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Permit 130 Jackson Road CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 PLUMBING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Pernit Number: 23224 Address: 130 JACKSON ROAD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 12/28/2001 Name: QUEST Total Fees: 46.50 Address: 56 CHURCH ROAD Amount Paid: 46.50 ATLANTIC BEACH, FL 32233 Date Paid: 12/31/2001 Phone: (000)000 - 0000 Work Desc: AMENDED PERMIT FOR PLUMBING INSTALLATION _ CONTRACTOR (S) APPLICATION FEES DAVID GRAY PLUMBING, INC. PERMIT 46.50 i I — — _ Inspections Re* aired TOPOUT FINAL �! 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 AISUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �'' `` $46.58 14 ATLANTIC BEACH BUILDING DEPT. 9�e12/31/11 e1 Receipt: 1123215 i919B193221eN - ' Custc;mer Account Information Resource Page 1 of 2 _ _ , E A- C A I R Customer Account Information Resource ............. _..._..... Account Information 1 Account Number: 0062454039 I Customer Name: HARRISON,HEATHER M Service Address: 130 JACKSON RDJACKSONVILLE Mailing Address: 130 JACKSON RD JACKSONVILLE, FL 32233 Billing Cycle: 19 Account Status: ACTIVE Phone 1 (Home): 904/588 -2942 Phone 2 (Work): Next Payment Due: 10/18/2005 Budget Payment Status: Not on Budget Payment Program Budget Payment Amount: EZ Pay Status: Not on EZ Pay _ _ _ Property Safety Information Violation Flag: N Hold Date Placed: Released Hold Date: Inspector Name: _ Customer Information Employer: .--.._ __...__. Spouse Name: _. _ _ _ Non -Pay Information —_ Last Check Returned: _________ Late Payments Last Year: Dec Late Payments This Year: May; Jul; Aug; Sep Returned Checks Last Year: Returned Checks This Year: Billing Information IC urrent Due Amount: $115.51 Past Due Amount: $89.19 Total Due: $206.04 ( Prior Adjustments: $1.34 Account Balance: $206.04 Pending Payment Date: 10/18/2005 Pending Payment Amount: $206.04 Last Bill Date: 8/25/2005 Last Bill Due Date: 9/16/2005 Billing History __ Payment History Billing Date Bill Amount Payment Date Payment Amount ___ $115.51 8/19/2005 $126.00 E 8/25/2005 $87.73 6/16/2005 $100.00 1 http:// extranet.jea.com/CAIRPriv /cust_ info. asp? AccountNumber = 0062454039 &PremiseId = 196... 10/4/2005 Customer Account Information Resource Page 2 of 2 7/27/2005 $73.91 I 4/20/2005 $68.85 6/27/2005 $55.81 3/17/2005 $60.44 5/26/2005 $42.19 I 2/14/2005 $57.00 4/27/2005 $52.13 1/19/2005 $140.00 3/29/2005 $68.85 [ 12/22/2004 $10.00 2/28/2005 $61.13 1/28/2005 $56.66 12/29/2004 $64.50 Service Information Previous Meter Number: 28628825 Disconnect Date: Cut on dates during the month of May 2003 may be incorrect due to a systems conversion. All other dates are valid. Rate Code Meter Number Meter Last Read Cut On Date Cut Off Date Residential Electric Service - E 28628825 9/24/2005 10:45:51 AM 11/23/2004 j For large accounts, Usage History may take several minutes... Usage History Billing Date Consumption (KWH) 9/26/2005 1,297 8/25/2005 967 7/27/2005 803 6/27/2005 588 5/26/2005 426 4/27/2005 550 3/29/2005 827 2/28/2005 725 1/28/2005 666 12/29/2004 753 If you have any questions or comments, please contact please contact the JEA Customer Care Center . Click here to return to the search page. http: / /extranet. j ea. c om/CAIRPriv /cust_info. asp? AccountNumber = 006245403 9 &PremiseId= 196... 10/4/2005 elr JOB ADDRESS / 1Y ) cj 6 c (2 , : r� -TYPE CORK -- ] thI PROPERTY Di�lVERD i I TELEPHONE • CONTRACTOR TELEPHONE PERMIT NUMBER 6 () DATE - 1 5 - INSPECTIONS: FOOTING SLAB TIE BEAM LIVTEL • NAILING/SHEATHING FRAMING/COVER UP INSULATION FINAL BUILDING (D I 8 I 0 CERTIFICATE OF OCCL)PANCY PF.RMI3'# c 9g 17 - ( {3 8' -° ELECTRICAL � INSPECTIONS ROUGH FINIAL Co I 2 C3 I 0 MECHANICAL PERMIT# ea 3 ( I INSPECTIONS ROUGH FINAL t 1 '2 -) I 02" PLUMBING PERMII# 3 a.a1 - a. 2-(0' b `� INSPECTIONS ROUGH/UNDER SLAB TOPOUT ' P• le ' 0 AAA R FINAL LI I IC/ NOTES: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tell 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATIO N JACKSON ROAD LOCATION INFORMATION Permit Number: 23366 Address: 130 Permit Type: ELECTRICAL AT Township: ATLA NTIC BEACH, , FL 322 Class of Work: INCREASE Block: Proposed Use: SINGLE FAMILY Lot(s): Subdivision: Section: Square Feet: Est. Value: Parcel Number: ,! Improv. Cost: _ OWNER INFORMATION QUEST Date Issued: 1/23/2002 Name • Total Fees: 42.50 Address: 56 CHURCH B E BEACH, FL 32233 Amount Paid: 42.50 - Date Paid: 1/23/2002 . - • 000)000-0000 • Work Desc: ESS100-200AMPS 1:.,-- 2''''2'.,.._ • -..S.,,L.:Vy.'!:'U.;..jilv.,, CREASE AND REMODEL T OR s - ... „:..-,--- . -.-: , z .. .. ' ..., , 44) .:'-,. , .. , " 7 I FEES AWFORD ELECT. 42.50 CONTRACTOR - - - ' ,- T , '-' . :ii '.,ki, CR ,., - : ,,, . to tr4P - - - . fti.". e ,,,,',' 0. . 4e--,114-,...,1..vt.', A.tio'AV.,..4 \ - '."- - i - ,. , ..;-V.: s it. , .i# : 1,-' ? ,. 1tw''-' - .'' , '-- `. ..4 tOn , ,=\ • 'N -4- r ..'` -'•_-',., ..=VAT t , ,ii r ''.' - '. 4 .,--,,,,,,7• ' ,,,,°1:0,.. -- ':'.1. tp s e4t,,, , - k, - ,.X,,, , S. , .4. - ,t',,r,',,,, , Z.,,,' ' : ' -„ ''...7,-- , •. . ' - -:, ' =-.. -' - - 7 .47.'" -- '.4,.. 4 ,i4 ,,, -W • 1 -...-' -,,7 e° ' -:-'." - - `-- - , ---' - '4 , IF N - **1.10 -:' l'ii -• - - ---3 *4 , -•- - ;' - . 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" - list, -4 kV - * - t - I -. t 4- '! 1---41,-- " f t :§4-, ... - *..,:7 4 , - .,,.- , :-- - 1-.c7,r,,;,;-,--, .., .,....7t- - . ,-,-. .: , ..-7 -. . , ...., - ;°-...-,!-. , ...:- .,. t: ,--1.., '..t 1 _ _ _ _•_;,1,,,&<-,:ri.::,e.- f : - ::"1 : 1 ::::: : :_i_i -- 7, - , 1 :.. : .. - a, - ... a , 1_ : . i NOTE- INS .... : _ UP , ,,, ,,i.. ILI_ R TO S „ j": _ EcTioN C1 ' '-f ' '',- '-:' BE REQUESTED LEAST 2 H rc ' P ItT BUILDING MATERIAL, -- 4. ' :, zetS 1 A FROM THIS WORK M NOT: , -.- UST ' :' LACED I :.. • UBLIC SPACE, AND TI-19:t. CONTRACTOR 0 r . : ER MUST BE CLEARED UP 9 HAULED ': ' AY BY EI THER - - :...,,, _-2-_. ..,,.,...- - -- - :.. , -1- : - : - . R.— LT IN THE "FAILURE TO COMPLY WITH,VIE C - - 6 , t - ' , .._.,, — -,::, . ..,i. i, PROPERTY OWNER PAYIN t .: I r0 44, DIN ,4... . 3_, , "'- * *. epAitt ISSUED ACCORDING TO APPROVED PLA /14, R : .: o ...., '',. ' " ; ERM1T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS 0 6 i / $42.51 14 , ... ATLANTIC BEACH BUILDING DEPT. kte: 1/23/82 11 Receipt: 111129324 CASH 0.111.11932211111 , CITY OF ATLANTIC BEACH, FLORIDA Appro..O by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL. INSPECTOR: DATE: C` �rJ 2-.2 I.9- Z. Ov a 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 HE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. _ cf,,,,,,,D J..,, eie ch,,( A /- I ; l//2 (1 7------ ELECTRICAL FIRM: MASTER, 7 ECTRICIAN SIGNATURE JOURNEYMAN NAME C Oet 0 1...'e.I'7 ADDRESS: / 2 v Tyr Sgt/ /L RFD BOX BLDG. SIZE BETWEEN: RES.)/1-- APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD ( 1 REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE REPAIR ( ) FEE CONDUCTOR SIZE AMPS 2 COPPER ( 1 ALUM. (( SWITCH OR BREAKER 2-U, L AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE 1 Y_ AMPS ( PH J W /J,, _ VOLT -ma u RACEWAY I � J FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS /0 _ CONCEALED OPEN TOTAL 1/4" -,' : 3.c e' • RECEPTACLES CONCEALED OPEN TOTAL. J'V � " 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT I FLUORESCENT & M. V. PUCED 0.100 AMPS. ' OVKR APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -H T 0-1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS Alb MISCELLANEOUS ION 2 3 2002 TRANSFORMERS: UNDER 600 V. OVER 600 V. (���y NO. 1 KVA .• NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN • FORWARDED L./ , 5 0 S - rnW 4 1 e ==• CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL:. 247-5826 - FAX: 247 -5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23412 Address: 130 JACKSON ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/04/2002 Name: QUEST Total Fees: 47.00 Address: 56 CHURCH ROAD Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/04/2002 S '"" " * , Pho (000)000 Desc: INSTALL HVAC 410 CONTRACTOR S 1- ' CATION FEES HUXHAM HEATING & AIR . k } t 47.00 £' ;�° ':y S 1 d� £ „� +i --,-,-„: -._ - . ,- _ ,- .!... -. .. , ;: , ...-,- - - - - - ,T,„...:...- -.-- ....,„ ,, s� 4 � 5 � . �,� _ �., _ . .--..,%-4...,4,7.,...-...''=„t-1 ' '' ' r. } a . ,+ y « .', y. `�'„' . R= r �§ : d es. ,4-,4 . +. ' . f t, t� zN L C u.Zw. Fh b ' u�I �.J,. # y I ��" y� V - .� t�, Y fir ,.. Raba s 4.� �, � _ �, '„ �,x k �, a , �.y ,�. a is 't.�. Fk :- o s,,,... aavF,,,.,.a + `h_ .`ga #� W c j _ NOTICE SPEC I O ' x T' R E < QUESTEDA� L ST 24 HO '7' R ,..1$7 - ECTION BUILDING MATERIAL .4 B'SH A. B R'S F ROM T HIS WOR MUS NOT L AC ED a UBLIC SPACE, AND MUST BE CLEARED UP � , HAULED { A,Y BY EITH ER�CONTRACT OR 0=_ 4 ER "FAILURE TO COMPLY ! -- _Of S' . F R . ' ' LT IN THE PROPERTY OWNER PAYIN t - -„ . C . - ! , _. - r . � .. , liAlk ISSUED ACCORDING TO APPROVED PLA '' ` d 1a -' A' of r , •• " E RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS . rl• , , i ATLANTIC BEACH BUILDING DEPT. DECK=S 2/R4/92 Bt Receipt: 99314 — 9919999312 1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH Al LANTIC F1 ACI4, rLOR{UA 32233 APPLICATION FOR MECHANICAL PERMIT CALL -IN NUMBER F � IMPORTANT . - - -- AppIiconi Ire complete all items in sections I, II, Ill, and V. ___— Street Address: _ / Q. V.r v ■ - _ -_- _ _ ._ __._ -- -- — — —' LOCATION e e . OF Intersecting Streets: Between .- And---_ -- - -- - — 1 BUILDING j _ _ t. Sub - division - - - - - - -- 11. IDENTIFICATION � to be completed by MI applicants In consideration of permit g .en for clamr the art. sr d rit c I in the at cve v► Iraner t re he t,y arlree to Ferforrn soil work in accordance ' with the attached Tana r,n<i shr•c■f which ere , a kart hrreof a in acrrrVancn v :iii, the Cily of •locksorivilI© or and standards of good orator a' listed !herein 4 __ .- __- ---_ '—_------ - Nem. of Mechanical Conirac)ors Cl Cont +e -_ c - .tor )Print) ,�4 1� _— Master �a�S'7$' S Name of ��++ Properly Owner `- Signature of Owner Signature of r or Authcriaed Age. Ii - - - -- A.rcliiiect or Engineer III. E ENEft - I OR.MATION• A ' Type of heating fuel: (3.. 3 IS OTNER COrdSTRUCTION BEING DONE ON ieciric THIS (aUiLURJG OR SITE? — — I t.. • ❑ GOO *7- 0 LP 0 Natural ❑ Central Utilibi �`" IF VES, GIVE NUII R�F CONSTRUCTION ❑f Oil PERMIT e?! O Other - Specify —_--._..-_- -.__- __--- ___- __._- _- _-- •__ - -_ j '' pV. M&Cii+t.1ICAL EQUI►MENY TO RE 1 TAtIEU NATURE OF WORK J (Previda co,nplet• Is of comport-ants on back of this form) 17 1lesiden1 laI or L1 Commercial fisat 0 Space (--_] Racetlud t:7 f Centrtrl U Now ( ! 1 Now Building { er Air Condtfioning: 0 Room Cenlrsl ! I.'i_xlsting F3uilding E- Duct System: Material - ! �-� _ ihici,ne *LlV4.*" -_.- Imo' Replacement of existing system t_i New installation (No system previously Installed) Maximum capacity __ _-- -- c.f.rn, Li Extension or Rdd -on to existing system ❑ Rafriyeration [.1 Other -- Specify ❑ Cooling tower: Capacity -- _ _ - _. - __ g.p.m• ❑ (ire sprinklers: Number of heads.-- ______ _ __ - -- -. - - -- _ _ -- - -- -- ❑ Elovetor 0 Manlift ❑ Escslotar_______.___— _(nunber) • THIS SPACE FOR OFFICE USE ONLY O Gasoline pumps.- w .______- Inumber) - ' (Recalyed) ❑ Tan's_____,______(numbor) Remarks — n LPG containers _____.___(number) _________ _ Urtfirsd protsure vessel Q Boilers Permit Approved by___________ Date ❑ Otfisr — Specify --- - Permit too LIST ALL EQUIPMENT - - -- — -- - - -- -- -- -- -- ____________ AIR CONDITIONING; AND REFRIGREFRIGERATION F.QUITMEN'P _ Ci ity Approving Number Unite Description Model Number Menufacttirer op CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL 2475828 - FAX: 247-5877 PERMIT INFORMATION LOCATIONINVORNIATION Permit Number 23080 Address: 130 JACKSON ROAD Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est Value: . Parcel Number: • lmprov. Cost: 30,000.00 OWNER INFORMATION Date Issued: 11/30/2001 Name: QUEST Total Fees: 275.00 Address: 56 CHURCH ROAD Amount Paid: 275.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/30/2001 „ . - • - • • e: (000)000-0000 Work Desc: INTERIOR RENOVAT a .• -' - '-- - - C *NT - ° CT CA * N PEES ROBERT PENNINGTON , _ ,..,.- r-....1 '.;, _....- 1-..c , 240.00 -- -_ ' • ' .- - 35.00 , ' i --,. ,,,,,,,,," - ' IT::,1.:1 - -..,. ii,tt,:2.i'rr„s40e*.,-fs.rp,.., ---: • _-.1- f-i• - -....: _LI\ . -S _ - .. , ,i," '',`,"-:.°°:. ; • ..-,... 1.,.,7.4 --°_,,.. f-... ---- -, :, „, ..,..:-,. _, - „.,.- ,-,.. i , .-...:.,z4,-,„,...-, -.:::,--4.....-4:4,..*. •=-,- --_,., _ -., i t . "- : ', ,°- -..,..-- ,47; 4; #0 .*1-;' . „:'"tf4 5.' 41 .- l A ifiV2 4 t /, -,-. °, ',- - .....".- COVER UP . •.- . -';'? .,-., -,-,;°,,., ..-- - , . ,..v-t1, . -;-*--°: 4 ir ; r / w . ' - - -=-: ' * ' 44, ' , • >: "' ' " „,- '' 7 ,fr- .... "1,1' ' .+11";:F...1. 4" -'1 "0.4":13". + ' 5..A4,f,:•.'“Ar • ar , ' 4. INSULATION :,-. - . — 5 ""..i" - -* ' F -' ''-' 4 '-'-‘,. .":';' t, ,,,I.: .',-,--*. d 44 .. • - ,`'...` .,_ S'‘,!. ''' . - -,-- 4141 4'-'z:-'t .' 1 if ' - - — — -,,•-,- Slq k . ' : - '`,.,...- `''''''''' - - .c- ,,,•r - 7 .,..W , -- - - - - ., - NOTICE , R/ 7,EcT .0, , v,... :..,,,- ., ...„ _0. ; 1 1 ',-, t = - . - -&-„ 47;cr ■•i• , . 4. * . To -- - CTION 4,;TI---_,----:;.--_,-.:-.13..:n--,:_z 'w -- -. ._ BUILDING MATERIAL °-:.:_, , ' FROM „ W ORK MUST c IN BLIC SPACE, AND MUST BE CLEARED UP - - 5 - - ' '''''''' ZA a 7 'N$ , : t.: -le ' -,, O , \ CONTRACTOR 0 - „<--: -- - ---,-,4,_%:-1-1,-,---;--,--- • -,.., "FAILURE TO COIIIIPLY A - - r ,. .7 4 :. c,° c. ,,. LT IN 'THE PROPERTY OVVNER PAYI :- - - 0 , -• : _., ISStigatCCORDING TO APPROVED P ., :- ° i. -- .° - - I - - MIT AND SUBJECT TO REVOCATION F011& LATION OF APPLICABLE PROVISIO t- 6. - ... , C.. r CI • (44 C•4 . Z) W 1.4 ,..... =, . k i Nt4:4___ . c..)....._ d $24 14 AT C.OR .,! BEAC B ILDIN PT. Date: 12/03i01 01 Recelot; C015,'.6 ... CHECKS 1:-....F.i belC0003E`01CCO cr. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /3 Zit-czs 03 D. ( © s) Date 1/_ 29 -0 f Heated Square Footage @ $ per sq ft = $ O Garage /Shed 1 \t1 @ $ per sq ft = $ Carport /Porch t @ $ per sq ft = $ Deck N @ $ per sq ft = $ Patio O 0 @ $ per sq ft = $ • TOTAL VALUATION: $ 8b 3n 000 I $ f 5' Total Valuation 1st $ f 06 - 0 )_0 / 0 0 6 / Sr} $ / yam Remaining Value $f" t thousand or portion thereof TOTAL BUILDING FEE $ / 6 0 + 1/2 Filing Fee $ P 0 ( ) Fireplaces @ $15.00 $ ^0 — BUILDING PERMIT FEE $ 2 L /(? WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER /TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ 3 S.70 fJ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ Q ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and /or NOTES: c /71, 717'!i L. is, V ' `" Nov ! ra CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTEF 41 ON.p,A +ion is Bcac"i MOVING, DEMOLITIONS , Owner(s) 5,4ff54Dit,. Job Address /30 4 evti ose-d Phone 21/4 8.95 Lot # Block or Unit # Subdivision Contractor R..5 /AJ/Ak ? J4f State License # - POHIge9 Address / /r 4tEr 4/. Phone 5 5Y3- 1-7 City ' ✓�. e 'E /fie .d4W1" State d ZiP 3226 Describe work to be done /l/U' firl , J 0,24-€2e /' ' c 1& fir' 42 airimy, ' A — .5 e'ee /.0 / . e ,tek-1/6-ridtizeAilt • Present use of building ,` Valuation of Proposed Construction Proposed use p d, Is this an addition? e 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 Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING • SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONT'i TOR. • . ) Signature of OWNER ♦ • � ' --L� ! '� Date: ) 1 1 — 0 1 1 t Signature of CONTRACTOR _, / a` /�/.i, : it . Date • /) C97 STATE OF FLORIDA COUNTY OF -1 DVU�i Sworn to (or affirmed) and subscribed before me this , day of k\10 , 200 \ y AS TO OWNER: Notary's Signa a Personally known 0" Kathy Avadikian OV' Identification ;.: �! :.'s MY COMMISSION # DD005392 EXPIRES ;`•-'.`- February 28, 1005 • ;fra RONDiD Net) TROY FAIN INSURANCE, INC Type of identification produced F v, X15 1 L✓w _ Sworn to (or affirmed) and subscribed before me this 4-6) day of e e 1 AS TO CONTRACTOR: Notary's Signature _i ■ i Personally known r3 OR GIA HORN Produced Identification ` MY COMMIS # DD 030526 EXPIRES: June 3, 2005 Type of identification produced -'�-���•' 11 °° Bonded ThruNotary Pubic Underwriters iji li.: r [-.F[ F[pii[ k FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A , - -------- ! Project Name: Quest Renovation Builder: R. S. Pennington Address: 130 Jackson Street Permitting iDifice: Atlantic Beach City, State: Atlantic Beach, Fl Permit Number: Owner Jurisdiction Number: 261100 C.Arnate Zoos. North . . 1. New construction or existing Existing _ 12. Cooling systems 2. Sin ale family or multi-family Single 1irnil 1 a. Central Unit Cap: 36.0 kRtaillr 3. Number of units, if multi-fanuly 1 ._ SEER; 10.00 _ [ 4. Number of bedrooms 3 [ _ b. NIA ) Is ihis. a worst case? No _ _ Conditioned floor area ill') 983 fe c. NIA [ . arcl ti. Cle-ur - single pane i) it= 13. lieulaug systems 1 , h. Clear - double pane 79.0 TV' a 'Electric Heat Pump Cap; 36,0 XHtu'ltr [ t:;. Tint:other SCISIIGC - single pane 0.0 ft= lISPF: 6.80 d Tmtiother SCISH(i-C - double pane 0.0 ft '.' b. N,A 8 Floor types 77 : a. Raised Wood, te1)1 Wall [R--0.0, 694.0F0 _ c. NtA b. Sluld-On-Grade Edge Insulation lt_[-:-0.0. 48.5(,p) ii -- . 1\1 14. llot water sysICTIVi 9 Wail types a. Eitotric Resistance Cupi 40.0 uzilloris a. Concrete, Int lusill., Eiridenor ir?,.=3.0, 874,0 ft' _ Er 0,91 b /-1:A .. b. NA _ • Q. IN/A d. N'A. c. Conservation credits e. MA (HR recovery, Solar 10 Ceiling types DHP-Dedicare41 hear pump) a. Under Attic .R 983A) 0' _ 15. I-1VAC credits b NIA (CF-Cciling an, CV-Cross ventilation. c, NIA [-T0-Whole house fari. II Ducts PT-Pro,ran:iniabl Thertm_istat a. Sup: Line, PCT.: 1.111C. Ali: lint:nor Sup. R 125.0 ft M7.-C-Multizone con!ing, b. NA fv1L-1-i-1vluluzone lie:mill:) Total as-bUilt points: 16878.00 1 Glass/Floor Area: 0.08 fetal PASS base points: 17108.110 , — ' I hereby certify that the plans and spi eifications covered Review o'' the plans and - by this calculation are in compliance \ , ith the - lorida specifications covered by this ..' ov • ., • • •..- N ••-,.. E nergy Code. i ,...t. 6,, ,.: .. , g , ,. calculaticn indiontes cornpliance f 4.9-. ,. - ., • f; :. I," ' '.1,1, --;; PREPARED BY: 2414:,...,Y filZ with the Florida Elergy Code. 4.4 Before c)nstructicl is completed IR :If' •-••,-". DATE: JLLt . .,,,, .. ,* i this building will be ,rispected for \ 4, ..4 . . ..= -' _ ________ I hereby certify that th building, as desi jned, is in , .. , complir,nce with Seciion 553,908 "•- : •.f• '1 compliance with the Florida Energy OWNER/AGENT: Cor.fe. Florida Statutes. ' t BUILDING OFFICIAL: ....... _ __ _ DATE: b... , , ,,._, ,.. , ....,........,...,.._... .... . .________, EnergyGauge0 (Ve csion: - I_R1PA 2.02) . „