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Permits 5835 Fleet Landing Blvd City of Atlantic Beach 77 t Building Department Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Florida Building Code certifying that at the time of issuance this structure is in compliance with the ordinances of the City regulating building construction for the occupancy and use for which the occupancy is classified: Date: July 16, 2009 Permit Number: 08-1056 Contractor: R.P.C. General Contractors Address: 5835 Fleet Landing Blvd. Atlantic Beach, Fl 32233 Description of Structure: Residential Permit issued in accordance with: 2004 Florida Building Code Construction Type: V Occupancy Class: Residential R-2 Design Occupant Load: N/A Sprinkler System Required: None Special Stipulations/Conditions: None ' —4kit-t-4 � MICHAEL GRIFFIN BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 7/ 15101 Contractor Name: C?Qn S Permit #: �g " ISS tp Property Address: 5 g 3 s F l t c-+ 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: ❑ Single-Family Residence ❑ Commercial Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certiftcate of Occupancy.- Department ccupancy.Department Date Notified Date Approved Approved By Fire Dept. ---- Public Works Public Utilities r Building Planning Tree Mitigation Satisfied 4. 1 acv• ��-.�'�','�-�g-�c. Final Survey with FFE es No All Re-Inspect Fees Paid Yes No Termite Treatment K�Yes No PREPARED 7/15/09, 16:51:56 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 7/16/09 ------------------------------------------------------------------------------------------------ ADDRESS . : 5835 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P.C. GENERAL CONTRACTORS PHONE (904) 241-4416 OWNER PHONE PARCEL - - APPL NUMBER: 08-00001056 TWO FAMILY RESIDENCE -----------------------------------—---------------------------------------------------- PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/'SQ COMPLETED RESULT RESULTS/COMMENTS —--------------------------------------—-------------—----------------—--------------------- 10 01 3/03/09 MJ BD FOOTING TIME: 17:00 3/03/09 AP fting / slab inspection Mike RPC 59 01 3/17/09 MJ BD FILL CELL/TIE BEAM TIME: 17:00 3/17/09 AP cell fill/vertical concrete Mike RPC 59 02 3/20/09 MJ BD FILL CELL/TIE BEAM TIME: 17:00 3/20/09 AP MIKE RPC 352 258 4867 59 03 3/31/09 MJ BD FILL CELL/TIE BEAM TIME: 17:00 3/31/09 AP MIKE RPC porchbeam. 98 01 4/16/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 4/16/09 AP RPC 18 01 4/24/09 MG BD ROOF DRY-IN TIME: 17:00 4/24/09 CA should have been 08-1760 permit 5837 Fleet landing blvd 98 02 5/21/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 5/21/09 AP WD O1 5/29/09 MJ BD WINDOW AND/OR DOOR INSTALL TIME: 17:00 5/29/09 AP WINDOW & DOOR INSTALLATION MIKE RPC 99 01 6/10/09 MJ BD WALL SHEATHING TIME: 17:00 6/10/09 AP SHET ROCK SCREW MIKE RPC dry-wall screw insp. 16 01 7/16/09 MJ BD CERTIFICATE OF COMPLETION TIME: 17:00 --------------------------------------------------------------------- - ----------- PERMIT: El C 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 22 01 5/19/09 MJ ELECTRICAL ROUGH-IN/COVER UP TIME: 17:00 5/19/09 AP rpc 24 01 6/29/09 MG ELECTRICAL EARLY POWER TIME: 17:00 6/29/09 CA Inspection cancelled 24 02 7/02/09 MJ ELECTRICAL EARLY POWER TIME: 13:00 7/02/09 AP PM INSPECTION MIKE RPC 23 01 7/16/09 MJ ELECTRICAL FINAL TIME: 17:00 ------------------------------------------------------------------------------------------------ PERMIT: MECH 00 MECHANICAL HVAC PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------—---—-----------------------------------------—-------------------------—----------- 32 01 4/23/09 MG MECHANICAL A/C ROUGH-IN TIME: 17:00 4/23/09 AP 34 01 7/16/09 MECHANICAL A/C FINAL TIME: 17:00 -------------------------------------- COMMENTS AND NOTES PREPARED 7/15/09, 16:51:56 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 7/16/09 ----------------------------—--------------—-----------—-------—-—-------—-----—--------- ADDRESS : 5835 FLEET LANDING BLVD SUBDIV: CONTRACTOR : SCOTT PLUMBING COMPANY, INC. PHONE (904) 268-6309 OWNER _ PHONE PARCEL - - APPL NUMBER: 08-00001668 PLUMBING ONLY -----------——------ PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --—--———-—-----------------—------------------------------------------—-----——-——---- 42 01 12/11/08 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 12/11/08 AP CHARLENE 42 02 5/08/09 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 5/08/09 AP 626 6309 CHRISTY 42 03 6/04/09 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 08:00 6/04/09 AP shower pan inspection Mike shower pan. 45 01 7/16/09 MJ PLUMBING FINAL TIME: 17:00 -------------------------------------- COMMENTS AND NOTES ---------- ---------------------------- 71111k�—WT TIAIN OFRCE'Z 480 EoGv= AvEriuF-SOLI-K JACKSOWuE,FLORIN 32205 Pwm*W4-365-5300- FAx:904-353-1488-ToLL Fm:800.225-5305TUM37 EST.COM WM P a slt ST.MARys,GA.-912-576-1300 OCALA,FLA.-352-351-4386 DAmNA Bum FLA.-386-788.8303 PORT ST.Lum,FLA--772-621-79% What's Bugging You? ifiusouw,FLA.-321-951-3325 TAwk FLA.-813.681-6381617- "C"APPIL-0 111-1 C,,Zn 77 DR 7EM-00P77a prlUi'77=.M�" BUILDER: E.- p� PERMIT NUMBER: LOTNO. BLOCK SECTION SUBDIVISION ADDRESS Method of Per,lite Prevention Treatment: Lq soilbarrier, ood treatment,bait system,other) Pursuant to Section 104.2.7 of the Florida Building Code and Chapter 482 Florida Statute 482.226 This building has received a comply-^-.treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. An annual inspection and renewal of the annual termite protection contract is necessary for continued pros n. Call the number above for inspection and contract renewal. Authorizel d iature of Treatment Date Daie (Must be of-'enal'igmture) -.aH Tumo er @ I-9-CT-27T-5ZC5 for r!-,ur tzAin,pc-- af3Y. I Form#70M To mardwcA Rush TO EXWW"PM"WW4-367.0100 CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001056 Date 4/10/09 Property Address . . . . . . 5835 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 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/07/09 -------------------------------------------------------------------- - Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001056 Date 4/20/09 Property Address . . . . . . 5835 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 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH o 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O8- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US :1 ELECTRICAL PERMITAPPLICATION F4. DUVAL COUNTY 2. I A' U 1503 5 1 `-� � �` / ❑NO -PE NAME- R .• Zaiv DDRESSIFDIFFERENT FROMJOB ADDRESS.o//, 6.PHONE: 7 M/ F / N� _ l Y B.ADDRESS.: �� •✓ !/ .tr/ `r� 9.STATE OF FLORIDA LICENSE NO: 112.EMAIL ADDRESS: 10.CELL PHONE: 11.FAX N07 13.OFFICE PHON z�- 14 / 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not q6mmend within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mon4attime after work is cdqnerd. CONTRACTORS SIGNATURE: VcMULTI FAMILY-#OF UNITS:_� NUMBER: ESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 18,• lJlklllNp =. : 1 URttENT COQf>s _ . ❑ALTERATION ❑SIGN ❑OLD pKEW 13'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: 1,18TALLLIRI + 20.TYPE OF SERVICE: ❑OVERHEAD 111,1111kDERGROUND ❑ UNDERGROUNDUPPOLE 21.NEW SERVICE: CONDUCTORS PER PHASE:�_ ❑POWER IS ON 13-POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER CPACUMINUM 23.SWITCH OR BREAKER SIZE: AMPS:_ , PH: W:_ VOLT:� RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: to 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: In #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: ' a MOTOR8. k> NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 � . . CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 08-00001059 Date 4/20/09 Property Address . . . . . . 5837 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 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 oYoQ - I I I I I �fc! OFFICE:(904)2475826 0 FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US 1.,I0eAaaREss . . :" "' rt ELECTRICAL PERMIT APPLICATION DUVAL COUNTY �.INTHIO KSu DATE ✓ ��/ l�J /`Z ❑N` ca PERMIT#: ;PROPrd 4.N S: ( 5.ADDRESS IF DIFFERENT FROM JOB ADORESY ,. �/ 6.PHONE: • ' , 7 ME OF CAMPAVY. 8.ADDRESS.: V.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NE)'� 12.EMAIL ADDRESS: 13.OFFICE PHON 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating Construction in this jurisdiction. This permit becomes null and yoid if work is not mme d within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at time after work is 01 CONTRACTORS SIGNATURE: 18.CLOS OF WORK , 77 S*METER.NUMBE 71 FAMILY-#OF UNITS: &RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR ❑ALTERATION ❑SIGN ❑OLD W 0'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: ALL PLECTRICAL, RK"! 20.TYPE OF SERVICE: ❑OVERHEAD DERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE:�_ ❑POWER IS ON 0-POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER CkOCUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: ?Z VOLT:� RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS:�n !� 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: ., ^ - t;a a3 c � ,.,. :z .�.'eL -- t L #OF UNITS:T COMP.MOTOR HP RATING: AMPS: HEAT KW: In #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: 77 7 MOTORS.Ez 79 NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: I000,ArRIA) s DESCRIBE IN DETAIL: COAG FORM BLDG02:REVISED:1/10/2008 � OMB No. 1660-0008 U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Expires February 28.2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name CONTINUING NAVAL CARE RETIREMENT FOUNDATION,INC. Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 5835 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A PART OF THE ANDREW DEWEES GRANT,SECTION 37,AND SECTION 5,ALL IN TOWNSHIP 2 SOUTH,RANGE 29 EAST,DUVAL COUNTY,FL A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. LatitudelLongitude:Lat.30.3568 Long.-8.1,4104 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. 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) Q sq ft a) Square footage of attached garage 548 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade Q walls within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b Q sq in c) Total net area of flood openings in A9.b Q sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community NumberB2.County Name B3.State JACKSONVILLE,FLORIDA, 12077 DUVAL FLORIDA, . J B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 0242 E 6/16/1999 8/15/1989 X,SHADED X, AE BFE=8 AE,FW B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑FIS Profile ❑FIRM ®Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date N/A ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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 building diagram specified in Item AT Benchmark Utilized SEE NOTES Vertical Datum NGVD 29 ConversiontComments N/A Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 10.84 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor NN/A. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) / . ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 10.24 0 feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) I) Lowest adjacent(finished)grade(LAG) 10.4 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 10.5 ®feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. ® Check here if comments are provided on bad(of form. Certifier's Name ROBERT E.HOLLAND License Number 4242 - Title REGISTERED LAND SURVEYOR Company Name R.E.HOLLAND&ASSOCIATES,INC. Address 97Y EAD S D. UfrE 105 City JACKSONVILLE State FL ZIP Code 32256 Signature ate 06/24/09 Telephone (904)260-6300 IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 5835 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments X-CUT IN CORNER OF CONCRETE TRANSFORMER PAD ELEVATION=15.53 SET BY OTHERS;THIS CERTIFICATION IS GIVEN FOR THE SPECIFIC PURROSE OF DETERMINING THE AS-BUILT ELEVATION OF THE FINISHED FLOOR;NOTE ALSO THAT THE PROJECT SITE IS UNDER RU ION; E FLOOD ZO LINES SHOWN ON THE SURVEY MAP WERE DETERMINED BY GRAPHICALLY PLOTTING THE ZONES FROM T I M S A ERE NOT RMINED FROM ACTUAL FIELD ELEVATIONS;NO UNDER FLOOR FLOOD VENTS OR CRAWL SPACES WERE O F E ERMI BY COJ PERSONEL;NO OUTSIDE AIR CONDITIONER PAD VISIBLE. Signature ROBERT E. L Date 06/24/09 ® 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 LOMB-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 ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A 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 ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑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 ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's 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,8,and E are correct to the gest of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments w ❑Check here I attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The 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 G9. G1.❑ 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 data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: -❑feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments F-1 Check here if attachments Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 5835 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. 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. FRONT VIEW DATE: 06/17/09 Building Photographs Continuation Page For Insurance Company Use: Building Stmt Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 5835 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 Company NAIL Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View"and"Rear View"; and, if required, "Right Side View"and "Left Side View." REAR VIEW DATE: 06/17/09 1�'sCITY OF ATLANTIC BEACH 1 j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001668 Date 12/03/08 Property Address . . . . . . 5835 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 17 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SCOTT PLUMBING COMPANY, INC. 9585 SUNBEAM CENTER DRIVE JACKSONVILLE FL 32257 (904) 268-6309 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 154 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 154 . 00 154 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. v CITY OF ATLANTIC BEACH w. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O8- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY DNS PERMITl 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7.NAME OF COMPANY: 8.ADDRESS.: _ Sec)? t�l�•u6/iv (�o -t 9S9!s 5;-0,,u,66W-o4 6W r� 4-)2 tf►9 k ZzS 7 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: cr-e o( lTz v�-Zig- oaf- a6�`5393 12.EMAIL ADDRESS: 13.0410EPH _ONE: 14 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: -ErNEW 6 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING ❑OTHER: BATH TUB SEWER CONNECTION BIDET Z SHOWERS DISH WASHER SHOWERS PANS DISPOSAL / SINK DRINKING FOUNTAIN Z WATER CLOSET TANK r FLOOR DRAIN WATER CLOSET VALVE 2 HOSE BIB WASHING MACHINES ICE MAKER / WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: ? x $7.00 (PER FIXTURE) + $35.00 COAB FORM BLDG03:REVISED:1/10/2008 APR-10-2�9(FRI) 07:02 Peninsular Mechanical Contractor (FAX)727 572 0978 ►'• �� J CITY OF ATLANTIC BEACH n MECHANICAL PERMIT APPLICATION �'d 3.3, Dote: Property Address: l-•�' a �'7�s1"� Owner. CSG Cr Ke-b 'Telephone#- contr�ctr,rgt+�1g-a�[L � Telepti o Contractor Address: G7 - a ic..S�v�Fax In considerstiqu of permit given for doing the work as described in the above salami,we hereby allm to perform acid work in accordswz With do snacbed plana ind apeeificntions which are apart hereof end in acconisaec with the City orAdaatie Beath ordinances and standards of good Meeicc listed therein. Type of Heating Fuel: Ifedw construction is being done an this buildint or site,list the building perutit number. ' �. Electric O Ova: LP _Natural Central Utility t7 . Oil n Other= od fy cpc<Dc� %C> 5G-_ MECRAMCAL EQUlPM$NTTO BE INSTALLED NATURE OF WORK Heat Space _Reecissed Coat it ,Floor Residential ate Air Conditioning: ,Roan 'zc Central O Duct Systcm: Malerial 1—c.clrlsarXlOThickness i uz O Commercial Maximum Capacity cfm O Rcfrigt:ration Ncw Building Q Cooling Tower:Capacity =in O Existing Building Fire Sprinklers:Number of Heads • a Blevutor; _ Maniift Escalator (Number) p Repili ementoll xistftSystcm a Gasoline utnps (Number) D Tatt)ts (Number), New Insfatlatioa O LPO Contalaers (Nuotber) NO System-previously WWI, O Unfired Pressure Vessel O Boilers O F.mcn3ion or Add-on to Existing System ••, '. � ' L3. Gas piping Spurr Q -Other--Specify LIST ALL.T UIPMENT A A CONI)il oKin,RztwiGERATiam T QUIYHVIT&CONDENSOR'S Approving NumtrerUniis Description Model d ManuGlcttoer Ton's Agency �,/i;Y2�m C=40 �'S► i•�' '' tit..:' 7.1VV Eli 7.7 HEATING-RhWACES.BOXUR9,•FWYLACFS&AIR HANDLER-S Approving Numbs Units Description- Model p Manufacturer BTU's Agency. TANKS Nominal Capacity Type Liquid Serial Appro•ing Now M"y &Dimensions Cootained Maoutact uer No. A enc 800 5eviiaolc Road.Ada;dc beach,Florida 32233.5445 Pbone:(904)247-5$00• Fax: (904)247-5845. http:Nwww.ci.atlantic-beach.11.us JUN-26-2009 14:15 AMERICAN ELECTRICAL CONT 7371099 F.02 .11-A PIZ .` ARLY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH hlectric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: .5835 FLee+ )_arr16 naa Sly permit No. Service Type(Circle One): Overhead Undetrgnound We,the uudei signed General Contractor and Electrician, understand and agree: 1. "Early Power" is urely fr our cousjntc ou c='Mieuce, it is rca� requi W es. and does rtLtt substttute for rietal p[nspecttons or the�C 0p{ edificata of Oocupavcy)�t int must issu before occupancy, and as such is at the discretion of the Buildsug Official. 2. The City of Albuitie 3"ch will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval,including meter base donnectious. 3. Occupancy or use of the now eonstructioo before fprmal C/O constitutes fiaiuiiulent use of the early electric service. Such action. is ax essly bpa11 ltibtbe and peuallcd by The City of Atlantic Realch Ordinances. A violation of this Agre hent s result in s request or prompt removal of electric stwice after a twenty-four hoar notice. 4. "Early Power"release authority is the Blectrician and/or the Co r anQQ'must not occur before: s. Equi t,devices and fixtures are installed(or bl o�safely, b. Pane i complete with breaker and cover,and(labeling required at final incpoeiion}. e. Service connection amd gr Q dM is complete. d. a electric systean has safely passed through elec�tzical check. e. ever cam is entty naati�ed with Wdress. f Temporary address mmnb�rs displayed(Xermaneot numbem are required fbr C/O). 5. Pay$300.adiuWstration.'cee,nay reiiaspection fens au d auy oLtstandimg requiiv=ents must ba s#6sfiod prior to release. 6. This fusty completed form is to be submitted to the Building Department by band,mail or fax. 7. FaTure such Agive nts net be accepted from those who violate any one of the above iterass. CONTRACTOR r DATE 1A �`�O9 PRINT NAME T. Y' UC BUCTRICfAN DATEPRINT NAW, 300 Seminole Road,A.tlrtntic BeecJs FL 32233 phone:(904)2.7-5926 Fax:(904)247-5045 h /hvnv+v_•oa lis revised 11.29.06