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Permit 1875 Hickory Lane ri !- CITY OF ATLANTIC BEACH , 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247.5826 --rim INSPECTION EMAIL REQUEST: Building-depte,coab.us Application Number 07- 00000546 Date 4/23/07 Property Address 1875 HICKORY LN Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 ' Application desc 2 heat pump /2 ahu units installed Owner Contractor PRICE, BARBARA DONOVAN HEATING & AIR 1875 HICKORY LANE 315 SIXTH AVENUE SOUTH JACKSONVILLE FL 32223 JAX BEACH FL 32250 (904) 241 -3785 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 91.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/20/07 Fee summary Charged Paid Credited Due Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 91.00 91.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - a 1 „ t; CITY OF ATLANTIC BEACH f� 800 SEMINOLE ROAD J "`' . ATLANTIC BEACH, FL 32233 ' ' INSPECTION PHONE LINE 247 -5826 ' Application Number 05- 00031097 Date 9/07/05 Property Address 1875 HICKORY LN Tenant nbr, name REPLACE WINDOWS W /OSB Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 4055 Owner Contractor PRICE, ROBERT AMERICAN WINDOW PRODUCTS 1875 HICKORY LANE 2633 POWERS AVENUE JACKSONVILLE FL 32223 JACKSONVILLE FL 32207 (904) 731 -2247 Permit BUILDING PERMIT Additional desc . Permit Fee . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4055 . Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL xLAN -V1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET LJ .73 c ) ' Date: y - 3 - O S� Address / ? 7 S c o ✓L 2. , -- CJ r Q i6u-atr6N f Heated Square Footage @ $ per sq ft = Garage / Shed @ $ 'per sq ft = $ Carport / Porch i" per sq ft = $ Deck @ $ per sq ft = $ s � Patio @ $ per sq ft - TOTAL VALUATION: $ 4 /0 5 Total Valuation l $ Remaining Value $ . per thousand or portion thereof CON TRUCTION T ' ' : TOTAL BUILDING FEE $ ZONING: +' /z Filing Fee $ FLOOD ZOO': ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURF E: BUILDING PERMIT FEE $ WATER IMPACT FEE $ r SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ • CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ .� GRAND TOTAL DUE: $ 1/13/03 54 -CS 0V` CITY OF ATLANTIC BEACH % .. WINDO S !. _ TS, GARAGE DOORS, HURRICANE SHUTTERS 4 . Date: � 1 f��'ti Job Address: g � �� � A Owner:JI9e Address: ) T 111(. C r L) CCLitiL i Phone: Legal Description: Block Number: 1 2 C. Lot Number: 1 Zoning District: Contractor: AMERICAN WINDOW State License Number: CP" 1251 2C --7 1 Address: PRODUCTS, INC. Phone: 1 - 2 2 i4 i 2633 POWERS AVE. City: JACKSONVILLE, FL 32207 State: Zip: Fax: - 7 5 1 5 C Describe proposed use and work to be done: ) (i n'1(). f %1 �v Ill , OS ) Present use of land or building(s):�+i Valuation of proposed construction: 1- t{ %J Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Required Building Data: Mean Roof Height 7 c) (ft) Building Width � 6 " (ft) Building Length 40 (ft) Roof Slope i 7 / TJ Window Height 7 (ft) Window Width J (ft) Window Elevation from Grade 2 4 lirr / / (ft) Measurement from corner of building to window 7 7 (ft) Number of windows being installed �0 _ Mean Roof Height 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certi • • : in • • • • vided wi • = • • • . tion is correct. fi Signature of Own -, r► �� ��'� Date: 1 I i I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true d correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 1 u 611)a ` Date: 1 • C �. Address and contact information of person to receive all correspondence regarding this application (please print). Name: • Mailing Address: • Telephone: Fax: E -Mail: • AS TO OWNER: Sworn to and subscribed before me this day of , 20 057 State of Florida, County u of Duval BETTY FELDER t , * MY COMMISSION # DD 239510 * Notary's Signature: ,2a-t ,,,„ EXPIRES: December 7, 2007 OFF,.o0' Bonded ihru Budget Notary Services ['►"Personall known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of (- L 20 D State of Florida, County of Duval 01,7 Notary's 's Si afore :UGC mm I' uron Y 8n MYC0 MM1$SIF ► DD 239510 0 , EXPIRES: amber 7, 2007 Personally known � CAF Fl�� Bonded TAN Bute Notary ;mitts ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 Fax: (904) 247 -5845 http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 1/27/03 , c/c} CITY OF ATLANTIC BEACH Cc: -, ° � ' BUILDING / ZONING DEPARTMENT ° t.-. ' 1 Hig gins > (_ . 800 Seminole Road S. Doerr Atlantic Beach, Florida 32233 --_1; (- (904)247 904) 247 -584 5 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ( 3 / p 7 Property Address: 1 75- 41 C K_ er C(1 1,/iC Applicant: 0. frier, car) 11) i 11 (t') f' f O u (i± �Th Project: 'r 0 1 a i l ` f L to I- This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: Doc # 2005319694, OR BK 12717 Page 963, Number Pages: 1, Filed & Recorded 08/30/2005 at 10:29 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 . 5n "OS _ NOTICE OF COMMENCEMENT • • Permit No. State of Florida 24 • County of VLt,R The' undersigned hereby gives notice that improvements will be made to.certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property Include Street Addre§s, if available) 1 ) 1..41 �1 Lt✓C, • — .29 - 2 - 2 - t" S(, Va • aQ J .i. l -' 0,10 ._. . General description of Inpro ements att[1 t (91 r11 /1 ` ). Owner ko12e&#' k 4c e.. • • Address : •r ' • L , s a _ C r .. a • l2 -_ __....4 t . .32 - . 2 - Owner's Interest in site of the Im• •vement Fee Simple Title holder (if other than owner) . Name PPP / AMERICAN WINDOW 1 i Contractor PanDUCM fir'- - * ca. I Address 2633 POWERS AVE, �1\ Surety JACKSONVILLE, FL 31201 Address Amount of bond $ Any person making a loan for the construction of the Improvements: , Name , Address Person wi in the State of Florida designated�byowner upon whom notices or other documents may be served as provided by Section 713.1 1)(a) 7, Florida Statutes. Name • Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of • ecified) . • ��,. r\n a,r .. - ?� • -.e,,, of Owner Printed Name of Owner F Notary Rubber Stamp Seal 1 I have relied uponthe following,tdentiflcadon of the Affiant • • • S worn t o and bed be re me th da o 0 t J No ' Signature &thi r in d Name 0 . .,!t41, . 0E'r1Y FELLER * MY COMNIS9 0f4 • D0 239810 • 'r - ,,, It E.XPIR � $: I).c.mbar1,2007 • " " {" : • 4'or foe . &Alio NitbMip,tNottryWON • • • FILE COPY 47. -- .\ 7-- c:: ---, ---- ------- W , -,.,„,...... ,,- , .„. t , _ Ll --.....„._ --.....,,, _...s..— N, - --., — .\) -,,,,y — r•'. ....., ' - • V \ .......,) ---...., n\1 is N CZ:i* f r 1 / 41thr OCV IC5. O r ° 01 13 '''*"•:;,.. , _1_ 1\ 3 ".-----. .---- 1 , ..-. :\ \ f _ . i N .3 cz .-- 'r ...., - "--- i I T...-. (.31 (31 _• c" - -- 1 ' I n 01 c- Florida Building Code Online Page 1 of 2 DEPART 9ENTor . /' � •' g . .. -. '�. a s � , r , 'Thae Florida Depart ei tgf mrnrentrAffairs Cy * i ( th Sys t k. Community t. _ \ Affairs t n I -sir^- i, I ,itil k in PRI)DliCT APPROVAL Product Type Detail F Overview Product Search Organization Product ' r Search At .lication II ' 9 � ter, • y... •F� r,.1 k c Ill User: Public User - Not Associated with Organization - ■ ,; !' ,.r�_41 II Need Help ? — s° Application #: FL1658 w rk a 11 r €.., , '� h,,,, E i,.,, Date Submitted: 10/05/2004 A ct:° Code Version: 2001 se _.._*_ t.t,e, ,,,ta Product Manufacturer: Bell -View, Inc. :.. 1 I '''I,J11 Address/Phone /email: P.O. Box 208 150 Industrial Blvd. , , Wrightsville, GA 310 1 i t 'r;a.0r't2r' (478) 864 -2227 - E,;, I,:ri r;t Technical Representative: Bell -View, Inc. , q t r ,. 1 ,, r; , Technical Representative Address/Phone /email: P.O. Box 208 Wrightsville, GA 31096 ‘" " j` (478) 864 -2227 - i_,. bvi @bellsouth.net -- .. it in V__ Quality Assurance Representative: Bell -View, Inc. Quality Assurance Representative P.O. Box 208 Address/Phone /email: Wrigthsville, GA 31096 (478) 864 -2227 bvi @bellsouth.net r { ) I I I ,_Fi "r,,f" Category: g ry: Windows Subcategory: Horizontal Slider I..;>t: Evaluation Method: Certification Mark or Listing Fa„i ?rilri Referenced Standards from the Florida Building Section Standard Year ,,,, r,,,,,. > „ Code: AAMANWWDA 1997 97 /AS 97 /ASTM F588- 97 (FER) Certification Agency: American Architectural Manufacturers Association Quality Assurance Entity: http:// www. floridabuilding .org /pr /pr_detl.asp ?IPT= 1658 &RV =O &fm= ROSrch 7/15/2005 Florida Building Code Online Page 2 of 2 Validation Entity: Authorized Signature: Robert Bell bvi @bellsouth.net Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 10/27/2004 Date Approved: 11/03/2004 Date Certified to the 2004 Code: Page: Gtr Page 1 / 1 App /Seq Product Model # or Model Limits of Use # Name Description 3" Frame Depth Not For use in HVHZ 1658.1 Blue Chip Single Hung Aluminum Single +105.0 psf - 105.0 psf Hung Window DCBCCO PA 201 -94, PA 1658.2 PA20 Single Hung Large Missile 202 -94, PA 203 -94 (with Impact product no deviations) Qualifying: ASTM E283, E330, E331 2 1/2" Frame Not for use in HVHZ 1658.3 Series 500 Single Hung Depth Aluminum +60psf - 60psf Window 1658.4 Series 600 Vinyl Single Fully Welded Not For use in HVHZ Hung PVC Window +52.5 psf - 52.5 psf [Next . . t o :Imo Copyright and Disclaimer ; ©2000 The State of Florida. All rights reserved. /✓! � VC61f Y'1 http:// www .floridabuilding.org /pr /pr_detl .asp ?IPT = 1658 &RV =O &fm= ROSrch 7/15/2005 ix? NATIONAL CERTIFIED TESTING LABORATORIES 1464 GEMINI BOULEVARD • ORLANDO, FLORIDA 32837 PHONE (407) 240 -1356 • FAX (407) 240 -8882 www.nctlinc.com STRUCTURAL PERFORMANCE TEST REPORT Report No: NCTL- 210 - 2883 -6 Test Date: 11/27/02 Report Date: 04/14/03 Expiration Date: 11/ 27 / 06 Client: Bell -View, Incorporated P.O. Box 208 Wrightsville, GA 31096 Test Specimen: Bell -View Incorporated Series "Blue Chip" Single Hung Aluminum Prime Window (H -R70 52x72). Test Specification: ANSI /AAMA /NWWDA 101 /I.S.2 -97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION • General: The test specimen was a one - over -one single hung aluminum prime window measuring 4'3" wide by 6'0" high overall. The active sash measured 4'2" wide by 3'0 -7/8" high. The active sash was removable via a single balance system with locking tilt shoes at each interior jamb track. Frame and sash members were not thermally broken. One (1) metal cam -type sweep lock was located at 13- 1/2" from each end of the active meeting rail. A sweep lock keeper was extruded onto the fixed meeting rail. One (1) metal slide bar limit /security lock was located at each end of the active meeting rail with the keepers punched into the jambs. One (1) plastic tilt latch was used at each end of the active meeting rail. An extruded aluminum sash stop was located at the top of each interior jamb track. One (1) metal pivot bar was located at each end of the active bottom rail. The fixed meeting rail was fastened to each jamb with two (2) ( #8 x 3/4" pan head) screws. The frame and sash were of double screw ( #8 x 3/4 "pan head) coped corner construction. The frame was mounted to the test buck using fourteen (14) ( #10 x 1-1/ 4" flat head) screws. Glazing: The active sash and fixed lite were .interior glazed using sealed insulating glass with an adhesive back - bedding and a snap -in extruded aluminum glazing bead. The overall insulating glass thickness was %" of two (2) lites of double strength annealed glass and one (1) air space created by a desiccant - filled aluminum spacer system. Weatherseals: One (1) strip of center fin weatherstrip (0.200" high) was located at each active sash stile. One (1) strip of center fin weatherstrip (0.250" high) was located at each active sash stile and the sill. One (1) strip of single leaf vinyl weatherstrip was located at the fixed and active meeting rails. One (1) strip of bulb -vinyl weatherstrip was located at the sill. Weeps: One (1) weep hole measuring 3/4" x 3/16" was located at each end of the center vertical sill leg. One (1) weep notch measuring 1/ 4" x leg height was located at each end of the exterior vertical sill screen retainer leg. PROFESSIONALS IN THE SCIENCE OF TESTING Bell -View Incorporated -2- NCTL -210- 2883 -6 Interior & Exterior Surface Finish: Mill finish aluminum. Sealant: The frame and active sash corners were sealed with a small joint sealant. Screen: An insect screen measuring 3'11-1/ 2" wide by 4'6-1/ 2" high was of mitered type corner construction with staked -in -place nylon corner keys. The screen employed fiberglass mesh cloth with a hollow vinyl spline, two (2) pull tabs and two (2) jam retainer springs. TEST RESULTS Par. No. Title of Test & Method Measured Allowed 2.2.1.6.1 Operating Force 36 lbf 30 lbf 2.1.2 Air Infiltration - ASTM E283 0.57 psf (15 mph) 0.03 cfm /ft' 1.57 psf (25 mph) 0.08 cfm/ft 0.30 cfm /ft' 2.1.3 * Water Resistance - ASTM E547 5.0gph /ft' WTP= 4.50 psf No Leakage No Leakage 2.1.4.2 ** Uniform Load Structural - ASTME330 30.0 psf Exterior 0.020" 0.193" 30.0 psf Interior 0.060" 0.193" 2.2.1.6.2 Deglazing - ASTM E987 Active Sash Meeting Rail (70 lbf) 5.6 % (0.028') <100% Bottom Rail (70 lbf) 3.4 % (0.017') <100% Left Hand Stile (50 lbf) 2.6 % (0.013') <100% Right Hand Stile (50 lbf) 3.0 % (0.015") <100% 2.1.8 Forced Entry Resistance - ASTM F588 Grade 10 (See Appendix A for test results) Meets As Stated OPTIONAL PERFORMANCE 4.3 * Water Resistance - ASTM E547 & ASTM E331 5.0 gph /ft' WTP= 10.50 psf No Leakage No Leakage 4.4.2 ** Uniform Load Structural - ASTME330 105.0 psf Exterior 0.051" 0.193" 105.0 psf Interior 0.061" 0.193" * Tested with and without screen ** No glass breakage or permanent damage causing the unit to be inoperable Bell -View Incorporated -3- NCTL- 210 - 2883 -6 TEST COMPLETED 11/ 27/ 02 The tested specimen meets (or exceeds) the performance levels specified in Table 2.1 of ANSI /AAMA/ NWWDA 101 /I.S.2 -97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the H -R70 52x72 product designation. Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four (4) years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification of the product which may only be granted by a certification program validator. NATIONAL CERTIFIED TESTING LABORATORIES • MICHAEL E. LANE Division Manager i �f Bell -View Incorporated -4- NCTL- 210 - 2883 -6 APPENDIX A Forced Entry Resistance Test Results Test Method: ASTM F588 -97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESULTS Paragraph No. Loads Duration Measured Allowed 10.1 -Lock Manipulation 5 Minutes No Entry No Entry 10.2.1.1 -Test Al L1 =200 lbf 1 Minute No Entry No Entry 10.2.1.2 -Test A2 L1 =200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.3 -Test A3 L1 =200 lbf 1 Minute No Entry No Entry L2 =100 lbf exterior 10.2.1.4 -Test A4 L1 =200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.5 - Test A5 L1 =200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior 10.2.1.7 -Test A7 L1 =200 lbf 1 Minute No Entry No Entry L2=100 lbf interior L3= 35 lbf interior 10.2.1.8 Lock Manipulation 5 Minutes No Entry No Entry 10.2.4.2 Fixed Lite 5 Minutes No Entry No Entry Glazing /Panel Manipulation LP I. 0 ti Q 3 to w t i ,....._ N I C . - 1 l a d 1 ..- § i 1 1 I -.1- q. I-- — ill . 0 — 11111 1. *-. lagg E t i 1 gl . I Ir ilq . 'gi / .. llifg • 0 , \- 0 a ....... -.-, 1 4z 4 1 g g g § - , ' . . . , ... , . . . . , . . ..,,, ,..,,, . . , . , . . . . 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VADIAMANAMAIKAAAVAISTArnArrIMINAINVIMAIMA,,WAWAMAIAAIMAIMAMIA,Aill..104,116101.APAMANYANAA■AVAWRAAVAMIAAAAAIMAMIA.NIMAAAAN'i °' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ree Application Number 03- 00026843 Date 9/10/03 Property Address 1875 HICKORY LN Tenant nbr, name RE -PIPE 13 FIXTURES Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PRICE, BARBARA STEEG PLUMBING 1875 HICKORY LANE P.O. BOX 330536 JACKSONVILLE FL 32223 ATLANTIC BEACH FL 32233 (904) 249 -5191 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 126.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 126.00 126.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 126.00 126.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL a s-= . CITY OF ATLANTIC BEACH 6 4 ' ', APPLICATION FOR PLUMBING PERMIT my ) �-- it Seminole Road 73-1, " H Atlantic Beach, Florida 32233 � (904) 247 5800 Job Location: 7 J r L Z fai"... Owner of Property: /3 ._ ,& i..e Telephone: Plumbing Contractor: J?'/) Ci ...7; c_ Contractor Address: (' / i k4. A// l q State License Number: C` ie0 5 7/ f Telephone: l 9r.5% ql How many of the following fixtures: ❑ New or Re-Piped le- SHOWERS Y LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS ,f CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER 43 RE -PIPE (LIST FIXTURES BEING REPIPED) OTHER - Minimum Permit Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = Signature of Owner: C Signature of Contractor: ,- Installation of plumbing and ures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247 -5826 - - - • CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247 -5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20586 Address: 1875 HICKORY LANE Permit Type: RE -ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: OCEANWALK Est. Value: 7,482.00 Parcel Number: I Improv. Cost: 7,482.00 OWNER INFORMATION Date issued: 9/06/2000 Name: PRICE, BARBARA Total Fees: 50.00 Address: 1875 HICKORY LANE Amount Paid: 50.00 ATLANTIC BEACH, FL3 2233 Date Paid: 9/06/2000 �— Phone: (904)246-9982 __ __ � C S SHINGLES A — _ - Work DescONTRACTORi APPLICATION FEES DANIEL 40 -YEAR FIBERGLAS - - -- DANIEL R. GRASTON PERMIT 50.00 � � r � I — -- - -- --T Inspections Required NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $58.00 !14 - C./ Q Date: 9/06/00 01 Receipt: 80851390 E Q 4 _ _ CHECKS OF ATLANTI BEACH 08108003221800 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: kORj 1.A- OWNER OF PROPERTY: !3fi- R(3mn TELEPHONE:: - 19 enz... CONTRACTOR: A -m . GgAs"7o.✓ CONTRACTOR'S ADDRESS: & 14a o t^o?(R crs✓7 72A-1 L. UA-e lc .SoA.Ivl t-1.t � ?rL ZIP: STATE LICENSE NUMBER: TELEPHONE: c2-89 DESCRIBE WORK TO BE PERFORMED: etko -ore ie zH 1 10 -F1 f tsk,co S.S swi,v6 02 sQu,47ees /S f /a0 ✓ VALUATION OF PROPOSED CONSTRUCTION c1 So? • - S PFD) 3 s : MATERIALS TO BE USED: . L k P - PL u.s c(fl 3 6hc 314 ,.v 2 S . SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 19_ AS TO OWNER: NOTARY PUBLIC • SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 19_ AS TO CONTRACTOR NOTARY PUBLIC Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied - Occupational License Information Supplied • RC CITY OF ATLANTIC BEACH MAR 9 2000 TREE REMOVAL APPLICATION City of Atlantic Beach All applications must submitted with seven (7) copies and received by 5 PM oPtiitidoxtottd1l7bning days prior to the scheduled meeting in order to be placed on the agenda. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1 • a � . �0.sc Q c 4 . VS 1-C \L\ c.o e- y . a r, .sue --1 t (IQ APPLICANT NAME ADDRESS TELEPHONE 2. Va Js ■ .. a- ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: • 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES ❑ NO NOT SURE 5. PROPERTY ZONING: RESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: INTERIOR OR SPECIES DIAMETER * EXTERIOR ZONE ** D K 3 2 ct E.)(7-Eye) O 2 FOI E AA I CM< 1 * Diameter at Breast Height (D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi - trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. 7. SITE PLAN /TREE SURVEY indicating: a) Changes of topographic features such as hills and low areas affecting trees. b) Existing and proposed structures. c) Location of all trees with Diameter at Breast Height (DBH) of six inches or more. d) Tree species and sizes in DBH. e) Trees to be removed should be clearly marked with an "X ". f) Trees to be preserved on -site for mitigation must be marked with brackets "( J ". g) Location, size and species of any proposed new replacement trees marked with a circle "0 ". h) Location of utilities and easements as applicable. i) Location of trees to be preserved on -site with barricading indicated. 8. ON -SITE REQUIREMENTS: a) All trees identified for removal MUST be marked on -site by RED flagging, paint or tape. b) All trees to be preserved on -site for mitigation MUST be marked with BLUE flagging, paint or tape. c) The front property corners mustbe marked by stakes or paint indicating the Lot Number or Address. 9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. • I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. qW, `1 1 -0 0 A. • 'canter Date 3 -11-00 Owner's Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date MAP SHOWING BOUNDARY SURVEY OF LOT 14, ACCORDING TO THF. PLAT OF SELVA MARINA UNIT NO. 12 -C REPLAT ", AS RECORDED IN PLAT BOOK 37, PAGE 29 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ` CERTIFIED TO: ‘ 2`7S I�t.G (' y 1- 4 n -Q ROBERT W. PRICE BARBARA F. PRICE, STEWART TITLE OF JACKSONVILLE, INC., o-tljIon COLONIAL MORTGAGE COMPANY AND WATSON & OSBORNE, P.A. -�-- 0 CE - /AVID • T"O__- REA.41/J R EG( cAP /il, AS /?A 2T cF 7)/4 f}PPR ox/BD P Ro/omJEP A PD/Ti 0 Af SS G. VG' ti-l.a e i,k__ Aa c_/ ti /T / Z- 8` __ :.: O T / Sf h - Th * ki) /I 3 3 .59e 07''Z { x , .k\I • � . t -- z4. t�y 4..4 TIe m ✓ s• -t� i ■ .Niti I a _ ,... , N m � 1 ' `� 3c.3. r8 I V1 O O NI . g1 o (4\ ....1. y� N d z a 01� o r'''' ' °� z 1)6 ('' o , Zz d . z 8 N N W ZZ _ rn 1 '(� v, `+ 1 • r � l H N N N 0 0 I' 2.2.7 4a.6• �. �� —a 0 . • . Cc.✓c. ° O c ..,/, P•t0 • . N • • C"' o ,tic. • N. � ° ` _ .'. • ti /G�a' rs- 1 -_— ti� - o. S X •.5 f31.. rc /� 9•a.taT t1- Arty i ..o ° ti y o • LvaOO e•tTi•....�.es e. )' V 3293 Q L o 1 /S I 0 RECEIVW CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION `20 City of Atlantic Beach All applications must submitted with seven (7) copies and received by 5 PM ontEtik pzeri (1t0 oning days prior to the scheduled meeting in order to be placed on the agenda. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. -e_ \ 1S \-�∎c \cow y L m _ �-1 b - ° t APPLICANT NAME ADDRESS TELEPHONE 2. `$ `1 S ■ c--_e .r y -- 0- ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE ' • • 4. HAS THIS SITE BEEN TO THE T' 1 NOT SURE 5. PROPERTY ZONING: P•f• SI 6. LIST TREES PROPOSED FOR RE 'OR SPECIES r ONE ** r ,e< ,4 K \c_Vo u� f i cA pftK ( 2 * Diameter at Breast Height (D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi - trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. 7. SITE PLAN /TREE SURVEY indicating: a) Changes of topographic features such as hills and low areas affecting trees. b) Existing and proposed structures. c) Location of all trees with Diameter at Breast Height (DBH) of six inches or more. d) Tree species and sizes in DBH. e) Trees to be removed should be clearly marked with an "X ". f) Trees to be preserved on -site for mitigation must be marked with brackets "[ ] ". g) Location, size and species of any proposed new replacement trees marked with a circle "0 ". h) Location of utilities and easements as applicable. i) Location of trees to be preserved on -site with barricading indicated. 8. ON -SITE REQUIREMENTS: a) All trees identified for removal MUST be marked on -site by RED flagging, paint or tape. b) All trees to be preserved on -site for mitigation MUST be marked with BLUE flagging, paint or tape. c) The front property corners must be marked by stakes or paint indicating the Lot Number or Address. 9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PRO lECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. A.. 'cant Date 1 1 0 Owner's Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date A a MAP SHOWING BOUNDARY SURVEY OF LOT 14, ACCORDING TO THE PLAT OF "SELVA MARINA UNIT NO. 12 -C REPLAT ", AS RECORDED IN PLAT BOOK 37, PAGE 29 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. `' CERTIFIED TO: ($-� J _ It ∎G ...--o /' y La,41 e ROBERT W. PRICE BARBARA F. PRICE, STEWART TITLE OF JACKSONVILLE, INC., 0 1 L 11 , i-,4)_s COLONIAL MORTGAGE COMPANY AND WATSON & OSBORNE, P.A. ExiSri,v 72) iEA.4 /9 REGI{AD /kie. 14.5 /?R2T cF THE £J aG mom" 131 '' �E/r{D11 A•PPRcv4D PRo,m1EG /9 DDi 77 on/ -- A__ S L YG Nl.a e /ti./4 Uw / /Z- 8 _ L.c, O T / * = " `Z ` lZ Ls , 2 0 x x � 'V N .2647 g t1.4 4 — -------)1541-1 . C9 °3 07 ".6 1, ,4 ,, � N u t '. .4%' , -.... A 14V. CX: : 6 i 3 2 4. ti 4-) t .t4 r — N 111- v k. , 11 .,N '..., _ ..4/6. ‘.,4 r . a ... ,,,, 1 NJ 01:4 , 1 , , ,y\ 1j Tit 0 , . ‘‘ # 1 /p. k• .. 4 9 / rs: t \ V rf) '',% To . _,, V i � ` kf7 Z f3 N O N W Z & Z ‘ N IA X11 N V l NI L N 0 0 4) ,( F �f 2 • /6. Z S ),,!1 p r- O • Z , N C' o c .a /c �.. o r4 Q 0 ' -- o . --- 7 -- r-- -�– — -- 0 Z-Z /GO L.1J o 5 . X •.g Ali. ... / �" I ' AwsCalTS.a� PO .I .5 . � 3S' i ` z-,--00.c› z-,--00.c› e..r , ...,,ct� . 1 `' e.7 a. 3293 L-- U T / S Q k 0 ........t.-r..., \ f ' Psa -aeaa ' ' 9493 DEPARTMENT OF BUILDING _- ' ` CITY OF ATLANTIC BEACH :,-_, ..- PERMIT INFORMATION - - -- LOCATION I Number: 9493 Address HI LANE Permit Type: MECH.ANIcAL A 157 TLANTIC CKORY BEACH, FLORIDA 3223 Class of Work: ALTERATION - - - --------- LEGAL DESCRIPTION Canstr io . Type: WOOD FRAME Lott Black: Section: Proposed U ' se: SINGLE FAt ILY' Township: RNG: .._ Dwwel l inn 1 Code: 0 Subdivision 'Estimated V i1ue $0.00 mprov. G : $0.DQ Total gees $27.00 Arrlou t , $27.00 Da� -, �� ,q 2/21/94 c t M + aili. Wok De ONDENSER : '-'; '''' — 1 " — — "`":''''""; — " ' N,A„.., ;7114 .,..A., 11 trfrs:! : :: 1'1: : !1',I tf, '" i 4 :: : +ETON - APPLICATION PEES - --- Nape xDR "ON � := y ", PERMIT 4 S27 . QLi i '''' ' ', ''' ,,,E, '''''',„' 4d4 , = k -'k LANE WATER IMPACT FEE $0.OU T ' ', .1CH ,, F`LOR I 1:)/„, S ° I M PAC. `EL ' $O.O0: P k T Y A l b �f .:`§ i f , '' Ril ' .R� ' — . R.S. '' . ' Ts ' NrOR AT 0 Wi � �.�.__ `g � r ,.: _.,.. _� RADON CAB 5% SO.E1C► Name � . . µ , /Y or'' ;f INO & A° " COND. CO. CAPITAL IMPROVE. $0.00 Ad T .. °' '..0.,' � 1.682 � ',�f .. �, SEWER. TAP .. �� .�- �3.OD` JA ILLE, FLORIDA 32245 CROSS CONNECTION $O,00 Li se CACO = . Type 3 SEC ti 'IMPACT PEE I � 2 i i x- CONS . SURCHAgRGE p t l it"' �"` . a 7 ' -' -' , a�,' :k.,0, "tr , ,..00.,$,,,.,,,..", y ; , w,t E� .,,,, , '" 4"" ; ''west fi ,. ' r .bra ct4h'.�.'f; p�f�..i 7 ,t i f NOTES: l F F NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE , , BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE 3 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 'i . I FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." tSSt ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOr AT1ON . FR . { 41'1ON OF APPLICABLE PROVISIONS OF LAW. !E1.40 t ATLANTIC BEACH BUILDING'.., DEPARTMENT It $21 a I 5 7573 .,7 5,0 , .6-,16.7.4.-C.Cigji—'' ' ''''. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER • IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. /Fg5 %z&4? / LOCATION Street Address: jj � -1' J OF Intersecting Streets: Between I•i 'is. C- And � BUILDING Subdivision 1I. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nerve of Mechanical (Prin cal P // Contractors Con 0.4-CO `/�/ Contractor (Print) 514Y-4' �� - � Master �f-/ Nerve of , � / ► 11 / i Property Owner � %[/� -1kf Ttir � C� LI Signature of r �� Architect of Agent or Authorised A ant Architect ect or Engineer 111. GENERAL INFORMATION A. Type of tine fuel: B. IS OTHER CONSTRUCTION BEINGXON 1641ectric THIS BUILDING OR SITE? ❑ Gies — LP ❑ Natural ❑ C.nM.I Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other -- Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATO F WORK (Provide complete list of components on beck of this form) Residential or ❑ Commercial Q at 0 Spec O Recessed Control O Root ❑ulidiny Air Conditioning: ❑ Room Control E ci sting Building ❑ pact System: Material Thicks. Replacement of existing system ❑ New installation (No system previously Installed) Maximum eapecity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. Q Are sprinklers: Number of heads • • O Elevator Q Manlift ❑ Eseabtoc (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumr (number) (Received) O Teak (number) Remarks ❑ UPS containers._ (number) *Weed pressure vessel Q Permit Approved by D. 0 Seam ❑ Oldw► — Specify . Permit Fe.,__ LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT • C�ac cToa An Number wcs Units Dlptioa Model Number . utacfxterlr � 4 / CIIrrtifiratr of (!rrn am N. .. Irs, CITY OF Erpartmrnt of r Citing Jnsprrttnn \ This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the >A .r..'r various ordinances regulating building construction or use. For the following. g. 6322 Use Classification Bing) a Fpm( 1 q N., ! Bldg. Permit No 6 Group Type Construction Fire District. Atlantic Be a c h 4 Owner or Building i li t® _ Address / �e Building Address_ 1875 Hickory La .lil Unit 12G Tai —T yw , Y PI ��Y7,jy{,��{�4yy _ By :--4- 1 j � : _ t .. )\e t 4---- N 'N-4,, "Buildin Ofhci.l _ "' - Date. April I 1 / — � 19'8/.. � t #4. POST IN A CON•PICUOU• PLACE k / \ I r - - 's C I i Y 0 1 - A I I _A : \: 1 I (.„ I:, \(_,1 A 1 1 -- 1_ (I) l''' I D A e A : ; ■ ., • , fl b Y - - is . t. i: OR :.-,- I. ''. c. i 1 ! C.":, I- i" 'i: P. (:: I 1. t_f ._._ i 0 1HE C L F ELE-., 1 P,ICAL i■JCTCR: E. 1 i ------ / - • .... TAN 1 T.'0110E: IN ( ::G!:SIDEP:ATION OF PERMIT GIVEN FOR ' THE V;OK AS DESCP1BED IN THE FOLLOWING, ..:-.-, y ! - ..EE TO PERFORM S. v•ORK OP.DANCE 't',1i THE ATTACHED PLANS /-,ID SPECIFICATIONS, C:i .f,Rr- A , - -- _OF, :-.ND IN 0-;',,CE dTH THF- FLE fRIC!,1_ P.E(ULATIONS, CO:ES A,ND CITY OF ATLANTIC DE;ACH CP ,./ L C71 r./ L P1 _ : r.'," Fl ;-Crt=i SV _ _ ..,)j a '' _ . E 9 7 , A • . , ......44-2,--t.-,41---2-- , .:_7 2 ::: "-:_ 7-..3 7 ?--- 7 5 -- -""r g4-..-4 P,FD _PDX _ _ ___ _ . _ SIZE _ COY.M. ( ) FcELIC ( ) !DIJS. ( ) tE'N(- ( ) R EN. ( ) - ON ( ) -- . - - - ..!..II_ER ( 1 TEIV.P.( ) sic.3..:S ( ) / .c...);i? _ ._c0. FT. _ _ _ _ E: '= ET.'t7 ( .-r 1 ,.,: ::::---, :=_;- ( 1 a ::-. :I I R ( ) I _ - c 6 ) ' - ' - - I i i I 3 'iv . "2-3 P. :- C E V4' A Y I •-'.1._....'__•:-_!2____ L_ _-:' _!_ ___ i T — -- t i I 1 .. . • :...^ i Tli 1 Vv ' ''.' C. L T I F-. 1-' C. E-.. '4'4'A Y I . I I 1 F E E E F's S S ! 7_ E . -!-; C. S; ', O. SiZE 1 : I I . ; - — ----- -- - _ I ' '" :ATI ■:G GUT-- _s _. ; ,.... __. . . - ._ 7 1... 1 TOTAL I _ _ 1 i 1 I :: - ' L. :=-: D I _ _ . _ - i o.:.•,..o ..= `.'.1' , 1 , - .7 IC 7. i...",..?5. 4 1 _ — , *.. ■ i :L ':s i . 1 1 . _ 1 1 's' 04'-'-':' c:','2:1 NT I . I I . 1 . _... - - - t 1 . 1 I t __ A: a 7.:. i-',.-",T■'s:r..3 t --,H :- 1 . CC ',:r.;:TiC !%. .,4:::. :::::'.?. "C ": :DP, ' r T . - El :::, ' --_ T 0 s ',-..'s' ." s : 2 F-111_ 1-'. :- !-: ,', -':- c AT li - ___ _ I I 1 - 1 I - - - i 1 i . 1 _ _ -- _ _ _ -- ; i i 1 ; i .__ .. - -- - - -_ - ■ i _ _ _ _ _- ____ _ - _ _- --- • ....• - --... - . t. - T.:- r i: E '. :--S 1 '.0. 4 + ::.P. 1 7 ..'3LT 71- 1 :: LS OP.S I I i . 2 1 1 1 1 - - . . , • . _ - - 1 C;f FY (DF A e LAN FiC uF= ,1Ci i !_(� RID A - i t by 1 P. - (`4 Pr.1Y 7 0 it'E G!i :`F :ELECTRICAL i;:C�'cCiCR: L+TE: - . )9_ 3 7 7:,(;:3' 1'd,i C;-RTAN U NOTICE: !N :O'':S!E;EEAT!ON OF PERMIT GIVEN FOR DO;NG THE WORK AS DEECRiI3ED IN THE FOLLOWING, lWE OR E E� ri SAID +, DAN 1',, r r rit_r ?E'JY -. _,�E � F F�,,, �,v,J ' �'ORK ..t r . Cl.r�.,L,,..CE ',':i T }, 1 r�F A i T: CtiED PLANS AND SPECIFICATIONS, ;;CH .,r,= A F'.Ri i-'E,'ECF, AND IN F.CCC::D ,■cCE ':','ITH THE ELL -CT RIC=,L r:EGUL- \TIONS, CO ^E5 ...' D CITY OF /LH •',N i C CEACH fL: =J;NANCES. C .--.' .--Cai.Z._cr-__ X-,,........-1.-----t. --- . _ - 77 LFCTt !C ^.L = .,r. F R 1 - 1_ C :,rr!:;(Y t"--; ,'ATURE - _ - _ - .- -.____ ,.•JUR'JEYr`A_N _ / 8` 3 i% EL D3. Sf 7~ -- _ - - - _ - - _ — EET11•E EN: __ - -- --- - -- - - -- — ;∎`=S. ( ) AFT. ( ) CO`,, :A. ( ) Fi' =L IC ( ) U N DL;S. ( ) r.Es ( ) OLD ( ) REW. ( ) - 'I T r ' ( ) - 1 ' E_ R ( ) TEMP. ( ir_.:S ( ) SO. FT. ,. FEE '' 1 'Z y/�-- V r i J *- COi ER ( 1 t I.. L. ( mo t - ' f - - :" IL. LL �� _ . . _._ - - / ( 5 • _ � _T I i 1 1 ' r CG aS S : 7E I T.C. ._E '.O. SIZE I — 1 +';HT! `G C„O co. E D G N I ' '._! T.__ ,� C=- T -CL =S ! CO`:CE ! l CP N TOTAL .c S 1 d .. , =s 1 11 111 1 _ ____ i . _ _ , .• 1 F.,........:-„,_:......- 1::' 1_ J • ' 7 E i ;. A R :.-,! ♦ G .- A r r G CC Tr r , _ _..7 + _ ', CR ,.- _-, .'C 7 , 3 ^,S 1 . 3 = IL , _AT .EAT ! ? ) —. t - i 1 V P 1 A ; ■ 1 3 c APPROVED c;T't' OF A L ATIC BEACH PLUMBING WORKSHEET • cui of ac o ricE Dr C 2 3 1993 SINKS / / SHOWERS 1 DISHWASHERS / 1. CLOS A .Z BATH TUBS FLOOR DRAINS WASHING MACHINE ! WATER HEATERS ,� DISPOSALS LAVATORY URINALS _ OTHER TOTAL FIXTURE COUNT r4 ` " * * * * * * * * * * * .x * * * * * * * * * * * * * * * * * * * * * * * * * * * FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. AA, BATHROOM GROUP CONSISTING OF .9- LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ('Z UNIT) URINAL, WALL LIP - - - -- — (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. _ URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED 9 CLOSETS, TANK - OPERATED (8 UNITS) (4UNITS) a, SHOWER STALL, D0 1•LSTIC BATHTUB (W/OR W/0 OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) 2.. KITCHEN SINS: (2 UNITS) 3 KITCHEN SINK /WASTE GRINDER (3 UNITS) !� TOTAL FIXTURE UNITS @ $10.00 EACH a /ace, co tHES 7 FLORIDA MODEL ENERGY EFFICIENCY CODE l ,-° `' FOR BUILDING CONSTRUCTION i al > .t = - ° FORM 902 BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES " +.0� . - ;;.." GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 123 PROJECT NAME - .51v0. fr\o.r ,IURISDIOTION AND ADDRESS 7y /7 0 ZIP ZONE BUILDER ('niv - r Cio r'S PERMIT NO. I JURISDICTI0N OWNER NO. 1 1 1 1 I STATISTICS IF MULTI - FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATION COVERED BY THIS CALCULATION: _ CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED I I I 1 ISGLLI 1 1 1 1 1SGLp a MULTI- FAMILY FOR EACH WORST CASE UNIT .nan DBL TYPE.) SEC. H901.1 Q 1 1 1 1 1DBL❑ GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS , R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY "MIEN ■mini 1/ 1/ 1 ERNES 13 14111.L 14= 1 1 I.0 COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM �ENTRAL El NONE Q STRIP � GAS El NONE — SISTANCE E SOLAR 0 UNITARY n OIL n SOLAR E HEAT RECOVERY C GAS EER -SEER = 1 1 G.ri RHEAT PUMP: COP = KI. 1 7 DED. HEAT PUMP: COP = 0 OTHER: =OTHER: I. MAX. E.P.I. ALLOWED (from 9A) IMO D .,421 1 CALCULATED E.P.I.: 5 6 .E CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* n CERTIFIED BY: DATE FORM COMPLETION DATE e r /2 2/ -$_3 CHECKED BY: Ibuildiny official► THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. j ■ 9A 1 MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301- 1501- 1701-1 1901- 2101-1 2301- FLOOR AREA 0 -900 1100 1300 1500 1700 1900 i 2100 2300 1 ABOVE E P I 120 115 110 105 i 100 95 1 90 85 , (8O) A/C EFFICIENCY LESS THAN 8.0 EER /SEER (7.5 HEAT PUMP) (as of October, 1982) -10.0 DEDUCTIONS IF MULTI- FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI- FAMILY: COMMON CEILING and /or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS BASE E.P.I. 1 DEDUCTIONS 1 MAX. E.P.I. ALLOWED COMPUTE MAX. E.P.I. ALLOWED -- — t J — *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED D E TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE ' LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE :i PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR SRI THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows /doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 _ PIPING INSULATION 903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 VP' .1 OR i AREA SGL DBL WOF GWP OR AREA SINGLE DOUBLE SOF GSP 9F CLR TIN CLR TIN 9F N 4 i3,5 157.4 120,8 _ ( 3 10 N " c 146 123 120 101 /, /3.5 5 NE 157.4 120 R NE_ 2 21 186 190 159 E - 10 0 ,5 157.4 120.8 ,qt9 /20/ V .q _ E __ - I00,5 289 242 251 209 '9S/ 2.37 0.7 Z -SE -_ 157.4 120.8 - SE 261 219 226 189 S 73.1" 157.4 120.8 • 7 7 . J _ S X3 190 160 160 134 ,91 1 n701.6 SW 157 12 SW w 261 219 226 189 W _ /1/ 157,4 120,8 , 9q 1 26 0 3 W / / / 289 242 251 209 ,q'/ 7. 5-35- cg - 157.4 120.8 NW 221 186 190 159 W en `: H _ 46.4 79.3_ J H 489 408 432 360 � O L7 H __ - _ O _ O ' - - -. 0 : : GL &<40004:MUS NO ESC . . . �.. : `. , ....,.. ..., ...:..,,; :a c< a ; ::.gogi:i:ii: 04' ; .::.:.::::.:...;.,, fr,".. �# �•,'iE.#�.,«.L �::; > aiR :r: < >:<: 11 = .:0.. <•:1i`EI�iTs1:..: <.:: ..:.; ; .:. < ..: ; ::. ....:......:> :::;:;;:; :<.:�!":. HORIZONTAL GLASS (SKYLIGHTS). ..0.0 :::::: 9i # :: F.LO. IR. AR A. DBL./Ct.:F : <:1:191r::a ?::> :; :: ;;i::::::: >:::<: LESS THAN 0.83 SEE SEC. 902.2d I J i -- ( 1 TOTAL GROSS WINTER POINTS 1 IOg9? i.T 11 TOTAL GROSS SUMMER POINTS J l oc , q 5 ) 4 iii- R = 3.5 (0V971/9 1.15 125 3 I7.7 R = 3.5 10465y.5 1.15 1'24 /OZ.& U J R = 5.0 1.12 R = 5.0 1.12 02 R = 6.7 1.09 R = 6.7 1.09 . `T 11 :CN!> 1.00 0 14 iQ . ; .. SPACE . . :SPACE ` ` 1.0 0 J l a 1 HSM FROM 9G /253/7,7 x ill 56392,6i I I CSM FROM 9H 1 1.01 12.6102 4,) r 4 illiP DIVIDE BY DIVIDE BY 1 FWORAREA k 3z i - 2bC�5 WINTER POI NTS (FLOOR AREA 12-6102.i 26 M I fSUMMiFFXINT 7 ° CALCULATE E.P. 1. N WINTER POINTS I SUMMER POINTS I HOT W)R PTS I CREDIT POINTS I PENALTY POINTS Eit 1. 2/ , 6 + 8 / 9-5 (9I) / ,2 (9C) + (91:111 3 (9E)' 67 . J ~_ FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS r 9C I DESIGN CREDIT POINTS (CP) N 9D 1 HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CP) 1 5 NATURAL GAS /PROPANE HEATING MULTIZONE A/C SEPARATED BY DOOR 5 1 CROSS VENTILATION (1 CP per room) - OIL HEATING 12.8 WHOLE HOUSE FAN (min.1.5 cfm /s.f.) 5 L WOOD STOVE 7 9E I DESIGN PENALTY POINTS FIREPLACE with outside combustion air _ 1 WASHER AND DRYER IN COND SPACE 3 9C TOTAL (not to exceed 12 points) 13/ TOTAL GLASS OPENS LESS THAN 40% 5 FIREPLACE W/ INSIDE COMBUSTION AIR 5 3 I I DEPARTMENT OF BUILDING PERMIT NO. 6320 - -° CITY OF ATLANTIC BEACH. FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 113.Iwltl TL D ecember 23, 1 9 83 jo.0 CKT l Date `'i. 1 !� V07/84 MECHANICAL 50.00 71 c I 2 U . / Valuation $ Fee $ 2/07/84 71'0 IA This permit not valid until above fee has been paid to City Treasurer, and is 1'O00 subject to revocation for violation of applicable provisions of law. WILLIAMS & SONS HEATING & AIKCUNDITIOF This is to certify that �y INSTALL HEAT & AIR SYSTEM AS PER PLANS has permission to i Classification RESIDENTIAL Zone p JIM HALLIBURTON Owned by JIM S/D SELVA MARINA Block jJN1T 11—(: House No. 1875 HICKORY LANE According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS 2 AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ' AFTER DATE OF ISSUE ∎-- ---_�. O Building material, rubbish and debris ��� -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- rac • . , owner. i Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER . 440111. 40,44 j CLIILDIINO t<ND INSr CW)N 1.)I \'ISIO14 CITY OF ATLAN'I I C BFACH, FLORIDA U Id r APPLICATION FOR MECHANICAL PERMIT • IMF DaTAKT - /.p to cornplat..11 items in u.c4 ns I. 11, I11, end IV. I' _Sid. of_ to c. /C G� ( �1`I Lit. s.R St. •we! LOCATION (troy , Sloth r... Watt) (Address) n ) (Inf.actin4 Stv..ts) St. lot Ne -__ - - Bock No Sub r - div:r:oss . & ' f c . 19)a I-1 ll. %` (State portion o lot if Iva than fv1 b1- , Attic/4 legal d.uriplion per dame( in duplicate 0 n.tem.rp) 11. TM OF 1'i01'OSM I. 'E -i NICAL WON( All epplicents cornp.lal• Pero A -- D A. US: OF WILDING 1 pWI :FAS11I► RESIDENTIAL IS. ❑ Private (individual, cnr- r ,onf:rn, I. Q�n. (*may 11. ❑ Utility inst;h,f; , ok ) 14. ❑ lubfic (Federal. 51sto oo loco! govrrcamot) 2. 0 T.,, or more famiy - 12. ❑ Sec of. Gcn - Enter number of rooms otkor .u C. NATURE OF WORK 3. ❑ Tr.nsienl, grate!, motel, 17. �a fr Neu74 in manning Louse - 13. ❑ Stars. rn.rtantle g Eat., number of units Otisese 11. Q Ex'tfinq 6,ridiN. 4. ❑ Other r.sidenti.l 14. ❑ O T rsER- SPECIFY 11. 0 Rep= .c.rnc+ni of .udinq system 20. Gfrilesst inst.liation (No. eyst.m Ftrriorsy LsMtend) NONRESIDENTIAL 21. ❑ Extension or add-on to existing sy:+.re. S. ❑ A.nusam.nt, recreational n. 0 Ot4ror - Spahr 4. ❑ Church, otl+.r religious 7. ❑ Industrial 1. ❑ Garage, service station . 1. Q Hospital. instilution.I E TYPE OF P.UILDII40 (0. ❑ Office, bank, professional 3L Yd/ nuTbar of stories A 37. ❑ Wood frame D. MECHANICAL EQUIPME."4T TO 15 INSTAU-ED 31. ❑ Masonry and wood (Providee comp'ste list of conpon.nh on bock of this Fran) 31. ❑ Reinforce./ concrete is 23. Furnace: ❑ Space ❑ Recessed !]/'Centre! 0 now 40, 0 Strvctur.I steel 24. Q- Ai, Conditioning: ❑ Room 0' Control j 41. 0 Other 2S. 0- System: Material 'bta.LT' r W.W./knew 1 as Mesimum cpecity ° J c.f.m. TONAGE: 24. ❑ Rafri7sre1ion -- 27. ❑ Goofing tower: Capacity 11•P-11‘ THIS SPACE FOR OFFSCEt USE ONLY 21. ❑ Fin sprinklers: Number of heads 21. ❑ Elevator ❑ I.' '31 ❑ 6CI!4 t.7r (number) 30. ❑ Gelatin. ponps__ __._(nun•es) 31. ❑ Tanis .(nur*fve) Remarks 32. ❑ LPG containers (nu -+bar) 33. ❑ Unfired pressure vessel terms Approved by ate 34. 0 Roles 3S. O Oti, -r - Spicily __._ Forma Fee voce III. 6E INrFO;NATION A. Trio. of Leafing wel: B. I S OTHER CONSTRUCTION ErIWC nns. nr DEPARTMENT OF BUILDING PERMIT NO. ----a----- 1 CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD I THIS PERMIT MUST BE POSTED ON JOB Date December 23 , 19 83 357.19 T 357. 30.1900 95,815.1Q F ee $ UUti IA 12/0/a. Valuation $ � �fj�@ �. i paid to City Treasurer, and is l;3,J V 2 I • W27/8, A i t This permit not valid until above fee has been p applicable provisions of law. # subject to revocation for violation of app P CO A �TQ F UNIVERSAL 1[A 1 This is to certify that 14835 MANDARIN ROAD JACKSONVILLE FLORIDA , SIBGLE GAMILY HOME.. PER PLANS \ has permission to buil I RESIDENT Zone . Classification � @ ©N „ , _ -• � Owned by JIM HALLIB UNIT 12 -C Block_____- -- - /D Lot 14 r II • 11 House No. According to approved plans which are part of this permit OTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- = SPECTED BEFORE POURING. l PERMIT AFTER VOID DATE SIX OF MONTHS ISSUE ,__�■ � ---► o Building material, rubbish and debris F from this work must not be placed in public space, and must be cleared u , • . . • auled away by either con - tract. ner. r / " " ..✓ '. ( . j . + D Y , u R R. MO 'S "- teial. / CONTRACTOR FOR OFFICE MEM 11 121111 USE ONLY PLUMBING IIIIIIIIIII ELECTRICAL \ I I SEWER I WATER 1111111111111111111 . \ i i ,. T . 19 . ... ( _i 1 v 1 (Dr • „--A ',.1LA(...1-1 V..li:: ti+Lr, s FLORIDA Jro'ise #. , ,:i: •■ l'I.V 1 ki ri1,01;•" H-,,li„IT . ' • '' is ls.:al,: ' "e fc r '' e .,, -:, • . :+1 of the ' '.,""J ci ' :!+• •••• :::: ”' f p" I eru s:;l. for the ' ':•,g or •,":,+ r :',:-•, ' ;le : ,--:' , d. .r"-.:a :•,+,,- ,'.+ c, :s "c : • - ,'':.:, , e : ncl - ..` •,::+ity w:th the ":', - ,og Ord:nance of '',:: ci,y (,f . 'ic ',• 1^, :-",, ., i :II 1 : . s ,f :_ ' : s of '' +-: ::': - 1:1+ : 1a, 11 +, •":::- ores of tl City of .ktotic 7 : '11 " '.■.1 ;11 : I :. ,.: , .`• ,,,, ,-. !.. , ,1 z I - " • + .t C:ty of Atlart:c 77cosch, sl:all Le (:s:.;,:ed w:th, -el++ ther or not. T}-,,-. (1 r t.:- c‘...r or 0. 1 : 7:" ‘,7 -, ' 1-, n i - • , ,i a ‘:+'..f.g I.. Ht it .`3 .7-..:',... '-. 7-.11y resp-o: s'ble to a-s-_ "ri tl at all • • ' „" ,rs e:-.„:g d, 'oy ,- in t',e (.7ty ,,f Ar +.: S a+ 1-., r7c,r;:la. To p,.ent delay or es:ilisrr: s:n :it . . d- or f; : ;,-.::::'_'+.:s 't 's 4:- st, A. that a '': t of s: l :'.:+ot•+:s le • :',:. "tt,ed to tl offi so ':,-,,t liccts•s es+n f,ed. 77.. / 2 — 2. / — 1.,..„ Te it:+ilo .•?-_, itect !,,i.1 T ' :•-,,:': oe No. 4 nrt. 73 ()AI v e. es .6-1 Con+ r_%o.c. c? r-s 4 ++,7dress I q C : 2 3.c frig niax rri R a`Te;-::or:e IN'o..2.6r . 3411, ci ..,t o. ix; F:. . No. / 2 e. ,b n:,.-n _5 e.- I va. f lax i rt tt. 7,c•ne p _44146 -7 , 1 ooy Street Side P, and StA. /000 0)00, For -,-l nat 1 .+,:,/ - pose -, buildin I,e (1 Of Ayle Fa itl _I IX Type of conis;:ruction. Ooc,f) FoRen 1-):::-:_r,:,-. 7.1"-..■ C`f P. :' i'.: g j3 16 1../Ipe.. ,-- .):::.E:—•—ns of Lt. 924 tc)o , ze of Foot'n,,-s 45 /6" of P .--s 4/6-01e. Si e •f :"Is 2..XX/ c ,, .tss•t. Sill il:_•an :n ft T.. -, 7. - stif /7,64, 5 41; 1 y d? 6. en i r Qt. i H e Pump ,,,,-;::, - ':::5:' le , .:i Sol:d or ' 2 , :i . '' :• • ,; , T c' -` s - - - reiltS . ..57y_,5 , , IT'' t , - e +-, Li C ,_ ' . r s 2 .9 1 , (7 '7_ sn 36 ' ,f C0111.1.: r•!, c_s Lors ' Li s:',: 7'..\o. e_G_G 0 /162e I - _ . :•:..te "He :, :s. I,? ' ..:::': s, ,,..,•71 1. ViT, r. rs",-sel is In plac_se and :ready to poor foo:ing. . ,'-7 r. -..' ,-., el is in place and ra.acl,y :4:4 poor celc nnd/o 7: 1 , 4 : •. :. '.• -= :..i.: ;1 .-::::::d ::::: te Pi.'::r l'I':-...rn. 1 • r. ! R •..., 6. 1V" en ,,,,, tic t: ".--. :. -fr. f or L , -er is ',..::: ' .2t ' :: •+: it is + ...:td. '.'. i (" ' tr; •+o , „- • -- s .. 1/ r''' ''''‘V Ce.e'l■', ' ' ' =: /Yel 3 r .7 f)2/ i P4x. Fe-,1 - 4 , . . tc\jt.,k\--S .., • .,i,.SS 11'11.112NC PIR-.11T t• P1.1.*:!!;: NG Pi:1A T 0 - - - - - - --- - -- - LI IL I RI CAL PFR:.11T I/ 1 D1Nr. Pi P.711T I.VP,IISIET li :XI ED SQUARE FOOTAGE atOcS @ s j 4 . ga s. f. GARAGE (PRIVATE/ SHF_D) fr / @ $ tO • per s. f. L_Y 0 cRS CAKPORT @ $ . per s . f . $ • PC RCHES <3 @ $ ') per s. f. $ • A ,5 _ – DECK @ $ Co . 96) Per s. f. $ c- 8t) TOTAL VALUATION DATA $ 9.571/1 • PERMIT FEES /0 . • 5 TOTAL \ DATE • 1 s t $5 -- 6 WO „--- i • . $ 7 .,. . , 3 RE'..IAT'NDER VALUATION _ @ $ . per thousand / TOTAL BUILDING PERMIT . 66, PLUS 1/2 TEE BUILDING PERMIT FOR PLAN FILING FEE $ - / ' . 1 3 ---e/L—e__ &) • TAL FEE DUE _ . - - JC 7- i 91 PLE•`,BING PF_FC-IIT FEE $ 6 . (-- 00 . WATER METER SIZE /t7 .,; & FEE $ or --) - . e 6 SEER CON'NECTION: SQUARE FOOTAGE ZOt,A___ FEE $/0 35 . - ---,,, _„, , , ATER CONNECTION: FIXTURE UNITS [So -- @ $10.00 PER UNIT $c._)(__JC) .L...)(–) . - TOTAL BP & PC FEES DUE $ APPROVED 3 5 - 7 le ? CITY OF AIL 'VIC BEACH . - ( 6 TOTAL WATER METER CHARGE $ O'. BUILDING OFFICE -eV _ TOTAL WATER CONNECTION CHARGE. $ ji.J -7 C 2 3 1083 — A • -,_..-- ,,!, .- - TOTAL SEVER CONNECTION CHARGE. . ,2 .. 6 / GRAND TOTAL DUE.., _il../1Pro_____•____ ----- --,. w. BUILDING PERMIT CHECK LIST UTILITIES approved /24._ Is City Water Available? 4'/ by r Water Meter Size 1 approved Is City Sewer Available? by _ Connection to the sewer gem erformed by the: approved Owner - ,---- by approved City by * $500.00 @ 3/4" meter (in addition to $1035.00 impact fee) BUILDING & ZONING ■ -/ v i Property is Zoned` t U % Type of Buildin. AAiik ,V� i Lot Size X ?- Rear Side & Setbacks: Front COMMENTS: I! f i I ' cf 7,::" v.- ''' ' ' 624_ a ' , a . 4 - z . x . . _ > 1 ti /- - `` s )7/1_4. , j e?..cze -- e_r_ cy-3,-a..c.10.ce - 74----4_, 1 / ex--&-- — A._..,e_f_____74- -6,_,A_e___ ,oc__.) ,,et_e____ei—z------..ez;L- ‘;‘, 6,tfrec_i__t 1 ' . 'i ,17 u . z(yrz,6/ ..--.a '-- T ,�.�- / / 1 1 ,,,,---- _,"-------------- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 23, 19 83 Valuation $ PL MBfl G Fee $ 66 • aG 6600 T This permit not valid until above fee has been paid to City Treasurer, and is U Li j5 ' 1 1/11/8 I subject to revocation for v lation of applicable provisions o law. e This is to certify that ' � 1 e27L f 4 � � £t- J. has permission tAgkd INST • 4 PLUMBING AS PPt . 5 I ' L A N t # 1 / 11/8 I uou Classification RESIDENT TAT, Zone PIJD Owned by JIM AALLIBURTON 1 4 SELVA MARIN Lot Block S/D UNIT 12 -C House No. 1875 HICKORY LANE According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 4 ♦ 4 ♦ 0 Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared 2 up and hauled away by either con - ract owner. l.L/ Building Official. 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Property Address: , 1 S gi (- L A - 14r • Owner: w a_ f - r Telephone #: __ Z (, - J Z Contractor. t u.n � y a � Telephone #: .z "A. 1 - 3) a Contractor Address: ( ( R �, Fax #: Z 1 f 3 -) Y S Contractor Signature: , , j In matron of permit' given for doing the . %as in the above stated we with the attached pp� and dons which are a part hereof and in accordance with the a� perform wO1a do tandards f X111 1 :..41',Y p th i Type of Resting Fuel :: S in sods of Mother - Electric or site, Liston P number din being done on this builg ❑ Gas: LP Natural Central Utility ❑ Oil ❑ Other —St- - MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK O- Heat Space Recessed � b(--Central Floor '°r Residential ❑ Duct System: Material Thickness ❑ C ❑ Refrigeration Maximum `gym' cfin omm«ctal CI Cooling Tower: Capacity CI New Buitding ❑ Fire Sprntkias: Number of Heads ❑ Existing Building ❑ Elevator: _ Manlift Rwabdur (Number) ❑ Gasoline Pumps (Number) RepiaarrnPnt of System ❑ Tanks CI LPG Containers (Number) CI New Installation ❑ Unfired Pressure Vessel (Number) (No system previously ) ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping CI Specify ❑ - SPfY LIST ALL ° 0 DEMENT AIR CONDmONING, REFRIGERATION EQUIPMENT & CONDENSOR'S APProving Number Units Descriptian Model # Manufacturer Ton,s 1 `I Tw t, 3 e 3L > 1--(7- t .,,, ► - DI A t 3 z w it 0 D --- C� c. , --C f u. 0- p n _ HEATING -- FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Number Units Description Model # BTU's �e t C F 4 r c tiG,,d ( k N TANKS E Capacity Type Liquid Serial Nominal & in n Contained N. � 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phnna- ranAI -,,,el coon - ra — .. _ -