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Permit 1968 Francis Ave SS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030867 Date 8/01/05 Property Address . . . . . . 1968 FRANCIS AVE Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------- ------------------------------------------------------ Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/01/05 Valuation . . . . 0 Expiration Date . . 1/29/06 ---------------------------------------------------------------------------- Special Notes and Comments REMOVAL OF ONE 18" PINE, ONE 20" PINE, ONE 22" PINE, ONE 8" MAPLE, ONE 12" MAPLE AND ONE 20" THATCH PALM TO BE MITIGATED ONSITE OR ADJACENT LOT #9 WITH EXISTING TREES . Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CI'T'Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ......................... BUIL C L CITY OF ATLANTIC BEACH sty f 800 SEMINOLE ROAD - ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 0A Application Application Number . . . . . 05-00030541 Date 6/10/05 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . REPIPE 3 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE ADVANTAGE PLUMBING a GREG GAUSE INC ATLANTIC BEACH FL 32233 632 2ND AVENUE NORTH JAX BEACH FL 32240 (904) 247-9848 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS ICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: !o l O Property Address: 5 Owner: r- '�,/9 �h Telephone#: Contractor:44 t f1� ,�l(J �l p�v y Telephone Contractor Address: v T(� ' f�' Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs �_ Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other 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 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 `v D Application Number . . . . . 05-00030291 Date 5/12/05 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . CONCRETE FOR PATIO, SIDEWA Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments APPROVED PER REVISION TO REDUCE IMPERVIOUS AREA. AS SUBMITTED, PROPERTY IS A MAXIMUM IMPERVIOUS SURFACE AREA (ISA) PERMITTED. NO ADDITIONAL ISA PERMITTED. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD 3 BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: -.. . '' BUILDING / ZONING DEPARTMENT D. Ford J L. Hingin 800 Seminole Road S. Doer-c---' Atlantic Beach,Florida 32233 �Jj31� (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS S` cl Permit Application # OS- 3OZ9 Property Address: [q tag Applicant: �Mf�S Project: V O This permit application has been: roved Reviewed and the following items need attention: SD Please re-submit your application when these items have been completed. Reviewed By: µ._ Date: _!1 � os 05'-/ -p j Date Contractor Notified: l BP006U01- CITY OF ATLANTIC BEACH 5/12/05 Edit Narrative 9: 11 : 55 Application number, type 05 00030291 RIGHT OF WAY PERMIT Property address . . . . . . 1968 FRANCIS AVE Type information, press Enter. Approved per revision to reduce Impervious Area. As submitted, property is at Maximum Impervious Surface Area (ISA) permitted. No additional ISA permitted. sbd More. . . F3=Exit F5=Copy line F6=Insert line F7=Delete line F24 More keys BP250U01, CITY OF ATLANTIC BEACH 5/10/05 Application Tracking Step Selection 12 : 00 : 21 Application number . . . . : 05 00030291 Address . . . . . . . . . . : 1968 FRANCIS AVE RE number . . . . 172169-0000- - Application type . . . . . RIGHT OF WAY PERMIT NCR OLD ACCOUNT NUMBERS . . . Tenant name, number . . . . CONCRETE FOR PATIO, SIDEWA Type options, press Enter. 2=Change 4=Delete 5=View 6=Fast log 8=Action log maintenance 9=In/out maint Path --- Key Dates --- -- Action Summary - Opt Agency description Rev Step Req In Est Cpl Last Type By BUILDING A 01 Y 5/10/05 5/13/05 PLANNING A 01 Y 5/10/05 5/13/05 5/10/05 REJ SD PUBLIC UTILITIES A 01 Y 5/10/05 5/13/05 PUBLIC WORKS A 01 Y 5/10/05 5/13/05 F3=Exit F5=Land inquiry F6=Add F7=Revisions F8=Misc info inquiry Bottom F10=View 3 F12=Cancel F14=Action log inquiry F24=More keys CITY OF ATLANTIC BEACH 1 � CONSTRUCTION PERMIT WITHIN CITY RIGHT' of VJAY XWLEASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date PERMIT# Job Address US ISSUED BY THE CIT Permitee: E,� Telephone # U 2 Permittee Address ( l Ul_ 1�! ' &A, Requesting Permission to Construct: T, C/� -Pnl,- Location: (Reference to Cross-Street) t 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( } No ( } Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER /� 5�0� JENNIFER ONSCHLUETER 00 Signed4jlem��-C� Date :,, ;�: MY COMMISSION#q0121301 Before me this day of A i the ounty of Duval, •. o; EXPIRES:May 27,200E State Of Florida,has personally appeared -1A d '`—' '�q Nn� Bonded ThruNotary PuUtcUnderwo*5 Notary Public at Large,State of FI rida,C u t f vai My commission expires: s'' Personally Known: or Produced Identification:T < G, T� MA LOT�, P EXCEPT THE HO WI 55. 0 BO U BDAR 0 NER~'S R RT A CO DINGOTO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, 0' 15' W. 60' GRAPHIC SCALE SCALE 1'-30' NOTES; 1. ANGLES ESTABLISHED IN THE FIELD. 2. FIELD WORK 12/12/94 12/30/94:ADDED FIN.FL.ELEV. 3 DRIVEWAY AND PADS. FOUND 1/2'I.p� CHURCH (50 -']?IW) ROAD FOUND 5/8'REBAR 4 • e k 4- V (A N LOT 15 i FOUND CONCRETE / MONUMENT 0.4'x 0.4' to cx b 2 L 0 T MENT LOT 14 O V E R B L O C K 9 FOUND 5/8-REBAR ^� p L8.8085 O 8 ` LOT 13 0 Oro N Gt 55.00' SET 110.00 ��'' 4ST FOUND 1/2'I.P. B9 0.49'WEST 4�r� 'ps. .Rd r 41.00' 34.83' 41ty FIN.FL.ELEV.- 13.10 nnll// n 1 STORY WOOD n _I t N HOUSE NTH ALUM. � .�R J SIDING N IVEWAY �. °' l*pps FOUND 1/2-1 P. 00' SET 90A x��„(/1 rL37 OS• 110.00 FOUND 5/8-REBAR \LB.6085 SOT 8 LOT 9 LOT 11 !V� FRAN I O.C.-POINT OF CO P.RP.-PERMANENT FERENCE POINT FND.-FOUND BLK.-BL.00K CONC:CONCREft PJ M.-PERMANENT 09 POINT OF BEGINNING N.G.VA.-NATIONAL ODETIC VERTICAL DATUM COMP:COMPUTED RAD.-RADIAL ESMT.-EASEMENT REFERENCE MON. C.-POINT OF CURVATURE PLS.-PROFESSIONAL LAPD SURVEYOR T-TANGENT R4WiU8 8.R.L.-BUILDING RESTRICTION LINE .T.-POINT OF TANGENCY R.L.8.-REGISTERED LAND SURVEYOR L-ARC LENGTH A-DELTA ANGLE F.Z.-FLOOD ZONE MCI. OF REVERSE CURVE L.B.-LICENSE BUSINESS A/W-RIGHT-OF-WAY APPROX.-APPROXIMATE A/C-AIR .0 C. CI.OF COMPWWO CURVE ORV.-OFFICIAL RECORDS VOLUME A.K.A:AL80 KNOWN AS EXIST.-EXISTING CONDITIONER t POIN 4F INTERSECTION OAA-OFFICIAL RECORDS BOOK N/F-NOW OR FORMERLY PROP.-PROPOSED duct m rv- 4 CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD a ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026881 Date 9/15/03 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . RENEWAL OF PERMIT #20090 Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE OWNER 1968 FRANCIS AVE ATLANTIC BEACH FL 32233 (904) 372-4100 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL J CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: Job Address: (l. Owner of Property:E� i f Address: � �\ t/ 1,�'l( /S r`-� U _ Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: GM &'1't. > Cr0bM Z--hb, Present use of land or building(s): 6222-9 Valuation of proposed construction: What are the dimensions of the added space: 1.5*—D D feet x —feet Will the added area be heated and cooled?_ New electrical increas in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? f'V" Is approval of Homeowner's Association or other private entity required? /-D-- .If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.ft.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible mariner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that 1 information p ovided with this application is correct. 7� Signature of owne Date:__–��i/�ie'( V — I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this ' day of a _t__ 2 . State of Florida,County of Duval ........� l l JENNIFER SCHIUETER Not Signatur �� t` � MY COMMISSION#DD 121301 ^ , EXPIRES:May 27 2006 ❑ personally know AFr Bonded Thru Notary Pubk Underwriters �roduced identification Type of identification produced V AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1114103 r l CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: .� Job Address: (UL� �-i CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STA'T'E LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IIvIPROVEMEIJT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ROPERT'Y RBUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS�DAY OF 20�! Nt)j!UY PUBLI l'UMVIERIVILUETER NOTE: PHRASES UNDERLINED ABOVE. MY COMMISSION#DD 121301 '- A= EXPIRES:May 27,2006 Bwded TFim Mary PLt is UrW*w Wrj w 9. kakr� i`'Sws.+e., `1 a QOO . F W'A rn O ,K � b6 � drow �z s PERMIT WORKSHEET certificate of Occupancy Job Address: Type Work: (3rd Property Owner: 15 Th 1 Phone # Contractor: Phone # -2, `12- ► ' Permit#: 01,3 ,2-00 10 Date Issued: C1 Building Inspections: Footing C1 LJ 0 �� 2'1 1 Oq Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up iz.ri•0 Insulation - 3 Final Building Tree Permit# YES NO Electrical Permit# Date/Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric !a 1'7 to j Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough ► - -p Final Plumbing Permit# - Z Inspections: Rough / Underslab Topout is 1.) o' Water/Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final �— Fire Inspection: Failed Inspections: Date Paid: _ Date Paid: .1 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD s ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028939 Date 8/27/04 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . RENEW BLDG, ELEC,MECH, PLBG Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------- -------------- -- ---------------------- THOMAS, ELSIE OWNER 1968 FRANCIS AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ----------- ---------------------------------- ------------------------------- - Permit . . . . . . REINSPECTION FEE Additional desc . . RENEW ALL 4 PERMITS Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------- -------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD %� Sr ATLANTIC BEACH,FLORIDA 32233-5445 1 s) TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us August 20, 2004 Ms. Elsie Thomas 1968 Francis Avenue Atlantic Beach, Florida 32233 Ms. Thomas, According to our records you are the owner/contractor for the bedroom addition at 1968 Francis Avenue. The last inspection on this project was an insulation inspection on January 13, 2004. Because this project has not had any inspections in over 6 months, your permit has expired. Section 104.1.6 FBC. You need to renew the Building, Mechanical, and Plumbing Permits (# 03-26881) at a fee of$35.00 each. You also need to renew the Electrical Permit#03-26686 at a fee of $35.00. After renewing these permits you need to call the Building Dept. and schedule your final inspection. Failure to comply with this notification will be considered non-compliance and can result in Code Enforcement incur fines of up to $500.00 per day per violation from the Code Enforcement Board. Please call me if you have any further questions. Thank you for your prompt attention to this matter. Sincerely, C1_'_ C' DonC. Ford, CBO Building Official Cc: Larry Higgins, Deputy Building Official Alex Sherrer, Code Enforcement Officer file P F, j 'J,rly� CITY OF ATLANTIC BEACH is1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 yDR Application Number . . 03-00026686 Date 8/18/03 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240VOLT, 5RA Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ --- ----- ---------------- THOMAS, ELSIE MCCLURE ELECTRIC SERVICE P .O.BOX 50959 P .O. BOX 51368 JAX BEACH FL 32240 JAX BEACH FL 32240 (904) 249-9061 ------------ -------------------------------------------------------- -------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION "-�kilt TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 5 20 ()-3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: -`�^�-^ MASTER ELECTRICIANS SIGNATURE: 2 F t`- l OWNER OF PROPERTY: Fus JOB ADDRESS: (L r*—C- S C RES.()4 APT.( ) COMM.( } PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( INCREASE( ) REPAIR ) CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY Zyfc� C EXIST. SERV. SIZES AMPS ' PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL � a RECEPTACLES CONCEALED OPEN V TOTAL 0.30AMPS 3 1.100 AMPS SWITCHES INCANDESCENT FLOURESCENT& M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS IHEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS " J "" ' UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO IVA IMA MOTOR SIZE SWITCH FLASHERS EACH SIGN 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us Revicrd 01/17/04 CITY OF ATLANTIC BEACH ' z 800 SEMINOLE ROAD -N ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 411111 Application Number . . . . . 03-00026881 Date 10/29/03 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . RENEWAL OF PERMIT #20090 Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- ---- - --- - - - -- ---- --- ----- --------- ------- THOMAS, ELSIE OWNER 1968 FRANCIS AVE ATLANTIC BEACH FL 32233 (9 04) 372-4100 ---------------------------------------------- ------------------------------ Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- ------------ ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION n Date: C3 -off - Property Address: yG�pB fcr��5 AVS. Owner:Qc"Lf�1, yMpc' Telephone #: - y Contractor: M �,O�� Q"�I nc>, Telephone#: Contractor Address: I a lr'Jg 'J(X�_ CTt Fax#: Q GCO In consideration of permit given for doing the work as desc4bed in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: V 6r Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 OU 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904)247-5845. http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 •t�at3 Application Number . . . . . 03-00026881 Date 11/13/03 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . RENEWAL OF PERMIT #20090 Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE OWNER 1968 FRANCIS AVE ATLANTIC BEACH FL 32233 (904) 372-4100 ------------- -- - ------------------------------------------------------------ Permit MECHANICAL PERMIT Additional desc . . Sub Contractor . . MARVIN WRIGHT REFRIGERATION Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 75 . 00 75 . 00 . 00 . 00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL ;.� CITY OF ATLANTIC BEACH ' MECHANICAL PERMIT APPLICATION Date: Property A'd'dress: Owner: C. ��y� � N►c,� Telephone#: 7�� Contractor:%LV�A-- ��` � Telephone#: 0 �37 3 S Contractor Address:Ab 1� f l� ��c Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: _LP Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor ❑ Residential C1 Air Conditioning: _Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Exisiing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Man turer 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• http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH z s 800 SEN41NOLE ROAM ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 may. Will, Application Number . . . . 03-00026686 Date 9/11/03 Property Address . . . . . . 1968 FRANCIS AVE Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240VOLT, 5RA Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- THOMAS, ELSIE MCCLURE ELECTRIC SERVICE P.O.BOX 50959 P.O. BOX 51368 JAX BEACH FL 32240 JAX BEACH FL 32240 (904) 249-9061 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 8/18/03 Valuation . . . . 0 Expiration Date 2/15/04 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 V �('Ltf BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 20090 Address: 1968 FRANCIS AVENUE Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 19 Proposed Use: SINGLE FAMILY Lot(s):12 Block: 9 Section: Square Feet: Subdivision: DONNERS REPLAT Est. Value: Parcel Number: Improv. Cost: 22,440.00 Date Issued: 5/19/2000 Dame: THOMAS, ELSIE L. Total Fees: 422.50 Address: 1968 FRANCIS AVENUE Amount Paid: 422.50, ATLANTIC BEACH, FL 32233 Date Paid: 5/19/20_0 Q Phone; (904)346-6080 Work Desc: CONSTR�, BOOhA/BATH ADDITION P-R PIA�lS PROPERTY OWNER PERMIT 187.50 WATER IMPACT FEE 200.00 CROSS CONNECTION 35.00 FOOTING SLA.;._ COVER UP FRAMING FINAL BUILDING INSULATION NOTICt.,7 INSPECTIONS FAUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,`'RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UPAND HAULS ,'AWokY BY EITHER CONTRACTOR OR OWNER , FAILURE TO COMPLYWITH THE a ON41TRUCTIQN LIEN LAW'CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR JRVILDING IMPROVEMENT$" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. PAID NAY 19 2000 _ .�t�nt►�ems. ATLANTIC BEACH BUILDING DEPT. JOD ADDRESS PROPERTY OWNER � rn�e� MF.PHONE 0 V6- 7.rs 3 CONTRACTOR /"Cwx--� TELEPHONE PERWTNUMBFR ',-�00Qv DATE INSPECTJoNs• FooTBvG ,SLAB nFBE" LINTTEL NAILING/SIIE4 FR4MnvGCOVER UP BVSU.LA17ON FINAL BUILDING C.ER=CA.TE OF OCCUPANCY ELECTRICAL PERAmv ►? q,'2$1 12ISPECITONS ROUGE FINAL MECUANIC4L PEBAdM IZVSPEC77ONS ROUGE FINAL PLUMBLVG PERSM �, S .MPECITONS ROITGHAWDER SLAB TOPOUT WATER SEWER FINAL NOTES. ADDRESS-/ BUILDING PERMIT NUMBER r f' INSPECTIONS: FOOTING UNDER SLAB PLUMBING �/ 9 SLAB FRAMING 9 COVER-UP ll 7 Q INSULATION FINAL BUILDING /;Z - 30 - 9v CERTIFICATE OF OCCUPANCY_,,, / _ 3 ELECTRICAL PERMIT # 0 INSPECTIONS ROUGH- FINAL- MECHANICAL OUGHFINAL MECHANICAL PERMIT # PLUMBING PERMIT # NOTES: CITY OF ATLANTIC BEACH, FLORIDA F_ADDrowd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: A9 A7 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. LECTR,,I//CAL FIRIm MASTER ELECYRICIAN SIGNATURE NAME-Q� '. � ADDRESS: j�� `"+ U RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT.( i COMM.( ) PUBLIC ( ) INDUS. ( ) NEW l-')' OLD ( 1 REW.( ) ADDITION ( 1 TRAILER ( ) TEMP.04" SIGNS ( 1 SQ.FT. SERVICE: NEW(-) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE 2'1Z AMPS COPPER f ALUM. ITCH OR BREAKER AMPS PH W U VOLT 4jtZRACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FAXED 0.100 AMP$. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT Q'1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 702 o G CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /�a 19_& IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM. SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDA CE WITH E ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. E ECTRICAL FIRM: MAST R ELE I N JOURNEYMAN NAM , � >&WQ& ADDRESS: 19� � !MG/y -RFD-SOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES.(t4' APT.( ) COMM.( i PUBLIC( ) INDUS. ( ) NEW Gr"r OLD ( 1 REW.l ) ADDITION ( ) TRAILER ( I TEMP.( ) SIGNS ( ) SQ.FT. SERVICE: NEW(vf INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE = U AMPS COPPER I ALUM. ITCH OR BREAKER AMPS PH WVOLT R E Y EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ,00 DATEs11_� PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: *2, _�.1�.C1 _ �LG1 ! ��.<<-------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- Enclosed are the blue copies of the permits. SINC RELY, UILDING INSPECTION DIVISION cc:FILE :,,.�� •aeaa, � 1 9310 DEPARTMENTOF 13UILDIN CITY OF ATLANTIC BEACH ^ -�- PLAT' I NPOR AT I'ON .��- - ------- . LOCATION INFORMATION Per ' -------- Number, 3 ddress : 1968 FRANCIS STREET re it Type< 'L�MBII O ATLANTIC ;BEACH, I�'1�ORIaA 32233 ' ' of Word: NEN -- T;EC�AI� DESCRIPTION Type WOOD FRAME ,.� Lot : Block: 2�eotic+n---- Constr. .. Proposed Use: SINGLE FAMILY Township- RNG: 0 D n 1 Code: ' 0Subdivision: E t,fMated Value: $0 .00 I Prov C t . f3 Tota. ', 0.00 Amount Q ,01 fi arm ON - - _ �„� _. .. APPL'ICAT'ION FEES -_-__ � N AT PERMIT .00�dre R STREET , WAT�� C ll"E � � O.4� `EOR I , 0A Ph WATER MZTER/TAP R r RADON OAS_R.Rt $_ 0 OQ C6ORlAT I O ,M. RADON CAB $0.0o . . 4AUD ITT CAPITAL 'IMPR 'E. $0 _00 Ad4-re a: 1930 OAKS ROAD SEWER TAP $0 .00 C 91 FL 32207 CROSS CONNECTION �v,00 Type: 0 $0.Q SEC H IMPACT IEEE 0,11 NOTES: i NOTICE,'—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE y BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE `>. CLEAPED UP AND HAULED'AWAY„BY EITHER CONTRACTOR OR OWNER FAILUR ETO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWN 9 R RAYING TWICE FOR BUILDING IMPROVEMENTS ” ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR I LATION OPAPPLICABLE'PROV#StOItiS"SOF LAW. ATLANTIC BE CH BUILDING DEPARTMENT , 2 . 'MAP SHO g • � 4 r jz t;v L 1P & 14 BLOCK it � TS J�' AUS T!�' IAV PLAT BOOK 19, PAGE' 14 O ` f z f 4 V � x d � ,. ANOLES ESTANU ED IN IW f1Et11. Z rw WI MC 3/b/04 Y u, CHURCH (50'R/W) ROAD ; s4 k r V w LOT 15 �,OfRJMENT 0.4'x 0.4' 0 s r ENT r` It LOT 14 K � sET 165.001"T 6t C OUPUM) 10'a WIDE CANAL OR DITCHL07. is .s: 71 �N K IDS: v a C AMMI V.4Y'ylESfi 2%P he � s �y" ram imp. t 65.00onATAC dP�F is s r ©T 8 LOT 9 LUQ" I1.. i F � . L �F. PA 'C` CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: N ,S OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: \7,q x a 7 TELEPHONE NUMBER: `"' 1612 STATE LICENSE NO: � TYPE OF BUILDING: TYPE OF WORK: SON MANY OF THE FOLLOWING FIXTURES INSTALLED / SINRs SHOWERS LAVATORY ,� WATER HEATERS HATS TUBB DISHWASHERS URINALS DISPOSALS <>- CLOSETS f WASHING MACHINE FLOOR DRAINS BROKER PANS OTHER TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTION$ - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERIMG UP - (904) 247-5834 SCALE 1'•.!0' NOTES; 1. ANGLES ESTABLISHED IN THE FIELD. 2. FIELD WORK 3/6/94 + —� t� FOUND 1/2'I.P. CHURCH (50'R/W9 ROAD FOUND 5/6'REBAR LOT 15 FOUND CONCRETE MONUMENT 0.4'x 0.4' n u 2 $ T SENT 0VE LOT 14 CK 9 G 8L0 SET. 165.00'PLAT k COMPUTED SET O ��os• aPA LOT 19 N 0 0 VACANT � n FOUND 1/2-I.P. f1 p 0.49'WEST p v LOT 12 v FOUND 1/2'I.P. qO `,7� FOUND 3/4'I.P. �• 0.82-NORTHWEST 65.00'PLAT & COMPUTED SET LOT 8 LOT 9 LOT 11 FRAN P.R.P. PERMANENT REFERENCE POINT P.I. POINT OF INTERSECTION P.C.C. POINT OF COMPOUND CURVE T TANGENT BLK BLOCK P.C.P. PERMANENT CONTROL POINT R/W RIGHT OF WAY A/C NR CONDITIONER L ARC. FWD.FOUND P.O.C. POINT OF COMMENCEMENT O.R.V. OFFICIAL RECORDS VOLUME DELTA ANGLE COMB COMPVT P.O.B. POINT OF BEGINNING D.B. DEED BOOK P.T. POINT OF TANGENCY R RADIUS CONC.CONGILTi P.C. POINT OF CURVE PQ PACE N.C.V.D. NATIONAL GEODETIC VERTICAL DATUM C.B.D. CHORD BEARING P.R.C. POINT OF REVERSE CURVE LB. LICENSE BUSINESS R.L.S. I S. REGISTERED LD SURVEYOR DISTANCE ROONEY & S O N S PO. BOX 67.967 ✓AX,t'LA P6'-6957 6855-8 WILSON BOULEVARD, JACKSONVILLE, FLORIDA. 32210 A: •+ 'n:Z-0702 FAX N0. 904-772-900 I,HEREBY CERTIFY TO 'ilj,_IAT FOP t1tA1'„__� OF 'RE JACK'-U'VIUE .:ZtY�x = IISk�uCE EUS Its. LAVA EEXH�S FYV31TAT THAT THIS SURVEY” IS A TRUE ANiJ CORRECT REF'KL-%ENTATION OF LANDS DESCRIBED IN THE ABOVE CAPTION' THAT THIS SURVEY PROPERLY AND ACCURATELY INDICATES THE LOCATION OF ALL IMPROVEMENTS ON SAID PR'i-ERTY; THAT THIS SURVEY WAS PREPARED UNDER MY DIRECT SUPFRVISION- ANI") TWAT THIO CIIRVFY UrFTC � ��- J �1 . . �� 1 �' � � �. .. ... .. . . ..._JU _ � :.� � �. .;`� f I !�� ;._ i ' ` Gc I �C ^ .} c E � - - �; `� ' I � .�`,,` i \. Qo \ f,��" -,.�,� �� t �` i + �.� � =, ,;,. r, b�tc..�� . �j — � �� 1 �� ,� �� v � .� � � m° . � �� j 1�, �o i � � Sr ,, �. • s � wl r �r '� +r � � F� € d �!J, TREE REMOVAL APPLICATION 3 1994 SECTION A - APPLICATIONS MUST BE RECEIVED BY CLOSE OF Sir FE THE MEETING i 'rroperty Owner ' s Name Adaress Telephone 1 . 2- L a-� L cation of Tree Removal/Site Alteration SECTION B - (To be completed by applicants whose property is zoned residential , includes an existing dwelling, and which is not presently owner-occupied) what changes are roposed to the above specified site? � . what is the pu pose f these proposed changes? 3 . Specify treeXoposed for moval as follows : Tree Count Species Size(DBH x HOT)---Condition a . wi. li these trees be relocated on the same property? S . It not , will replacement trees be planted? 6 . Specify proposed replacement trees as follows : Tree Count Species Size(DBH x HGT) Attacn site pian. (Note: All trees proposed for removal Aust be marked on site by red tape or flagging) . SECTION B - ( All other Applicants) Property Zoning : submit the following: SITE PLAN/TRL►E SUHYiY indicating: a) site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/DBN of six inches or more 4j----Trwe---s-pecies and sizes ti)- Tr"s-to be removed should be clearly marked be relocated should be clearly marked 9+--4rorc�M of any proposed replacement trees h�--- �rtify trees of special or unique characteristic � *��^• �; trees within 10 feet of construction areas j}----Strow—location and type of tree protective barriers k) Location of utilities, accesses and easements 1 ) Location of vehicle travel corridors M) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage s . All trees identified for removal must be marked on site by red iiagging or tape. SECTION C I agree to comply with the rules and practices established in Chapter 23 , Article II bf the Code of Orainanees of Atlantic Beach. Ow s Signature I Datie CITY USE ONLY Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Hoard. Tree Conservation Board Designee Date NOTE: "Tree protection for 1uilders and Developers" is available at City Hall or from the Division of Forestry, 8719 Most Beaver Street, Jacksonville, FL 32220. (741-1434) R J i i 3 a FLA, ossa �wws /� RAW*Foam lee fps 713.1a N�rit►ce Of (9=t"%UV't"Ut r11sIAMt MI OY►NpA/i1 gofvh= tlUUT � The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OFF COMMENCEMENT. R'!� Cesuiption of property.........../ L? .. j.. . . .... G X �.. .... ....................... L 1-- f. ..,..........«....... ,1.k...«.......«........................«.....««..««.«....................................... ........................................................................................._.....«......«....................«...................................................«...........«....«..................................... _...............................«........«............................................«..»....................................................«..«.................«....«................««.«.....«._«««.................... General descr + of inwoven�ews.. .............. c. ....« :. .... «...«.............. y .......... .........................." .0-.r fle................,c . .. ..........................»..................«.«............«..«....................«..«......_«....................... OWnK... ..!:':�. ....k 7..."`»::1.............._.............................................................«........«........«................................... A"eu.......1 . C ..«.« . .,J�..(.... .... .,..... `....� ....».,.... ............ Owner's Wsred in file of the inwovawW......................«................«...........«...................«...«.......««..«»».«....«..»«......««..«.................. Fee Simple fide holder (if ollw than owner) ................. �'� .., ... ......::..............................«..............................«........«.««.«.......«.................«........... „ddrps.....«« ... ........... 5... ....... ... '»».... «.....«..., o Contractor..... .. .. .... .y............G ..��.......:<.�� i .�r.:�....«...«.......�«...« Addr..a `: ` .........?. .... ..1(q. ..A.V..f........................7 ` ...« :. .�...,�...»« .«. ... : Suretyt ..«..................«..«........................................................_..........«...........................«....«.».«.««...«»....«..«...........«.....«.... �►ddreff_.. _«« «...«««..............«..................«..«.......«................................... ...»..«....««.......«......«Antaant of bond $....«........ ...«.......... Nan» of person within the Slab of l4wide dasigiwied by owner ww whom nahm or other Jwx wntf may be servo& Name........... .. _ .............«...«. , .L� �... ..,T� .. :.,c.....» G - ' �...«...». Address.......... «.-�.. In addition to himself,owner designates the following persaw to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (P), Florida Statutes. (Fill in at Owner's option). NO" ............... ....«.............«..................«.«...««»...«............«...............«....«........».«.««.........«...«««....«..»..........».......«........«..«.... .».......»........... Address........«..................................................................»................................._.. . ,........,......«.......r......»...«». «.,..»...»..«.................,..._...... rgle e►ACi FOO SWCOROta•e Y/L ONLY I ,.- CITY OF ATLANTIC BEACH APPLICATION FOR PLUIMING PERMIT JOB LOCATION: / ? /E' ' A ALL, 1 S A r OWNER OF PROPERTY: j� � p ,rn A,_ TELEPHONE NO\ ?SS3 PLUMBING CONTRACTOR V (> t-, US CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: C TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS �_ SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS _SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: --�)&,A, ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Koad -Atlantic Beach, FL 32233 - Tei: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION_J ! ~— T LOCATION INFORMATION J Permit Number: 20151 Address: 1968 FRANCIS AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION I Township: Range: Book: 19 Proposed Use: SINGLE FAMILY Lots):12 Block: 9 Section: Square Feet: Subdivision: DONNERS REPLAT Est.Value: Parcel Number: Improv. Cost: T--__OVIINER INFORMATION -_ Date Issued: 6/01/2000 Name: THOMAS, ELSIE L. Total Fees: 32.50 Address: 1968 FRANCIS AVENUE Amount Paid: 32.50 ATLANTIC BEACH, FL 32233 Date_ Paid:_ 6/01/2000 _ Phone: (904)346-6080 Work Desc: INSTALL PLUMBING _ __ _ CONTRA :TOR(S) ._ _ APPLI_CATION FEES JERRY'S PLUMBING —� PERMIT _ 32.50 i fns coons Re_guirp0 UNDER SLAB PLVMBtNG� JOPOUT `FINAL I ( j �r NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION +� BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC PPAPH 54WN PffT- tA V0, kaw CITY OF ATLANTIC BEACH (;il, each PERMIT APPLICATION REMODEL, ADDITIONS, OR AL nd Woninp, MOVING, DEMOLITIONS Owner(s) : ---.-Phone:c Job Address:11 '�I'��T -.1 /l Lot Block or unit # Subdivision: Contractor-It State License (-- Address: .',. Phone No:3k' -1 kr-), Cit State Zip Code Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use: j 3 ei Is this an addition? If yes, what are the dimensions of the added space: 1 CJ ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? U i tt cxt' T— New plumbing fiktures? � �-�, New fireplace? New Heat/AC? i-C4jT(9,- -�t� !'k-'0- (,(-;/d ((`.(0v SUBMIT THFJW (CO142RCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMNCEMENT, AND OMMMICONTRACTOR AFFIDAVIT, IF OMMM IS CONTRACTOR. SignatureDate: OWNER:( Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this 2000. NOTARY PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this day of #SOGG66ml Aijaust 27,2WO NDED TRW Ma p*pWWVXCV NOTARY PUBLIC CITY OF ATLANTIC BEACH Fixture Unit Worksheec for Water Impacc Fee Fix—my- UNITS ARS ESTASLISHE➢ AS THE MEASURL-4ENT OF WATER 0E%LkX0 FCR EACR WATER FIXTURE UNIT INSTALLED AND CONNECTED TO TiiE CIi'Y WATER SYSTE!. THE, WATER SUP?LY CH_kRGE IS HEREBY FIXED AT T'KE``TY DOLLARS PF3 FIXTURE UNIT CONNECTED TO THE CIT': WATER SYSTEM. IAiHROOM GROUP CONSISTING OF SERVICE S NK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 6 WATER CLOSET �q0 WATER CIASET, TANX OPERATED (4) VALVE OPERATED (8) u SA LATUB/SHOW'EIR (2) URI21AL WALL L:? (�) SHOWE.R CROUP PER HEAD (3) 3 FLOOR DR:t:V (:) G SHOWEt STALL DON.ESTI C (2) LAUNI)RY T7,-.Y (:) LAVATORY (1) � C40M2INA7I0N S7—NK Ali^ _ (3) G WASHING N.ACHINE (3) PCT, SC'LLERY SI:+K (�) DISHWASHER (2) STASH S:VK EACs: SE': OF FAUCET'S (_) ExITCHEN SINK (2) DENTAL LAVATORY (i) XITC3Di SINK WITS WASTE DENTAL UNI:' OR CUSPIDOR (1) CRINDEX (3) 311)E7 (`) URINAL STALL, WASHOUT (G) tt� i FLIISHiIIiG RD( SINK (8) CO2{.BINATION SZNK AND TRAY WIT FOCI) DISPOS. (4) URINAL, MESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (Z) i LUVATORT, MMER/BEAUTY ICE ".AKEZ SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) =JACZTZ.?.I (2) URINAL STALL, WASHOUT (4) TOTAL FIX—LURE UNITS $20.00 EACH $ �2 0 0 0 .JOB INFOILMATIOH gact: 6V0104733 Pae: 2155 Filed I Recorded 9553 OS/1 COO 12:26:57 PM NOTICE OF COMMENCEMENT CHENRY V LERK CIRCUIT COURT DUVAL COUNTY TRUST FUND $ 1.00 TO WHOM IT MAY CONCERN: RECORDING f 5.00 a The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following s information is stated in this NOTICE OF COMMENCEMENT. r D scri tion of roperty L .K7-'- � � ,yl g� 1 Oil General Description of lmprovements_&L ' -n Address: Owner's interest in site of improvements: . d. Fee Simple Title Holder(if other than owner) Name 514 M`'Q Address \ Contractor QQ26 � jj- Address Surety (if any),(-J/A Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents mayAe served: Name Address to addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as pro ed in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name Address: Owner Sworn to and subscribed before me this a f _ C _ Notary Public CMUSSION K GC&M,EXPIRES August 27,2= %;, WNDED THRU TRDY FAN aWjp=,IW CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address CADDITtoo Date 5__ Heated Square Footage Cd per sq 't - i. - 11 Garaoe/Shed @ $ ; L = _q _p e r sq --;:-_ Carport/Porchl. 8___per sq fE t = S' D e c Ir- Per sq ft = Patio sa_ f t = TOTAL VALUATION : S, Total VIla 16 on ist $ Remaining Value per thousand or portion thereo L TOTAL BUILDING FEE + 1/.2' Filing Fee 2, S-1 Fireplaces @ $15 , 00 6- BUILDING PERMIT FEE / 77- 17 WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP CAPITAL IMPROVEMENT ti SEWER TAP RADON ( HRS) C050 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION LS--/o ) SURCHARGE . '00 0 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical P1, Electric/New Electric/Temp .: SwimmincrPool Septic Tank Wiel- J. Si. an Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING:CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 Small Additions,Renovations&Building systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-97 for additions of 600 square feet orless,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions y use of Form 60OB-97 or 600A-97. PROJECT NAME: / BUILDER: A AND ADDRESS: / PERMITTING CLIMATE rffl /91a7OFFICE: ZONE: 1 1 2 ❑3 OWNER; ' PERMIT NO. JURISDICTION NO.:F-GsIsA&IX I ICC SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive-requirsments in Tables 6C•1 and 604-apply,only to the components and equipment betngranovated or-repfaced.MANUFACTURED HOMES AND BUILDINGS.Only site installed components and features are covered by this form.BUILDING SYSTEMS Comply when compute new system is installed, Please Pr n 1. Renovation,Addition,New System or Manufactured Home 1. lY7 2. Single family detached or Multifamily attached 2. <, 3. If Multifamily-No.of units covered by this submission 3. A 4. Conditioned floor area(sq. ft.) 4. 5. Predominant eave overhang(ft.) 5. 2 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. f15 - sq.ft. b. Tint,film or solar screen 6b. sq. ft. sq.ft. 7. Percentage of glass to floor area 7. _ _ _ 8. Floor type and insulation: a. Stab-on-grade (R-value) 8a. R= lin. ft. b. Wood, raised(R-value) 8b. R= IV& sq.ft. c. Wood,common(R-value) 8c. R= A4& sq.ft. d Concrete, raised(R-value) 8d. R= Alk sq.ft. e. Concrete,common(R-value) 8e. R= sq.ft. 9. Will type and insulation: a. Exterior: 1. Masonry(insulation R-value) 9a-1 R= sq.ft. 2. Wood frame(Insulation 13-value)' 9a-2 R= (1 ' sq.ft. b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= - -- .ft. _0_2. Wood frame(Insulation R-value) 9b-2 R= /�>sq.ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic(Insulation R-value) 1Da. R= _ sq.ft. b. Single assembly(insulation R-value) IOb. R= sq.ft. 11. Cooling system* 12j v r--^ i (Types:central, room unit,package terminal R.C.,gas,existing, none) 11, Type: SEER/EER. 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: rb gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: 13. Air Distribution Systern*: a. Backflow damper or single package systems*(Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14.` Type: -v (Types:elec.,natural gas,other,existing,none) EF: J *Pertains to manufactured homes with site installed components. I hereby certifythat the pcans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance w' rids Etoergy d with thef bdda Energy Code. ore construct) corn this lwilcfirlgwiii be PRIEaaRt D er DATI: inspected for compliance m a o nce with S ion 55 . F.S. I hereby cart i I in 1 i nce W the Florida Energy e. BUILDING OFFICIAL; OWNER AGE DATE: DATE: '�® 5mineu—W� Boake 6 j04733 _ Page. 210/15 15 i _ Filed $ Recorded '653 NOTICE OF COMMENCEMENT HENRY/W COW 12: P11 CLERK CIRCUIT COURT DUVAL COUNTY in TRUST FUND $ 1.00 TO WHOM IT MAY CONCERN: RECORDING $ 5.00 N The undersigned hereby informs all concerned that improvements will be made to certain W real property, and in accordance with Section 713.13 of the Florida Statutes, the following to information is stated in this NOTICE OF COMMENCEMENT. DEISM, tion of roe CU � '} � Ir� ,� Wj,�` Cir'1!?a"�. e'` „�.,•" '_. i�r1, t.+.``a v S 1 .t4 U General Description of Improvements: OwnerF�,- ' I I l'til Address: Owner's interest in site of improvements:_y ^^ I Fee Simple Title Holder(if other than owner) Name Address \ Contractor0WAGr12-- Address Surety (if any)t-J/.4- _ Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may served: Name n/ Address In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice asrovi ed in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name ^� �`- Address: Owner Sworn to and subscribed before me this /y r a f Notary Public +:r MY CO*AMS M CCSMI WIRES August 27,2000 TNRU TROY FAIN 00 RANGE,INC. A P SHOWING BOUNDARY ,F UR VE Y 0 -12, EXCEPT THE WEST 55.00 FEET THEREOF BLOCK 9, DONNER S REPLAT ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, 0' 15' W. 80' REcEl � GRAPHIC SCALE SCALE 1'-30' MAY , NOTES: 0 2000 1. ANGLES 2. FIELD WORK 12/1122/94N THE FIELD. City Of Atlantic Bulldin Beach 12l30l94:ADDED FIN.FL.ELEV. g and Zoning 8 DRIVEWAY AND PADS. FOUND 1/2•I.P� CHURCH (50 'R/W) ROAD FOUND 5/8-KEBAB • 44 r e • A 14 UI N LOT 15 FOUND CONCRETE MONUMENT 0.4'x 0.4' U 2 0T L E N T LOT 14 O � ERM BLOCK, 9 CS FOUND 5/8•REBAR �\ 46 LOT 13 CA 090 N w — 55.00' (A— T 0.00 " T FOUND 1/2•I.P. Y 9g 34.83' ' `4 0.49'WEST 4�� ps. r 41.00' tn1F INFLELEV.. 13.10STORY HOUSE WITH ALUM. lt� w SIDING DRIVEWAY 4 CA T 1 41.00. o .34.92' ORP • l � 4 FOUND 1/2•LA 55.00' T �0A` `v/��,/ b$ 110.00 FOUND 5/8-MAR \L asoe5 SOT 6 LOT 9 LOT 11F RAN .O.C.-POINf OF COWAHMAENT P".-PEAM1ANENT POINT Fiq.-FOUND /LK.lLOpf CONC-CONCR£fE PRML-PFiMWrEl► 04-POINT OF Ketwims N.6.V.0,4iATIONAL ODETIC VERTICAL DATUM COMM'.-C01!'I M RAD.-RADIAL ElMT.-EAt EW)IT 1,111170IIENCE MOK Cf(IINT OF WRVATIJRE P.L&4 tOFENI0NAL LAND"VEYOR T-TANIENT MRADIUI D)tL.41WL01N0 PUTRICTION LINE T,-POINT OF TANGENCY R.A4%E*Wrf EO LAND 1URYEYOR L-ARC LENITN 4-0ELTA ANGLE F.Z.-FLOOD ZM fLC-PO OF REVERaII WRVS L.1.-L.tCENME 1UgIN[n R/W-IHIMT TV-WAY APPIIOX-APPROXIMATt A/C-AIR C -PO►I f OF c6mpoum CURVEQJI VrOFf'ICIAL IKCOIIDS VOLUME AXA AM KNOM1N A3 EXI$T.-E)fWt04 COlD1TIOI�R ttFT OF,p1toto C mN OJtt.-OFFICIAL RECORD 11110M W44o I OR FQRIALRLY CfTY OF ATLAMMC BEACH OWNER BUILDER PERMIT AFFIDAVIT STATE OF FLORIDA COUNTY OF DUVAL BEFORE ME, THE UNDERSIGNED AUTHORITY, PERSONALLY APPEARED BEFORE ME i. WHO BEING BY ME FIRST DULYS ORN, DE/^POSESA�1D I AM THE LEGAL OWNER OF THE FOLLOWING PROPERTY: i —E ro f 1(_.i.s ' kt CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENCED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN /T/S FOR PERSONAL OR FAMILY USE,AND LIKEWISE REQUIRE ALL WORK!EXCEPT MAINTENANCE UNDER$Z,0001 BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENCED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENCED TRADES PEOPLE. " T}aS DOES NOT ALLOW USE OF UNLICENCED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSOQBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENCED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER,PERMIT. mss,.. Y, C, "riROPERIY,_QWN ER/BUI LD Ci r)CA's ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS w OF 000. NOTE: PHRASES UNDERLINED ABOVE – ^"•� pWcIa Amon ARE EMPHASIZED BY THE BUILDING NOTARY PUBLIC ;4H P 's SSION p�g53t;81 p(PIRES DEPARTMENT. MY COMMISSION EXPIRES:*: .e*: MY COMMIAugust 27,2000 BONDED THN AP 7 LSI 12,EXCEPT.HO WING FEETO o BDAR o NER3 EPLAT ACO DIN oD THE PLAT THEREOF AS RECORDED IN PLAT BOOK 19, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, � . U' 15' 30' 80' REL ' GRAPHIC �— ,SCALE NOTES; SCALE 1'=30' MAY 7 0 2000 1. ANGLES ESTABLISHED IN THE FIELD. L+�t 2. FIELD WORK 12/12/94 y Of Atlantic Buildin Beach 12i3U/9�1:AUDEG FIl,+.F!_.kl_E�%. and Zoning R DRIVEWAY AIID i'AO'=. CHURCH (50 'R 1W) ROAD FOUND 1/21A, 'FOUND 5/8-REBAR 4 r e A U N LOT 15 (FOUND CONCRETE MONUMENT C!.4'x 0.4' ry O J L 0 T ENT � LOT 14 G 0 VER B L O C K 9 FOUy� AR F� � jQ PCo � n I LOT 13 N (( 55.00' �O SE; 110.00 (' _sdT FOUND 1;'2'1.F'. 89�BOs• 0.49'WEST F'IN.FL.ELEV• 1;x.10 90 J 1 STORY WOOD n HOUSE WITH ALUM. N SIDING DRIVEWAY -4 �. o L T 141`00' .. i a n, . 34.92' PUS FOUND 1/2'1 P\ 55.00' SET BOON lV (� �gOJ• 110.00 FOUND 5/8'REBAR \L. DoT 6 1 �-�' 9-- LOT 11 FRAN 8.8085 .O.C:POINT OF COMMkNCMENT P.R.P.-PERMANENT REFERENCE POINT FND:FOUND BLK:BLOCK CONC:CONCREft P.R.M-PERMANENT .O.S.-POINT OF BEGINNING N.G.V.O.-NATIONAL GEODETIC VERTICAL DATUM COMP.-COMPUTED RAD.-RADIAL ESMT.EASEMENT REFERENCE MON. .C.-POINT OF CURVATURE P.L.S.-PROFESSIONAL LAND SURVEYOR T-TANGENT R-RADIUS B.A.L.-BUILDING RESTRICTION LINE .T,POINT OF TANGENCY R.L.S.-REGISTERED LAND SURVEYOR L-ARC LENGTH D-DELTA ANGLE F.Z.-FLOOD ZONE A'C:POINT OF REVERSE CURVE L.B.-LICENSE BUSINESS R/W-RIGHT-OF-WAY APPROX.-APPROXIMATE A/C-AIR .C.C.-POINT OF COMPOUND CURVE O.R.V.-OFFICIAL RECORDS VOLUME A.K.A.-ALSO KNOWN AS EXIST.-EXI9TING CONDITIONER J.-POINT OF INTERSECTION O.R.B.-OFFICIAL RECORDS BOOK N/F-NOW OR FORMERLY PROP.-PROPOSED FIN_Ft FL vv__ E4 50 '134 15:55r�00t lEY & SONS 9043849792 TO: 2475905 P01 "MPSHO NBOUNDARY $URVEY LOT12, MWEpTTHE FEx VtRT0 THE PLAN' THE MOF W RECORDED LV PLAT BOOK 19, PACE 16, OJr Tfi' OURRSNT PUBLIC RECORDS OF DUVAL COUNTY, FLORMA ad SCALE 1"-30r ME* 1. ANMD ESTARUS-IM IN TN6 FIELD, t FIMD WORK 12/12/94 12/3O/94•,ADDED FIN.FL.ELEV, i DRIVEWAY AND PADS. Y �?OAD FOUND ,/2't.PC U [.�11 (50.'RI W) (FOUND 6/6-MIMAR � w � �1 N LOT 15 (FOUND CONCRETE ,,...ENT 0.4'x 0.4' L T0: 24 5805 P01 AM- - �' pF� - ' ATGBOUNDARY � �T�� ' - _ , 00 F ",, T"H 'C3 f BLOCK' 9, �CA'AWR S RE'PLAT ACC' .,1�DMG TO py j /}$ �j //Y$T �j�s �jy� Y J►�r�I }y g �/+x w-V -_'$Y I`Lw �}i..+Sl I a7', �iY CFS3 i , Vi` L Fi.4 CURRENT l T �t71�4 r— M,.r..e�.. --�0 ----------------451' NOTES:un 4) ROAD s� f51uH5Y 8;6'RIMAR s w e 15 i LOT tit F itti3` . F+ i Tatt-firatt of OrrupunrV (situ of Atlantic +learn — Nloribn 19tVartment of Vitilbing Inspertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification ffBldg. Permit No. Group ,A,. :a.—.,e Type Construction ` Fire District A laxit c Beach P. 0. Bo., 50939 ' Owner of Building 'iai) tact f o li'tttTt*^ r$ddress sari"uf77i�rt'-trFi=t - - iii Buil g Address 19 �.r;.�i:; i.-Ve> LocalityAtlan;.ic Beach, FL 3223.3 By: DON C, FORD Building Official Date: POST IN A CONSPICUOUS PLACE F S r r ' PSR 344 " aark f gsz 4 '+Po"';� rrc '�, 9158 DEPARTMENT OF SUIL D114 i CITY OF ATLANTIC BEACH `- PERMIT INF't3Rl ATION .._»_'---- LOCATION INFORMATION P mit Ntlilib r: 15R Address : FRANCIS AVENUE Pexml t `'TY BUILDING 'Class of ,ATLANTIC BEACH, FLORIDA 32233 Wer : NEW .��_., _ LEGAL DESCRIPTION ------ C > tr, Type WOOD FRAME Lot : 12 Bali 9 Sretana ` �' » Proposed SINGLE FAMILY Township- RNG, 0 71 Dwel lzngs k I Code= O Subdivzti cn: DOWNER Estimated Value; $117.5310 5 O , Improv. Cost Total `AmCur .. I535 .15 aye s 3 6 } v ' '> . 0 x... Y 1 p y � +' �� 'T CsL# ;r, __- APPLICATION FEESPERMIT _» » s� ddrea 05 MAS IMPAC FEES 50 N BEACH P � ' P e 4 4 eaa =4=1TAP RADON GAS-H.R. S. 4.8O O OR3 TIt1N RADON CAB 6% 2 5 . . NPlITt@ ICIC &LEB J }HN NIA D HOMESf..AP:I?TAL_ IMPROV p �� ER TAP m . $0 . 00 .TACK LLE F'L 32225 CROSS CONNECTION $0.00 Uce 7PTp SEC H IMPACT PEE COMB3' RCN RO �q �.4 S vrr NOTES: Charitable OrSani.eation exempt 'from permit fee. The foll0wins, fees are to be paid Mader separate #.tgr*e1l*nt betwean the City ' f Atlantic Beach and` Seachee Habitat: Water Impart 340-00 Capital Imlprov11mut 325.00 Crass Connection 35.00 Sewer Fee 1,250.00 NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST 8E IN$PECTEb BEFdRE POURING PERMIT VOID SIX,MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRISFROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER (`FAILURE TO COMPLY WITH THE VECHANICS' LIEN LAW CAN RESULT IN TH:E PROPERTY OWNER PAYING TWICE FOR BUILDING'IMPROVE'MENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR q IOI agT# 1N OF APPLICABLE PROVISIONS OF LAW: s AT#ANTICBEACH BUILDING DEPA TMEN7 55 d y3 y� SlLk4'}.b e W 6 u 1sfr.�,:1 1 i Bit: TRANSMITTAL DOCUMENT FOR JEA DATE: // _ ,2 9_ 9 The following permits have passed "rough" inspection: Permit No. Address BAzssalc�eotsxxx:atxc �oui�e®tx�pa6�xic6taac Please update your records accordingly. Than o UILDI G qCWj CITY OF ATLANTIC BEACH /vcb 'a 4 9379 P$F1.89A4`' j DEPARTMENT OF BUILDING CITY OFATLANTIC BEACH � __.. PERMIT NPORI AT'ION �. .�, .... �� .-.r LOCATION INFORMATION --------- ' Permit NUmber: 9379 Addrs,$. 196$ FRANCIS AVENUE Pi'rmit Type: MECHANICAL ATLANTIC BEACH FLORIDA 32233 C . ;s of Sark tom` �_,.�...�� ._ LECAT DESCRIPTION -- Constr. Type: WOOD FRIM.? t : BIo6k3 *x + ction: proposed Use: SINGLE FAMILY Township'. RNA. " I3s : 1 Cade: I uLdiviSion : .. ilaated VAlue: O »O V r�u. Cost $0 .00, 0 ,00 m 3ux2t-, „ s r. $ty do Date M0rjlt t AL HEAT AND AIR IN A r HAAIT`A`T OMR PPLICATION FEESNatce Ot�IT $0 .,00 Ac r r' " ° A EI C E WATE jMPACT' FEE � $0 00 1 : py d d'•,e J^ eSdy e � 4§b' �1�i1�'�f" N PL ., ^ P w RAD014' 0AS-N,R.SS . $0 .00 �-_ C RMATIO RADON -CA.B. % 0 .00 Da N aide: ,H N T t3 A I��,; CAPITAL IMPROVE, �t� .dd.reat ,. `� o L AR �.. � 0.00 JACKS LE BRACH , FL 32250 CROSS CONNECTION Tcenss .°��., +C4 : . Type: 3SEC li It �FAG'I' FEE �` OO . CON T.SURtHAROE Asa .00 's � �� ✓ u`��,r'P:ka�t"tea kPdPdY..haw s'u.Ns.,nama,,.,:, ":'�w��'w7�1 j� i� iT'� � ..'fa�4: � t {e r .r • ✓ r F w s NOTESY w Y � t r 1 I NOTICE--ALL CQNCFIETE.FO R'M'S AND FOOTINGS MUST HIE:INSPECTED BEFORE PO RING ' PERI+IIT VOID SIX MONTHS AFTER DATE OF ISSUE z BUILDING MATERIAL,RUBBISH AMC)DEBRIS FROM THIS WORK MUST NOT Be PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UPAND MAULED AWAY BY EITHER CONTRACTOR'OR OWNER jFA LURE TD C "# 'L:' WITH THE MECHANIC, 1�IE LAV{/ CAN RESULT #�1 `PHS PROPEAT C 1"lER PAYING TWICE FOR BW#�.C�� r ##1�PR� EMEh1TS." , D ACCORDINt3 Tfl APPROVED PLANS WHICH PART'OF THI& PER, it ANIS SUBJECT FQ ` -tATION OF APPLICABLE PROVISIONS OF LAW. rr f IG BEACM`BUDDING DEPARTMENT I ' Y ty�Si/} pR�_ . 4yi1� aW BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH AT PITIC 111i11CH. ftftlDA SOUS APPLICATION FOR MECHANICAL PERMIT CA ui rjumeift IMPORTANT — Applicant to complete all items in sections I. IIr III, and IV. LOCATIONStreet Mims: ! k7 OF laterastiag Sheets: Mhwa$e Aad BUILDING If. IDENTIFICATION -- To be completed by all applicants. In consideration of permit given for doing IM work as described in the above statement we hereby agree to perform aid work in accordance WA Ma atteclpd plans and specifications which are a per# hereof and in accordance with the City of Jacksonville ordiMdcec and standards of good practice listed therein. Name of MeoAan" coM►oelees CoMsao or (priaf l U Moos of 4A©o 9 t 35 7� pro�pertyy Owner ' Sigeabre of Owner Signalwo of «Aodse►iaed Ageaf AroAiNst or iagleeor 111. GGHKAL NrFORMATION A. Two of Aoeling W; O. IS OTN M MSTWJCTION Moos Bonk am TNIS&JILOMN OR SITt T�-- O Geo—O V O Nettsal �'�` Cooled Nlrly O of Ir vur slut IIIlwetlt o�am POWIT ! O other — Sptxify -- IV. WSCKUNIt".I1L RQtfr~TO as MINALV NATt,ME OF WN (pov+A• p pal 600- 0 A M"of Als#welt 71, RnMential or O Contawelal Mort O Spode O Roared If C**W O Ileo► (5 Nw bilkdMlo Air Coedrl4aiag: O Roos/� C«e/tOl J O EstWWq 8~q Otref fytAaw: MaNttet—=1(L._ .ir O RMins iMK of OxistUM eyopum 1yni,ot,,,, kV, o O Ola O Now WAIWSalbn IMO oyawn pa iewM WWW" O R.R;,er.*« O Ell WWW of add-on to Ol WW4 eyoftm O oam—tl� wfy O G.Iiag 1tlww: Gpecily Ma O Fin moss inMet e: Nu"w of O timtor O Meoli!► O s-=-oom= ON il- 11N�MNiOf IiOt Ow10f W QALY O Took (ww sol ROMA@ O LPG O tJoRad powwe vows O 0011" — s"«iM 1'bnnh Ji L Wr ALL EQUIPMENT AIR CONDMOMPIG AND REFRIGERATION EQUW=ff >ruwfaatVt111a DlrtahNMs li1.�WI1111I11ge �INI1aR C!r■a) � � o C � W ATWG . I URNACES. MLER& RREK Aost CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �_� �- rV C f -S !T"U (._ Date Heated Square Footage ( _@ $ r�t 5 � per sq ft = $ Garag /Shed) �@ $ per sq ft = $ Carport ®rcDh ,@ $ © per sq ft = $ "� Z Deck @ $ per sq ft = $ Patio " _@ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1st $ S _ Remaining Value $ per thousand or portion thereof � X F 10 / TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ 1 C? O SEWER IMPACT FEE $ < - 0 C7 _ ATER METER/TAP $ a r a r(cc (,� C.J l!r� CAPITAL IMPROVEMENT $ EWER TAP S RADON (HRS) .0050 $ SECTION H PAVING { ) $ o HYDRAULIC SHARES $ CROSS CONNECTION $� _-` ✓ ( p(4) SURCHARGE .0050 $ -/ 5 - OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: 1 CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) r ?_ WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) Q DISHWASHER (2) WASH SINK EACH SET OF _KITCHEN SINK (2) FAUCETS (2)DENTAL LAVATORY (1) C> KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS______ ) @ $20.00 EACH $ d JOB INFORMATION /Z/f A)ef .S V'5 begartment of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH 1 2 3 r PROJECT NAME: Acv V BUILDER: V\ 951--TAT AND ADDRESS: PERMITTING OFFICE: -L� cl. ZONE:TE 1102 ❑3 OWNER: PERYTT N0. JURISDICTION NO.: i Please Print CK 1. New construction or addition 1. N-C 2. Single family detached or Multifamily attached 2• <- 3. If Multifamily--No. of units covered by this submission 3. 4. If Multifamily, Is this a worst case (yes/no) 4• 5. Conditioned floor area (sq. ft.) 5. la l - 6. Predominant eave overhang (ft.) 6• 7. Porch overhang length (ft.) 7• S. Glass area and type: Single Pane Double Pane a. Clear glass 8a. sq.ft. 10 sq.ft. b. Tint, film or solar screen 8b. sq. ft. sq.ft. 9. Floor type and Insulation: a. Slab on grade (R-value +perimeter) 9a. R= , \�_ I.ft. b. Wood, raised (R-value +sq.ft.) 9b. R= sq.ft. c. Concrete, raised (R-value) 9c. R= sq.ft. 10. Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= sq.ft. 2. Wood frame (insulation R-value) 10a-2 R= �„T_ �sq.ft. 3. Steel (Insulation R-value) 10a-3 R= sq.it. 4. Log (Insulation R-value) 10a-4 R= sq.it. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq.ft. 3. Steel (Insulation R-value) 10b-3 R= sq.ft. 4. Log (insulation R-value) 10b-4 R= sq. ft. 11. Ceiling type area and Insulation: a. Under attic(Insulation R-value) 11a. R= _ 3 0 ),017 sq. ft. b. Single assembly (Insulation R-value) 11b. R= sq.ft. 12. Air distribution systems a. Ducts (Insulation+ Location) 12a. R=� (condi nw ) b. Air Handler( Insulation+ Location) 12b. R= 13. Cooling system (Types:central-split,central-single pkg.,room unit, PTAC.,none) 13. Type:C&r jTQt L S PL T-T EE ER/COP: \0 . 14. Heating system: 14. Type:`-�rrA'T PLAm (Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) Spy P /COP/AFUE: 15. Hot water system: 15. Type:C ULCT2 L�^ (Types:elec.,natural gas,solar,L.P.gas,none) EF: '1 16. Hot Water Credits: a. Heat Recovery (HR) 16a. , b. Dedicated Heat Pump(DHP) 16a. 17. Infiltration practice: 1, 2 or 3 17. Z 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 119. 91 .71 a. Total As-Built points EPI =TotalAs•BuW6polnts x 100 19a. 22- Sg a b. Total Base points Total Ba"p°i^'� 19b. ZZ S8 1 hereby certily that the plant and specillcations covered by the caiculalion are in compliance with the Review of plans and specification covered by this calculation indicates compliance with Florida Energy Code. the Florida Energy Code. Before constructions completed,this buildup win bs inspected PREPARED BY: �1 QV� DATE: for=Tpliancs „accordance with Section 557.968.F.S. 1 hereby certify that this buildings in compliance with the Florida Energy Code, BUILDING OFRCIAL: OWNER AGENT: DATE: DATE: -1- Department of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Component Prescriptive Method A NORTH 1 2 3 PROJECTNAME: ANC'16 CAVt BUILDER: AND ADDRESS: PERMITTING OFFICE: �yN-C,� tl. ZONE:TE 110203 OWNER: PERMIT NO.1 I I I I I I I JURISDICTION NO.: 1111010 Please Print CK 1. New construction or addition I. N L , 2. Single family detached or Multifamily attached 2. S 3. If Multifamily-No.of units covered by this submission 3. 4. If Multifamily, Is this a worst case(yes/no) 4. 5. Conditioned floor area (sq. ft.) 5. �O t 7 6. Predominant eave overhang (ft.) 6. 7. Porch overhang length (ft.) 7. 8. Glass area and type: Single Pane Double Pane a. Clear glass 8a. sq.ft. 1�sq.ft. b. Tint, film or solar screen 8b. sq.ft. sq.ft. 9. Floor type and Insulation: a. Slab on grade (R-value +perimeter) 9a. R= _, 131 I.ft. b. Wood, raised (R-value + sq.ft.) 9b. R= sq.ft. c. Concrete, raised (R-value) 9c. R= sq. ft. 10. Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= _sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= �_ sq.ft. 3. Steel (insulation R-value) 10a-3 R= sq.ft. 4. Log (Insulation R-value) 10a-4 R= sq.ft. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq.ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq.ft. 3. Steel (Insulation R-value) 10b-3 R= sq.ft. 4. Log (Insulation R-value) 10b-4 R= sq.ft. 11. Ceiling type area and insulation: a. Under attic (Insulation R-value) 11a. R= 2O _ \W7 sq.ft. b. Single assembly(Insulation R-value) 11b. R= sq.ft. 12. Air distribution systems a. Ducts (Insulation + Location) 12a. R= tcondj b. Air Handler( Insulation + Location) 12b. R= (condi nco 1 13. Cooling system (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. t\-� Ct✓NTQfA L S pL�T' ER/COP: 1Q14. Heating system: 14. rrAT (Types:heat pump,elec.strip,nal.gas,L.P.gas,room or PTAC,none) 6S-P) /COP/AFUE: 7, C) 15. Hot water system: 15. type: W(.T2L(- (Types: (_(Types:elec.,natural gas,solar,L.P.gas,none) EF: + �- 16. Hot Water Credits: a. Heat Recovery (HR) 16a. , b. Dedicated Heat Pump(DHP) 16a, 17. Infiltration practice: 1, 2 or 3 17, 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 119. Cl°l+meq a. Total As-Built points EPI =Total As•Builtpoints x 100 � 19a. b.Total Base points T«,I Bass pent. 19b. 2 I hereby certify that the plans and specilications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation ndicaies oonpGance with Florida Energy Code. the Florida Energy Code. Before Constructions compbted,this building evil be nspeded PREPARED BY: �`� DATE: !2 3 p� for conpliance n axordana whh Section 553.W8,F.S. I hereby certify that this building s In oorrphanoe whh the Fbrida Energy Code. BUILDING OF14CIAL: OWNER AGENT: DATE: DATE: EPI= 99.79-o ENERGY CODE SECTION 6 NORTH ZONE 1,2 , 3 600-93 HABITAT SUMMER CALCULATIONS FRANCIS AVE,ATL BCH AS BLT SMR. GLASS BASE SUMMER GLS SOF GLASS ORNT. AREA SPM BASE PTS ORIENT. AREA DBLCLR 1 (9B) SMR PTS N 24 65.8 1579 N 24 38. 3 0.94 864 NE 65.8 NE 57 .7 E 30 65.8 1974 E 15 79.7 0.95 1136 SE 65.8 SE 79. 1 S 28 65.8 1842 S 28 66.2 0.91 1687 SW 65.8 SW 79. 1 W 24 65.8 1579 W 9 79.7 0.95 681 NW 65.8 NW 57 .7 H 65.8 H 195.3 1.00 E 15 79.7 0.57 681 W 15 79.7 1.00 1196 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL . 15 1017 106 1.44 6974 10037 6245 AS BLT COMP. SUM PT BASE COMP. MULT. SUMMER DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 901 0.90 811 ADJ. 0.70 2X4WDFR Rll 901 1.7 1532 DOORS DOORS EXT. 41 6. 10 250 EXT WD 41 6. 1 250 ADJ. 2 .40 ADJ WD 2 .4 CEILINGS CEILINGS UN.ATC. 1017 0.60 610 UNDRATC R30 1017 0. 6 610 SGL.AS 0. 60 FLOOR FLOOR SLAB 131 -37. 00 -4847 SLAB R-0 131 -41.2 -5397 RAISED -3 .99 INFIL. 1017 8.00 8136 # 2 1017 8. 0 8136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMPONENT BASE SUMMER POINTS TOTAL AS BUILT SUMMER POINTS TOTAL 14997 TOTAL 11376 COOLING TOTAL BASE AS BLT DM CSM CCM AS BLT SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS 0. 37 14997 5549 11376 1. 10 0. 34 1. 00 4255 HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9M) (9N) HW PTS 3 3803 11409 ELECT. .91 3 3678 1.00 11034 WINTER CALCULATIONS AS-BLT. WTR. GLASS BASE WINTER ORIENT. GLASS WOF GLASS ORNT. AREA WPM BASE PTS AREA DBLCLR ' (9B) WTR. PTS N 24 -10. 6 -254 N 24 7. 3 1. 09 191 NE -10.6 NE 4 . 6 E 30 -10. 6 -318 E 15 -9.2 0. 85 -117 SE -10. 6 SE -22.7 S 28 -10. 6 -297 S 28 -28.4 0.96 -763 SW -10. 6 SW -22 .7 W 24 -10. 6 -254 W 9 -9.2 0.85 -70 NW -10. 6 NW 4 . 6 H -10. 6 H -45. 0 1. 00 E 15 -9.2 -0.24 33 W 15 -9.2 1. 00 -138 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL . 15 1017 106 1.44 -1123 -1616 -864 AS BLT COMP. WTR PT BASE COMP. MULT. WINTER DESC. AREA MULT. WTR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 901 2 .2 1982 ADJ. 3. 6 2X4WDFR Rll 901 3 .7 3334 DOORS DOORS EXT. 41 12 . 3 504 EXT WD 41 12 . 3 504 ADJ. 11. 5 ADJ WD 11.5 CEILING CEILINGS UN.ATC. 1017 1.2 1220 UNDRATC R30 1017 1.2 1220 SGL.AS FLOOR FLOOR SLAB 131 8.9 1166 SLAB R-0 131 18.8 2463 RAISED 0.96 INFIL. 1017 7.4 7526 # 2 1017 7 .4 7526 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMP. BASE WINTER POINTS TOTAL AS BUILT WINTER POINTS TOTAL 10782 TOTAL 14183 HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (9I) (91) HTG. PTS. 0.55 10782 5930 14183 1. 10 0.48 1. 00 7551 TOTAL BASE BASE BASE TOTAL AS-BLT AS-BLT AS-BL TOTAL COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS 5549 5930 11409 22888 4255 7551 11034 22840 PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 ADDITIONAL TABLES CLIMATE ZONES 1 2 3 SA-18 HEATING CREDIT MULTIPLIERS HC SYSTEM TYPE HEATING CREDIT MULTIPLIERS HCM Attic Radiant Harrier HCM .98 Multizone HCM .90 Natural Gas AFUE .68•.72 .73-.77 .78•.82 .83-.87 .M.92 .93&U HCM .59 .55 .51 1 .48 .45 .43 LP Gas HCM .79 1 .74 6 .65 1 .59 6A•19 COOLING CREDIT MULTIPLIERS CCM SYSTEM TYPE COOLING CREDIT MULTIPLIERS(CChQ Ceiling Fans .86' Cross Ventilation .90' Whole House Fan ,90• 'Credit may be taken for only Multizone 95 one of these system types concurrently. Attic Radiant Barrier .95 6A-20 HOT WATER CREDIT MULTIPLIERS HWCM SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS HWCM Heat Recovery Unit With Air Conditioner Heat Pum HWCM .62 .58 Dedicated Heat Pump EF 2.0.2.49 2.5.2.99 3.0.3.49 3.5 b U HWCM 1 .44 1 .35 .29 .25 A HWM MUST BE USED IN CONJUNCTION WITH ALL HWCM.SEE TABLE 6A-9.EF MEANS ENERGY FACTOR, 6A•21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE 01 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. Windows 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). Exterior&Adjacent Doors 606.1 Maximum of 0.5 CFM persq.ft.of door area;solid core wood panel,insulated or glass doors only, Exterior Joints&Cracks 606.1 To be caulked asketed weatherstripped or otherwise sealed. PRACTICE#2 606.1 COMPLY WITH#1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed.Sole late/floor joint caulked or sealed. Exterior Walls&Ceilings Penetrations joints and cracks on interior surface caulked sealed or gasketed. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air,doors and flue dampers. Exhaust Fans Equipped with dampers.Combustion devices see 606.1.A.2 Combustion Heating Combustion space and water heating systems provided with outside combustion air, except direct vent appliances PRACTICE#3 606.1 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top penetrations sealed or joints&cracks on interior walls caulked sealed or gasketed. Recessed Lights Sealed from conditioned&insulated from ventilated attics aces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust to outside. Cooking appliances shall be dampered and use intermittent ignition. 6A-22 OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION HEQUIHEMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-11.Switch or clearly marked circuit breaker(electric) or cutoff s must be provided.External or built-in heat trap required. Swimming Pools 8 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 3 gallons per minute at 80 PSIG. HVAC Duct Construction 610.1 All ducts,fittings,mechanical equipment and plenum chambers s a e mechanically attached, Insulation 6 Installation sealed,insulated,and installed in accordance with the criteria of Section 610.Duct in unconditioned space must be insulated to a minimum of R-6.Air handlers shall not be installed in attics unless in mechanical closet. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulaton 1604.1,602.11 Ceilings-Min. -19.Common wall rams -11 orz[35 -3 both sides.Common ceiling&floors -11. DATE: 8/23/94 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: HABITAT R.B. Ellis Energy Design Systems Job Name: FRANCIS AVE,ATL BCH *********************************************************************** DESIGN CONDITIONS For ATLANTIC BEACH, FL. OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor 5 Latent Factor 29 *********************************************************************** Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ------- ------- ------- ------- WHOLE HOUSE 23229 774 16848 702 ------- ------- ------- ------- HEATING COOLING DELTA T 43 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements.*** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 DATE: 8/23/94 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: HABITAT R.B. Ellis Energy Design Systems Job Name: FRANCIS AVE,ATL BCH ************************************************************************ EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------------------ AREA 24 28 30 24 106 COOLING 600 1120 2220 1776 5716 HEATING 768 896 960 768 3392 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------------------------------------------------ AREA 901 901 COOLING 2253 2253 HEATING 3604 3604 ------------------------------------------------------------------------ DOORS TOTAL ------------------------------------------------------------------------ AREA 41 41 COOLING 541 541 HEATING 849 849 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 131 4768 RAISED WOOD ------------------------------------------------------------------------ CEILING AREA COOLING HEATING ------------------------------------------------------------------------ UNDER ATTIC 1017 2441 2441 SGL ASSEMBLY KNEE WALL ------------------------------------------------------------------------ MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 1200 Latent Load 2785 Lights & Appl. Load 1200 Latent Safety Btuh 139 Ventilation Load Duct Heat Gain 1246 Infiltration Load 1509 Sensible Safety Btuh 743 TOTAL SENSIBLE LOAD 16848 TOTAL LATENT LOAD 2924 Summer ACH 0.5 Temp. Swing Mult. 1.00 *** Total Cooling Load 19772 BTUH Or 1. 65 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 6352 Ventilation Load Duct Heat Loss 753 Safety Btuh 1070 Winter ACH 1. 0 *** Total Heating Load 23229 BTUH Or 1.94 Tons*** '� ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for EPI= )9.79% DCA Form 60OA-93 Or Form 60OB-93 excellent good acceptable 0 10 20 30 40 50 60 70 80 90 100 The maximum allowable EPI is 100.The lower the EPI the more efficient the home. RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency DBLCLR WINDOWS............................................. SINGLCLR DBLTINT UNDRATC`R30 INSULATION ......................................... Ceiling R-Value R 10 R 30 Wall R-Value ............. Floor R-Value ... SLAB R-0 R-0 R-19 AIR CONDITIONER............................... SEER/EER ... 10.00 10.0 SEER 17.0 9.7 EER 16.0 HEATING SYSTEM ............................... Electric COP/HSPF 7.00 6.8 HSPF 12.0 Gas AFUE ... .78 nFUE .90 WATER HEATER .................................. ELECT. .91 Electric EF .6a .96 .54 .90 Gas EF .................................. Solar EF .................................. .40 .80 OTHER FEATURES .............................. 1 certify that these energy saving features required for the Florida Energy Code have been installed in this house. FRANCIS AVE,ATL BCH Builder HABITAT 8/23/94 Address: �!C� TFL Signature: Date: City/Zip Florida Energy Code for Building Construction-1993 Florida Department of Community Affairs FL-EPL CARD 93 FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments-------------------------------------------- Flood Zones_____4-----,--,-_„______- 31 Required Lowest Floor Elevations....L,L It building is located within a flood hazard zone, a nurveywuist be wade AFTER THE SLAB NAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the bane Ilood elevation established for that zone. No final inspection will be wade and no certificate of occupancy vill be issued until the survey is on file with the Building Department. COMMENTS% Applicant Acknowledgements I understand that the issuance of this permit is aontlnigent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Dote----- � --LApplieant•• ----------------------------------------------------- Department Use Required Lowest Floor Clevation As Built Lowest Floor Elevation Survey Filed with Building Department ___________ Building Oeparls*ant Representative paUe 3 : U� } IV 7�o o 4 o /9/0 e J< 291994 rid •r tons s on fir; CITY OF >91��trrtic ��i�ck — �les�tcal� 800 SEMINOLE ROAD ---------- ATLANTIC BEACH,FLORIDA 32133-5445247-SMTELEPHONE("4)247-SM FAX("4)205805 NOTICE TO: Rater Department FROM: Building Department DATE: /"�- -,;� 9- Ir Please be advised that the final building inspection has been completed on each of the following addresses and construction Water is no longer needed: Permit Number Address nce I1/evv Building Department CITY OF r._.•r.ec:'1 QEGC:?IPTION l/ r / il / /►, J mill)\L\il\Ill t. k11111 0 Ulcck f---I-_3vctioYf • 1i1.�\i'i+' IttklIt.it(1km" - ------- ..-_....,-� 7f.Lt.1'lill�t.Iwl�l :J7.:p,N1 A r ) tAX!91l�1 :�7 SMI` L--... ---------.. l�yt mom_, :t:r_: l�a�� l� •l.(�__. try, '` oC`fi11PTYO)j OF WORK It in a FLOOD NAZARD ltc ] .ne:--------------111broo complaty papa 3. Rrief 6�t DaracrIptionI 0-1mc, Claou of Mork: V 1 oi,!sS I NFORMATZON Type of constructi G -t c1,0L o:,,ng Proposed- �^ � U 1 istr:st:---------Uael ,�_ ----_. --- t�tlollted Value 0-_�r ov o .-__-_ xCoptione or Materiale,l„_--"0�,-__-_____•._..____ t,riancea Grentfdl------------------------- •olid•or ------------------------------------ Filled h f --- Grounds lC!_, Root: � _ OMNER INFORMATION Method of Heating:_ Property Ovnerl . _ _ tj-�-_________ Phone:_ f_1 -c "ailing5--0--q-3-- ------------ -----------w------------- ------------------------------------ Zip:----Z --_t_� -- CONTRACTOR INFORMATION Contsaotorl-�\IGtL l7lc F �J01{4 Phone: 2- 844o ddrepp ARD/ mD�V ddreRa 1 r-3--......-..--rr....rrr--..-.... O------------------ -2-2 2- ---------------- �-22-5 -------- - Expirwtion Licenav HuwDert__-GAG-bUg?`r .................. k:T cUOq4;62Ca 1 11901[101 C[ItTIPY THAT I NAtC N[AD ANN 911ANIN40 TNI• APPLICATION AND show TH[ smit m it •r,:; AMO C011094:7. ALL ""late" or tog LANN AND ORNINANC[N OOVCRN/No T111C TYPE r,r rnnr „ �� i COAPLI[O riTN. vIKTNq WRCIrI[N 060106111 04 NOT. 1004 ONANTAIlU Lr A PLRRIT Wit'; k•lT i I.' "TNON/TT TO tIOLAT/ 04 CANC[L TNR P46vIN10NN or ANY rRLlRAL, SiTATr. ok jLc,:Ai i �.�j,! Y• 111[OULATI0402, ORDINANCES, ON LAWN IN ANY NANN[N. 1NCLl1D300 TR! onVFRNINn nip rntv:iR:•: +i,' !•'. PLAroARANC[ Of CUNNTIWCTION Or Von PNQ•I[CT. 1 U169MR+TAND Tl1AT TN[ 1::::YAM,:C Ur it,i : 1, CONTIHU[HT UPON TNR AOOV6 [NPONNATION {[1060 TRU[ AND CW►RCCT AI►O THAT THC P.LAR•: AkD , DATA NAYS [L[R OR SNALL NS PMVSDCN A! NCSUi[EN. r Ovner Signature ZS_q� Contractor 'Iipneture_ __ ___„._.._...._ .___ _ . ._._!►Ute_ _ DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN !LADE AND ARE SATISFACTORY: y ��/ �ouedopO�o•1°adSu��Qud ' PaM IQdsa 4qo xJNV0 au S�nU1 dgNVp� \ 6uP SMO Np\1ps eu`i �pNpp i S�a dy l�i 1pa1s VN 'Ab /� SSa�PPd qoC W d qed aad �ob ldp\� / jPan`aoy a dNA3 '-n� wa -\dp\N fi"e0o� / Wd, l0 BUILT cc:FII oN�yaad yC��n dSN,�p3 D !o aol11 J] ec'OF Ok k` y d � G°o1-12 r� � ol �� Oa`�e yea 1 Of 0 0