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Permit 5820 & 5821 Fleet landing -jl...la'1r `= z CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001302 Date 9/22/08 Property Address . . . . . . 5820 FLEET LANDING BLVD Application type description TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc duplex ---------------------------------------------------------------------------- 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 PLUMBING PERMIT Additional desc . . Permit Fee . . . . 154 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/21/09 ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH Q 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O V - - � OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY SO 7-0 �CZ� 44-U�/ ❑NO 12,0 Z_ ]�• /�•� �31(�TJ" 'YES PERMIT#: 019 l 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7.NAME OF COMPANY: 8.ADDRESS.: Sca7t PtUPKtol Co, T�jc . 9S857 SvNbenon C&-^j A4c 3 2Ls7 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: CFC O/9 / p2- 50d,( - Z 1 _adl/q goeF•.�LGz -3f?S 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. t[.Lt S�fV�f c`L(soy ..Uc-. �o SF • �b g- �3 Dg 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 f fter work is co encu CONTRACTORS SIGNATURE: ;'NEW 06 FLORIDA BUILDING CODE- 13 RE-PIPE PLUMBING ❑OTHER: RINEEMM BATH TUB I SEWER CONNECTION BIDET Z SHOWERS f DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN Z WATER CLOSET TANK 1 FLOOR DRAIN WATER CLOSET VALVE Z HOSE BIB WASHING MACHINES ICE MAKER 1 WATER CONNECTION INTERCEPTOR WATER HEATER 3 LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: 17 x $7.00 (PER FIXTURE) + $35.00 COAB FORM BLDG03:REVISED:1110/2008 A �S `IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001302 Date 9/19/08 Property Address . . . . . . 5820 FLEET LANDING BLVD Application type description TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ----------------------------------------------------------------- Application desc duplex ---------------------------------------------------------------------- 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 . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1060 . 00 Plan Check Fee 530 . 00 Issue Date . . . . Valuation . . . . 300000 Expiration Date . . 3/18/09 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 55 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 9 . 92 AB CONSTRUCTION SURCHARGE 1 . 10 DEV REVIEW-SINGLE & 2-FAM 50 . 00 STATE RADON SURCHARGE 10 .47 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 2107 . 04 2107 . 04 . 00 . 00 Grand Total 3697 . 04 3697 . 04 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER T� Building Department (To be assigned by the Building Department.) s 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM �(�o�6 ABETbt;n&� Department review required Yes No Property Address: Building p Planning &Zoning Applicant: Public Works Public Utilities - - Project: A Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: QApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES FILE N � Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: BUILDING PERMIT APPLICATION r CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 ■ Fax: (904)247-5845 lob Address: 5820 Fice-4- l-c od i nq 131y d Permit Number: ,egal Description A R10 a LoFS 1 4 a, Divlslon 3 Andrews C�ewePSC�var,4- Valuation of Work(Replacement Cost) $ c30p, p0)p, Do ■ Class of Work(Circle one): Ne Addition Alteration Repair ve ■ Use of existing/proposed structures (Circle one): Commercial Residentia ■ If an existing structure, is a fire sprinkler system installed?(Circle one): es o ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No describe in detail the type of work to be performed: )6110 ho" aae5 SF 'ronerty Owner Information N&Val Contlnui nq Cure t t,+-lrenlen+ Tb�da{-lor), Tne dMJA dame: Flee - -anc7i n Address: e rje-e,f- Lc.Lrtd(n Blv �ity A+-Ictirifi c bect State FL-Zip 3 -;?a 3Phone qU4- ay I - q'q o 7ontractor Information: Mame of Company: g PC &7real m jpf}p 0 Qualifying Agent: r' e, kddress: a City bilantic 6Ch—State Zip 303a" )ffice Phone 9 OU NI - N tkl L Job Site/Contact Number10�'-al q- g53 D. ')tate Certification/Registration# C Gl C 0E10 Co 1 q Office Fax # a D q- ak 1- 44 a 7 krehitect Name & Phone # _Noel her $ Hud I to SoC ane. 41V�r- Hu_II '74'7- 9lo3-9q oq ?ngineer's Name & Phone # ;" - L.0 0-4& 0 ftoc tin Lup-g S g0L(-39(a- 0(a0 tpplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the sseumce of a permit and that all work will be per ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within sa'x(6months, or if construction or work is suspended or abandoned Jor a period of six(6)months at any time after ",-k is comnsenced. I understand that separate permits must be secured for Electria►l Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks uul Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT qAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 3EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. herebv certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this v e ofwork will be complied with whether specified herein or not. The granting of a permit does not presume to give ity to violate or cancel the provisions f anv other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: �z "7 �— Signature of Contracto Sworn to and subscribed before me Sworn to and subscri ed bef me this Day of AuGuS� 7008 this?G+'k Day of Notary Public: Notary Public: JENNIFER NOW y,' Pv6��y ,••a;'P% JENNIFER SNOW a, �, Notary Public-State of Florida ;� �e-,, • -My Commission Expires Aug 23,2009 r*. ��- Notary Public-State of Florida Commission#DD464853 My Commission Expires Aug 23,20og °F1 ,, Bonded By National Notary Assn. �'��'�°r FCommission#DD464853 V Bonded By National Notary Assn. DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY review Result (Circle ones SS CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±;y ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001302 Date 12/01/08 Property Address . . . . . . 5820 FLEET LANDING BLVD Application type description TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 ---------------------------------------------------------------------------- Application desc duplex ---------------------------------------------------------------------------- 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 PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/30/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOV-25-200 TUE) 10:18 Peninsular Mechanical Contractor (FAX)727 572 0978 P.003I006 f r2- CITY Off' ATLANTIC BEACH MECHANICAL PERMIT APPLICATION S8ao )('#frLJ1nZ)40Klub Date: l t--". rot%Z Property Address: s`l GV Owner- iicrl F y&W_p Telephone#: Contractor.Soins:4�pa�ro ►�� Telephone Contractor Address: 3ica"tia '�� '(J(•t�0�Flax to c".1den don orpetmit givCa for doing The work as deacribetl to the above satement,we hereby agree to pafe ra said work is accordance with rho smAW pines and speeillations which are s pert hereof rad is acconksce with tttie City of Aduntio Such otdbraoces and standards or nood practice Umd therein. Type of Hentlo`Fuel: If other construction is being done on this building a site.list the building permit number. 2r Electric Q Gas: LP NntwW CcnuW Utility .� _ 11 2, 0 Oil Other— MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space Recessed .2Ecntral _-Floor Residential Air Conditioning: Room „ Ceattal Duct System: Material ickness t V-:L 0 Comtterdal Maximum capacity cent ;We�,/ D Relitigeration + New Building 0 Cooling Tower:Capacity & 0 Existing Building o Fire Sprinklers:Number of Heads O Elevator. __ ManliR Escalator _, _(Number) a Rt*mnent ofExisting System 0 Gasoline Pumps (Ntitmber) 0 ,Tanks (Number) New Installation 0 LPG Containers (Number) (No systetit previously installed) 0 Unfired Pressure Vessel O ExtcrWan or Add-on to Existing System C Boilers Q Gas Piping 0 Other ;Speirs Q .Other—Specify LIST A 6L E UTPMENT AIR COPMMONINC,RZFJUCIRAM014 EQUIPMENT do CONDWSOR'S AppraviaK Number Units Description Model N Matrufachm Yon's Agency LA L— HEATING130UXRS.F1illtEPLACES R AIR HANDLEWS Approvieg Number Units Description Model N Manufitwrer BTUs Agency TANKS Nominil Capacity Type Liquid Serial Approving FlowkDitaeasiooa Cmaained Manu6eturer No. A ern 800 Seminole Road.Atlantic Beath,Florida 32233-5445 Phone:(904)247-5800. Fax. (904)247-5845• http://www•cLatlantle-bcactr,Q.us 1 CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000549 Date 10/07/08 Property Address . . . . . . 5820 FLEET LANDING BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16000 ---------------------------------------------------------------------------- Application desc REROOF FL601 13 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PROFESSIONAL SUNSHINE ROOFING 1017 IRELAND DR DELTONA FL 32725 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 4/05/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 110 . 00 110 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. df - 5,0 CITY OF ATLANTIC BEACH Opv- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O"ru. i OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF 58ao Fleet Lamidiori Blvd Ak+(antic 5Ch Fc.3a--a3 & Its o0o a, ao5 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER ❑REPAIR ❑POOL/SPA ❑YES /A Rtxr�l n � ❑MOVE 12�15THER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Navan4 Naval Corthln3Ca/e Re+trerY►eri+ io Sunshinc 2DoRn Fbumcta,Horl in e db 0. 16.NAME: 24.LICENSEE NAME: 2+ LGU'ta i 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C)rr nee+- I--andin5 $IVc( 18.ADDRESS: 26.ADDRESS: A4-1arxtic. ►2_=0-1j FL 5;)�;L33 11.O .11. FFIC^E'tPHONEE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: [ 011 q 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE H LDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND OR AN ATTORNEY BEFORE RECORDING YOUR WTICE OF COMMENCEMENT. OWNER or AGENT ON CTOR t,Power of Attorney or Agency Letter Required) er Only) Signed: Date: q-,50-01 Signed: _ ~Date: 10- 7-09 Before me th Q da`of Se�E M bt r ,2008 in the county of Before me this day of 0 a00g 2e071in the county of Duval,State Florida,has personally appeared Duval,State of Florida,has personally appeared Sohn Yleserve- 5an40S 4exn0.ndt?- herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. 1- true and accurate. Notary Public at Large,State of r 1Or I l�a-,County of -�uV, Notary Public at Large,State of Y A,County of l.(V ff Personally Known ersonally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: 10 A 11 JE.w.Iv R SNOW JENNIFER SNOW �•�'6 N"��; Notary Pubic State Of Florida D! Expires Aug 23,2009 CO fE REMPE7/f WMState Of FbVift iComm"W #DD464853 Y Comr>MJM ExpxbsAug 23,2009f`�a AtW, Co rMosim#t DD464853 °''•��t"', Bonded Natlonel Am. `r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001303 Date 12/01/08 Property Address . . . . . . 5821 FLEET LANDING BLVD Application type description TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300000 -------------------------------------------------------------------------- Application desc new duplex ---------------------------------------------------------------------------- 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 PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/30/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOV-25-2008(TUE) 10:18 Peninsular Mechanical Contractor (FAX)727 572 0978 P. 004/006 CITY OF ATLANTIC BEACH ' MECHANICAL PERMIT APPLICATION X80?l fie1r z/rt,�5in —91 vC1 Date: Property Address: s•*I Owner: WC-C,,F CNC V Telephone#: Contractor. [1te'3 M,'�cS>talf)�cA� Teleph nc 1�: ��►'` �� - (� � � !l'2"1 Contractor Address: %C' VC � •S`at��'�� Fax In coaddaation of pamk oven ft doing the work as desavilood in the ubm santamord.we beroby ague to perlbrm Aid work in accordance with dw sawbed plans ad specifications whicb are a port hereof sad in ocmonianec with the City of Ashu do Dench ordinances and standards of Rood 1 (bash(. Type of Heating Fuel: tf other construction is being done on this building .e or aitk list the building permit number. Ele.�ric O Gas: LP N%Wtd Central Utility O Oil MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Batt _Space _ReamedCentral Floor � Residential Air Conditioning: Room Central o Dud System: Mair-wtekness�x. o Commercial M=imum capacity cfm New Building O Refrigemflon . o -Cooling Tower:Capacity cam O ExisdngBuilding o Fire Sprinklers:Number of Heads v Elevator. __ Mtltsliit Escalator (Number) d Repincentent of.Existiog System O Gs+oline Pumps • (Number) - 0 Tanks (Number), New Ihstalladon, O LPb Containers (Number) (No s)stem•previously initalled) D Unfired Pressure Vesal o Extension or Add-on to Fa43ting System Hollers o, Gus piping o Other*-Spwiry d •Other—Sptxify . LIST ALL:T UIPMENT ' A1R CoIYDCf'omWc..AxmGmATior4 gQUzPmrjq 'a CONDENSOR s Approving Number Units tkaoriptioa Model s •Manufrcturcr Ton's Agency LA VA CUD 190 HMTWG=FUV(A' CES.DOT><.fM FIRE}LACti A AIR ItANDLF,R'S Approving Numba Units • Description Model a MonuActurer BTU's Agency `V TANKS Nomiml Capacity Type Liquid Serial Approving How Man &Dimensions Cnatained Manutacntrer No. A enc 800 Seminole Road• Atlantic Beach,Florida 32233.5445 Phone:(904)247-5800• Fn:: (904)247.5845• http://www.ci.atlantic-bencit.tl.us CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000676 Date 10/07/08 Property Address . . . . . . 5821 FLEET LANDING BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16000 ---------------------------------------------------------------------------- Application desc REROOF FL 601 . 13 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PROFESSIONAL SUNSHINE ROOFING 1017 IRELAND DR DELTONA FL 32725 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 4/05/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 110 . 00 110 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. d�-ono K CITY OF ATLANTIC BEACH Ovpp I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 i OFFICE:(904)247.5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US t BUILDING PERMIT APPLICATION DUVAL COUNTY I 0, .. 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF 5IRI Fiee+- Lcwdi aq Blyd A+1&ntic 5ch r-L3aW3 1 Ito Ooo a, a05 4.LEGAL.DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION 131EESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER J❑REPAIR ❑POOL/SPA ❑YES C9g-lA Roai n ❑MOVE 12-15THER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Natal Contmuin9Care- Re+trerreri+ P io I sumhlnc RDoRn Foundudion, SnO dbQ 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25,STATE OF FLORIDA LICENSE NO.: Or)r Flee+- L.anclinn $ivc( 18.ADDRESS: 26.ADDRESS: A-kI(Lrn-6c L2=cMj FL 5Da33 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 9N-;U °I DO 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDW JORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CO TRACTOR ( Patter of Attorney or Agency Letter Required) taelifier Only) Signed: Date: q's0-0-3 Sig Date: 10.7-0$ Before me thi day f poem be r 200ain the county of Before me this day of Qi'34 G Y a�4 n the county of - Duval,State of FloridS,has pe nally appeared Duval,State of Florida,has personally appeared 3-ohn .Mnetrve. Sa.ri+oS Hernande- herin by himself/herself and affirms that all statements and declarations are herin by himself l herself and affirms that all statements and declarations are true and accurate. true and accurate. N�� LM Notary Public at Large,State of F10 r r d4-,County of DLAVd /� Notary Public at Large,State of r) CL,County of MAV 4 NrPersonally Known •Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: ii �.•fi.Ie►.�.ylYl.w.�l� „ruru, JENNIFER SNOW JENNIFER SNOW ,�'�'"Y P"�O� Notary Public-State of Florida y COAB ro L �r�"�ISr 8k-State of Florida ?. •ilI,ly Commisslort Expires Aug 23,2009 Expires Aug 23,2009 } a Colrxrlisaion ar D0464853 'y; F.,�c Comlt>iesiorl it 1)0464853 1`��;�r �'•', Bonded Nsitl"Notary Asan. "��•,• Sonded BY Nalbnaf NolaryAM.. ;M CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001342 Date 9/26/08 Property Address . . . . . . 5821 FLEET LANDING BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new service ---------------------------------------------------------------------------- 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 . . 3/25/09 ---------------------------------------------------------------------------- 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. �4 a City of Atlantic Beach s� Building Department .w 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: May 22, 2009 Permit Number: 08-1303 Contractor: R.P.C. General Contractors Address: 5821 Fleet Landing Blvd. Atlantic Beach, F1 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 MI AEL GRIF BUILDING OFFICIAL Carbonless Preprinted Page 2 of 11 finer Main omit:"o Edgewood Ave.S. Tmawmispaee cow,Honda Order: 3314342 pest Jacksonville,F132205-3775 (772)621-7905 Work Date: 05/26/09 Tuesday l7 a'#1 k r� Phone:(904)355-5300 Yampa,Honda Daytona,Florida Time: 07:30 EXControl Fax,(904)353-1488 (813)681-6381 (386)788-9303 Map: I Y Tall Free:(800)225,5305 St.Mar",Osargla Route: ( What's Bugging You? v,�,wo t k x i i_. es t c 0r= (912)57(-1300 Tech: DKNIGHT I#. Location:[179160] Bill-To:(1285791 { The Palms @ Fleet Landing Target Pest: 5821 Fleet Landing Blvd Last Service: Atlantic Beach,FL 32233 Terms NET 30 j PO: D IVAL SERVICE DESCRIPTION 1t7� PRE-RES FINAL PRETREAT-RESIDENTIAL-'FINAL TREATMENT 10/02/08 pretreat date--Mike 352-258-4867 f CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: ; Contractor Name: Permit #: O $' (3 fl 2 Property Address: 02 r + L)'L )q Vt CL l ` v 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 Q Commercial Other>'A Ptt1Y 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 — Public Utilities — Building Planning _ Tree Mitigation Satisfied .Final Survey with FFE Yes No All Re-Inspect Fees Paid Yes No Termite Treatment V Yes No PREPARED 5/15/09, 16:27:14 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: MICHAEL GRIFFIN DATE 5/18/09 ------------------------------------------------------------------------------------------------ ADDRESS . : 5821 FLEET LANDING BLVD SUBDIV: CONTRACTOR PROFESSIONAL SUNSHINE ROOFING PHONE : OWNER PHONE PARCEL - - - APPL NUMBER: 08-00VO0676 ROOF PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ROOF 00 ROOF PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ RF O1 5/18/09 MG BD ROOF FINAL TIME: 17:00 ------ --------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/15/09, 16:27:14 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: MICHAEL GRIFFIN DATE 5/18/09 --------------------------------------- ADDRESS . : 5821 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P.C. GENERAL CONTRACTORS PHONE (904) 241-4416 OWNER PHONE PARCEL - - - APPL NUMBER: 08-00001303 TWO FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 11 01 10/06/08 MJ BD SLAB TIME: 17:00 10/06/08 AP Danny 509-1863 slab inspect. 59 01 10/31/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 10/31/08 AP mike 352 258 4867 59 02 11/06/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 11/06/08 AP cell fill demizing wall Mike 352-258-4867 59 03 12/01/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 12/01/08 AP fill cell porch Mike w/RPC Porch 17 01 12/08/08 MJ BD ROOF SHEATHING TIME: 17:00 12/08/08 AP Mike RPC 98 01 12/17/08 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 12/18/08 AP tie down inspect Mike RPC 18 01 12/31/08 MS BD ROOF DRY-IN TIME: 17:00 12/31/08 AP roof dry in Mike RPC 98 02 3/05/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 3/05/09 AP final tie-downs. WD O1 3/19/09 MJ BD WINDOW AND/OR DOOR INSTALL TIME: 17:00 3/19/09 AP WINDOW & DOOR INSTALLATION BUCK AND SCREW IN MIKE RPC 15 01 3/24/09 MJ BD INSULATION TIME: 17:00 3/24/09 AP SCREW AND SHEET ROCK dry-wall screw insp. 61 01 3/26/09 MJ BD DRYWALL TIME: 17:00 3/26/09 DA SCREW OFF Durrock wall board in bathrooms needs to have corrosive resistant screws. 11 02 3/27/09 MJ BD SLAB TIME: 17:00 3/27/09 AP SHEETROCK SCREW OFF MIKE RPC Durra rock inspection. 16 01 5/18/09 MG -] BD CERTIFICATE OF COMPLETION TIME: 17:00 S VE 21 ----------------------------------------- COMMENTS AND NOTES -------------------------------------- �,?q s77� PREPARED 5/15/09, 16:27:14 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: MICHAEL GRIFFIN DATE 5/18/09 --------------------—-------------------------------------------------------------—---------- ADDRESS . : 5821 FLEET LANDING BLVD SUBDIV: CONTRACTOR : SCOTT PLUMBING COMPANY, INC. PHONE (904) 268-6309 OWNER PHONE PARCEL - - - APPL NUMBER: 08-00001342 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERNIT: PLBG 00 PLUMBING PERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -—-----------------------—------------------—------------------------------------------------ 42 01 9/29/08 MS PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 9/29/08 AP Allen 219-4160 42 02 1/02/09 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 1/02/09 AP partial top out plumbing inspect. Christy 268-6309 42 03 4/13/09 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 4/13/09 DA SHOWER PAN Shower pan liner not installed properly. 42 04 4/16/09 MS PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 4/16/09 AP SHOWER PAN MIKE RPC 45 01 5/18/09 MG PLUMBING FINAL TIME: 17:00 STEVE RPC 219 8532 -------------------------------------- COMMENTS AND NOTES -------------------------------------- May 20,2009 To: Micheal Griffin From: Turner Pest Control LLC Project: 5821 Fleet Landing Blvd RPC Construction has the above mentioned home due to close on Friday May 22,2009. Turner Pest Control has attempted since Tuesday May 19,2009 to accommodate RPC with a final perimeter termite treatment on this home.Due to the inclement weather, we have not been able to complete the treatment. As soon as the weather clears Turner Pest Control will complete the final treatment on this home and report to you via email that the treatment has been completed. Thank you, Turner Pest Control LLC Phillip Countryman Pre-Treat Manager Brooks, Nancy From: Steve Smedley[Steve@rpcgc.com] Sent: Tuesday, May 19, 2009 1:55 PM To: Griffin, Michael; R.E. Holland Cc: Brooks, Nancy; Scott Ross; Jennifer Snow; Mike Coffey Subject: RE: Fleet Landing -Final Elevation Certificates for Units 5821 and 5822 Attachments: image003.jpg; image004.jpg Ok, thanks Mike. Robert, obviously we need the certificate for 5821/22 quickly. We can schedule several other units (5825 through 5832) as soon as you can get to them. The remaining homes we should have landscaped by the end of June. I'd like to get the certificates done ahead of time so they will be ready and waiting—and we won't have to rush at final inspection time. Steve Smedley Project Manager General Contractors, Inc. 248 Levy Road Atlantic Beach, L 32233 (904)241-4416(904)241-4427 fax steveCa.rpcgc.com www.rpcqc.com This e-mail is intended for the addressee shown.It contains information that is confidential and protected from disclosure.Any review,dissemination or use of this transmission or its contents by persons or unauthorized employees of the intended organizations is strictly prohibited. From: Griffin, Michael [mailto:mgriffin@coab.us] Sent:Tuesday, May 19, 2009 1:46 PM To: Steve Smedley; R.E. Holland Cc: Brooks, Nancy Subject: RE: Fleet Landing - Final Elevation Certificates for Units 5821 and 5822 Steve - As Robert indicated, if the grading is complete and the sod is in, it should be complete enough to be considered finished construction which is fine. Michael Griffin,CBO,CFM Building Official 800 Seminole Road City of Atlantic Beach,Florida 32233-5445 mgriffin@coab.us Telephone 904-247-5813 Fax 904-247-5845 http://www.coab.us/ From: Steve Smedley [mailto:Steve@rpcgc.com] Sent:Tuesday, May 19, 2009 1:42 PM To: R.E. Holland Cc: Griffin, Michael Subject: RE: Fleet Landing - Final Elevation Certificates for Units 5821 and 5822 1 PREPARED 5/18/09, 16:30:32 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 5/19/09 --------------------------------------------------------------------------------- ADDRESS . : 5821 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P.C. GENERAL CONTRACTORS PHONE (904) 241-4416 OWNER PHONE PARCEL - - - APPL NUMBER: 08-00001303 TWO FAMILY RESIDENCE ------------------------------------------------------------------------------------ PERMIT: MECH 00 MECHANICAL HVAC PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------------------- 32 01 1/07/09 MJ MECHANICAL A/C ROUGH-IN TIME: 17:00 1/07/09 AP MIKE 352 258 4867 6 34 0 5/19/09 MJ10 MECHANICAL A/C FINAL TIME: 17:00 rPC -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/18/09, 16:30:32 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 5/19/09 --------—--------------- ----—--—--------------------------------------------------- ADDRESS . : 5821 FLEET LANDING BLVD SUBDIV: CONTRACTOR AMERICAN ELECTRICAL CONTRACTOR PHONE (904) 737-7770 OWNER _ _ PHONE PARCEL - - - APPL NUMBER: 08-00001386 ELECTRIC ONLY ------------------------------------------------------------------------------------ PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------------------------------------------- 22 01 3/09/09 MJ ELECTRICAL ROUGH-IN/COVER UP TIME: 17:00 3/09/09 AP LESTER 534 2167 24 1 4/28/09 MJ ELECTRICAL EARLY POWER TIME: 17:00 4/28/09 AP METER SET. 23 O1 5/19/09 MJ ' ELECTRICAL FINAL TIME: 17:00 rfmike rpc -- ----------------------------- COMMENTS AND NOTES ----- --------------------------------- Brooks, Nancy From: Griffin, Michael Sent: Wednesday, May 20, 2009 2:52 PM To: Steve Smedley Cc: Jones, Mike; Brooks, Nancy; Graham Shirley Subject: RE: Fleet Landing-Unit 5821 Attachments: image001.jpg Steve, Please have Turner provide a letter stating that treatment will be provided weather permitting and they will mail us confirmation when the treatment is completed. That should be sufficient, thanks. Michael Griffin,CBO,CFM Building Official 800 Seminole Road City of Atlantic Beach,Florida 32233-5445 mgriffin@coab.us Telephone 904-247-5813 Fax 904-247-5845 http://www.coab.us/ From: Steve Smedley [mailto:Steve@rpcgc.com] Sent: Wednesday, May 20, 2009 2:16 PM To: Griffin, Michael Subject: Fleet Landing- Unit 5821 Hi Mike, We're in a bit of a predicament on unit 5821. We have the final walk through on the unit and they are trying to close on Friday. We will be able to get the final elevation certificate, but due to the weather, we have not been able to do the final bug treatment. Turner Pest Control actually came out last Tuesday to spray, but it was raining too hard. It looks like this rain may last through the weekend. The owners have scheduled to move in on the 26th—Tuesday next week. Do we have any options to keep the scheduled closing and move in dates? Can we provide a letter from us and/or Turner Pest Control stating that the final treatment will be done as soon as the weather permits? Let us know. Thanks, Steve Smedley Project Manager APM General Contractors, Inc. 248 Levy Road I Atlantic Beach,f L 32233 (904)241-4416(904)241-4427 fax steve(o)rpcgc.com www.rpcqc.com This*-mall Is intended for the addressee shown.It contains Information that is confidential and protected from disclosure.Any review,dissemination or use of this transmission or Its contents by persons or unauthorized employees of the Intended organizations is sbk*prohibited. 1 U.S:DEPARYMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Exoires February 28.2009 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 5821 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. LatAude/Longitude:Lot.30.3576 Long.-81.4102 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) 0 sq ft a) Square footage of attached garage 570 sq It 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 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State JACKSONVILLE,FLORIDA, 12077 1 DUVAL I FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9. 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 B9. ❑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* to 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,V1-V30,V(with BFE),AR,ARIA,ARIAS,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 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 10.71 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 10.61 ®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) f) Lowest adjacent(finished)grade(LAG) 9.9 ®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 back of forth. Certifier's Name ROBERT E.HOLLAND License Number 4242 Title REGI TERED LAND URVEYOR Company Name R.E.HOLLAND&ASSOCIATES,INC. Address 97 S ITE 105 ity JACKSONVILLE State FL ZIP Code 32256 Signature a 05/22/2009 Telephone (904)260-6300 IMPORTANT: In these spaces,copy the corresponding infonnation 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 5821 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 PURPOSE OF DETERMINING THE AS-BUILT ELEVATION OF THE FINISHED FLOOR;NOTE ALSO THAT THE PROJECT SITE IS UNDER CONSTRUCTION-THE FLOOD ZONE LINES SHOWN ON THE SURVEY MAP WERE DETERMINED BY GRAPHICALLY PLOTTING THE ZONES FROM THE AIRM MAPS D W E NOT DETERMINED FROM ACTUAL FIELD ELEVATIONS;NO UNDER FLOOR FLOOD VENTS OR CRAWL SPACES WERE O E E AS DWE MINED BY OJ PERSONEL;NO OUTSIDE AIR CONDITIONER PAD VISIBLE. Signature T2112glS 94242 Date 05/22/2009 ® Check here U attachments SECTION E-BUILDING ELEVATION WFORMATION(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 ❑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,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 if 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 SFE)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 Fl 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 5821 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 Company NAIL 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. a r �a sy 7 r NPM 'axe ��F �� r av✓ �� F"� a�r� fv. " v of FRONT VIEW DATE: 05/21/09 Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number 5821 FLEET LANDING BLVD.NORTH City JACKSONVILLE State FL ZIP Code 32233 Comparry NAIC 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." T h' 8 �r Y t n F d N rN.w f l k' 4 REAR VIEW DATE: 05/21/09