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Permit 310 Francis Ave CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026302 Date 6/16/03 Property Address . . . . . . 310 GARDEN LN Tenant nbr, name . . . . . . REROOF TIMB GAF D3462 Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 Owner Contractor ------------------------ ------------------------ SCHIRALLI, DANIEL OWNER 310 GARDEN LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 136 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 136. 00 136 . 00 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 136 . 00 136 .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 CfTy OF ATLANTIC BEACH PERMIT ..CALCULATION' SHEET Address--3 m Agpea L�j Date 'V01 Heated Square Footage per sq Garage/Sh.ed 3zer .sq ft $ Carport/Parch p er sq ft .= Deck 'Per sq ft $ Patio -'Per sq ft TOTAL VALUATION: $ .,.Total Valuation ist $ .Remaining Value per thousand or ..partion thereof TOTAL BUILDING FEE + 1/2 Filing Fee Firepla+ces .@. $15 . 00, . ,.BUILDING PERMIT FEE WATER IMPACTFEE $ SEWER IMPACT .FEE WATER' METER/TAP $ CAPITAL .IMPROVEMENT. $ SEWER TAP $ -RADON (HRS) .005Q $ SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ SURCHARGE .0050 $ OTHEP GRANI) TOTAL IDUE 134o, ir ADDITIONAL PERMITS OR FEES : ,Me.chanical ..Plumbing_ Electric/New E. lectric/.Temp_;Swimmingpool Septic Tank Well— Sign Finish Floor Elevati.on Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 2 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 03 -LA(� 1 Applicant: XY-) Address:_ C,4 Project: ji��y alyour application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed b Signed W- Date--- Contractor Notified Date S CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: 3 0 Vz)6A- J 41 4__ Owner of Property�:_�A-d -q(-- z/24&L/ Address: .3 ZO -la,,,e W_ A4 Telephone: �Z/ 36 Contractor: f.,A 112 4A,1A �2/ License Neff rlb��_�'_) I blaim"IT - 671-- Contractor's Add-ess: Fax: Telephone: Scope of Work: �?s _'Iian 2:12 Less than 2:12 Deck Slope: 2 -Greater Valuation of work: 712-007 Product Name(Exam le:Timberli Manufacturer(Example: ASTM Designation(s): -3 Y tj( 0 Required Inspec �ns athing Tand!Fi 1 )3 Signature of Owner: JA Date: (0 Signature of Contractor:;A6L 0, —Date: AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: V yj_ JENNIFER SCHLUETE j My COMMISSION#DD 12130 El Personally kno�n ...... EXPIRES:may 27 2W, 4L'-IProduced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20_. State of Florida,County of Duval Notary's Signature: El 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.atlantic-beach.fl.us Page 1 Revised 2/21/03 CITY OF ATLANTIC BEACH OWNEWBUILDER AFFIDAVIT Date: Job Address: L-0 — CHAPTER 489,FLORIDA STATUTES,PART I "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 rr FOR SALE OR LEASE,WHICH IS IN VIOLATION OF TIES 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 STATE 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." TTIIS 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 T'HEY EMPLOY ON THEIR IMPROVEMENT 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 TTiE 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 READJYHE ABOVE DISCLOSURE STATEMENT AND THAT I HE I COMPLY WIT-H ALL THE REQUIREMENTS FOR T ISS �NCE OF 0 R-BUILDER PERMIT. — C1 a P I Ey SWORN TO-AND SUBSCRIBED BEFORE ME THISWDAY OF---I�Olt 203 JENNIFER SCHWETER My COMMISSION Al DO 121301 A�AA EXPIRES:May 27,2006 L-A Thru Not"Public Underwriters NqTpY PUBLIC MY'COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. ACCOUNT # 040159 G & M CONSTRUCTION COMPANY SERVICE ADD 310 GARDEN LANE Different 214 ORANGE STREET NAME G & M CONSTRUCTION COMPANY Mailing Address NEPTUNE BEACH, FLORIDA MAILING ADDRESS NAME G & M CONSTRUCTION COMAPNY G & M CONSTRUCTION COHAPNY SERVICE ADDRESS 310 GARDEN 1,ANE 214 ORANGE STREET ACCT. # 040159 NEPTUNE BEACH, FLOaJDA W.- CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE: 249,2395 UTILITY BILL OFFICE COPY DATE WATER WATER SEWER GARBAGE OTHER TOTAL DATE WATER WATER SEWER GARBAGE OTHER TOTAL METERS DUE METERS DUE 11-6-81 3/4" $85.00 11-6-81 3/4 $85.00 RETAIN THIS STUB SERVICE DISCONTINUED PAYABLE IN ADVANCE IF NOT PAID WITHIN NO REFUNDS 30 DAYS OF DATE SHOWN 01- �cp 104 000 ul r-D 1�,� S s TV1. 0 U) cl Ell, 10 CIO op CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT .Lam TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. 9L c_ 84 C& IMU A lVrl 10 ELECTRICAL FIRM: MASTER ELECTRICIA JOURNEYMAN NAME-G.-eK ,QL/�R\FD_ —BOX BLDO.SIZE BETWEEN: RES.V) AFT. I I COMM.I PUBLIC INDUS. NEW V) OLD( REW. ADDITION ( TRAILER TEMPA SIGNS ( —SO. FT. UrvQc&6'Lo)b-v0 FEE SERVICE- NgW(A , , INCREASE( REPAIR ( 7 CONDUCTOR siml-D_ AMPS. COPPER 1. ""'ALYMJ., SWITCH OR BRE KER zs PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY f�7 _�7 LIGHTING OUTLETS CONCEALED OPEN' TOTAL RECEPTACLES CONCEALED OPEN TOTAL 1 0.30 AMPS, 3 1 100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDLTIONING CO ,PP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW.HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS, MISCELLANEOUS A&W-OrNniar no. nvrga r"v Cl TY OF ATU%NTI C BEACH A DATE-----510 LOCATI PLUI-1.31 NG F I FN MASTER PLLI,'. ER A Cl TY/C:9JNTY OCCtPATI O"IAL LI CEf4'SE NO.--- STATE CERTIFICATE BUILDER OR CG4TRACTOR- TYPE OF BUILDING-"- -----/-S I I IKS ----SHO',,,ERS 3 LAVATORY ------/WATER HEIATERS .1 &,%TH TLJ3S DI SMIASHERS ----URI NALS SPOSALS 3-CLOSETS -L,,,,IASHI NG IALACHI NE FLOOR DRAINS OTHER /3 TOTAL FIXTURE CW,4T I NSTALt-ATI ON OF PW431 NG AND FI MRES MUST K I N ACCOROANCE WI TH THE MOST RECENT EDITION OF THE SO`UTHLE-'RN STANDARD PLLPvSING CODE. C I'l-Y 0 F Al I-AN j I C B FA Cli WATER Co,';l;EC'rlON CHARGE DATE____ LOCATION 7�1 v FIR.M .'-LkSTER BUILDER OR CONTRACTOR____ __ TYPE OF BUILDING BATHPOOM G ROUTP CONSISTING OF SHOWER STALL, DO-IESTIC 2 U)NIIIS) WATER CLOSET,LAVATORY AND BATH TUB OR SHO'�,ER STA-LL. (6UNITS) SHO-.'ERS GROUT PER HFA-D 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SIN'K 3 UNITS) HEAD SHO',:-t.R) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS BIDET (3 UNITS) SERVICE SINK TR-A-P STAND ( 3 U-1-11S C011ABINZATION SINK AND TRAY ( 3 UNITS) POT,scnLERY SINK ( 4 U]NITS CO��BINATION SINIK AN'D TRAY W/FOOD DIS. 4 Units) URINAL, PEDESTAL,SY PHON JET BLOWOUT. ( 8 UNITS DENTAL UNIT OR CUSPIDOR ( I UNIT) URINAL, WALLI. LIP ( 4 U'NITS) DENTAL LAVATORY ( I UNIT) URINAL STALL, WASHOUT ( 4 U 'ITS) DRINKING FOUNTAIN (1-2 LFINIT) URINAL TROUGH EACH 2 'SFCTION DISHWASHER ( 2 UNITS) 2 UN I TS) FLOOR DRAINS I UNIT) WASHING 1,ACHINE RES. ( 3 UNITS) KITCHEN SINK 2 UNITS, . WASH SINK EACH SET OF FAUCETS KITCHEN SINK W/WASTE GRINDER ( 2 UNITS ) 3 UNITS) WATER CLOSETS, TA��K- OPEP-ATED 4 UNITS LAVATORY 1 UNIT WATER CLOSETS , VALVE OPEFLATED LAVATORY ,BARBER,REAUTY PA-RLOR 8 UNITS 2 UNITS ) -", I-Ar;DKY TRAY ( 2 UNIES LAVATORY, SURGEONS ( 2 UNITS) DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4 U— PERMIT TO BUILD 1340) T THIS PERMIT MUST BE POSTED ON JOB 13OUCKT OU14 1A 11/06/U Date NOVEMER 5 1981 465b 900CAC LUBBING PERMIT 13.00 jU14 JA 11/U6/8 Valuation Fee$ I U06 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that F. W_ FAIR PLIMTNG P. 0. Box 51149, Jacksonvillg Beach, Fleirl has permission to build INSTALL NEW PLUMBING AS PER PLANS SUBMITTED Classification SINGLE FAMILY —Zone PUD owned by G & K CONSTRUCTION CC)- Lot 2 Block I 2–T) S/DMEILVA.MARTNA House No. 310 GARDEN LANE GARDENS According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS 'n AFTER DATE OF ISS M 4— Or 4 to 0 Building material, rubbish and debris z-i from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. C FRED W MILLS Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEW ER WATER 4W 716 OCEAN BOULEVARD-DRAWER 25 ATLANTIC BEACH, FLORIDA 32233 BUILDING PERMIC NO.# ELECTRICAL PERMIT NO.# PLUMBING PERMIT NOJ JOB ADDRESS CONTRACTOR e�e' xjz�e/-;c z'7"e-s- OWNER c- d'o ,c,4 r z DATE REMARKS INSPECTOR FOUNDATION FOOTING SLAB PLUMBING (R) TOP-OUT SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) e �,l PLUMBING (F) FRAMING 4 ELECTRICAL F) GRADES SHOT CLEARING LOT OTHER 14W FINAL INSPECTION ItL!AM S. HOWELL - JAMES E_ MHOON ALAN C. JENSEN L. W. MINTON. JR. CATHE R I%E G. VAN E SS Yay,Corrrniss�cner Comm_,ssloner Cornm;sS�3-.er Cornm3ss,oner P-ILL M. DAVIS OLIVER C EBALC F.IRS, ADEL47DE R. TUCKER CARL STUCKI C"y Y�r,�,oer City Cr��O - .,_-._, ,-f :-_ - " -�S --;Ds wrrtt*f tratr of (Or' ruipattry CITY OF ON"& hak-Rw& Ervartmint of 'Nuilbing Inapprtim This Certificate issued pursuant to the requirements of Section 109 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 STNCux FAMTTZ Bldg.Permit No�� Group—Type Construction--Fire District.— Owner of Building ___Address BuildirigAddretis— By: —------- Building Official Date: POST IN A CONSPICUOUS PLACIC 71N DEP�ARTMENT OF B17UILEDING 'CITY OF ATLANTIC BEACH,FLORIDA PL. PERMIT TO BUILD TH,IS PERMIT MUST BE POSTED ON JOB 17U&-- Date NOVENBER '19 91 16 0 2 14, t 1/U618 4644 900CAC Valuations 67,000.00 Fees 170.50 — 1b 0 J,1, 1 A 11 /06/8111 This permit not valid until above fm has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that GRENVILLE & MEUSE CONSTRUCTION COMPANY 214 ORANGE STREET, NEPTUNE BEACH, FLORIDA -has perrms4i on to build SINGLE FAMILY ROME PER PLANS SUBMITTED Classification SINGLE FAMLY Zone PUD Owned by GRENVILLE & MEUSE CONSTRUCTION COMAPNY Lot Block 12—D S/D SELVA MARINA House No. 310 GARDEN LANE GARDENb According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ;a 0 Building material, rubbish and debris Z-1 from this work must not be placed in public space, and must be cleared up and hauled away eithe c M trwowl?owner., k";ft 'A. 41LLIA)fM'OSS/FWM Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING 4855 11-5-8 W. W. FAIR PLUMBING COMPANY ELECTRICAL 3307 11-2-81 FEMS ELECTRIC COMPANY SEWER WATER As/ %w w vo I"# V", Cie -7�7 7 0 7AILURE TO.C�TTLY WIT-i I T11L, 111-4"COH.ANIC'S FOR'OFFICE USE ONLY VIEN IALV Cl-t-14 na' suff [N T1111'. r-11:110PEMY Date...................................19 ...... OWN.'a ANMIZZ, UWNG Permit #........................Fee$........................ GTY OF ATLANTIC BEACH N M- M-1 a M, Valuation ............................................... FLORIDA House #... .................................................. ........... APPLICATION FOR BUILDING PERMIT ........................................................................... Application is hereby made for the-approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date..........at-, 4-. ...4.. ------------------------------------ Owner.....C__ (C .- ------- ...........Telephone No...21.!E- !(2. Architect---------------- ----------------------------- ------------------------------------Address-------..................................................-Telephone No........................... Contractor Builder-_G k-e 'r ................. . _4..��Address-----;?2....... -----------Telephone Lot No-----------�)------------------------------------Block No------------------ ------Sub Division...S'-e-L.V. ......Zone------------- I'll,---------------------Street-------------- ............Side Between......_...........................................and.....................................................Sts. Valuation $------ -------.-For what purpose will building be used-.......-------------_---------_----Type of construction.... Dimensions of Building._3Q_A�_()_.-------------Dimensions of Lot--------- Size of Footings---- .............. ._..p....)CI...t:��................. Size of Piers-..----- ---------------.--Size of Sills_----------------------------Greatest Sill Span in ft...........................Type Roof... ................ How will Building be Heated . ......Will Building be on Solid or Filled Ground?...S4... ------------------ --------------------- Distane I Size of Ceiling Joists--- e on C ters...........1 Greatest Span-----1_YZ........................... VP Size of Floor Joists---------------------------------------------Distance on Centers.......... ................................ Greatest Span....I-V1111---------------------------------- 11 Size of ers.......;�_ -------------. Greatest Span../.A... ............................ - ----, Distance on Cent CITY OF ATLANTIC BEACH BUILDiNG opp,CE: This rectangle is to represent the lot. Locate the building or buildings in the AtP"P P 0 V t,t right position. Give distance in feet from t,110 V 0 1 1981 CITY 1,F ,.,nell lot-lines and existing buildings. Cufr_ofrvr- REAR LOT LINE Two copies ofnians and specifications shall be submitted lit I V inspections required. 1. When steel is in place and ready to pour footing. Bl� ZAP 2. When steel is in place and ready to pour columns and/oi Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 0 5. When rough plumbing is completed,und ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 building regulations of the City OfA antic BAacli. tl ... ... ....... ... Signature of Builder., At4... ................................ Address..... ...Arl...... Signature of Owner.........................-------------.....................................__ �2 Address.......................... RID R iVi 9 0 0— 2 31 NI:RGY l:`HrXAN,"� D"Ti C LO lf�!t3 -CON!, -W"Ti0i �j -0�t R`3 E N E R F GCV 13 �3R,,��,HXM L`X R 4p 'PA5 D m-S PR;�-�r R"E. D't' AN' 0 3t LT I -17 PRC).L(r-,,'T NAME FAND NU SBER 0-UILDER ?Z STATISTICAL DATA 2ZONE, FLOOR AREA ROOF R-VALUE HEATING SYSTEM TYPE Z�-,�2sqft R- STRIP: HTPUMP-Zj GAS; AR: E151 WALL AREA VVALLR-VALUE HOT WATER SYSTEM TYPE 1,?k sq.f t I R- ELECTRIC.§4 HT REC.: GAS. OIL- LSOLAR� L TURE A/C SYSTEM GLASS AREA WALL CONSTRUCTION NUMBER 'OF UNITS PER STRUC BSt NIE"! fZ,SlNG.FXll.:,54 DUPLEXt ITRiPLEX. O'VER 31 I FRA' EER-7 ,t) 7 c,01 C 7HIS DATA TO 6E 8EtlT TO THE GOVERNOR'S ENERGY OFFICE .........A.I.-M-2m (7TOMAL F'901USE PW"4111's C"EiRl"IFIE-11) BY EPI </-7 Fowa-_tM 0 v, nv FORtA 900 AND 901 - 123 FO'�V 5 00- 12 3 FICIE CY CODE FLORIDA MODEL E14ERGY El,' FOR BUILDII-IG CONSTRUCTION BOB GRAHAM SECTION 9 GOVERUORS ENERGY O]FFICE F, _To LEX HESTER, DIRECTOR GOVERNOR POINTS I.I.ETHOD PREPARED BY: BRABHAIA KUHNS DZ,GAY - COUSULTING ENGWEERS JURISDICTION PROJECT NAME AND ADDRESS Z- E 1JILD" PE MIT NO. BUILDER —70&E FILLED INDY 0LDQ OFFICIAL OWNER To CE FILLED III CY C' SIGK-MM it STATISTICAL DATA G c�lp I rll 'If U cl.:' VJ 1 0 c op Ept zol� ,7ZA 17 FMolt --ER Of U-UTS j ION I-K—I'ATINif, SYSfff-fi—T—YPv-ff—l-fOT%" ATER SYSTEM TYPE c HEAT STMP PlJuAlp GAS OIL SOLAR FLEQ OAS 01 fOLA-1 CC# I-,R.1-1, T THIS DATA T.0011.11ENT rMl llOVllll*.01l'l.E"E"Y O�FFICI BY T41 WV"IK6 0", ICIkL UPON AVOWST SAM DJMT COMIMON WAJ-Ll CW11ON k-l*OF UAXIMM ALLOV,11D X5 x1a YL F*OW APPIEMIX I FEWER TOTAL P104UTS NMAIMS V�!ZATCM SAVrA44 EPI -j— CERTIFIED_ D.AT E. EPI. 9D DESIGN CREDIT POINTS(CP) 9E 02-SIGN PEMALTY POINTS(PP) CEILING FANS (101 C0116D. SPACE) I PZR FAN WASHER A;Z 01YER (INC440 $F*Ct) 3 21:1�ARATED BY WJLTI ZONE A/C (op"AaLl "Oft MAX.OPEHIUS Of CLASS< 40% 5 01-ERABLE W114DOWS 0' PER ROOM ' $49 OF Room WHOLE HOUSE FAN (I-S CFN/SFI TOTAL I PERSCRIPTIVE MEASU-RES CHECK FOR COMPLIAll#C9 SECTION CHECK HEATING SYSTEM EFFICIENCY 503.4 AIR CONDITIONING C014TROLS 503.7 A/C DUCT CONSTRUCTION 503.9 CIRCULATI1014) PiPVAG INVJLATION ( SYSTRUS 503-10 WATER �ZATER (AS11MAE 90-76 I.-Alt'SLI 504.2 POOL$ 5 04.t TOTAL F�L�" RE31RICTORS 504.5 �Oflw 0 0 Z 04,4ES.4 2 3 �ALCULAT10113 �RO$5 4 WINTER v 77-TS_UVU E RD T .7�;�S 'rU" *t"C- R POINTS A�E X M: z2 C i Spm OMPONENT &REA POINTS I N T _t _,-, '.21 N T�� bi p 3-3,9 l8a3 I- R 3-3 9 10 .9 R4-5 9 1S86 R4- 5.9 969 cl 0 R6 & UP As a UP 9 ,2 _j u 1361 ix R11-18.9 me Im- ie.9 9. 2 7o8 I (r w S16 4m z R19-25.9 4s9 Rif-25-9 x cc w ____ - W dc w ___ U- 0 > rt2c a UP 3# 6 %d_ 0> A26 a UP 4o2 lSo 7 C 0 H 114 0 N Z/-2 WOOD OR KETAL 71 W 0 OD OR MUT AL 36 , 4 cc __ ____ 0: INSULATED 23S, S INSULATED 14sS 0 0 Sl wzM b0oa 12444 0 STORM DOOR 2990 COVJAON 123o9 C Cow 1-1 ON 911 4Z u R11- 8e3 8#8 P 9 S. S Soo R22-29.9 4 * 1 Im R 22-2 9.9 Soo z R305 UP 393 R30 & UP 3# 7 Cos --- R 6-T.9 14*2 z R6-7.9 l4e9 ;7 R8-9 9 1049 R8- 9.9 -1 11# 3 X w RIO-11.9 902 w w.4 R10-mg 91S Soo 4c 6o ? R 12-16.9 ?0 0 R19aUP Soo R19 & UP ses Lcoum N 9 0 ? COMMON 3,0 RO- 6.9 ises RO- 6.9 �#8 R7- 10.9 R 7- 10.9 131S 2,1 w 0 (L 0 Ril- 18.9 So6 31: lo8 Ax 39 R11- 16.9 en 4L a iL R1915UP 4oO w RIS a UP w K z lo3 cl:z't 0 02U R 0-2.9 _u 19. 4 RO_ 2.9 O�-im 600 000 ^00 Z..< R3- 5.9 12s4 %w Z .4 bi R3- 5.9 3s ? _j 0 _J0 tLZO 0 R 6-10.9 9, 3 u.Z0 R 6- 10.9 2,6 mm z m Z 0 cr 0 u R I I-I a.9 6#2 X0 0 Rii - ig,q 2o2 > > 0 Rig SUP 4o4 0 R19 &UP 1 , 6 COMMON 99 ? COMMON 3oO EDGE INSULATION PtRIMETER WPM GWP w cc ca 0 UA q 2 7 Ir W -RO -2,9 -j 2 FQ - 5.9 696s 0 t! _::j RIS & UP 4 4 .......... SINGLE DOUBLE OR AREA SINGLE DOUBLE WOF GWP OR AREA CL-R TIN CLRTT'I N- SOF GSP N 1S?, 4 120#8 N 146 lr'3 120 101 NE 157, 4 120, 8 NE :-121 186 190 isl E 1S?, 4 120, 8 E 289 242 2S1 209 5r4 SE 1S?# 4 120 * 8 SE 219 226 189 S 1S?, 4 120,8 lqO lkO 134 L SW lS7o4 120 # 8 SW -26 1 2 19 226 18F c* w 4 120a8 ls?l z W '89 242 2S1 2T NW lS7o4 12098 ci NW 21 IIA6 190 is,: H 46, 4 7993 H 489 rIA -.:I CD>- 432 3�30 j CL -j CL CL 4 z 0 0 LH- HORIZONTAL GLASS ( SKYLIGHTS ) FOR TINTED GLASS SL 0.83 SEE SEC.90,j2i.2d T T TOTAL GROSS SUMMER POINT OTAL GROSS WINTER POINTS -7-0- I'FIMRSLASS o I FI?.SF2L.AZ3 1.19 1.12 S 112 10 DUCT IN CC,"MtF 1.00 0 1.00 164 CSM FRO'.—T M TABLE 9A W T A 8L E� 9 9 �jw FLOOR AREA(DIVIDE) WINTER POINTS (WP) 4EPt POINTS(SP) 4W"'A FORM 900 AND 901- 123 ZONES - 123 WINTER POINTS SUMMER POINTS HOT WATER PC Fim-T�- E-RED-IT - PENALTY POINTS POINT S h EPI FEWER TOTAL POINTS A14E ENCOURAGE FCR %,AX,!MUMM ENERGY SAVINGS