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Permit 1017 Jasmine Street r7 � ADDRESS BUILDING PERMIT NUMBER_ INSPECTIONS : FOOTING UNDER SLAB PLUMBING _3 �9-3 SLAB lr�2- -17" 9-3 FRAMING / 1 - : C' 3 COVER-UP l a - a d INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY—/ Q/- ELECTRICAL PERMIT # 1-15176 INSPECTiONS ROUGH _7)-- U c� FINAL MECHAN I AL PERMIT # PLUMBIN PERMIT # < ( o 9 NOTES : I CITY OF ATLANTIC BEACH DERARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 El �-° E•_:R.CAL PERM:: i PERMIT INFORMATION __ LOCATION INFORmtlbi* i P erm1 Numher: 19727Address: 1017 JASMINE STREET i Perlmit Type: ELECTRICAL ATLANTIC BEACH, 911.32?33 Class of Work: COURTESY INSPECTION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: SoCtion: Square Feet: Subdivision: SECTION H Im s E�st. Value: ( _Pa roel Number: - - - -- I p ov. Cost: OWNER INFORMATION 11� _ - - Dttal Issued: 3/14!2000 Name: AIV11T 111, 11_ % IYIIliP1H f Fees: 25.00 Address: 1017 JASMINE STREET _ Am °°fii Paid: 25.VV �' �` �^ r`r r L 32L33 ate Paid: 3/14/2000 Pho (904)282-3051 — � I � W�k Desc ESS150AMPS 1P 3W 240V SERW- SA 1^Ic�FrTin^I N -- - - —_: ---- APPLICATION FEES---- -- — -— -.--- CONTRACTOR(S) PERMIT 25.00 DESTI Y ELECTRIC 1 I - -_ FINAL _ Inspections Required i I III { i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDI G MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND AddfCT Cf`d A.�C f1/7 11 Ldn 1 IRI r1-r1 s'* a`c'r'w ^rs�r+ sa I_.111HUS a- vr_IA,RED UIP AND 1 VP%U�ED AWAY BY CI I ITER CON l RAC TIOR OR OWNER °`FAILORE 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. j �I f t25.88 14 rte^-�.._- - - Date: 3/14/88 81 Receipt: 8841719 A NTC H BUILDIN PT. CHECKS 457 88188883221888 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_=! IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM'bVS"T1NY ttiLX MASTER ELECTRICIAN SIGNATURE !E�Z�5�k- �URNEYMAN NAME Ain ADDRESS:10t_'l _�'ASA)l AJ17 ST ". . RFD BOX BLDG.SIZE BETWEEN: RES. (-f' APT. ( ) COMM. ( ) PUBLIC ( 1 INDUS. ( ) NEW ( ! OLD ( J REW. ( ! ADDITION ( ) TRAILER ( ) TEMP, ( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( i REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. J SWITCH OR BREAKER AMPS PH W nVOLT RACEWAY EXIST.SERV.SIZE sv AMPS / PH 3 W 2l/'NOLT 5t RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL _ 0.90 AMPS. 31•I00 AMPS. SWITCHES INCANDESCENT FLUORESCENT &M.V. _ FIXED b•I00 AMPS. OvEn APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1II.P• VOLTAGE PHS MISCELLANEOUS !S'AIr►W" LAtyQ71�� Tito of AtIonftr 1=4 — Noribs 19evttrtment of Nutlbtng Jnspectt,an �a This Certificate issued pursuant to the requirements of Section 103.8 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 sl.I1g c. F awzly f'.£'_;,fdert^ Bldg. Permit No. %546 Groupw Y 3irif Type Construction l: Fire District Owner of Building DE R ua F, L Address 415 S. Third ` Cl'oe�i. �. ,,C _. J. 1 225 Buil Address (t E P.1�7 e' a I S"i°E'.t Locality A t_.,+-)t i O t,e ^4-i , f=" 2 2 33 f By: !ON C. F OE r.P Building Offical Date: �Z__ POST IN A CONSPICUOUS PLACE { +-404-241-2028 DEAha RUSSELL CONST 919 P02 JAN 14 '94 10:22 MM-SHOWING SURVEYOF"I L07- 6 , r3c_taCK ie/ D IN PLAT BOOK -PAGES ¢ OF THE CURRENT PUBLIC AECORDS OF 00i/4I- q, CERTIFIED TO D�A� RUSS6Lc_ Gra�sr�tCrip D J AM 141994 Building and Zoning 1 4�_C)"T s L o -r C9coGK /®Z or,V- I8'2.. I��oa� i64 SO+p o.t G'WOOD PCucE f' _" FOS Nta +/ ..� • 1p FWuo ..rve � G'dAC T" 7"OAK Z I.P N3 ap4g1 OAK C eva vrr N� a.3. W rwooD • 11"oax FENCE r k �.0 4 rA ' 1-40- LU7" 5 ti f�ceurr 1f31 { CIA" 1V 4 V U) - A"?' A �' r� n) Y • G "QA e- � 6'OAK- FDuwe �" 1.p COW) 3Zv.,D2.' >=wNo ISS (:50' 4/w -- t r n°," Tatt-firatt of Mccuparg (91ty of Atlantic fmc# -- North - %partmut of Wudlbing Jnopection This Certificate issued pursuant to the requirements of Section 103.8 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 •`-jingle Family Residence Bldg,Permit No. 7 546 GroupWi fi'actc: 'type Construction s! Fire District Atlantic BE-ach j Owner of Building 13Y rm N u a R v 1 1 141 S S. Third ;i t r t�e t 1017 Jasmine Street jacksoTEVIlle Beach, 25 Bui Address locality AyBrit.ic�ln, � By: DON C. FORD!C / Building Offic I Data: POST IN A CONSPICUOUS PLACE M p 7 J � • 4 t � y �y •t' ��4 •S` r <.S w, q� � CITY OF 1*&ot& Vead - &u e4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32133-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 NOTICE To: Water Department City of Atlantic Beach Date: ---/ - y--� --------- Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer required: Permit Number Address SD l ------------ ------------- ----------------------------------------- - -------------- ------------------------------------!------ i -------------- ------------------------------------------- I inc rely, Don C. Ford Building Official DCF/pah cc: City Manager I DATE PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: I ------ ------------------------------------------------- I ------ ------------------------------------------------- 1 ------ ------------------------------------------------- ----------------------------------------------- i Enclosed are the blue copies of the permits. SINCERELY, PUILDI G INSPECTION DIVISION cc:FILE TRANSMITTAL .DOCUMENT FOR JBA DATE: / _ The following permits have passed "rough" inspection: Permit No. Address BAs-4-oaai&ms cexxxacxgtxkuo*mnpdxmxoftxbk papossdbs. Please update your records accordingly. Thank ou; BUILDI CLERK CITY OF ATLANTIC BEACH /vcb �sFl3eaa 71 ©EPARTMENT OF MOW* CITY dF ATLANTt BEACH ON -00M IT ' INPORMA,T, opt VOR ' t" tz� ± ? Add 4 7 J�ANj T� T Ty + ' MH HAN OATS`; A 'LA 'IC 'S� ,GHf:` LOItIDA 2 "Permit3 ypis WOO Lot 0$01-4,'. SINGLE FAMILY t l nCod* SubdiV"i8 curl. . S Ctr E Iri resar» Co t 00 TtSI » t3 : mr un 143 .00 I fat i IML, 'HZAT AND .AIR IN NIM qIN��T,� g1 d�LX R TPEW I� j k V TION "" "TTr 0! ^.»., ATATC �� H; t- .: ... �. I T, S�` H WATER l l?AC1, Ftp :. o'.00 W, PLORIDA 1, 14PAC 00' 7 ;� I . .... RA ?H OAS , 0 .60 t AAd , O1M+e ...�.:s+lw .,w fit^'w a."..._. ., . � i'S, ui :" ..,,.... Y V ; J�4C r 14 �} 322,15 ��3�A�� � SH��� {�.0 BEc.H IMPACT VIER 4 ; f wm NOTES; a j l NC�TI.CE�ALL cON.cfttTt',FOAMS AND FOOTINGS MUST BE INSPECTED BEFORE PO NO, J PERMIT VOID SIX MONTHS AFT ISSUE { 8 ltLt tt401MATERIAL,RUBBISH ?SBR15 FROM THIS WORK MtAf SOT-BE LAC t7 ►±.P,U If,tPA EiAND tultaSl°BE, GLEAMED UP AN,D HAULED AWAY BY t fHER CONTRACTOR OR OWNED " JA)PE:Tf3 C MIR ,Y V TH. TWE; MECHA "1. II 1` P R' " t C ' CIES A�Y t�fC TWICE 00 ISSt1Elh"AccaRaENa TO Rl t'RQV t3 RL 4NS WFIICH ARE PART OF`TNIS PERMIT ANR BiIJBJEaG� Td`R�C%iTt4N FOR, .�,� VI�t:A�toN CIF APRLtcABL�PRq�rtst�l+ls cap LAW. i tT k1+TtC E#EACH$UILDIhdG DEt'ARTMEh4T -wont t T941 Nymot Ws 00 1 x y BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82299 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV, LOCATION Street Address: OF Intersecting Streets: Between 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 ettachpd plans and specifications which are a part hereof and in accordance with the City f Jacksonville ordinance and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master 4�1 Name of Property Owner Signature of Owner Signature of W Authorised Agent Architect or Engineer Ill. GENERAL INFORMATION A. T of Mating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON ?� Electric THIS BUILDING OR SITE? a; OF Q Gars—Q LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION, 0 CIT PERMIT Q Other — Specify IV. MIICN/NICAL EQUIPMENT TO IE INSTALLED N URE OF WORK ( rovide complete list of componenh on backof is form) Residential or ❑ Commercial Heat ❑ Spaco ❑ Rocossid Central O Row New Building Air Conditioning: ❑ Room Centre) ❑ Existing Building Duct System: Mater;sl ❑ Ropiacement of existing system QO Ma><fmum pacify f New InstallatloJ* kko system previously Installed) c..T. "^ Q Refrigeration ❑ Extension or add-on to existing system ❑ Other— Specify ❑ Cooling tower: Capacity 9-p.m. Q Fin sprinklers: Number of head- 0❑ Elevator (3ManliH Esalstot (number) THIS S?ACE FOR OFFICE USE ONLY ❑ .Gasoline pump` (number) (Raeeiv+d) Q. Tank: (number) Remarks Q LPG container (number) Q Unfired Prouvro vessel / r`" Q bora Permii Approved by Dam Q Other — Specify Permit Foe LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer (toasty Apcyr (Tons) gw ) cY DATE:LL_23— 3_ PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND AkE SATISFACTORY: X7.3 - - - ----` ------------ ------ -------------------------------------------------- ------ ------------------------------------------------- -- ------ F ----------------------------------------------- . . Enclosed are the blue copies of the permits. SIN ELY, n � r l� BUILDING INSPECTION DIVISION cc: FILE CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /r " Z 19 Y_3 1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Wi4bild 4V/�dvfc_.> ' ELECTRICAL FIRM: ASTER ELEC RIC{AN 1JOURNEYMAN NAME. 12-05511` ( -� �• ADDRESS: 10/ 7 J,4-sm wr,P RFD BOX BLDG.SIZE BETWEEN:.� e6,q, RES.V,) APT.( ) COMM.( ) PUBLIC( 1 INDUS. ( 1 NEW IK) OLD ( 1 REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP.(x) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS CPA COPPER ALUM. Of SWITCH OR BREAKER J�'D AMPS PH 3 W / VOLT i" RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PNS NO. i H.P. VOLTAGE PHS MISCELLANEOUS ps�iseaa 7609 DEPARTMENT O $WiLflINi 7 E CITY OF ATLANT1 REAC+i 4 17, k ' 'I' Ia PLU3NCx "A " AN' ICAC .�.. '" RS1A 33 61 ullr1lop seubdiI v M PVT so 00 1 INN IN NEW SILE OA ��X R�SIbENCE � PTY 01" A.Pp101CATIO FEI�9 ....,. -. . " IIT 52 f:00 TREn W 'T R A E`EF Sty..{3o i , 'LQtI to 3 . » ORS'"` C3 " _ RA I31" I�I ame ,ApIfiAL fi7 T t�plCXSQ E SCH*I`L 32240-15 � } RAtTL,IC. ► I �'" a0 I'YI? „ tS CORNID". '1 ? E MI ' P fly r Ni�tES. z , { 1 N.OTICE--ALL CfJNCI ETIE FORMS AND FOOTINGS MUST SE INSPECTED EIEfClftlrPDp1�1N� ' PERMIT VOID SIX MONTHS AFTER 6ATE(3F IS$UE ` r BUI pIP+IG.MATERIAL-,RUBBISH=AND DEBRIS FROM THIS:WORK MUST NOT;BE PLACECi IN PUBt iCSPAs;E;AND MUST BE DLEARt t3't1P ANO HAULED A1VAY BY EIT.HER:Ct7NTRACTOR DR OWN EI� , 1 URETO, COMPLY ,WITH THE MECHANICS! JON L.�►V� ULT N, IPf A'YNC� Tit10E °aBULC1t`r t�1A#' �;E1TS«'x ICU ACCORDING TO APPROVEL7 PLANS WHICH ARE PART OF THIS,PERMIT ANC1.SUBJECT TO F7EYOC/fIION F ►R ' 8`N OF APPLICABLE PRQIII$1 NS CPP LAW. I " ATk�ANTC;$EAGH BEJILDIN -D PAtTME1T t,* -6,11t, l r t� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /o/7 OWNER OF PROPERTY: low BUILDING CONTRACTOR: 'vg' PLUMBING CONTRACTORAl AND ADDRESS: TELEPHONE NUMBER: '�L q-/_, 7 l I STATE LICENSE NO: LOP 0 0 1 '1 TYPE OF BUILDING: — G/P TYPE OF WORK: PL-qn , HOW MANY OF THE FOLLOWING FIXTURES INSTALLED !_SINKS SHOWERS Z LAVATORY WATER HEATERS 1. BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS 1 WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE. COUNT: x $3.50 + $15.00 = $ ---------------------------------------------------------------- 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' O 1F ..., e G75 1TY OF AT[ANTic"o i Type" EtTI,LTt ATL3AC `L►C? ?A 32 .3 f ills'. 0f Work; EW ��.._ .�' L �I� ". "' F "" Lat: t> 11 Sidi114 'y el x�cis 'cid+ Subdiv is r6n� S CTIoil H, ti>�t 4 Val- $4,8199 OQ ! Int v: "0 t. r C . O $1264. 1 r" 264 >1 Woo ,D, 3N 3LE REE P , 8 I IISD� REET : � ' E ;Ct 3 x P � C3f8 IOCOCAPITAL IlPR VLA.',. L 4x LE .� PIL. 322$0 ffl)"ljL° C $ ?, . TyPe: In ��SB Cbg Z T1,. S 1 ry '+'in'YI,�;,,tlRAiP.i�9Ru4gMam mPN"a4.,, eh NNkw�w�,bn * w } r. I I NOTICE;- ALLrwU4VCFIETE F+CSAM$1 ND FOOT#NCIS MUST BE#NEPEC'# i1i 1 <1 E P tEi1�1 " 'PERM VOID.SIX MONTRS AFTER OATE:bf ISSUE N �'3UIl':�Itrt0.MATFA AL,RUBBISH ANI))I "R15 FROM THIS WORK MUS�`:NOT BI ;PLACEQ.t"N PU6 IC SRA ,gx Af4lD MU§T,1� Uf?Air( ? HAUi:EI AWrg1' HER CONTRACTOR OR ON I 1..Uf3 T t'?M 'M llTH ,T'�H+s��M/"ECHA'4c, LIE`�1�'��.�#►'�l�l„ �► ``�;'��� �.T tC� I H E T hf E {: AYI C9 ♦� " '13-UR, + i, �.7' �'04TS.:! 4 f�tila ACC4WDfNG 1,0.A1�'PRQVI=O PL%NS WHICH ARE PART OF iHIS RIRMIT A#�1D"3t19Jt"r TI?` IE ' ►i4T#CtA" { { IAN, BE SUI#.nING I EP RT11f~1�1T A t l # D.F E►x t'-91141 .✓. ra �--I I5 W A1.�.1...- �l✓CT �o�.1 l iJ C-� .�..' LJ X3 M 1 T T ,-f . i R woor>'wzuV5 P�,rtw'D •�SoL P�r W/ IIA" i�bCG KlAlfi +6'C�GGco Gl.t GA�.V• a 9 1�'r F�.LT Cxt i-4ov�41S V.R�P Vt'rRt1LA�- EvvE5 . 06 _ I _R-II GA'i't Iw15uL,..4'flDpl ' Z K4 spm 2 oa bat'r�.R x�vs 4L ___ 2X1 Rte'. P1.A"►'is w/ w-w.M. ' :.YoMlt-.+fG.�otrY • i ' if CITY OF ATLANTIC BEACH, FLORIDA ADProwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: # 19 F 3 t 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. 0, AAA F–(e(4�(C-) dCj,,U�P� /`1 ' 0774 ELECTRICAL FIRM: mAAYER ELECTRICIAN IGNA E JOURNEYMAN NAME� �1 l� C' ADDRESS: Ili ? . fA S cyt`Ea —RFD—BOX— BLDG. FDBOXBLDG.SIZE BETWEEN�6 '� RES.00 APT.( 1 COMM.( ► PUBLIC ( 1 INDUS.( 1 NEW K' OLD ( ► REW.( 1 ADDITION ( ) TRAILER ( ► TEMP. ( 1 SIGNS ( ► SQ. FT. SERVICE: NEW(} ) INCREASE( 1 REPAIR l ) FEE CONDUCTOR SIZE b AMPS AS D COPPER ALUM. 12012y-6 SWITCH OR BREAKER �S� AMPS PH 3 W VOLT S' ^ t) RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0•1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS bepartment of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH 1 2 3 PROJECT NAME: -T (� (. `�Z BUILDER: A � AND ADDRESS: -C tv OFFICE:TTING CLIMAtv�xG_ ZONE:TE 1 ❑2 ❑3 OWNER: PERMIT N0. JURISDICTION NO.: 0-15 Please Print CK 1. New construction or addition 1. N , G 2. Single family detached or Multifamily attached 2. S, F a 3. If Multifamily-No. of units covered by this submission 3. 4. if Multifamily, is this a worst case (yes/no) 4. 5. Conditioned floor area (sq. ft.) 5. (9 6. Predominant eave overhang (ft.) 6. \o S 7. Porch overhang length (ft.) 7. 8. Glass area and type: Single Pane Doub!p Pane a. Clear glass 8a. sq.ft. _�2 sq.ft. b. Tint, film or solar screen 8b. sq. ft. sq. ft. 9. Floor type and insulation: a. Slab on grade (R-value +perimeter) 9a. R= I.ft. b. Wood, raised (R-value + sq.ft.) 9b. R= sq.ft. c. Concrete, raised (R-value) 9c. R= sq.ft. 10. Net Wall type area and Insulation: a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= �_ sq. ft. 3. Steel (Insulation R-value) 10a-3 R= sq.ft. 4. Log (Insulation R-value) 10a-4 R_ sq.ft. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R_ 11 _ Zq sq. ft. 3. Steel (Insulation R-value) 10b-3 R= sq. ft. 4. Log (Insulation R-value) 10b-4 R= sq. ft. 11. Ceiling type area and insulation: a. Under attic (Insulation R-value) 11a. R= _�� \ sq. ft. b. Single assembly (Insulation R-value) 11b. R= sq.ft. 12. Air distribution systems a. Ducts (Insulation + Location) 12a, R=_(0 (condi b. Air Handler( Insulation + Location) 12b. R= 4 (cond- 2 i 13. Cooling system (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Ty : C.`C, -Iui,1, �p�..'C EE EER/COP: �- 14. Heating system: 14. T \ o1, 10 (Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) SP /COP/AFUE: -7ol _ 15. Hot water system: 15. Type: (Types:elec.,natural gas,solar,L.P.gas,none) EF: e 16. Hot Water Credits: a. Heat Recovery (HR) 16a. , b. Dedicated Heat Pump(DHP) 16a. _ 17. infiltration practice: 1, 2 or 3 17. �- 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 19. �1q CO 3 a.Total As-Built points EPI =Total As•Bcihpoint x 100 19a. Z� 730 b.Total Base points Total Base points 19b. 'Z Z I hereby cenity that the plans and specifications covered by the calculation are in compliance with the Review of plans and specification covered by this Calculation indicates compliance w th Florida Energyp t� the Fbrida Energy Code. Before constructions completed his building will be inspected PREPARED BY: DATE:'1�D V I for corrpliance n aocordanceeabn 553. F.S.. 1 hereby certify that thtis t inp s In Compl' wi Florida Energy Code. BUILDING OfRCIAL•o, OWNCR AGENT: DATE: �� DATE: -1 - Department of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH 1 2 3 S. Pa -PROJECTNAME: I0BUILDER, AND APERMITTING TESN I j ZONE: 11:12 ❑3 a OWNER: PERMrr N0. � JURISDICTION NO.: (� ( - Please Print CK 1. New construction or addition 1. N ' G" 2. Single family detached or Multifamily attached 2. S, F v 3. if Multifamily-No.of units covered by this submission 3. 4. If Multifamily, is this a worst case(yes/no) 4. 5. Conditioned floor area (sq.ft.) 5. \\lp(4 6. Predominant eave overhang (ft.) 6. 7. Porch overhang length (ft.) 7• 8. Glass area and type: Single Pane Double Pane a. Clear glass 8a. sq.ft. LL^sq.ft. b. Tint, film or solar screen 8b. sq.ft. sq.ft. 9. Floor type and Insulation: a. Slab on grade (R-value +perimeter) 9a. R= �_, \D7 I.ft. b. Wood, raised (R-value + sq. ft.) 9b. R= sq.ft. c. Concrete, raised (R-value) 9c. R= sq. ft. 10. Net Wall type area and Insulation: a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= �_ Lsq.ft. 3. Steel (Insulation R-value) 10a-3 R= sq.ft. 4. Log (Insulation R-value) 10a-4 R= sq.ft. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq.ft. 2. Wood frame (Insulation R-value) 10b-2 R= �_ Z`i sq.ft. 3. Steel (Insulation R-value) 10b-3 R= sq.ft. 4. Log (insulation R-value) 10b-4 R= sq.ft. 11. Ceiling type area and insulation: a. Under attic(insulation R-value) 11a. R= sq. ft. b. Single assembly (Insulation R-value) 11b. R= sq. ft. 12. Air distribution systems a. Ducts (Insulation + Location) 12a. R=(_, (�nd� coed b. Air Handler( Insulation + Location) 12b. R= p Z , (condi co ) 13. Cooling system (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Ty : C t I2S� . PL� EE EER/COP: . 14. Heating system: 14. gT(Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) /COPIAFUE: y 15. Hot water system: 15. Type: (Types:elec.,natural gas,solar,L.P. P.gas,none) EF: e 16. Hat Water Credits: a. Heat Recovery (HR) 16a. , b. Dedicated Heat Pump(DHP) 16a. __ 17. Infiltration practice: 1, 2 or 3 17. 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 119. C�o CO a.Total As-Built points EPI =TotalAs•Buitpoints x 100 19a. 29 b. Total Base points I Total Ba"points 19b. 'Z11 l,Z. f hereby cenity that the plans and specifications covered by the calculation are in compliance with the Review of plans and specd oovered by this cafcu ron ntlitatss compliance with Florida Energy Cod p the Florida Energy Code, or "t to d` ,Mist. dg will be inspected DATE:'1 NO V 9-3 fa t�rplVrtn rn accord wit Section 5y'i 9oB./ PREPARED BV: C .►-�� / I hereby ser ity that thisb ng s In camel wtth rids Energy Code. ` / BUILDING OFFICIAL OWNER AGENT: DATE: j r�J DATE: ~' EPI= 99. 63% ENERGY CODE SECTION 6 NORTH ZONE 1,2, 3 600-93 DEAN RUSSELL SUMMER CALCULATIONS LT6,BK182,A ATL BCH AS BLT SMR. GLASS BASE SUMMER GLS SOF GLASS ORNT. AREA SPM BASE PTS ORIENT. AREA DBLCLR ' (9B) SMR PTS N 17 65.8 1119 N 17 38.3 0.91 593 NE 8 65.8 526 NE 8 57.7 0.91 420 E 17 65.8 1119 E 17 79.7 0.92 1247 SE 8 65.8 526 SE 8 79 . 1 0.90 570 S 9 65.8 592 S 9 66.2 0.86 512 SW 8 65.8 526 SW 8 79 . 1 0.90 570 W 46 65.8 3027 W 46 79.7 0.92 3373 NW 8 65.8 526 NW 8 57.7 0.91 420 H 4 65.8 263 H 4 267. 0 1.00 1068 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL . 15 1166 125 1.40 8224 11507 8773 AS BLT COMP. SUM PT BASE COMP. MULT. SUMMER DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 923 0.90 831 ADJ. 294 0.70 206 2X4WDFR Rll 923 1.7 1569 ADJ 2X4 Rll 294 0.7 206 DOORS DOORS EXT. 22 6. 10 134 EXT WD 22 6. 1 134 ADJ. 19 2 .40 46 ADJ WD 19 2 .4 46 CEILINGS CEILINGS UN.ATC. 1166 0. 60 700 UNDRATC R30 1189 0. 6 713 SGL.AS 0. 60 KNEE R19 42 1. 1 46 FLOOR FLOOR SLAB 167 -37 . 00 -6179 SLAB R-0 167 -41. 2 -6880 RAISED -3 . 99 INFIL. 1166 8. 00 9328 # 2 1166 8. 0 9328 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL COMPONENT BASE SUMMER POINTS TOTAL AS BUILT SUMMER POINTS TOTAL 16573 TOTAL 13935 COOLING TOTAL BASE AS BLT DM CSM CCM AS BLT SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS 0.37 16573 6132 13935 1. 10 0. 32 1.00 4874 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. .93 3 3599 1. 00 10797 WINTER CALCULATIONS AS-BLT. WTR. GLASS BASE WINTER ORIENT. GLASS WOF GLASS ORNT. AREA WPM BASE PTS AREA DBLCLR ' (9B) WTR. PTS N 17 -10. 6 -180 N 17 7. 3 1. 13 140 NE 8 -10. 6 -85 NE 8 4 . 6 1.23 45 E 17 -10. 6 -180 E 17 -9.2 0.77 -120 SE 8 -10. 6 -85 SE 8 -22 .7 0.90 -163 S 9 -10. 6 -95 S 9 -28.4 0.94 -240 SW 8 -10. 6 -85 SW 8 -22 .7 0.90 -163 W 46 -10. 6 -488 W 46 -9.2 0.77 -326 NW 8 -10. 6 -85 NW 8 4. 6 1.23 45 H 4 -10. 6 -42 H 4 -57.7 1. 00 -231 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL . 15 1166 125 1.40 -1325 -1854 -1013 AS BLT COMP. WTR PT BASE COMP. MULT. WINTER DESC. AREA MULT. WTR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS EXT. 923 2.2 2031 ADJ. 294 3 . 6 1058 2X4WDFR Rll 923 3.7 3415 ADJ 2X4 Rll 294 3 . 6 1058 DOORS DOORS EXT. 22 12. 3 271 EXT WD 22 12 . 3 271 ADJ. 19 11.5 219 ADJ WD 19 11.5 219 CEILING CEILINGS UN.ATC. 1166 1.2 1399 UNDRATC R30 1189 1.2 1427 SGL.AS KNEE R19 42 2 . 0 84 FLOOR FLOOR SLAB 167 8.9 1486 SLAB R-0 167 18. 8 3140 RAISED 0.96 INFIL. 1166 7.4 8628 # 2 1166 7.4 8628 TOTAL* *COMP. BASE WINTER POINTS TOTAL ASBUILT• WINTER POINTS TOTAL 13238 TOTAL 17229 HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (9I) (91) HTG. PTS. 0.55 13238 7281 17229 1. 10 0.48 1.00 9059 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 6132 7281 11409 24822 4874 9059 10797 24730 PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 .r ADDITIONAL TABLES CLIMATE ZONES 1 2 a 6A•16 HEATING CREDIT MULTIPLIERS C SYSTEM TYPE HEATING CREDIT MULTIPLIERS HC ' Attic Radiant Barrier HCM .98 Multizone HCM .90 Natural Gas AFUE .68•.72 1 .73.77 1 .78-.82 .83.87 .88•.92 .93&U ' HCM .59 1 .55 1 .51 .48 1 .45 1 .43 P Gas HCM .7 .74 6 65 .61 1 .59 6A•19 COOLING CREDIT MULTIPLIERS CCM SYSTEM TYPE COOLING CREDIT MULTIPLIERS CC Ceiling Fans .86' Cross Ventilation W 'Credit may be taken for only Whole House Fan .90' one of these system types concurrently. Multizone .95 Attic Radiant Barrier .95 6A•20 HOT WATER CREDIT MULTIPLIERS CM SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS HWCM Heat Recovery Unit With Air Conditioner Heat Pum HWCM .62 .58 Dedicated Heat Pump EF 2.0.2.49 2.52.99 3.0-3.49 3.5&U HWCM .44 .35 .29 .25 A HWM MUST BE USED IN COWUNCTION WITH ALL HWCM.SEE TABLE 6A•9.EF MEANS ENERGY FACTOR. 6A•21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE 01 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. Windows 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). Exterior&Adjacent Doors 606.1 Maximum of 0.5 CFM persq.ft.of door area;solid core wood panel,insulated or glass doors only. Exterior Joints&Cracks 606.1 To be caulked,gasketed,weatherstripped or otherwise sealed. PRACTICE#2 606.1 COMPLY WITH#1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed.Sole late/floor'oint caulked or sealed. Exterior Walls&Ceilings Penetrations joints and cracks on interior surface caulked sealed or gasketed. 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 606.1.A.2 Combustion Heating Combustion space and water heating systems provided with outside combustion air, except direct vent appliances PRACTICE#3 606.1 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top penetrations sealed or joints&cracks on interior walls caulked sealed or gasketed. Recessed Lights Sealed from conditioned&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 to outside. Cooking appliances shall be dampered and use intermittent ignition. 6A•22 OTHER PRESCRIPTIVE MEASURES(must be motor exceeded by all residences.) COMPONENTS SECTION REQUIREMERTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-11.Switch or clearly marked circuit breaker(electric) or cutoff s must be provided.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC uctConstruction T 1 .t- All ducts,fittings,mechanical equipment and pe-num chambers s a e mechanically attached, Insulation&Installation sealed,insulated,and installed in accordance with the criteria of Section 610.Duct in unconditioned space must be insulated to a minimum of R-6.Air handlers shall not be installed in attics unless in mechanical closet. r HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1Ceilings-Min. -19.Common wall rame -11 or C -3 both sides.Common ceiling&floors -11. DATE: 10/24/93 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: DEAN RUSSELL R.B. Ellis Energy Design Systems Job Name: LT6,BK182,A ATL BCH *********************************************************************** DESIGN CONDITIONS For ATLANTIC BEACH, FL. OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor 5 Latent Factor 29 *********************************************************************** Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ------- ------- ------- ------- WHOLE HOUSE 26578 886 18821 784 ------- ------- ------- ------- HEATING COOLING DELTA T 43 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 DATE: 10/24/93 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: DEAN RUSSELL R.B. Ellis Energy Design Systems Job Name: LT6,BK182,A ATL BCH ************************************************************************ EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------------------ AREA 17 9 17 46 16 16 4 125 COOLING 391 342 1224 3312 816 1008 288 7381 HEATING 493 261 493 1334 464 464 116 3625 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------------------------------------------------ AREA 1217 1217 COOLING 2677 2677 HEATING 4868 4868 ------------------------------------------------------------------------ DOORS TOTAL ------------------------------------------------------------------------ AREA 41 41 COOLING 447 447 HEATING 754 754 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 167 6079 RAISED WOOD ------------------------------------------------------------------------ CEILING AREA COOLING HEATING ------------------------------------------------------------------------ UNDER ATTIC 1189 1843 1784 SGL ASSEMBLY KNEE WALL 42 97 101 ------------------------------------------------------------------------ MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 1200 Latent Load 3058 Lights & Appl. Load 1200 Latent Safety Btuh 153 Ventilation Load Duct Heat Gain 1417 Infiltration Load 1730 Sensible Safety Btuh 829 TOTAL SENSIBLE LOAD 18821 TOTAL LATENT LOAD 3211 Summer ACH 0. 5 Temp. Swing Mult. 1.00 *** Total Cooling Load 22032 BTUH Or 1.84 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 7283 Ventilation Load Duct Heat Loss 861 Safety Btuh 1225 Winter ACH 1.0 *** Total Heating Load 26578 BTUH Or 2 .21 Tons*** M ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for — DCA Form 60OA-93 �' 99.63 Or Form 60OB-93 excellent good acceptable 0 10 20 30 40 50 60 70 80 90 100 The maximum allowable EPI is 100. The lower the EPI the more efficient the home. RESIDENTIAL ENERGY PERFORMANCE RATING ITEM HOME VALUE Low Efficiency High Efficiency WINDOWS............. . DBLCLR SINGLCLR DBLTINT INSULATION UNDRATC R30 ....... ............... . Ceiling R-Value KNEE R19 R-10 R-30 Wall R-Value 2X4WDFR R11 R-0 R-7 Floor R-Value.......................... STAR R—n R-0 I R-19 AIR CONDITIONER............................... 1 ��_ 10.0 SEER 17.0 SEER/EER ....................................... n n 9.7 EER 16.0 HEATING SYSTEM............................... Electric COP/HSPF.... ?. 10 6.8 HSPF 12.0 .78 AFUE .90 Gas AFUE .............. .............. WATER HEATER ......... ......... .............. Electric EF ELECT. .93 .86 .96 Gas EF ................... .............. 6a so Solar EF .............................. 4o eo OTHER FEATURES ..... ......... .............. I certify that these energy saving features required for the Florida Energy Code have been installed in this house. Builder Address: LT6 BK182 A ATL BCH SignatureDEAN RUSSELL Date:10124193 ATLANTIC BEACH, FL. City/Zip Florida Energy Code for Building Construction-1993 Florida Department of Community Affairs FL-EPL CARD 93 CI T7 OF ATY.4AIBTIC BEACH PERMIT CALCULA, TIOV SHEET Address 101 J d N I-k i P : nate Heated Square Footage /l �� @ $ 3 S'S 0 e sq ft = $ Z-14 9 Garage/Shed @ $ f Sao ,per sq ft = $ o Carport/Porch _@ $ 1 3- 00 per sq ft = $ _� Deck @ per sq ft = $ Patio per sq ft = $ TOTAL VALUATION: $ Sao ��1 � l�ation 1st Remaining Value -per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( P ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ 3�� zr�' WATER IMPACT FEE $ Wo,0 0 SEWER IMPACT FEE $ r 5,0-00 WATER METER/TAP $ x3• •0,j. — CAPITAL IMPROVEMENT $ 3 ,S d 0 SEWER TAP $ a (1164 ) RADON (HRS) .0045 $ (1 i 6 G) RADON (CAB) .0005 $ 1 -5-9 SECTION H PAVING $ 7t a o HYDRAULIC SHARES $ CROSS CONNECTION $— (116& ) SURCHARGE .0050 $ S,5 3 OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechapical `� Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Ta Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: PROPERTY DESCRIPTION �Et 4. R # 1993 716OCFAN BOULEVARD Lot 0 _�- Block / ibA Section aM_ 1'.0.110X26 --- _-- - --- �� 1°I i i ATLANTIC BEACH,FL0111DA32233 f� -- TEL 11110NE(9041249-2395 Subdivisions ____-_____ Street flame t DESCRIPTION OF WORK or Addressl--1 - -__- - 5 ( 1✓�j____ If in a FLOOD HAZARD Flood Zone!___,,---------area complete page 3. Brief Description: �. _ �fl(,4 Class of Works (New/Remodel/Add ition) __ t„5 :J___ ZOIIING INFORHATION Type of r \ Construction!_ ZoningProposed Districts _ Use: -- ---- _ Estimated Value $ Exceptions or Materials:_�s Vwrinneen OrenLnd: f��RvVi Solid or -------------------------------------- ----- Filled Ground s C Roo.f s OWNER INFORMATION Hsthod of 11ratings------- _ Property Owner: ia�1_ � :._ ----------^ ---- Phones "oiling _ Address__�4� .j---t--==------------------------- ZiP!_ JZ^ZS C------ CONTRACTOR IHFORFIATIOH , Ca IT t ac tor!_ _ �.::,. ` CY= S�__..._---^---_-_-.-^------ Phones Hailing -�_ ' Address:-� rn1__ 1_`=-- �'�.=t• ------------------------ --------------------------- ----------- --+------ Zips ---------- Expiration License Humbert_ CjL'�_ �_-__-_,_�--------�-_-` Dates ) L�`j I IIFRERY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TODE TRUE AILD CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WI1.L PF. III ^ COMPLIED WITH, WIIETIIER SPECIFIED HEREIN OR NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUMF. TO OIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULE!,, RF.OULATIONS, ORDINANCES, OR LAWS III ANY MANNER INCLUDING THE cOVERNIHO OF COUSTRUCTION OR TIIE PF.RFORHAIICE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINUFNT UPON THE ABOVE INFORMATION BEI110 TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL DE PROVIDED AS REQUIRED. 1iY1 is Owner Signature - -_---^- _Date_1v /Z ------- -_ _. ___ Contractor Signature _L C �=Z _ Datezg.?�, ►j iter.= ';\:�''i��"K..-. --- - ------- - FLOODPLA111 DEVELOPMENT INFORMATION Type of Developments_ _A__ j�J C-qL J�T�I L __- Flood Zones_- -- ---------------- Required Lowest Floor Elevations --------------- 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 Acknowledgements 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 1®1 ----- 9-A- _ A - ___ pplicant s Signature___--/" j ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation Survey Filed with Building Department ----------------------------------- Building Department Representative page B ! r 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) / y WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) I 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) 3 POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (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 FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ' ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) d LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS �'` ' @ $20.00 EACH $ �'!�V JOB INFORMATION M (�I I INE 1 S�tAEET AW C � 181 3 low 1 (a I I l M a 9 ? 1993 Buituiligzoning CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION Owners Name Address Phone L,b'C �LOC� V�\ T�� �A- Ptd(_ASST C.�bctl Location of proposed tree removal SECTION A - (For Additions and Site Alterations on Owner occupied single Family properties) 1 . Describe proposed Additions/Alterations: 2. Specify trees proposed for removal as follows: TREE COUNT SPECIES £IZE(DBHXHEIQHT) CONDITION — 1 C)AY, ©Ca Y" l3" i 3. Will any of these trees be relocated on this property? 4. Are any replacement trees to be planted? r 5. Describe replacement trees: (Number, species, DBHxHaight) G. Attach a site plan showing trees and structures. SECTION 8 - (All other Applicants) 1 . Property Zoning: 2 . Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography b) Existing and proposed structures A c) Location of all trees w/' DSN of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location. of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within io fast of construction areas j ) Show location and type of tree protective barriers k) location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Article IY bf the Code of Ordinances of Atlantic Beach. ZIC ---Ae2c� - /, LJ./i��. - Owners Signature date I,TY. t .LY Applicant has complied with all provisions of Chapter 23 and. requirements of the Tree ConsefVation Board. Tree Removal Appro ed � Tree Cons rvation -Bo r Designee ate 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) MAP SHOWING SURVEY OF L07- �, 13LOC-k— 9E-C--T'/0A-) ../-{.. A TC_/ AJ-riG r3E�4ce--� AS RECORDED IN PLAT BOOK 18 PAGES 34- OF THE CURRENT PUBLIC RECORDS OF DUV,4L COUNTY,FLORIDA. CERTIFIED TO D�'4 Al BUSS LL_ �A V 57Q(�T/pti/ Z� LO? 5 Lo 'T ( O7 / CLOCK fez DcOr-G 107- [3toca: 164 Q' (4'wcoo Fp-NcF O.I' 1.0 — k k >r— K FouND 1�2/ GIbAV 7••0A4C OVNo jt'*PVe I.P. u°3e4g aK COVaoE h/ V c (a WOOD O • II"OAK f Ea1GE N � Cop)Lk pp.T�O �T'oAK LOT 5 5' - lo, 13tocK /64 t� N ser IT x N II'W1' Bone. � S"oA K O i VoA K ll� "All tree^to rv,91jin must to Earrica ed `;,E a min lig ,ni ilk i.. e:- tree. i 1 1 AL � oji Isi0L • G"uA ' nl�lto' • A •8'OAK A HA&XUALF"". & 6'oAIL OVNO Z" 0-VEA I.p. Ceee.o) 3zo-07- 2.1�- ' FwNo yZ' I.P. i LJ,4 5 Ml AVE S TREeT : : TrEe �e��l�a1 APS TREES -TO BE REMOVED MAP SHOWING SURVEY OF r L07- 6j r3Loc_K /81 SSC 7 /UtiJ H ti A T S 41,j7"1G 13 E-;el C N AS RECORDED IN PLAT BOOK 16 PAGES 34- OF THE CURRENT PUBLIC RECORDS OF DUVA( COUNTY,FLORIDA. CERTIFIED TO DEANUss��.c___ CAtiSTRc,�T/o� LpT S LOT LOT / /3LOG/� /�� QLOGG !82• QC.OGK l64 G WOOD FGNG6 X O.I.1JI 1.0 — FOVAID %••P VG FouNu V2 G•'0AV 2 �DVRDEN� I.P. 0!3849 OAK- ,j AKcj r FEN GE Q • (I••OAK P �ATO f r ri �T•OAK � r LDT 5 • 11-(,Ar- O Z-a�" N r3coc,e 164 N � AK " O 8K k- �! � S••O vE ,A z R All trees to rFrnqm:i," to N,arricad d h a mine r.k of 'achy '�' K t;ee Is -,J, sE ORE in plea, du ing � ALL p'asss of �a�s�ructiol�" ` �a N U) R'*6DAK 9-HIk-VA t7? 1 • (�•OAK FOUND �•• c��e� � 1•P. cam) 320.02.• 1.P. cJ,4 S Ml AJE 5 TREET �SO' RJw> }� TREES TO BE REMOVED MAP SHOWING SURVEY OF . LOT 6, 13L0ck'_ (8/ AS RECORDED IN PLAT BOOK d PAGES 3 4 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO VEIJAJ /?0SSF_L(__. �AC�57Q(,CTIO� LaT s LoT o7' / CLOCK /82 C[.eGK !8Z ,CLOCK 164 �• (,WOOD FeNGL� 0,1 FOUNp I/2/ (i CAS 7 oAK Fovuo /Z P VG I.P. 023848 AK (OVf10a N) 0,3, (o'WOOD ci FIE AJ C E �O u 1 11•SOAK r� jCz• < +� ViaT�O I i i I x7 OAK L oT 5 ` • 11" AIL �JLoccc l8� O 5' i O LOLOCX 164- T / /3 _101 1 N t��'GK �..; � 5••OAK O O h' 1'b"OAK I XI I cc I r Al Jlo ._ _. _- t�1 B.oAK 9 HAG�zLU D y ! V I • 6'OAK. FOVNO Z" co�c� I•p ca o) 3Zo.oZ 0_0 ' FWMo yZ. • I•P. J,45 M/iV E S TREe7_ TREES -TO BE RE MOPE JD • TREES TO REMAI N MAP SHOWING SURVEY OF L07 61 13 LOcA:� 18/ A 7C_4A-)—r/G OE.4 cyy AS RECORDED IN PLAT BOOK PAGES 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. CERTIFIED TO D�4 AJ (J55 LC__ Co v STR(�T/O/� LOT S LOT L O T / /,3LOGK l82 [d LOCK l02 BLOCK 1&4 SO.0• O.L L_ 0' ro'wcoD ""oe al' I.o' k- k >-rl- li C y� _ FouNu '/2 =7"77'.oAr- P. uOV1Jo �Pvc I• 83049 AK COvf+De0 0,3, /o'wooD Q FENCE u • 11"OAK �v w fqT\Q )k7'OAK LOT 164- N �- N :ter 1' ;,E�grct x BKk_ V S"OAK h W 3"oa K l I N aI d W / C )oA (p OAK FOVND Z'• QovE� l 1.P. (wo) 3ZO.OZ' FWND '/z . I.P. L J,4 S M l lV E S TREE7_ TREES TO BE RE MOYt D • TREES TO REMAIM