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Permit 850 Jasmine St �� x /l ADDRESS BUILDING PERMIT NUMBER_ IN!�PECTlONS FOOTlN6 SLAB_--___ ���!�_�.� / __---- - F8AMING-__ COVER INSUL&TIUN___ ��__�~~,�___ FINAL 8UIl'DlNG__��_-/ '�-`� /__ L/ �] CERTIFICATE ELECTRICAL PERMIT #____~T�~�_ ~�-_/ _____ _____ _ INSPECTIONS BOOG8___ � ��__ /_/__________ n ~ �� / 7/--____-_- MECBA0ICAl. PERMIT #_ PLUMBING PERMIT NOTES: '. v � ti t SSS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number . . . . . 07-00001086 Date 7/31/07 Property Address . . . . . . 850 JASMINE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4985 ----------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRENCH, HARRY JOHN GILMORE ROOFING, INC. 850 JASMINE STREET 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 4985 Expiration Date . . 1/27/08 -----------------------------------------------------------------------;---- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 . 55 . 00 .00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES �n CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: S4,te e.+ &AJ F-L 3 2 2 d 3 Owner of Property:&W—C GA�I�sA�PG eeL o Address:y`L .2 v�Af� olds la"r rAcl_ FL 3x2 _ Telephone: a? Contractor. 110hn Gr'IMZ/ . R00-i/1 q T, 7C State License Number: CCC U S 7(v 7cl Contractor's Address: 70 SAN OsC 6)VC1 i�-I9(a Ja cMYVV,rle Ft- 3 2-Z_ 3 Telephone: -)' Fax: 90 q-f,?o -&"o I Scope of Work: �Q� S'• QP And _,0,A Ce VVI-9ao hrWC/Turd SktiAl P Deck Slope: Greater than 2:12 1 Less than 2:12 -� a v Valuation of work: 9 /45 , n Product Name(Example: Timberline): P�f�q u,� k04 c..l r Manufacturer(Example:GAF): E/ ASTM Designation(s): b .3 Y(,2. Required Inspections: Sheathing and Final Signature of Owner; — Date: 2 6 AS TO OWNER: Sworn to and subscribed before me this day of 200 7 State of Florida,County of Duval ` Notary's Signature: lla�4 *' MY COMMISSION#DD 634126 Personally known Mkt EXPIRES:M1121,2011 ❑ Produced identification �"' Thru Notary O"btk Urft Wr tars Type of identification produced Signature of Contractor. Date: 7- 36 ,0? AS TO CONTRACTOVore i Sworn to and subscribedme this day)titification RYAI i JQWERS ,20 "� .Notary Public-State of Floddo State of Florida,County of Duval '% * ' �M MaY27,2�8 Notary's Signad` Commission#DD 324096 r , ❑ rsonPl6 ally [�'Produced i Type of identification produced Mam 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5945 •http://www.cLatiantic-beach.fLus NOTICE OF COMMENCEMENT - -- --- Permit No. Doc#2007244536,OR BK 14110-Page 622, Tax Folio No. Number Pages:I Filed B Recorded 07/30Y2007 at 01:26 PM, JIM FULLER CLERK State of Florida RECORD NG 310 CIRCUIT COURT DUVAL COUNTY County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in . accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property end address if available): � 2. eneral Description of improvements: Al-&F AetmoVe ROo,=�A)G— 3 � '1*[c licca 51u t 3. Owner Information: a)Name and Address: 134acoF G�-ic, � 6--I"e- a b)Interest in property:lp5i�nc� c)Name and address of simple titleholder(if other than owner): 4. Contractor(Name and Address): _ 1466V Cr i/mo e e ROUFi'n!1 m e Cl/f/•�0 SAyv�25e ave /`I(' J ftx FL LZZ 3 5. Surety Information: --T 9aV.8''Foy �pp)Name and Address: b)Phone Number: c)Fax Number: d)Amount of Bond: 6.'! oder Information: f"I a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be Prved as provided by 713.12(1)(a),Florida Statutes. a)Name and Address: b Phone Number: c)Fax Number- 8, In addition to himself ,ierself,owner designates of to receive a copy of the Lienoes Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: Signature of Owner: Sworn and subscribed before me this day of 20 0 Known Personally 0 ID Shown: Signature of Notary: My commission expires: A.� W COMM ISSM 0 DD 634126 EXPIRES:May 21,2011 Bonded fIw Nosy p�UWW"e" -\f,s CITY OF ATLANTIC BEACH A, 800 SENIINOLE ROAD ' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dent(a?coa6.us Application Number . . . . . 07-00001099 Date 8/06/07 Property Address . . . . . . 1431 JASMINE ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL 1 CU & 1 AHU ---------------------------------------------------------------------------- Owner Contractor AMANN FLORIDA HOME AIR CONDT & APPL 8252 103RD STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 777-4300 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . - Permit Fee . . . . 79.00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/02/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 79. 00 79.00 .00 . 00 Plan Check Total .00 .00 .00 .00 Grand Total 79. 00 79.00 . 00 .00 pFAWT Is AppROYED:ONLy EN ACCOBDANCE WITH ALL CITy OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUHAING CODES. f •Si�1t`1:ra jy � S) CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: O Owner of Property: Dch6 rc r J rr7G� >7 Job Address: Contractor: 1 v` 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 of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING DONE ON THIS O Gas: _LP _Natural Central Utility BUILDING OR SITE? /'?� ❑ Oil 0 Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE TUWilding ti�ORx INSTALLED es or _ Commercial ❑ ew (Provide complete list of components on back of this form) ar- Existing Building U Heat _Space _Recessed -tentral Floor W--' Replacement of existing system LK Air Conditioning: Room 42=&P ❑ New Installation -on system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacityefm ❑ Omer.Specify ❑ Refrigeration ❑ Cooling tower: Capacity gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift—Escalator—(Number) (Received) 13Gasoline pumps (Number) ❑ Tanks urnber) Remarks 0 LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units escn io Model Nu ber Manufacturer Capacity Approving T �� fiA4, (Tons):2, Age., (,AL HEATING-FURNACES,BOILERS,FIREPLACES Number Units Model Number Manufacturer Capacity Approving BT -36 Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 900 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5900.Fax:(904)247-5845• http://www.cLadantic-beack.n.gs 1114/03 _777- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH,"FLORIDA 52238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, Il, III, and IV. '• R c� •rn LOCATION Street Address: wkr OF Intersecting Streets: Between 6 And BUILDING Sub-division II. IDENTIFICATION --To be completed by all applicants In consideration of permit givenfor doing the work as described in the above statement we hereby agree to perform said work-in accordance with the attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical ""`'""`- 9 Contractors Contractor (Print) 1k Orf►Kj ► "" Master Name of property Owner b Si9natu►e of Owner "` Signature of er Awtlwrisod t AgenArchitect or Engineer III. 69*RAL INFORMATION A' Type of heating fwl: B. IS OTHER CONSTRUCTION BEING DONE ON - ❑ Electric THIS BUILDING OR SITE4 0 Gas—❑ LP ❑ Natural ❑ -Central Utility IF YES,<GIVE NUMBER OF CONSTRUCTION 13 on PERMIT 0 Other—Specify IV. WICgANK:AL EQUIPM11NT TO RE INSTALLID NATURE Of WORK (Provide complete list of conspowews on back of this farm) ❑ Residential or ❑ Commercial ❑• Hut ❑ Span ❑ Recessed 17 Cenfrel O poor ❑ New Building CI` Air CoWifloning: ❑ Roan ❑ Gntrai ' ❑ Existing Building Q Dec1 System: Material Thieke••• ❑ Replacement of existing system Masimum capacity efrw, C3 'Now'New Installation(No system previously insl ❑ R�friq.ratien ❑ Extension or add-on to existing system ❑ Other— Specify C) Cooling fewer: Capacitor - C) Are vrinklen: Number of heeds Q Elwstor ❑ Menlift ❑ Ewlator (wusaber) TWIS SPA(* OOR OPFICE USE ONLY Q Gasoline pub (number) (ReeeMd) Q Tewks_, (wpmber) R«marks 13 LPG aeMaram (number) Q Unfired pressure va>teel Q Eo"" Pemsit Approved by n.%•.._., .�.. .�. ❑ Odler — Specify Permit ALL EQUIPMENT tYT1t?NIN+G AND REFRIGERATIpN EQUIPMENT µ 3Vuet ber Vnft+ ..... Daacrlptba ][odei NUI ober Manufaaturer d d� [ i DEPARTMENT OF BUILDING M " CITY OF ATLANTIC BEACH,FLORIDA PEFWi" NO. I AT. 7974 .00CAG PERMIT TO BUILD 992 1 R 8/2618 THIS PERMIT MUST BE POSTED ON JOB t 13E)I Date 8-26-86 19 38.00 Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is i subject to revocation for violation ofapplicRab�l�erlER SERVICE This is to certify that ' has permission to bui INSTALL HEAT & AC I Classification RESIDENTIAL Zone Owned by Lot Block S/D House No. 854 JASMINE STREET I 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 ,I AFTER DATE OF ISSUE �i O Building material,rubbish and debris zi from this work must not be placed in pub ' ace, and must be cleared upd auled a ay b either con- act or owner x / f Byitd' g Official. FOR OFFICE PERMIT DATE CONTRACTO USE ONLY NUMBER PLUMBING ELECTRICAL _ ! SEWER WATER MAP SHOWING SURVEY OF LOT __L_._ BLOCK SE•c rir>.v :�/"' �r�-.*.uric i3�.�c� ACCORDING TO MAP RECORDED IN PLAT BOOK /B PAGE 34 OF THE CURRENT PUOLIC RE"06 OF0&*41_000NTY, ►L. SCALE: I"= 710 FOR .UE'.4�/ ,2c/_s<FLL �'Cv✓S PICA' •/v../ DATE GE72 r/FY To.' ����'iC�� Fr7_'�r�'s�� �•A�iinil s fj'�,n/,(f 2 JA S ?S' .P/r✓ .Ia'S�!✓ate �Y Pt..�T NI N)N� S.o/• 2 7 '3G"E• 7d.civ "�Ptwr i�.�r.� �.t.s.�/!� Z a w 3 in N r • .ir,`.�,'�_� �`�a+o 2'.,,,,E ;M"orrrieE lr�i'sir+ v F['x'p 2a...ic_•_i�,•.s t rY! e.i• h7? ,K.iJO •���r / 'ye /(/��/• Z 7�3�i"kf �d.Lip'IP�AT I ' - - - --- ----_ -. _._.. .,_. ,•,,.� .4ss rw+��,o seso,e..�c moi- •�✓ �Q' �'o' 2�E �/Lwrs nv i Y" vL • `tiE .rte Iry s� 71, • �• • pal 4e if + ++'�`►" CD AA 1♦� V 1/• � 1 t � Y CITY OF �e.�ttr#mpttt of ��ril�in� �n�isr�#inn 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__ Building Address Building Official Date: P"Ir IN w co""Icuous MAI= SCALE: 1" = 20' ZS� ¢/a/ .tESe ✓EA ,3Y PLAT �h` N , 2736"E. 7d.cav 'tPcs+ I � . E�1 912091 10.4• X8.2 R Al Zoo.ul IrP �tt�� � lw• 5.8 � �' M 3 Odg STogv 57t1CCp tv A •� € Boa U«fA E #$50 N APPaovi Hifr� Fio�, ze. E X �'�rs�o�_Tilt S R �•�taoa M� old V IL M ✓ r (IJO 1,P) 1•+ t.P t ilio 60 0 g 10 20 I 40 S C A G R A P µ MAP SHOWING SURVEY OF DESCRIPTION: TOT / BLOC K 146j SECT/OAA "N` A TGANT/G 064cA1 49 ,QEC2 DEp Al-4t7- 800K /B, GAGE 34, Pl/E3UC � 'OS' C� !x/11,4[, ClX/NTY F�vv,Q/a4 LEGEND: D - DENOTES DELTA (CENTRAL) ANGLE P.R.M. - DENOTES PERMANENT REFERENCE MONUMENT R - DENOTES RADIUS P.C. - DENOTES POINT-OF-CURVATURE A - DENOTES ARC LENGTH P.T. - DENOTES POINT-OF-TANGENCY C - DENOTES CHORD LENGTH R/W - DENOTES RIGHT-OF-WAY B - DENOTES CHORD BEARING 0 - DENOTES IRON MARKER FOUND (as noted) I.R. - DENOTES IRON ROD O - DENOTES 5/8" IRON ROD SET (L.B. #5050) I.P. - DENOTES IRON PIPE ♦ - DENOTES NAIL AND DISK FOUND (as noted) - DENOTES CENTERLINE A - DENOTES NAIL AND DISK SET (L.B. 15050) SURVEYORS NOTES: 1) THE DESCRIPTION AS SHOWN HEREON WAS SUPPLIED BY CLIENT. 2) THE FLOOD ZONE INFORMATION AS SHOWN HEREON WAS TAKEN BY SCALE FROM THE REFERENCED FLOOD ZONE MAP. 3) ALL OF THE IMPROVEMENTS AS SHOWN HEREON WERE LOCATED BY THIS SURVEY. RE✓SED 70 SMOW 440110AML /tiJPRO✓EMWfS/RECWA� rlED 9 20 9r R.E . HOLLAND & ASSOCIATES , INC . PROFESSIONAL LAND SURVEYORS AND MAPPERS 2021 ART MUSEUM DRIVE, SUITE 140, JACKSONVILLE, FLORIDA, 32207 TELEPHONE (904) 346-0513 FAX (904) 346-0620 The undersigned surveyor has not been provided a current title opinion or abstract of matters affecting the title to or boundary of the subject property. It is possible that there are deeds of record, unrecorded deeds, easements, or other instruments which could affect the boundaries. This survey is not valid unless embossed with surveyors seal. Examination of the Federal Emergency Mana ement Agency, Flood Insurance Rate Map, Duval County, Florida, Community Number /20075 , Panel 00014-' , Dated W17/ems , Indicates that the property shown and described hereon lies within Zone 1,V*' Ts -13� W. AeeW EYAi Apparent street address is number 850 1 hereby certify that the survey as shown hereon TYPE OF SURVEY: BOUNDARY SURVEY meets the minimum technical standards as set BASIS OF BEARINGS:. _S. R y1/UNE cam' W 9P7y S?.' forth by the Florida Board of Land Surveyors .45' it/. B9a5o' Z4'�. pursuant to r 472,027, Florida Statutes. SOURCE OF INFORMATION: _ cB-ie, .34 IMPROVEMENTS: AS SHOWN HEREON ENCROACHMENTS:_AS SHOWN HEREON A AL BENCHMARK REFERENCE: A tr i- CERTIFIED TO: D64V R SSEGI. Ws , CO, AMf.XIC4N SAVINGS' j%4NK —/AV7— .4.NE;t'/C, Al TrTLE 6o SIGNED JOHN M. BOWDEN DATE OF SURVEY d// 6/ DRAWN BY: FLORIDA REGISTERED SURVEYOR N0. 4398 F.B.-4 PG. 43 JOB NO.9�2�8 DWG NO. 180/-Z/8 CITY OF ATLANTIC BEACH, FLORIDA Aav►owd-by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �'� Z 19 5 I 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. j3,p -4+- �05(Q M,jAd C a•J ,j,... '..�4 /�,-+'1 (i DEPARTMENT OF BUIL011140 CITY OF ATLANTIC BEACH a PRRi 2' INFORMATION, LOCI ATION INF' Ri�AT'ION, r*it .Numbor3 4216 �Addre, : C JA's TNE RTR ET Permit Type: dK�CFtAN�I��L ATLA1�t'�`iC B2ACII1, F'1.ORIOA 2233 CL reg wore: N l L90AL 0 I CRIPT`ION ------- - Cern tr. ; Type: WOOD F'RAlf" C.r�t: �1��� 3+�+�tic�z�: Proposed 1)00 s EIR E F�ANIL.Y � � T vo i �r s RNO a O ' D�r�rlL�r:g c s 1 dodoz 0 Subdiv��s� ��r>r�s RI CA I01i 'N Estimated Valu: $O:00 �npr0 Cent: 80.00 Total F ., s X43:Q0 Amcaurr#:r s ga 4':,.00 AT A*KD AIR AT"ION N At�P1.ICAT'ION F �, �� Ft �. :66 ,00 N �7 � PERMIT`. Addx r s111 �d RZ RR T �� fit: ,X"PA ,T ,a� BO«00 P �LOR � AW o- R +ON GA04H. R.S. $0"00; Rei ,3, F'CRRAT� t TADt11AG X0.00 � 00 N : R R K ; E TA .,.. '�0� ;h .. .,... �. "Sok :TAP. *0.00 JACK L:L E FLORIDA 32216 i4Y`DRAULIVI SUARE *0100 L C t1y t �a r 110 T'y 's t ixOtc `^ "O" ' NOTES. i 41, NOTICE ALL CONCRETE FORMS AND,FOOTINGS NIUST,SE fN$,P9CTED BEFORE POURING PERMIT VOIF3 S1X MONTHS AFTEf1,PATE 01=ISSUE F3tJILDING MATERIAL RUBBISH'AN15 DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,ANp Mt1ST t3E CLEARED UP AND HAULED AWAY,SY EITHER CONTRACTO€t OR OW,IVE14 AILO'# to C`10 LPL�f W1Tk THE MECHANICS Ll�la LAW SAN RESULT IIN TH E I I C31?� R"' Y)O* l E K PAY I N+G`7W C E 1 + #SUED ACCORDING TO APPROVED PLANS WHICH ARE PART C3F THIS PERMIT i0.Nt SUB.! REVt?CAT# VIOLATtOI+t OF APPLIO AOI.E PROVISIONS Of LAW, M =r ATLANTIC 8iA0H BUSLC3It DEPARTMENT y y. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH/ ATLANTIC BEACH, FLORIDA 32233. APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: 4915-40 OF Intersecting Streets: Between 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 attacl>ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractor Contractor (Print) Master Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. 6 INAL INFO MATION A, T of heating fuel: S• ) IS OTHER CONSTRUCTION BEING DONE ON ENctr►c THIS BUILDING OR SITE?_ Q bet—❑ LP ❑ Natural ❑ Centre) Utility 13 Oil IF YES, GIVE NUMBER OF CONSTR CTION / y Q/ PERMIT ZJ /�Q Q Other — Specify IV. MWHANICAL EQUIPMENT TO IF. INSTALLED N TURE OF WORK ( rovWo complete lid of components on back of this form) Residential or El Commercial most ❑ Spece ❑ Recessed A Central O Flow v New Building Air Conditioning: Q Room ❑ Central ❑ Existing Building Duct System: Materia i nets ❑ Replacement of existing system Maximum capacity .41- Maximum New installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity 9•F•m ❑ Other — Specify Q Fire sprinklers: Number of head- 0 Elevator ❑ Monlift Q Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump (number) IR -so Q Tai• (number) Remarks ❑ LPG contoinen (number) (] Unfired pressure vassal ❑ Boiler Permit Approved by Dna. Q 01Mr — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cspady w Number Units Description Model Number Manufacturer ( s) As FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-91 Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2 3 PROJECT NAME ISUILDERM. etl AND ADDRESS: PERMITTING t�U�� CLIMATE-ASQ 1 ❑ 2 ❑ 3 S _ OFFICE: ZONE: O PERMIT p / JURISDICTION I S lt�--t_L NO.: NO.: NEW CONSTRUCTION © IF MULTIFAMILY,NUMBER OF CONDITIONED SO. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: PREDOMINANT SAVE OVERHANG 1:2.® FT SINGLE-ANE ❑�SI SINGLE-D. F°ANE _=MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- SO. DOUBLE- S0. SINGLE FAMILY DETACHED® CONDITION: ❑ LENGTH ❑,a FT. PANE FT. PANE FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = F7 .� 17) 1 FO. ❑ F1_7I1 so-FT m ADJACENT MASONRY R = ADJACENT FRAME RR ADJACENT STEEL R = ADJACENT LOG R Mso so .❑ FT. [a � FO m �T FO CD CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTICR = SINGLE ASSEMBLY R = SLAB PERIMETER R = RAISED:WD CON R = Fa ® I I I I 1 1 FTI m I 40 F-21 FT ­16 1 + 1 i i 7 FOT ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS N ,m UNCONDITIONED © CE'.TRAL ❑ ELECTRIC STRIP ® HEAT CPLNG FANS EL ECTRiC SOLAR: IBJ 1� SPACE R = ❑ ;ROOM ❑ NEl OTHE ATURAL GAS PUMP EI S.F = ❑ CROSS VENTILATION I JAT,iFIAL GAS HEAT RECOVERY CHECKi R ❑ I0� ❑ PACKAGE TERMINAL ❑ ROOM UNIT OR FUELS ❑`NNCLE HOUSE FAN ❑ OTHER FUELS DEDICATED AIR CONDITIONER PACKAGE TERMINAL IN CONDITIONED HEAT PUMP ❑ NONE ❑ ATTIC RADIANT ❑ NONE HEAT PUMP: 11m SPACE R = ❑ NONE BARRIER E.F. = CO HSP n � NUMBER OF EE. EER = AFUE = L �, MULTIZONE EF = BEDROOMS _ INFILTRATION r-- PRACTICE USED I I�S I' l l /� I / I U I X loo 3�. ❑ #1 [1 #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and specific iF�tjon ered by this calculation i icate ompliance with Florida Energy Code. the Florida Energy Code. Beruction is com led,t s b ildin ill be inspected �,�/�(y!/} for compliance in accordant 553.908, .S. PREPARED BY: �+ DATE: I hereby certify that this.AUilding is i mpliance with t lorida Energy Cope. BUILDING OFFICIAL: lr-- OWNER AGENT: . DATE: �3/-g/ DATE: 9A I PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). V EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. ADJACENT DOORS EXTERIOR JOINTS 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. &CRACKS 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 POOLS 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a &SPAS - pump timer.Gass a&pool heaters must have minimum thermal efficient of 78%. 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 unconditioned INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2(R-6 after 1/1/92). ✓ &INSTALLATION HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. INSULATION 904.9 Ceilings-Min.R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings&Floors R-11. `i` SUMMER POINT MULTIPLIERS (SPM) 9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES 12 3 Pp. OH RATIO .0-.11 .12-.17 .18-.26 .27-.35 .36-.46 .47-.57 .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+ N 1.0 .94 .91 7 .83 .19 .76 .72 .69 .63 .56 .50 m I NE/NW 1.0 .94 .91 .86 .80 .75 .71 .67 .63 .55 .48 .42 ~�', o E/W 1.0 .95 .92 .86 .80 .73 .68 .63 .57 .47 .39 .31 SE/SW 1.0 .93 .90 .82 .74 .66 .60 .54 .47 .39 .32 .21 S 1.0 .91 .86 .7 .68 .60 .54 .51 .45 .39 35 .31 SOH LENGTH*1 0 ft. 1 ft. 11/2 ft. 2 ft. 3 ft. 1 31/2 ft. 41h ft. 51/2 ft. 61/2 ft. 91/2 ft.____i 14 ft. 120 ft.+ *To select by Overhang Length,no part of glass shall be more than 8 it.below the overhang. OVERHANG RATIO- OH LENGTH OH HEIGHT L L H L4T H F1H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK' FACE BRICK INT.INSULATION EXT.INSUL. R•VALUE WOOD FR LOG WOOD STEEL R•VALUE EXT ADJ EXT i ADJ NORMAL WT. I NOR.WT. 0. 6.9 2.4 6 INCH 0- 6.95.5 2.2 7 6 1 2 8 R•VALUE EXT ADJ EXT 7-10.9 ! 6 R•VALUE EXT 7.10.9 2.1 .8 3.5 3 0- 2.9 1 2.2 1.1 2.2 11 -18.9 4 0.2.9 5 11 .12.9 1.7 7 1 2.7 1 1.0 3 4.9 13 8 I 8 9 25.9 .2 7&U I C 13-18.9 i's .6 2 5 1 0.9 5. 69 10 7 5 26&Uo 1 %&Up 8 L19.25.9 1 9 4 2.2 0.8 �7 10 9 I .7 5 3 R•VALUE BLOCK 8 INCH 26&t o 6 0.8 11 -18.5 4 4 0 0- 2.9 1.0 R•VALUE EXT 9.259 2 2 3 69 .6 0.2.9 1.0 11 26&Uo 1 7- 9.9 4 3 6.9 L10&Uo 2 7&Up 9D DOOR SUMMER POINT MULTIPLIERS(SPM) 9E CEILING SUMMER POINT MULTIPLIERS(SPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R-VALUE SPM R-VALUE SPM CEILING TYPE WOOD 6.1 2.4 19-21.9 1.1 10-10.9 2.9 R-VALUE DROPPED EXPOSED 22-25.9 .9 11 -12.9 2.6 10- 13.9 3.2 3.5 INSULATED 4.1 1.6 26-29.9 .8 13-18.9 2.4 14-20.9 2.2 2.4 30-37.9 .6 19-25.9 1.8 21 &UD 1.5 1.6 38&U .5 26& U 1. 777777 9F FLOOR SUMMER POINT MULTIPLIERS (SPM) SLAB-ON-GRADE RAISED RAISED WOOD' EDGE INSULATION CONCRETE POST OR PIER STEM WALL WI UNDER R-VALUE SPM R-VALUE SPM ------ CONSTRUCTION FLOOR INSULATION ADJACENT R• ALM SPM SPM 0.2.9 -41.2 0-2.9 - .8 0. 6.9 0.0 22 3.4.9 -37.2 3.4.9 -1.3 7-10.9 -1.4 -2.3 8 5-6.9 -36.2 5-6.9 -1.3 11 -18.9 -1.3 -1.9 .7 7&U -35.7 7& U p -1.3 19&Up -1.1 -1.5 .4 .9H DUCT MULTIPLIERS(DM) 9G INFILTRATION SUMMER POINT MULTIPLIERS(SPM) Return Ducts Return Ducts R-Value In Unconditioned Space In Conditioned Space INFILTRATION PRACTICE SPM Supply 4.2-5.9 1.14 1.10 (See Table 9P) Ducts in 6.0-6.6 1.10 1.07 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE # 1 10.2 8,0 Supply 4.2-5.9 1.10 1.00 PRACTICE#2 PRACTICE #3 8.0 Ducts in 6.0-6.6 1.07 1.00 Conditioned Space3 6.7&up 1.06 1.00 ' For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e) 1. 3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -3- EPI= 98.73% ENERGY CODE SECTION 9 NORTH ZONE 1,2 , 3 900-A-91 DEAN RUSSELL SUMMER CALCULATIONS LT1 BK 146 JASMINE ST AS BLT SMR. GLASS BASE SUMMER GLS SOF GLASS ORNT. AREA SPM BASE PTS ORIENT. AREA DBLCLR ' (9B) SMR PTS N 26 38. 3 996 N 26 38. 3 0.87 866 NE 57.7 NE 57.7 E 33 79.7 2630 E 33 79. 7 0.86 2262 SE 79 . 1 SE 79. 1 S 9 66.2 596 S 9 66. 2 0.77 459 SW 8 79. 1 633 SW 8 79. 1 0.82 519 W 40 79.7 3188 W 40 79.7 0. 86 2742 NW 8 57.7 462 NW 8 57.7 0.86 397 H 66.2 H 267. 0 1. 00 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL . 15 1244 124 1. 50 8505 12799 7245 AS BLT COMP. SUM PT BASE COMP. MULT. SUMMER DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 1074 0.90 967 ADJ. 90 0.70 63 2X4WDFR Rll 1074 1. 7 1826 ADJ2X4 Rll 90 0.7 63 DOORS DOORS EXT. 34 6. 10 207 EXT WD 34 6. 1 207 ADJ. 22 2 .40 53 ADJ WD 22 2 . 4 53 CEILINGS CEILINGS UN.ATC. 1244 0. 60 746 UNDRATC R30 1259 0. 6 755 SGL.AS 0. 60 KNEE R19 48 1. 1 53 FLOOR FLOOR SLAB 168 -37. 00 -6216 PERIM. R-0 168 -41. 2 -6922 RAISED -3 .99 INFIL. 1244 8. 00 9952 # 2 1244 8. 0 9952 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMPONENT BASE SUMMER POINTS TOTAL AS BUILT SUMMER POINTS TOTAL 18571 TOTAL 13233 COOLING TOTAL BASE AS BLT DM CSM CCM AS BLT SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS .42 18571 7800 13233 1. 12 0. 38 1. 00 5587 HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9M) (9N) HW PTS 3 3803 11409 ELECT. .88 3 3803 1. 00 11409 WINTER POINT MULTIPLIERS (WPM) `.9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 12 3 10- OH RATIO .0-.11 .12-.17 .18-.26 .27-.35 .36-.46 1 .47-.57 1.58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+ 1 SINGLE PANE GLASS N 1.0 1.05 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.38 1.45 1.51 NE/NW 1.0 1.09 1.13 1.20 1,26 1.33 1.39 1.45 1.50 1.63 1.74 1.84 E/W 1.0 .67 .50 .16 -.20 -.60 -.95 -1.32 -1.73 -2.51 -3.31 -4.05 M SE/SW 1.0 .92 .88 .77 .66 .52 .39 .25 .10 -.21 -.48 -.74 S 1.0 .95 .92 .84 .74 .60 .46 .29 .13 7.24 -.54 -.67 w DOUBLE PANE GLASS N 1.0 1.09 1.13 .19 1.25 1 1.31 1.37 1.42 1.48 1.58 1.69 1.79 i NE/NW 1.0 1.15 1.23 .35 1.46 1.58 1.68 1.78 1.87 2.09 2.28 2.46 El-w- 1.0 .85 .77 .46 .28 .12 -.05 -.24 -.59 -.96 -1.29 i SE/SW 1.0 .93 .90 .8 .72 .61 .51 .40 .28 .03 -.19 -.40 S 1.0 .96 .94 .87 .78 .67 .55 .41 .27 -.04 -.29 -,40 SOH LENGTH* 0 If. 1 If. 1112 ft 1 2 ft. 1 3 ft. 3'h ft. 4112 ft 51/2 ft. L 61/2 ft. 9112 tt. 14 ft. 20 ft.+ *To select by Overhang Length.no can of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO= OH LENGTH OH HEIGHT �I. t� L H LjT IH H 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK' FACE BRICK WOOD STEEL INT.INSULATION EXT.INSUL. R•VALUE WOOD FR LOG RNALUE EXT ADJ EXT ADJ NORMAL WT. NOR.WT. ED- 6.9 12.6 6 INCH 0- 6.9 11.1 10 4 15.1 131 1 R-VALUE EXT ADJ EXT 7-10.9 4.2 R-VALUE EXT 7.10.9 4.4 4.4 7.3 6.6 0- 2.9 11.2 6.8 112 1t -16.9 3.5 0-2.9 4.5 11 -129 3.7 3.6 5.7 52 3- 4.9 1.3 5.1 5.619 25.9 ( 22 13-18.9 3A 3.3 5.2 49 1 5- 6.9 5.7 4.2 4.3 r 26sUC �ii 19-25.9 2.2 2.2 4.6 4.4 i 7-10.9 4.6 3,5 3.3 R•VALUE BLOCK 8 INCH 26&Up 1.5 1 1.5 2.7 2.6 11 -18.9 3.0 2.6 2.2 0- 9 7.9 R•VALUE EXT 9 25.91.9 1.7 3- 6.9 57 0-2.9 3.0 261Un 1.3 1.2 99 3.61 3-6.9 2.2 10& Uo 3.0 7&U0 1.7 9D DOOR WINTER POINT MULTIPLIERS(WPM) 9E CEILING WINTER POINT MULTIPLIERS(WPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R-VALUE WPM R-VALUE WPM F CEILING TYPE WOOD 12.3 11.5 19-21.9 21.9 2.0 10-10.9 3.2 R-VALUE DROPPED EXPOSED 22-25.9 1.7 11 - 12.9 2.9 10- 13.9 2.9 3.3 INSULATED 8.4 8.0 26-29.9 1.4 13-18.9 2.6 14-20.9 2.0 2.1 30-37.9 1.2 19-25.9 2.0 21 &Up 1.3 1.3 38& U .9 26& U 1.3 9F FLOOR WINTER POINT MULTIPLIERS(WPM) SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATIONCONCRETE IPOST OR PIER STEM WALL DER R-VALUE WPM R-VALUE WPM CONSTRUCTION FLOOR INSULATION ADJACENT WPM WPM WPM 0-2.9 18.8 0-2.9 9.9 • - 0 6.9 13.4 10.4 3-4.9 9.3 3 4.9 5.1 7.10,9 4.1 1.6 4.4 5-6.9 7.6 5-6.9 3.6 11 -18.9 2.9 1,2 3.6 LID 7.0 7&UD 2.9 19&Up 1.9 .8 2.2 9G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM) Return Ducts Return Ducts INFILTRATION PRACTICE WPM R-Value In Unconditioned Space In Conditioned Space (See Table 9P) Supply 4.2-5.9 1.14 1,10 PRACTICE# 1 10.9 Ducts in 6.0-6.6 1.10 1,07 PRACTICE #2 7.4 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE#3 4.1 Supply 4.2-5.9 1.10 1.00 Ducts in 6.0-6.6 1.07 1.00 Conditioned Space 6.7&up 1.06 1.00 For multipliers for other types of concrete block construction see section 903.2(b). z For multipliers for other types of raised wood assemblies see section 903.2(e)1. 3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -5- WINTER CALCULATIONS AS-BLT. WTR. GLASS BASE WINTER ORIENT. GLASS WOF GLASS ORNT. AREA WPM BASE PTS AREA DBLCLR ' (9B) WTR. PTS N 26 7. 3 190 N 26 7. 3 1. 19 226 NE 4.6 NE 4. 6 E 33 -9.2 -304 E 33 -9. 2 0. 62 -188 SE -22 .7 SE -22 .7 S 9 -28.4 -256 S 9 -28. 4 0.87 -222 SW 8 -22 .7 -182 SW 8 -22 .7 0.82 -149 W 40 -9.2 -368 W 40 -9. 2 0. 62 -228 NW 8 4 . 6 37 NW 8 4 . 6 1. 35 50 H -28.4 H -57 .7 1. 00 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL . 15 1244 124 1. 50 -883 -1329 -511 AS BLT COMP. WTR PT BASE COMP. MULT. WINTER DESC. AREA MULT. WTR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 1074 2 .2 2363 ADJ. 90 3 . 6 324 2X4WDFR R11.. 1074 3 .7 3974 ADJ2X4 Rll 90 3 . 6 324 DOORS DOORS EXT. 34 12 . 3 418 EXT WD 34 12 . 3 418 ADJ. 22 11.5 253 ADJ WD 22 11. 5 253 CEILING CEILINGS UN.ATC. 1244 1.2 1493 UNDRATC R30 1259 1. 2 1511 SGL.AS KNEE R19 48 2 . 0 96 FLOOR FLOOR SLAB 168 8.9 1495 PERIM. R-0 168 18 . 8 3158 RAISED 0.96 INFIL. 1244 7 .4 9206 # 2 1244 7 .4 9206 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMP. BASE WINTER POINTS TOTAL AS BUILT WINTER POINTS TOTAL 14223 TOTAL 18429 HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (9I) (91) HTG. PTS. . 58 14223 8249 18429 1. 12 0.49 1. 00 10114 TOTAL BASE BASE BASE TOTAL AS-BLT AS-BLT AS-BL TOTAL COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS 7800 8249 11409 27458 5587 10114 11409 27110 PREPARED BY ENERGY DESIGN SYSTEMS 287-5339 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TYPE HEATING SYSTEM MULTIPLIERS Central Heat HSPF 6.4-6.79 6.8-6.89 6.9-7.39 7.4-7.89 7.9-8.39 1 8.4-8.89 8.9-9.39 9.4-9.89 Pump Units HSM .53 .50 .49 .46 .43 .41 .38 .36 HSPF 9.9-10.39 10.4-10.89 10.9-11.39 11.4-11.89 11.9-12.39 12.4&U HSM .34 .33 .31 .30 .29 .28 PTHP COP 2.6-2.69 2.7-2.89 2.9-3.09 3.10-3.29 3.30-3.49 3.50-3.69 3.70-3.89 3.90-4.19 HSM .38 .37 .34 .32 .30 .29 .27 .26 Electric Strip 1.0 Gas&Other Fuels 1.0 See Table 9J for Credit Multiplier) 1991 Minimums: Central Units-Air Source 6.4 HSPF,Water Source 3.4 COP,Ground Water Source 3.2 COP,PTHP 2.6 COP. 1992 Minimums: Central Units-Air Source 6.8 HSPF,Water Source 3.8 COP,Ground Water Source 3.4 COP,PTHP 2.7 COP. HSPF means Heating Seasonal Performance Factor. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEM TYPE HEATING CREDIT MULTIPLIERS Attic Radiant Barrier HCM .98 Multizone HCM .90 Natural Gas AFUE .68. 72 .73-.77 .78•.82 .83-.87 .88-.92 .93•Up HCM .52 .48 .45 .42 .40 .38 Other Fuels HCM .65 .64 .59 .56 .43 J .50 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) SYSTEM TYPE COOLING SYSTEM MULTIPLIERS RATING 7.5• 8.0• 8.5- 8.9- 9.5- 10.0 10.5 111- 11.5- 12.0- CENTRAL UNITS 7.9 8.4 8.8 9.4 9.9 10.4 10.9 11.4 11.9 12.4 (SEER) CSM .45 43 .40 1 38 .36 .34 .32 .31 .30 .28 PTAC&ROOM UNITS RATING 12.5- 13.0• 13.5- 14.0• 14.5- 15.0 15.5 16.0- 16.5- 17.0- 17.5 (EER) 12.9 13.4 13.9 1a 4 14.9 15.a 15.9 16.4 16.9 17.4 &Up CSM .27 .26 .25 .24 .24 .23 22 .21 .21 .20 .19 1991 Minimums:Central Units-Air Cooled 6.9 SEER.Ground Water Cooled 10.0 EER.1992 Minimums:Central Units-Air Cooled 10.0 SEER.Ground Water Cooled 11.0 EER. PTAC-see Table 9-11A. EER means Energy Efficiency Ratio. SEER means Seasonal Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) SYSTEM TYPE COOLING CREDIT MULTIPLIERS(CCM. ) Ceiling Fans .86 Multizone .90 Cross Ventilation or Whole House Fan(Credit for only one) .95 Attic Radiant Barrier �5 Where more than one credit .s claimed.multiply CCM's together. Enter product on page 2. 9M HOT WATER MULTIPLIERS(HWM) SYSTEM TYPE I HOT WATER MULTIPLIERS Electric EF 80•.81 .82-.83 .84•.85 .86. 87 1 88•.90 1 .91-- 93 1 94-96.96 .97&Up Resistance HWM 4183 4081 3984 3891 3803 3678 3560 3450 EF 43•.47 .48• 49 .50. 51 52­53 .54. 55 .56­57 58•.59 .60• 611 62•.63 1 .64-.65 .66&Up Natural Gas HWM 2732 2448 2350 2259 2176 2098 2026 1958 1 1695 1836 1780 Other Fuels HWM 2121 2368 2467 2566 2665 2570 1 2481 1 2398 1 2321 2248 2180 Water heaters must comply with minimum efficiences in Table 9-7A of the Florida Energy Code. EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS Solar Water Heater SF 1 .2 .3 .4 .5 .6 .7 .8 .9 1.0 HWCM 9 8 .7 .6 .5 .4 .3 .2 .1 .0 Heat Recovery Unit With Air-conditioner Heat Pum HWCM .62 .58 Dedicated Heat Pump EF 2.0-2.49 2.5.2.99 3.0.3.49 3.5&U HWCM .44 1 .35 .29 1 .25 A HWM must be used in conjunction with all HWCM. See Table 9M. SF means Solar Fraction. EF means Energy Factor. 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST See Section 903.2 COMPONENTS REQUIREMENTS FOR EACH PRACTICE 7CflHECKPRACTICE#1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A. PRACTICE#2 COMPLY WITH PRACTICE#1 AND THE FOLLOWINGExterior Walls and Floors Top late enetrations sealed.Infiltration barrier installed.Sole latelfloor joint caulked or sealed. Exterior Walls&Ceilings Penetrations,joints and cracks on interior surface caulked,sealed or gasketed, +d Ductwork Ductwork in unconditioned space must be sealed. ✓ Fireplaces Equipped with outside combustion air,doors,and flue dampers. Exhaust Fans Equipped with dampers.Combustion devices see 903.2(f). r' Combustion Heating Combustions ace&water heating systems provided with outside combustion air,except direct vent appliances. PRACTICE#3 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top plate penetrations sealed or joints&cracks on interior walls caulked,sealed or gasketed. Recessed Lights Sealed from conditioned space&insulated from ventilated attics aces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust by-products to outside.Stoves see 903.2(f). -6- DUVAL COUNTY ENERGY DATA SHEET NAME: DEAN RUSSELL DATE:7/21/91 JOB ADDRESS: LOT 1 BLOCK 146 JASMINE ST EPI:98.73 1. Type Insulation In Walls:2X4 WOOD FRAME R: 11 2. Type Insulation In Ceilings: BATTS:YES R:30 LOOSE FILL: R: SKY LIGHTS: KNEE WALLS: 48 SQFT NOTE: Loose fill insulation will not be allowed on sloped ceilings or ceiling areas considered inaccessible. . 3 . Type Insulation For Wood Floors: N/A R: 4. Concrete Slab Edge Insulation: NONE R: 5. Insulation Around Ducts: R-5 In Conditioned Space: 6. Type Heating System: HEAT PUMP HSPF: 6.9 COP: AFUE: 7. Type Cooling System: HEAT PUMP SEER:9.0 8. Type Hot Water Heater: ELECTRIC Efficiency: .88 Heat Recovery Unit: Solar: Dedicated Heat Pump: 9. Type Glass in Windows and Doors: DC 10. Type Exterior Doors: WOOD 11. Are the dimensions of all windows and doors shown ? YES If not, this is required either on the floor plan, elevations or in a sch. 12 . Size of Roof Overhang ? 2 13 . Ceiling Fans in All Bedrooms and Primary Living Areas ? NO 14. Is a Multi-zone A/C System to be used ? NO 15. Cross Ventilation in Main Bedrooms and Primary Living Areas ? NO 16. Is the Building Oriented on the Plot Plan with Compass Direction ? YES If not, draw in on Plot Plan. 17. Is there a Whole House Fan (Attic Type Fan with a CFM Rating of 3X Condition Area ?) NO 18. Infiltration Package # 1, # 2, # 3 ? 2 19. Attic Radiant Barrier ? NONE (See 9E) I certify that the above is the correct data used to calculate the EPI on the Energy Form submitted, and will be incorporated in the subject j ob. Signed: PREPARED BY ENERGY DESIGN SYSTEMS 2875339 CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: '- B 14 `�l -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: MAkTE`WE_LEo0TRIdIAWSIGNATURE NAME be.w ADDRESS: �' $� - �'k�A�"�iNts ST TPaI RFD BOX SLOG.SIZE f,. BETWEEN lA4A*oa r ta, d- (Js srAAr7-v4- RES.( ) APT.( ) COMM.( I PUBLIC I ) INDUS. ( ) NEW h-� OLD( ) REW.( ) ADDITION( ) TRAILER ( ) TEMP.1-f' SIGNS( ) SO.FT. SERVICE: NEW(,-Y' INCREASE( ) REPAIR 1 ) FEE CONDUCTOR 8IZE AMPS S O COPPER ALUM. SWITCH OR BREAKER 5 a AMPS 1 PH 3 W Z 4c VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LLt3HTlNG OUTLETS CONCEALED OPEN_ TOTAL------- RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, T 3i-100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS N.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS E a, � , 4173 pEPARTMENT OF BUILDING CITY OP ATLANTIC BEACH PERMIT, INFORMATION :�_ INFORMATION,, ,._ . .. ..... + rr B5� sAwu � $TR,E." rTAddress I b a 7 . `L COARumC .A . ` Permit- Typ % PL JN # , : " -_�.r�- - ��. .�• �I. DESCRIPTION NEW ' ion Clf Wcarf % El s oct " C `-_ Typea WOOD FRAME ►�`s BRCa4 sod Use tH Subd*vis.i60 TTON , X 111 n�8 i -Code $0.,00 mated Esti , o ro'.r "Coot s 0.. 00 TDta1 , : t .ISO An►r *53«50 t µ Tt3�1 FEES PAT .« .� .. APPLTCA PERMIT 053*50 .ETR tiE'I' ItA ,MPAC�` FEE � $0.00 Add�ra,a p *[r�YY �} o � 'fit► `EE a W�"p ',;qq 1`I � _1:LORIt, I t� A .� � A � INSY� d $/416 RADON GA$I- R;. E. *0.00 �` �. 0.00 "CR lI �AIAT` Ci RADON €SAS s ' ERRITT "Al! . ;WER T`AP 04. 00 HY EAI f:. C '.HARE Vit].00 I"*L �3 t� Tye; Q RE Ii'�PECT 'EEw Ara. LicaIs1e��* � O BEC. III ACT I•"E� SO NOTES: 1 1� NpTtCE:'-ALLC4II•ICRFTI� ©RMS AND FOOTINGS MUST.SE'104 t TED�lEft?RE POURING PERMIT VOID SIX MONTHS AFTER'DATE OF tSUE BUILDING MATERIAL,Rt78S15h AfitIJ DEBRIS,PROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY`EY EITHER CONTRACTOR OR OWNER RAF LU E Tt CA :P1.Y 1_1TH THE MECHANICS L1EW. LAaV Aw RESULT t THE PRQPE.R"'I* ", PALING TWICE FOR S 01�-�� EH" - .:� "TIiSOt t3$WED ACCORDING TO APP WHICH ARE PART OF THtS PEF#MIT' gUg�ECT"TC? "�1111CATiON FOR VJOLATION OF=APPt,ItA,BLE PRO olit $OF LAW. 73 ATLANTIC,BLEACH SOILDIN EPARTMENT" #: f .. k t20 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:— ��7(/ V�/? 5" 1M 1;,-) S% PLUMBING CONTRACTOR: U � �►'Y/f"ti< J i LICENSE NUMBER: OWNER:,--�(F--jq(lI BUILDING CONTRACTOR: /S1 .15Scf TYPE OF BUILDING: 1 SINKS SHOWERS �Z LAVATORY / WATER HEATERS c BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER ` TOTAL FIXTURE COUNT: + $15.00 ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. pERARTMENT Of 8LDING C� c�F A' Lta AcH .. PERMIT INFORMATION .. __v: _ .. LOCATION INFORMATION '-_---_- P+�art Rueben s 4 Addy eee: B5Ct JAEH ME 'CRI~ T ATLAN',I"`C REACH, FLORIDA 32233 ' or it Types RUTLO HG L;EE AL" I F 3CWorki NEW 12 CQIa Itr: Type � Lat a - _ R ► e t ion: sCt�O �`Ht��i� F P Use:: RC�LR R .Y "�a"Ship:: H C EBtira � ' ; Q1© . Ctt3 1mbray. costs EC?. ISO Tcert+ 1 Fie»►s *2930- V A*aunt ;12" 313. work Do r A IN, SINGLE FAMILY RESIDENCE PPR p'LAN . .. ue PERMIT,APP ICATION FEES TION 7.50 ? , T FEE *380-00 AddSTREET 'WATER HFA 6t FLORIDA ��� R] � ��tPAlf� F�E ���3'.7t. OQ P. M ph FORMATION RADON $A '" 5% ` *0.67 0 � FOR"M N ae s "a a AN . 9 C0 , +T TION C WA TER TAP'; Efl. O�3 EW-9 t3. fl PST RA REA R; FL 32082 HYDRAULIC SHARE *0.00 Lary .? �rFs C� T FEE.: u., ?. tt SEC. 11 IRF ACT FPE OHO.i0 *0 e E NOTICE w-ALL CONCRETE FORMS AND FOOTINGS MUST BE INI$N'�CTE"D BEFORE PO�IRiNiOii _u f PEI4NIIT VOID SIX MONTHS AFTER DATE OF ISSUE . , BUILDING MATERIAL,RU901SH,AND,DEBRIS FROM THIS WORK MUST NOT BE PLAtsD IN PUBLIC SPACE,AND MUST BE CLEARED UP AND;HAULEQ AWAY B EITHER CONTRACTf3R OR ONINER. #I*AILIJRE 70 COMP,V V1tITH THE MECHANICS' Lith LAW CACI RESULT hN 'SHE I # { PEFITT f ' It Ei ,�► 'II�tG TWICE F i #BUIL �I�i, 1 l 1��ROVIE �l+�;t'S. IBSUED.ACCORDINCa TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT JECt T ATtON FOR VIOLATION`OF APPLICABLE P1 J1ttS1dWS'OF LAW. ' ATLANTIC BEACH.8UILDINQ,DI5PARTMtNT .. ..,o.a..,_ F?r. ;'4+kKst;u'•"'2s�.S1s.8.' ,''... M..... m.....n . ... +, °' CITY OF �'¢t�rtic i�'eac`c - ��vt�dct 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5435 TELEPHONE(904)247-5800 FAX(904)247-5805 July 31, 1991 TO WHOM IT MAY CONCERN: Re: Lot 1, Block 146, Section H Atlantic Beach Gentlemem: Please be advised that the City of Atlantic Beach has no intention of utilizing Lot 1, Block 146, Section H, Atlantic Beach as a roadway. This property is located at the intersection of West Ninth and Jasmine Streets. Please contact this office if you need any further information. S cerel Don C. Ford Building Official DCF/pah cc: City Manager STATE OF FLORIDA COUNTY OF DUVAL Personally appeared before me, the undersigned authority, Don C. Ford, Building Official, City of Atlantic Beach, who, being by me first duly sworn, deposes and says that he has read the foregoing instrument and that the facts therein are true and correct. Witness my hand and official se-al his.3 j day of July, 1991. Notary Public NOTARY PUBLIC, STATE OF FlORID4 MY Qommis*n Expires Aug.17, 1g@a Address 3p Je-: fid, Heated Square Footage _//Q7 @ $ 3S per sq ft = Garage/Shed Gf @ $ I`� per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 2 Z/-2 Tota a uati.on 1st $ 1,�157pl,`OO Rff a der Valuation 5"t:�>per thousand or portion thereof cp 3 5,v --------------------------------- UID----- Total Building Fee $ �Z9� ADDITIONAL PERMITS and/or FEES REQ11 + Filing Fee $ /Y 7,1-3- Mechanical ; Fireplaces @ 15.00 $ Plumbing p/ ; BUILDING PERMIT FEE $ Electric/New 1Z i L ✓- ------------------------------- - Electric/Temp ---- Septic Tank. BUILDING PERMIT $ 0 Well WATER METER CHARGE $_ �Q ,S'OCA S,.dmTing Pool SEWER IMPACT FEE $ /Fi JS l2 sign WATER IMPACT FEE Water Connection ,/ MISCEUS �,yS- $ �� �o Sewer Connection ✓ coo > $ 6 7 Water Meter $ &UIQ e a Elevation Certificate �T GRAND TOTAL DUE $ 9 7 ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 1 k h T -IYY OF JUL - 31991 &4d - �&1d4 Building and Zoning P.0.Box 26 ATLAMlC MCN.TLOMA 3M3 TliiET)ioMitoo l/ef7M �t�fJUI�F.�Q..��@l�.�TZ1►.l� . ` Each application for building permit must be accompanied by threL- complete sets of pluns, including a detailed site plan, indicating location of utilities, parking, site vi yards, setbacks and other data as required by code and/or the building, Zoning or community developmet departments of thy City of Atlantic Beach) one not of Florida Energy Efficiency Code sheets (on new construction or additions of 300 sq. tt. or more)= a recent survey of the land for new construction and additions= and ' .a tree survey or letter certifying no trees on property. � LICAIJOH CHECK'[ 1. Building Application farm ,_✓3 Three complete sets of plans including detailed site plan Recent survey, including tree survey or letter certilyinp no trees on property 4. Qwner/Builder Affidavit lrequired when owtior acto us L1___rccntractor ---' 5. Energy Sheets w 6. Notice of Commencement � � l TIME REQUIRED FOR PERMITTING) APPLICATIONS ARE: CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTION Requests for inspection are taken from 0 a. m. uns 11 4_ 0-Pam- Inspections are made the following working day) plearre specify am or pm inspection. When calling in an inspection please have the permit rigober. 2h lowdion end�tvne of ilp_L)_r.,cti L_needed. Inspections are scheduled as followsi 1. Footing 2. Under slab plumbing/serer/electric 3. Slab 4. Framing, rough electrical, Mechanical, plumbing call for cover-up on building, , use building permit number arid reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc. ) 5. Insulation Final inspection 7. Finish Floor elevation survey/Certificate of Occupancy BUILDING CARD MUST BE POSTED QR N2�1S,�(�C `�i W,�M:_,.8_h�M ME Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the Inspector. You nsay be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to pont t1se building card. A fes of 915.00 is charged for all reirsspec:tiunw. CITY OF ?ROPERTY DESCRIPTION &4ot& �tac! - fo�ida 716 OCEAN BOULEVARD .ot1►__ __Block i_ C4-wSection #--- _ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE 1904)2494395 %iu ' ivision$--------------------------------- Street Name M ' N G�-� DESCRIPTION OF WORK itAddress$---------------------------------- ,, II If in a FLOOD HAZARD 'lood Zones___N/,P______area complete page 3. Brief 11 � Descriptions daui__ OI�^STjJL_r1G�t. j I,,1�t_� 'Fig- r,►4.y �,]e;�� Class of Works (New/Resodel/Addition)_____ :OHING INFORMATION Type of Constructions L2n,2-)a__iE:I6''.P_��L zoning Proposed A-< Q Q _ Districts -� Uses Sj�(�9L _ �r�11 �pY 1 Estimated Value •____ Ss 04, :xceptions or ` 11 jjs Material �►1s.Yi_ 1��C. � _�i3 __ ariances Granteds_______-. -----------__// Solid or ----------------------------------------- Filled -ELLri. �__Roof: OWNER INFORMATION Method of Heating s_.r7.,..�T _D Property Owners__ Phones 3 Mailing__� �_-- _-- _ Address . ----------------- ------ Zips &HTRACTOR INFORMATION Contractors (� 2 ----f:�S,���----------- Phones Mailing Address s . � =-_ •� ---6//��,,-T�'"� ------------------- ZipsExpi �-'" 5.1_LG_1_� _I_-- ra�on,. ��1Z License Nuwbers___ _____--- Dates- _ I HEREBY CERTIFY THAT I NAY[ READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AMD CORRECT. ALL PROVISIONS OF THE LAMS AND ORDINANCES GOVERNING THIS TYPE OF YORK WILL BE NilI " COMPLIEO WITH, WNETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERNIT DOES NOT PRESU:E TO �~ GIVE AUTHORITY TO VIOLATE ON CANCEL THE PROVISIONS OF AMY FEDERAL, STATE OR LOCAL RULES. ,; •�♦. REGULATION), ORDINANCES, ON LAMS IN ANY MANNtR, INCLl10I"a THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERNIT IS w• Yr, 'ir {f}E_Z.. CONTINGENT UPON THE ABOVE INFORMATION SEIKO TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL 09 PROVIDED AS REQUIRED. af� Owner Signature --------------------------- e ------ -------Date_131 r'� a,t � -- - Contractor Signature_ Date_ /A j FLOODPLAIN DEVELOPMENT INFORMATION Type of Developmentsrrwww____ww_w_rwrr-_r_ Flood Zones------ Required Lowest Floor Elevations If building is lo-cat within a flood hazard zone, a surveq must be made AFTER TNS B B NAS MEN POURED, certifying that the LOWEST FLOOR ELBVATI is equal or above the baa flood elevation established f that zone. No final inspection will Made and no 9.1cate of occupancy will be issued until t survey i onY e with the Building Department. COMMENTS% Applicant Ackno edg is i enders and that the issuance of this permit is oonti t u n the ,• above information being j correct and that plc mad t ng data have been or shall be provided as req firedo agr to comply with all applicable i provisions of Or nanwr 1100 -7-11 and all other laws or ordinances affects the pr evelopment. Date.............Appiicant0s Signature„----------------- -------------- --------------------------�--r-------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation ___________..___-_ Survey Filed with Building department --____-_- v Building DepartwentwRepreawntative t page 3 ' TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING! 1. PmpoW Owned Nwne Address Tflsphot» 2 Loc811on of Trw RemovalISafe A lorMon SECTION B (Ib be oon~by arppom b whoes propeq b,, ,, nslclrnpai.Ntdudes an oxb tp dimel ft and wMch Is fid prrew*owner-000tp" 1.Whet dwws aro proposed b the show aft? 7- - 2.what Is the pwpoee of these 3.Spo*bras p qmo for nwrtovsf TREE COUNT SPWIES. S ( x DITION 4.WE t mae Vm be rokx*od\aow on propwty? S.It nok will ropiacrmwt UMN be OWfsdf i 6.Spally proposed NPIO Cement bra as follows: r TREE COUNT SPECIES SIZE(D8H x 7.Attach ske plan. (SKIP SECTION C AND COMPLETE SECTION D) k. SECTION 8 - (All other Applicants) I . Property Zoning: 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography b) Existing an proposed s ructures c) location of a l trees w of six inches or more d) Tree species • sizes e) Trees to be r vad shoo d be early marked f) Trees to be rel ted sh uld early marked g) Location of any p posed eplac me t trees h) Identify trees of cial or uni us haracteristic i ) Identify .trosa with n 10 Get of one uction areas • 3 ) Show location and ty G of roe pr ect a barriers k) Locatio of utilities acc ase* a ease nts. 1 ) Location of vehicle t vol corrido a, m) Location f commercial spr kler/ir 1, tion stems n) Landscape intenance p an commerc only) o) Staging or a for equip nt and mate tal store SECTION C I agree to comply wi the ules practice ' established in Chapter 23. • ArtiC II o the ode of Ordinances of Atlantic Beach. Owners Signature Date , CITY USE QNLY " Applicant has complied with all provisions of Chapter 23 and. . requirements of the Tree Conservation Board. • Tree Conservation Board Designee Date NOTE: "Tree Protection for, Builders and Developers" is available at City Nall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL. 32220. (781-1434) FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-B-91 Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2 3 PROJECT NAME L ` ' �-=�' �:Y 4 ( BUILDER: CLIMAS G s z r AND ADDR SS: cam' '` ",.1 -_Fr >lrr PERMITTING ZONE: 1 ❑ 2❑ 3 OFFICE: L EAS ZONE: OWNER:� NO MIT I JURISDICTION S S-C-1 NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED S0, GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA 7 FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: PREDOMINANT EEN OpVERHANG M-9 FT SIPNE =FT SINGLE � S0. MULTIFAMILY ATTACHED � CHECK IF THIS SUBMITTAL LEN�THWW��LL�1.�JJJ FT PANE 1J FT REPRESENTS A WORST CASE PORCH OVERHANG O Mj] DOUBLE-�SO. DOUBLE- SO. SINGLE-FAMILY DETACHED❑ CONDITION: LENGTH FT PANE PANE FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R so. M [I so. so. M ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R ClZFT. ❑Z1�F ] . [11 ❑Z❑ID . ID ❑ Woil CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = I SGL ASSEMBLY R = SLAB PERIMETER R = RAISED:WDDCON C R = / 4 1 F0. [0IT FOT m FT. so FT ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN ® UNCONDITIONED CENTRAL ❑ELECTRIC STRIP ,HEAT ❑CEILING FANS &ELECTRIC SOLAR: ❑ SPACE R = ❑ ROOM ❑ NATURAL GAS PUMP ❑CROSS VENTILATION ❑NATURAL GAS S.F. ��u ❑PACKAGE TERMINAL ❑ ROOM UNIT OR ❑OTHER ❑WHOLE HOUSE FAN ❑OTHER FUELS, HEAT RECOVERY IcmEcQ ❑ AIR CONDITIONER PACKAGE TERMINAL FUELS DEDICATED IN CONDITIONED ❑ATTIC RADIANT ❑NONE HEAT PUMP: ❑ '❑ SPACE R = ❑NONE HEAT PUMP ❑ NONE BARRIER E.F. COP40 NUMBER OF EDIT- SEERIEER= AFU �o ( ❑MULTIZONE EF= ,❑ BEDROOMS INFILTRATION 1 12 1� O 7 _ -------- - -7��4� PRACTICE USED II IIS/ 11 X 100 01 ® #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby cenity that the piqns and spocilica covered by a alculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with buil Florida Energy Cod 7 the Florida Energy Code. Before construction is completed,this ding will be inspected PREPARED BY: DATE: for compliance in accordance with Section 553.608,F.S. I hereby cenily that thi builtlinggiis in complian(�with the Florida Energy Code. BUILDING OFFICIAL: OWNER AGENT: �+✓✓+ "� DATE: C/ DATE: Pelcos Quaff APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME --- --- -- ----------- MAILING ADDRESS------------------------------------------- PHONE NUMBER , _Ej"-------- DATE_ SERVICE REQUESTED __--- -- ` , ' -sj------------------------------ SERVICE LOCATION_ _ .5 ?icee_� ---------------- ------------------------------------------------ DATE SENT TO 7 DATE RETURNED / PUBLIC WORKS_ _/ l _ TO BUILD. DPT. DATE OWNER NOTIFIED--------------------- _1 J U L - 911991 � R Building and Zoning 41 DEAN RUSSELL CONSTRUCTION CO. P.O. BOX 638 • 331 S. ROSCOE BLVD. • PONTE VEDRA BEACH, FL 32082 PHONE 285-3638 FAX 285-5350 July 3 , 1991 City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL. 32233-5445 ATTN: Building & Zoning RE: Lot 1 , Block 146 , Section H, Jasimine Street To whom it may concern, This letter is to certify that no trees on the above referenced property will be removed or relocated . Sincerely, vUG._ Dean Russell 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 SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) 2 KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) , BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL. STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ D O JOB INFORMATION NAME -De n. n AnDATE JOB ADDRESS Ler l �, n r� �� ,�T I _ n S. �t 1. Type Insulation in Walls �, y ( . �c�c�A F r n MQ P. 1 I 2. Type Insulation in Ceilings A,)*tis h)01 .) R 3. Type Insulation for wood Floors rp R 4. Concrete Slab Edge Insulation n n Q y R 5. Insulation Around Ducts P,-5 In Condit. Space a. �SPF ; 6. Type Heating System _449n_4 �.�T� ew �•. 1, 5� 7. Type Cooling System d,l-p+ 6:), EER 8. Type Hot Water Heater -- E 1 ec,t r EF _ 4� 9. Type Glass in Wbxbws and Doors: DC ✓ DT SC, ST 10. Type Exterior Doors L))nn c 11. Are the dimensions of all windows and doors shown? cIs not, this is required either on floor plan, elevations or in a sched(ile. 12. Size of roof Overhang? I. S 13. Ceiling Fans in All Bedrooms and PrLra y Living Areas? 14. Is a rtulti-zone A/C System to be used? 15. Cross Ventilation in Main Bedrooms and Primary Living Areas? 16. Is the building oriented on plot plan with compass direction? Laorb,(- YE rot, draw in on plot plan. 17. Is there a whole house fan (attic-type fan with a CFM Rating of 3x Cbnd .tion Area?� 18. Infiltration Package 11 12 13 19. Attic Radiant Barrier? b (See 9E) I certify that the above is the correct data used to calculate the EPI on the energy form submitted, and will be incorporated "in the subject job. {#'� �1 Signed c s a r-LUHIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-91 Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2 3 PROJECT NAME -� BUILDER: ssc� J t AND ADDRESS: -' �� _ n)T PERMITTING CLIMATE ZONE: 1 ❑ 2 ❑ 3-@ OWNER: PERMITI I I I i❑_�} JURISDICTION No.: �ujt�o NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED S0. GLASS AREA AND TYPE UNITS COVERED BY[� FLOOR AREA ! r FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION THIS SUBMITTAL: 1� PREDOMINANT EAVE OVERHANG �,© FT SINGLE- IP NE FT' SIPANE FT.MULTIFAMILY ATTACHED CHECK IF THIS SUBMITTAL LENGTH REPRESENTS A WORST CASA PORCH OVERHANG DOUBLE- SO. DOUBLE- SO, SINGLE-FAMILY DETACHED❑ CONDITION: �' LENGTH ❑.❑ FT. PANE j W FT. PANE - FT NET WAIL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R F0. m .❑ F0, ' ' ��p m �F0. m FT ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = �❑FO. ❑ .D L—LT_1�1^J FOT 1 I �F0 m FT m CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SINGLE ASSEMBLY R = SLAB PERIMETER R = RAISED:WD❑CON❑ R = 11 JJjim F0 , © rL ❑FT [11 ¢ FT [jj [ FOT ❑ DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN CENTRAL ❑ ELECTRIC STRIP HEAT SOLAR: UNCONDITIONED � ❑CEILING FANS ELECTRIC ❑ .❑ SPACE R = ❑ ROOM ❑ NATURAL GAS PUMP S.F.❑CROSS VENTILATION El NATURAL GAS ❑ HEAT RECOVERY, , , 161 OTHER s ❑PACKAGE TERMINAL ❑ ROOM UNIT OR ❑FUELS DEDICATED WHOLE HOUSE FAN OTHER FUELS IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL HEAT PUMP: ❑ SPACE R = ❑ NONE HEAT PUMP ❑ NONE ATTBARIRIEADIANT ❑NONE ❑ E.F. _ NUMBER O ❑ 11 SEERIEER = �N AFOUE SP © MULTIZONE EF = ❑ BEDROOMSF = M3INFILTRATION I�I I PRACTICE USED �af6 a Q (,1614-1 Z X 100 = �. El #1 #2 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby cenify tha�the plans and specific cover�tation are in compliance with the Review of plans and specifications covered by this calculation Indicates compliance with Florida Energy Code. the Florida Energy Code. Before consttuction is completed,this building will be inspected PREPARED BY:— _ ' DATE: '/ 3 for compliance in accordance with Section 553.908,F.S. T ��f BUILDING OFFICIAL: I hereby certity,i i ui ing i compli a the Florid a ode. _" OWNER AGENT: �� DATE:? DATE: 9A I PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.It.of door area:solid core,wood panel,insulated or glass doors only. ADJACENT DOORS EXTERIOR JOINTS 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. &CRACKS WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff as must be rovided. External or built-in heat trap required. SWIMMING POOLS 904.3 Spas&heated pools must have covers(except solar heated), Non-commercial pools must have a &SPAS pump timer.Gass a&pool heaters must have minimum thermal efficient of 78%. - 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 unconditioned INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2(R-6 after 111/92). &INSTALLATION HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. INSULATION 904.9 Ceilings-Min.R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings&Floors R-11. -1 . SUMMER POINT MULTIPLIERS (SPM) 9B SUMMER OVERHANG FACTORS(SOF)For single and double pane glass. CLIMATE ZONES 12 3 jo. OH RATIO .0-.11 .12-.17 .18-.26 .27-.35 .36-.46 .47-.57 .58-,70 .71-.83 1 .84-1.18 1.19-1.72 1.73-2.73 2.74+ 1 N 1.0 .94 .91 .87 .83 .19 .76 .72 .69 .63 .56 .50 m i NE/NW 1.0 .94 1 86 .80 .75 .71 .67 .63 .55 .48 .42 E/W 1.0 .95 .92 86 .80 .73 .68 .63 .57 .47 .39 .31 SE/SW 1.0 .93 .90 .82 .74 .66 .60 .54 .47 .39 .32 27 S 1.0 .91 .86 .77 .68 .60 1 .54 .51 .45 .39 1 ,35 .31 OH LENGTH* 0 ft. 1 It. 1'/2 ft. 2 ft. 3 it. 31/2 It. 41h It. 5%ft. 6y2 ft. 9'h it. 14 ft. ±]E + +�To select by Overhang Length,no part of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO- OH LENGTH OH HEIGHT TL HL H H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK' FACE BRICK WOOD STEEL INT.INSULATION EXT.INSUL. R•VALUE WOOD FR LOG R-VALUE EXT ADJ EXT ADJ NORMAL WT. NOR.WT. 0. 6.9 2.4 6 INCH 0. 6.9 5.5 2.2 7.6 4,8 R-VALUE EXT ADJ EXT 7-10.9 .6 R-VALUE EXT 1.10.9 2.1 .8 3.5 1.3 0. 2.9 2.2 1.1 2.2 11.18.9 .4 0.2.9 1.5 it-12.91.7 2.7 1.0 3. 4.9 1.3 .8 .8 19-25.9 .2 3-6.9 1.0 13.18.9 .5 .6 2.5 0.9 5. 6.9 1.0 .7 .5 26&U .1 7&U .8 19.25.9 .9 .4 2.2 0,8 7-10.9 .7 .5 .3 R-VALUE BLOCK 8 INCH 26&U 6 2 1.2 1 0.4 11 -18.9 .4 .4 .0 0. 2.9 1.0 R•VALUE EXT 19.25.9 .2 .2 7777777 3. 6.9 .6 0.2.9 1.0 26&Up 1 11. 9.9 .4 3 6.9 .7 10&U 2 7&U 6 9D DOOR SUMMER POINT MULTIPLIERS(SPM) 9E CEILING SUMMER POINT MULTIPLIERS(SPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CON RETE DECK ROOF r-29.9 R-VALUE SPM CEILING TYPE W000 6.1 P.4 1.1 10-10.9 2.9 R-VALUE DROPPED EXPOSED .9 11 -12.9 2.6 10- 13.9 3.2 3.5 INSULATED 4.1 1.6 .8 13-18.9 2.4 14•20.9 2.2 2.4 . .6 19-25.9 1.8 21 &U 1.5 1.6 38&U .5 26&U .._ 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) SLAB-ON-GRADE ED RAISED WOOD- EDGE INSULA ION ETE CONSTRUCTION SFLOOR INSULATION ADJACENT ADJACENT R-VALUE SPM R•VAL E M 0-2.9 - - .8 0. 6.9 0.0 .2 2 3-4.9 -37.2 3-47.9 -1.3 7.10.9 -1.4 -2.88 5-6.9 -36.2 . -1.3 11 -18.9 -1.3 -1.9 .7 7&U -35.7 7& U -1.3 19&Up -1.1 -1.5 .4 9H DUCT MULTIPLIERS(DM) 9G INFILTRATION SUMMER POINT MULTIPLIERS(SPM) eturn Ducts Return Ducts R-Value In Unconditioned Space In Conditioned Space INFILTRATION PRACTICE SPM Supply 4.2-5.9 1.14 1.10 (See Table 9P) Ducts in 6.0-6.6 1.10 1.07 PRACTICE a 1 10.2 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE s 2 <0 Supply 4.2-5.9 1.10 1.00 PRACTICE a 3 5.2 Ducts in 6.0-6.6 1:07 1.00 Conditioned Space' 6.7&up 1.06 1.00 ' For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e)1. ' Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -3- WINTER CALCULATIONS CLIMATE ZONES 1 2 3 GLASS BASE WINTERI BASE z SINGLE-PANE DOUBLE-PANE WINTER AS-BUILT FE AREA x POINT = WINTER W GLASS x WINTER POINT MULT. OR WINTER POINT MULT. x OVERHANG = GLASS M MULTIPLIER POINTS o AREA CLEAR TINT' CLEAR TINT' FACTOR 9B WIN.PTS. N 7.3 N 13.8 13.6 7.3 8.1 NE 4.6 NE 10.7 10.5 4.6 6.0 E - 9.2 E - 3.8 - 3.6 - 9.2 - 5.7 SE -22.7 SE -18.1 -17.5 -22.7 -17.3 4 S S -24.0 1 -23.0 -2 .4 -22.3 SW -22.7 SW -18.1 -17.5 -22.7 -17.3 - 3. .7 NW 4.6 NW 10.7 10.5 4.6 6.0 U) H' -28.4 H' -67,6 -59.1 -57.7 -45.0 N Q J COND. TOTAL BASE I BASE ADJUSTED AS-BUILT .15 x FLOOR + GLASS = ADJUST x GLASS = GLASS GLASS AREA I AREA I FACTOR I SUBTOTAL I BASE WP SUBTOTAL .15 COMPONENTBASE WINTER = BASE COMPONENT WINTER AS-BUILT DESCRIPTION AREA x POINT MULT. WINTER DESCRIPTION AREA x POINT MULT. = WINTER POINTS 9C THRU 9G POINTS EXTERIOR 2.2 J a ADJACENT 3.6 3 EXTERIOR 12.3 0 ADJACENT 11.5 O 0 UNDER ATTIC 1.2 E OR SINGLE 1.2 M ASSEMBLY F1.2 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING.AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. Cr. SLAB PERIMETER g,g 00 RAISED(AREA)LL 96 J FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. INFILTRATION 7.4 USE TOTAL FLOOR AREA OF CONDITIONED SPACE. 1 v TOTAL COMPONENT BASE WINTER POINTS TOTAL COMPONENT AS-BUILT WINTER POINTS BASE HEATING I TOTAL BASE BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT HEATING SYSTEM x WINTER = HEATING AS-BUILT x DM x HSM x HCM - HEATING SYSTEM MULTIPLIER I POINTS POINTS WIN. PTS. 9H 91 9J PONT 1991 .58 1992 .55 BASE BASE. BASE TOTAL AS-BUILT AS-BUILT I AS-BUILT TOTAL J COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT a POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS r o From P.2 From P.2 lEnter on P.1 From P-21 lFrom P.21 fEnter on P.1 L............j 'H = Horizontal Glass(Skylights) 2For glass with known Shading Coefficient,see section 903.2(a). Tint Multipliers may be used for glass with solar screens,film,or tint. P5R3"4 09923 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMITINFO-MATTON '- - LOCATION INFORMATION' T r i L Number , AdAress> 85 JASMINE STREET Pe r it b WELL, ATLANTICREACU, FLORIDA 3223,3 Class of Nark: N -- 4tGAL DESCRIPTION Co str Type: WOOD FRAME Lot : SeCt on: Proposed Use: OTIT ITY Townshipf RN0: � Dwellings,* I code: O Subdivision- SECTION R Estimated Value., , � Improv Cast : 5 .00 Total Fees : Amount .00 Dai0 Wor 6 ; . ALL FOR IRRI A,T ION PURPOSES ONLY o�-gym �TIOTi �- .« PPLICATTON FEES ISE STREET WAT kV( IMPACT FEE W O , s"H. ELOR I D ' �, S I PAO FEE U. ! � , Pn�" �°�";� ��` �. RADON GAS .R.S. $0 .00 --, T T' INFOR IATION - RADON CAB 5% $0.00 N4, a ATL S CAPT'I"A, M, ROVE $0n00 �y*�'L' a r+sa ' y,I♦ ply- �` 'i' .,ae,» °,_" dwaae ;+sw , ���aosva y� u ns: . tf""-'.re .#MleweashusbsrsA�nao'sx.,.w:K ATI BEACH CROSS CONNECTION Type* 7 SEC 1I IMPACT FEE �� .0 W. ° CONST ti URCHAROE 0 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 "FAILURE TO, 'COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT 'IN, ,r THE PROPERTY OWNER PAYINGTWICE FORTHE B LDIN i IMPROVEMENTS" tSV,BD ACCORDING TO APPROVED PLANS WHICH ARE PART OFTHIS,PERMIT A O SUBJECTTO-EVOCATION FOR V LATtON OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING 8PARTMENT t141AQ04�110.41 C10 It6G $10.0014 Daut 3I36m tk2cm ' Rc s i#0+ 3hIt By: QII1fl Y FM $10.nO MMICATIM RR VEIL PERMIT CITY OF ATIAMIC BBACH PROPEFUY MER Mme: _ F ��/ G h Day phoneS�Sr�7 Address c il/m Zip.32x>3 APPLICANT. IF CQUM TNAN OWNER Name: �//`i Al- Day R=-L-- 9 $y Address: f�n ,c �� � '�f L �� Zipz23's JOB Address or Location: F [� �`' 5 /" r Legal Description: Is well to be used for drinking purposes? � �} Any Person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and wbo plans to use water from the permitted well for ddrddng purposes, must first obtain a bacteriological test report from,the State of Florida Health Department, furnishing a certified copy hereof to the building departwmt of the City of Atlantic Beach. A certificate of ocwill not be issued until said report is on file with the builditag department. Department Notes: I agree to comply with regulations stated herein: i tvxe Ce