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Permit Bldg Add/Alt 316 7th St 2010 800 Seminole Road , Atlantic Beach, Florida 32233 �e; 3 Telephone (904) 247 -5800 FAX (904) 247 -5845 VII 3 �ry d June 13, 2011 Genesis Building Corporation Todd Albert Bosco 2158 Mayport Road Atlantic Beach, Florida 32233 Re: Expired Building Permit Residential — 316 7 Street, Atlantic Beach, Florida Permit #10-1399 Dear Mr. Bosco: Please be advised, this letter is to inform you that permit number 10 -1399 issued for work at the above referenced address has or will expire on June 20, 2011 in accordance with the Florida Building Code Section 105.4.1 which states "Every permit shall become invalid unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the time the work is commenced." Work is considered abandoned when an approved inspection is not obtained within a six -month period. Failure to obtain an approved inspection within the next thirty days will result in additional fees being required to renew your permit as required by Section 6- 26(a)(9) of the City of Atlantic Beach Code of Ordinances to wit: Building permit renewal fee: Completed inspections Amount of renewal fee No inspection conducted 100% of original fee Slab inspection approved 80% of original fee All rough inspections approved 50% of original fee Insulation inspection approved 30% of original fee Your cooperation is requested, if you have any questions, or need additional information please contact my office at 904 - 247 -5826. Sincerely, 6'16 Michael Griffin, CBO, CFM BUILDING OFFICIAL MG /dw C(/ A.A.0 5 cc: Gregg and Erica Sayers, Property Owners c'\ ‘„ \ • c-1: __ . —""\"( . \ 1 ) *-C-: o H H H m \ as N m O H 0 m 0 sa D m P. 0 N 4 N u 0 N 411 111 L �\ H H ro U W ro 'c\ Q Q W W -H .,/ 0 O w W J X W Ti IT H W 0 as 0 0 4X E H . c ..-I b b N 0 , -. 4 0 a W W 0 , 0 0 O '.a ,q \.. ° H H b 1 F - N W W 0 +1 \ \ U u1 u1 �' N 1 4 O 0 �� of 0 0 > �./ \ \ rt ro z d O a E N 0 ° 4.4 U U 0 W 1 '0 '\ { \ o H F O U N a w 1n C 0 \v l\ Z > .. .. ££ .a7 3 . O O 2 W a 0 3 v 0 11 w 1 \` 0 H W W rC E N H Z H O (0 5 0,-10 "'� X o! W 0 0 F Z 0 H N a W . a ru a 0 N U }O + R a HH 0 ° m a,J a a as 0 ow SD) a H � u a ° oa 4 . W X a ,, E W H .., W to w 2 O U 0 \ • H O \ N 03 4)0>3 0 3 ,Z H ca U W 0 0 0 N 0 w N W M U •. 2 y N 3 0 4 0 H N 11 N O H 0 0. 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H H 4V W W .- HHH k2 W W HHHHH HaU W 4�o 1/ \ \ f+ f+ HH H i 01 F �1.-i H-'-1 Hi \ H W a In N O V) 41 \ \ \ \\ Z W \ \ \ \\ H r44 V)HH ,7 W N 0 O 4) a 00 H H N O W a mmI!) G `J ( H H N N O Q O �. 0 N 14 0aO MM \ \\ d HH \ \\ Z U Mm V) a U N N LD W W v) U 4) N , 0 H N W H A 2 z U (� W cn 0 H 0 o 0 0 F-1 0 o H 0 !� a W U KC UU O W 4 H m 4L 4) 41 M M � N N rn 4 H M M M N ' LAN CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10- 00001399 Date 11/30/10 Property Address 316 7TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 50000 Application desc sml addition and renovation Owner Contractor SAYERS, GREGG AND ERICA GENESIS BUILDING CORP 316 7TH STREET 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 A(90ANTIC1BE3CH FL 32233 Permit BUILDING PERMIT Additional desc . ADDITION & INTERIOR RENOVATION Permit Fee . . . 300.00 Plan Check Fee . . 150.00 Issue Date . . . Valuation . . . . 50000 Expiration Date . 5/29/11 and Comments Special Notes an P BUILDING CODE W 2009 REVISIONS 2`` 1 *2007 FLORIDA BUI / NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST ewp oo ljP CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED ( *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS PERMIT IQt1146VI e M.Y Pt ACCORDANCE WITH ALL CITY goPSEAIli BE gtct ES AND THE FLORIA • 5 BUILDING CODES. 4..) ' J ,VI V1 -7 tfs f 0 0 H 0 cv WW W q E co N r rn a N 0 O O, o H W W F 7 fa 0 z W co GI k0 N H m z H H H Z 0 1 // H 0 r4 O a w E. O W E. H 'Z H H H � U U O C..) W V) a U x E. z U U H Z v aAa U a a ,, z w N F Z 8 �HU) M a o o H H a w x x 0 O a 0 H H o ! � l W i � y o o W W o 0 U Z [a .rl0 -I VV) W o I - . Q N H HH 0 0 N 0 ri d Z a° H E 'a • • ' W o g li m w ga w z H x d i < O N< W F m From:Genesis Building Corp SO4 241 0326 11/19/2010 12:12 #105 P.002/003 OMB Approval No. 2502 -0285 f (1:1) A. Settlement Statement (HUD -1) B. Type of Loan 1. © PHA 2. El RHS 3.0 CONV. UNINS. s• Fne Number. 1. Loan Number. 1. idoRaage Suturing* Case Number. 10T229 0305588691 091-5080394 4 -:0 VA S.0 CONV.INS. - • - C. Nora: This form Is furnished to give you a statement of actual setesmeM costs. Amounte paid to and by the setUement agent are shown. Items marked "(p.o.c.r were paid outside the closing: they are shown here for Informational purposes end am not included In the totals 0. Name &Address of Borrower: E Name a Address of Saner P. Name r. Address of Lender. Gregg Wallace Sayers and Erica Michelle Joseph M. Puopolo and Paula A. Coughlin Gibraltar Mortgage, LLC Sayers 2446 Seminole Road 3210 Lake Emma Road 316 7th Street Atlantic Beach, Florida 32233 Lake Mary, Florida 32748 Atlantic Beach. Florida 32233 0. Preprty Location: N. Settlement Agent 1. eettlem.d Oats: 316 7th Street Keith Watson Title Services, Inc. November4, 2010 Atlantic Beach, Duval County, Florida 32233 208 Ponte Vedra Park Drive, Suits 101 Ponta Vedra Beach, Florida 32082 (904) 273-7009 fax: (904) 2734370 Place of aetlbmsr t Keith Watson Title Services, Inc. 208 Polls Vedra Park Drive, Suite 101 Ponta Vedra Beach, Florida 32082 St Johns County Phone: (904) 273 -7009 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Grose Amount Due From Borrower: 400. Gross Amount Due To Seller. 101. Contract Sales Price 306,500.00 401. Contract Sales Price 308,500.0 102. Personal Properly 402. Personal Property 103. Settlement Charges to Borrower (line 1400) 20,597.55 403. 104, REHAB loan to WFB , -, 80,585.40 404. Adjustments for Items Paid by Seller In Advance: Adjstments for Items Paid by Setter In Advance: 108. City 1 Town Taxes 406. City l Town Taxes 107, County l Parish Taxes Nov 4.2010 thru Dec 31, 904 59 407 Co pty 1 Parish Taxes Nov 4, 2010 thru Dec 31, 904.5 2010 108. Assessments 408. Assessments 120. Gross Amount Due from Borrower. 408,567.54 420. Gross Amount Due to Seller. 307,404.5 200. Amounts Paid by or In Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201. Deposit or gamest Money 5,000.00 501. Excess Deposit (see instructions) 202. P ncipal Amount of New Loan 383,322.00 5Q2 Settlement Cha to Seller (Line 1400) 15,545.6 203. Existing Loan(s) taken subject to 503, Existing loans) taken subject to 204. Daily interest credit 504. Payoff of First Mortgage Loan to Amtrust Bank 143,067.E 205. - 505. Payoff of Second Mortgage Loan 208 506. Purchase Money Mortgage • .Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: 210. City 1 Town Taxes 510. City / Town Taxes 211. County l Parish Taxes 511. County 1 Parish Taxes 212. Assessments 512. Assessments 213. 513. ■ 214. Reimburse Owners Title Ins. by seller 1,607.50 514. Reimburse Owners Title ins. by seller 1,607.: 215, Reimburse Deed Stamps by seller 2,145.50 515. Reimburse Deed Stamps by seller 2,145.E 220. Total Paid by 1 for Borrower: 392,075.00 520. Total Reductions in Amount Due Seller: 182,366.: 300. Cash at Settlement from 1 to Borrower: 600. Cash at Settlement to l from Seller: 301. Gross Amount due from Borrower (line 120) 408;587.54 601. Gross Amount due to Seller (line 420) 307,404.: 302. Less Amount Paid by/for Borrower (tine 220) 392,075.00 802. Less Reductions Amount due Seiler (line 520) 162,386.2 303. Cash From Borrower: 516,512.54 603. Cash To Seiler: $145,038.2 ■ The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for coUecting, reviewing, and reporting the data This agency may not collect This inrormation, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured; this disclosure Is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. ` .i • 01_,Ai \ r City of Atlantic Beach APPLICATION NUMBER Js , .: o Building Department w �� (To be assigned by the Building Department.) 800 Seminole Road kJ , 3 9 / ; � Atlantic Beach, Florida 32233 -5445 #; Phone (904) 247 -5826 • Fax (904) 47. 45(�� �/ � - E -mail: building- dept @coab.us °� -- Date routed: City web site: http: / /www.coab.us APPLICATION REVIEW AND - ACKING FORM Property Address: S/& 7i / 7 ' Dfipaltment review required Yes No Applicant: 2127 � Jannii�ng� &Z onirt Tree Administrator Project: ))/41/ / /)Ti� Public rks) l++hu t1ilii s) 7 ityz, VD /V Public Safety Fire Services �. ` t Si nature _ { F2ylew fee ���� y. p , g .,..._ Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: %Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: 1/ 1/ $ ) (6 TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 :�s4�u'. CITY OF ATLANTIC BEACH O �fi O a I I I I l #�,.+�t .} "fi 800 SEMINOLE ROAD, ATLAN BEACH FL 32233 A r .e - s I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 " BUILDING - DEPT @COAB.US sra,r " % BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF f - `t / y'r . - N/A Ili' 3 Atlantic Beach, FL 32233 4. LEGAL DESCRIPTION:'' 5. CLASS OF WORK: 8. US OF STRUCTURE:, ❑ W BUILDING ❑ DEMOLITION ( ESIDENTIAL LOT _ BLOCK SUB DIVISION ITION ❑ CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION O ORK: • ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: ✓1 ❑ REPAIR ❑ POOL / SPA ❑ YES ❑ N/A ‘507 4( t Ua dWN l ll tO n- ez.. r ic) ii4' ❑ MOVE ❑ OTHER CNO '! � .. `• _ PROPERTY ER: _ CONTRACTOR: :: ARCHITECT;/ ENGINEER: 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: Glee ee.tc tic 5 A tS Genesis Building Corporation 16. NAME: 24. LICENSEE NAME: Todd Bosco 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: S CBC 1 2 5 0212 � �l l S 26. ADDRESS: 7 18 . AD DRESS: 19 r L 3 Z . Zj )) 2158 Mayport Road Atlantic Beach, FL 32233 11, OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: (904)241 - 0320 (904)241 - 0326 13. CELL PHONE:, 1. CELL PHONE: 29. CELL PHONE: ( ) G. 'ti-r2.- Zo5t-c (904) 545 - 1608 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C- 6 .3,4 -/ t>LS G AWL , ' tnriclfthnsrnr.11stnmhnmes.rnm FEE SIMPLE TITLE HOLDER: BONDING` COMPANY:. MORTGAGE LENDER: ]. (IF OTHER THANOWNER) ,:.;. ..„ 31. NAME: 33. NAME: 35. NAME: r 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. l understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: ***- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT / -- CONTRACTOR 1 (11 Agent ' of Attorney or Agency Letter Required) � f (Qualifier Only)' x Signe'•=� /.. Date / L �� l Signe. i - D ate: / /e) B .. ... of ,Lf aV-eP`-2,r- , 200 in the county of Before me this day of txJ ail/Le"- ker , 2000in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared WILLIAM L POPE WILLIAM L POPE herin by himself / herself and affirrNotaityilplitiliceStatedGieFkitiiditis are herin by himself / herself and affirms thaffaktNeptybilenStigliaoitiF466108 true and accurate. My Comm. exp. Oct 19, 2011 true and accurate. My comm. exp, Oct 19, Nil Notary Public at Large, State of t Noun00t714216 Notary Public at Large, State of CBt nwPiNef DO 714210 Personally Known Personally Known ❑ Produced Identification - _ - ❑ Produced Identification/ „/ ' �.., t r Notary Signature: k" � C^- '-. 2 "--4,7d-,-..12_, "--4,7d-,-..12_, Notary Signature: .� COAB FORM BLDG01: REVISED: 1/10/2008 From: Genesis Buildimg Corp 904 241 0326 11/19/2010 12:12 N105 P.002/003 • . OMB Approval No. 2502 -0285 f r • • * A. Settlement Statement (HUD -1) B. Type of Loan 1. © FHA 2. RHS 3.0 CONY. UthnNS. 3. Pile Nraeber. 7. Loan NUM= S. Mortgage truurutce Caw Number. 10T229 0305588691 091-5080394 4.1:1 VA 6.0 CONV.INS. C. Nara: This form Is furnished to give you a statement of actual sett ammad costs. Amounle paid to and by the settlement agent are shown. items marked "(p.o.c.r were paid outside the dosing; they ere shown hem tor Informational purposes and ere not included In the totals. 0. Name •Address of earosser E Name a Address of Salter. P. Name 1 Address et London Gregg Wallace Sayers and Erica Michelle Joseph M. Puopolo and Paula A. Coughlin Gibraltar Mortgage, LLC Sayers 2446 Seminole Road 3210 Lake Emma Road 316 7th Street Atlantic Beach, Florida 32233 Lake Mary. Florida 32746 Atlantic Beach. Florida 32233 Cl. Pnwatty Location: N. Settlement Alma: L Salaam ad Date: 318 7th Street Keith Watson Tide Services, inc. November 4, 2010 Atlantic Beach, Duval County, Florida 32233 208 Ponta Vedra Park Drive, Suite 101 Ponte Vedra Beach, Florida 32082 (904) 273 -7009 fax: (904) 2734370 Nees of eetUNment Keith Watson Titiee Services, Inc, 208 Pante Vedra Park Drive, Sulte 101 Ponta Vedm Beach, Florida 32082 SL Johns County Phone: (904)273 -7009 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Grose Amount Due From Borrower: 400. Gross Amount Due To Seller: 101. Contract Sales Price 306,500.00 401. Contract Sales Price 308,500.0 102. Personal Property 402. Personal Property 103. Settlement Charges to Borrower (Ilne 1400) 20,597.55 403. 104. REHAB loan to WI B ,. 80,585,40 404. Adjustments for Items Paid by Seller In Advance; Adjustments for Items Pald by Seller in Advance: 106. City / Town Taxes 408. City / Town Taxes 107 904.59 407. County 1 Parish Taxes Nov 4, 2010 thru Dec 31, County / Parish Taxes Nov 4.2010 thru Dec 31, 904.5 2010 2010 108, Assessments 408. Assessments 120. Gross Amount Due from Borrower. 408,587.54 420. Gross Amount Due to Seiler. 307,404.5 200. Amounts Pald by or In Behalf of Borrower: 500. Reductions in Amount Due to Seller: 201. Deposit or Eamest Money 5,000.00 501. Excess Deposit (see instructions) 202. Principal Amount of New Loan 383,322.00 502. Settlement Charges to Seller (Une 1400) 15,545.5 203. Existing Loan(s) taken subject to 503. Existing Loan(s) taken subject to 204. Daily interest credit 504. Payoff of First Mortgage Loan to Amtrust Bank 143,087.E 205. 605. Payoff of Second Mortgage Loan 208. 508. Purchase Money Mortgage Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: _ • 210. City / Town Taxes 510. City / Town Taxes 211. County l Parish Taxes 511. County / Parish Taxes 212. Assessments 512. Assessments 213. . 513, 214. Reimburse Owners Title Ins. by seller 1,607.50 514. Reimburse Owners Title Ins. by seller 1,607.1 215, Reimburse Deed Stamps by seller 2,145.50 515. Reimburse Deed Stamps by seller 2,145.E 220. Total Paid by l for Borrower: 392,075.00 520. Total Reductions in Amount Due Seller: 182,366. 300. Cash at Settlement from 1 to Borrower: 600. Cash at Settlement to 1 from Seller: 301. Gross Amount due from Borrower (Inc 120) 408;587.54 601. Gross Amount due to Seller (line 420) 307,404.1 302. Less Amount Paid by/for Harrower (lire 220) 392,075.00 802. Lass Reductions Amount due Seller (line 520) 182,366 303. Cash From Borrower: $16,512.54 603. Cash To Seller. $145,0382 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data This agency may not collect This Infomation, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured; this disclosure Is mandatory. This is designed to provide the parties to a RES covered transaction with information during the settlement process i From:Genesis Buildimg Corp 904 241 0326 11/19/2010 12:12 4105 P.003/003 I FR• Number: 101228 ■ Settlement Data: November 4.2010 Loan Number: 0305588801 OtD REP -. ■ Gregg Erica Maas Sayers regg Steel Sayers 318 71b J 318 7M Be ast - AtWAic Beach, Monde 32233 Atlantic Beach, PfQtka 32233 Joseph Paula A. Coughh Joseph ° 2448 San Road ?116 Seminole Road Atlantic Beech, Fbi1d* 32233 A - den&Beach, Florid* 32235 I have c.mfuly reviewed the HUD-1 Settlement Stater ant end tD the beat of my knovdad0e and beret. It Is a hue and accurate statement of all sbursements made an my account or by me in this transaction. I Maher certify Mel I have revolved.. of HUD -1 Settlement S m A S HUD-4 SETTLEM1 ENT 1S BEING USED IN SUBSTITUTION 0 1099. s 50,.,,,„, `�' at4: Sayers _0. 0?". PLD•_ • • f- 1 /ro 3- / . �. 1 ILA_ A L I / ♦ Borrower: Edon Michele Sayers / r " a ' Z 3 • Address / / / / / / /�� Armes The HUD-1 Settlement Statement wh -, ,,fit' " T ' true and accurate soca of this transaction. 1 have caused w will cause the Nada la be disbursed in accordance Mb We a .. gr OLD REP Sentiment Agent: � Date: Novem 4, 2010 � �—'� Urdu 0: 1 Is a bp abma 15 kn For ly For false statements 18 U.S. rode Salton United and States lhe or to any similar form. Penalties upon eonvtctton can • • Previous editions ere obsolete Page 4 of 4 HUD -1 _. November 3,20101'37 PM u OP I 5* NI !t!'1 ' Wf N. .� t k LL " # 4 �� L___ , BAS �` �� , .,, ....., `-, FCP J .,., ,..., ,...,..., .. 316 7TH ST Atlantic Beach FL 32233 Building Type 0101 - SFR 1 STORY SOH Year Built 1937 Type Gross Area Heated Area Base Area 912 912 Unfin Open Porch 152 0 Addition 330 330 Finished Carport 160 0 Finished Open Porch 24 0 Total 1578 1242 S1A,l; , City of Atlantic Beach APPLICATION NUMBER d , Building Department (To be assigned by the Building Department.) ` 800 Seminole Road , • r 9 � Atlantic Beach, Florida 32233 -5445 , ° , Phone (904) 247 -5826 • Fax (904) 247 -5845 r„ � �r Date routed: // /7 /J E -mail: building- dept @coab.us City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: -7771 Sr Dapat ment review required Yes No (�uilding.)- 9, - ,,,, Applicant: / t ag & Zonir X i Tree Administrator Project: ) )» - // Tr '� 712 ).) / ?� � /" G Public r ,�/Y V l TV Public Safety Fire Services q 'De Si�' nature .;, '. Review�f�e��w � � ��. � p 9 Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ,pproved. ❑Denied. (Circle one.) Comments: i � ? .. ; yoce ` fit s! I s y nM ip, • B • , {� i `t ct a t , � ^ " C ' 44 `�IiuS 1s �r�►'v�ow 0-41 Ivl{t�v�w' r�e✓v�l¢a � Ir x.��- � ca�d.�h PLANNING &ZONING Yom/( 'cs 0 ... S�d by: �°� �� Date: /2� l � 4 EE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 From:Genesis Building Corp 904 241 0326 11/19/2010 12:12 B105 P.002/003 OMB Approval No. 2502 -0285 �� PP A. Settlement Statement (HUD -7) - B. Type of Loan 1. © FHA 2. Ell RHS 3.0 CONV. UNINS. s• File Number. 7, Lean Number: I. Mortgage Insurance Case Number. 10T229 0305588691 091-5080394 4.0 VA SID COW. INS. C. Nets: This form ID furnished to give you a statement of actual settlement costs. Amounle paid to and by the settlement agent are shown. tune marked "(p.o.c.)• were paid outside the dosing; they ere shown here for Informational purposes and are net included In me total. 0. Name &Addrau of eorraaiar: E Name a Address of Seger P. Neme 1 Address of Lander Gregg Wallace Sayers and Erica Michelle Joseph M. Puopoto and Paula A. Coughlin Gibraltar Mortgage, LLC Sayers 2446 Seminole Road 3210 Lake Emma Road • 316 7th Street Atlantic Beach, Florida 32233 Lake Mary, Florida 32746 Mantic Beach, Florida 32233 O. Property Location: H. aettfament Agent 1. Settlemed Date: 318 7th Street Keith Watson Title Services, inc. November4, 2010 ' Atlantic Beach, Duval County, Florida 32233 208 Ponta Vedra Park Drive, Suite 101 Ponta Vedra Beach, Florida 32082 (904) 273 -7009 fax: (904) 2738370 Plats of aenismsnt Keith Watson Title Services, Inc. 208 Ponta Vedra Park Drive, Sulfa 101 Ponta Vedre Beach, Florida 32082 St Johns County Phone: (904) 273 -7009 , J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Grose Amount Due From Borrower: 400. Gross Amount Due To Seller. 101. Contract Sales Price 306,500.00 401. Contract Sales Price 308,500.0 102. Personal Property 402. Pereonai Property 103. Settlement Charges to Borrower (line 1400) 20,597.55 403. 104. REHAB loan to WFB , 80,585,40 404: Adjustments for Items Paid by Seller In Advance; Adjustments for Items Pald by Seller in Advance: 106. City 1 Town Taxes 406. City / Town Taxes 107, County 1 Parish Taxes Nov 4, 2010 thru Dec 31, 904,59 407. County / Parish Taxes Nov 4, 2010 thru Dec 31, 904.5 2010 2010 108, Assessments 408. Assessments 120. Gross Amount Due from Borrower: 408,587.54 420. Gross Amount Due to Seller. 307,404.5 200. Amounts Paid by or In Behalf of Borrower. 500. Reductions in Amount Due to Seller: 201. Deposit or Earnest Money 5,000.00 501. Excess Deposit (see instructions) 202. Principal Amount of New Loan 383 322.00 502. Settlement Che r es to Seller Line 1400 15 545.8 203. Existing Loans) taken subject to • Ex sting Loan s taken subject to 204. Daily interest credit 504. Payoff of First Mortgage Loan to Amtrust Bank 143,067.E 205. 505. Payoff of Second Mortgage Loan 208. 508. Purchase Money Mortgage . .Adjustments for Items Unpaid by Seller: Adjustments for Items Unpaid by Seller: 210. City l Town Taxes 510. City / Town Taxes 211. County/ Parish Taxes 511. County / Parish Taxes 212. Assessments 512. Assessments 213. 513, 214. Reimburse Owners Title Ins. by seller 1,607.50 514. Reimburse Owners Title Ins. by seller 1,607.5 215. Reimburse Deed Stamps by seller 2,145.50 515. Reimburse Deed Stamps by seller 2,145.5 220. Total Paid by /for Borrower. 392,075.00 , 520. Total Reductions in Amount Due Seller: 162,366 300. Cash at Settlement from / to Borrower: 600. Cash at Settlement to l from Seller: 301. Gross Amount due from Borrower (line 120) 400;587.54 601. Gross Amount due to Seller (line 420) 307,40 302. Less Amount Paid by/for Borrower (line 220) 392,075.00 802. Less Reductions Amount due Seiler (line 520) 162,366.: 303. Cash From Borrower: 516,512.54 603. Cash To Seller: 5145,038.2 ■ The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the dats This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured; this disclosure Is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. 'l From:Genesis Buildimg Corp 904 241 0326 11/19/2010 12 :12 #105 P.003/003 Fite Number: 101229 Sediment( pela: November 4, 2010 Loan Nunbon 030558 591 OLD REP -man 1 Erica Mlohetta Sayers • 316 6 7th Beach, eac1 7t Street Sayers 316 /lb Basel Allende A Florida . . de 32233 Allende Beach, F(Qrlde 32233 .., S h Paula A.Cougldln 2 44 9 S ds R 0 2448 Se sk o e Road 2146 Seminole Reed Atlantic Beach, Sm AtlaMleBesah. FlOrWa 32239 I have carefully reviewed the HUD-1 Settlement Statement and to the beat of my knowledge and belief. ills s bue and accurate statement of ant staacaments made on my account or by me in this Transaction. Mother certify the/ I have received • • of 1-103-1 Settlement Stale A S HUD-1 SETTLE .;:.e ENT IS BEING USED Bl SUBSTITUTION i 1099. Borrow . - ' —...4111.. Seder. 0V � P uo • • a � , A /l/ ISM! Donavan Seller ll� f4 f e �1< Enna Michelle Sayers ` _ a L! 3 Address / / / / / ,{ / // /o� Address The HUD-1 Sollianent Statement eh 7 1 . a Mtre and accurate account of this transaction. lime caused or will cause the funds to be disbursed in eaccordance accordance wtth Wes w A � / Date: November 4, 2010 LD R . OEP / � / SoSlamenlAgent: WARNING: II Is a crime to knowingly mako balsa emtaments to the United States an this or any Other similar team. Penalties upon convictbn can Include a fine or InwtWoamont. For datals see: Title 18 U.S. Code Secdon 1001 and 8ealien 1010. e I • Ptevi0US editions are obsolete Page 4 of 4 HUD -1 November 3, 2010 1137 '.'1 • • Permit Number _ /0 ! ' 39(/ Tax Folio Number _ NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL 1 - 1 -1E l NDERSIGNED hereby gives notice that improvement will be made to certain real property. Laid in accordance with Chapter 713, Florida Statutes, the following in ortnation is provided in this Notice of Commencement. ` I. Description of property (Address): 5 (9`'1 1 (.k — .2 3 , / C- 2. General description of improvement: e =(NCV 1 IN ■ l.■ g C►I %(; F _,(A1),- LA eJCT ( .)vvner information: Gi'z 4 - L VL. L Cr} Sa'i LwS 1. Name and Address: 3i Q. - ?-ti, S-r Aft f ►L. P)c-t -crE Fc 3-z_Z33 2. Interest in property: 3. Name and address of fee simple titleholder (other than owner): 4. Contactor's name and address: I CE Jr �;; t'1 1 AbF ; ?"237) a 4 a. Phone number: c 4 )1 i- e 3 b. Fax number: : 4 - 2,4 1 — , L=r; y 5. Surety Information: a. Name and address: h. Phone Number: e. Fax Number: d. .Amount of Bond: ., o. :Lender's name and address: a. Name and address: b. Phone Number: T. Person within the State bf Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. a. Name and address: b. Phone number: c. Fax number: . In addition to himself /herself. owner designates o f to receive a copy of the Lienor's Notice as provided in Secuob 713.12(1)(b), Florida Statute. 9. 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J A o iii' r .y 1 Product Approval !USER P_. 1155 Community Affairs Product Approval Menu Product or Application Search % Application List % Application Detail Application Type New 5^ Code version 20C4 t pplication Status Approved Comments Archived Product Manufacturer Simonton Windows Address /Phone /Email 1 Cochrane Ave Pennsboro, WV 26415 (800) 746 -6687 ext 4825 patricia_robison @simonton com Authorized Signature Patricia Robison patricia_robison@ simonton com Technical Representative Chuck Anderson Address /Phone /Email 1 Cochran Ave. Pennsboro, WV 26415 (800) /46 6687 chuck anderson @simonton com Quality Assurance Representative AAMA Address /Phone /Email 1827 Walden Office Square Suite 550 Schaumburg, 1L 60173 (847) 303 -5664 webmaster @aamanet org Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Referenced Standard and Year (of Standard Year Standard) AAMA /NWWDA, 101 t 5 2 1997 Equivalence of Product Standards Certified By P C'/ ■'/2 /1:,.;6 !Date A,.1.3" c \ /C... 'Cr ... /70a; Summary of Products FL # Model, Number or Name Description 7512 niyiectionsi Prism Piaticiuni, Cenefations ; Sea 930 -mpessonom 9000, AND Herne Services 5100, THD @ acme Set . ices 650C, i_jminess 4500 Polar 7Jai'; Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL7612 RO C CAC APC 11- 11vbp door AAMA 101 Approved for use outside HVHZ: Yes R50 96x80.pdf Impact Resistant: No Installation Instructions Design Pressure: +50 / - 50 FL7612 RO II VIN-011 VBP 11 -11 96x80 R 50 ' Other: 2 lite vinyl sliding glass door 96x80 installation drawinq.pdf Verified By: American Architectural Manufacturers Association 7612 2 11 11 Reflections 5500, Prism Platinurn, Generations, Sears 9300, Impressions 9800, THD © Home Services 6500, THD © Home Services 6100, Luminess 4500, Polar Wall R I Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL7612 RO C CAC APC 11- 113 - Lite.pdf Approved for use outside HVHZ: Yes Installation Instructions Impact Resistant: No FL7612 RO II VIN -012 VBP 11- 11 -lite Design Pressure: +35 / - 35 installation drawinqs.pdf Other: 3 lite vinyl sliding glass door 107x95 Verified By American Architectural Manufacturers Association 7612.3 11 -11 Reflections 5500, Prism Platinum, Generations,Sears 9300, Impressions 9800, THD Home Services 6100, THD © Home Services 6500, Luminess 4500, Polar Wall, Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL7612 RO C CAC APC 11 11 VBP door Approved for use outside HVHZ: Yes 144x96.pdf Impact Resistant: No Installation Instructions Design Pressure: +-35 / 35 FL7612 RO II VIN - 01311- 114-lite installation Other: Vinyl 4 -lite Sliding Glass door, 143x79 drawinq.pdf Verified By: American Architectural Manufacturers Association 1 I ac:kl INextl DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boule ✓ard Tallahassee, Florida 32399 -2100 (850) 482 -1824, SuIcom 277 1824, Fax (850) 414 -8436 © 2000 2005 The State o` Oler All rights rese-veo Copyright and Disclaimer Product Approval Accepts: )1)L, ht tp : 7odl.convdoorglass/clear /pc thermal perfonnance.ph CODES I GET INFO 1 ABOUT 0 EBuilding Value Into Building Products` DOORGLASS SKYLIGHTS DECORATIVE WINDOWS ENTRY TREATMENTS PRODUCT INFO product offering Doorglass > Clear Doorglass > Product Info > Performance & Codes features & benefits Thermal Performance painting & finishing Performance & Codes ODL Doorglass can be used in doors to meet Energy Star criteria ant. g can • Slam & Cycle Testing throughout the United States. Thermal performance values for t"" ' se ' " "' r1O0f' . Thermal Performance to E'tECOSTAR rc,cv;c r_n«rpy Star c r'i`° "a - Water & Air Resistance different door systems are in the table below. Pf5AY • Sound Transmission • Design Pressure NFRC thermal performance ratings are determined for a fixed set of conditions and specs severe weather doorglass Decorative 1" Clear Lowe warranty 1" Clear Glass Doorglass Glass Door system configuration U factor SHGC U factor SHGC U factor SHGC with full glass '.1 f hermal Fiberglass door — polyurethane I >erformano e 9 p Y 0.29 0.20 029 0.22 0,33 025 Cntena core -' i for t a+ ada Steel door — wood edge — EPS 0.30 0.22 0.31 0.22 0.35 0.25 core Steel door — steel edge — EPS 0.36 0.22 0 37 0.22 0.38 0.26 core Click here for a complete table of thermal performance ratings. Performance Criteria The Energy Star Windows Program is a voluntary partnership between the Department of Energy (DOE) and the fenestration industry (NFRC) to promote sales of energy efficient windows, doors, and skylights. Regional thermal performance standards as defined by DOE for 2005 are presented below. Local and state codes are developed using Energy Star standards as a guideline but may be more or less stringent. Climate Max. U- MAX. Zone factor SHGC North 0.35 Any North /Central 0.40 0.55 0. ' ' South /Central 0.40 0.40 Southern 0.65 0.40 U- Factor: Overall thermal transmission The lower the value, the slower the rate of heat flow. SHGC /Solar Heat Gain Coefficient: Portion of directly transmitted and absorbed solar energy that enters interior. 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Q 33 0 Z E O V) 0 O O = y Z2 4Z,.Z ZZ Z��2 myy0 k O (' � 3 - 'O -I U) 0 m 2 2 v) 2 � 0 v� "N m o omz o) D Z o R. m c� r r - --I r+ + o z v I m v m ° z cn 1 0 o m E 2 v 03 V) 0) ;` ; 0 o _+ < m G O z A r- r m "� ?to O 2*3)(/) , -i z m < r v ', r o�6in V) 1"I °' r- z 0 v' > m lz rn ? V m rn.- < x- Z D m o' p m O N R . Vzi p i. O O X O O D2-1 00 rr10 O (n D --.1 N �-I m f cg R. 'n z O AN O n N Q 0 (sjii) r- r- m "' m p+7 n O m C� OD n _ � -� sc A s z m n y A z m 0 0 � Ac x Z -< O 0 C m O ° 0 2 O A Or ,..411 Cm m Z ° v ra p�n n Stgy-r A r- y rn r- N ~ ° y j 2 • N - 0 Z m m r O r -4 ( -, 73 r mA ~Oy V 0 0 O U m W C 613" = 79.25" MAX. z MAX. , . 68 = 66.1 " to r 11 ' I rr or • A 0 ti in m 0 O 0 C A O A c z m r r .r z r 0 Z V) • O cr. (. u, O Ul LT M P1 2I O O OV) 0 I 1L Am 1 1 I 10 A0 O+ m o 0 0 m o �m 000 x. ti •i + + + + 0 O m o 0 o m O .... O O O { 7, - ;),. N 1 8=4 x Ut N I 0-1 1 -1 ti F.A. 0 O O O O O • O N O O O N ? „ W • • -. - 1� , 1 6'8 = 66.r " MAX. 6'8" = 79.25" MAX. x 9 Q _ PRODUCT: a......... a...... W. 24 - NON- IMPACT �p SAT . INC. p 3 N DOOR GLASS ASSEMBLY ✓L�, ►a. M a.' v r1.. n_ 336.5 1 z N. 3'O x 6'8 SINGI F PANFI h'nwr M..: /11�.�1p - ■ A PART OR ASSEMBLY: Florid. wol • Ix _ - � TYPICAL ELEVATIONS, DESIGN - �_ ps NO DATE BY PRESSURES & GENERAL NOTES REVISIONS Wendell W. r 9•1191. P. \PCT NE PRO$CTS \P 122 \FI - I.SL \F l.- L5L -2.owc T ` � k r � I- 410 K s-\`,, „.`1 i III k om PO 41) z O N '1 O O N ZZO ° c X60 O . c. 0 0 m 2 I Om ; yy '� > ' I 73m0, X In Zym • 00 0 !- { O O 2Z� O O < D�.ZI � �\ 1n f1 Z cc ' N X 02 f 071 0 _ O O [ -I m Ao� G NOf -I r =Om —J N O c. • ” N O 0 O Z {.- II 11 II " 0 0 v u, 1 or,„..., 2.612" N v m ). In r climil 23C ,&"--...,-.......46, a o � o m N ' :•C'.. z b %% %% In cn ©� 2i n0 v1 z m0 v0 1OC) �' 0 / � >'a o rink, i ICI ? T 4 m r mcm) _ ` V `,, I' ri ` OHO I r' , //,/ , ' , 5 r D A wz= r , CI k O 000 F 0 63 -0" MAX. D.L.O. HEIGHT N 66.1" MAX. OVERALL FRAME HEIGHT N N V N N N • N N • r 0 r y o 5 r rrl N O > y N m T. 0 O u) 0 CO 1111 ; w ; .50 NOM. THK. w 5� LA O .125 NOM. GLASS THK, w C A _ G LAS S (oa GLASS THK. m a • Ov Y A m in O � n m 2 m w to 0v 0 0 Z —i te r... —. 0 • 0 0 0 0 O Q o PRODUCT: mod+ P. .` d �' 4ii S NON- IMPACT �T�� C. m E i ° N DOOR GLASS ASSEMBLY � .d _ �r TJO vw�ee Ft JJD06 o • \ 3'0 z 6'8 SINGLE PANEL ehw N. 013.000.111117 Q U : Z i + PART OR ASSEMBLY: s1.E1.. 111....1 .I twen..r. A X \ O 1151. N1J _ (4 NO, DATE BY TRADITION CROSS SECTIONS & x. .41 REVISIONS GLAZING DETAILS mem o.. w. . 54150 R \ACY Vt P!C1CT5 \1i 727 \Ft_ 454. \F L. 45L -3 . nn4 T� „ ,r-,rr 40 J I______,illiNss 0 4 N N U N m M m 0 13 % 0 m 40 w0 m \n _ D 0 0 0 ! ; 1' NO ; ,...4 v_ 0 y N. N 1" A N GLASS THK I Fn 00 A m F o m o - N xl N ZT xi in 0 Z 0 O C7 elm v) Z f 0 © l L� � j y L = ` \\\\ Zzo _00 0Z _ E N p F J ). ), i - / . : � .�� 1 Iv C � �1�/1 �� � A � A gee NI z �� \ Dn 11 II o z o x � . .. ` . © p ig {+ 1.819" �+ m !, ' rm0 � � �i v z 2.84" o /A w o 1 /;:e::•:',/,',c1 m z. -'\,.•.z. L z z O � 1 71 xi 0 y y . 1`�T 7 `' \ge \� O r-1-!- ,� �7T� Z rT,Imm 1r�� '' 33 i R �P�' O © 63.0" MAX. O.L.O. HEIGHT 66.1" MAX. OVERALL SMART DOOR GLASS HEIGHT A 4 R ; PRODUCT: D000mo'd Pompons Mr - NON - IMPACT Zr"..:-.....,,, LT• A DOOR CLASS ASSEMBLY ..: - 2 m•Mmo WOMB I !14, o P L " 1 € ? , *' � N 3'0 x 6'8 SINGI F PAW) /Nom 1113.11189.01•7 1113.11189.01•7 1113.11189.01•7 Q a F PART OR ASSEMBLY: o � N . 1 2 a NO DATE B Y SMART FRAME CROSS SECTIONS •?-1r � REVISIONS - & GLUING DETAILS Fs.0 M ww �1y R.\ACTw[ PiKoCCrs\?r'12z\F1-LSk FL- LSL -.AwG - 66.1" MAX. FRAME HEIGHT T „ N to co v0r to -IN W N A Vi 3.25" -1 �--I ' 0 ..• 0 t7 0 0 x O x ^i i 0 '.^..0000-01D-13 �— j . i 2ez,oZ -c 1_ aA \ f \ �n • 00 �q � �co \ � P 0 , n O v '� O � F' 1 0 0 x O x 0 m O c 2 r +Tr ,„ ' i O 11 Oo c)In2 r2 zx a • Ire • E(n r 0 �1 Pm' c) i • v. O y C' a c � j \ t -y1r 2 1. 10.5" MAX. "� c,i . iv A IV � m m A 5 m � O.C. 3.25` — u ; m .... 1 0 r 63.0" MAX. D.L.O. HEIGHT o D I T m z 0 x 1 - 6 6.1 " MAX. FRAME HEIGHT \I o 2> co -4 rri m D v 1 ° o 0 moo. b 3.25" —y .rn ! i • • x \ • \ --f-C) 10.5` MAX. - O.C. 3.25" o m x Z 63.0" MAX. D.L.O. HEIGHT = x • 2 c 0 0 2 . n. A r Xi w f m w m 66.1" MAX. FRAME HEIGHT 8.9" 2 m 11 E Da �ti O g 0 ay 2 r \ cn O N m 2 c:, . 1 f i N y O Z nl N o 5 63.0" MAX. D.L.O. HEIGHT r rn 13 21 0 0 c '� Vi 2 0 2 rnm 66.7 " MAX. FRAME HEIGHT vi � Om O 0 m m -n om o r- ro 4/) -r • rn 8.9" tn I I I C , . n 0 \ —44" 0 1 m 63.0" MAX. D.L.O. HEIGHT o F 0 x Q PRODUCT: 0000no o Pompon.. y. 7 NON-IMPACT ��pp v � �� 3 n., DOOR GLASS ASSEMBLY ✓V ,r Mw. 0/b.�f/f7 OCPSULTAIMS. INC- I A 1 z v 3 x 6'8 S INGI F PANEL srwd Fl_ 33006 R U PART OR ASSEMBLY: d 2013 . 1a I + - t' NO, DATE BY u_ ANCH TRADITIONAL 6 S MART FRAME 08 s -ss REVISIONS OR LOCATIONS w an w. x 841a111 04/27/2007 08 :20 8047377618 SUNNILAND PAGE 01/12 16 wATTS 1 877 357 -7663 000F) ... • FAX 904 -338 -8286 AillImmomml Net Coverage 16" Nominal R _.___ ______,___ ......_a__ PANEL PROFILE % DIMPLE RAMC. di / �EVERT' 4" o.c. STARTER /END SLOT APROX. 2" FROM PANEL — ._...._ -.. — ENDS . /, • • Sidelap Detail Nailstrip Detail NOTES: 1. M-Searn Panels are only available with minor ribs to reduce oil canning. 2. OiI canning is inherent to all metal panels and therefore is not considered a manufacturers defect nor a warranty condition. 3. Consult your contractor immediately if you need information concering this condition. I Gauge Finishes Nominal Thickness ASTM & Grade Specifications i 26 Acrylic Galvalume .0179 ASTM A-•792 AZ55 t 26 PTD Galvalume * .0179 ASTM A -792 AZ55 24 Acrylic Galvalume .0240 ASTM A -792 AZ55 PTD Oaluelunq Is 70% Kynnr B00 Or Nylwr 3000 PV1)= Resin unletn othorwitw loOlceto0 mmDennlum Metals or►cr c WrrlitFO ?r, Pr rrormn y 4n ram roiolo, Z4 roar Ilmitea warmly on Mill rhMIMI Arrylino Pans. Inrormnllon , , t l4;yf�� Plearie request warranty from your Clstrllwtor MILLENNIUM METALS lNC. , (L' d f �4JI1, � Nt 1 TOLL FREE. 1- 877- 358 S INC. (, i ,, , l�I� "(i (p,t ll y l j �� l'�r; ,{" ,11.110777(t.,' .I TOLL 14.�E 1 -8 1 1 ,, , 1,d r , � h 071 'Y I ii 4tl � � " , 06 , i i �i�� Min. 1FA7 WI �rudN �bV>"ti'Ul�IiT' �ia��� : ���� � m, � � '� � � � .8� ,I, �! J � r � �ln•u � ui�'!, f 1 u, h �, f din � I �i;r,t; 04/27/2007 09:20 9047377618 SUNNILAND PAGE 02/12 MILL[NNIUM METALS 10200 EASTPORT ROAD JACKSoNVILLF, FL 32210 904.358.8366 WATTS 1 -877 -357 -7685 (ROOF) FAX 90 - 358.8285 M -Seam Insti Ilation Instructions: Panel Attache, era: M -Seam recommended attachment is 8" on center along the edge of the nailer strip This attachment may not be suitable for all applications. Projects may require an engineer to evaluate conditions sucn as mean height, exposure type, and roof configuration as indicated in ASCE 7 -98 and ASCE 7 -02. Additional fasteners may be required along the end zones on the panel (eave, ridge, and perimeter). Pitch Alert: This product should not be used on applications '1h a 2/12 pitch. Roof Application: -...•- Step 1: Make sure deck is even and square. Step 2: Panel should begin on the gable end opposite bf the prevailing wind. Begin with the receiving edge of panel (female side) along the Gable (see Ga Rake et .i1). The edge away from the Gable should be the nailstrip. After checking that the and is , . uat' g p' � the eave, make sure the panel is attached as indicated in panel attachment (see above) and also 2" from the leading and trailing end of the panel on the nailstrip. The screw should be placed in the center of the nailstrip slot provided - Sealant is recommended on applications less than a 3/12 pitch. Step 3: Mier attaching the first panel completely, panel 2 should be snapped in place using a rubber mallet. A minimum of l" overhang is recommended at the cave. Typical cave detail requires the use of a hemming tool to hem the panel over the ED2 (detail has 1-1/2" overhang). Install the remaining accessories. Millennium Metals offers a variety of products such as pipe boots, butyl tape, and ventilation materials. Do not use copper or lead products in conjunction with M -Seam as it will void the warranty, ATTENTION INSTALLER.: PLEASE REFER TO THE IMPORTANT NOTE SECTION OF THIS MANUAL T OR SAFETY, STORAGE, OIL CANNING DISCLAIMER, AND SHAVING DISCLAIM 3R PRIOR TO BEGINNING PROJECT. Code requirements vary from area to arcx'tilnd job`- i s well•4 -,00f configuration. Job specific engineering is not a service prov aF I �e .']1�nium Metal.;, . r,,�ro . i 4es/Takeoffs are provided at a nominal fee for materials only.'' ;a • e le responsibili pf tomer to review the takeoff and make any changes to the quantity, length or accessories be /she f'e- ecessary. Millennium Metals takes no res aonsibility as to the accuracy of the information prow M -Seam is :t special order product and therefore is not returnable. Please verify all items prior t ordering. k MILLENNIUM METALS INC. rO.L FREE: 1 877.359.7663 4 =AX; 904- 358.8285 SUBJECT TO CHANGE WITHOUT NOTICE 10/6/04 PAGE 2 "1' UU4!z//2067 08:20 9647377616 & MILANI) PAGE 03/12 MILLENNIUM METALS INC. 7._ AN, 10200 EASTPORT ROM JACKSONVILLU, FL 32218 904 - 358 8380 WATTS 1- 877.357 -1663 (ROOF) FAX 904.350 -8285 Important Notes: Millennium Metals recommends licensed roofing professionals to install our materials. Please use gloves, glasses, and other protection when handling material to prevent injury. It is necessary to inspect deck integrity to insure it is safe to walk on before beginning any work. Millennium Metals recommends all installers follow the OSHA requirement for fall protection. Never walk on materials when wet or when unsuitable weather conditions are present. Storage: Materials should be installed immediately. Any unused materials should be stored in a dry place where moisture will not reach and penetrate bundles. Material should always be placed on wood block to separate from the ground or concrete. Igo not cover with plastic!!! Instead, use loose canvas tarps so that air can circulate. Cut the bands so that the material can expand. Millennium Metals warrants the material only. We do not offer weather tightness warranties. Any such warranty is up to the contractor to include in their contract. Decking: Millennium Metals recommends the use of minimum 1/4." plywood or OSB Board attached in accordance with code. The deck must be supported by an engineered truss system not to exceed 24" on center. A moisture barrier such as 30# felt or other ASTM approved underlayment should be used over decking to control moisture. Metal should never come in direct contact with green or pressure treated lumber as it will cause corrosion. if tin tabs are required to attach felt it will be necessary to apply a 15# felt in the direction of the panel as an additional separation barrier, M- seam) is recommended on application with 2-1/2 / 12 or greater. Oil Canning Disclaimer: Oil canning is industry wide and inherit to all metal panels. It is more visible in designs with flat spans as with this panel. Oil canning is a wavy appearance in the surface of the metal panel. This slight distortion in no way effects the warranty nor is a reason for rejection or refusal. Shavings Disclaimer: When using fasteners to penetrate steel sheets the iron particles tend to go airborne and settle r— on the sheet. It is necessary to remove these particles to prevent embedment and rust marks. MILLENNIUM METALS INC. TOLL , -REE: 1.877. 358 -7883 FAX 904 -358 -8255 SUBJECT TO CHANGE WITHOUT NOTICE 10/8/04 PAGE 3 04 /27/2007 08:20 9047377618 SUNNILAND PAGE 04/12 Z O N i' LL ► d CI- (/) 1-- z al // J "•`` h Y1 cc W Q V J Q ((! W LL if ; CL 0 co CC CC 0 M '' I tiiiiik cl 0 W yr 8n- 1.— W o Q \ v. ,o, Uu i i i 1 6' '‘,. c) < 4 ., ,i. , .' il 1 lik, , \\(/ < //// minimmumea Ilk ' , \'''''''',::-,. \ /1',Y\N. ‘‘c;, ' 1r 2 - 4 . ;',.: , , 4 , ‹„„--- . ,Alk ...\ / 0 LO W 5-, 2 0 N g cr < 0. ,S , „/ i „i,....- ..,,, ,, G22 ( � 0 Lu > d ,-..- - ...--7 . X 1r CO a 4 2 ch et d v"-° 1 ., a ', (7) Q. ,1•tc �/� �/ J MA H o 'Dip 0.M i� ..'".1 rc, ` W 2 .. O R EL \i,\,, i \ \ MI. V! 7 i, :1 \ \\ j ‘zir Aaw Lu n 1"15Fir CO 0 0 Ind i a C7 z SUtJEC7 TO CHANGE wITHOUT NOTICE 10/6/04 PAGE 4 04/27/2007 08: 20 9047377618 SUNN I LAND PAGE 05/12 ......,.......... -......-----.......-......mwmwim.m..mmogmm...m.mmmnmm.m....m.----. AIN MILLENNIUM METALS , INC. 10200 EASTPORT ROAD JACKSONVILLE, FL 32218 804.388-8388 WATTS 1-877.257.7803 (ROOF) . FAX 904-358.8288 VMIlmw•m■■•., ■111•■••■■•■••••111111111.1•■■■■••■111111•■•■•■••■=rommiMIN L-1-6-1";--Q-ELE--(EILT.2 2. EM1,611__F ASH1NC (EW - 3) ..5..GYJElii.g.CL(1P2) .5. EY1 NIT-:)::LLS.hYr a O2.Fs'i I 3 S / , ., 7 PAINT 'I-. ....." „ /- PAINT 4 *;/---.. 2.,/ -, 7-- ' - - PAT PAIN / ''.... -"---,_.. -,-- , N X/ ^...., 5/8" -,,, I _ 4 ;/,.. 1 1/2" Il'6:5„..'8' X' 0 ' 1/2 OW RI-IANO: 1 .'' OVE1-7HANG; 1-3. L__GAELE_BaSLI.,G132,1) 4_, GAt,i (. RAKE. OH -<) ;-,, c,,Amo fir: (.. , I.Asi-Iiimc, _cc f:7,2.) 6 _19(il 1.5!pr.. EAV.T.. ( -3- 1,/4" 11 ../ I 7 / ,, L. - - 6' - < \ \,, .1 1/2" X ..i. !we" x 1/2" 7 1/2" ',</./,' 5/F!" "---, 7, HP CAI .(RC 10) WilalibILL (,jr -7) 9,, frtilORI-AE .). yitus(isv- 3) 1,Q STEP SIDEWAL1. (,,SW 4 ) 1 -1/2" / *--, ' ' " . . — I . . — - I •--.._-, ---... - - i 11 IRANS1.11QNL.11951.1!NG ( U2) 1 .2-.5141‘Y.N-1. f.114.Q (sw- 3 ) 1-3, :i... .5.R- . . 1 .) Lt C"01,NTFR IL,..5t1lNC__CCE:1) 1/2" >, /../ . t (1 ......- .,... :. . i/H.. f 1/ • \,/ 1 1/155" , 1 6 ........._ N.. N . - 1 - ----_,: I -11 ...... NV I ,,- ,) >›, P..1 4 II 1/7" 1, 1/2 '',..,,„,....' 5/ 4" 1 . 5 . . . S 1 1 . 4 . . C 1 - _ _ r , L 4 1 1 . ! 3 ! " . . _ : 2 2 . Q . ) Q . . t . i ■").■ F , . . - 4 1 ci 1.:A.1 (:1 - , ! ) / 7 C i3O RFS IRE- ; ) ,,.."( 1 ,/2" 1 4--i- ---...,_,...., - I 1 ...! -,.... ,, -, 1 ._ ,---- t.-\" ,,..• 1 3/8 FLASHING PRO MILLENNIUM METALS INC. TOLL FREE : 1 -877 -358 - 7663 FAX' 904-358-8286 SUBJECT TO CHANGE WITHOUT NOTICE 10/6/04 PAGE 5 04/27/2007 08:20 9047377618 SUNNILAND PAGE 06/12 __ MILLENNIUM IAN METALS, INC. 10200 EASTPORT ROAD JACKSONVILLE, FL 32218 904 •368.8306 WATTS 1 (ROOF) ' ---,, FAX 904.358 m••••■•■•■•■••..........,...... VIIIMINMIN11~11110.~m11■1 ,,,, .. STITCH SCREWS -. . _ -.. ._ 12 0.C., DO NOT OVERDRIVE RIDGE CAP -------..- . M—SEAM PANEL •-,..,,, / • ' . ' .. . ..7‘;;,, VENTING ...—__. . . . , MATERIAL . ., "--, A . ‘,. l ''' .A. .-.) .......„ ---.... . . -....,,,, . - . p' ,.: ,'...-.. , ----- :.,:.:....... ., ---- ,..., , .. ....„..., .. .,,. . , ... .. v,.: .:1--- - 4i ----- - • V ......_. _...._.. , PER CODE " /CI APPROVED SCUD SUBSTRATE ........ RIDGE DETAIL IC ----, _ _ N AA '.. N. -..:••••■",•• 7 '• ...- • •• ' • • . . '''• ' •••„, ••••„. ..„ ■ .-•••■„,,. • .. ,_.„._.._, _ ,_..-- ....•■.........-- SO •.'„,,,,. I •••• ., ''',.. 1 . • . ',.•••■•., .. , • .., 11:C.0 •- ..,,..r. ',..,.., • S ' Ik ,... , .,... . d y i , lini ■ '••,,,.„ '''''''''... 4f) 'Z •■ ••• •■4 ' .-- ./7 „ ‘"'••■.., )\ / . 7 " .7,7'. • - - -.Z4 ' N„ .. 0ii110, ) M —SEAM PANEL S.S. POP RIVETS 01 ig "2 " CLOSURE CUT 70 FIT BETWEEN / *041 PANEL (3) #10-12 X 1 PANCAKE HEAD SCREWS PER PANEL • id r 1 flP CONT. BUTYL TAPE SEALANT 0 APPROVED SOLID SUBSTRATE #30 FELT 0 ATTACHED PER CODE HIP/RIDGE FLASHING // / 1110 RIDGE CAP RC MILLENNIUM METALS INC. TOLL FREE: 1.877.358.7863 FAX: 904-358-8285 SUBJECT TO CHANGE WITHOUT NOTICE 10/6/04 PAGE 6 64/27/2607 08:20 9047377618 SUNNILAND PAGE 07/12 MILLENNIUM • METALS, - INC 10200 EASTPORT 8040 JACKSONVILLE, FL 32218 804. 358.8366 WATTS 1.877-357 7663 (ROOF) ' FAX 804- 358 -8285 \ \ �\ \ \� � y . ) \ �\:;,,,, \ `\ \\., "\ �-- M- SEAM HEMMED `It \) \ -tl, rr. ` �' \ \� / SEE DETAIL FOR HEMMING I10 -12 X 1" PANCAKE \ \ \ PANEL PAGE 3 HEAD SCREWS a 12' O.C. �I' M- SEAM PANEL J \ �\ \ , '/ #30 FELT - -f 4 iO y / ATTACHED PER CODE ! 1 - APPROVED SOLID SUBSTRATE f� �L' ` '� '� CLEAT W/ #10- 12 X 1" /r PANCAKE HEAD SCREW 0 12" O.C. ..'' FASCIA BOARD "" PANEL _AVE DRIP DETAIL ED-2. SAVE FLASHING DETAIL. SHORT S MAKE IT FLUSH AND MAKE HOLE - i _ - - - ,-- y-� — -, „,--- ' M -SEAM PANEL 0 12" O.C. - - _- - -__ .._: _..:_ �!✓ _ S.S. POP RIVETS J = _ _ �.� -.. 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TOLL FREE: 1 .877. 358 -7663 FAX; 904 358 - 8285 >UBJECT TO CHANGE WITHOUT 'NOTICE 10/6/04 PAGE 11 04/27/2007 02;20 SO47377E18 SUNNILAND PAGE 12/12 MI AN _..........................___________ M METALS INC. 1 0200 EASTPORT ROAD JACKSONVILLE:, FL 32210 904-358,8386 WATTS 1877 - 357.7003 (000F) FAX 904. 338 -8285 PANEL I IEMMING ill" 7 : V. \ • aWillaN I CAULK CUT PANEL BACK 1 4" TO CREATE HEM. USE HEMMING TOOL. MILLENNIUM ME TALS I NC. TOLL FREE: 1 -877- 358 -7663 FAX: 904- 358 -87.85 SUBJECT TO CHANGE WITHOUT NOTICE 10/6/04 PAGE 12 APPENDIX 13 -D Effective March 1, 2009 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1100B -08 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Residential, or Subchapter 13 -6 of the Florida Building Code, Building, may be demonstrated by the use of Form 11006 for single -and multiple - family residences of three stories or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating, cooling, and water heating systems in existing buildings, and site -added components of manufactured homes and manufactured buildings.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 11 B -1 and all applicable mandatory requirements summarized in Table 11 B -2 of this form. If a building does not comply with this method, it may still comply under Method A of Chapter 11 or Subchapter 13 -6 of the applicable code. PROJECT NAME: Sayers, BUILDER: Bosco Custom Homes AND ADDRESS: PERMITTING OFFICE: Duval OWNER: PERMIT NO.: / ' 1 5 9 el JURISDICTION NO.: 2 6 1 1 0 0 1. New construction including additions which incorporate any of the following features cannot comply using this method: skylights or othernonvertical roof glass, glass areas in excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes to Table 116 -1 on page 2). 2. Fill in all the applicable spaces of the To Be Installed" column on "Table 11 6 -1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 3. Complete page 1 based on the "To Be installed" column information. 4. Read "Minimum Requirements for All Packages ", Table 11 B -2 and check each box to indicate your intent to comply with all applicable items. 5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print CK 1. New construction, addition, or existing building 1. addn 2. Single - family detached or multiple- family attached 2. sf 3. If multiple - family -No. of units covered by this submission 3. n/a 4. Is this a worst case? (yes/no) 4. no 5. Conditioned floor area (sq. ft.) 5. 11216 6. Glass type and area: a. U- factor 6a. .65 b. SHGC 6b. .35 c. Glass area 6c. 16 _ sq. ft. 7. Percentage of glass to floor area 7, 14 16 8. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R- value) 8a. R = 0 30 lin. ft. b. Wood, raised (R- value) 8b. R = sq.ft. c. Wood, common (R- value) 8c. R = sq. ft. d. Concrete, raised (R- value) 8d. R = sq. ft. e. Concrete, common (R- value) 8e. R = sq. ft. 9. Wall type, area and Insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1. R= sq.ft. 2. Wood frame (Insulation R- value) 9a -2. R= 15 224 sq.ft. b. Adjacent: I. Masonry (Insulation R- value) 9b -1. R = sq.ft. 2. Wood frame (Insulation R- value) 9b-2. R = sq.ft. 10. Ceiling type, area and insulation: a. Under attic (Insulation R- value) 10a. R = 19 sq.ft. 112 b. Single assembly (Insulation R- value) 10b. R= sq.ft. 11. Air distribution system: Duct insulation, location 11a. R = 6 Attic Test report required if duct in unconditioned space 11 b.Test report attached? YES No 12. Cooling system: 12a. Type: Central 12b. SEER/EER: 13 (Types: central, room unit, package terminal A.C., gas, none) 12c. Capacity: 3T 13. Heating system: 13a. Type: Heat Pump (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC, none) 13b. HSPF /COP /AFUE: 8 13c. Capacity: 3T 14. Programmable thermostat Installed on HVAC systems: 14. Yes No 15. Hot water system: 15a. Type: Electric (Types: elec., nat. gas, LP -gas, solar, heat rec., ded. heat pump, other, none) 15b. EF: .90 I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Code. Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. PREPARED BY: Gary L. Swallow DATE: 11/24/2010 /\ BUILDING OFFICIAL: -- " , 7 V I hereby certify that this building is in compliance with the Florida Energy Code: OWNER AGENT: DATE: DATE: 1 / 'c 9 2007 FLORIDA BUILDING CODE - BUILDING 13 -D.23 APPENDIX 13 -D TABLE 118 -1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: U- Factor = 0.65 U- Factor = Windows (see Note 2): SHGC = 0.35 SHGC = _ %of CFA < =16% %of CFA= Exterior door type Wood or insulated Type: Walls — Ext. and Adj. (see Note 3): Frame R -13 R -Value = Mass (see Note 3) Interior of wall: R -6 R -Value = Exterior of wall: R -4 R -Value = Electric resistance heat (See Note 10) Not allowed Ceilings (see Notes 3 & 4) R =30 R -Value = Floors: Slab -on -grade No requirement R -Value = Over unconditioned spaces (see Note 3) R -13 Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = 50 gal: EF = 0.90 EF = Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 pal: EF = 0.58 EF = Air conditioning systems (see Note 7) SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER = 13.0 SEER = HSPF = 7.7 HSPF = Gas furnaces AFUE = 78% AFUE = Oil fumaces AFUE = 78% AFUE _ Programmable thermostat (see Note 10) Must be installed on all HVAC systems. Installed? Yes No Ductwork: (see Note 9) Location: Unconditioned space R -6, TESTED Unconditioned space Conditioned space NA R -Value = Unvented attic assembly per 11806.4 with insulation at the roof plane R -4.2 Test report: Conditioned space R -Value = (No test report required) Air Handler location: Unconditioned attic or garage Requires test report Location: Conditioned space or Test report: Unvented attic assembly per 11806.4 with insulation at the roof plane No duct test required (1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; oth- erwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16% of the conditioned floor area (Clio), otherwise Method A must be used for compliance. Exceptions: 1. Ad- ditions of 600 square feet (56 m or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under 2 2 foot overhang whose lower edge does not extend further than 8 feet from the overhang may have tinted glazing or double -pane clear glazing. Replacement skylights installed in renovations shall be double paned or single paned with a diffuser. (3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement (R -6) must be met except if at least 50% of the R -4 insulation value required for the "exterior of wall" is installed exterior of, or integral to, the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 * volume). (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 * volume). (7) For all conventional units with capacities greater than 30,000 Btu/hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13- 607.AB.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the Florida Building Code, Residential. (8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13-607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the Florida Building Code, Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. wc.) across the entire air distribution system, including the manufacturers air handler enclosure. Exception: New or replacement ducts installed onto an existing air distribution system as part of an addition or renovation. Such ducts shall either be insulated to R -6 or be installed in conditioned space. 10) The prohibition on electric resistance heat and the requirement for programmable thermostats do not apply to additions, renovations, and new heating systems installed in existing buildings. TABLE 11B-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks N1106.AB.1.2 To be caulked, gasketed, weather - stripped or otherwise sealed. Exterior Windows & Doors NI106.AB.1.1 Max .3 cfm /sq.ft. window area; .5 cfm/sq.ft. door area. Sole & Top Plates N1106.AB.1.2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed). Multistory Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Exhaust Fans NI 106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N1112.AB.3. Switch or clearly marked circuit breaker electric or cutoff (gas) must be provided. External or built -in heat trap required for vertical pipe risers. Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas Swimming Pools & Spas N1112.AB.2.3.4 spa & pool heaters must have minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0. Hot Water Pipes N1112.AB.5 Insulation is required for hot water circulating systems (including heat recovery units). Shower Heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psiq. HVAC Duct Construction, All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated Insulation & Installation N1110.AB and installed in accordance with the criteria of Section N1110.AB. Ducts in attics must be insulated to a minimum of R -6. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. 13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING ■ APPENDIX 13 -D ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = The higher the score, the more efficient the home. 1. New Home or addition addn 11. Ducts, Location & Insulation Level 2. Single family or multiple family sf a. Supply ducts: R= 6 3. Number of units, (if multi- family n/a b. Return ducts: R= 6 4. Number of bedrooms 0 12. Cooling systems Capacity: 3T 5. Is this a worst case? (yes or no) n a. Split system SEER: 6. Conditioned floor area 112 sq. ft. b. Single package SEER: 13 7. Glass type & area c. Ground/water source COP: a. U- Factor: .65 sq. ft. d. Room unit EER: (Or single or double Default) sq. ft. e. PTAC EER: b. SHGC: • 35 sq. ft. f. Gas- driven COP: (Or clear or tint Default) sq. ft. 13. Heating Systems Capacity: 3T 8. Floor types, Insulation level a. Split system heat pump HSPF: a. Slab -on- grade, edge insulation R= 0 b. Single package heat pump HSPF: 8 b. Wood, raised R= c. Electric resistance COP: c. Concrete, raised R= d. Gas furnace, natural gas AFUE: 9. Wall types, Insulation level e. Gas furnace, LPG AFUE: Exterior f. Gas - driven heat pump Recov. EFF.: a. Wood frame R= 15 14. Water heating systems b. Metal frame R= a. Electric resistance EF: • 90 c. Concrete block R= b. Gas fired, natural gas EF: d. Log R= c. Gas fired, LPG EF: e. Other R= d. Solar System with tank EF: Adjacent e. Dedicated heat pump with tank EF: a. Wood frame R= f. Heat recovery unit HeatRec% b. Metal frame R= g. Other: c. Concrete block R= 15. HVAC credits claimed d. Log R= a. Ceiling fans e. Other R= b. Cross ventilation 10. Ceiling types, Insulation level c. Whole house fan a. Under attic R= 19 d. Multizone cooling credit b. Single assembly R= e. Multizone heating credit c. Knee walls/skylight walls R= f. Programmable thermostat d. Radiant barrier installed R= I certify that this home has complied with the Florida Energy Efficiency Code For Building energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip *NOTE: The home's estimated energy performance score is available through the FLA/RES computer program. This is not a Building Energy Rating. /f your score is 80 or greater (or 86 for a US EPA/DOA Energy Star' designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www fsec.ucf edufor infor- mation and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Com- munity Affairs at 850/487 -1824. 13 -D.40 FLORIDA BUILDING CODE — BUILDING ' et Alp s ` , CITY OF ATLANTIC BEACH 7. ` - "' 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 44 '4,01.119 ' Application Number . . . . . 10- 00001399 Date 11/30/10 Property Address 316 7TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 50000 Application desc sml addition and renovation Owner Contractor SAYERS, GREGG AND ERICA GENESIS BUILDING CORP 316 7TH STREET 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -0320 Permit . . . . . . ELECTRICAL PERMIT Additional desc . . WIRE ADDITION Sub Contractor . . LORE ELECTRICAL CONTRACTORS Permit Fee . . . . 109.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/29/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS PEtFM1T 1c Ai P1 OVED - ONLY IN ACCORDANCE - WITH AEC CITY TIE ATEJ NTTC BEACH ORDINANCES AND THE' PrORt'DA BUILDINGEIDOEUMMary Charged Paid Credited Due 6 41 , (--- {I� CITY OF ATLANTIC BEACH : _ � a,E ;) 800 SEMINOLE ROAD tj = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 1119 Page 2 Application Number 10- 00001399 Date 11/30/10 Permit Fee Total 109.00 109.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 109.00 109.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rf �' CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD .., „ ATLANTIC BEACH, FL 32233 J < INSPECTION PHONE LINE 247 -5826 Page 2 Application Number . . . . . 10- 00001399 Date 11/30/10 Other Fees DEV REVIEW - SINGLE & 2 -FAM 50.00 ENG REV BLDG MOD OR ROW 25.00 STATE DBPR SURCHARGE 4.50 UTIL REV MODIF OR ROW 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 300.00 300.00 .00 .00 Plan Check Total 150.00 150.00 .00 .00 Other Fee Total 109.00 109.00 .00 .00 Grand Total 559.00 559.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y,a'y��.. CITY OF ATLANTIC BEACH /a l ( 800 SEMINOLE ROAD, ATLANTIC BEACH FL 32233 Oa 1 13 19 1 ( ri l OFFICE: (904)247 -5826 • FAX N0.:(904)247 -5845 V BUILDING - DEPT @COAB.US _; 1F.1� <?" BUILDING PERMIT APPLICATION DUVAL COUNTY 1. Jos ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF 51 Li .55-0, ��� N/A Atlantic Beach, FL 32233 4. LEGAL DESCRIPTION: 5. CLASS OF WORK: 6. I../SE,-OF STRUCTURE: ❑�� ...,NEW BUILDING ❑ DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION l'1 GTION ❑ CONVERTING USE CI COMMERCIAL 7. DESCRIPTION 0 ORK: I ERA) ION ❑ ACCESSORY BLDG 8. FIRE SPRINKLER: MI K' . ` • El REPAIR ❑ POOL / SPA ❑YES ❑ N/A V •� 1 ��, 1 ���d f�' ❑ MOVE ❑ OTHER l'0 PROPERTY .WNER: CONTRACTOR: , ARCHITECT / ENGINEER: 9. NAME: 15. COMPANY NAME 23. COMPANY NAME Gil C tCt1F S Alevt.S Genesis Building Corporation 16. NAME: 24. LICENSEE NAME: Todd Bosco 10. ADDRESS 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: y jI I P - *Ail S� CBC 1250212 t' 18. ADDRESS: 26. ADDRESS: (11.2 r L- 37-2" 2158 Mayport Road Atlantic Beach, FL 32233 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: (904)241 - 0320 (904)241 - 0326 13. C LL PNE: 21. CELL PHONE: 29. CELL PHONE: /U 14/ 2705Cf (904)545 - 1608 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C-ilett -6. S il^1 S k C 1, 'co l toddlahoscocalstomhomAs.nom FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER- OTHER THAN OWNER) 31. NAME 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: • Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF . COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. it OWNER or AGENT ' CONTRACTOR (If Agent "'war of Attorney or Agency Letter Required) r Only) ig - _ _ Date: / 1 Ills / 0 Signe. / D ate: // /G Be m,\.% •1y of . J J er • , 2000 in the county of Before me this 7 day of it) -.,fi , 20P .Ain the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared WILLIAM L POPE *Li IAM L POPE herin by himself / herself and affirr Il eS edofeFt itls are herin by himself / herself and affirms tha utaSD�eshtl4enS aOtti true and accurate. My comm. exp. Oct 19, 2011 true and accurate. �rff �r m My comm. exp, Oct 19, 2011 Notary Public at Large, State of __- __- COmtll., NOLJZDf 714216_ Notary Public at Large, State of _ _ `O fpMn1Qf 00 714216 Personally Known ,. Personally Known ❑ Produced Identification - ❑ Pro. Identification - 1 Notary Signature: __ _�.� �' 0 - �2 Notary '.i. a. re: RI CITY OF AT COMPLIANCE U SEE OR PERMITS FOR AD BON L COAB FORM BLDG01: REVISED: 1/ .�. 20 C P - RE QUIREMENTS AND CONDITION 1. ... . .:. A . r- r.,: x REVIEWED By: DATE: / -�y /o Permit Number jQ f 3 9 Tax Folio Number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL 11-1E UNDERSIGNED hereby gives notice that improvement will be made to certain real property. and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (Address):5 _ (9'i 1 (k - S - `'j E 2. General description of improvement: =�lev I - IN i6't-t( -. a CIS- vJ (--, E {6w)-: t_itU Owner information: Gam-, ( c, S /1ti Lvt--S 1. Name and Address: 3i 1 cT AI ( -4-x71 C. t3,:.,� -off F'c 3 z,z3'3 2. interest in property: 3. Name and address of fee simple titleholder (other than owner): C. N ViL 0 i4 6 c_L r.0 4. Contaeior's name and address: 21 CE 61Viii ° I' i >(2t) Ab1L ; 2'273 4, a. Phone number: 9 - ?A I - u 3 1 b. Fax number: q<)4 - 2_4( — c.) 5. Surety Information: a. Name and address: h. Phone Number: e. Fax Number: d. Amount of Bond: ,, 6. :Lender's name and address: a. Name and address: b. Phone Number: 7. Person \within the State bf Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. a. Name and address: b. Phone number: c. Fax number: in addition to himself /herself. owner designates of to receive a copy of the Lienor's Notice as provided in Sect 713.12( )(b), Florida Statute. 9. Expiration date of Notice of Conunencement (the expiration date is one (1) year from the date of Recordi lI Mess different date is specified) , Signature otOwner: \ + o , /4' t `LL _! i"'" a $'F Cx y F'txra 3 i s v' RL !7 kp h, y - Y 8 y Y in t ,,.. 5. 1 V A Y �' 3 ..4 4 n a „y � 1� �'ry1 jF d i:r .yyi,� c 47 D W '3 Y ' �$ i f � y �8 C k� h'� ,� a A { ra co T� t k a ?�'u f s p J '{" ? 3Y - x > 0 > —1 > > v > C) > C) > - Ti p c a (� rt Q- cu n D 0 D 0 '0 r a $ h cn k. ~ '' � s c a n a a " 3 n -a 4 c T _ a 7. M O O (D n n D (D n i � + O � e a ;d r (A n U) rt (D ( p f]) 0) GGMf 3 ' ' CD 71: D \ Q) N \ Q r r M ^ m Y r t y 4 a: 3 (D p 3 rt 0 0 o F } O C 0 p j r O ' a m p r . cn p O J y F 7.. 7 C �%] 0 — O. A r z � d r s d _. _, _ CU M tn .13 - 0 ? n nE i (D n O r ' ? ' 1 U) M C io a , . , .. , ' , .... ! .., - . 1 :1 ' , ',''' , , , : . , - . . ,1 ' : ' , ", , , ' , CU rr D d r ^ t i 5 0)d' y rt 7 "'j 25' m (D O cp o o i f4...n� r V CP D }"fit,,': 4 r $ cm a c Q a 3 (1) ()F > ^ -0 � -0 -a - 0 ^ - 0 i --+ U c n c a) > o) W (D a) 0) 0) 0) CO (p D N m r* N 3 (7 . -1 -- .— 0 O () 3 0 o < k 0 V co c V D n N nn n ' r - , n n o D c n v i a S tn * of rn 0- ? n cu of Oi v 0 < ° o w 6� Cl. I O k0 p O O I O O 1 O 0/ 0 Q R Cil to (D j m 0- CT Q O O (D C O O o O 0 0 O O�* D —. so r' w < n v Cn @ N @ @ N O d . O n Uf (n (/) - n M rn � m A N W 0 Ul 0 0 c N r CO r r CO Cr 01 O N 0 O N (D O U1 D D (f7 a O 0 O O Km 3 3 3 W r) , ,, ,,. ,4 y '' ? kC ,, 4.44..:13,',3:40. r vg D' R' c� 5 L f � � F 4 3 alt a f ..'- 4. r ,,,,z N t a � . 4 r fg CD ist e f x :' Yv� S_bmi S rch�. ye „zt & _C_5 D LO 1,E,101 F ..t_r, BC S S ,e M D � II'IKS SeerCh Product Approval `I r ° / USER: cL is User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail FL g FL7612 Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Simonton Windows Address /Phone /Email 1 Cochrane Ave Pennsboro, WV 26415 (800) 746 -6687 ext 4825 patricia_robison @simonton.com Authorized Signature Patricia Robison patricia_robison @simonton.com Technical Representative Chuck Anderson Address /Phone /Email 1 Cochran Ave. Pennsboro, WV 26415 (800) 746 -6687 chuck_anderson @simonton.com Quality Assurance Representative AAMA Address /Phone /Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847) 303 -5664 webmaster @aamanet.org Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Referenced Standard and Year (of Standard Year Standard) AAMA /NWWDA 101 LS 2 1997 Equivalence of Product Standards Certified By 04/27/2007 08:20 9047377618 SUNNILAND I o PAGE 01/12 IILLENINIUM MErALs INC. 10200 EASTp0RT ROAD JACKSONVILLE, FL 904.358 -8366 wATTS 1-877-357-7663 000F) FAX 904.358 -8286 1 Net Coverage 16" Nominal #L._____ PANEL PROFILE / DIMPLE APROX. Ail" / ," ST EVERY 4" O.C. — ' / / /F/ 4 -_.. . sLOp PANEL Rp ° z• -- ... -- — ........_.._. FROM ENDS I NIO • Sidelap Detail Nailstrip Detail NOTES: 1. M- Searr, Panels are only available with minor ribs to reduce oil canning, 2. Oil canning is inherent to all metal panels and therefore is not considered a manufacturers defect nor a warranty condition. 3. Consult your contractor immediately if you need information concering this condition. Gauge Finishes Nominal Thickness ASTM & Grade Specification 26 Acrylic Galvalume s .0179 ..• ASTM A-792 AZ55 2 6 PTD Galvalume * .0179 24 Acrylic Galyalume ASTM A -792 AZ55 e • .0240 ASTM A -792 AZ55 PTO patualehW Is 70% Kynnr 800 or NyInr 8000 P■I)= Resin unleta othc,wlaw lnelcatoo. Mlhortly Wale onOr A 11 01474 ? yoar rret�nly vn raintotl Pnia15 ao yoor i!mitoa rrareniy on Mlii rlolsn ...n� Pinaao rawest warranty inform-Ilion from your Olairlbutot. ......t. i 14 } MILLENNIU METALS INC, M „�, 4N i ��4 't1+ TOLL FREE: 1 - G Yti, yr 877 358 - 1883 t 41 I j '� I I n l � a j, r 1° FAX' 904.15A 1 r % f`• , „ ,,l'.,. � 1 1 ' !i 0 :, _ J� 1 "�r�' 1 � � p � I � I{ r t,M r rl dl U l RI IR. IFM Th' kiI.iijAtA iUJ1 14 , 9 id� IZ b� t �� r } I�� , I i . c t , I RAl ` l t rt..i4'N k.. I l f 4 Iy i .� i�rld f ,�utta ! l ii illf�"lif��f(!�i�a�b ` ! I t 'T�f���I�� +��. � � {y �d {��� ,.,� kri FF�fl From: Genesis BuiIdimg Corp 904 241 0326 11/19/2010 12:12 11105 P.002/003 ( j) A. Settlement Statement (HUD OMB Approval No. 2502 -0266 B. Type of Loan .. 1. © FHA 2.0 RHS 3.0 CONY. UNINS. S. file Ntaab.r. T. Wan Waller: a. Mortgage Insurance Cass Number: 4.0 VA a.0 COW. INS. 10T229 030558889 091- 5080394 C. Note: This form Is furnished to give you a statement or actual settlement oasts. Amounts paid to and by the settlement agent ere shown. Items marked "(p.o.e.r were paid outside to doom they are shown here for Infarmolonal p urposes end ars not included In tits (Welt 0. Name a Addre.. of morrowar. E. Name 1 Address of Sower P. Name L Aden... Lond.r. Gregg Wallace Sayers and Erica Michelle Joseph M. Puopolo and Paula A. Coughlin Gibraltar Mortgage, LLC Sayers 2446 Seminole Road 3210 Lake Emma Road 316 7th Street Atlantic Beach, Florida 32233 Lake Mary, Florida 32748 Atlantic Beach, Florida 32233 0. Property Location: N. aetttsmsnt Agent: I. aamIemsnt bat.: 316 7th Street Kelh Watson Title Services, inc. November4, 2010 Atlantic Beach, Duval County, Florida 32233 208 Ponta Vedra Park Drive, Suits 101 Ponta Vedra Beach, Florida 32082 (904) 273-7009 fax: (904) 2734370 Place of iktflomerC Keith Watson Trite Services, Inc, 208 Ponta Vedra Park Drive, Sults 101 Ponta Vedra Beach, Florida 32082 St Johns County Phone: (904) 273 -7009 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower: 400. Gross Amount Due To Seller: 101. Contract Sales Price 306,500.00 401. Contract Sales Price 306 102. Personal Property 402. Personal Property 103. Settlement Charges to Borrower (line 1400) 20,597.55 403. 104, REHAB loan to WI=B 80,585.40 404. Adjustments for Items Paid by Seller In Advance: Adjustments for Items Paid by Seller in Advance: 106. City 1 Town Taxes _ 408. City 1 Town Taxes 107, 2 0 1 0 County / Parish Taxes Nov 4, 2010 thr Dec 31, 904,59 407. 2010 County / Parish Taxes Nov 4, 2010 thru Dec 31, 904.5 108. Assessments 408. Assessments 120. Gross Amount Due from Borrower. 408.587.54 420. Gross Amount Due to Seller. 307,404.5 200. Amounts Paid by or In Behalf of Borrower, • 500. Reductions in Amount Due to Seller: 201. Deposit or Eamest Money 5,000.00 501. Excess Deposit (see instructions) 202. Principal Amount of New Loan 383322.00 5Q2. Settlement Charges to Seller (Line 1400) 15,545.8 203. Existing Loan(s) taken subject to 503. Exists Loans tteken subject to 204. Daiy Interest credit 504. Payoff of First Mortgage Loan to Amtrust Bank 143,067.E 205, _ 505. Payoff of Second Mortgage Loan 206, 506. Purchase Money Mortgage • .Adjustments for Items Unpaid by Seller: Adjustments for items Unpaid by Seller. 210. City /Town Taxes 510. City / Town Tames - 211. County 1 Parish Taxes 511. County f Parish Taxes 212. Assessments 512. Assessments 213. 513, 214. Reimburse Owners Title Ins. by seller 1,607.50 514. Reimburse Owners Title Ins. by seller 1,607.: 215. Reimburse Deed Stamps by seller 2,145.50 515. Reimburse Deed Stamps by seller 2,145.( 220. Total Paid by 1 for Borrower: 392,075.00 520. Total Reductions in Amount Due Seller: 152,366.; 300. Cash at Settlement from !to Borrower. 600. Cash at Settlement to 1 from Seller: 301. Gross Amount due from Borrower (line 120) 409;587.54 601. Gross Amount due to Seller (line 420) 307,404.1 302. Leas Amount Paid bylfor Borrower (line 220) 392,076.00 802. Less Reductions Amount due Seller (line 520) 162,386 303. Cash From Borrower: $16.512.54 603. Cash To Seiler. $145,0382 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data This agency may not coiled This Information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured, this disclosure Is mandatory. This Is designed to provide the parties to a RESPA covered transaction with information during the settlement process, i From:Genesis Buildimg Corp 904 241 0326 11/19/2010 12:12 #105 P.003/003 1 Settlement Data: November 4. 2010 Loan Number. 0303368691 Fde Number: 1 OLD OLD REP - . - buyers 316 Gregg 7t Wallas Sayers Erica Michels 8ayea J 9167thStraet 31871h Steal Mango angc gawk Florida 32233 Allende Beech, Florida 32233 Sellers Joseph o Paula A. East 2446 Seminole Road 2448 Seminole Road Marie Beaah. Florida 32233 Atlantic Beech. PIMA 32233 I have uanfody reviewed the HUD-1 Settlement Skrn taent and to the best of my knowledge and belief, d Is a bee and amends =lament of all State is • H s asements made on my account or by me ln the banaaefbn. I anther certify thrill Paso recafved • • of HUD -1 Sediment ENT IS BEING USED IN SUBSTITUTION • 1099. Illy � •w�i+ -� Sute was. or 3 - Bowmen .4.• ,_,___A ! 'LA_ III ILA Erica Michele Sayers n ,r Address Aieue pis The HUD-1 Settlement Statement and accurate swo Lint of die hwsedon. 'have caused or will cause 0w funds to be disbursed in aemrdaam with tPb J So lemenlAgent: A i ` � / � / Date: November 4, 2010 OLD REP WARNING: II Is a crime to knowingly make take statement b Ma United State at ante or any other similar bum- Penalties upon conviction can Include a fine or tupriwllmont For deals see: Tale 18 U.S. Cade Sacdon 1001 and SeaBnn 1010. • • ■ Prevtsa/ editions ere obsolete Page 4 of 4 HUD-1 November 3, 2010 1132 PM APPENDIX 13 -D Effective March 1, 2009 I FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1100B -08 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Residential, or Subchapter 13 -6 of the Florida Building Code, Building, may be demonstrated by the use of Form 11008 for single -and multiple - family residences of three stories or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating, cooling, and water heating systems in existing buildings, and site -added components of manufactured homes and manufactured buildings.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 11B-1 and all applicable mandatory requirements summarized in Table 11B-2 of this form. If a building does not comply with this method, it may still comply under Method A of Chapter 11 orSubchapter 13 -6 of the applicable code. PROJECT NAME: Sayers, BUILDER: Bosco Custom Homes AND ADDRESS: PERMITTING Duval OFFICE: OWNER: PERMIT NO.: I JURISDICTION NO.: 2 6 1 1 0 0 1. New construction including additions which incorporate any of the following features cannot comply using this method: skylights or othernonvertical roof glass, glass areas in excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes to Table 11B-1 on page 2). 2. Fill in all the applicable spaces of the "To Be Installed" column on "Table 118-1 with the information requested. All To Be Installed" values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the "To Be Installed" column information. 4. Read "Minimum Requirements for All Packages ", Table 11B-2 and check each box to indicate your intent to comply with all applicable items. 5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form. Please Print CK 1. New construction, addition, or existing building 1. addn 2. Single- family detached or multiple - family attached 2. sf 3. If multiple - family -No. of units covered by this submission 3. n/a 4. Is this a worst case? (yes/no) 4. no 5. Conditioned floor area (sq. ft.) 5. 11216 6. Glass type and area: a. U- factor 6a. .65 b. SHGC 6b. .35 c. Glass area 6c. 16 sq. ft. 7. Percentage of glass to floor area 7 14 8. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R- value) 8a. R= 0 30 lin. ft. b. Wood, raised (R- value) 8b. R= sq. ft. c. Wood, common (R- value) 8c. R= sq. ft. d. Concrete, raised (R- value) 8d. R= sq.ft. e. Concrete, common (R- value) 8e. R= sq. ft. 9. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1. R = sq. ft. 2. Wood frame (Insulation R- value) 9a -2. R= 15 224 sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b -1. R = sq.ft. 2. Wood frame (Insulation R- value) 9b -2. R = sq. ft. 10. Ceiling type, area and insulation: a. Under attic (Insulation R- value) 10a. R= 19 sq. ft. 112 b. Single assembly (Insulation R- value) 10b. R= sq. ft. 11. Air distribution system: Duct insulation, location 11a. R= 6 Attic Test report required if duct in unconditioned space 11 b.Test report attached? YES No 12. Cooling system: 12a. Type: Central (Types: central, room unit, package terminal A.C., gas, none) 12 SEER/EER: 13 12c. Capacity: 3T 13. Heating system: 13a. Type: Heat Pump (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC, none) 13b. HSPF /COP /AFUE: 8 13c. Capacity: 3T 14. Programmable thermostat installed on HVAC systems: 14. Yes No 15. Hot water system: 15a. Type: Electric (Types: elec., nat. gas, LP -gas, solar, heat rec., ded. heat pump, other, none) 15b. EF: .90 I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Code. Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. PREPARED BY: Gary L. Swallow DATE: 11/24/201 BUILDING OFFICIAL I hereby certify that this building is In compliance with the Florida Energy Code: OWNER AGENT: DATE: DATE: �� � l® 2007 FLORIDA BUILDING CODE - BUILDING 13 -D.23 APPENDIX 13 -D TABLE 11B-1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: U- Factor = 0.65 U- Factor = Windows (see Note 2): SHGC = 0.35 SHGC = %of CFA < =16% %of CFA= Exterior door type Wood or insulated Walls — Ext. and Adj. (see Note 3): Type: Frame Mass R -13 R -Value = (see Note 3) Interior of wall: R -6 Exterior of wall: R -Value = R R -Value = Electric resistance heat (See Note 10) Not allowed Ceilings (see Notes 3 & 4) R =30 R- Value = Floors: Slab -on -grade No requirement Over unconditioned spaces (see Note 3) R -13 R- Value = Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = 50 gal: EF = 0.90 EF Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 gal: EF = 0.58 EF = Air conditioning systems (see Note 7) SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER = 13.0 SEER = HSPF = 7.7 HSPF Gas furnaces AFUE = 78% AFUE _ • Oil fumaces AFUE = 78% AFUE = Programmable thermostat (see Note 10) Must be installed on all HVAC systems. Installed? Yes No Ductwork: (see Note 9) Location: Unconditioned space° R -6, TESTED Unconditioned space Conditioned space NA R- Value Unvented attic assembly per R806.4 with insulation at the roof plane R -4.2 Test report: Conditioned space R -Value = (No test report required) Air Handler location: Unconditioned attic or garage Requires test report Location: Conditioned space or Test report: Unvented attic assembly per R806.4 with insulation at the roof plane No duct test required (1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; oth- erwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16% of the conditioned floor area (CFA), otherwise Method A must be used for compliance. Exceptions: 1. Ad- ditions of 600 square feet (56 m or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under z 2 foot overhang whose lower edge does not extend further than 8 feet from the overhang may have tinted glazing or double -pane clear glazing. Replacement skylights installed in renovations shall be double paned or single paned with a diffuser. (3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement (R -6) must be met except if at least 50% of the R -4 insulation value required for the "exterior of wall" is installed exterior of, or integral to, the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 * volume). (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 " volume). (7) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13-607.AB.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the Florida Building Code, Residential. (8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13-607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the Florida Building Code, Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. wc.) across the entire air distribution system, including the manufacturer's air handler enclosure. Exception: New or replacement ducts installed onto an existing air distribution system as part of an addition or renovation. Such ducts shall either be insulated to R -6 or be installed in conditioned space. 10) The prohibition on electric resistance heat and the requirement for programmable thermostats do not apply to additions, renovations, and new heating systems installed in existing buildings. TABLE 11B -2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks N1106.AB.1.2 To be caulked, qasketed, weather - stripped or otherwise sealed. Exterior Windows & Doors N1106.AB.1.1 Max .3 cfm /sq.ft. window area; .5 cfm/sq.ft. door area. Sole & Top Plates N1106.AB.1.2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed). Multistory Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Exhaust Fans N1106.A8.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water Heaters N1112.AB 3 Comply with efficiency requirements in Table NI 112.AB.3. Switch or clearly marked circuit breaker electric or cutoff (gas) must be provided. External or built -in heat trap required for vertical pipe risers. Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas Swimming Pools & Spas N1112.AB.2.3.4 spa & pool heaters must have minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0. Hot Water Pipes N1112.AB.5 Insulation is required for hot water circulating systems (including heat recovery units). Shower Heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. HVAC Duct Construction, All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated Insulation &Installation N1110.AB and installed in accordance with the criteria of Section N1110.AB. Ducts in attics must be insulated to a minimum of R -6. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. 13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING APPENDIX 13 -D ENERGY PERFORMANCE LEVEL, (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = The higher the score, the more efficient the home. 1. New Home or addition add 11. Ducts, Location & Insulation Level 2. Single family or multiple family sf a. Supply ducts: R= 6 3. Number of units, (if multi- family n/a b. Return ducts: R= 6 4. Number of bedrooms 0 12. Cooling systems Capacity: 3T 5. Is this a worst case? (yes or no) n a. Split system SEER: 6. Conditioned floor area 112 sq. ft. b. Single package SEER: 13 7. Glass type & area c. Ground /water source COP: a. U- Factor: . 65 sq. ft. d. Room unit EER: (Or single or double Default) sq. ft. e. PTAC EER: b. SHGC: . 35 sq. ft. f. Gas -driven COP: (Or clear or tint Default) sq. ft. 13. Heating Systems Capacity: 3T 8. Floor types, Insulation level a. Split system heat pump HSPF: a. Slab -on- grade, edge insulation R= 0 b. Single package heat pump HSPF: 8 b. Wood, raised R= c. Electric resistance COP: c. Concrete, raised R= d. Gas furnace, natural gas AFUE: 9. Wall types, Insulation level e. Gas furnace, LPG AFUE: Exterior f. Gas -driven beat pump Recov. EFF.: a. Wood frame R= 15 14. Water beating systems b. Metal frame R= a. Electric resistance EF: • 90 c. Concrete block R= b. Gas fired, natural gas EF: d. Log R= c. Gas fired, LPG EF: e. Other R= d. Solar System with tank EF: Adjacent e. Dedicated heat pump with tank EF: a. Wood frame R= f. Heat recovery unit HeatRec% b. Metal frame R= g. Other: c. Concrete block R= 15. HVAC credits claimed d. Log R= a. Ceiling fans e. Other R= b. Cross ventilation 10. Ceiling types, Insulation level c. Whole house fan a. Under attic R= 19 d. Multizone cooling credit b. Single assembly R= e. Multizone beating credit c. Knee walls /skylight walls R= f. Programmable thermostat d. Radiant barrier installed R= I certify that this home has complied with the Florida Energy Efficiency Code For Building energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip *NOTE: The home's estimated energy perfonnance score is available through the FLA/RES computer program. This is nota Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOA Energy Star" designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www fsec.ucfedu for infor- mation and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Com- munity Affairs at 850/487 -1824. 13 -D.40 FLORIDA BUILDING CODE — BUILDING z i !s�,�� ; , J � City of Atlantic Beach APPLICATION NUMBER Building Department , `� i ' , ll g p (To be assigned by the Building Department.) �+ 800 Seminole Road j .1 , , ^r Atlantic Beach, Florida 32233 -5445 'd - 3 9, Phone (904) 247 -5826 • Fax (904) 247 -5845 l' --r f3 a%' E -mail: building- dept @coab.us Date routed: // /V /U City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /& 77' $ r Department review required Yes No (B. i .din �. e. V Applicant: ( �� -) S ��lanninq & Zon Tee Ad mnisator Project: ) f} /� � j Q`'}) /i m< )6. P ublic Works 7 f/YG I/ V') f / Public Safety Fire Services Revi ve $ ,� r , a Ii ,, 1,e D e p t ++� a.� m 4 ' lr q. Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. EDenied. (Circle one.) Comments: :UILDINL PLANNING & ZONING Reviewed by: ` ill Date: //- 2y- TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 yt= vr City of Atlantic Beach APPLICATION NUMBER 1.." Building Department (To be assigned by the Building Department.) 7. , a ?r 800 Seminole Road '�..P. , �� / c j Atlantic Beach, Florida 32233 -5445 "� Phone (904) 247 -5826 • Fax (904) 24 -584NJ V 1 r i >!' E -mail: building- dept @coab.us Zd Date routed: / / City web -site: http: / /www.coab.us APPLICATION REVIEW AND T' KING FORM Property Address: S/c 777/ d r aItment review required Yes No dia Applicant: 2e-72 S nninq & Zoni l e Administrator Project: ( 4)) )/} - // --)) /i/(b Public rks Utilities.) 7i/l/Z l/ 0 /V Public Safety Fire Services Reviw fie $ K �..i� Dept S ig3na #dire Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : Date: / �� -/9 /b TREE ADMIN. Second Review: ['Approved as revised. ['Denied. P WORK Comments: • Qr��r,C� • : LI TILIDES PUBLI AF / ET 0 Y Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 From:Genesis Buildimg Corp 904 241 0326 11/19/2010 12:12 #105 P.003/003 ' I File Number. 10T220 Seltlemerlt Data: November 4, 2010 Loan Number :0305588591 OLD REP ears Gregg Wallace Sayers Erica Wheals Sayers 318 7th Street 316 7111 Strain • AltaMIa Beach, Florida 32233 Atlantic Sea oh, Florida 32233 Sellers Joseph o Paula A. Coughlin 2446 Seminole Reed 24411 Seminole Road Adanee Beach, Florida 32233 AAantic Beech. Playa 3243 _ I have carefully reviewed the HUD-1 Settlement Stab:Ment and to the beat of myknowledge and here}. It is a true end Soeurate statement of all receipts ' sburcements made no my account or by me In tkt+ transaction. I further cefify Chet I have received • • of HUA 1 Settlement 1 Stale S HUD-1 SE ENT IS BEING USED IN SUBSTITUTION; 1008, • 1a Borrow c�T s Seller. 0 V � .Ps A� _ f .n.tt€ A$ Pt-3:443 f l .:1 1 .�1� 39118: N Borrower: Erica Nachege Sayers r r Address / / / / / / /y, /% //6� Address The 11110-1 Settlement Sta1Bmenl �' . true and accurate account of this transaction. 1 have caused or will cause the funds to be dtsteosed in acoordanee want tbk a . f OLD REP SetOamentAgent: � •'A Date: November 4, 2010 WARNING: Ms a clue to knowingly make fake statements to the United Slates as this ar any other dedler Ion. P011a118a upon conviction can Include a fine or 1 1prIBOrlmont. For details see: Tilts 13 U.S. Cada Section 1001 and Seam 1010. • • Previous edidoas ere obsolete Pape 4 of 4 HUD -1 November 3, 2010 1'37 PM CITY OF ATLANTIC BEACH -~' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Wit Application Number 10- 00001399 Date 2/28/11 Property Address 316 7TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 50000 Application desc sml addition and renovation Owner Contractor SAYERS, GREGG AND ERICA GENESIS BUILDING CORP 316 7TH STREET 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -0320 Permit MECHANICAL GAS PIPE PERMIT Additional desc . Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/27/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS PERMIT IniPPROWS5VLY IN ACCORDACC CITY OF AR#FIC BEACHaRt‘tf AND THE FEN@DA BUILDING CODES. �a ,,� CITY OF ATLANTIC BEACH -� l 800 SEMINOLE ROAD t.' t = ATLANTIC BEACH, FL 32233 >,. INSPECTION PHONE LINE 247 -5826 Page 2 Application Number . . . . . 10- 00001399 Date 2/28/11 Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 . Og .00 .00 Grand Total 9 9 00 .00 .00 q 4.D° 31;1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: l — 1 3Tr PERMIT # /0 - 0000 ) 3 T 9 PROJECT VALUE $ z 5 • ° NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # Air Conditioning: Unit Quantity Tons Per Unit REQUIRED Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets "F Boilers BTU's Elevators /Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: 't 1 2- '4 IA $ I II'n,t 42 S 4' l g -t Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name J A-c-1 ev5 / 13o�& (..&k `^ [6 /v./ S Phone Number 90Y - Z It - a3 z o Mechanical Company ,o 6 u a J W N1 A.t A-Le g cel Q1UM b ' '` Office Phone H � a x 3 -10 a)3 3 t.2 City c ( ts .Nu./ State f` Zip z V�/ Co. Address: S `l0 1 ow,..�s�4 � Y � p License Holder (Print): �o (n 0.03‘00 State Certification/Registration # C4. fY2. SIYo Notarized Signature of License Holder ' r • M ! . r , : . cr . - q c - . - t . or g t f t 20 ) ! . . . ii re 0 31 �r , v a, 1 I . , • ILI a EXPIRES: ar .40,1„:1, B onded Thru Febru Notary Pub c U nde 14, 2014 writ ers , mmi.wmmx