 300(68 2 120(28) 140(32) 190(42) 230(52) 300(67) 380(86 3 110(25) 150(34) 230(52) 260(58) 320(72) 400(90) 4 90(20) 200(44) 360(80) 410(92) 510(114) 600(135) 5 110(24) 150(34) 230(51) 280(62) 360(82) 450(102 6 120(28) 170(38) 300(67) 360(72) 360(82) 440(99 7 90(20) 150(34) 240(54) 330(74) 390(88) 480(107 8 100(22) 160(36) 280(62) 330(74) 400(89) 470(106 9 80(17) 90(21) 200(44) 210(48) 320(73) 470 105 10 1 110(24) 170(39) 280(62) 320(71) 400(90) 500(113 Average 1 100(21) 140(32) 240(54) 280(64) 360(81) 450(102 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 1 continued Page 3 of 3 TEST DATA continued Testing of Fasteners continued B. Lateral Screw Resistance ASTM D 1761-88(Reapproved 2000)Modified continued Test Number Load @ Yield N Load 75%of Yield Ultimate Load N Failure Mode (lb.) Load N(lb.) (lb. 1 90(21) 70(16) 520(116) Screw Failed 2 110(25) 80(19) 560(126) Screw Pulled Out 3 210(48) 160(36) 560(126) Screw Pulled Out 4 330(75) 250(56) 890(200) Board Failed @ Screw Head 5 170(38) 130(29) 620(140) Screw Pulled Out 6 290(66) 220(50) 600(1-36) Screw Pulled Out 7 220(50) 170(38) 430(96) Screw Failed 8 250(57) 190(43) 590(133) Screw Failed 9 80(17) 60(13) 640(143) Screw Failed 10 250 57 190(43) 870(195) Screw Pulled Out Average 150(34) 630(141 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX Page 1 of 6 PHOTOGRAPHS Photograph no. 1 : Typical test specimen of polystyrene channel. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 continued Page 2 of 6 PHOTOGRAPHS continued 1 Photograph no. 2 : Typical tested specimen of polystyrene channel showing positions of the screws. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 continued Page 3 of 6 PHOTOGRAPHS continued 'fix Photograph no. 3: Cut edge of plastic foam insulation showing position of the polystyrene channel face. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 continued Page 4 of 6 PHOTOGRAPHS continued a, Photograph no. 4: Test set-up for screw withdrawal tests, showing fixtures used to support the specimens and grip the screws. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 continued Page 5 of 6 PHOTOGRAPHS continued 4�iy Ii i Photograph no. 5: Test set-up for lateral screw resistance tests. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 2 continued Page 6 of 6 PHOTOGRAPHS continued Photograph no. 6: Test set-up for lateral screw resistance tests. Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 APPENDIX 3 Phil Insul Corporation Contour Products-Kansas City, Kansas Facility Project No.3050148 December 16,2003 Report No. 1 Page 1 of 1 APPENDIX 3 TEST EQUIPMENT 1. Screw withdrawal and lateral screw resistance tests were measured using an Instron Model 1000 tester (inventory number 280-01-0082). 2. 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