Permit 438 Inland Way t�C 4 I=.1'f fr•.
rr
CITY OF ATLANTIC BEACH
844 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONELINE 247-5826
Application Number . . . . . 06-00033999 Date 9/28/06
Property Address . . . . . . 438 INLAND WAY
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
COLEMAN, DONALD RAY TAYLORS HEAT & AIR INC.
438 INLAND WAY 538 LOCUST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 71 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/27/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 .00
Grand Total 71 . 00 71 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: Q — dg 8 -- d(p
Property Address: $ T d.I L4r4D IA),fiy PrMane �Cg I FJ , D-��3 _
Owner: m t4/A Telephone #: g — 30lS
c
Contractor:` ry G % 4 �-- Telephone#:
Contractor Address: _53? L-GL US?' Si j yQ IF FL, 3"f4ax #: 3n
�T
Contractor Signature: e
In consideration of'permit given for doing the work as described in the above statement.�Ne hereby agree to peribrm said work in accordance
with the attached plans and specifications which are a part hereof and in accordance ith the Cite of Atlantic Reach ordinances and s�andards of
good practice listed therein.
Type of Heating Fuel: II other construction is being done on this ntilding
or site. list the building permit nunnber:
Flect-ic
❑ Gas: I'll _Natural _Central Utility
❑ Oil
❑ Other—Speci fv -
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE. OF WORK
Heat _Space Recessed ,Central Floor Residential
Air Conditioning: --Room Central
Duct System: Material__ Thickness _ ❑ Commercial
Maximum capacity _ cfim
❑ Refrigeration ❑ NcN, Building
❑ Cooling Tower: Capacity— gpm
❑ Fire Sprinklers: Number of Heads I.zisting Building
❑ Elevator: Manlift_ Escalator_ (Number) Replacement of Fisting, Sy stem
❑ Gasoline Pumps__ _ _(Number)
❑ Tanks ____(Number) ❑ Ncw lnst<tllation
❑ LPG Containers (Number)
(No..system previously installed)
❑ Unfired Pressure Vessel
❑ F\tcnsion or Acid-on to t',xistina S. tem
❑ Boilers
❑ Gas Piping ❑ Othci -SpccifN
❑ Other—Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERA-TION EQUIPNIENT&CONDENSOR'S Iron 111L
Number Units Description Model# MannIaCLUrcr fon*s \;zcncv
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Ail Cov 1112
Number Units Description Model# Manufacturer B I U-S
ip- 4t�u,i V 044k 1 YQ T)+ f*��M 8 ap V1_
'TANKS Nominal Capacity Typc Liquid Scrial )rm 1112
How Manc A: Dimensions Contained Manufacturer No. �enrc
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Re, ised 1/04
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
____ , PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19886 — - —r- Address: 438 INLAND WAY
Permit Type: SCREEN ENCLOSURE — — ATLANTIC BEACH, FLORIDA 32233
Class of Work: POOL Township: 0 Range: 0 Book:
Proposed Use: Lot(s): 23 Block: Section:0
Square Feet: i Subdivision: OCEANWALK UNIT#4
Est. Value: Parcel Number:
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 4/17/2000 Name: DONALD R. COLEMAN, JR.
Total Fees: 45.00 Address: 438 INLAND WAY
Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/17/2000 _ _� - _Phone (904)241-3006 -- — _ —
Work Desc• SCREEN_ENCLOSURE OVER SWIMMING POOL
CONTRACTORtsl—_ _ _ APPLICATION FEES
PREFERRED ALUMINUM OF CENTRAL FL -PERMIT 45.00
1
i p
y
f
I I
I i
Inspections Re uir_ed
_ ----
� FOOTING-- SLAB _ - 'FINAL BUfLDiNG
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
s
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.
I
I
i
r
- f45.88 14
Date: 4/17/6081 Receipt: 8858223
— - ---—_------- CASH
ATLANTIC BEAC BUILD EPT. 88188883221888
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address- z/3
Date q_ lq - 06
Heated Square Footage @ per sq ft =
Garage./Shed $_per sq JE t = S—
CarportiPorch-
L t aWMper sq ft =
Deck L @ $—Per scir ft =
Patio —@ $_ Per sq ft =
TOTAL VALUATION : Ll
00
Total Vaivati0 on 1st $ j 4�6=
Remaining Value $_5:- per thousand
or portion thereof
TOTAL BUILDING FEE s
+ 111421 Filing Fee
( ) Fireplaces @ $15 , 00
BUILDING PERMIT FEE
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
_-
CAPITAL IMPROVEMENT
SEWER TAP
RADON (HRS) .CO50
SECTION H PAVING (
HYDRAULIC SHARES
CROSS CONNECTION $
) SURCHARGE . 0050 8-
OTHER $
GRAND TOTAL DUE ';
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_–
Electric/New Electric/Temp : Swimmingpool
Septic Tank dell Sign, Finish Floor Elevation
Survey
-, other
CALCULATIONS and/or NOTES :
€ � h
IF
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REWDEL, ADDITIONS, O , ALTERATIONS
MOVING,DEMOLITIONS `Y °! Atlantic Beach
f�4.a�ic4tst< tend Zoning
owner(s) :—
Job
s) :Job Address: ilA)) A,/ Phone: 16
Lot # _ Block or Unit #_ Subdivision:
Contractor: State License #
Address: Phone No:�
City �/�� s��ezlf State Z2 Zip Code
Describe work to be done:
Present use of building: A2
Valuation of Proposed Construction: �f A
Proposed use: a )z?/CSce 40r'alzc
Is this an addition? Azo_ If yes, what are the dimensions of the added
space: ft. X ft. Will the added area be heated and
cooled?rte_ New electrical (or increase) ? �
New plumbing fixtures? New fireplace? g C) New Heat/AC? � 6
SUBMIT TIMES (CCORCIAL) TWO (RESIDENTIAL) CCWLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMM EM M, AND
OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date: ? � 6�
Signature CONTRACTOR Date:,J z-
AS
TO OWNER:
Sworn to and subscribed* em day of 1
NOT UB ,i-fig
AS TO CONTRACTOR:
Sworn to and subscribed before me this a o ,-�faro
4!!.%N Mkh.N o smkpw NOTARY P C
AMY CW.*Ww CCWW4
j Expirs�ApeNdY,-200
M n�
Do"
Book-209504 00391028
o
146
NOTICE OF COMMENCEMENT Filed 6 Recorded
REQUIRED IN DUPLICATE NEHRY 02/22C/00 00K 10012034 AN
CLERK CIRCUIT COURT
N THE UNDERSIGNED HEREBY INFORMS ALL CONCERNED DUVAL COUNTY
94 THAT IMPROVEMENTS WILL BE MADE TO CERTAIN REAL TRUST FUND f 1.00
y PROPERTY,AND IN ACCORDANCE WITH SECTION 713-13 COPY FEE f 1.00
CR OF THE FLORIDA STATUTES THE FOLLOWING INFORMATION RECORDING f 5.00
I IS STATED:
C►.
co
I LEGAL DESCRIPTION OF PROPERTY / ,/c < ..i•
N
0�
C OWNER NAME(PRINTED)
0 ADDRESS_ I .��' .L-' to (7 x t
OWNERS INTEREST IN PROPERTY
FEE SIMPLE TITLE HOLDER
NAME
ADDRESS
CONTRACTOR:MICHAEL A.PALUSZYNSKI Q.B.A.PALACE POOLS INC — firs
394 PABLO POINT DR..JACK50NVILLE,FL 32225
SURETY(IF ANY)PRINTED
ADDRESS
PERSON OR LENDER MAKING A LOAN FOR CONSTRUCTION IMPROVEMENTS
ADDRESS
WARNING: OWNER CONSULT LENDER OR ATTORNEY BEFORE RECORDING THIS NOTICE
OF COMMENCEMENT
PERSON WITHIN STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICE OR
OTHER DOCUMENTS MAY BE SERVED:
NAME
ADDRESS
IN ADDITION TO HIMSELF OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE
A COPY OF THE LIENORS NOTICE AS PROVIDED IN SECTION 713-06(2)(B)FLORIDA STATUTES(FILL
IN AT OWNERS OPTION)
NAME
ADDRESS
Zi
OWNERS SIGNATURE DATE SIGNED
J�2 OIe-wa..t �rz.
OWNER NAME PRINTED
NOTARY:I AM A NOTARY PUBLIC OF THE STATE OF FLORIDA AND MY COMMISSION
EXPIRES:
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME ON
lin.'., 4 I';, 2 DO
BY �T�Otex ,Af, WHO IS PERSON�ALLY�OWALTD ME OR WHO HAS
PRODUCED
AS INDENTIFCATION AND WHO DID/DID NOT TAKE AN
OATH.
G-
CYNTHIA Qfiff PUBLIC SIGNATURE
Notary Fubllc,State of florlde
My Comm. expires April 8, 2003
Comm.No.CC 824869
-- ALL ALLOY 6063 T5 OR T6
SIZE ALLOY SPAN SPACING
ROOF BEAMS T6
FRONT POST �� T6 �( � 1 1.7
--," END POST }�3 T6 (� , -7
` PURLINS T6
fs
EAVE BEAMS 2 X 3 0.050 T6
TOP BEAMS 2 X 3 0.050 T6
PURLINS 2 X 2 0.044 T6
CHAIR RAILS 2 X 2 0.044 T6
BASE PLATE 1 X 2 T6
� C
SCC 051711
ALUMINUM
OF NORTH FLORIDA, INC.
1 ' The Name Everyone Prefers '
855-14 St Johns Bluff Rd. C-10
Jacksonville, Fl 32225
`��' (904) 998-1938 Fax: (904) 998-1937
1 0� Tony Blanco Michael Brokaw
pager(904) 889-4365 pager (904) 889-4178
JOB NAME: cc lec:�'e r
JOB ADDRESS: ,T 4
CONTRACTOR:
'O COLUMN CONNEC-nONF*
SLAB DETAILS ADDRESSING EROSION
SWIMMING POOL ENCLOSURES ONLY
7oxt�4
'7 1/4-.1•KL OW-a^I
/ O
cwt x- •a.� 'o. 1
\F pr
0
9K w KW
•Ii 4G I I I I p \ 7'iu0.I torn IAr
O
I� 'l iwelc'setw..xAu 3Kfl+w.vv a.n e.cH sxx
~eu.n4lxe e.A..plaucw4.0.tx
xe1a1 1'
2' MIN.
�op p BEFORE SLOPE
Mii U ® C3JU=ER OETAN S
VIII,=I�Cl�lllTlif',�T r`'�1�1jt=1Tl=IIF
2'..073 ALU4-%NUE CLT r-.T
(1)9 EACH BEAM LOCATION
(2)-p0 SMS /NO FOOTH+O REOu1RE0
(/)-112.�/+'sNs INTO p)11ER(i'WIN.SEPARATION)
2•SNB SEE SPAN CHARTS
OA (ONE LESS THAN BEAM SNZE)410 x 374•SMS EACH SIDE
EXAMPLE 2 X 9 BEAM(6)SCREWS PER S10E
2 1/8'.1 1/2'REC.CHANNEL.062
'CIURAL CUTTER
CAGE BRACING DETAILS
LA'
A� 4
5]/4ITl' 2 -WlVS 11AI►I.A1 \`V� Y KK•
<---••• COLUMN USED •---•-> SCr-051711
PALL
(P) (G) (H) (1) P) (K) (L) (M) (+)
'ACING 2x3 2x3 2x4 2x4 2x4 2x6 2x7 2x8 2.9
PS SMS PB SMS SMB SM8 SMB SMB SM8 '
18.42 19.08 19.25 19.25 19.25 19.25 19.25 19.25 19.25 ALUM 1 N U M
X 17.58 17.75 17.75 17.75 17.75 17.75 17.75 17.75
X 18.75 16.58 16.75 16.75 16.75 16.75 16.75
X X 15.75 x 15.75 15.75 15.75 15.75 15.75 OF NORTH FLORIDA, INC.
8'-0' X X X X ,5.06 15.08 75.08 15.08 15.06
9'-0' X X X X 14.42 14.42 16.42 74.42 14.42
The Name Everyone Prefers "
4'-0' 21.08 21.75 21.92 21.75 23.42 23.42 23.42 23.42 23.42 855-14 St. Jahns Bluff Rd. C-10
5'-0' X 20.06 20.25 20.08 21.58 21.58 21.58 21.58 21.58
6'-0' 855-14
X
16.92 16.92 20.25 20.25 20.25 20.25 20.25 Jacksonville, Fl 32225
7'-0' X X 17.92 X 19.08 19.06 19.08 19.08 19.08
8'•0' x X x x 18.25 18.25 18.25 18.25 16.25 (904) 998-1938 Fax: (904) 998-1937
9'-0' X X X X 17.42 17.42 17.42 17.42 17.42
4'•0' 28.08 28.56 28.W292.1422
31.92 31.92 31.92 31.92 Tony Blanco Michael Brokaw
5'-0' X 26.42 26. 29.25 29.25 29.25 29.25
F:F x x 24. 2 27.42 27.42 27.42 27.42 pager (904) 889-4365 pager (904) 889-4178
71•0' X X 23. 2 25.92 25.92 25.92 25.92
8'-01 x X X2 24.58 24.58 24.58 24.58 -
9'-0' X X X2 23.58 23.58 23.58 23.58 '
11-0' 31.58 32.08 =32. .08 34.92 35.92 35.92 35.922958 .58 32.25 33.08 33.08 3308
•0' X .75 30.08 30.92 30.92 30.927'-0' X X .25 28.42 29.25 29.25 2 / /�x x 6.08 27.08 27.76 27.75 27.7s JOS h'AMNE:Y-0• X X 4.92 26.08 26.58 26.58 26.56 �,. ,,,/
1'-0• 3a.25 3858 36.58 39.Se 39.42 40.92 41.75 44.25 44.25 JOS ADDRESS: 4 IG >�xa
4Y X E35.75 35.75 35.75 36.58 37.75 38.58 40.75 40.75
1'•0• % 33.75 33.59 94.25 35.42 36.08 37.92 37.92
F: x '31.92 X 32.58 33.58 34.08 35.92 35.92 CONTRACTOR'1'-0' X X X 31.08 32.08 .32.58 3408 -,%A A �Y-W X X X 29.92 30.75 31.25 32.75 32.75
11-0' 41.92 1 42.25 1 42.25 1 42.25 1 43.08 1 44.42 1 45.08 1 47.42 1 48.42
i'-0' X 32.081 39.251 39.081 39.921 41.08 1 41.75 43.58 1 44.58 '
1'•0' X X 36.92 38.75 37.42 38.42 39.08 40.75 41.58
"4Y X X 34.92 X 95.58 36.42 36.92 38.58 39.25
1'-0' x x X x 1 33.92 1 34.75 35.25 1 36.75 1 37.42
1'C X L X X X I 32.58 1 33.42 33.92 1 35.08 1 35.75
INTERPOLATION BETWEEN VALUES IS PERMISSIBLE
•�,��.:..y• ter• �� .7
4Jh11t�s t) Seerinfs slava her*" en based
WALL ?�, � on two Ucord plot as reeurded tea
Plot look *1 , !apes /B
through Me luclwslrsly of
% said Peblla Records.
I q r
t) LitaNAt{ MAora Mrsa► sea for
a •`'+1' i'L"'� ' ^ �Uv/ drotse", utilities sad cosecs,
5 p q unless otherwise aotsd hemos.
31 WHIM Then of be rdtitiastl
restrictloa■ that ars aot re-
eac"d ea We plat t►et say hha
towed In the ltflit AMOM4 dt
'L—�,, said tauaty (912orids uatutas
• 177.O�i).
1) Rlevstioss ehewt hareao are bas"
an lletieaal ceodetic Metticel
Oatue or i929r U.S. Coastal i
esodet:e =utva2 Aatua.
A a�s�a-v aF.. .Lor 0a",O/d--4,jg t/ 3, Oe TAYle 402. ,OY."ylFf G �11N1'
t r�r�inw� !> '1'.er.iwi��r.w• ? C.,..�� A'awi6,+ 09 AW.r.ss'
��r 9
04,
A
ell,
............
......................
s
BEAM TO BEAM CONNECTION DETAILS �IE�a1�1A
SPACING BETWEEN SCREWS CANNOT BE LESS THAN 2"
GUSSET THICKNESS MUST BE GREATER OR EQUAL TO WALL THICKNESS
BEAMS SHOWN ARE SCALED AS A 2x9 SMB
OTHER BEAMS ARE SIMILAR
BEAM FASTENERS
SIZE PER SIDE 2 SIDES
2X4 SMB 8 PER SIDE#10 SMS -
2X6 SMB 12 PER SIDE#10 SMS 0 0 0 0 0 0 0 0
0 0 0 0 0 0
2X7 SMB 14 PER SIDE#10 SMS
2X8 SMB 20 PER SIDE#10 SMS o
16 PER SIDE#12 SMS
2X9 SMB 20 PER SIDE#10 SMS EXTERIOR GUSSET PLATE
!g 16 PER SIDE#12 SMS
EXAMPLE 2 X 9 BEAM(40)TOTAL DETAIL
POST I COLUMN TO CONCRETE DETAILS
I
I
--1 2.3 Column
I screen ,,��cc;;'�``:•': ii ii _-'rv. [.a Nmle.Poal Oeem ~`Z
It 2 Eocn 110 SNS Loch S:nc
it
' '4''`;`•-:i�$:?J` 11 .
-7 2.2.1793 Angle Each Side 4 Each 1/1*. t_I/ It 2.2 C93 Mgt. SEE GUTTER TO I
',' ft0 Sus ''•3''c"�''r'?•.:•:;7 DETAILS...::
I ss •.
lase Plot.Typ. Thr. Bolt- Plc, ,n +•:�•'
O e. Into Cahn 3'%?•;?•:}
2 Each t0 SMS Each Side
�.�`• .-'"' �''J�`•' It II t/i Concrete nncnor
0 PSI Cone. T `_ 2' Mininum �,ys - 'V 1.2 Be,. Ple:e Typ. -
�` /`�V..'..•.'h �`•r�ll
i-
d'�. NotchI 49. S
IIIII-IIIII III' �--- <
2sco Ps e_-prem- '� " d• II',
4 d
1/4* Concrete Anchor - d 't ° -
SIDE VIEW " J ".
A1nX SPACING_moi V/ SM 1.CP i
f)V
24 0/C (•--Mnx SpACIVG _1 cA97=14 3OL1.
24 0/C
;3 FRONT VIEW K
MAXIMUM ROOF BEAM SPANS
IN DECIMAL FEET
SCREEN ROOF/SCREEN WALLS 0
<---•- COLUMN USED WIND 110 MPH DEFLECTION I /An 45
--'--> <•-••-•...- COLUMN USED •-••••->
8 'WALL - 10 'WALL 12
)OF (F) (G) (H) (I) (J) (K) (L) (Mj (N) ROOF (F) (G) (H) (I) (J) (K) (L) (M) (N) ROOF
:AM SPACING 2x3 2x3 2x4 2x4 2x4 2x6 2x7 2x8 2x9 BEAM SPACING 2x3 2x3 2x4 2xd 2x4 2x6 2x7 2x8 2x9 BEAM
;ED PB SMS P8 SMS SMB SMB SM8 SMB SMB USED PB SMS PS SMS SMB SMS SMB SMS
SMR USED
4'-0' 18.42 19.08 19.25 19.25 19.25 ,19.25 19.25 19.25 19.25 4'-0' 18.42 19.08 19.25 19.25 19.25 19.25 19.25 19.25 19.25
,i) 5'-0' 17.08 17.58 17.75 17.75 17.75 17.75 17.75 17,75 17.75 (H) 5'•0' 17.08 17.58 17.75 17.75 17.75 17.75 17.75 17.75 17.75 (H)
'S 6'-0' 16.08 16.58 18.75 16.58 16.75 16.75 16.75 18.75 16.75 2x4 6'•0' 16.08 16.58 16.75 16.58 16.75 16.75 16.75 16.75 16.75 2xd
'R T-0' 15.25 15.58 15.75 15.75 15.75 15.75 15.75 15.75 1"4.75 PB 7'-0' X 15.58 15.75 15.75 15.75 15.75 15.75 15.75 15.75 I PB
.'-0' 14.58 14.92 15.08 15.08 15.08 15.08 .75.08 15.08 15.08 8'-0' X 14.92 15.08 15.08 15.08 15.08 75.08 15.08 15.08
9'-0' 13.92 14.42 14.42 14.42 14.42 14.42 14,42 14,42 14.42 9'-0' X 14.42 14.42 14.42 14.42 14.42 14.42 14.42 14.42
4'-0' 21.08 1 21.751 21.92 1 21.75 1 23.42 1 23.42 1 23.42 23.42 23.42 4'-0' 21.08 21.75 21.92 21.75 23.42 23.42 23.42 23.42 23.42
.� 5'-0' 20.08 20.08 20.25 20.08 21.58 21.58 21.58 21.58 21.58 (J) 5'-0' 20.08 20.08 20.25 20.08 21.58 21.58 21.58 21.58 21.58 (Jj
0 6'-0' 16.42 18.75 18.92 18.92 20.25 20.25 20.25 20.25 20.25 2x4 6'•0' 18.42 18.75 18.92 18.92 20.25 2025. 20.25 20.25 20.25 2x4
A8 T-0' 17.42 17.92 17.92 17.92 19.08 19.08 19.08 19.08 19.08 SMB 7'•0' X 17.92 17.92 17,92 19.08 19.08 19.08 19.08 19.08 SMB
.'-0' 16.75 17.08 17.08 17.08 18.25 18.25 18.25 18.25 18.25 8'-0' X 17.08 17.08 17.08 18.25 18.25 18.25 18.25 18.25
9'-0' 16.08 16.42 16.42 16.42 17.42 17.42 17.42 17.42 17.42 9'-0' X 18.42 16.42 18.42 17.42 17.42 17.x2 17.42 17.42
4••O' 28.08 28.58 28.75 28.58 29.92 31.92 31.92 31.92 31.92 4'-0' 213.08 28.58 28.75 28,58 29.92 31.92 31.92 31.92 31.92
0 5'-0' 26.08 26.42 26.58 26.58 27.58 29.25 29.25 29.25 29.25 (Kj 5'-0' 26.08 26.42 26.58 26.58 27.58 29.25 29.25 29.25 29.25 (K)
A6 6'-0' 24.58 24.92 24.92 24.92 25.92 27.42 27.42 27.42 27.42 2X6 6'-0' 24.56 24.92 24.92 24.92 25.92 27.42 27.42 27.42 27.42 2X6
AB 7'•0' 23.25 23.58 23.75 23.SS 24.42 25.92 25.92 25.92 25.92 SMR 7'•0' X 23 Sg 23.75 23.58 24.42 25.92 25.92 25.92 25.92 SMR
81-0' 22.25 22.58 22.58 22.58 23.42 24.58 24.58 24.58 24.58 6'-0' % 22.58 22.58 22.58 23.42 24.58 24.58 24.58 24.58
9'-0' 21.42 21.58 21.75 21.75 22.42 -.23.58 23.58 23.58 23.58 9'-0' X 21.58 21.75 21.75 1 22.42 23.58 23.58 23.58 23.58
4'-0' 31.58 32.08 32.08 1 32.08 33.08 1 34.92 35.92 35.92 35.92g4%0' 31.58 32.08 32.08 32.08 33.08 34.92 35.92 35.92 35.92
.) S'-0' 29.42 29.58 29.75 29.75 30.58 3225 33.08 33.02 33.08 29.42 29.58 29.75 29.75 30.58 3225 33.08 33.08 33.08 (L)t7 6'-0' 27.58 27.92 27.92 27.92 28.75 30.08 3092 3092 3092 27.58 2792 27.92 27.92 28.75 30.08 30.92 30.92 30.92 IB 7'-0' 26.25 28.42 26.58 26.58 27.25 28.42 79�5 29.25 29.25 _F 26.42 26.58 26.58 27.25 28.42 29.25 29.25 29.25 SM8
8'-0' 25.08 25.25 25.42 25.42 26.08 27.08 27.75 27.75 27.75 X 2525 25.42 2542 2608 2708 2775 27.75 27.75
9'-0' 23.92 24.25 2425 2425 2492 2608 2658 858 8 X 24.25 24.25 24.25 24.92 26.08 26.58 26.58 26.58
4'-0' 38.25 38.58 38.58 38.58 39.42 :3230.75
0.92 41.75 44.25 44,25 a'-0' 38.25 38.58 38.58 38.58 39.42 40.92 41.75 44.25 44.25
35.42 35.75 35.75 35.75 38.587.75 38.58. 40.75 40.75 (M) 5'-0' 35.42 35.75 35.75 35.75 36.58 37.75 38.58M327532.75
(M)
IB 8'-0' 33.42 33.58 33.75 33.5. 34.255.42 36.08 37.92 37.92 2x8 6'-0' 33.42 33.58 33.75 33.58 34.25 35.42 36.08 2x8
AB T-0' 31.75 31.92 31.92 31.92 32.583.58 34.08 35.92 35.92 SMB T-0' X 31.92 31.92 31.92 32.58 33.58 34.08 SMB
.'-0' 30.25 7730-58 30.58 30.58 31.082.08 32.58 34.08 34.08 .'-0' X 30.58 30.58 30.58 31.08 32.08 .32.58
9'-0' 29.08 29.25 29.42 29.42 29.92 91.25 32.75 32.75 9'-0' X 29.25 29.42 29.42 29.92 30.75 31.25
4'-0' 41.92 .42.25 42.25 1 42.25 1 43.08 1 44.42 1 45.08 47.42 4..42 1'•0' 41,92 42.25 42.25 42.25 43.08 44.42 45.08 47.42 48.42
I) Sb' 38.92 39.08 39.25 39.08 39.92 47.08 41.75 43.58 44.58 (N) 5'aT 38.92 39.08 39.25 39.08 39.92E34.75
41.75 43.58 44.58 (jVJ
A 6'4)' 36.58 38.75 36.92 36.75 37.42 38.42 39.08 40.75 41.5. 2x9 6'-0' 38.58 38.75 38.92 38.75 37.42 39.08 40.78 N.SB .2x9'
IB T-0' 31.92 34.92 34.92 34.92 35.58 36.42 38.92 38.58 39.25 SME! T-0' X 34.92 34.92 34.92 35.58 36.92 38.58 39.25 SMB
6'dY 33.25 33.42 33.42 33.42 33.92 34.75 35.25 38.75 37.42 8'4Y X 33.42 33.42 33.42 33.92 35.25 36.75 37.42
9'-0' 31.92 32.0832.08 32.0. 32.58 33.42 33.92 95.08 35.75 9'C X 32.08 32.08 32.08 32.58 33.92 35.08 35.75
.INTERPOLATION BETWEEN VALUES IS PERMISSIBLE INTERPOLATION BETWEEN VALUES IS PERM1S518LE
53
MAP SHOWING SURVEY OF
AS RECORDED IN OLAT BOOK 4Z PAGES OF THE CURRENT PUBLIC RECORDS OF
2&mAU COUNTY, FLORIDA.
Ceartrieo -'o:. DWAL0 Ray CDc,F,--nAAkj Jaz.
J 73'40* '"Nom.
to �•.-;.� : t ;'
16
� `�' i'., .� .' ' Is�,�•rr a �s�
i .} •�
'T t«► Ts
tA
2 AMR
• •
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: STER ELECTRICIAN SIGNAT E JOURNEYMAN
NAME��nm ADDRESS:_/J (• )6LA4 RFD, BOX
ci
BLDG.SIZE � � �o- nn,� � BETWEEN: DCJ+,!Xl 1AJ4 (9.
RES. (N APT. ( ) COMM. ( 1 PUBLIC ( ► INDUS. ( ) NEW ( E OLD ( I REW. ( )
ADDITION ( ) TRAILER ( 1 TEMP. ( I SIGNS ( ) SO. FT.
SERVICE: NEW ( ) INCREASE ( ) REPAIR ( I FEE
CONDUCTOR SIZE AMPS COPPER ( ) ALUM. 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL _
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT &M.V.
FIXED b.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 111.P. VOLTAGE PIiS
MISCELLANEOUS p
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
ELECTRICAL PERMIT
PERIYLIT It FOftI ATION LOCAT'14 tNFORIMATI l
Permit Number. 19646 Address: 438 INLAND WAY
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: POOL Township: 0 Range: 0 Book:
Proposed Use: Lot(s): 23 Block: Section:0
Square Feet: Subdivision: OCEANWALK UNIT#4
Est. Value: Parcel Number:
Improv. Cost: OWNER tNpdf2MAT16N
Date Issued: 2/28/2000 Name: DONALD R. COLEMAN, JR.
Total Fees: 35.00 Address: 438 INLAND WAY
Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 2/28/2000 Phone: (904)241-3006
Work Desc: WIRE FOR SWIMMING POOL
CONTRACT . }..., A lON F ES .
HABITAT ELECTRICAL CONTRACTORS PERMIT 35.00
v
FINAL ELECTRIC GROUNDING POOL
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.
(-- A
ATLANTIC BEACH'BUIL"G DEPT. Date: 2/29/88 81 Receiptf35.88 14
88188963221888 5644
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
Permit Number: 19591 Address: 438 INLAND WAY
Permit Type: SWIMMING POOL ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): 23 Block: Section: 0
Square Feet: Subdivision: OCEANWALK UNIT#4
Est. Value: Parcel Number:
Improv. Cost: 30,000.00
Date Issued: 2/14/2000 Name: DONALD R. COLEMAN, JR.
Total Fees: 30.00 Address: 438 INLAND WAY
Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 2/14/2000 Phone: (904)241-3006
Work Desc: SWIMMING POOL
PALACE POOLS,INC. PERMIT 30.00
COVER UP FINAL BUILDING STEEL
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.
438.80 t4
Date: 2/16/88 81 Receipt: 8834946
CHECKS
At-CXNTIC BEAC BUILDI G DEPT.
88918881606
8321888
RECEIVED
CITY OF ATLANTIC BEACIi GFQ 3 2000
APPLICATION FOR POOL PERMIT City of Atlantic Beach
EEiildinp And, Zoning
cL) Address 1'36 11uL-C- k)D LvAq
Lot n 3 Block # VN!? -Subdivision__()( Atl4L�C--
Adc.ress L+3S' t � �r� l,(J /-{ Z3 Pi
Contractor 2,4--r4 C-z �(�y� 5 (�� C_,-
��. c,
„dc.ress �_ bfti`73ZZ2� TELEPHONE: 2Z1 1(5 /
License Number C_,►" c 09 2? 27
Valuation S 30 ouc) Gallons �; G V
SITE PLAN
front
Ln (n � 1�
Z-
rear
fTZ�v
Signature Os;Iner �' � 'A.'T �►z 044.1cate !�
r O C►
Signature Contractor Date P �icry-v
Job
Specifications
i ---�- Pool Area
. 442
Q r c, M
cv p �Q„ '" Pool Perimeter
CO
7�� o� ���� ShaliowDepth
O � L;� yp.y Deep Depth
oft
j Spa Area
29
Spa Perimeter
3 ft.0 0
I a 28
Face Tile
4 8 ft. Coping
�L — ?L=! -- - 129
Deck Area
12 ft. 684
Jet /Returns— -' I Deck Perimeter
Slob up cleaner—," i� 249
Screen Area
1 Pool/Spa Suction
o Scm Perimeter
it CO
148
Pool to Equip
i
19
Spa to Equip
55
r Palace Pools signed b Coleman
Phone: 221- 9 Y�
394 Pablo Point Dr. Mike Paluszynski Designed 438 Inland Way
Jacksonvill 5 Fax: 22Q-4697 12/13/1999 for: Atl. Bch. FI 32233
i
MAP SHOWING SURVEY OF
mss' P3
_._ _ Oc _A�w�slf Uisrrr- �rsuw• -
AS RECORDED UY PLAT BOOK _ _PAGES .gryfittl ear --r OF THE CURRENT PUBLIC RECORDS OF
A.vrrwr OOUNTY, fIOR!W1.
FOR 2000
- City of Atia is Beach
Building; an Zoning
INA A N4
473• •.lt?
•,, oiriwrp+�tr
wig
.j
,(ar Air sdj"Aw
' V1 .
llFlat 1��sHy��M�a MrNn�n MMt
O MOt'Ott tl�t of Alf/Md 1R
rA, VC twl%wl"lp of
l�I4o�py`+p 1
A) fewaaata aaaaa beaaa"a rae
• ' 4 �ao "alaya• atliltlw 666 aaaacs,
w SP ralaaa mbar►rr aataa Mr�aa.
7) Vwlcgr TMre W M 8/41114"1
ra4trleti444 tat are"t n.
a►a"flat awt W M
,r roma In tM Mlle gime"at
ula haat8 tflarW glaLiW
i) [lavaUmm antra Mea"a"Mad
oa 8latlaaal a'aa"tla hrtlaal
Oataa 48 at".-I.t. Cr"4l a
""wa heves Oatw
A ~,O AOvr 0/P sLOT,tahY�A98V 3,M-FWA- ""C-
tR ice. I9 f"w•.u.,rr.I o ai...�a. Xi.var 91 .rt'sf!'
Pump Size: 2-
Palace Pools inc GPM:
2-#3 in beam
- -
#3 rebar 12"OCEW 5in 3500 psi
Cont. thought walls and / Shotcrete walls
floor
Pools with depth 7 ft or
PreFab Main Drainw/ greater to have#3 rebar i bin psi
Hydrostatic valva-- placed 6"OC beginning at'
Shotcrete ete Floor
Oft depth and extending 2ft
above and below coves.
NTS
IY7.1 e /l
D ok:%548039102
Page: 1746
NOTICE OF COMMENCEMENT Filed 6 Recorded
REQUIRED IN DUPLICATE 02/22/00 10:12:34 AN
HENRY W COOK
CLERK CIRCUIT COURT
h THE UNDERSIGNED HEREBY INFORMS ALL CONCERNED DUVAL COUNTY
THAT IMPROVEMENTS WILL BE MADE TO CERTAIN REAL TRUST FUND f 1.00
PROPERTY,AND IN ACCORDANCE WITH SECTION 713-13 COPs 1.00
RECORDING t 5.00
cm OF THE FLORIDA STATUTES THE FOLLOWING INFORMATION
r0 IS STATED:
a0 �
,Q LEGAL DESCRIPTION OF PROPERTY Z 2- Vti �Z
tt!
OWNER NAME PRINTED DvKc"(-
D ADDRESS Z Z 1 <<
0
►� OWNERS INTEREST IN PROPERTY
FEE SIMPLE TITLE HOLDER
NAME
ADDRESS
CONTRACTOR, MICHAEL A.PALUSZYNSKI D.B.A.PALACE POOLS INC
344 PABLO POINT DR..JACKSONVILLE,FL 32225
SURETY(IF ANY)PRINTED
ADDRESS
PERSON OR LENDER MAKING A LOAN FOR CONSTRUCTION IMPROVEMENTS
ADDRESS
WARNING: OWNER CONSULT LENDER OR ATTORNEY BEFORE RECORDING THIS NOTICE
OF COMMENCEMENT
PERSON WITHIN STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICE OR
OTHER DOCUMENTS MAY BE SERVED:
NAME
ADDRESS
IN ADDITION TO HIMSELF OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE
A COPY OF THE LIENORS NOTICE AS PROVIDED IN SECTION 713-06(2)(B)FLORIDA STATUTES(FILL
IN AT OWNERS OPTION)
NAME
ADDRESS
OWNERS SIGNATURE DATE SIGNED
-- r2 C.,o Ie-Wla-4,. <-.
OWNER NAME PRINTED
NOTARY :I AM A NOTARY PUBLIC OF THE STATE OF FLORIDA AND MY COMMISSION
M iri Ei8 4
D PAWNIENT OF BUILDiNt i ,
CITY OF ATLANT#C OF-ACK'`
�- PERMIT INFORMATION � -------- LOCATION INFORMATION
P xt Number t 6084 Addsre a s 43$ INL Ait7 WAY
t ELECTRICAL
ATLANTIC BEACH0 FLORIDA 32233
Porralt Ty�p�e -
1 10 of Wc�x k z AIDDITILLN -_- _ - LEGAL. DESCRIPTION
Caa tr. Typ+�. WOOD FRAME
�Lot�� 9��t��►n s
Pr d Use.
SINGLE ,FAMILY T wnships RNf�s D
s
Ori I1i>n a s I
Cod - O , Subdivision: CICEAN�tAL.K
Ei�tr d-"Value t CI }
parexr.
Conti
Bd.'fld
Tots 1
All rtxr 825.00
/92i
i"1 AI C>ITION I
, ..� APPLICATION FEES
MA � JR. PERMIT
"y OAt, TE I MPAGT FEE $d.00
Add � `s U WAY,-'.
I F"L1R I 1 " E FEE ', 6dt
;l
Ph 8 4 A. "
RADON" CAE--!H- R.E. B0.00
p Ir ORiIAT; om -- RA6614 13AS - 5% 00-00
N� RR EL RICA WATER TAP *d. d£�
*� SIM, ;�T'AP . , _..w.$d.flCl�
JACK i.[.E� I+"L. 322.09 HYDRAULIC SHARE $6. 00
Lice "" ypes . L) REINSPECT' FEE
+ T , " .Od.
SEC. N, IMPACT FEE S0. 1
s
NOTES;
NOTICE ALL CONCRETE FORM]AND FOOTINGS MUST BE"'INS CTgD BEFORE POURING
PERMIT VOID SIX.MONTHS AFTER DATE C1F,ISSUI; .
BUILDING MATERIAL,RUBBISH;AND`DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY l ITHER'GONTRACTOR OR OWNtfl
`FAIL RE.TO COMPLY WITH THE MECHANICS' LIEN LAW PAN RESULT IN
T flPERTY oWlNifi a rING TWICE F0 8UILt�II�+iG IM I ►11me,�NT
I ;
AiCIDRt3lNt3 TOAPPROVED RLANSWHICH ARE PART OF THIS:F'ERIiAT AND SUBJ REVOCATI ,1�R
} �t,ATIi N'C1F APPLICABLE PROVISIONS 00 L.AW.
7
;AtLANTIC.BEACH BUILDING DEPARTMENT
w a
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 ` ' ,
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
LECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME.11",*)4 I'1 e-elf'`"A44 RESS: / l�,�6���.G�T RFD BOX
BLDG.SIZE BETWEEN:,")d4 & &&4_j b)-0
"RES.(0 APT.( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD (,) REW. ( 1
XODITION (j.}• TRAILER 1 1 TEMP. ( 1 SIGNS ( ) SO. FT.
SERVICE: NEW( ) INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. 1
SWITCH OR BREAKER '`� AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE //K%L� AMPS PH W ;PYMOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS `I CONCEALED OPEN TOTAL
RECEPTACLES /a CONCEALED OPEN TOTAL
' 1 0.30 AMPS. 31•100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. _
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. I VOLTAGE PNS NO. 1 H.P. VOLTAGE PNS
MISCELLANEOUS
597 .
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-_ PERMIT INFORlxATION "' . _ _�..._ LOCATION INFORMATION` __
Per*it Number, s 5971 Addr4sos +43E'< INLAND 'WAY
PermitTypes 'BUILDING,,, ATLANTIC BEACH, FLORIDA 32233
Clans of Maths REMOVE - LEGALDESCRIPTION
Constr. 'Types WOOD FRANC Lots 23` Block t 'Sections
Proposed Uses SINGLE FAMILY `Towoohip x RHO:` O,`
6*011ingot 1 Codes 0 Subdivisions OCEANWALK UNIT #4
E rt. mmt cF Values 00.00
mprcay. Coats *0.00
Total eel " $50."00
Amour s.' A *50.00
D _ Ql 9/92
'Work .d AQr�p ARTA OF, PORCH AT ALIVE ,R'E$IDENCE
NATION --� �� �_ APPLICATION FEES _----
A"dam air D WAY WATER 114PACT" FEE EU Ott
I ` CSI, FLORIDA ,* 3 � I P FRE � � *0.,COCl
Ph
I A N 'GAS-Ho R. S. $0.00
GASB - 5%
Names OP A X HER , MATER TAF' $0.00
"TAPI-1 11C70
HYDRAULIC SHARE $0. 00
Types REQ-IM§09CT` FEE - . 00
gz SEDC,. H IMPACT FEE „'' $0.'00
urc0-`F.Va—M
NOTES.
NOTICE-ALL CONCRETE FQRNIS AND FOOTINGS MUST SE'INSPECTED REFORE,POURING
PERM11VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWA`(BY EITHER CONTRACTOR OR OWNER
"FAILURE TO:COMPLY,WITH THE MECHANICS' 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 T TO REV N FOR
VIOLATION OF"APPLICABLE PROVISIbNS2C1F LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
< fiz
,r-
n,
CITY OF ATLANTIC: REACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
/DEMOLITIONS
Owner(s
Address: 44,4WPt,o"e
Lot #_ ' Block orUnit # _ Subclivi .ion : /ru��.
Contractor: Do,-,)
Describe work to be done:77-5 1 -- Pt _
Present use of building: "d-Q ___
Valuation of Proposed Construction;________.
Proposed use:---------------._-____--__-___._-_...._.___.._._
Is this an addition?--------- If yes, what are the dimensions of
the added space:__________ft. X ft. Will the added area
be heated and cooled?-------- New electrical (or increase) ?-____ --
New plumbing fixtures?__-- New fireplace?___-New
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
Signature CONTRACTOR: _ _ _ _ ?__'` _jute:
,r
5. ! ,- ,y �- i, O) )
6006
DEPARTMENT OF BUILDING`
CITY OF ATLANTIC BEACH
� .. .'.. PERMIT INFORMATION ------ -------- LOCATION INFORMATION ..»--__---
Perwit Number t 6006 Addrma s t 438 INLAND ' WAY
Permit Typet BUILDING ATLANTIC REACH, FLORIDA 32233
Clams of Works AUDITION - LEGAL DESCRIPTION
Constr. Type t WOOD FRAME Lott 23 blockt Section:
Proposed Use;z SINGLE FAMILY Township t, RNG t 0
' ' Dwellingst I Code t O; Subdivisions OCEAMWALK UNIT *4
Estimated Value: m13�4t3.C1(3
Improv, Cost: $0.00
Totel t « 13. I4
Amon $123,84
Work
,NATION
APPLICATION FEES
EMAN, JR. PERMIT $120.00
Addr mm D WAY WAIMPAC 0.00
CH, FLGIRI � I� rr } 5 P FEE k .
� E RASION GRAS-H,R. S'. *3.65
_�.» .._.. T, ` a � NFORMATi N ----- RADON GRAS - 5% $0. 19
we s Rte Y 0 t[El WATER TAP
► I r a EWER TAP $0.00
5
HYDRAULIC SHARE $0.00
L.ic+ Typ t 1 RE-INSP9CT FEE ���' ,OO
a
SEC. H IMPACT FIS OTH
NOTES:
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
CLEARED UP AND MAULED AWAY BY EITHER CONTRACTOR OR OWNER
`FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT "IN
THE PROPERTY OWNER PAYING TWICE FOR SUILDING IMPROVEMENTS,WLIDATION DATE-.10/19/
"
TIND 11:53 AN
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUB O REVOCA#'I08FflR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Dom C00
1 X123.$4
ATLANTIC BEACH BUILDING DEPARTMENT
Ely:
Address 4-- Q -- — r �
Heated Square Footage _ _ $ _ ,S_�CIO, per sq ft = $ `+ d
- -a._-.—.__—_.-------
Garage/Shed per sq ft = $_^— --
Carport/Porch _ ----o $ -- __oer sq ft = $ _ — ------
Deck $ .Per sq ft = $------- --- ---
Patio (� $-- ^per sq ft =
TOTAL ALUATION: $
Total Valuation lst
Remainder Valuation $. per thousand or
portion thereof
--------------------------------------------, Total Building Fee
ADDITIONAL PERTMtITS and/or FEES REQUIRED + z Filing Fee
Fireplaces @ 15.00 $
Mechanical --
Plamb ing ; BUILDING PERTNUT FEE
Electric/Nea
-------------------------------------------------
Electric/Tamp
BUILDING PERMIT
Septic Tank --
Well WATER METER CHARGE
S�ristming Pool _ SSIER IMPACT FEE
T WATER IMPACT' FEE
Sign -
Water Connection MISCFU ANEOUS
p
Sewer Connection —'! A Do A
Water Meter
Elevation Certificate
GRAND TOTAL DUE
------------------------------------------------------------------------------------------------
CALOJLATIONS and/or NOTES
�.ot�c� a� �vmn�enc��nent
Description of property to be. improved __..�.,!'v-�. �/�! �151�Q¢_ ______________•
-Y=n 1----aa---------� �---------------_ � 11.11�LL� C"j---------------------- -
--------------------------------------------------- -- ---------------------- -------------------------------
General description of improvements .t���'1_�!_- 1 R_
-----------------------------------------------------•----•--------------------------------------------------
Owner ='------------------------------- --------------
------ -----
Address -_- �1- ---�by 1_ }ry j -�`'- =+------u�-1 L111�(3 _ E L-- -- ==----------
Owner's interest in site of the improvement _ _--_---______________________________________________
Fee Simple Title holder (if other than owner)
Name_---- -1�------------------------------------------------------------------------------
Address -- - ------------------------------------------------------------------------------
Contractor __ -Q�1__ __`_=-BLS 21_` :---••-------------------------------------------------
AddressL__��_�--------- -=----------------------------------------
Surety (if any)
-e=- ---------------------------------------------------------------------------------
Address ----444--=------------------------------------------------Amount of bond $--------------
Name of person within the State of Florida designated by owner upon whom notices or other documents may
be served:
Name __-!
l -----
-----------------------------------------------------------------------------------
`-� �
Address _
/,4 -----------------------------------------------------------------------------------------------------------
In addition to himself, owner designates the following person to receive a copy of the Notice to Owner.
(Fill in at Owner's option).
Name ---K ---------------------------------------------------------------------------------------
Address --amu -------------------------------------------------------------------------------------
STATE OF FLORIDA, � ner .
COUNTY OF DUVAL
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County afore-
said to take acknowledgments, personally appeared
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s)
Address• _
J__71-
ubdivIL;l0n :
Lot # Block or Unit S
Contractor:�
Describe work to
be done:
Present use of building:
Valuation of Proposed Co truction-
Proposed use:
Is this an addition?---- If yes, What are the dimensions of
the added space: $--ft. X e
ft. Will the added area
_?
be heated and cooled?_,vFC- New electrical for increase) ?_/v0__
New plumbing fixtures? /VO New fireplace? /UONew Heat/AC? V0
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER:-----------
Signature CONTRACTOR:
P
tiqb
L;
BuNding and
0
OCEAN Is REv►Ew
A� p,pV is
4
OCEANWALK
PROFESSIONAL ADVISOR'S REVIEW
LOT NO. 23 UNIT NO. IV
OWNER RAY & MIMI COLEMAN PHONE NO.
ARCHITECT PHONE NO.
CONTRACTOR PHONE NO.
ITEM FOR REVIEW RECOMMENDATION
TOPOGRAPHIC SURVEY N/A
TREE SURVEY N/A
DRAINAGE PLAN N/A
OK
SITE PLAN
FLOOR PLAN ROOM ADDITION
SEE BELOW
BUILDING ELEVATIONS
SEE BELOW
LANDSCAPE PLAN d COST
SWIMMING POOL N/A
WINDOWS ! DOORS MATCH EXISTING
COLOR SELECTIONS MATCH EXISTING
MATERIAL SAMPLES MATCH EXISTING
COMMENTS
BUILDING ELEVATIONS - Provide pilasters and stone veneer at window on south
elevation of addition to match windows on front of existing house. See attached copy.
LANDSCAPE PLAN - Recommend removal of existing ?_?_" oak. Provide landscaping at
south elevation and west elevation.
Why not use wood -trusses for roof framing?
Recommend approval for construction.
OCT, 6
OC OCCAS
l � — By
1
PR ESS AL r
R DAT
i
ON
Mq-
IR
�,-�_..,_,._... - -- - ..f,i-i .� � li s •.rii wi�i�r Fir �•.. `'`�.
Viii
� i
WUOI), ATTER & COLEMAN. P. A.
ATTORNEYS AT LAW
333-1 EAST MONROE STREET
JACKSONVILLE, FLORIDA 32202-2e34
CLARENCE M. WOOD AR6ACOOE
MICHAEL A. ATTER September 30 1992 t9,.138046M
eemer ,
DONALD RAY COLEMAN,JR. fAX
00413001.3M
David Liedtke, President
Oceanwalk Association, Inc.
Post Office Box 331188
Atlantic Beach, FL 32233
Dear Sir:
Pursuant to my discussion with Hugh Matthews on September 29, 1992,wherein he
inspected the damages caused to my home by the Hickory tree which is contained within
my back screened-in porch (which we built around), I hereby request permission of the
Board to remove this tree from my property.
As earlier stated, I have undertaken diligent, if not heroic, efforts to save this tree
notwithstanding its close proximity to my dwelling. I have gone so far as to build a porch
around the tree and encompass the same with a roof thereby causing the tree to actually
go through my second floor balcony. Apparently, the action of wind upon the tree has
caused it to sway and press against the surrounding roofing material causing water
infiltration and approximately $6,000.00 to $7,000.00 in damage to the rear of my home.
Although it has always been my desire to keep the tree inasmuch as an enclosed tree
makes an excellent conversation piece, I find this conversation is getting too expensive for
my blood.
I have spoken to Hugh Matthews who inspected the tree and its resulting damage,
and he agreed that this tree, under the circumstances, should certainly be removed.
I request an expeditious decision as the manner and method of repairs will be
affected by the presence of the tree and could cause additional expense.
Thank you for your kind consideration herein. I remain
Very truly ours,
man, Jr.
FLORIDA ENERGY EFFICIENCY CODE
FORM 1000-C-91 FOR BUILDING CONSTRUCTION
SMALL ADDITIONS Section 10—Residential Prescriptive Compliance Method Climate Zones
AND RENOVATIONS Department of Community Affairs NORTH 1 2
Compliance with Section 10 of the Florida Energy Efficiency Code maybe demonstrated by use of Form 1000C-91 for additions of 600 square feet or less,
and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1000A-91 or 90OA-91.
PROJECT NAME: t ( Z BUILDER: tU L
AND ADDRESS: �! r r , PERMITTING CLIMATE
OFFICE:A T-L�rT(G ('2 C C_ ZONE: 1 [12 ❑3 L�X71�`
OWNER: PERMIT JURISDICTION
_ IN
RENOVATIONElIf Multifamily,number CONDITIONED SO NEW GLASS AREA AND TYPE
uamily,nuer of FLOOR AREA FT. Clear Tint,Film,Solar Screen
units covered by
ADDITION PREDOMINANT Single-S ❑❑ SO.Single- r❑❑so.
this submittal: EAVE OVERHANG ❑ ❑ ane FT. ane F FT.
MULTIFAMILY ATTACHED ❑ �❑ LENGTH FT.
SINGLE-FAMILY DETACHED ❑ PORCH OVERHANG[]].❑ Double{ SQ.Double Q.
LENGTHFT. pane ��� �I II_JI FT. pane FT.
FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION
WOOD FRAME MASONRY INSULATION WOOD MASONRY
EXTERIOR: ❑ EXTERIOR: UNDER ATTIC: RAISED: RAISED:
PERCENTAGE R= R= R= R= ❑-❑ R= ❑.
11
OF GLASS ADJACENT: ADJACENT: SINGLE COMMON
❑ : OMMON:
TO FLOOR: % R= M. R= •❑ ASSEMBLY: R=❑•❑ R= ❑.❑ R= ❑•❑
COMMON: ❑ COMMON: COMMON: SLAB-ON-GRADE: --
R= ❑.❑ R= [E.0 R=❑❑ R= LW1J•L_7
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
In Central �X i Electric StripHeat ❑Electric ❑Solar
Unconditioned ❑ _ ❑ ❑ Pum
S ace Room 'c*`' w p ❑Natural Gas ❑Heat Recovery
❑ 1x7X?$;T7,1,6— ❑ Natural Gas Other
R=Fj ❑ ❑PTAC ❑Fuels ❑Other Fuels ❑Dedicated Heat Pump
�em� Room UniUPTHP ❑.❑
In Conditioned No New System None �No New System EF=.❑ SF/EF=
Space ❑None No New System
R=[11•❑ SEER/EER=❑•❑ COP/HSPF/AFUE=❑.❑ NUMBER OF BEDROOMS= ID
1 hereby certity that the plans peciNc co ored by the calculation are in compliance with Review of plans and spec ations covered by this calculation Indicates
the Florida Energy Code..f compliance with the Florid nekgy Code. Bef ns ti is completed,this
�+ building will be inspected f r co lance(n ac ben th n 553.908,F.S.
PREPARED BY: i� DATE:
BUILDING OFFICIAL: ((� �2
I hereby certify that
'hi
g is' c � ih the Florida Energy Code. , J % I
OWNER AGENT:
s4.�` DATE: L� G' 9 DATE:
TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION I REQUIREMENTS CHECK
Windows 904.1 Maximum of 0.34 CFM.per linear foot of operable sash crack includes sliding lass doors).
Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only.
Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed.
Sole&Top Plates 903.2 Sole plates and penetrations through top plates of exterior wails must be sealed.
Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors.
Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed.
Fireplaces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion
devices with integral exhaust ductwork.
Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air,
Heating except for direct vent appliances.
Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
Swimming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a
Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases,
piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe.
Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione
Insulation&Installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92).
HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system.
Renovations Only Glass 1003.0 Meets the requirements of sec.1003.0. See step 3 of page 2 of this form.
- 1 -
R
w
ADDRESS ` ,����� G _
------- -------- -------------------
CONTRACTOR �__
------------
OWNER -- --------------------------------------
BUILDING____96`_/I MECHANICAL________ PLUMBING_9&y3
ELECTRICAL_-�D:� TEMP POLE_4�a3--_ MISC___________
ELECTRICIAN
DATE FAILED DATE PASSED
TEMP POLE JEA-,6q�E--
------ -----------
FOOTING
7 7 - $g
ROUGH PLUMBING 913
SLAB
FRAMING
MECHANICAL/FIREPLACE
---(-�------- ------ry---Q-Q-
TOP OUT PLUMBING
----------- -----------
ROUGH ELECTRIC _ _'a _rl Q
FINAL ELECTRIC
----------- -----
FINAL BUILDING ___LQU21d
ELEVATION SUBMITTED
CERTIFICATE OF OCCUPANCY
DATE ORDERED
DATE ISSUED
i
+ rWAY t
m
va >"
}(, s i G;.dL'l G" T�'C�.�.tZ m°'iii"LCA ?16 OCEAN BOULEVARD
P.0,BOX 25
------�-� ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395 Jx. V
"E Pt'i- LLM :NU FINAL INSPECTION (S) Iit1t1E 2P..EN T'T,r`sL'2 ANN ARE
., tl.... .,_T.J`.
(( rt
--
------ --- -- -- --- - --------------------------------
---
----- -----------------------------------------------
j�j/ �^_.,/'f•� if 8a,�! py.F� _ - _.. _
..S, - - r 10M i D I , . S a.(i -1 .
r
000124
DEPARTMENT OF BUILOING,
CITY OF ATLANTIC BEACH
PERMIT INFORMATION .T. .M. � �.�� �.'H w LOCATION I NF ORMATXCI)M
Pei riait 1+t a alw►+ r s: 124 kddrewai WAY
Pe wit 'Typo
� MI CUA41 AL ATLANTICBEACH, FLORIDA322331:
of Wtirks< N'RW -� LE0,AL OESCRIPTION�
._ t Constr. T s
"PVoposed U'Ses SINGLE 'L. i�`ls t Bc xks Pages O
Oces GreD alk
.: "E'ati matoo value: $0. ---------- OWNER I:NIFORI�ATIO µ
` rx cay. C400t s 40. 00 Masoo x RAY COLEMAN
Ica c31
648. 0 ddY'oom1 438 : INLAND WAY
r Ac.2 .tx1' ; \ ' '` , . C} 3 ATL.A.III."I" C3Iv4AtaI�I, FLORIDA 323:
.. D ._ j Phan*$ (900,3a7-,,210 r
f �
4Fx... fie""ydi sNtNVwf,�'M104'—
� ��i,ie'°w,lR i AM a Mt we xM M ry
,ilpf
aw y as '+ Cf ww
w T A ,..a ND. ° �' RM $4t3. C0 I ? I A I I/
A'I`IMI!t T�IPIyCT FILM. $0. •III G
FEF IA i I/0
r 1�ADO sAs 'R. R.-S. o �3
RADOM 130
sit
HYDRAULIC HA s 0�'-00
y fltr 7p"rgR "e`t d W
LL"
^9w
NOTES:
NO-TICE
NOTICE—'ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED,BEFORE POURING
PERMIT VOID StX MONTHS AFTER DATE OF ISS'1E
BUILDING MAT.ERIAL,.RUBBISH`ANI�DEBRIS FROM THIS WORK MUST NOf BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
;'FA'ILURE TO COMPLY WITH THE MECHANICS' LIEN LAW.CA:N RESULT IN
THE PROPER'L'Y 11NNERPAYING TWICE FOR IMPROVEM'#NTS.
' ISSUED ACCQR"G O APPROVEb PLAINS WHICH ARE-PART OF THIS PERMIT ANA SUBJECT TO REVOCftTION FOR
j, VIC)tAt1OIN OOI`AI3GCABLE PItA/S10NS OF LAWZZ .
r
�0
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA S2233
{ APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
i IMPORTANT - Applicant to complete all items in sections 1, 11, III, and IV.
LOCATION Street Address:OF ,�y,,
Intersecting Streets: Between1`''
eAN`LtJrSal/1 And
BUILDING
Sub-division
11. IDENTIFICATION To be completed.by all applicants
,in consideration of permit given for doing:the work as described in the above statement we hereby agree to perform said work in accordance
with the atiachpd plans and specifications which aae a,part hereof and in accordance with the City of Jacksonville ordinances and standards
of d•,.goopractice listed therein.
Nesse of Mechonical Contractors
Conkeetar (f►rintj id MasterRAV elz
.
I Nalae of
Owner.'
OwnerSignatureof
aR issld Agent Architeet or Engineer'
I$OTNRIt CONSTRUCTION MEMO 00#119 ON
> E�actlie THIS SUILOING OR S1"TE? .
IF YES, GIVE NUMlrEft OF CONSTAUCTltN)
Q Ga ❑ LP ❑ Na%#W ❑ Cootnt Utility
PERMIT' / .
...T r , ..en.�.Mw...�.y+•+.++r.t,w�...
.^- spft*.
iclu�+wT o q INETALLiO' NATURE OF WOft�(
r
COW4"Wof oosnpoarats osy Is o of th�h' 1 0 ResidentlOi or 0 Co,mIp
IT
. ❑ SPeca Q Rae*aad is Gnfad O peon New Builth ng
Air Ge+sdstieMigy:' ❑ Raa+n ❑ CaatAi' 0 Exiatirtp BUi1cl►r►p
s
QrCI �iytalnt' ij#diariaL_..,.__,. TlltekMNa. _,,:,_..,._ fl Raptafelnettit of exidlirty system
Maa`nrwn+ePa,eity a f.+a. n 'New Initalllatfon(too eyst,"previously irls�Necn ;
C7 Extenaidn Dredd-ori to esiistln aystl
0 Other Specify
�� 1OMrar: �� 9•P•�•
tt/a �pri►+l�Irs:'tt,Ilnbar of bend■ .,
1 Ilwtar- 141. "lsiasii# C7 Ewlefte (nar*v)
, a+ll —���.w (rn�Inb.rl Rbtlwrkt
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FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-86 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative
to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater
than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained
from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301.8244.
PROJECT NAME ►9 PERMITTING OFFICE:
AND ADDRESS: /G CIRCLE CLIMATE ZONE: 1 2 3
BUILDER: HERMIT NO.:
OWNER: Q JURISDICTION NO.:
TI
DETACHED CHECK IF WORSTIF MULTIFAMILY, GLASS AREA AND TYPE
NEW F-] ❑ADD. CASE CALCULATION: NUMBER OF UNITS: CLEAR TINT,FILM,SOLAR SCREEN
CONDITIONED CEILING INSULATION r��
ATTACHED FLOOR AREA UNDER ATTIC SGL ASSEMBLY SGL L� SGL
El NEW ADD. I I
R =�.� R =Mj] DBL DBL
YJ NET WALL AREA AND INSULATION
CBS R= FRAME R= STEEL STUD R= LOG R=
❑ ❑.❑ z7-5 K [1:1 ❑ZL❑ I ❑
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN UNCOND.
SPACE 50CENTRAL ❑ NONE ❑ ELECTRIC STRIP 2P HEAT PUMP 50 ELECTRIC ❑ SOLAR
R =
�.® ❑ ROOM ❑ NATURAL GAS ❑ ROOM/PTHP ❑ NATURAL GAS ❑ HEAT RECOVERY
IN COND. ❑ PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS ❑ DED. HEAT PUMP
SPACE = .❑ _ ❑.❑
R EF SF/EF
SEER/EER = ®.� COP/AFUE _ �. ❑ -
101.111 NUMBER OF BEDROOMS N I t I
PRACTICE USED 5 I I oil ' S ` I S 'Z 1 to X 100
❑
#1:2 #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
In accordance with Sectio 5 .907 F S.,I y certi that the plans Review of the plans and specifications covered by this calculation indicates
and specifications cove this ula' n ar pi' ce with the compliance with the Florida Code.Befo constru is completed,this
Florida Energy Code. building will be inspected for mpl' in a 908 F.S.
OWNERIAGENT: 1LDING OFFICIAL: c --
DATE: DATE: .2 �
A I PRESCRIPTIVE M wxceedttl by all reeldences.1
9QMPONENTS SECTION REgUIREMENTS CHECK
WINDOWS 9D4.1 MAXIMUM OF Q.6 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK.
EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SQ.FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE,
ADJACENT PANEL,INSULATED, R GLASS WQRS ONLY.
EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED.
CRACKS
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND
WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUTOFF
A MUST BE PROVIDED. AN EXTERNAL OR BUILT4N HEAT TRAP MUST BE PROVIDED.
SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST
&SPAS HAVE A PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%.
HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT LOSS SHALL
PIPES I BE LIMITED TO 17. BT HI LINEAR FOOT OF PIPE.
SHOWER HEADS 904.5 1 WATER FLOW MUST BE RESTRICTED T NO MORE THAN 3 GALLONSPER MINUTE AT 20 TO 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTS IN
11CONSTRUCTION 904.6 UNCONDITJONEDSPACE MUST BE INSULATEDMINIMUM R- 4.2&JOINTST BE SEALED.
.7 SEPARATE READILY 1BLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
ICEILING 904.9 MINIMUM F09.
',1_
91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3
SYSTEM TYPE H G SYSTEM MULTIPLIERS
Heat Pump COP 2.5'2.69 2.7.2.89 31 -3.29 1 3.3 .49 J 3.5.3.69 .7-Up
Electric Strip
HSM .5 .52 1 .4 .45 1 .42 1 .40 .38
Gas -HW- 1.
&Other F -Hu- 1. Table 9,11 fr redit Multipliers)
PTHP H R m nits HSM M for COP 2.2-2-AL= .63. See above for COP>2.49.
Minimums:Central Units 2.5 COP. PTHP&Room Units 2.2 COP.
COP means Coefficient of Performance.
9J HEATING CREDIT MULTIPLIERS(NCM)
SYSTEM TYP HEATING SYSTEM MULTIPLIERS
Multizone HCM •90
Natural Gas AFUE .65-.69-- . 0-.74 .7 •.79 1 .80-.84 .85-89.89
H M .54 0 .4 .40 .38 .36
Other Fuels H .77 1 .72 9 .56
Where more than one credit is claimed,multiply HCM's together.Enter product on page 4.
AFUE means Annual Fuel Utilization Efficiency.
9K COOLING SYSTEM MULTIPLIERS(CSM)
SYSTEMTYPE Y T MULTIPLIER
SEER 7.8• 8.0- .5• 9.0- 9.5 10.0- 10.5- 11.0. 11.5- 12.0-
Central Units 7.9 1 8.48.9
. 10.4 1 11.4 11.9 &Up
M .44 : 8 .34 .32 .31 .30 .28
PTAC&Room Unit CSM CSM for EER 7. •7.7 = .46. For EE7 use multipliers above.
Minimums Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTU/H 7.5 EER,and over 13,000 BTUtH 7.0 EER.
SEER means Seasonal Energy Efficiency Ratio. EEA means Energy Efficiency Ratio.
9L COOLING CREDIT MULTIPLIERS(CCM)
SYSTEM TYPE COOLING CREDIT MULTIPLIERS
Ceilina Fns CCM .86
Multizone M 0
Cross Ventilation or Whole House Fn(Credit for .9
Where more than one credit is claimed multiply CCM's together.Enter product on page 2.
9M HOT WATER MULTIPLIERS(HWM)
SYSTEM TYPE HOT WATER 1AULTIPLIERS
Electric EF -.81 .82-.83 .84-85 .86-.87 .88-.90 Al 93 .94-96.96 .97&UP
Resistance HAM 4183 4081 3W 3891 3803 367184
Natural Gas EF 1 .52-.53 .54-.55 .56-.57 .60-:61 .62&Up
HWM 2259 2169 2085 2008 1936 1870 1807 174
Other Fuels HWM 3494 3354 3225 3105 2995 2891 2795 270
Water heaters must comply with prescriptive measures of Table 9A.EF means Energy Factor.
9N HOT WATER CREDIT MULTIPLIERS(HWCM)
SYSTEM TYP H WATER IT MULTIPLIERS
Solar Water Heater SF 1 .2 .4 .5 .67 .8 .9 1.0
HWM .7 .6 .4 .3 .1 .0
Heat Recovery Unit With Air-conditioner Hat Pum
HWCM 2
Dedicated Heat Pump F 2. .49 2.5-2.99 3.0-3.495
H .29
A HWM must be used in conjunction with all HWCM.See Table 9M.
SF means Solar Fraction. EF means E=y Factor.
9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(f))
COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE#1 COMPLY WITH-ALL INFILTRATION PRESCRIPTIVE§ON TABLE 9A.
PRAT #2 Y Wt TI E#1 AN THE FOLLOWING:
E eri r Wall and FI r T ! e n i I fi r ti rri r in t ll I I /fl rt sulks r sealed.
Ex eri r W 1!s& ilin PenetrationgjointQ and cracksinfariAr surfl
Fir I c a f e al k d.
Du rk rk in n i i s
with u ida COM,,.-,:-- it n i r
3•
Exhaus Fans with d m rs. bu i n evi
Combustion races Provided with outside'combustion air.
MPLYWITH PR TI #1 N A TH WIN
A TI I• r rri i I .
li i r' w II I or ask e
I .
Li hts l f 1d qnace&in r r v n i ttic soaces.
D ork All u r I t i o diti
Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust
Combustion Appliances b .
,ducts to outside.Stoves see 903.2 .
6
SUMMER POINT MULTIPLIERS
9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES 1 2 3
ORIEN• OVERHANG RATIO
TATION 0.0 0.18- 0.27- 0.36- 0.47- 0.58- 0.71- 0.84- 1.19- 1.73- 2.74• 5.67-
0.17 0A 015 ojgb o.p c.70 0.83 1.18 1.72 2.73
1.0 41 7 9 .76 0 .45
NE/NW 1.0 .91 .75 .71 7 .5 .48 .42 .37
wW .86 .7 . 3 .57 .47 .31 .2
1. 74 47 2 .2 2
7 4 1 .4 1
OVERHANG RATIO = L/H
i
T_�L H L IT
H a I H
9C WALL SUMMER POINT MULTIPLIERS(SPM)
FRAME CONCRETE BLOCK FACE BI 1ICK LOG
INT RI R IN L. EXT.INSUL. R-VALE WOOD FR
yy000 NOR LT 0 .9 2.4 6 INCH
R-VALUE EXT ADJ R-YALUE EXT ADJ EXTEXT 7-10.9 .6 R-VALUE T
0- 2.2 2.9 .2 1.1 1.7 2.2 11 -18.94 0-2.9 1.5
-1 .9 .1 - 4. 1. .8 1. .8 .7 19-25.9 .2 3-6.9 1.0
11 .12. ti • 6. 1.0 .7 .8 .5 .4 26& A 7& .8
1 -18. 1. 7-10.9 .7 .5 .6 .2 R-VALUE BLOCK 8 INCH
19-26.9 .4 11-18.9 .4 .4 .4 .1 0-2.9 1. R-VA E EXT
1 •2 .6 0-2.9 1.0
EE 1 .1 .1 7 . .4 .9 7
R-
0- 6.9 7.6 2.8
7.10.9 3.5 1.3 9E CEILING SUMMER POINT MULTIPLIERS(SPM)
11 -12.9 .7 1.0 UNDER ATTIC SINGLE ASSEMBLY CON IRETE E K RO F
-1 R-VALUE SPM R-V U E SPM CEILIN TYPE
19-21.9 1.1 6- 6.9 5. R-VALUE DROPPED EXEI D
22-25. 7- 8.9 3.9 10-13.9 3.2 3.5
26-29,9 8 10.9 3.1 14-20.9 2.2 2.4
30-37.9 11 .12.9 2.6
21 &U2 1. 1.6
1 -18.9 2.4
1 1.8
90 DOOR SUMMER POINT MULTIPLIERS(SPM) 1.2
CREDIT MULTIPLIER FOR ATTIC RADIANT BARRIER = .55
DOOR TYPE EXT ADJ
9F FLOOR SUMMER POINT MULTIPLIERS(SPM)
WOOD 2.9 SLAB-ON-GRADE RAISED RAISED WOOD
EDGE U CONCRETE
(See 903.2(e))
INSULATED 8.5 3.1 R-VALUEP -VALUE SPM R-VA E SPM
0-2.9 -41. 0-2.9 - .8 0- 6.9 -1.0
3-4. -37. 3-4. -1.3 7-10.9 -1.1
-36.2 -6.9 -1.3 11 -18.9 -1.0
7 . 0 7& -1.3 F 19&vi 1 .9
9G INFILTRATION SUMMER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM)
R-VALUE With Return W/O Return
INFILTRATION PRACTICE SPM Air Duct Air Duct
(See Table 9P) 4.2-4.9 1.14 1.10
PRACTICE#1 10.2 5.0-6.6 1.12
PRACTICE#2 6.7&U 1.09
PRACTICE#3 5.2 DUCTS IN CONDITIONED SPACE 1.00 1.00
.3
CITY OF ATLANTIC BEACH, FLORIDA
Ammod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: .'2 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
LA'0±1 Cleo'
ELECTRICAL IRM: MASTIR ELECTRICIAN
NAME C'leA44n ADDRESS: JRFD._____BOX
T
BLDG,SIZE BETWEEN:
RES.,4 q' APT,( 1 COMM.( 1 PUBLIC I ) INDUS.i' 1 NEW(4-,- OLD( 1 REW.C 1
ADDITION( 1 TRAILER I 1 TEMP.i SIGNS I 1 SO.FT}}_ .
SERVICE: NEW; REASE! 1 REPAIR 1 hEE
INC
fiRWWPIR SIZE AMPS Qd COPPER ALUM.
SIMTCH OR EIR ER ' ACI PH; '3 w 236 VOLT, �- J ,G 0
EXIST.SERV,SIZE AIS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCE 'LED OPEN -TOTAL
040 AMPS, 111400 AMPS.
SWITCHES.,
INCANDESCENT
FLUORESCENT$1 M.V.
FIXED 0.100 AMPS I Ov6R
APPLIANCES BELT.TRANSF.
AIR H.P.RATING H.P.RATING .
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS IcEm MEAT: KW-HEAT
0.1 OVER
MpT4AS H.P. VOLTAGE PHS ' NO: 1 11.P. VO4'I AGE PHS
s :;n, .,, •ex.raY ?»+ ... " "'»..,. 'F" . .
MISCELLANEOUS
TRANSFORMERS: UNDER SW V.`' OVER 610 V
f DEPARTMENT OF BUILDING
PERMIT NO, 9 6/� 3
CITY OF ATLANTIC BEACH,FLORIDA y �Ir
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
P3,59
Date April 11 19 88 H1,50UT
2640 1 A 4/26t►
Valuation$ Fee$ 83.54 X354 3A •00C AC
2a6r; ! A 4/n6I8
This pertnit not valid until above fee has been paid to City Treasurer,and is i nno
subject to revocation for violation of applicable provisions of law.
` This is to certify that Wayne Conn Phabing CFC035750
has permission to install plumbing
f
Classification New Residential Zone RS-1
Owned by Dnn R C.n i amnn y r
it IV S/DOceanwnik
Lot 2'� _ Block,.-nY_– --
i
House No. 438 Inland Wav
According to approved plans which ate part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
- G---i O Building material,rubbish and debris
a from this work must not be placed
in public space, and must be cleared
up-,and hauled away by either con.
trc r owner.
BuiCg fficial.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
3
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUHBING...PERMIT
0ceo%
Jori LocArloN 3n,t E 3 UNIT Lf h�K
PLUMBING CONTRACTOR (,X-.AIN C- tis iLj P(ULV,YX , s.N c
LICENSE NUMBERS C F Q 0 3 5 ? S-D
OWNER-
BUILDING CONTRACTOR 'jstil Cp�erjAN
TYPE OF BUILDING
SINKS _L� _SHOWERS
LAVATORY WATER HEATERS
BAH TUBS _�L_DISFIWASIIERS
URINALS DISPOSALS
CLOSETS ___1__WASHING F1ACHINE
FLOOR DRAINS ! OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BL: IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE,
PLANS REVIEW CHECK LIST
Address__ d_ ----------� -----Owner-----�u--f- � Ck ��
-----------
Legal Description . _
Contractor
______ 1 -------
--------------?r-��--'-E_-? --{' --- License Humber-- -- n --� -
----------
---------___ License on File NO
Section 24-101 +► Zoning Regulations
Zoning District \f"? Proposed
_s r G' ( I ►
Required Lot Size__%� / Actual Lot Size$a �j� cjC$�p�(► t�
Setbacks Required Provided /' Section 24_17
front _: d �____ CORNER LOTINT�RIORLOT
rear C11
Flood Zone
-. -� --
side-1 i-`�-- -- -�
✓"
Required Elevation_______
side-2
Max. Height Allowed__ E).j ____ " Proposed Height__ ,r Y-------
Section 24_82 * Minimum Lot Coverage
Required Heated Area __ 1 Proposed Area_
=f v
Section 24_161 * Offstreet Parking
Number Spaces Required___*_ �/ Spaces Provided_
Section 24-82 * Duplicate Buildings
Is there a similar building within 500' of proposed building?YES
Utilities
/Water and sewer service is to be provided by:
v Buccaneer Utilities
_____ City of Atlantic Beach Utilities
Private Source SEPTIC TANK WELL
Plans Reviewed by -_'--k- ` a' M_-----Date_ 7_
Building Permit #_�lP EDENIED_
QISUD
2360
51 511,1 L
750 @
1.5 -1119
446,
620
e r s�XC 4
fi
aq
ji4Lt441, eq rt
00*
62 X j v7
o
�ulv/ ` x C
le
eo
Total
L1e f
" SeE�t
`I DEPARTMENT OF BUILDING C A �1 f
ex z CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9641
41
PERMIT TO BUILD 44r,*62 Tj 40,
1
.11811 THIS PERMIT MUST BE POSTED ON JOB 4 63 s 62CKj
957 1 r till S/Of
Plater cbil Date April 11 19 88 9641 .r!In,nC
`SeC Valuation$ 140,,194.90 Fee$ 446.fit ? 1 4/1 ri/ _ y
1£till ` "•r
Ala ter 146/ This permit not valid until above fa has been paid to City Treasurer,and is
.L
i e 4 e subject to revocation for violation of applicable provisions of law. Q
aQ d
atj C This is to certify that Don Cn1emn RG0014269
2039 Soutel Drive Jacksonville
GtCV�X,XoNS has permission to build Single Family
Classification New Residential Zone RS-1
Owned by Don R_ rbleman jr-
Lot
r-Lot 23 B1ockUnit IV S/DQceanwaA
I House No. 438 Inland Way
According to approved plans which are part of this permit
• NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
! SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
�----� . —D OBuilding material,rubbish and debris
4 from this work must not be plac •'•
in public space, and must be Fcleup and hauled away by eith
rs to� or owner. 17. `\
ilding Official.
CONTRACTO ,
City of Atlantic Beach
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF O SERVICE SINK TRAP STAND
~WATER CLOSET, LAVATORY & BATH ~- (8)
TUB OR SHOWER STALL (6) __O--WATER
WATER CLOSET VALVE
__I _-WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
__L--BATHTUB/SHOWER (2) _,Q__URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) _FLOOR DRAIN ( 1)
_Q__SHOWER STALL DOMESTIC (2) ____LAUNDRY TRAY (2)
LAVATORY ( 1 ) _ COMBINATION SINK AND TRAY (3)
_1___WASHING MACHINE (3) _Q__POT, SCULLERY SINK (4)
____DISHWASHER (2) _Q__WASH SINK EACH SET OF
O FAUCETS (2)
_____KITCHEN SINK t2) /'1
_DENTAL LAVATORY ( 1 )
KITCHEN SINK WITH WASTE ��11
GRINDER (3) _ V__DENTAL UNIT OR CUSPIDOR (1)
_Q __BIDGET (3) _ v__URINAL STALL, WASHOUT (4)
_D__FLUSHING RIM SINK (8) _ __COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
_Q__URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8) _ __DRINKING FOUNTAIN ( 1/2)
_Q __LAVATORY, BARBER/BEAUTY
SHOP (2) -0--LAVATORY, SURGEONS (2)
___SURGEONS SINK (3) _1 _ICE MAKER ( 1/2)
d WET BAR (2)
i
TOTAL FIXTURE UNITS__ @ $20. 00 EACH $ ` Q
--------------------
JOB INFORMATION �!'v '`SND L)64`[_ 110E# w4.9,46 61-
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner Ct -f:t-1-�j-Tf�ddress _ �_ t__zip7phoney,La6
w.
Architect £z 5_ _Address 7��
_ 1_ jaks__ "l.` __zip��Ii phone_______
Contractor (®
__
__Ad ress '_ -'� _ JC'_zip 32phone � � �
--------- --------
Contractor's License numbers Qs;z1 2 ke4__expiration
Lot_ 2 Block or Section V+ur Subdivision OA.) bu/1_4-k Zoning_t���
StreetI � }_+,f 17 �� between_CaC�;�4y �_and_ �_ J�_�__side_�tZ_----
Type Construction_r� -LNo. Units---_�------No. Fireplaces---f
Purpose of Building_ C_i`z,`'C Est. Valuation 8_/ �
Utility Method - Water__� ______ Sewer_ �`�
Dimensions - Building_____iit�s :nce
ks_Lot___ Size Footings___________
Sz. Piers_________ Sz. Sil _________Greatest Span Sills_______________
Sz. CeilingJoists___ on Centers---------Greatest Span_______
_
Sz. Floor Joists 7 ----Distance
__Distance on Centers---------Greatest Span_______
Sz. Rafters _________Distance on Centers---------Greatest Span_______
Method of Heating-----------Solid or Filled Ground-----------Roof__________
Flood Zone-- 7 -- located within a FLOOD HAZARD ZONE complete page 3
In consideration of permit given for doing the work as described
in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are
a part hereof, and in accordance with the building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature Owner-------- _ "� 1
Date------ - -------
r 7
2 ----8"ateSignature Contractor
page 2
APR 11 1988
Building and Zoning
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:--------------------------------------------
Flood Zone•
Required Lowest Floor Elevation:_______________
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances effecting the proposed development.
Date--------------Applicant's Signature..........................
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed with Building Department ___________
-----------------------------------
Building Department Representative
page 3
27937 METRO GRAPHICSJACKSONVILLE,FL-
CITY
LCITY OF
ATLANTIC BEACH No. 0913
FLORIDA
' April 11 19 88
NAME Don Coleman
ADDRESS 2039 Soutel Drive
Jacksonville 1825.00 TL
CITY 1825,000KT0
n
913 .n[JCACG
56 IA 4/15/00
Water Impact Fee #43-343-3700 $790.00 10(101
Sewer Impact Fee #43-343-5200 $1,035.00
P A I p $1,825.00
Lot 23 Unit IV Oceanwalk
438 Inland Way SPR 151986
i
� I
CITY OF ATLANTIC BEACH p A I D_
ATLANTIC BEACH, FLORIDA 32233
TELEPHONE: 249.2398
APR 15 Md !
UTILITY BILL
DATE WATER WATER SEWER GARBAGE OTHER TOTAL
METERS DUE
tomes an Official Receipt
ceived Payment
i
TREASURER
RETAIN THIS STUB I
l
PAYABLE IN ADVANCE SERVICE DISCONTINUED
NO REFUNDS IF NOT PAID WITHIN
30 DAYS OF DATE SHOWN
1
1
APPLICATION FOR WATER METER
DATE:_ _1IE
CONTRACTOR:------- ------- --------------
I
BILLING ADDRESS:
-- ------ 3 ° -------- --------------
SERVICE ADDRESS:_ 113 _______________________
LOT:_ 3-_BLOCK:_______UNIT: STBDIVISION:�
ACCOUNT NUMBER:
METER SIZE:
1 HEREBY RE:WUEST THAT A WATER METER BE SET AT THE ABUVE SERVICE
ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY
CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER
UiNTACTOR
ND AT RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE
MB E , VALVE LINES, AND ANY PARTS THEREOF, UNTIL
PWA R SERVIC HAS BEEN ESTABLISHED BY THE CUSTOMER.
i
C
------ ------------- -- ------------
CITY O ATLANTIC B CH
UTILITY SERVICE AGREEMENT
(Water and Sewer)
THIS AGREEMENT entered into this lith day of April �
198 8 , between the City of Atlantic Beach , a
Municipal corporation, hereinafter called "City", and
Don Coleman , a
corporation, its successors and assigns, hereinafter called "Developer".
W ITN6SSETIt
WHEREAS, Developer owns land in Duval County, Florida,
more particularly described as Lot 23 Unit IV Oceanwalk
refer to acreage, plat engineering
438 Inland Way
drawings, or legal descril on as Lxlubit A
and
WHEREAS, Developer plans to develop said land by constructing '
l buildings,' l residences and/or other improvements
thereon consisting of, 'Single Family
and
WHEREAS, City is the owner of water and sewage treatment plants and
water distribution and sewage collection systems in the vicinity of the
property described above; and
WHEREAS, Developer desires that City provide water and sewage
collection service to said property and City desires to furnish same;
and
to them and to their occupants water and sewer service subject to all
terms and conditions of this Agreement; and
WHEREAS, in order to provide water and sewer services to Developer
it has been or will be necessary for City to enlarge and expand its
offsite water and sewer plants and facilities and it is the desire and
intent of Developer to contribute financially to the costs of building
such additional offsite water and sewer plants and facilities and to
reserve capacity in City's water and sewage treatment plants so that
City can provide service to .the Development without imposing a burden on
its existing customers;
NOW, THEREFORE, in consideration of the premises and other good and .
valuable considerations and in consideration of the mutual covenants and
conditions hereinafter contained, subject to any necessary approval by
other governmental agencies having jurisdiction, it is agreed by the
parties hereto as follows:
1. Developer agrees that City shall have the exclusive right to
furnish water and sewer service to the real property described above and
hereby grants to City . this exclusive right-to provide water and sewer
service for all uses within all structures now or hereafter constructed
on the real property described above.
2. City agrees that after Developer has connected to the systems
of City, City will provide at its own cost and expense, water and sewer
service to Developer's property in a manner conforming to the reasonable
requirements of public or governmental agencies or parties having
jurisdiction over City's water and sewer operations; provided, however,
that such service shall be in accordance with other provisions of this
Agreement, including City's rules and regulations and rate schedules.
3. In the event that Developer or assigns fails to complete
construction of all improvements required to be built by Developer and
Agreement under tlus provision, City reserves the right to negotiate
with Developer a new agreement for any additional sums to be paid by
Developer to City as plant capacity and service availability charges,
fees or other charges based upon increases in the cost of living and/or
such other factors as relate to the cost of supplying water and sewer
service.
4. All taxes or charges imposed upon the property described above
by any governmental entity or agency shall be paid by Developer except
such part thereof that has, been deeded to the City in accordance with
t1lo teems of this agreement.
5. The rates charged by City for water and sewer service shall be
in accordance with its rate schedule which shall be subject to change ,
from time to time.
City shall have the right to determine reasonable meter size
and location.
G. Developer will grant to the City, at Developer's expense,
adequate easements for water and sewer lines, for access to lift
stations and water stations and related appurtenances. Said easements
shall be transferable. Developer will also furnish title evidence
satisfactory to the City that said easements are superior to mortgages
or other interest in the land, and Developer shall cause any such
mortgages to be released or subordinated to said easements. Casements
will also be furnished to provide for onsite water distribution lines,
including meters and sewage collection lines. Sites for lift stations
and water stations and related appurtenances shall be conveyed by
warranty deed in fee simple by Developer • to City. Developer will
furnish City a warranty deed, title evidence satisfactory to City and
any releases from lien holders for any sewage pumping station ani water
to sold sLate road rigliL•-of-way. Developer shall further grant to the
City, its successors and assigns, the exclusive, perpetual right,
privilege and easement to construct, reconstruct, operate, maintain,
repair, replace, improve, alter, remove, relocate and inspect water
transmissions and distribution mains, sewer collection mains, sewer lift
stations, pipe lines, lateral lines, valves, connections and appurtenant
equipment over, across and under the Developer's property, including the
right to ingress and egress to each of the building sites on Developer's
property which are served' by City. All such easements shall have a
.width which is acceptable to the City.
7. City does not guarantee an uninterrupted supply of water,
or water at any particular pressure, and reserves the right to shut off
the water in its main at any time for the purpose of making repairs or
extensions of for providing temporary or emergency water supply. City
will not be responsible for any damage caused by low pressure or
interruption of service. Neither Developer nor any of its successors or
purchasers shall discharge into the sanitary sewer system water from
"non-domestic" drains including without limitation swimming pools, air
conditioning condensation lines, cooling lines or otlier discharge from
any type of equipment. City shall not be obligated to furnish any water
or sewer service to any building which is built on Developer's property
to which the City does not have access. The Developer hereby agrees and
warrants that the City will not be held responsible for flooding
problems which may result from the failure of sewer line back flow
preventor valves on Developer's property. The Developer hereby agrees
to Bold harmless and indemnify City for all costs and damages resulting
from flooding due to .back flow preventor valve failure.
8. The construction and design of all facilities to be ;A
Developer or its contractor. Developer will pay the cost of all such
construction. The Developer's engineer shall incorporate into the
Developer's engineering design, plans and specifications the applicable
standards and specifications of the City.
9. A. If the Developer modifies his development plans for
Developer's property which would require greater water usage, greater
fire flows, additional water facilities, greater sewage flows, or
additional sewage facilities than the water and sewer demands previously
approved by the City, then the Developer must obtain approval by the
City for the construction of such additional water or sewer facilities
which shall meet all City and governmental design requirements. The
Developer shall pay all additional contributions and fees as may be
authorized by the City's service availability policy which is in effect
on the date said new agreement is executed.
B. In addition to paragraph 9A above, any other change order
between Developer and its utility contractor issued after City approval
of original plans, must be approved by the City before the change order '
is put into effect.
C. City shall have the right to review the systems design
drawing and specifications to ensure that they meet the requirements of
the City. The systems design drawing and specifications are to be in
accordance with the City of Atlantic Beach requirements unless otherwise
•specified by City or its engineer.
D. The City also reserves the right to approve the utility
contractors to which construction bids are sent by Developer as well as
the contractor to which the award is made.
C. A representative of City or its engineers will be the
.inspector of the project along with the Developer's engineer, but City
absolute and exclusive owner of the facilities of said water and sewer
systems whether located on, under, above or outside of the property
described and regardless of who may have installed or constructed same
to the extent described below:
A. All water mains, pipes, valves and fittings and
appurtenances up to and including all meters shall be dedicated to and
will be owned, operated and maintained by City. All water pipes on the
customer's side of the meter shall be owned, operated and maintained by
the customer or its assigns. ,
B. All sewer mains, manholes, pumping stations, force mains
and appurtenances, including service pipes in public right of ways and
dedicated easements, shall be owned, operated and maintained by the
City. Except as provided in paragraph 9C, all sewer lines on the
customer's side of the property line shall be owned, operated and
maintained by the customer or its assigns.
C. With reference to any blanket easements for multi-family
projects such as apartments, mobile home developments, condominiums and
PUU's or for co►mnercial developments, all water mains to and including
the water meter, all sewer mains, force mains and manholes in such
blanket easements over private property allowing utility operations
shall be dedicated ,to and shall be owned, operated and maintained by the
City except that the full length of sewer services from the sewer main
or manhole shall be owned and maintained by the customer. All such City
lines shall terminate with a manhole.
U. By these presents, Developer hereby transfers to the
City, the title to the water distribution and sewer collection systems
to be installed pursuant to this Agreement, such . conveyance to take
effect without further action upon the completion and acceptance by City
11. Developer shall pay the City upon, execution of this Agreement
the sum of 10¢ per water connection per
equivalent residential connection (ERC) as an advanced deposit to cover
engineering, plan review, inspection, test, legal and administrative
expenses of City in connection with this Agreement. Developer shall
also pay to City upon execution of this Agreement the sum of
10� per sewer connection per ERC as an advanced
deposit to cover engineering, plan review, inspection, tests, legal and
administrative expenses of City in connection with this Agreement. The
charges for engineering and legal expenses and for engineer's inspection
and plan review fee for non-residential units shall be based upon
estimated cost to City: Actual cost will be determined and a refund or
additional charge will be made for the difference between the advanced
deposit as calculated above and actual costs.
City agrees to provide water and sewer service , to the
Developer's property in consideration for plant capacity charges, fees
and other charges to be paid by Developer as follows:
A. A water plant capacity charge at the rate of
$20,00 per fixture unit. Such charges shall be due and payable as
provided in paragraph 12.
B. A sewer plant capacity charge at. the rate of
onethousand thirty five dollars ($ 1,035.00 ) per single
family unit. Such charges shall be due and payable as provided in
paragraph 12.
C. A sewer plant capacity charge for any commercial
customers on the land as described above at. the rate of
F
f D. A meter installation fee to cover meter cost and meter
installation (but not including curb stop or meter box) according to the
City's service availability policy at the time of installation which
currently is $85.00 per 3/4" x 5/8" meter
E. If available, construction .water will be charged to
building based on metered usage in accordance with current rates.
F. Hydraulic share of main extensions - payment or refund.
1. Developer recognizes that water or sewer utility
service to the Developer's property.. is prgvided by the use of a mein
e
extension and other improvements constructed by a prior developer and
that Developer is obligated to refund a said prior developer Developer's
share of the cost of said main extension or other improvements.
Accordingly, Developer shall pay its pro rata share of the cost of said'
main extension or other improvements to City. Said pro, rata share shall
be based on Developer's percentage of the hydraulic capacity of said
extension or other improvements. For the purpose of this Agreement, the
cost of Developer's said hydraulic share shall be $ '
payable upon execution' of this Agreement.
2. With respect to utility facilities installed by
Developer to which future developers connect directly, and 3n
consideration for monies expended by Developer toward said facilities,
City shall refund to Developer, or Developer's successors or assigns,
solely from monies collected from said future developers, said future
developer's pro rata share of the cost of said facilities. Said refunds
shall be calculated on the basis of the hydraulic capacity and demand of
said future developer whenever .feasible. The refund obligation of City
hereunder and the benefits to Developer related thereto shall expire
at a cost of $
12, All charges to Developer shall be paid by Developer to the
City in accordance with the following formula and procedures:
A. The advance deposit for engineering, administrative and
legal fees and the inspection and plan review fee upon the execution of
this Agreement, a total of ;
and
B. Water plant capacity charge upon the execution of this
Agreement, a total of $790.00 ;
and
C. Sewer plant capacity charge upon the execution of this
Agreement, a total of . . . . $'1,035.00 ;
and
D. Meter installation fee according to the City's service
availability policy at time of installation which currently is
$85.00•per 3/411
upon
application for hook-up of individual lots, apartments, multi-family
lots or units; and
E. Construction water based on meter readings in accordance
with City's rate schedule; and
F. Hydraulic share payment, in accordance with paragraph
11F-1 of this Agreement upon execution of this Agreement, in a total
amount of'$ and
G. Service availability charges and other additional aids in
construction in accordance with paragraph 11G of this Agreement in a
total amount of -$ . . . . . . '
13. City agrees to connect individual buildings and structures on
the developed property upon application by the builders, plumbers or
individual owners subject to the operating rules and regulations of the
City and payment of all fees and charges in effect on date of
application and compliance by Developer with all provisions of this
Agreement.
14. The charges, costs and fees for any separate emergency fire
protection water systems. for subject project will be subject to
negotiations between City and Developer. If buildings of more than two
stories are a part of. the project, Developer shall furnish at its
expense water pumps and other appurtenances as necessary for pumping
water above.
15. All plant capacity and service availability charges, fees and
other charges as outlined above are based on normal domestic sewage
defined herein as containing not more than three hundred (300) parts per
million biochemical oxygen demand or three hundred (300) parts per
million suspended solids. Whenever water which contains more than these
amounts is to be admitted to the sewers, both the City and the pollution
control agencies must specifically agree to the connection. An
additional charge will be calculated in direct proportion to strength at
seventy-five cents ($0.75) for each part per million of either
biochemical oxygen demand or suspended solids over three hundred (300)
parts per million. All such connections shall provide for a suitable
point for the waste to be sampled by the City or the regulatory
agencies. An additional charge equal to the pro rata share of any
additional sewage treatment plait costs above ninety percent (90%)
treatment, and of the cost of any additional required outfall pipes to
" ' may be required by City.
subordinated to the terms of the Agreemept and easements required herein
prior to any acceptance of the facilities by the City.
17. Upon application by owners, builders or their authorized
representatives, the City agrees to cotn►ect the requested dwellings or
structures on the said property at no additional co►niection fee (i.e. ,
in addition to those provided for above in this Agreement) , but subject
to the continuing operating rules and regulations of the City including,
without limitation, the periodic payment of the water usage and sewer
usage charges in effect on the date of such application or thereafter
reflected in the City's rate schedule.
18. This Agreement shall be binding upon and shall inure to the
benefit of the Developer, City and their successors and assigns.
However, in the event the Developer has not paid and delivered to the
City the plant capacity and service availability charges, fees and other
charges provided to be paid to tl►e City by Developer under the terms of
,this Agreement, and all easement and conveyances required by this
Agreement, then this Agreement shall not inure to the benefit of the
successors or assigns of the Developer.
19. It shall be the responsibility of Developer to locate for
builders any water and sewer taps or lines necessary in conjunction with
residential or commercial construction.
20. Unless the damage to any onsite improvements are the result of
the negligence or willful act of the City, its officers, or employees or
authorized agents, the owner or Developer .of such property upon which
the damage occurs shall be responsible for the payment to the City of
suclti damage to City's property including all necessary and reasonable
repairs which must be. made by the City or independent contractors
prior hereto, for the payment of such necessary and reasonable costs and
expenses for effecting such repairs and restoration to such onsite
facilities located upon the owner's or Developer's property. Notice of
such lien or claim on lien describing the real property and the amount
owed may be filed within ninety (9U) days of the date from the last date
upon which any such repairs or restoration were made by the City or its
authorized representatives. Thereafter, the City shall be entitled to
bring an action for the foreclosed under the laws of Florida.
21. Prior to final acceptance of the utility and other public
facilities improvements by the City the following requirements must be
met at Developer's expense:
A. if the property is platted, one copy of the recorded plat
shall be furnished to the City.
B. "As built" drawings of utility improvement shall be
furnished one week prior to final inspection. "As built" drawings shall
be certified by a registered engineer with the cost being borne by the
Developer. Two mylar and three printed copies of said drawing shall be
furnished to City.
C. All lot corners shall be properly marked so that utility
company or its engineer can, upon receipt of "as built' drawings, verify
the marked water and/or sewer services as to location and depth. III
addition, for purposes of locating and protecting installed service
lines and valves Developer or his contractor shall mark each service
line and all valves with an eight (8) foot pressure treated wooden post
in the manner as shown on the design drawings and specifications.
Developer's contractor is required to install curb stop, meter box and
valve box on each water service and valve as shown on design drawings.
irrevocable letter of credit, the terms of wliicli will indenuiify and save
harmless the City from any loss, damages, costs, claims, suits, debts or
demands by reason of defects in the workmanship or materials used in the
facilities discovered within a period of one year from and after the
date of acceptance by the City of the facilities. .
C. A Bill of Sale for facilities from the Developer to City.
G. Conveyance of easements as required wider this Agreement.
11. A deed for .any and all land on which lift stations or
water stations or other improvements if required by City.
1. The title evidence, mortgage . releases and mortgage
subordinations as required in this Agreement. .
J. For onsite and offsite construction provide City an
accounting of the actual costs (schedule of values) and releases of
liens from utility contractors in such detail as the City requires.
K. City shall have the right to refuse to accept title to
Developer's construction until Developer's construction has passed
certain tests, including, without limitation, closed circuit television
inspection of the gravity sewer lines, witnessed by a City
representative, to determine whether the Developer's construction is
constructed in accordance with the approved engineering plans and
specifications. Said tests may be performed at -least three (3) times:
the first test upon completion of the system; the second test upon
completion of all building, roads, paving, drainage, and all
construction within the right-of-way easement area of adjacent areas. A
third test shall be required if the City deems it necessary within a one
(1) year period after acceptance.
L. Letters of acceptance from the appropriate regulatory
agency for the water and/or sewer cvc*Qn,
22. All notices that may or must be given under this Agreement
shall be in writing and shall be valid if mailed by United States
registered or certified mail, postage and charges prepaid from addressed
as follows:
To Developer.:
To City of Atlantic Beach
City Manager
716 Ocean Boulevard
Post Office Box-25
Atlantic Beach, Florida 32233
IN WITNESS WHEREOF, the parties hereto have executed this Utility
Agreement the day and year first written above.
Signed, aled and delivered
in the resenc o .
ev oper tness
City of Atlantic Be i fitness
BUILDING, PLANNING AND ZIONINO INSPECTION DEPARTMENT
CITY OF -ATLANTI'C BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested:
Building Contractor: Don Coleman
Building Permit Number: 9641
Address: 438 Inland Way
Legal Description: Lot 23 Unit IV Oceanwalk
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Single Family
Lowest Floor Elevation: 9.751
---------- -- A '- ----------
required as built n/a
Sales Tax Certificate:
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY :
Fire Chief _______________
--------------- ---------
Public Works _______________
--------------- - -------
Planning Director (---
Building Inspector
MAP SHOWING SURVEIL' OF
Q r'G".4/V 1d1�41�.fr�LN/T `OUR
FASRDED IN PLAT BOOK PAGES
OF THE CURRENT PUBLIC RECORDS OF
p�i�i<tt COUNTY, FLORIDA.
CEartneo To: DNALO RAV COt,ENtAN JR.
/N L A
` s /I D LY,g y,
!Y7.0
y
........ ..,...
-7Z1.45.
I'S
M i.4 �"" oc.e♦s♦ruaLA'
d• � . lt'
tn
AA
7"' 4�.
g. L IA 1.6- ` S—,d�'
E
� � Y
tor'
431
MM a� r n �. :•�
►r t ro ,3 7 151V;ZV FRAMs. N
•
�
I ;, I.y q• 95 � Mc NOT
«
Z) Saaesents shown hereon are for
q a a z8 h
woos- arils
tiBJJG ) Daarin9a own o are basad
ALL SCREBWED on the Record P t a recorded In
' WWW P02CN Plat 9ao4 •'? ee /F
through /8 G Inclusively of
V aid Public Recarda.
r
b
h drainage, utilities and sewers,
b unless otherwise noted heron.
1) MGTICSs Ther mal be additional
restrictions that ate not re.
corded on this Plat that .a7 be
found In the Public Records Of
.ala county (Florida st,wtea
d) Elevations shown hereon are based
on MaUonal Geodetic Vertical
Datum of 19T9, D.E. t`Oaatal i
/ Geodetic Survey Datus.
A PagTioir of,�oT�, Oiv�,vav 3, of rA'E �{!/i1JAB/v !J�/v�ES �9ANl
__�,�., :� T.e♦.�.v.i.♦.� 2 ,SoufM. RANd'E .z9 EA1T
ELEVATION CERTIFICATE EXPIRES:'ZNE301990
FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM
This form is to be used for: 1)Post-FIRM construction only when the base flood information is available for the building site;and 2) Pre-FIRM buildings rated using Post-FIRM rules.
Instructions for completing this form can be found on the reverse side.
Raj! Qol anAn jr
BUILDING OWNER'SNAME POLICY
438 Inland Hai -
STREET ADDRESS
Apt:A/Unit•U Suite•S/Bldg:B NO. ROUTE BOX NUMBER
Lot 23 ocemilntsalk "hit Pour
OTHER DESCRIPTION(Block and lot numbers.,etc.)
CITY 7ae�aoatv111a WATE ZIP CODE
This form is to be completed by a land surveyor, engineer, or architect who is authorized by state law to certify elevation information when the elevation
information for zones Al-A30,AE,AH,A(with BFE), V1-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property
owner,or the owner's representative should complete the information in Section 1 and may also complete the certification. Community officials who are
authorized by local law or ordinance to provide floodplain management information may also complete this form,
SECTION I BUILDING ELEVATION INFORMATION
1. Using the Flood Insurance Manual or the NFIP Flood Insurance Application—Part 2 Worksheet,indicate the proper diagram number_
2, FIRM Zones Al-A3O, AE, AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an
elevation of--14-.p_15feet NGVD. (or other datum-see #5)
3. FIRM Zones V143O, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level floor from
the selected diagram is at an elevation of feet NGVD (or other datum-see#5).
4. FIRM Zone AO. The floor used as the reference level from the selected diagram is W feet above highest natural grade next to
the building (also enter in line 8). This value must be equal to or greater than the AO Zone flood depth number listed below. If no
flood depth number is available, is the building's lowest floor(or reference level) elevated in accordance with the community's
floodplain management ordinances? ❑Yes ❑No ❑Unknown
5. Indicate the elevation datum system used in determining the above reference level elevations: [j NGVD ❑Other(describe on back)
6. Indicate the elevation datum system used on the FIRM for base flood elevations: J1 NGVD ❑Other(describe on back)
(ATTENTION:If the elevation datum used in measuring the elevations is different than that used on the FIRM, then the elevations provided
must be converted to the datum system used on the FIRM)
7.Is the reference level based on actual construction? Frl Yes ❑No'
' A "No" answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on construc-
tion drawings and do not complete question #8. If "No" is checked, this certification will be valid only for buildings in the course of
construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for
continued flood insurance coverage.
8. Provide the following measurements using the natural grade next to the building(round to the nearest foot).
a.The reference level is: b.The garage floor(if applicable) is:
Li_--)feet ❑above ❑below(check one)the highest grade. W feet ❑above ❑below(check one)the highest grade.
W feet ❑above ❑below(check one)the lowest grade. W feet ❑above ❑below(check one)the lowest grade,
SECTION II FLOOD INSURANCE RATE MAP INFORMATION
Provide the following from the proper FIRM (see Instructions on back-Date of FIRM)and accompanying insurance application:
COMMUNITY NO. AN L NO. UFFIX I DATE OF FIRM N BASE I UNITY ESTIMATED BASE FLOODCOMML
(In AO Zone,use depth) ELEVATION ESTABLISHED FOR ZONE A
OR ZONE V,IF AVAILABLE
120477 265 D 12/15/83T A WA
Elevation reference mark used appears on FIRM ❑Yes ❑No(See reverse side for details)
SECTION III CERTIFICATION
This certification is to be signed by a land surveyor, engineer,or architect who is authorized by state law to certify elevation information when t e
elevation information for zones Al-A3O,AE,AH,A(with BFE), V1-V30, VE,and V(with BFE)is required. In the case of zone AO, the building official, the
property owner, or the owner's representative can sign the certification. Community officials who are authorized by local law or ordinance to provide
floodplain management information, may also sign the certification. I certify that the information on this certificate represents my best efforts to interpret
the data available. I understand that anv false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
T-T Ado"
4469
CERLICENSE —— -
JOE LI EN E NUMBER(or A ix Seal)
Land Surveyor
TITLE COMPANY NAME
3830 Crown Point Road, Suite A Jiackwuville Fl 32257
CITY STATE ZIP
21/4/88 (984) 264-2783
([g/9)Z_ '£6S DATE PHONE
«1
µ.Hood Inturence polity appilefdion.The second copy should be supplied to the
re AMlilll w w for pn local community permfi office,N required.
-,in management ordinances?