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Permit 830 Jasmine Street PERMIT WORKSHEET Certificate of Occupancy Job Address: 030 !tib Type Work: Property Owner: ,�-� � �c Phone # Z 19 • Lko ej 1-t-ca I�.�.tTatit Contractor: Phone # Permit#: 04 _ Z a r Date Issued: _ Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up _p Insulation Final Building -7-0 Tree Permit# �^ YES NO Electrical Permit# Date /Copy to o4- Z84 t(12� JEA -71 Zz`/04 Temp, Pole Permit# Date /Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp, Power Released to JEA Temp. Pole Released to JEA Final 12 -7 v Released to JEA Mechanical Permit# Inspections: Rough 17 - 9-pL� Final Plumbing Permit# G - Inspections: Rough / Underslab - l q - Dif Topout Water/ Sewer Final 0 Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: _ Failed Inspections: Date Paid: Date Paid: g - CITY OF ATLANTIC BEACH s y 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028416 Date 8/16/04 Property Address . . . . . . 830 JASMINE ST Tenant nbr, name . . . . . . 201X 16 ' ADDITION/SUNROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 Owner Contractor ------------------------ ------------------------ THORNTON, MARC OWNER 830 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 219-4651 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . CHRISTY FIRST COAST PLUMBING Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Q' )110*-1 s BUILDING OFFICIAL ,rr CITY OF ATLANTIC BEACH ` PLUMBING PERMIT APPLICATION Date: l0 Property Address: 930 Ta-s m/h r Owner: Mar /Zo,,4 2(oo'l Telephone#: Contractor: ).S i J- -s Z . Telephone#: a V 7 Contractor Address: �Q_ � �' "34 k,1-'qa_.3aa Ya Fax#: J q y O In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accorcance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Install itiion of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code.''' Plumbing Type: If other construction is being done on this building or site, ❑/ New list the building permit number: Re-Pipe Number of Fixtures: 2 Bath Tubs Showers - Closets Shower Pans Dishwashers �_� Sinks Disposals Urinals Floor Drains Washing Machine Z Lavatory Water Sewer I Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X$7.00 + $35.00= 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http:lfwww.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD xy ; ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028416 Date 7/26/04 Property Address . . . . 830 JASMINE ST Tenant nbr, name . . . . . . 201X 16 ' ADDITION/SUNROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 10000 Owner Contractor ------------------------ ------------------------ THORNTON, MARC OWNER 830 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 219-4651 ---------------------------------------------------------------------------- Permit . . . MECHANICAL PERMIT Additional desc . . Sub Contractor DONOVAN HEATING & AIR Permit Fee 51 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- --- ------- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDNG OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION .- Date: 671 ZZ0y Owner of Property: ,/44a I M f N Job Address:—g_;() (- Contractor: Dc4/V U UCA- .-'<) In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A T eating fuel: B. Eleetnc IS OTHER CONSTRUCTION,B��Cj DONE ON THIS ❑ Gas: _LP _Natural Central Utility BUILDING OR SITE?`� ❑ Oil ❑ Other–Specify IF TES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE N ' F WORK INSTALLED u B� — commercial (Provide complete list of components on f this form) ❑ Existing Building ❑ Heat Space _Recessed Floor ❑ Replacement of existing system ❑ Air Conditioning: Room Central i4otha:�',7peci ation(No system previously installed) ❑ Duct System: Material Thickness Maximum capacity cfin Cl Refrigeration ❑ Cooljpg tower. Capacity ttam ❑ Fire sprinklers: Number of heads TIAs SPACE FOR OFFICE USE ONLY O Elevator' _ ManlrB_F.scxlatoc (Nuri) (Received) ❑ Gasoline pumps (Number) ❑ Tanks Mme) Remarks ❑ LPG containers (Number) ❑ Unfired pressure Q� Permit Approved by_ Date ❑ Boners `[-1L u O Other–Specify 1 it Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Mamncctww Capacity Approving (row) Agency HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BTAg-cy TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 900 Seminole Road-At4stic Beach,Florida 32233-5445 Pbone:(904)247-5900-Fax:(904)247-5845- httn://w".cLatlantic-beach.II.us 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD "r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028416 Date 7/22/04 Property Address . . . . . . 830 JASMINE ST Tenant nbr, name . . . . . . 201X 16 ' ADDITION/SUNROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 Owner Contractor ----- ------------- ------ ------- ---- ------------- THORNTON, MARC OWNER 830 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 219-4651 ------------- ------------- -------------------- ------------------------------ Permit ELECTRICAL PERMIT Additional desc WIRE ROOM ADDITION/USED CREDIT Sub Contractor BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 7/22/04 Valuation . . . . 0 Expiration Date 1/19/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERIvfIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r ING OFFICIAL M ' CITY OF ATLANTIC BEACH r' ELECTRICAL PERMIT APPLICATION _ Yk Z - Date: Property Address: Owner: �Q�1� �.?G�6; �''t Telephone #: Contractor: BILL riomm ELMIC Telephone #: 30?50 Contractor Address: Fax#: FWT!e BEACH, K 2233 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with The attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good 2ractice listed therein. Building: Building Type: ❑ Trailer Service: b other construction is (3 New ❑ Residence ❑ Temp. L) t Or site,list thNew being done this building e building Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wireddition Sq. Ft. ❑ Repair d Conductor Size: AMPS: COPPER ALUMINUM El Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE /" Size AMPS �S`L� PH _ W �. VOLT WAY Feeders: I NO. SIZE NO NO SIZE Lighting Outlets CONCEALED 1OPEN Rece tacles CONCEALED OPEN0 ID AMPS I Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V _ C)VER600V Transformers NO. KVA O. KVA NoNeon_Transf. — ~ Ea. Sin Miscellaneous 6 r-k-1 KOOrY_1 Cl to 800 Seminole Road . Atlantic each,Florida 233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028416 Date 6/08/04 Property Address . . . . . . 830 JASMINE ST Tenant nbr, name . . . . . . 201X 16 ' ADDITION/SUNROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 Owner Contractor ------------------------ -- ---------------------- THORNTON, MARC OWNER 830 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 219-4651 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 10000 Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc BUILDING / ZONING DEPARTMENT L. Higgins it 800 Seminole Road o j � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS t Permit Application # C-)4- 28 L4 Property Address: g --2)O JA;nH I �;_ • Applicant: —}--pt2b 't— Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: 601 A City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) J � DATE JOB ADDRESS _ 73 -��S/vA-t P S' '7�/�� '�,c �� r4 , F//4 3 OWNERS NAME MQ r•C / f2 0 r n to•-1 .11 ADDRESS F30 PHONE: oZ —5/6 S Z -.4/9-3 i3 LEGAL DESCRIPTION: BLOCK NUMBER I � LOT NUMBER 3 ZONING DISTRICT ))U w 1 CONTRACTOR • o M.e O W A er' STATE LICENSE NUMBER ADDRESS Sa m e a5 A�o y e PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE f J( �� / �GL'�[/7�.d r`t PRESENT USE OF LAND OR BUILDING(S) S, n a le D c�.t�� 9 C'?� S ;•�W VALUATION OF PROPOSED CONSTRUCTION Is this an addition? t.5 _ If yes, what are the dimensions of the added space: .20 feet by 6 feet Will the added area be heated and cooled? yeS New electrical or increase in service? /1 O New plumbing fixtures? A v New fireplace? A U New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? /10 If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? XNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 16NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of r Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFO ATION RO DED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNERDATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. 01 v SIGNATURE OF CONTRACTOR /' DATE ^�— ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME &a f �/7 r^`�0111 MAILING AD�lDRESS -CIA 31 23 3 PHONE 02 I 2-313 C/ FAX .2 /Y-3r 3 LI E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS U1 DAY OF ��2 STATE OF FLORIDA,COUNTY OF DUVAL _ NOTARY'S SIGNATURE AS T ; R: JENNIFER SCHWETER ❑ Personally known _, MY COMMISSION#D0121301 9- Produced identification C C �•. a EXPIRES:May 27,2006 J — 2 3)-0 Bonded Thru Notary Public Underwriters Type of identification produced LD �— AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 11/27/02 FLOODPLAIN DEVELOPMENT INFORMATION Location::— X24 Type of Development: 11' f�l 7`i 0 n Flood Zone: /)y Required Lowest Floor Elevation: If building is located within a flood hazard zone, 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 Acknowledgment: 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 affecting the proposed developmen Date Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative ,f F { , r CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: �� 7j`q s m i-n P ST. / 711 Qn C �P�c�� 7-`//� CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNERIBUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IIv12'ROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. .t,Y P••. JENNIFER SCHLUETER PROPERTY O WNER/BUILDER MY CoMn4lss10r4 t'DD 121301 EXPIRES:May V.2006 ' Bonded ThruNoutyPOW Unaenv;izis SWORN TO AND SUBSCRIBED BEFORE ME THIS 3 DAY OF � L OT Y PUBLIC COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A I Pro'ect Name. marc Builder: Address: 830 JASMINE STREET Permitting Office: ATLANTIC BEACH City, State: ATLANTIC BEACH, FL 32233- Permit Number: '6t . Owner: MARC THORNTON Jurisdiction Number: 261100 Climate Zone: North 1New construction or existing Addition _ -_-12. Cooling systems 2. Single fYomulti-family Singley Central t _ - - - Cap:33.1 kBtu/hr- 3. Number of units,if multi-family 1 _ SEER: 10.15 - 4. Number of Bedrooms 3 _ b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area(112) 1380 ft' j c. N/A 7. Glass area&type a. Clear-single pane 32.0 112 _ 13. Heating systems b. Clear-double pane 412.0 W - a. Electric Heat Pump Cap:33.1 kBtu/hr c. Tint/other SHGC-single pane 0.0 ft2 - HSPF:7.50 _ d.Tint/other SHGC-double pane 0.0 ft2 b.N/A - 8. Floor types a. Raised Wood,Stem Wall R=20.0,1348.0ft2 _ c. N/A b.N/A _ c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:30.0 gallons - a. Frame,Wood,Exterior R=11.0,2164.0 ft2 _ EF:0.97 _ b.Frame,Wood,Exterior R=19.0,388.0 112 _ b. N/A _ c. N/A d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=31.0,240.0 112 _ 15. HVAC credits PT,CF, - b.Under Attic R=19.0, 1133.0 ft2 _ (CF-Ceiling fan,CV-Cross ventilation, I c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,65.0 ft - MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) I -- -- - - - -- -----I- Glass/Floor Area: 0.32 Total as-built points: 26986 PASS Total base points: 27135 -_ hereby -fy ----__ p --- p specifications covered b this-- - osc-THE sT,�r�-- - I hereb certify that the tans ands specifications covered Review of the tans and by this calculation are in compliance with the Florida p y - z o Energy Code. , / calculation indicates compliance PREPARED BY: !�/ with the Florida Energy Code. ' �- Before construction is completed d DATE: ZVCWthis building will be inspected for I hereby certify thVpFlorida building, as designed, is in compliance with Section 553.908 flc �y�c compliance with Energy Code. Florida Statutes. oD wE OWNERIAGENT: BUILDING OFFICIAL: DATE. DATE EnergyGauge®(Version:FLRCSB v3.22) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH, FL,32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1380.0 20.04 4977.9 Double,Clear N 7.0 6.0 30.0 19.22 0.68 394.5 Double,Clear N 7.0 6.0 10.0 19.22 0.68 131.5 Double,Clear E 0.0 0.0 21.0 40.22 1.00 844.7 Double,Clear S 6.0 7.0 36.0 34.50 0.54 671.4 Double,Clear N 7.0 9.0 40.0 19.22 0.75 576.4 Double,Clear S 6.0 9.0 40.0 34.50 0.59 812.7 Double,Clear N 0.0 0.0 30.0 19.22 1.00 576.5 Double,Clear W 0.0 0.0 30.0 36.99 1.00 1109.6 Double,Clear W 0.0 0.0 9.0 36.99 1.00 332.9 Double,Clear W 0.0 0.0 12.0 36.99 1.00 443.8 Double,Clear S 0.0 0.0 30.0 34.50 1.00 1034.9 Double,Clear S 0.0 0.0 36.0 34.50 1.00 1241.9 Double,Clear W 0.0 0.0 18.0 36.99 1.00 665.8 Single,Clear S 0.0 0.0 32.0 38.10 1.00 1219.1 Double,Clear N 4.0 8.0 70.0 19.22 0.83 1118.2 As-Built Total: 444.0 11174.0 WALL TYPES Area X BSPM Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood,Exterior 11.0 2164.0 1.70 3678.8 Exterior 2552.0 1.70 4338.4 Frame,Wood,Exterior 19.0 388.0 0.90 349.2 Base Total: 2552.0 4338.4 As-Built Total: 2552.0 4028.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 6.10 128.1 Exterior 21.0 6.10 128.1 Base Total: 21.0 128.1 As-Built Total: 21.0 128.1 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1373.0 1.73 2375.3 Under Attic 31.0 240.0 1.70 X 1.00 408.9 Under Attic 19.0 1133.0 2.34 X 1.00 2651.2 Base Total: 1373.0 2375.3 As-Built Total: 1373.0 3060.1 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 0.00) 0.0 0.0 Raised Wood,Stem Wall 20.0 1348.0 -1.50 -2022.0 Raised 1348.0 -3.99 -5378.5 Base Total: -5378.5 1 As-Built Total: 1348.0 -2022.0 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCSB v3.22 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH,FL,32233- PERMIT#: BASE AS-BUILT INFILTRATION Area X BSPM = Points Area X SPM = Points 1380.0 10.21 14089.8 1380.0 10.21 14089.8 Summer Base Points: 20531.0 Summer As-Built Points: 30458.0 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 30458.0 1.000 (1.090 x1.147 x 0.91) 0.336 0.902 10516.0 20531.0 0.4266 8758.5 30458.0 1.00 1.138 0.336 0.902 10516.0 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCSB v3.22 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH, FL, 32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 1380.0 12.74 3164.6 Double,Clear N 7.0 6.0 30.0 14.30 1.02 437.8 Double,Clear N 7.0 6.0 10.0 14.30 1.02 145.9 Double,Clear E 0.0 0.0 21.0 9.09 1.00 190.9 Double,Clear S 6.0 7.0 36.0 4.03 2.50 363.3 Double,Clear N 7.0 9.0 40.0 14.30 1.02 580.9 Double,Clear S 6.0 9.0 40.0 4.03 2.07 334.2 Double,Clear N 0.0 0.0 30.0 14.30 1.00 429.1 Double,Clear W 0.0 0.0 30.0 10.77 1.00 323.0 Double,Clear W 0.0 0.0 9.0 10.77 1.00 96.9 Double,Clear W 0.0 0.0 12.0 10.77 1.00 129.2 Double,Clear S 0.0 0.0 30.0 4.03 1.00 120.9 Double,Clear S 0.0 0.0 36.0 4.03 1.00 145.1 Double,Clear W 0.0 0.0 18.0 10.77 1.00 193.8 Single,Clear S 0.0 0.0 32.0 15.43 1.00 493.6 Double,Clear N 4.0 8.0 70.0 14.30 1.01 1010.5 As-Built Total: 444.0 4995.1 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood,Exterior 11.0 2164.0 3.70 8006.8 Exterior 2552.0 3.70 9442.4 Frame,Wood,Exterior 19.0 388.0 2.20 853.6 Base Total: 2552.0 9442.4 As-Built Total: 2552.0 8860.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 12.30 258.3 Exterior 21.0 12.30 258.3 Base Total: 21.0 258.3 As-Built Total: 21.0 258.3 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM= Points Under Attic 1373.0 2.05 2814.6 Under Attic 31.0 240.0 2.02 X 1.00 484.8 Under Attic 19.0 1133.0 2.70 X 1.00 3059.1 Base Total: 1373.0 2814.6 As-Built Total: 1373.0 3543.9 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood,Stem Wall 20.0 1348.0 0.80 1078.4 Raised 1348.0 0.96 1294.1 Base Total: 1294.1 1 As-Built Total: 1348.0 1078.4 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FIRCSB v3.22 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH, FL, 32233- PERMIT#: BASE AS-BUILT INFILTRATION Area X BWPM = Points Area X WPM = Points 1380.0 -0.59 -814.2 1380.0 -0.59 -814.2 Winter Base Points: 16159.8 Winter As-Built Points: 17921.9 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 17921.9 1.000 (1.069 x 1.169 x 0.93) 0.455 0.950 8996.6 16159.8 0.6274 10138.7 17921.9 1.00 1.162 0.455 0.950 8996.6 wo EnergyGaugeTM DCA Form 60OA-2001 EnergyGaugeORaRES'2001 FLRCSB v3.22 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH, FL, 32233- PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 30.0 0.97 3 1.00 2491.22 1.00 7473.6 As-Built Total: 7473.6 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 8759 10139 8238 27135 1 10516 8997 7474 26986 PASS j THE ST9��O� aU' 1��0o wig EnergyGauge'rm DCA Form 60OA-2001 EnergyGauge®/FlaRES2001 FLRCSB v3.22 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 830 JASMINE STREET,ATLANTIC BEACH, FL,32233- PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTSREQUIREMENTS FOR EACH PRACTICE SECTION—— --- --- GHECK Exterior Windows&Doors_ 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft.window area; .5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends 6.l.AB6from and is sealed to,the foundation to the top plate. - Floors 1.2.2Penetrations/openings>1118"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to_the ter,penetrations and seams. - Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.I.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type iC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 elm from conditioned spaacetested. Multi-story Houses 6 .1. I.ABC2.5 Air barrier on perimeter of floor cavity between floors. i Additional Infiltration reats 6MA.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, Lave combustion-air. 6A-22 OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences)—_ COMPONENTS — SECTION.__-- REQUIREMENTS _-___CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 65 12.Switch or clearly marked circuit breaker(electric)or cutoff _pro as)must be vided.External or built-in heat trap required. -fg Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commerciapools - must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiencyof 7806. Shower heads Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 1610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 1607.1 Separate readily accessible manual or automatic thermostat- - for each-system. ____-- Insulation -T604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCSB v3.22 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =82.3 The higher the score,the more efficient the home. MARC THORNTON, 830 JASMINE STREET, ATLANTIC BEACH, FL, 32233- 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:33.1 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER: 10.15 _ 4. Number of Bedrooms 3 _ b.N/A 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1380 112 c. N/A _ 7. Glass area&type _ _ a. Clear-single pane 32.0 ft2 _ 13. Heating systems b. Clear-double pane 412.0 112 _ a. Electric Heat Pump Cap:33.1 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 ft2 _ HSPF:7.50 d. Tint/other SHGC-double pane 0.0 ft2 b.N/A _ 8. Floor types _ a. Raised Wood,Stem Wall R=20.0, 1348.0112 _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:30.0 gallons _ a. Frame,Wood,Exterior R=11.0,2164.0 112 _ EF:0.97 _ b. Frame,Wood,Exterior R=19.0,388.0 ft2 _ b.N/A _ c. N/A d. N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=31.0,240.0 ft2 15. HVAC credits PT,CF, _ b.Under Attic R=19.0, 1133.0 ft2 _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,65.0 ft _ MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) 0 -VUE STglA in this home before final inspection.Otherwise,a new EPL Display Card will be completed ,,, _ os based on installed Code compliant features. d Builder Signature: Date: 0 a Address of New Home: City/FL Zip: f�G0 WIS tq�� *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPADOE EnergyStar'Mdesignation), your home may qualify for energy efficiency mortgage(EEM)incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 3211638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 8501487-1824. EnergyGauge®(Version:FLRCSB v3.22) Project Summary Date: Entire House By: DONOVAN HEATING AND AIR CONDITIONG 315 6 TH AVE SOUTH,JACKSONVILLE BEACH,FL 32250 Phone:904241-3785 Fax:904241-3745 Email:bill@donovanac.com Web:www.donovanac.com Project • • For: MARC THORNTON 830 JASMINE STREET,ATLANTIC BEACH, FL 32266 Phone: 904-2494651 Notes: Design Information Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 25 OF Outside db 94 OF Inside db 70 OF Inside db 72 OF Design TD 45 OF Design TD 22 OF Daily range L Relative humidity 55 % Moisture difference 55 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 30569 Btuh Structure 25871 Btuh Ducts 2947 cfm Ducts 3437 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh AED excursion 0 Btuh Equipment load 33516 Btuh Use manufacturer's data n Rate/swing multiplier 0.99 Infiltration Equipment sensible load 25613 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 3184 Btuh Ducts 450 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 1380 1380 Equipment latent load 3633 Btuh Volume(ft3) 12686 12686 Air changes/hour 0.35 0.35 Equipment total load 29246 Btuh Equiv.AVF(cfm) 74 74 Req.total capacity at 0.70 SHR 3.0 ton Heating Equipment Summary Cooling Equipment Summary Make Trane Make Trane Trade XE 1000 Weathertron Trade XE 1000 Weathertron Model TWR042C-B Cond TWR042C-B Coil TWE042C14-B Efficiency 7.5 HSPF Efficiency 10.1 SEER Heating Input Sensible cooling 29750 Btuh Heating output 42000 Btuh @ 47°F Latent cooling 12750 Btuh Temperature rise 32 OF Total cooling 42500 Btuh Actual air flow 1200 cfm Actual air flow 1200 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.046 cfm/Btuh Static pressure 0.10 in H2O Static pressure 0.10 in H2O Space thermostat Load sensible heat ratio 0.88 Bold italic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. ,y wr1gh1tsoft Right-Suite Residential 5.9.35 RSR39613 2004-May-21 09:45:02 ACCA C:\My Documents\Wrightsoft HVAC\Immyxrp Calc=MJB Orientation=W Page 1 Short Form Job: Date: Entire House By: DONOVAN HEATING AND AIR CONDITIONG 315 6 TH AVE SOUTH,JACKSONVILLE BEACH,FL 32250 Phone:904-241-3785 Fax:904-241-3745 Email:bill@donovanac.com Web:www.donovanac.com Project Information For: MARC THORNTON 830 JASMINE STREET,ATLANTIC BEACH, FL 32266 Phone: 904-249-4651 Design Information Htg Clg Infiltration Outside db (°F) 25 94 Method Simplified Inside db(°F) 70 72 Construction quality Average Design TD(°F) 45 22 Fireplaces 1 (Average) Daily range - L Inside humidity(%) - 55 Moisture difference(gr/Ib) - 55 HEATING EQUIPMENT COOLING EQUIPMENT Make Trane Make Trane Trade XE 1000 Weathertron Trade XE 1000 Weathertron Model TWR042C-B Cond TWR042C-B Coil TWE042C14-B Efficiency 7.5 HSPF Efficiency 10.1 SEER Heating input Sensible cooling 29750 Btuh Heating output 42000 Btuh @ 47°F Latent cooling 12750 Btuh Temperature rise 32 OF Total cooling 42500 Btuh Actual air flow 1200 cfm Actual air flow 1200 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.046 cfm/Btuh Static pressure 0.10 in H2O Static pressure 0.10 in H2O Space thermostat Load sensible heat ratio 0.88 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Room2 1152 23915 19785 856 918 SUN ROOM 228 9601 6086 344 282 Entire House d 1380 33516 25871 1200 1200 Other equip loads 0 0 Equip. @ 0.99 RSM 25613 Latent cooling 3633 TOTALS 1380 33516 29246 1200 1200 Boldltalic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wrightsoft Right-Suite Residential 5.9.35 RSR39613 2004-May-21 09:44:53 C:\My Documents\Wrightsoft HVAC\immy.rrp Calc=MJ8 Orientation=W Page 1 CC- . CITY OF ATLANTIC BEACH +' BUILDING / ZONING DEPARTMENT as iso S. Doer 800 Seminole Road J # _ Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # - Property Address: F33c) J^-Stt 10(-7 Applicant: Project: Z >t X I (,,� INWD 1 noy0 This permit `application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: cam/• ��h�l Date: -Uzl-104 Book 11844 Page 166 5 MiN. RETURN PHONEA., d/9- �Jpoo#:1 ,M4 7440 Frage• 166 NOTICE OF COMMENCEMENT Filed & Recorded 06/03/2004 11:24:18 AM // JIM FULLER State of -Flo Tax Folio No. CLERK CIRCUIT COURT County of u V� LUUN IT RECORDING f 5,00 TRUST FUND $ 1.00 To Whom It May Concern: REC ADDITIONAL $ 4.00 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Lo7' 2 ,61oGK ZV 6 byv-,q I Address of property being improved: 7,30 q 5 r i�► S G� ;G �4c Z 3� General description of improvements: 070 6' i O Sv r o M Owner: Are- : n 4y n Address: 730 �aSw"i r e' S . Owner's interest in site of the improvement: /�,Or 0 v�cl sDOG,I V rc�✓�ai o ti o�D�oDr,-�,/ Fee Simple Titleholder(if other than owper): 11 Name: loesiarnf4 Y'rincr�4I 1j101 4ajtr Lofr+�a.ty' Address: Contractor: Alople o w i r Address:_ .54�^t as gbave Phone No: Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: /!0n Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other i documents may be served: Name: /1 o n el Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in -- Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). — Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLYER ) Signed: �r Date: Before me this r day of �LJl/LL- in the County ofD al, State&Florida,has personally a eared Noo Public atkiarge, State of Florida,County of Duval. My commission expires: Personally Known: or Produced Idenl'--,-",---' F� DLT 3 JSf y JENNIFER SCHLUETER MY COMMISSION#DD 121301 3 3 ) 'a EXPIRES:May 27,2006 %'�,RF Eionded Thru Notary Public Underwriters CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD D r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 03-00026460 Date 7/08/03 Property Address . . . . . . 830 JASMINE ST Tenant nbr, name . . . . . . SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- THORNTON, MARC CHRISTY FIRST COAST PLUMBING 830 JASMINE STREET P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 ' . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH �r PLUMBING PERMIT APPLICATION Date: r��/©5 Job Address: _ Owner of Property: arc, I O r-n� Telephone: Plumbing Contractor: VVWV RM COAST PLUMMM,INC. P. Q Boot 50446 Contractor's Address: Jacksonville Bench, FL 32250 Telephone: ' Fax: �� (p� State License Number: How many of the following fixtures(re-piped or new): Sinks Showers Water Lavatory Water Heaters Idose Bib Bathtubs Dishwashers !_Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 — (Minimum Permit Fee: $35.00) Signature of Contractor: Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904)247-5826 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845- http://www.cLadantic-beach.tl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026440 Date 7/03/03 Property Address . . . . . . 830 JASMINE ST Tenant nbr, name . . . . . . CONNECT TO CITY SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THORNTON, MARC OWNER 830 JASMINE ST ATLANTIC BEACH FL 32233 (904) 249-3134 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 7/03/03 Valuation . . . . 0 Expiration Date . . 12/30/03 ---------------------------------------------------------------------------- Special Notes and Comments OWNER MUST HIRE PLUMBER TO INSTALL A BACKFLOW PREVENTER AND MAKE THE CONNECTION FROM THE PRIVATE PROPERTY! ---------------------------------------------------------------------------- A Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 1250 . 00 1250 . 00 . 00 . 00 Grand Total 1250 . 00 1250 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL /2vil CITY OF AnANnC BEACH 8W SEMNOLE ROAD <. ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.H.us Date: ��C/ 0-3 �,5 CLV&-d al-A(' 1-011 '7) j- r) L-Occl-A- I c7r) 6L-tt V A -S ry-001' 9q4 - 313(-I CCU `2-t cl -4Lb6l C7-0- FAX D'url —" Dear Property wner: The costs to connect your building;to theCity sewer E d/or water system are as follows: V4" 1 Sewer Tap—Labor and materials to tap into sewer main $ Water Tap—Labor and materials to tap into water main $ Water Meter—Cost of Meter $ Cross Connection inspection—Inspection by f ubhc I W.orks to ensure backflow prevention $ Sewer - .1�Fees Funds future expansion of the sewer p t $ [2----:�D water impact Fee—Funds future expansion of the water plants $ 7 i-apitailn4)rovemeni—r unds for improvements, Expansion or replacement to water system T TOTAL COSTS /--% If you have any questions concerning these charges,please call the building department at 247-5826. Sincerely, Don i1. ford Building Official You must supply your own backflow preventer. r +` 7 f 2? DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. ! 1 ! 050 PERMIT TO BUILD I 1 I*5nrRTI THIS PERMIT MUST BE POSTED ON JOB 5774 1 5/20l9 777 ,!?£lF'Af; Date May 27 19 86 5004 1A 51208 t QOt� Valuation$ 39,379.6D-F,,$ 111.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that David Baker RGO014690 41 Red Cloud Trail, St, Augustine, FL 32086 has permission to build Single family home Classification residential Zone RS2 Owned by David Baker Lot 2 & 10' of 3 Block 146 SlDSect, H House No. 830 Jasmine St. 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 4---� i---D O Building material,rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra for or owner._ Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Y= CITY OF ATLANTIC BEACEI APPLICATION FOR BUILDING PERMIT �,J ,�'� �V� ?9'�33Owner Addres szip,X o IV Phone J Architect Address zip Phone Contractorr-AtA,c�� ;r�Address �_� g i �-� - zip - Phone Dc>114(090 Contractor's Li e Nuaber Expiration Date -� Copy on File Lot ��2°k'ld Block'or Section # ubdivision Zoning r Street Betweenand side Valuation $ Type of Construction f P,-A Purpose of Building F,A,,4,4yLzber of Units � Fireplaces FA$ F Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make..taps- y�,5 Dwensions: Building 37 ;c- A Lot Size Footings o`x c Sz. Piers Sz.; Sills Greatest Span Sills Sz. Ceiling Joists K o.s5 e S Distance on Centers Greatest Span .:32- Sz. Floor Joistsj P US e.s Distance on Centers Greatest Span ' 32 Sz. Rafters c--s Distance on Centers a 1 Greatest Span Method of Heating olid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT Two complete sets of plans, including a detailed site plan, Florida Energy Efficiency Code Sheets AP PR Survey CITY OFP�Q7� Inspections Required: e�,c o,Nc OF-,,Ice 'j 1. When steel is in place and ready to pour footings. M 2. When steel is in place and ready to pour colo ns/lintel. MAY 2 2 1� � 3. When steel is in place and ready to pour beam. By 4. When framing, mechanical, plumbing, electrical, fireplace, is coal d ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we w hereby agree. to perform said work in accordance ' m �, with the attached plans and specifications, C which are a part hereof, and in accordance rt r with the building regulations of Atlantic Beach. Signature Gamer Signature Contractor i ' n ftant lote ,. low ,3'Address pp Address �JaOl. Heated Square Footage 999 @ $ 3) . D0 per sq ft = $ 00 Garage/Shed @ $ per sq ft = $ Carpor Porch Sa @ $ g.OG per sq ft = $ LAI 9, CSO Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ "q, 2;191 6 0 9. 0 o Total Valuation 1st $ 15, 0 Op ay , 3-�9 . Go �a.so _ $ L�a.so Remainder Valuation a.zper thousand or portion thereof -------------------------------- ----------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED 11 + 2 Filing Fee $ Mechanical J Fireplaces @ 15.00 $ Plumbing ✓ ; BUILDING'PERMIT FEE $ Electric/Neta f ' ------------------------------------------------- Electric/Temp Septic Tank V/ BUILDING PERMIT $ Well WATER METER CHARGE $ ss. CC) & imning Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ ala 0. o O Water Connection ,/ MISCELLANEOUS $ Sewer Connection $ Water Meter ✓ $ Elevation Certificate GRAND TOTAL DUE $ 'A I Cfl �S O ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES Lh x s PLUMBING WORKSHEET I SINKS Z- SHOWERS DISHWASHERS Z CLOSETS I� BATH TUBS FLOOR DRAINS WASHING MACHINE 4 WATER HEATERS DISPOSALS Z LAVATORY URINALS ' OTHER TOTAL FIXTURE COUNT D, FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) 4cr_ mA\1eR- DRfNK-ING—F'OUNTAIN' (11 UNIT), URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) 3 WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) OUNITS) i d. SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD ^� (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHI•:ASHER (.2 UNITS) KITCHEN SINK' (2 UNITS) _ KITCHEN SI\K/l•dASTE GRINDER (3 UNITS) x TOTAL FIXTURE UNITS @ $10.,00 EACH c a 0O NZ { STATE OF FLORIDA Fk y w DEPARTMENT OF HEALTH ANUREHABIL'ITATIVE ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTAL Authority: Chapter 381`, FS w Chapter'10D-6, FAC � Applicant I4brmarn Chap 1.,07' 4- 1r.16 ,` k 1 mssz � �- pp - ,. °�. 3d jawline, N. /o'o�'Lo7" g axk/�d t p ........... PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONS,. 4 . Treatment Tank Mini'mum'Draintret�ch Size, Septic tank or Grease aerobic unit 900 gallons interceptor gallons Square Feet?' s. Septic tank or aerobic unit gallons Dosing tank gallons Square Feet • Graywatery y6 1 4. tank gallons Square Feer ° Laundry F , waste tank' gallons Square'Fe�e Other Requirements: x (a) Installation must be in accord with requirements of chapter 1OD:-6, FAC. (b) A system construction permit is valid for a period of one calendar year from date of issu . ;1 (c) , Final installation inspection and approval is required before the system is covereia 4, , . (d) Invert of stub-out for xat»� to be " ' Invert of stub-out for to be Invert of stub-out for to be •,tiw>» Invert of stub-out for to be z � (e) Fill quality and quantity: ooruara Scrape (:)fforga,nJ.c torsoia. and bstckfill. to grades. In are& ..��', t " of clean sand Eind 1.t`" of rock. Cover withn 9-1221' .: drainfield wi*hin i days of installation. � � �� H x p aq (� Other. v 4 a h. P °bk1S. Al System design and specifications by: 3 . Construction authorized by: d S Supervisor iluval County Public Health Unit Yd y Note: Completed copies of this form will be provided to the applicant,installer and the�b41i Q t-4, t AUDIT CONTROL NO.. 1."� )�9Al Al t r HRS-H Form 401 S.Feb 85(Obsoletes previous editions which may not be used) (Stock Number.5744.001-4018.0)' 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 WORKIN 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 FI: : iWill ELE 1 NAME " ADDRESS: / c s . , RFD ___BOX BLDG.SIZE BETWEEN: RES:" APT.t ► COMM.( ? PUBLIC t ► INDUS.t 1 NEW/ " OLD( ► REW.t ► ADDITION( ► TRAILER t 1 TEMP.I ► SIGNS t I SO.FT. SERVICE: NEW 1 ► INCREASE( 1 REPAIR t I FEE OR SIZE 9 AMPS COPPER U OR BREAKER AM PH 3 W RACEWAY EXIST.SERV.SIZE jAMPS PH W VOLT RACEWAY FEEDERS -3 NO. /0 SIZE NO. � —WZE NO. SIZE LIGHTING.OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMP$, SWITCHEg MOTORS H.P. VOLTAGE PHS NO. H.P. VOLTAGE PHS $ SIGNS i i i DEPARTMENT OF BUILDING �]']rj Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- ! ( GG VV PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 5-1 0 � �5.tal�CKT Date June 27 19 $6 X919 1 A VMS i 7728 000CAC I Valuation$ Fee$ 55.SO 5919 1 A 6/27/ 1 t 01;40 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Duckworth Plumbing 860037336 Ihas permission tol ins$a11 IEulin Classification residentialZone Owned by David Baker Lot_2 & 10' of 3 Block 146 S/DSect. H House No. 830 Jasmine St. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS n AFTER DATE OF ISSUE f----� O Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared t up and hauled away by either con- trac r or owner. z" i� Building Official. I FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR LICENSE NUMBERS OWNER BUILDING CONTRACTOR TYPE OF BUILDING ; SINKS SHOWERS LAVATORY WATER HEATERS ' BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT :Sc) INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. '0002474 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT„INFrDRKATION - LOCATION IN)F't7�RMA7'I + ~ _ i'exaA�,t Hua►ber I 2474 ddar � s `BSO �`AST"IIi+iE £�TREE'T' I'Ormlt ` E`Ypr�s BUILt1IHCli A"!"LAili'T'IC BEAACH. FL IDA i 233 'CIOerr of Fork i ADDITION ....».__ LTit�Al<,. ESCRIPTICJ Ccsan rtr. Types I 4 WI) PRAMV of. � BI' r- � J.- lockw P *poa*d Use SINGLE FAMZL,Y RN v&llin' 901 0 +Coder CI 't`�xwrE�whSI�aI RN : EStfr tod Values �IOS,II. ubd vakr�ic►inI SECTION H I I"Prov. Cunt *0. 40 Tota, 1111 _ $15. AoRItt 3k X15.00 a 'Elf FLA N5 Q $ APPLICATION FEES t�r I PERMIT $15.00 re ,Addrreok �TAIIT STREET WAa F T� tT'!tCT 'EE � ,,00l 0 ri s � 0A � FLORIDA aG .t 01,1 "TER A NATER'- � ,00 A H.Ilk' S. �O � a RADON OAS" w CC*tRA+ - ` irtR00 ATIOM - RAJ GAS ...I PROt' � 'WA''3' ll' TAP ' A# tix` 1�a4? a SCtiWIR TATS ".C* ,. HYDRAULIC SHARE �!O�00LicI T'yp+e: 1 REIT#S!' 1 �R �ya j� /yam 5M [ t }'+gk�' T+V�G ,.,�'y' 'ir©a,�r�{ O'T'HER a 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 HAULED AWAY BY EITHER CONTRACTOR OR OWNER. f `FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN-' THE PROPERTY OWNER PAYING TWICE FOR BUILD[N.G IMPVEMEN T TSNWIO9,tir ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU VIOLATi@N OF A�'PftICABLE PROVISIONS OF LAW. REVOCA OR LANTIC BUILDING PART'MIEN w k PLANS REVIEW CHECK LIST Address—Sly_ L '� _Owner- ------- ---------------------- G- Legal Description,` �-4_c,,�--�---------Contractor_ _ �' -----License Number------------------------ - --- ---`---------- License on File YES NO Section 24-101 * Zoning/Regulations Zoning District_ Proposed - Required Lot Size____________ Actual Lot Size Setbacks Req 7;-- d Provi d Section 24_17 _ front -- _ __ _ CORNER LOT INTERIOR LOT rear / ' -0 .,/ 0 .,/ i <, Flood Zone _-,-�_ side-1 4 _p�= r �V� - 1� / , Required Elevation— side-2 L_ wedProposed Hiht Max. Height Allo _ roposeeg ___ --r--- ------ Section 24-82 * Minimum Lot Coverage Required Heated Area _ Proposed Area...6-�---__ Section 24-161 * Offstreet Pa king Number Spaces Required _ Spaces Provided ------ ----------- Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities _____ City of Atlantic Beach Utilities _____ Private Source SEPTIC TANK WELL Plans Reviewed by:• Date ------------------------------Building Permit Permit *---------- ISSUED DENIED 6 Add ress t S MT F J ( o2C eyt ti k t ' Illeated Square footage @ $� per.sq ft - $ Garage/Shed ` @ $ er sq ft - $ Carpor $ er sq ft = $ Deck '-- @ $ __per,sq ft Patio @ $ per sq ft $ TOTAL VALUATIONesp. o <,ou Totfl Wt 1 Ist $ y Runaiculer Vfl uation , ' S'.dc)per iousand or • ' I portion thereof . -------------------------------------------- Total Building Fee $ ' ADDIT1014A , PEIRLTS and/or I • •S RCQUIRED i ' + � Filing Fee $ � )Firepl=6 @ 15.00 $ —' Heclimi,cal / oa Pluibing ; ' BUILDING IFERMZT 7 $ S Electric/Neq Electric/'1'uIh .+' i -�� - ------------------------------ Septic T'atilc BUILDING PIJR u $ /S°-%' . ' ' WAIER M ER CtIA= Well $ S4hulling 11001 S' 7 R IMPACT n sE $ Sin WATER IMPACT FEC $ Sign Water Cotuiectivn luscELi�m.us $ • is r $ Sewer Caniection s , Water Ileter i:levaL•i.un CertificaLu t o r -------------------- ------ rrrrrrrrrrrrrrrrrr-rr---------------------------- fi�ql (ZLcut.A'fIONS and/or NCFIES; ►�'; T. �' ' . 1 � i'•�'F y. 7 }' 1 ' 7 1 t 1 '' • i ,.i�IL'� li.M,Or i ii 1+7 i .4',. «3,...S j' • , , tlr�7�iJ�11 t ,,�yf �7� �. 7 .. ..1' .i.{11.�1 ..1�f. y i.�l`.'.L�Y�AY�1i•a�i'i;.�:�1C +4.4. ! i' A P P L I C A T I O N F O R B U I L D I N G P E R M I T CITY OF ``��J�_ REQUIRED SUBMITTALS - �D - 57L�� 716 OCEAN BOULEVARD Each application for building P.0.BOX 25 permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233 two complete sets of plans, including TELEPHONE(904)249-2396 a detailed site pian indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey Eon new construction) SCHEDULE OF INSPECTION Requests for inspections will be accepted from 8:00 AM until 4:30 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. Slab NUMBER FOR EACH TRADE 4. Framing, Rough Electric, Mechanical, Top Out Plumbing S. Insulation 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. $10 fee is required for all re-inspections. CITY OF PROPERTY DESCRIPTION 716 OCEAN BOULEVARD J Lot #--- _dock #-1- -Section #_ --- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 - -------------- TELEPHONE(904)249-2395 Subdivision: Street Name a DESCRIPTION OF WORK or Address:_ PFLOOD Ifin a HAZARD Flood Zone:____......area complete page 3. Brief Description:CII)A f ---' Class of Work: (New/Remodel/Addition) -------------- ZONING INFORMATION Type of Construction' _ Zoning Proposed (J� District: Use: 1�� ! �� y Estimated Value S ---------------- .-_- Exceptions or Materials: -------------------------- Variances Granted: ------------------------- Solid or ------------------------------------------- Filled Ground:-------------Root: ----------- OWNER INFORMATION Method of Heating:__________________ �- Property Owner: Phone: �/ S Mailing �J� Address_RZ_ _ � J ------ -��-- - ------------- ZIP° � �----- CONTRACTOR INFORMATION D 0a 7 M Contractor: 111Y 2 4 1990 --- - ----------------------------- Phone: Mailing '------------- Address:_ _ __$ Tw�d-LVi1e,"L1--- ------------------------------------------------ -- - ull�+ V11e ------------------------------------------------ ZIP:--------------- Expiration License Number: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF 'A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. x <r Owner Signature Date r 1 .N Contractor Signature Date FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone:----------------------- Required Lowest Floor Elevation: ............... If building is located within a flood hazard zone, 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 affecting 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 { i}! 11 iI 1 c � � I t ff A i r r , QWU Wm � O 0 Ln A z C11 aoG Q ......... .. ta)"°'Aeex, JAS' � J i i 4 1 { { 9 �w da _ N p.o aY� v r a t,_ra.�"':.. � N��.�`� 1 �►' '�� L.aT �� L��`�'.. 1=}�C.� P.�"L�.hf,1�,�.� �3'�..��!-��5� T1�''c��T'1..A'T i v� � C L Ilk. NO "1 ►P a2' 1p N* > 4z I OWNER BUILDER PERMIT AFFIDA'V'IT State of Florida > City of Atlantic Beach > BEFORE ME, the undersigned authority, personally appeared --------------------------------- who upon first being duly sworn, deposes and says: I, and the legal ------------------------------------ owner of the following property : Subdivision ----------------------------------- Block Lots AKA I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 485. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25, 000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. -------------------------------- Property Owner Sworn to and subscribed before me this - day of ----------------' 19---. 0 / 16 A 8"�y'�c•Ctr 1-tf. cplay rr c4 1 MAY 2 5 1990 Building and Zoning (.�rrttftratr of Mrrnvanry CITY OF ON&WU4 19rpartmrn# of 'Mxtilbing Atoppr#intt This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No. Group Type Construction_ Fire District_ Owner of Building _ Address r Building Address_ _ - Locality__.___.... r � r Building Official Dater POST IN A CONSPICUOUS PLACE INSPECTION LOG JOB ADDRESS CONTRACTOR ,, OWNER BUILDING PERMIT ) ]a 7 ELECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .F .A. Temp Pole Footing S 1 ab _ (� Framing Plumbing (R) �' ��(�, Electrical (R) Mechanical Fireplace Top out AL Other Electrical (F) <=D FINAL INSPECTION , L - Certificate of Occupancy Issued COMMENTS : w. CITY OF 710OCEAN BOULEVARD P.{1BOX 25 ATLANTIC BEACH,FLORIDA mmoo TELEPHONE(mm)2o9-uoos August 13, 1986 Pre-Service Section Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4928 - 830 Jasmine Street Permit issued to Dennis Electric Company. Permit #4866 - 1632 Main Street Permit issued to Abrahms Electric Company. Sinc ly, ' . xene' Angers Community Develodnent Director y coxbuilding file ` BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, III, and IV. LOCATION Street Address: OF Intersecting Streets: llefweadov And BUILDING Sub-division II. 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 attacl1ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Nana of Mechanical Contractors Contractor (Print) Master Name of hoparfy, Owner Q Q nature of Owner Signature of Sig orAgen# Architect or Engineer III. UNLUL INFORMATION A, Tllps of heating fuel: 8. IS OTNER CONSTRUCTION BEING DONE ON kg nE THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural If`Gntrol Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Olt PERMIT O Othw— Specify IV. MIICHANICAL 69UIPMBMT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Id Residential or ❑ Commercial 2Nast ❑ Space ❑ Recessed B' Centre) 0 Floor 9 New Building WAir Conditioning: ❑ Room 8_1 etrel O "Existing Building Q DnN System: Material Thick 13 R laeement of existing system Maiifmum capacity L— New installation(No system previously inetstled) Cl Refrigeration O Extension or add-on to existing system d' Cooling toward Capacity g,p,rn, Q Other-- Specify Q Fire sprinklers: Number of heap ❑ Elevator ❑ Manliff ❑ Ewlater._.__ ... (number) THIS SPACE POR OFFICE VOLOPLY ❑„6aoline pump (number) (Reewivedl ; Q,' Teekr` (number) Remarks ❑ LM conte: (number) 0 W&W preswre vessel 0 leitisn` hmirt Approved,by. .. _...�. tf Olher -- Specify Permit" LIST' ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT 1tltarmba Valls DaecrlpUM X96011 NIMber ][anutsusb~ (TOM) F. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. J J 1900 T1. PERMIT TO BUILD IfIO 1CKT THIS PERMIT MUST BE POSTED ON JOB G4 1 A CI 10/6 772 .COCA Date 19 molal; Ir F i m 38.00 1 n0o f Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. GRENIER SERVICES 1 This is to certify that { YY has permission toM install heat & air Classification residential Zone Owned by David Baker Lot 2 & 10' of 3 Block 146 S/D Sect. H House No. $30 Jasflatine St. f 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 ,t AFTER DATE OF ISSUE 4 � 4--- oil O Building material,rubbish and debris 34 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. IT Building Official. FOR OFFICE PERMIT DATE CONTRACTOR ` USE ONLY NUMBER I PLUMBING i ELECTRICAL SEWER WATER AOA..