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Permit 1212 Jasmine Street DEPARTMENT OF BUILDING L` 7 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.-6917- - 1 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 15► 19 55 3100 T1. � 31 .t��CKT Valuation$ ' Fee$ 31• 5 9 l 1 11/01/65 3917 *00CAC This permit not valid until above fee has been paid to City Treasurer,and is J 1 1 1/01/8' subject to revocation for violation of applicable provisions of law. This is to certify that I01UH kWRUA PUMING has permission to ld INSTALL PLtMIM Classification RESIDEN'I7.AL Zone Owned by CWIM STANSE T. Lot Block S/D House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE —� 4 i 0 Building material,rubbish and debris -zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tzactor or owner. T Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AOkt, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION J L/'Z- PLUMBING CONTRACTOR Xet?,'� LICENSE NUMBERS e OWNER_ BUILDING WNER _BUILDING CONTRACTOR TYPE OF BUILDING _SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS _WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES IT[JST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. i STATE OF FLORIDA w,o. DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES SEPTIC TANK CONSTRUCTION PERMIT N® 004393 Duval County Health Dept. — OwnoG W Stansell PERMIT #)~ 51333 _ For Installation Ar.Jasmine St. Lot 2, Blk 204 Drainfield Size 280 scf ft Sand Filter Size Septic Tank Capacity Minimum 750 Qat Grease Trap Capacity Minimum Dosing Tank Drain Tile (a) Installation must be in accord with requirements of Chapter 1OD-6, Florida Administrative Code. (b) Final inspection required before work is covered. (c) Permit void if not used within one year. (d) Approved installation does not guarantee performance. Date of Application Issue 6/24Z85 _ ( Issued 9 Jams F Sal zer, giLPwnIKeep 75'75' fran all waterwells.Keep top of drainfield ,even with natural grade.Permitted for maxim= IUUU sq tt heatedanff coolea area. Recamnend separate system for washing machine. - WILDING AND ZONING C3t:ii�G if�S�'I (�'I"i��l�i f}It'ISfC�tJ CITY OF A.TLAti'11 C BEACH, }LOR 1 DA APPLICATION FOR MECHANICAL PERMIT . IMr0RTMT--/"I;o6nf fo cornplefe all ifoms in sc{fiortt 1, 11, IN, and IV. �. On _ --S:de od ` LOCI+fiION (neral. SortA, fast,west) (Addreu) (Infonact;hj Stoh)� h st. OF f IJ{wi^6 Lel Ne Btocl No _ Srb division (State, Pori" of sof ;f I.ra ffa01 fuo 61—J1t1•di 6g•I 4scripCon per dVed in dvplic4to if hocruary) 11. TYK OF PPOP OSED MEEc .:NICAL WO?.K — NI eppIkann ctxnp6le Portz A -- D A. US Of WILDING L OWNF-ASHI► RESIDENTIAL IS. rr fx/ •t. (ind;v;d6el, �r+ryoratial, 1. 1$'0.6 femhy 11. ❑ Utility01 profit;nat;tuf;"m. 2. ❑ Tera at mora Lamily— 12. ❑ Scu d, Gan Iii. 13Pwl)rc (Federal, State a soul pover"tmt) Enfor ovinber of roto" _ ofMr •dross one) Q NATufic of wales 1. ❑ Trans;•nf, Wel, e,osel, rcoming Lowes -- 12. ❑ Sha+, mart•rifle 1?. V.-New In,"dn0 Entor number of waik Gther ❑ Ea;lt;n9 IIv itdia9 4. ❑ Olher►os;danf;al 14. ❑ OTr1EIt•SPECIFY ❑ ReFb,enant of•ust;01q erafenl �.�NI,. initllietiDn (Np.frfta+o Fr^,�.psryly Inatelled) NON-RESIDENTIAL 21. �❑ 6tewtion w add-on to uirtin4 1`JifMl, 5. ❑ A,orraam•nt, recraaGanal `� 12. ❑ Otfror—$prltify C (3CAursfl,other religious 7. Q lndusl" . t. Q Gara'a, sar•;ce sbGon 9. ❑ Holp;fel. ;n%f;Ivf;onal L Type Of !UlUNNG 10. p Oftco.6011, profer/;a01el 3L ❑ N6mb+1 of rfor;..r ». ❑ wood f r•me 0. MECHANICAL EQUIPMENT TO !E INSTALLED St. Q M&Kn-y .rid v-.od (trov;de complete list of components on k*c1 of this "I yf, 0 to;nrorced concrete 22. I*k,.Furnace: ❑ Spa co ❑ Recessed Central D A~ 40, I] Sfwcfural stool 14. Air Coodif;oo;ag: ❑ Room Cent 11 41. ❑ C•thar 2S. Dsrct System: Id•t•ry —,; Maumum cal'+c;tr TONAGE: Q. ONLY� THIS SPACE FOR OFFfC* USE 27. 13 Goosing to.er. Capacityg 26. ❑ Fire spr;nlfen: Number of k" 29. ❑ E161,11W ❑ tlan:;f► ❑ Exa[.t,r (nVln/av1) 20. ❑ 6uoliiae p.mpt� _�(nvrnliar) 21. ❑ To As 3L Q UA*sof air, v (nu .bor) u. ❑ UnProi rAF1 um .ea.el P.rw.if A.r.pro.ed br at. la. p 16UM IL p O+flvt — Spadfy Permit Faa IIL GENERAL INFOR1.44TION A. Trpe of 60;ng irol: B. t5 OTKEN CGKSTRUCTICN BEING DONE 41. E!"fric THIS BUILDING CA SITE?` (,-1e DEPARTMENT OF BUILDING -7 p CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. ( O PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB !0 OMNI D� 30, 85 + s I Date19 7W 7 0 *OUCH 0 Valuation$ Fee$ 10.00 tan! t This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that G0RM STANSEM I f has permission to build WATER 'its t• Rart p_r-i o1 c�f c'a2. fest report for Certificate Of Occupancy j Classification residential Zone Owned by deor Stansell jLot 3 Block 204 SSD Section H House No. 121.2 RiBm m Street 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 O Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- { trpdtor or �wner. l uilding Official. I FOR OFFICE PERMIT DATE CONTRACTOR f USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER 1 J I i ! I j ! I I i i i FEE $10.00 AP'PLICATIM FOR 6k M PENT CI1Y Cf ATW=C BEAM . 'PI�PER'IY yWL�ER. Name:�e,. �_: l � ,� •.�-;'/ Day Phone Address c APPLICANT, 'IF Mw OWM Name: Day Phane Address; 4P_ JOB Address or Location:' .z/Z- �'� s.►-t A P sT" ,,;�T/ Zk- / Legal Description: Z Any person, individual., corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach. Code, and who plans to use water from the permdtted well for drinking purposes, mast first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach.. A certificate of occupancy will not be issued until said report is on file with the building department. Deflartment Notes: I agree to ly with regulations stated herein: Rgffature/ to a~-- DEPARTMENT OF BUILDING (;p ^ CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.t97 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB _ Date July 151P85 19 I Valuation$ IF-DiM aCAL Fee$ 38.00 + � This permit not valid until above fee has been paid to City Treasurer,and is 3 *Q0 1 subject to revocation for violation of applicable provisions of law. 3 *0 0CK T This is to certify that S ,norAf: 1315 1A 11/11/8 has permission to W*d lliSrE LL IST & AIR Classification Zone Owned by GEORGESSMEML Lot Block S/D House No. 12U JADE STREW According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- f SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �----. O Building material,rubbish and debris { 4 from this work must not be placed in public space, and must be cleared { up an hauled away by either con- { _, trac�',r.o`rowner, i Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 1 T CITY Of ATLANTIC BEACH, FLORIDA P oved by APPLICATION FOR ELECTRICAL PERMIT IEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND$PECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. IfL �sI ffp (A r- J c ECTRIC'AL FIRM: MA STER ELE TRICIA NAME ,�.Z / ADDRESS: / / BOX BLDG.SIZE BETWEEN: RES.P - APT. ( ! COMM.( ) PUBLIC( 1 INDUS. ( ! NEW ! OLD( ! REW.( ! ADDITION;( 1 TRAILER ( ! TENS. SIGNS ( ) SO.FT. SERVICE: NEW( ! INCREASE( 1 REPAIR ( ! FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCHOR BROAKER PH W VOLT RACEWAY LXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE; NO. SIZE NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED` OPEN TOTAL 0.30 AMPS. j 91.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED' 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING HA RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MI LLANEOUS =f) 00 . TRANSFORMERS: UNDER IM V. OVER fm v_ - r601 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner �o,� �,� �$'�c�-,Z g� // Address ,5-,61 Se-s2a`L ;cr sT, Phone d2 yq'-2."/ Architect 1) Q-st y2e* c k Address a_c Phone Contractor ,5'7-a.Lse Address Phone License Number C RG OExpiration Date �3c> /gyp Lot # 22 Block # C) Subdivision 1# Zoning j2&6 Street xa-tS All ;n.E? Between ' ` ��-and P& znt, side We S7- Valuation $ Purpose of Building _Type Const.,r Dimensions : Building 3C)' 2( ,_34_' Lot 5-6'X / o1- Sz.Footings /p Sz.Piers " K /j, " Sz. Sills Greatest Span Sills ® '' Sz. Ceiling Joists r ry-SSe5Distance on Centers Greatest Span Sz.Floor Joists j. "X ',pr Distance on Centers_Z&L_Greates t Span f b' -O Sz. Rafters 'T,^wSsc 5 Distance on Centers '' Greatest Span 32'- 6 " Heating Solid-Fcd Ground Roof, L-,,a /t ss 5 no% 7 Flood Zone G If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: I. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel.. APPROVED 3. When steel is in place and ready to pour beam. #s `- EA��! 4. When framing, mechanical, rough plumbing and fire place is completed and ready to cover up. 5. Rough electrical. 6. Final inspection. In case of rejection, reinspection MUST be called BACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and , / cn specifications , which are a part hereof, and a M V a in accordance with the building regulations fD m of the City of Atlantic Beach. o � � o rt rt FJ* FJ� 1 M Signature OWNER Y g Signature BUILDER Front Lot Line 1 8 t 2-11ECHANICAL PERMITS XDRESS PLUMBING PERMIT # _ BU LDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # ea red Square Footage /�� d @ $ so er sq f t = $ , � `��) LT arage/Shed � @ $ . U0 _per sq ft = $ arport @ $ per sq ft = $ orches @ $ per sq ft = $ eck @ $ per sq ft = $ atio @ $ per sq ft = $ TOTAL VALUATION $ •3 q U� $ 'otal Valuation Data Is $ /raj �t�u . Gv 67 $ remainder Valuation @ $ p;.50per thousand or portion thereof / v TOTAL BUILDING FEE $ + k FILING FEE $ FIREPLACE @15. 00 $ TOTAL BUILDING PERMIT $ -------------------------------------------------------------------------------- 'LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ;LECT. TEMPORARY $ ELECTRICAL PERMIT $ 'ATER METER SIZE $ ACCOUNT NUMBER EWER IMPACT FEE $ ATER CONNECTION $ (@10. 00 per fixture unit) PPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ ^, P � R c V E n TOTAL SEWER IMPACT FEES $ BEACH -.c TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ / �O r DEPARTMENT OF BUILDING 6919 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 197,25 � THIS PERMIT MUST BE POSTED ON JOB 1 7*25CKT gel J-9 14 7/19/8 Date .1LiZ1L 15, 19_89 69 19 •OUCAC 39 77400 167.25 ui59 1A 7/19/8 . Valuation$ Fee$ 1 CJEIfl This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that GEORGE S a 561 BEIG iA STFM has permission to build SINGE FAMILY HEM AS PFR PIAM in accordance with attadywt RE: assessment Classification RESIT ENII& Zone RS2 Owned by GEPRGE STANSEM 204 i Lot Block S/D Sectim H House No. 12" .TA.SMTNF STRIvIT I j According to approved plans which are part of this permit -■�' U NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O Building material,rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con. tractpr .,owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER pg�� r L �*� �qq�C�T, ����{7�� PLUMBING NO �7I� BUILD WllilEN ELECTRICAL # SEWER WATER I FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9 of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is provided in Section 10 of this Code.Only dwellings which are aboveground frame(wood siding,brick veneer,etc.)or concrete wall type construction may be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301. PROJECT NAME PERMITTING OFFICE: AND ADDRESS: L. CIRCLE CLIMATE ZONE: 1 2 3 BUILDER: D leve P PERMIT NO.: OWNER: G� 0 r 57"a-.LSe ,/J JURISDICTION NO.: I IF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE a DETACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN SEPARATE CALCULATIONS ARE REQUIRED 6 SGL SGL FOR EACH WORST CASE UNIT TYPE.CHECK IF ❑ ATTACHED THIS CALCULATION REPRESENTS A WORST [XIDBL DBL CASE CONDITION. NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY m:l�nn Ld].El & 0 R= a.[] R= m.[] COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL ❑ NONE ELECTRIC STRIP ❑GAS ❑ NONE ® ELECTRIC RESISTANCE ❑ SOLAR IIL--CCC❑1 ROOM ❑ OIL ❑ SOLAR ❑ HEAT RECOVERY ❑ GAS ❑PACKAGE TERMINAL AC ❑HEAT PUMP:COP = ❑ ❑ ❑ DED.HEAT PUMP:COP = a m EER/SEER= ❑ ❑OTHER: ❑OTHER: CALCULATED E.P.I.: © CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS In accordance with Section 553.907 FS., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi- and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is Florida Energy Code. completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. OWNER/AGENT BUILDING OFFICIAL: DATE: u 5- DATE: 9A I PRESCRIPTIVE MEASURES Must be met or exceeded by all residences.) MINIMUM REQUIREMENTS CHECK TO INDICATE COMPONENTS REQUIREMENTS COMPLIANCE WINDOWS 903.1 MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. Ll--- DOORS /DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED. G' CEILING INSULATION(903.9) MINIMUM OF R-19. WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE PROVIDED. SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS. ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER. HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4). L✓ SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. 903.6 DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2. HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. 1 Isr . FORM 900-A-84 CLIMATE ZONES 1'2 3 9C DESIGN CREDIT POINTS(CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND.SPACE(max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8 CROSS VENTILATION(1 CP per room) 1 ! WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E DESIGN PENALTY POINTS FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 40% 5 9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5 9F WINTER OVERHANG FACTOR(WOF) 9F SUMMER OVERHANG FACTOR SO FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G I HEATING SYSTEM MULTIPLIER HSM COP 2.5-2.6 2.7-2.8 2.9-3.0 3.1-3.2 3.3-3.4 3.5&UP HEAT PUMP HSM .40 .37 .34 .32 .30 .29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.0 NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS) PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45. SEE TABLE ABOVE FOR COP>2.4 9H COOLING SYSTEM MULTIPLIER(CSM) ELECTRIC EER/SEER 7.8-7.9 8.0-8.4 1 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.9 12.0-UP CSM .83 .81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70&UP CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC. FOR ROOM UNITS AND PTAC CSM FOR EER 7.5- 7.7= .87.SEE TABLE ABOVE FOR EER>7.7. 91 1 HOT WATER CREDIT POINTS(HWCP ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 HRU(A/C)WATER HEATER ELECTRIC BACKUP 6.7 GAS BACKUP 13.9 HRU(HP)WATER HEATER ELECTRIC BACKUP 9.7GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR o= ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER HE GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM=100=OVERALL SOLAR FRACTION 4 Al' FI ull-DiN.- C=;�7-07Z PLUTIBING WORKSHEET SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER BEATERS DISPOSALS LAVATORY URINALS OTHER vITY TOTAL FIXTURE COUNT rill! -k FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 1p B ROOM GROUP CONSISTING OF LAVATORY UNIT) WATE CLOSET., LAVATORY? AND BATH T OR SHOWER STALL SERVI SINK TRAP STAND (6 UNITS) (3 ITS) DRINKING FOUNTAI UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN C1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOIMESTIC BATHTUB (W/OR W/O OVERHE (2 UNITS) SHOWER) (2UNITS) DRY TRAY BIDGET (3 UNITS) (2 S) DISHWASHER UNITS) KITCHEN S (2 UNITS) KITCHE INK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE LTNITS @ $10,00 EACH FOR LAB USE ONLY State of Florida Department of Health and Rehabilitative Services Office of Laboratory Services P.O. Box 210 1j Jacksonville, Florida 32231 DRINKING WATER BACTERIOLOGICAL ANALYSIS SYSTEM NAME: � '^ ( SYSTEM' I.D.N6. Ntla z�1DER DISTRICT- ADDRESS: t 0. S) COUNTY: 0 VA-L COLLECTOR: 67 �QM�S�_ 6 SA SITE(Locality or Subdivision): - �' �Ncc RAW TREATED: DATE AND TIME COLLECTED: Z__A TYPE OF SUPPLY(Circle one): C ublic water system Non-community public water system Other public water system wate well Swimming pool Bottled water TYPE OF SAMPLE(Circle one): Compliance Recheck Main Clearance Well Survey Other(specify)�1�1t(to (c— REMARKS: to F(�(/ L cyan TO BE COMPLETED BY COLLECTOR OF SAMPLE TO BE COMPLETED BY LAB COLIFORM COLL. Cl NON NO. SAMPLE POINT RES'D pH SAMPLE NUMBER COLIFORM100 MF/100 ML(303) 00 M ML TOTAL FECAL (305) > > �; • � -� -SAT SFACIORY AT! FA S � �? S C7-.. INTERPRETATIONS-RECOMMENDATIONS BY DER OR HRS REVIEWER Cr/ ( ) SATISFACTORY ✓ ( ) NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT UNSATISFACTORY F— O.C . _ \ ( ) RE-SUBMIT REVIEWING OffiClAl: TITLE: HRS Form 655,Apr 83(Replaces Feb 79 edition) CITY OF ATLANTIC BEACH, FLORIDA Apprcv"by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: !L 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. s f , c ��zre �- 8� ' JOURNEYMAN ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE - NAME 666(h S71WiU 14 ADDRESS: ll^)j 2 t / G� SC RFD BOX BLDG.SIZE BETWEEN: RES.kf APT.( 1 COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW,,( OLD( 1 REW. ( 1 ADDITION ( ) TRAILER I ) TEMP.I 1 SIGNS_( ) SQ. FT. SERVICE: NEW INCREASE I 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM, SWITCH OR BREAKER tJ AMPS PH 3 W VOLT 4-!56Z') RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE INO.` SIZENO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0•30 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 4,4414 44 .. ,. 6A OVtR r MOTORS H.P. VOLTAGE PHS NO. 1 N.P.' VOLTAGE PHS 11 iLLANEOUS ro w weenn�tCtlC. l twlnc o ICM v AVER am v. CITY OF 1*&a&c Ve d - 57&vi a 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 January 20, 1986 Pre-Service JEA 233 Duval Street Jacksonville, FL 32203 The following final inspection has been made and is satisfactory: Permit #4844 - 1202 Jasmine St. /Permit #4845 - 1212 Jasmine St. All permits issued to Brooks & Linbaugh Electric. Sincerely, ene' Angers Inspection Supervisor Aztec. Quote APPLICATION FOR WATER AND/OR SEWER TAP a' APPLICANT NAME -- --.z-, — — --------------------- MAILING ADDRESS_--. DDRESS PHONE NUMBER__T6 ----- DATE----�-���_ 1------- � ' SERVICE REQUESTED_ ____—_— SERVICE LOCATION ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKS_ 1_____ TO BUILD. DPT. DATE OWNER NOTIFIED--------------------- '�"` JUL 10 6�4'1 F—UBL;IG WURKS a �cq JUL 141Q91 Building and Zoning i, ' DEPARTMENT OF BUILDING CITY Of ATLANTIC.BEACH - - PERM ?' IlH�`lwtRlrlA `xCJN LOCATION INFORMATION '- P sa t llxsr b rz 6 47 AddreAss '2I2 �AEMINE STREE permit Type; ATLANTIC BEACH,, . FLORIDA 32233 Cl s OF Werks ADDITION _ ..� LEGAL DESCRIPTION ---�- Cons�tr. .Typw t -i VOD FRAME ;Leat a Sl�aak x 5ect#Cara z Prpposed, Use t SINGLE FAMILY Tcawnship z 1RNC3: O I rr l ing8 a 1 Cbdes 0 Subdi4ision a SECTION H Votrimated Yeluev *0.00 I ► ,rq+r. Cast,a 00.00 T1its.lFess a #iS. AMount .. . Cor ���e_: �s � EWSR� L114 E AND 3144 VAT9W +1�F�'�TCE Q "!A"1`I014 *- -� APPLICATION FEES P RM1T Ad E STREET WATER IMPACT F"EE $0.00. ` T c vu FL.tRIDA EMPAC "EE ~ 3.0 , w . NFORMAT OH - - ,RADON GA5% $0. 00 S.n i BINC MATER TAP 0.00 Ac#dzss s: P.m wC,. �a .,. � SEWER. ..TAP-- �O. flC�.. , .SACK ILLZ ,. FL+ 3224 + HYDRAULIC SHARE , 0. 00 L e ,s FCQTyp6: 3 R - N �'t` F" SE C.OO SEC. H '1eMPACT1 FEE 6 0 OT NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST$fINSPECTEDr EFORE POURP40 PERMIT VOID SIX MONTHS AFU8 DATE OF ISSUE BUILDING MATERIAL,'RUE815H APED DEBRIS FROM THIS WORK MUST NOT 8E PLACED IN PUBLIC`SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY El'fHER CONTRACTOR OR OWNSR �,'FAILU�tE'TO OMPLY W! THE MECHANICS' LIEN LAW C R SULT PROPERTY OWNER PAYING TWICE FOR EUILPING.1MPRIWTS. Zoo 07'3314 I US ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION;`FOR *LA►TIOMt}F APPLICABLE PROVIS16NS OF LAW. I ' ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: f l a /.2 V fr S Nl i�✓� Si.. � riga PLUMBING.. CONTRACTOR: r� LICENSE NUMBED: G FG OWNER: O� D.a ' BUILDING CONTRACTOR: k TYPE OF BUILDING: A? -5,',�fJ, SINKS SHOWERS LAVATORY WATER HEATERS" BATH TUBS DISHWASH URINALS DISPOSAL CLOSETS WASHING INE FLOOR DRAINS OTHER tl r-- TOTAL FIXTURE COUNT: + $15.00 a ----------------------------------------------------------------------- INSTALLATION OF PLUMBING -AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. y tp „ T 623 t DEPARTMENT OF SUILDINCi CITY OF ATLANTIC BEACH -- ]PERMIT T' NFCJFtNA' It W --- -_- -- LOCATION INFORMATION .... :, _ Per Number: ,2 3 Addareesr 1212 3AS"INE STREET BEACH FLORIDA 32233 , TILITES, ATL Permit T P s ll C1 cry Werk z AIEMf. LEGAL DESCR.IPTIQN ------- 'LEGAL Type , WOOD FR.AAS Lot$ , 8 ,�►ttlr-a Sectio r 'Px a o d ,Uve a SINGM `A ,ILY �'I'c�r P ►iP RriIC x O Uw l l Enr l: 1 Codei, Subdivllaion aSECTION H Emfimated Value: +IcE).00t too 00 i Total ees_ ' 00 P A>lraea� •' 01390..,00 G O 2/ x'5 . ftp f .�, WATER AN BgWEk SERVICE / APPLICATION FEES .,---- CITY OF FEE ' $270.00, Office Of Building Official Rr »:S, REQUEST FOR INSPECTION ' Date sfl.flfl Time r J �I Received Permit No. (. : -- fl.fl0" 3 _ P.M. District 4ARE $0:00 No. �fli dfl Job A r / FEE <TM }fl Owner' . FE Name Locality fl BUILDINGContractor Framing ❑ ONCRETE ELECTRICAL Re Roofing ❑ Footing PLUM Slab ❑ Rough Wiring ❑ - MECHANICALLintel 0 Temp pole C7, To , Air.Cond.$ p Out ❑ Heating ❑ Mon, READY FOR IN Fire Place ❑ Wed. E Tues. N Pre Fab Inspection Made f— Thur.. Friday A.M. Ins - P.M. Inspector P.M. Final Inspection ^`�'�-� �• Certiticafe o Occu cy Date 1�flA POURING 90MIT VOID Slx MOINTHs r 8CH. BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE'PLACED IN PUBLIC SPACE,AND MUST BE '. C�EA:RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER OFAILURE TO, COMPLY WITH THE MECHANICS' LIEN h.AW ;CAN RESULT IN TILE:PROPERTY OWNER PAYING' ICE FOR S'UILpIN�I IMPI��VEMENTS." ti $ ACCORDING TO APPROVED PLAN$ WHICH 'ARE PART OF THIS PERMIT AND SUBJECT 70'AEY00AT04 iFOR—,, Vfpll f ft�N OF APPLICABLE PACIVISiONS OF LAW. ATLANTIC BEACH BUILDING AEPARTMtNT 04o 41 ��. CITY OF /Ruta Te4d - 9&ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32133-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 November 23, 1992 TO WHOM IT MAY CONCERN: Re: 1212 Jasmine Street Atlantic Beach, FL 32233 Please be advised that the following costs will be due the City of Atlantic Beach for connection to the water and sewer facilities: Water Meter $ 85. 00 Sewer Impact Fee 1, 035. 00 Water Impact Fee (based on 13. 5 fixture units $20. 00 each) 270. 00 Total $1, 390. 00 If any further information is required please do not hesitate to contact the undersigned. Sincerely, George Worley, II City Planner G W I I/pa h 4/� S 71 Y :PSR=9844 7202 DEPARTMENT OF BUILDINGS CITY OF ATLANTIC BEACH - - PERM I T INFORMATION �-�--� -- ---�- LOCATION I NFORMAT ION ----- , .rmi Number: 7202 ddre$ : 1222 JASMINE STREET Fermat Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class ct Work:: ADDITION ��..�...�,--- L�O�L, DESCRIPTION _�.._ Constr. 'Type: WOOD FRAME oft : Blo-ck. Section: Proposed Use POOL/SPA Township:( RNO; 0 Jbwel Pings : I code: 0 whdivi.t o : SECTION H Estimated Value: $0 .00 Improv. Cast : $0 .00 Total Amoun $35.00 I k T'IOt - .�� �_ AFFLICATION SEES . .._.. �N14' � P'ERMIT X35.00 I Address:a STREET WAT FACT EE 0 .00 C , FI,O] IUAP p�.a E0 t Fhc. RADON GAS-H.R.S. 0 .00 C� A ORMATI RADON ''OAS 5% $0.00 " Natm�►: 18 Olt AOt3it,-J4� WATER­T EO .00 SEWER TAS` $0 .00 ATLAN EACH,, 32233 HYDRAULIC SHARE $0.00 kens !.� 0S Type, 2 CAPITAL, IMPROVE. ` 010'.010 I SRC.HIMPACT FEE � 0 .0011110 i NOTES 1 i r G 1 NOTICE -=ALL CONCRETE FORMS'AND FOOTINGS MUST INSPECTED BEFORE POURING e PERMIT'VOID SIX MONTHS AFTER DATE OF ISSUE 1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAREQ UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER { s° 4`FAI`LURE To COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN VY,:�"H .P�OPtRTY OWNER PAYING TWICE.FOR BUILDING IMPROVEMENTS.." 1 ��SSUED.ACCORDiNC� m rum TO APPROVED PLANS WHICH ARE PART OF�THIS PERMIT AW�B.IECT f11ON FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 00 I�EIf�T Nl»ERt 143 ' ATI I IC ACI 40,14, 'OffARTMENT r I , r _ � CITY OF ATLANTIC BEACH, FLORIDA Approved by - APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ' 3 19� IMPORTANT NOTICE: 1'� 7/77`77 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: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME C t Sr/ 124054:�5 ADDRESS:_ �z2Z- -17 j 1e C STRFD BOX BLDG.SIZE BETWEEN: RES.A) APT. ( ► COMM. ( 1 PUBLIC( 1 INDUS. ( 1 NEW( 1 OLD<) REW. ( ► ADDITION ( 1 TRAILER ( ► TEMP.( ► SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 15—DAMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 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 ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 6110 V_ nvr-R ann v �P8�F38C� '�a �EpARTMENT OF 0UIL,0010 CITY OF ATLANTIC BE-ACH , PM IT INFdRMATIO .�-_ �_ _,. ���:,»_ LOCATION .1NFORKATIOH ------_-- +. xmit Number" 7177 ddre$,$: 1222 JASMINE STREET ATLANTIC SEACR, FLORIDA 32233 Pei[ :tt' Type: SWIMMINCI POOL i C t�fsu" 4L R(=1r}C: ':NEW - .. LZOAL DF.,a'�CRIPTION .... -- _- cn ,Iwr. Tpp CONCRETE ot: � �1� Blocks 204 Section: �H , Proposed Use: SINGLE FAMILY' . T##�x'1si�iP"s � RNC s, 0 � Dwell ,ngss 0 Codes 0 ubdiviiiona SECTIIwN H " stjmarted V"alue': Tmr.ov . Cost : $0 .00 1 Ame�`u nt"` $30.00 TION --- APPLICATION PEES � N PER141T $3.0.00 dtlre : ~ STREET fi m STAT CTEE 0.QO t+ PLOR I DA : � E O ho RAD41+3 .GAS- H.RMS. $0.00 -. C A ORMATI0 $, ------- WATER `C3A8 �� $� ��� �N�me; E? P CANER . . WATT TAP $0.00 . SEWER TAP. $0.00 i ddlR HYDRAULIC SHARE $0 .00 j cel Types 1 CAPITAL IMPROVE SEC.H I14PACT PELF OTHER 0 NOTES• 1 , k. ,40TICE—ALkCONCRETE FORMS AND FOOTINGS MUS't BE 1NSPECTE0 BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OFASSUE 77r BUILDING MATERIAL,RU"681SH AND DEBRIS FROM THIS WORK MUST NOT Be PLACED IN PUBLIC SPACE,AND MUST RE CLEARED U'P'AN&HAULE'D AWAY BY EITHER CONTRACTOR OR OWNER } ' FAILURE TD` ,*MPLY WITH' THE MECHANI S' LIEN LAW CAN RESULT IN 'THE PR60l RT 111 twIE 'P ►YINCar 'f11 /1GE + I BUILD'INC IJWPROVEMENTEi." ISSUED ACCORDING TO APF*OVED PLANS WHICHARE PART OF THIS PERMIT,ANDSUBJECT TOA W 4 ATIONFOR VIOLATION OF APPLICABLE PR1'�19NS t�F LAW: 3 1993 ATLANTIC CH B1 ANG .E 'ART T ClTYt} AT.A� t "� � . r K CITY Oz ATLANTIC BEACI3 Building and Zoning APPLICATION I'OR POOL PEM1IT Job Address Lot / _ Block �E ' may Subdivisi.oii Owner---tel 'C5 13/Zoc)KS Address— Contractor ddress -Contractor. Address License Number Valuation $novo .00 Gallons _ APPROVED CITY (w Alu"MTc 1411`.1 SI`Z'E PLAN .front AUG 131993 APPROVED CITY OF ATLANTIC B to � B f'LDING OFF E N• N• " Au 1 3 B rear Signature Owner _ Date _ Signature Contractor Date t r ' OWNER BUILDER PERMIT AFFIDAVIT tat&• oS Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally apVrarvd __ j lSTY___.1�..-Vis_-..-_.._. who upon fisast bwirw duly sworn, deposes and says I. __Crs _1f _ /�.�QD� �,____...._..• and the legal owner of the lollowina propvrtys Subdivision Block _�o`f_rt-1Z2_.... Lots_./ - AMA ..-- I aim applying for a building permit pursuant to the Owner Builder exemption net forth in Florida Statute, Section 489. 107. Florida law requires that I .have been providwd with thr following DISCLOSURE STATEMENTS DISCLOSURE STATEMENT 'State lav requires construction to be done by licensed contractors. You have applied for a persait under an exemption to that law. The exemption allows you, as the owner of your property* to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself, You may build or improve a one - or two family residence ar a farm outbuilding. You may also build or improve a commercial building at a cost of 825,000.00 or less. The building must be for your use and occupancya it may not be built for sale or lease. It you sell or leak& more than one building you have built yourself within one year after the construction is complete, the lav will presume that you built it for sale or lease, , which is a violation of this *%omption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure tlsat people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that l have read the above DISCLOSURE STATEMENT and that 2 comply with all the requirements for the issuance of an Owner-builder permit. Further. affiant Szayeth not. �iZ Pra-perty Owner Svorn, to wodd subscribed or ��whlo _ __ day d S5 ��1 O •� 4�' Stag the Southern e W;th the Section 109 of 5 l,L colyt i4itic a �ggn e require'"ent c�Zhis structur ti" plip.�ite�. t to tile ,ssua't var f �isy�ed�ur�at at the ttir"`e of StructLp,, or u$c t phis ,j,ca�cert4fiytn�that buti�d,,,5 colt o C� e u�attin t�,5t"�` Buti1din8 tina„ ccs valkous and , haat /' �► G V"` .,4100 ��Tx taa� 3/� ��•"' aara i ce+ 100 �N Footing Slab Framing Plumbing (fit) /eI9`��t Electrical (R) l a / ✓ Mechanical Fireplace Top out Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued J iC COrDIENTS :