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Permits 1568 Jordan Street 7 JOBADDRM Liom TYPE WORK PROPERTY 0R'1VElr Q lz �V/- Z T Z�JrEt�l11VE f�a CONTRALTOlt CfC� - SONE PMtWTNUMBER /29,gr DATE 7—© INSPECTIONS: POMWGala I Q0 /0--2 y-00 n s , SLAB O TMBEAM 6l z- av LINTEL �- 1 NAILING1MMT 7VG FRAMINGCOVER UP , I. ,T RVSULAO7ON FMNAL BUZW DVG cz CERTIFICATE OF OCCUPANCY U-U ELECTRICAL PERI O# o� / ��.•� ` INSPECTIONS ROUGH FINaL T o i MEC U4NICAL PF.RAffM EQMCIYONS ROUGH MAL PLD.MMGMIUO1# b� � INSPECTIONS ROUGMUNDER 1 n n To.P+avr��. i r�� FINAL NOTES `� a`��o tib, (3,��Co� b► -- (��,�' CITY OF 4&a4ue,�c z eae4 - �7eoru 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247.5800 FAX (904) 247-5805 SUNCONI 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS 211 70 /S2 cl jRhS i NSW /574 f:r , Tor,01 ta 2-1172 82/0 Y 7 6S W. Sf OuO6-1 6 'cl' Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 1568 JORDAN STREET Owner: BEACHES HABITAT ATLANTIC BEACH, FL 32233 P. O. BOX 50939 JACKSONVILLE BEACH, FL 32240 Construction Type: N/A Use Classification: SINGLE FAMILY I Permit Number: 19985 Date: 5/29/2001 l DON C. F RD, C.B.O. Post in a conspicuous space MAP SHLJWlNb BVUNDAKY SUKVL Y LIr , THE SOUTH 50.00 FEET OF THE NORTH 59.00 FEET OF LOT 11, BLOCK 1,- ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. L 0 T 5 This Fbrfion OF Lof// Nal/nc/uded LOT 44 /n This Survey LOT 5 LOTIO LOT 4 ei N.89,'36 AO"E /Gip.!>O" LOT// �8 g h T h g m o � � w LOT 4 This Por.,�ioh OfLo1//Nol /nc/uded W LOT 3 N /n Th/s Survey �. LOT 11 N � LOT 4 LOT/2 i LOT 3 G tri 3 U l D Q o L N N QM O r a I " --�. Ko 7 / ioo.39' NOTES N:; LOT/¢ BEAR/NGS ARE BASED ON THE WEST R/GHT-OF-WAY 1-07- / LINE OF JORDAN STREET AS BEING S 00'/5 00'E 6Ypi-A7" D v /�� /� NO BUILD/NG RESTRICTION LINE SHOWN,BUT THERE MAY BE �" / '� RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS �O' GHT OF- ,4 y O O PROPERTY BY ZONING OR RECORDED IN THE PUBLIC W RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. e q 7HIS PROPERTY LIES IN FLOOD ZONE'J1X"BY FLOOD MAPS RE REVISED 4//7/89, COMMUN/TYPANEL NO./20075 000/D. PREPARED FOR THE BENEf/T OF; MAP SHLJWlNb BUUNDAKY SUKVL Y UF- THE SOUTH 50.00 FEET OF THE NORTH 59.00 FEET OF LOT 11, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. I I LOT 5 ( This Pardon OF Loi// Nal Included LOT 4 In This Survey LOT 5 LOT/0 LOT 4 N.89°36W"E /X.00" LOT l/ 8 g CIS h T o� LOT 4 Thi LOT 3 s Por 1.,or7 O{'Lol//Nof Included ui N /n ;r/7/5* 5u/vey L �. LOT11 OT 4 LOT/2 1 LOT 3 o Q o o � m � o N jr, O a I O h j -�_ Lp7 / NOTES 8S°03 Gb�p/ — ZOT/4 BEAR/NGS ARE BASED ON THE WEST RIGHT-OF-WAY L o T / LINE OF JORDAN STREET AS BE/NG 5.00°/5'00'E 6YPl.A7D O NO BUIL DING RES TRIC T/ON L/NE SHOWN,BUT THERE MAY BE RESTRICTIONLINES OR EASEMENTS THAT AFFECT TH/S �O RIG yT OF O �Q D PROPERTY BY ZONING OR RECORDED/N THE PURL IC W4 RECORDS OF TH/S COUNTY THAT ARE NOT SHOWN ON TH/S SURVEY. THIS PROPERTY LIES/N FLOOD ZONE'X"BY FLOOD MAPS REV/SED 4//7/89, COMMUNITY PANEL NO./20075 000/D. p , 5 2000 PREPARED FOR THE BENEFIT OF: t e CITY Of a . 800 SEMINOLE ROAD __, ---_ -- tTLAN17C BEACH. FLORIDA 3Z23.)--a,5 "i ELEMONE(904) =Y7-331H) F:V.\ ON) 247--5805 BUILDING PERMIT APPLICATION REQUIRED SUBMITTALS Each application for building permit must be accompanied by two complete sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards, setbacks and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); a recent survey of the land for new construction and additions; and a tree survey or letter cetifying no trees are on property. APPLICATION CHECKLIST 1. Building Application Form 2. Two complete sets of plans including detailed site plan - Four if commercial —3. Recent survey, including tree survey or letter certifying no trees are on property —4. Owner/Building Affidavit (required when owner acts as contractor) —5. Energy Sheets —6. Notice of Commencement TIME REQUIRED FOR PERMITTING APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day;please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer/electric 3. Slab 4. Cover up (framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc.) 5. Insulation 6. Final Inspection 7. Drainage Inspection 8. Finish Floor elevation survey/Certificate of Occupancy BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of$15.00 is charged for all reinspections. NOTE: This application may be subject to covenants and restrictions for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowners association. PROPERTY DESCRIPTION Lot # Block Sec 'on # Subdivision: ch L13W`iC Street Name DESCRIPTION OF WORKC od ti,10 iV 7-on ijr l? or Address: I-f in FLOOD HAZARD Flood-'Zone: area Obmplete page 3) Brief Description P Class of Work: (New/ -� Remodel/Addition: ZONING INFORMATION Type of Construction: Zoning —z' Proposed District: Use: Estimated Value Exceptions or Variances Materials: Granted: Solid or Filed Ground: Roo Method of Heating: � A OWNER INFORMATION Property Owner: Phone: Mailing P4dress ' C/ Zip: _ CONTRACTOR INFORMATION A-- Contractor: Phone: Mailing Ad re�_q� Zip: Expiration STATE LICENSE NO: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SANE TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ' ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature— -_j —DATE— Contractor.Signature DATE SWORN TO..zlZ SUBSCRIBED BEFORE I-S BY_C-1ZAr(G- T3V1ZKf+1%Wr THIS 7-0 DAY OF IWO - NOTARY PU];LIC HAY'NOOD M. BALL AArw,CE,INC. FLOODPLAIN DEVELOPMENT INFORMATION Location:: Type of Development:._A& Lf Flood Zone: V J Required Lowest Floor Elevation: [�, 7 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. CONIMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use: Required Lowest Floor Elevation ; j As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must submitted with seven (7) copies and received by 5 PM on Friday ten(10) days prior to the scheduled meeting-,in order to be placed on the agenda., * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. APPLICANT NAME ADDRESS TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑YES ❑ NO ❑ NOT SURE 5. PROPERTY ZONING: ❑ RESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: INTERIOR OR SPECIES DIAMETER* EXTERIOR ZONE** *Diameter at Breast Height(D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 °LOCAnn0MN ORMATI4 Permit Number: 20683 Address: 1568 JORDAN STREET Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 26 Proposed Use: SINGLE FAMILY Lot(s):S50'59' 11 Block: 1 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: F ,a OWNERINFQRMATION Date Issued: 9/26/2000 Name: BEACHES HABITAT Total Fees: Address: P. O. BOX 50939 Amount Paid: JACKSONVILLE BEACH, FL 32240 Date Paid: Phone: (904)241-1222 Work Desc: FOUNDATION PERMIT FOR NEW HABITAT HOME PROPERTY OWNER 40 tts ections Re re Z s. TREE BARRICADES FOOTING I SLAB i i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPT. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 7o e 0 d ,J S T 2� 1- OWNER OF PROPERTY: 8 EIEC y 9FS TELEPHONE NO. PLUMBING CONTRACTOR Q d'G P(vMQ�N�, co CONTRACTOR' S ADDRESS : 13997 i cy UVO STATE LICENSE NUMBER: GSC a 22593 TELEPHONE:12.3 -3S PS HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS Z LAVATORY WATER HEATERS Z BATH TUBS DISHWASHERS URINALS DISPOSALS Z CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER ( WATER REPIPE OTHER TOTAL FIXTURES: ( x $3 . 50 + $15 . 00 S3 . S d MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: . ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address l .�� © 2 Q0 Late Heated Square Footage @ _. = S ^JF1 J rr r Garage/ Strew © ` $ Ner Jai _ s rarPOrt%PorCL ;a j �j .Cid Dec i TOTAL VALU AT=CN . j U T;41Va �iat:on 1st � 5 Remaining ValueS, ner thousand or �orticn tl�ereo'� TOTAL BUILDING FEE X�i`t�i + =,'' � riling Fee ' i ) Firenl aces. @ $15 . 00 S —� -- BU I LD I N G PERMIT FEE WATER IMPACT FEE 5� 3 �"�. C SEWER IMPACT FEE S n WATER '"ETER/TAP S X . C CAP I T AL IMPROVEMENT SE'v7EF T=_ S /04 (o) RADON ( HRS ,) G C S i S � SECTION H PAVING r`_'LRAUL Il:: SHARES — CROSS CONNECT ION S 0 C ?06_G SURCHnRGE . 0 �5ii OTHER S / GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanicai Plumbino Electric/New Electric/Temr. - SwImmingPool Septic Tank Well Sign Finish Floor Elevation Survev other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION -Vernift Number: 19985 Address: -15.68_­JORDAN STREET Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 26 Proposed Use: SINGLE FAMILY Lot(s):S5959' 11 Block: I Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: 47,754.00 OWNER j_MF_0k_MAT_I`O­N____ Date Issued: 5/02/2000 Total Fees: 2,055.66 Address: P. O. BOX 50939 Amount Paid: 2,055.66 JACKSONVILLE BEACH, FL 32240 Date Paid: 5/02/2000 Phone: (904)241-1222 Desc: CONSTRUCT NEW HOME PER PLANS HSF 1066 CONTRACTOR(4_________ APPLICATION FEES PROPERTY OWNER omo__ WATER IMPACT FEE 350.00 SEWER IMPACT FEE 1,250.00 WATER METER/TAP 85.00 RADON GAS-H.R.S. 5.06 RADON CAB 5% 0.27 CAPITAL IMPROVE. 325�00 CROSS CONNECTION 35.00 CONST.SURCHARGE 4.80 SCHARGE/ATL.BCH. 0.53 T Insm cti-ons, Requ#re#_____ TREE BARRICADES FO_(OIW� SLAB COVER UP FRAMING FINAL BUILDING INSULATION CERTIF/OCCUPANCY NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HO BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOI MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" City of Atlantic Beach *** CUSTOMER RECEIPT OPER: SHAWNA OC DRAWER: ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PE DATE: 10/24/00 01 RECEIPT: 0006386 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. DESCRIPTION 9TY AMOUNT TP TM WATER CONNECT.CH 1 $350.00 *54 CK SEWER CONNECTION 1 $1250.09 *59 CK WATER METERS-A.B 1 $85.00 *80 CK RADON GAS 1 $5.86 *71 CY, FEES-RADON GAS 5 1 $.27 *78 CK WATER CAPITAL IN 1 $35.00 *57 CK WATER CAPITAL IN i $fB.00 *57 CK BACKFLOW PREVENT 1 35-00 *56 CK RADON GAS-OTHER 1 $4.80 *72 CK FEES-RADON GAS 5 1 $.53 *78 CK ATLA NT16_6[j�C TENDER DETAIL CK 1019 $2055.66 DATE: 10/24/00 TIME: 14:58:35 TOTAL CHECKS $2055.66 lQ �lt Office REQUEST yr Date Time AM, Received P,M, JobA dress Owner's Name BUILDING CONCRETE ELEt Framing 0 Footing ❑ Rougt Re Rooting ❑ Slab 0 Temp, Insulation 0 Lintel O Final READY FOR Ion. rr^Tues, Wed. ;pection d pector ` CITY OF ATLANTIC BEACH, FLORIDA 2 Approved er APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ' 19 6) 0 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 IWACCORDANCE WIT THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. AW (�/ c>-- ELECTRICAL FIRM: ) MASTE ICIAN/SIIGNATURE ---JOURNEYMAN NAME�� r ADDRESS: /G� V O/��✓/ RFD BOX BLDG.SIZE //7— BETWEEN: �� ��1� �' LN+✓�S% e RES.PO AFT.( i COMM.( I PUBLIC( ) INDUS.( 1 NEW PQ OLD( ) REW.( I ADDITION( I TRAILER 1 I TEMP.( I SIGNS ( i SQ.FT. SERVICE: NEW 04 INCREASE( I // REPAIR( ► FEE CONDUCTOR SIZE eL� AMPSl� COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT 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 0.30 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 CE1L HEAT: KW-HEAT at OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED s TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING I800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 `PERMITtt�tJFO M TIt t -- LOCATION;INFORMATION, Permit Number: 19696 Address: 1568 JORDAN STEET Permit Type: TREE REMOVAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: ';: °r dWNER:fNFORNF/ Tlfl Date Issued: 3/08/2000 Name: BEACHES HABITAT Total Fees: Address: P. O. BOX 50939 Amount Paid: JACKSONVILLE BEACH, FL 32240 Date Paid: Phone: (904)241-1222 Work Desc: REMOVE TREES PER PLANS PROPERTY OWNER I FINAL tions R' uEced . NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH B ILDING DEPT. CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be received by 5 PM on the Monday prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE .APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: ?O/ems � ✓� 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES a--N--'o ❑ NOT SURE 5. PROPERTY ZONING: n ESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: INTERIOR OR S-PECIES DIAMETER * EXTERIOR ZONE** Wj* a �0 16 *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.1416. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. ** See attached diagram for determination of interior and exterior zones. } i 7. SITE PLAN/TREE SURVEY indicating: a) Changes of topographic features such as hills and low areas affecting trees. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height (DBH) of six inches or more. d) Tree species and sizes in DBH. e) Trees to be removed should be clearly marked with an"X". f) Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle "O". h) Location of utilities and easements as applicable. i) Location of trees to be preserved on-site with barricading indicated. 8. ON-SITE REQUIREMENTS: a) All trees identified for removal MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging,paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot Number or Address. 9. ik INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE H, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. App ' t' Si tore Date Owner's Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date -Fd l l d ep, 43z,�P",� ? f -P`plc 0 ,pm o x�C 1c (3c 0EJ 11:04 JP)`: ENGEER ING STNo. 150 F001 001 JOHNS PLUFF 01 13e04t,,7-7A1 /3 Eo Z/(':� CITY OF ATLANMC BEACH CONS'rRUCnON PERMIT WR)-(IN CRY RIGKM OF WAY AND EASEMENTS C I/-— - e PERMIT NO. DATE— ')-vo/ N 0 ISSUED SY THE CITY JOB ADDRESS VALUATION $ PERMrrrEE cc r"/"(."j I c-'A T I d A Cjoga / Oris P I JAAL PERMITTEE ADDRESS �, ' TELEPHONE NO. Avi ? F-w 17 7_3 Rroums'rsisic PeRmisS N rpom THE CITY or ATLANTICm To CONSTRUCT Pl-ka A" .11 to CA 41C AM (1�301 �Q) A f-KiAL CA,-, BEACH Csrz' Ar�po—ci LOCATIONS (REFERENCE TO CROSS-STREET) A/A.'J�* A) APPLICANT DECLARES THAT PRIOR To riumc rmtS APPLICATION 0-419 WAS ASCERTAINED TME LOCATION OF A" EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE SKETCHES. FF A LETTER 011"NOTIFICATION WAS m^tLr-o TO TME roi.Lowimc uTiLmzs/muNiciPALrnES: JAcKsomvu-Le EL.McTftic AUTHORITY YCS ( ) NO ( ) DATE: BELL-SOUTH TcLepmome CompAmy YrA ( I NO ( ) DATE: FzRRcL.L. GAS YES C ) No ( ) DATE: MEDIA ONE CABLE TV YES, ( I No ( I DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION Or ALL. OR ANY PORTION OF SAID STREET OR CASEMENT AS DETERM104CO BY THC DIRECTOR Or PUBLIC WORKS. ANY On ALL OF SAID PoLzs. winw, Pipcs, cAsLZs OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER. SHA" BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET 00 RELOCATED HCRCON AS REOUIRED BY TME DIRECTOR OF PveLJc WORKS. ANO AT THE EXPENSE Or THE PCRMtTTCr UNLESS RCJMDURSCMENT IS AUTHORIZED, 3. ALL WORK SMA" Herr CITY or ATLANTIC ScAcm OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PCRFORMCO UNDER THC SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT Tr-LzpmoNz No, 4. ALL MATERIALS AND mouippmewr SHALL me susjecr TO imspecnoN BY TME DIRevron OF PUBLIC WORKS OR HIS OESIONEM. 5, ALL CITY PROPERTY SHALL BE ResTopco To ITS oRI*jm^L comoiTIOw AS PAR AS PRACTICAL, IN KEEPING WIT" CITY sPeciricAnows AND THE MANNER SATISFACTORY TO THE CITY, 5 A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SMALL BE MAOF- A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL commemce ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL. AND SMALL at cOmpLzTCO WITHIN -DAYS. IF THE BEGINNING ri,^TE IS MORE THAN GO cAys FROM oATz OF PERMIT APPROVAL., THEN PERmiTrrz MUST REVIEW TMC PERMIT WITH TME DIRECTOR OF PUBLIC WORKS To MAKE SURF. NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION, a. IT 15 UNDERSTOOD ANO AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE m)crEwr OW TME CITY'S RIGHT, TITLE AND INTEREST IN THE LAND To 9E ENTERED UPON AND USED BY THE HOLDER, AND THE MOLDER WILL, AT ALL TIMES, A53UMC ALL RISK OF AND INVEMNIPY, DEFEND, AND SAVE HARMLESS TI-4E CITY or ATLANTIC BEACH PROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST or EXPENSES ARISING IN ANY MANNER OF THE EXCRCISC OR ATTEMPTED ZXCRCISLS BY THE HOLDER or THE AFORESAID RIGHTS AND PRIVILCOES. 9. THE: DIRECTOR OF PUBLIC WORKS SHALL BE wo-riprito rwcw*rypoup (Z4) HOURS PRIOR To STARTING WORK AND AGAIN JM IATF-LY UPON COMPLETION. Susmr"cD BY: ti (F LACE CORPORATE $MAL. IF APPLICASLC) SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY Or 19 NOTARY PUBLIC DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 J ¢` t1 TELEPHONE:(904)247-5834 ;! FAX: (904)247-5843 SUNCOM:852-5834 J http://ci.atiantic-beach.fl.us �In V, June 12, 2001 Ms. Cheryl Crisp 11 AA 1 BellSouth Telecommunications 301 W. Bay Street Jacksonville, FL 32202 RE: Right of Way Permit Application City of Atlantic Beach 1568 Jordan Street Dear Ms. Crisp: In reference to the above application to install buried cable on Donner Road and Jordan Street, construction will be starting within the next few weeks on a new sanitary sewer force main on Donner Road. A copy of the construction plan for the area is attached. Meadors Construction Company will be performing this work, and a preconstruction conference is scheduled for this Friday, June 15, 2001 at 10:00 a.m. at the Public Works Office, 1200 Sandpiper Lane, Atlantic Beach, Florida. You may wish to have someone from your office attend this meeting. If you have any questions, please feel free to call me at 247-5834. Sincerely, Donna Kaluzniak, CEP Utility Director cc: Bob Kosoy,Public Works Director Loren Atwell, Meadors Construction Company CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING 880 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-,5826-FAX: 2475877 71m; L°; � _ Permit Number. 22234 Address 1568 JORDAN STEET Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Class of Work- NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number7-7777 : Improv. Cost: Date Issued: 6/26/2001 Name: BEACHES HABITAT Total Fees: 25.00 Address: P. O. BOX 50939 Amount Paid: 25.00 JACKSONVILLE BEACH, FL 32240 Date Paid: 6/26/2001 °'Phat�e,.d (904 24'1-1222 Work Desc: PLACE BURRI D CABL A RIAL BELL SOIJTI (BELLSOUTH TELECOMMUNI IQNS _ '' IT25.00 , Y _ _1k 44 KW If 4 i a NOTICE- tSPECTIO U$T SE REQUESTED AT LEAST 24 HOURS P RTO INFECTION — , 4 BUILDING MATERIAL, RUBBISH ANEWEBRIS FROM THIS WORK MUST NOT PLACED 1WPUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AY BY,EITHER CONTRACTOR O WNER "FAILURE TO COMPLY#'t*TH,, C `C"R#�Ti t WAC R ULT IN THE PROPERTY OWNER PAYING, CEFF0 WLCRNG IOPell III� ISSUED ACCORDING TO APPROVED PLA NS SOjfCJR ARe PttI T" ? ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISION i AT NTIC EACH UILDING DEPT. Ates 6/26/9111 Receipts 916970 CASH ST J HN UF f'10. 151_ r�,u 1 u 1 12"-06,00 11:04 7A . ENGEER I NG rL CrrY OF ATLANTIC BEACH CONSTRUCnON PERMIT WITHIN CrTY RIGt{T`' OF WAY AND EA EMENTS !IX DATE 0 c,Z" ./`�'C/ PERMIT NO. � ISSUED 9Y THE CITY b a� JOB ADDRESS A 5 T VALUATION $ ® J" �a,, C ` s /� I I �1. 1� PERMITTEE &LL SUv G`t C /Yl 6, L �/ : ADDRESS TELEPHONE N -As? - �� 7�3PERM171 � REOUESTING PERMISS N F OM TME CITY OF ATLANTIC BEACH TO CONSTRUCT rL r C L£ �, 3 �v�) RtAL L PLA cc .2 a/kl�,_ At .,._0.0,95 LOCATIONS: (REFERENCE TO CROSS-STREET) 00p,V � JQA 0A N ST I APPLICANT DECLARES THAT PRIOR TO FILJNG THIS APPLICATION Me HAS ASCERTAINED YHE LOCATION OF ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUNO AND THE ACCURATE LOCATIONS ARE SHOWN ON THE S KEi'C H ES. A LETTER OF NOTIFICATION WAS MALLEO TO THE FOLLOWING UTILITIES/MUNICIPAUT%E5: JACKSONVILLl: ELECTRIC AUTHORm YES ( ) No ( ) DATE: BELL.SOUTH TELEPHONE COMPANY YES ( I NO ( ) DATE: FERRELL GAS YES ( ) No ( ) DATE: MEDIA ONE CABLE TV YES ( ) NO ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION. REPAIR, IMPROVEMENT, MAJNT'ENANCE. SAFE ANO EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL. OR ANY PORTION Of SAID STREET OR EASEMENT AS DETERMINED eY TME DIRECTOR OF PUBUC WORKS. ANY OR ALL OF 5A10 POLES, WIRES, PIPES, CABLES OR OTHER FACIUTIE5 AND APPURTENANCES AUTHORIZED HEREUNDER, SHALT. BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REOUIRED BY THE DIRECTOR Of PUBUC WORKS. AND AT THE EXAENSE OF TME PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. 4. ALL MATERIALS AND EOUIPMENT SHALL BE SUBJECT TO INSPLCTION BY THE DIRECTOR OF PUeLJC WORKS OR HIS OESIGNEE. 5. AL1. CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL. IN KEEPING WITH CITY SPECIFICATIONS ANO TMG MANNER SATISFACTORY TO THE CITY, 5 A SKETCH OR PLANS COVERING DETAILS OF T6415 INSTALLATION SMALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPL.ETEO WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN E70 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES MAVI: OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION, 8. tr IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE EXTENT OF THE CITY'S RIGHT, TTTILZ AND INTEREST IN THE LAND TO 8E ENTERED UPON AND USED BY THE HOLDER. AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE, HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. FF 9. TWE DIRECTOR OF PUBLIC WORKS SMALL BE NOTIFIED TWCNTY`F'OUR (Z4) MOURS PRIOR Tpj j9'�i'�1�'l {t`i WLJ't�lC1 AND AGAIN IM LATELY UPON COMPLETION. Ct�ApF kit�N F\G Su\\,,,D1N Of:':'Ce SUBMITTED BY: �-YL nom- _ , (PLACE CORPORATE SEAL. lF APPUC;* ' ! Ev.• Uu a . SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19 ar NOTARY PUBLIC , w H� ♦ V Z Q cr 7DR BORE DETAIL LL Drainage Ditch Involved 3E 24 min. min.zz r BellSouth EXISTING BST CABLE Telecommunicotions PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF i ATLANTIC BEACH _, a DONNER RD & JORDAN ST _ Exchange: ------------------------------ JAX BEACH MAIN Designer: 530' PROPOSED DENNIS GATES BST BURIED CABLE ___ Phone: 646-1871 /!LAuthor­;Zofion: E:O:4 617N 06/05/2001 10:49: 14 AM TWO_ 1 _DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 r SIS TELEPHONE:(904)247-5834 FAX:(904)247-5843 1 s) J � � SUNCOM:852-5834 http://ci.atiantic-beach.fl.us June 12, 2001 Ms._Cheryl Crisp 11 AA 1 BellSouth Telecommunications 301 W. Bay Street Jacksonville,FL 32202 RE: Right of Way Permit Application City of Atlantic Beach 1568 Jordan Street Dear Ms. Crisp: In reference to the above application to install buried cable on Donner Road and Jordan Street, construction will be starting within the next few weeks on a new sanitary sewer force main on Donner Road. A copy of the construction plan for the area is attached. Meadors Construction Company will be performing this work, and a preconstruction conference is scheduled for this Friday, June 15, 2001 at 10:00 a.m. at the Public Works Office, 1200 Sandpiper Lane, Atlantic Beach, Florida. You may wish to have someone from your office attend this meeting. If you have any questions, please feel free to call me at 247-5834. Sincerely, �&� e-Z7'� Donna Kaluzniak, CEP Utility Director cc: Bob Kosoy, Public Works Director Loren Atwell, Meadors Construction Company d � i t DEPARTMENT 0 SANDPIPER PUBLI NE WORKS ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 .,`-► r FAX:(904)247-5843 SUNCOM:852-5834 N http://ci.atlantic-beach.fl.us �Js3 June 12, 2001 Ms. Cheryl Crisp 11 AA 1 BellSouth Telecommunications 301 W. Bay Street Jacksonville, FL 32202 RE: Right of Way Permit Application City of Atlantic Beach 1568 Jordan Street Dear Ms. Crisp: In reference to the above application to install buried cable on Donner Road and Jordan Street, construction will be starting within the next few weeks on a new sanitary sewer force main on Donner Road. A copy of the construction plan for the area is attached. Meadors Construction Company will be performing this work, and a preconstruction conference is scheduled for this Friday, June 15, 2001 at 10:00 a.m. at the Public Works Office, 1200 Sandpiper Lane, Atlantic Beach, Florida. You may wish to have someone from your office attend this meeting. If you have any questions, please feel free to call me at 247-5834. Sincerely, Donna Kaluzniak, CEP Utility Director cc: Bob Kosoy,Public Works Director Loren Atwell, Meadors Construction Company ENGEERING , ,J B F, NO 150 F001 001 CrrY OF ATLANTIC BEACH CONSTRUCTION PERMIT WnIHIN CITY RIGH`1`5 OF WAY AND EASEMENTS j DATE Zoo/ PERMIT NO. ISSUED BY THE CITY JOB ADDRESS A AV -T- VALUATION $ PERMITTEE &f-L "-rr 1. Ir PERMI"77EE ADDRESS 30/ W, IRAq S—, TELEPHONE Ritour-STwG PERmISSN FROM THE CITY or ATLANTIC BEACH To CONSTRUCT &Ace— Au 'll f, C A 4if 'AM 3c'l 1(;2d) A j:p,4L IfAsa . .PLA ce I A e-tj-&As �75-"* A-ri,d—eitcb� LOCATIONS: (REFERENCE TO CROSS-STREET) 0()V AJ r- g JjaA0 A A) 5-1- APPIJCANT DECLARES THAT PRIOR TO rtuNG THIS APPLICATION HE HAS ASCERTAINED THE LOCATION Or ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AMC) THE ACCURATE LOCATIONS ARE SHOWN ON THE SKE'rCHES. A LETTER Or NOTIFICATION WAS MAILED TO THE F06i-owimo UTiLrrizs/muNiciPALmEs: JAcKsomvLLLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE: FampELL GAS Yzs C I No ( ) DATE: MEDIA ONE CABLE TV YES ( ) No ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE. SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL. OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY TMC C)iRecrOR Or PUBLIC WORKS. ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTMER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SMALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT Oft RESIEr 00 RELOCATED HEREON AS REOUIRIED BY THE DIRECTOR or PUBLIC WORKS, AND AT THE EXPENSE OF THE P9RmrrrEz UNLESS REIMBURSEMENT IS AUTHORIZED, 3. ALL WORK SMALL MEET CITY or ATLANTIC BEACH OR FLORIDA 0vPAj:rrtArLmT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TcLr-pmoNp- No. 4. ALL MATERIALS AND F-OUIPMENT SMALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. 5. ALL CITY PROPERTY SmAja- BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL. IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 5 A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SMALA.. BE MADE A PART OF THIS PERMIT. 7. Tmi5 PERMITTEE SMALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SMALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITM TME DIRECTOR OF PUBLIC WORKS To MAKE SURE NO CHANCES 14AVF- OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. a. iT 15 UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRiviumes HEREIN SET OUT ARE GRANTED ONLY TO THE: EXTENT oF-TME CITY'S RIGHT, TITLE AMC) INTEREST IN THE LAND To BE ENTERED UPON AMC) USED BY THE HOLDER, AND THE MOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE MARMLES.S TI-4E CITY or ATLANTIC BEACH FROM AND AGAINST ANY AMC) ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING 104 ANY MANNER OFF THE EXERCISE OR ATTEMPTED EXERCISES BY THE MOLDER or THE AFORESAID RIGHTS AND PRIVILEGES. 9. THE DIRECTOR OF PUBLIC WORKS SHALL Be NOTIFIED TWg"ry-poUp (24) HOURS PRIOR TO 5 PFF AND AGAIN IM IATELY UPON COMPLETION. P,? Nj\N \C, In I VITAG SUBMITTED BY: (PLACE CORPORATE SEAL IF APPUCAB SWORN TO AND SUBSCRIBED mr-rompt mr- THIS DAY Or I a NOTARY PUBLIC 3,DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 r S21 TELEPHONE:(904)247-5834 FAX:(904)247-5843 J S� SUNCOM:852-5834 http://ci.atlantic-beach.fl.us "Tom � June 12, 2001 Ms..Cheryl Crisp 11 AA 1 BellSouth Telecommunications 301 W. Bay Street Jacksonville, FL 32202 RE: Right of Way Permit Application City of Atlantic Beach 1568 Jordan Street Dear Ms. Crisp: In reference to the above application to install buried cable on Donner Road and Jordan Street, construction will be starting within the next few weeks on a new sanitary sewer force main on Donner Road. A copy of the construction plan for the area is attached. Meadors Construction Company will be performing this work, and a preconstruction conference is scheduled for this Friday, June 15, 2001 at 10:00 a.m. at the Public Works Office, 1200 Sandpiper Lane, Atlantic Beach, Florida. You may wish to have someone from your office attend this meeting. If you have any questions, please feel free to call me at 247-5834. Sincerely, 4�)� �6Z7� Donna Kaluzniak, CEP Utility Director cc: Bob Kosoy, Public Works Director Loren Atwell,Meadors Construction Company ` v k` 17- DEFLECT NEW 8' P11t II I F FORMAN W/ 18 I S II UNDER 1 f WATER U I + STO RIS SEWER• 3/8' IRON jI Q { NO -� ►- lII PI 4+72.{t FIRE S' Lo 14.15' 5 a 23' PINE STO SIGN \\� U r X CONCRETE / wATE VALVE GUY ANCM f t { D P INLET DROP INLET 1 f V. N. 10.8 —� GRATE t2.53 , 1 S. 10.7' INV. W. 8.44 � I r W s = sT—_ qv� -�-' - - - - - - - --p o ET s s- — ismer•�ar•�r•r•r•I�r•re�"=Swann"= BdI I E. 9.02 M+00 ' INV. w. • s.s4 8' 8 AI's• I I .. FM — — 13- PALM �r DRS-4 'I sf: IN INV. EXIST. 15 GRATE ELEV. 12.53 Pc t!. STORM SEWER ice; 30 " E= .8 0 M INV, i XIST. 12 (BY OTHERS) CONST. fit WATER MANN PIPE = 10.4.* NEW $' P1 FORCE MAI DRS-5 GRATE ELEV. 12.55 LOT 19 INV. 15" N= 10.63 , INV. 30" E= 6.90 LOT 22 , INV. 30' W= 6.90 (BY ones) BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OFATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: S-. Zl.l -(S t Building Contractor: �r1CS Building Permit Number: jC31Q1 cC55 Address: j�Zd X61 Legal Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: f$ 5 tl required as built4 BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED DATE APPROVED BY Fire 4. / Public Works L� d� j -OILY6 Planning Building : MAP SHAVING BOUNDARY SURVEY DF., THE SOUTH 50.00 FEET OF THE NORTH 59.00 FEET OF LOT 11, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Z � JORDAN STREET �a,Ri4//r-041'.A114r f0UN0 XZ IRON P/PE fOUND Y1,IRON P/PE � " �[BGGFf) S00°/5=00"E 50.00' �Lb 44-s _ to fp•i ti. 240 45 .•� E Ow F CONPkETE• MAY 1 3 1U01 W � �3 o I � o ity of Atlantic Beach Building and Zoning � � .t• /.9• O h I �Aj►Oc �Izz RED 44O vel � by o o ONE STORY mme I o ON Y NYL S/D/N6 3 0 a I N RES/DENTE a �? a I � �: F/N/fHEO fLOOR M _ •+^ REYARON If 4f I >1 0 v cJ Ih o 0 J�4.00, o.r t0.f0' ..,J -4 F011N0%"/UPON P/PE At 0015'00"kV -5,0.100, f0!/ND 'IRON P/OE �LB GG4f) 6'11000 FENCEy x (LB GG4SJ LOT 4 BLOCK / I /- BEARINGS ARE BASED ON THE WEST RIGHT-OF-WAY LINE OF JORDAN STREET AS BEING S.00015'00"E. BY PLAT. Q. FiN/Ss/Ep F.�QoR ELE�.4T/off/i5 f�aSEo ON N..eTioi✓ac. �FovETic✓�icTicr�oAT�.�r 2•NO BUILDING RESTRICTION LINE SHOWN ON PLAT, THERE ARE RESTRICTION LINES BY ZONING AND THERE MAY BE EASEMENTS THAT AFFECT THIS PROPERTY THAT ARE RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. THIS PROPERTY LIES IN FLOOD ZONE "X" ACCORDING TO FEMAFLOODMAP REVISED 4/17/89, COMMUNITY PANEL NO. 120075 0001 D. Circ OF NO• 32959 ATLANTIC BEACH When Validated, This FLORIDA Becomes an Official Receipt. 3 d 20-Q I NAME ADDRESS �.S�L �b r n( CITY $15.06 74 Date: 3!30101 61 Receipt: 6646126 CAM 601603231088 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX: 247-5877 P 1T 1NFtRMATION L TION INFO NATION Permit Number: 21559 Address: 1568 JORDAN STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 26 Proposed Use: SINGLE FAMILY Lobs):S50'59 11 Block: 1 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est Value: Parcel Number: Improv.Cost: =� ';'r,se� I , ATION Date Issued: 3/05/2001 Name: BEACHES HABITAT Total Fees: 43.00 Address: P. O. BOX 50939 Amount Paid: 43.00 JACKSONVILLE BEACH, FL 32240 Date Paid: 3/05/2001 Phone: (904)241-1222 Work Desc: Install HVAC ON C .O ,:-APPA f l OCEAN STATE HEAT&AIR PERMIT 43.00 ns coons Re uired s=. ROUGH MECHANICAL FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.- ISSUED MPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. LANTIC BEACH BUILDING DtPlf. ktea 3/t!r/91 Bi hNipts�9N3�98137 CHECKS 01NNNIWINN BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC aaAClt.MORIDA Sane] APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections 1, II, III, and IV. LOCATION Street Address•., '^/ OF Intersecting Streets: BeMeen `/Q V1��✓ 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 attachtd pians and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.prectica lisle Name of Meeh a Contractors QO j Contractor rn}I �� at+ -�(� L Master PS {,p Na sf Pr ivy Owner rn Sl owner Signetun of er Aulha' gen Architect or Enginsar 111. GENERAL INFOR A. Type of A e H. .,/fjIS OTHER CONSTRUCTION BEING GONE OX ea'trla THIS BUILDING OR SITE? 1/'-PS & ❑ Gas—❑ U ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF COO�NSTR ON Q Oil PERMIT ❑ Other—Specify IV. MICMANWAL EQUIPMI NT TO IE INSTAUM NATURE OF WORK (►rovfda complete list of compo ft an back of this faces l , Residential or Q Commercial ❑�iat C3 Space E3 Raeessed OI�P�roftel O Poor e New Building CL,4 Cemdstfemlmq: Q Reserve Existing Building System: Material ❑ Replacement of existing system Maelmaes capacity CJAL W"Neve Installation(No system previously Inslallec ❑ Extension or add-on to existing system Q RefrigeteNem ❑ Other—Specify ❑ Coelleq Nsr Capadfy q P+m Q Fite s rinklsrss Number of heads Q Hevater Q Meal(N Q Esraltefer Iced THIS SPACE I+OR OFFICE USE ONLY O.Gasoline pampa_ (Iwmbol IR.«le.dl p. Task—( I Remark. Q Us oenfalase Imsmbsr) Q Usfiked pressure vnaMl Permit Appgvsad by- 13 y Q kgws Q O*w—'Specify Permit c.. LIST ALL EQUIPMENT AOL CONDITIONING AND REFRIGERATION EQUM4EM Ca� >� ty w IfnmbsrUnita Deaaeiptlon xoWNtiasbsr xulutaetnrse (Tons) AgOMW ,77 J"/ r }EATING-FURNACES. BOILERS, FIREPLACZS Cayselty Ns>mber Units Dsasripuan modd Number xaautaat ww (3YTtJ) d I-/ ;C/GoQ_/ �_J(_ TANKS Sew many xomfnai �avdty T)"IJ4nid of saw APi sed Dlmaedoas Contained xauataat— No. TakeOff Sheet HOLMES LUMBER COMPANY JOB #: 0-0358 6550 Roosevelt Blvd . Date: 02/25/00 Jacksonville, FL 32230 Delivery Date: 00/00/00 (904) 772-6100 Builder: Job Location: HABITAT OF JAX . BEACH LOT 1565 FRANCIS Salesman: PAUL ADAMS pty pan Truss Profile Pitch Overhangs Cantilevers FT IN SX Description Left Right Left Right 2 25' 4 .00 1 '4" 1 '4" 0 ' 0 ' 67741 TIG 23 25 ' 4 . 00 1 '4" 1 ' 4" 0 ' 0 ' 67737 TI Notes: ATP A.P— Writ— r A2P1— EnHinrrrrH Pr....tr. I— M 17-1 H.M. 7tM Avrnur. Pomorno. Plorlor !]OHO r 1-H00-735-6055 PORM3.REP PAGE 1 BulmiderS Builders FirstSource ,.A k1 Truss Co. FirstSource 6550 Roosevelt Blvd. Jacksonville, Florida 32244 Phone: (904) 772-6100 Fax: (904) 772-1973 JOB: 0-0358 CUSTOMER: HABITAT OF BEACH LOCATION 1565 FRANCIS BUILD SET I. Truss Takeoff II. Layout III. Engineering IV. Framing Details V. Simpson Strong-Tie Hanger Details VI. HIB-91 Summary Sheet Builders FirstSource.Policy re: Repair,correction or rebuilding of faulty trusses. This company is not liable or subject to any backcharges levied against it by a customer unless that customer so notifies Builders FirstSource in writing of the problem and allows Builders FirstSource a reasonable amount of time to correct, alter or remake the truss or trusses to solve the existing problem. Job: -0 5 7 LOT T4 THIS OWG. PREPARED FROM COMPUTER INPUT LOADS & DIMENSIONS SUBMITTED BY TRUSS MFR. TOP CHORD 2x4 SP 02 N 100 MPH WINO, 15.00 FT MEAN HGT, SBCCI, BOT CHORD 2x4 SP #2 N ENCLOSED BLDG. NOT LOCATED WITHIN 8.50 FT FROM ROOF EDGE. WEBS 2x4 SP 03 WIND TC OL - 5.0 PSF, WIND BC OL 5.0 PSF. ROOF OVERHANG DESIGNED FOR A 2.00 PSF SOFFIT LOAD. A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 24" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. 12'6' 12'6" W4X4 T 412 T W1.5X3 W1.5X3 Ul in in W2X6(Ai) 2X6(Ai) w 4X �8'S"2 25' 25' Rv=1005# U-5000 W-3'8 Rv=10051! U=500# W-3"8 TAG = T13 SEG = 67949 PLATE-WAVE TPI95 TPI STD QTY= 12 PLIES= 1 TOTAL= 12 REV. 18.2f3 SCALE =0.2500 ALPINE ENGINEERED PRODUCTS, INC. TRUSSES REQUIRE EXTREME CARE TC LL 20 .0 PSF REF t *IMP0RTANT**SHALL NOT BE RESPONSIBLE FOR ANV ARNING IN HANDLING, ERECTION AND DEVIATION FROM THIS DESIGN OR THESE SPECIFICATIONS. OR ANY BRACING. SEE HIB-91 BY TPI. SEE THIS DESIGN TC DL 7•O PSF DATE 03/06/00. FAILURE TO BUILD THE TRUSS IN CONFORMANCE WITH OSTBB BY TPI. FOR ADDITIONAL SPECIAL PERMANENT BRACING RE ALPINE CONNECTORS ARE MADE OF 20GA GALV. STEEL MEETING ASTM OUIREMENTS, UNLESS OTHERWISE INDICATED, TOP BC DL 1O •O PSF DRWG A446 GR B EXCEPT AS NOTED. APPLY CONNECTORS TO EACH FACE OF CHORD SHALL BE LATERALLY BRACED WITH PROPERPSF MSK TRUSS AND UNLESS OTHERWISE LOCATED ON THIS DESIGN. POSITION LY ATTACHED PLYWOOD SHEATHING. 807TOM CHORD BC LL 0 .0 CONNECTORS PER DRAWINGS 130, 150& IBOA-F. DESIGN STANDARDS WITH PROPERLY ATTACHED RIGID CEILING --SEE TOT.L D. 3 7.O PSF 0/A LEN. 25 CONFORM W/APPLICABLE PROVISIONS OF NOS& TPI. AN ENGINEER'S ALPINE TECHNICAL UPDATE (7/1/91) FOR PROPER SEAL ON THIS DRAWING APPLIES TO THE COMPONENT DEPICTED HERE DRYWALL APPLICATION. FURNISH A COPY OF THIS DUR.FAC. 1 •25 IN ONLY, AND SHALL NOT BE RELIED UPON IN ANY OTHER MAY. DESIGN TO THE TRUSS ERECTION CONTRACTOR. -- - r-An1Ain A n•- rmm� q BEACHES HABITAT HVAC LOAD ANALYSIS 5 for d � A Liti AML*. Mrt t 4r P RV � WAC Loo s Prepared By: Andy Bryan Ocean State Heating&Air Conditioning 1476 Atlantic Boulevard Neptune Beach,FL 32266 City of Atlantic, 8)CFAch (904)249-8251 Building and Zoning 3-5-99 Project: Beaches Habitat Company: Ocean State Heating &Air Conditioning Client: Beaches Habitat Representative: Andy Bryan Address: P.O. Box 50939 Address: 1476 Atlantic Boulevard City: Jacksonville Beach, FL 32240 City: Neptune Beach, FL 32266 Phone: (904)241-1222 Phone: (904)249-8251 Fax: Fax: (904) 249-8949 R, v . Project Name: Beaches Habitat Reference City: Jacksonville, Florida Daily Temperature Range: Medium Latitude: 30 Degrees Elevation: 26 Feet Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference Winter: 27 N/A N/A 72 N/A Summer: 96 78 50% 75 51 u 'fi ,x'9; �- `ati� 73 Total Building Supply CFM: 767 CFM per square foot: 0.72 Square feet of room area: 1,066 Square feet per ton: 583.902 «u '5 Total heating required with outside air: 23,326 Btuh 23.326 MBH Total sensible gain: 16,869 Btuh 85 % Total latent gain: 2,898 Btuh 15 % Total cooling required with outside air: 19,767 Btuh 1.647 Tons (based on sensible+ latent) 1.826 Tons (based on 77%sensible capacity) Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 36 Window Double Pane Clear Glass Metal Frame 130 4,241 0 6,243 6,243 10D Door Wood Solid Core 38 787 0 430 430 12C Wall R-11 + 1/2" Gypsum(R-0.5) 980 3,968 0 2,168 2,168 16G Ceiling R-30 Insulation 1,066 1,583 0 1,583 1,583 22A Slab on Grade No Edge Insulation 146 5,321 0 0 0 Subtotals for structure: 2,360 15,900 0 10,424 10,424 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 2,400 2,400 Lighting: 0 0 0 0 0 Ductwork: 0 1,110 0 1,535 1,535 Infiltration:Winter CFM: 127.7, Summer CFM: 56.8 168 6,316 1,978 1,310 3,288 Ventilation: Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 16,869 Temperature Swing Multiplier: X1.00 Building Load Totals: 23,326 2,898 16,869 19,767 Total Building Supply CFM: 767 CFM per square foot: 0.72 Square feet of room area: 1,066 Square feet per ton: 583.902 Total heating required with outside air: 23,326 Btuh 23.326 MBH Total sensible gain: 16,869 Btuh 85 % Total latent gain: 2,898 Btuh 15 % Total cooling required with outside air: 19,767 Btuh 1.647 Tons (based on sensible+ latent) 1.826 Tons (based on 77% sensible capacity) s � x Vi Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. za Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 130 4,241 0 6,243 6,243 10D Door Wood Solid Core 38 787 0 430 430 12C Wall R-11 + 1/2" Gypsum(R-0.5) 980 3,968 0 2,168 2,168 16G Ceiling R-30 Insulation 1,066 1,583 0 1,583 1,583 22A Slab on Grade No Edge Insulation 146 5,321 0 0 0 Subtotals for structure: 2,360 15,900 0 10,424 10,424 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 2,400 2,400 Lighting: 0 0 0 0 0 Ductwork: 0 1,110 0 1,535 1,535 Infiltration:Winter CFM: 127.7, Summer CFM: 56.8 168 6,316 1,978 1,310 3,288 Ventilation: Writer CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 16,869 Temperature Swing Multiplier: X1.00 System Load Totals: 23,326 2,898 16,869 19,767 Supply CFM: 767 CFM per square foot: 0.72 Square feet of room area: 1,066 Square feet per ton: 583.902 77 53 SRI vs 1 01 Total heating required with outside air: 23,326 Btuh 23.326 MBH Total sensible gain: 16,869 Btuh 85 % Total latent gain: 2,898 Btuh 15 % Total cooling required with outside air: 19,767 Btuh 1.647 Tons (based on sensible+ latent) 1.826 Tons (based on 77% sensible capacity) a'r Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Vol" •° fir: r 'y^r B a � : i Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM ---Zone 1-- 1 Master 176 5,505 72 0-0 0 3,594 884 164 1.00 164 164 Bedroom /Bath 2 Bath 2 100 2,250 29 0-0 0 2,101 212 96 1.00 96 96 3 Bedroom 137 2,195 29 0-0 0 2,054 407 93 1.00 93 93 8 4 Living 233 6,519 85 0-0 0 3,328 647 151 1.17 177 151 Room 5 Dinette 105 3,054 40 0-0 0 1,209 235 55 1.30 72 55 6 Kitchen 98 1,284 17 0-0 0 2,350 . 106 107 1.25 134 107 7 Bedroom 217 2,519 33 0-0 0 2,233 407 102 1.25 127 102 2 System 1 Totals 1066 23,326 303 16,869 2,898 767 861 767 Main Trunk Size: 12x12 in. Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 1.647 85%/15% 16,869 2,898 191767 Recommended: 1.826 77%/23% 16,869 5,039 21,908 vN Heating System Cooling System FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Beaches Habitat Builder: Beaches Habitat Address: Permitting Office: City, State: , FL 32250- Permit Number: Owner: Jurisdiction Number: Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap: 100.0 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER:10.00 _ 4. Number of Bedrooms 3 _ b.N/A _ 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1066 ft2 c. N/A _ 7. Glass area&type a. Clear-single pane 0.0 ft2 _ 13. Heating systems b. Clear-double pane 130.0 ft2 _ a. Electric Heat Pump Cap: 100.0 kBtu/hr _ c. Tint/other SC/SHGC-single pane 0.0 ft2 _ HSPF:7.00 _ d.Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A _ 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0,146.0(p)ft _ c.N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a.Electric Resistance Cap:50.0 gallons _ a. Frame,Wood,Exterior R=11.0,980.0 ft2 _ EF:0.92 _ b.N/A - b.N/A _ c. N/A _ d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0,1066.0 ft2 _ 15. HVAC credits _ b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Attic Sup.R=6.0,25.0 ft _ RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 16762.00 PASS Total base points: 17597.00 1 hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this Energy Code. calculation indicates compliance PREPARED BY' Andy Bryan with the Florida Energy Code. Before construction is completed DATE: > this building will be inspected for I hereby certify thatthil building, qq de gn d, is in compliance with Section 553.908 . y� compliance with the Flor11, n y C e. Florida Statutes. ° w8 OWNERIAGEN : BUILDING OFFICIAL: DATE: 4 6 1 ei�D DATE: 1{ - oy EnergyGauge®(Version: FLRCNA-200) FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Third Avenue South,Jacksonville Beach, FL, 32250- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points ,18 1066.0 33.05 6342.5 Double,Clear N 1.5 4.0 6.0 19.22 0.88 101.4 Double,Clear N 1.5 6.0 15.0 19.22 0.94 270.6 Double,Clear W 1.5 6.0 15.0 36.99 0.91 506.7 Double,Clear E 1.5 6.0 15.0 40.22 0.91 550.7 Double,Clear E 1.5 6.0 15.0 40.22 0.91 550.7 Double,Clear S 1.5 6.0 20.0 34.50 0.86 590.7 Double,Clear S 6.0 6.0 20.0 34.50 0.52 359.2 Double,Clear W 1.5 4.0 9.0 36.99 0.81 270.9 Double,Clear W 1.5 6.0 15.0 36.99 0.91 506.7 As-Built Total: 130.0 3707.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 0.0 0.0 0.0 Frame,Wood, Exterior 11.0 980.0 1.70 1666.0 Exterior 980.0 1.70 1666.0 Base Total: 980.0 1666.0 As-Built Total: 980.0 1666.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 38.0 6.10 231.8 Exterior 38.0 6.10 231.8 Base Total: 38.0 231.8 As-Built Total: 38.0 231.8 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 1066.0 0.60 639.6 Under Attic 30.0 1066.0 0.60 639.6 Base Total: 1066.0 639.6 As-Built Total: 1066.0 639.6 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 146.0(p) -37.0 -5402.0 Slab-On-Grade Edge Insulation 0.0 146.0(p) -41.20 -6015.2 Raised 0.0 0.00 0.0 Base Total: -5402.0 As-Built Total: -6015.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 1066.0 10.21 10883.9 1066.0 10.21 10883.9 EnergyGaugeO DCA Form 60OA-97 EnergyGauge®/FlaRES'97 FLRCNA-200 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Third Avenue South,Jacksonville Beach, FL, 32250- PERMIT#: BASE AS-BUILT Summer Base Points: 14361.8 Summer As-Built Points: 11113,8 Total Summer X System - Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 11113.8 1.000 1.089 0.341 1.000 4130.3 14361.8 0.3573 5131.5 11113.8 1.00 1.089 0.341 1.000 4130.3 EnergyGauge- DCA Form 60OA-97 EnergyGauge®/FIaRES'97 FLRCNA-200 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Third Avenue South,Jacksonville Beach, FL, 32250- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 1066.0 9.76 1873.7 Double, Clear N 1.5 4.0 6.0 14.30 1.01 86.3 Double,Clear N 1.5 6.0 15.0 14.30 1.00 215.1 Double,Clear W 1.5 6.0 15.0 10.77 1.02 165.3 Double, Clear E 1.5 6.0 15.0 9.09 1.04 141.2 Double,Clear E 1.5 6.0 15.0 9.09 1.04 141.2 Double, Clear S 1.5 6.0 20.0 4.03 1.12 90.1 Double, Clear S 6.0 6.0 20.0 4.03 2.73 220.2 Double, Clear W 1.5 4.0 9.0 10.77 1.05 102.1 Double, Clear W 1.5 6.0 15.0 10.77 1.02 165.3 As-Built Total: 130.0 1326.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 0.0 0.0 0.0 Frame,Wood, Exterior 11.0 980.0 3.70 3626.0 Exterior 980.0 3.70 3626.0 Base Total: 980.0 3626.0 As-Built Total: 980.0 3626.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 38.0 12.30 467.4 Exterior 38.0 12.30 467.4 Base Total: 38.0 467.4 As-Built Total: 38.0 467.4 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 1066.0 1.20 1279.2 Under Attic 30.0 1066.0 1.20 1279.2 Base Total: 1066.0 1279.2 As-Built Total: 1066.0 1279.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 146.0(p) 8.9 1299.4 Slab-On-Grade Edge Insulation 0.0 146.0(p) 18.80 2744.8 Raised 0.0 0.00 0.0 Base Total: 1299.4 As-Built Total: 2744.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 1066.0 -0.59 -628.9 1066.0 -0.59 -628.9 EnergyGauge®DCA Form 60OA-97 EnergyGaugeO/FlaRES'97 FLRCNA-200 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Third Avenue South,Jacksonville Beach, FL, 32250- PERMIT#: BASE AS-BUILT Winter Base Points: 7916.7 Winter As-Built Points: 8815.3 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 8815.3 1.000 1.107 0.487 1.000 4751.9 7916.7 0.5340 4227.5 8815.3 1.00 1.107 0.487 1.000 4751.9 EnergyGaugeTm DCA Form 60OA-97 EnergyGauge®/RaRES'97 FLRCNA-200 FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A Details ADDRESS: Third Avenue South,Jacksonville Beach, FL, 32250- PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 50.0 0.92 3 1.00 2626.61 1.00 7879.8 As-Built Total: 7879.8 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points` Points Points Points Points Points 5131.5 4227.5 8238.0 17597.0 4130.3 4751.9 7879.8 16762.0 E:FP -TOES T,9?8O� a �I•con wet°� EnergyGaugeTm DCA Form 60OA-97 EnergyGauge®/FIaRES'97 FLRCNA-200 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Third Avenue South,Jacksonville Beach, FL,32250- PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/s .ft.window area;.5 cfm/s .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor,around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 drn from conditioned space,tested. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration regts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker electric or cutoff as 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 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTM DCA Form 60OA-97 EnemvGauae4D/FIaRES'97 FLRCNA-200 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =83.0 The higher the score,the more efficient the home. Third Avenue South, Jacksonville Beach, FL, 32250- 1. New construction or existing New — 12. Cooling systems 2. Single family or multi-family Single family — a. Central Unit Cap: 100.0 kBtu/hr 3. Number of units,if multi-family i _ SEER: 10.00 _ 4. Number of Bedrooms 3 _ b.N/A — 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1066 ft2 c. N/A 7. Glass area&type _ — a. Clear-single pane 0.0 ft2 _ 13. Heating systems b.Clear-double pane 130.0 W _ a. Electric Heat Pump Cap: 100.0 kBtu/hr _ c. Tint/other SC/SHGC-single pane 0.0 ft2 — HSPF:7.00 _ d.Tint/other SC/SHGC-double pane 0.0 W b.N/A _ 8. Floor types _ _ a. Slab-On-Grade Edge Insulation R=0.0,146.0(p)ft _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap:50.0 gallons _ a. Frame,Wood,Exterior R=11.0,980.0 W EF:0.92 _ b.N/A _ b.N/A _ c.N/A _ d.N/A c. Conservation credits e.N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHF-Dedicated heat pump) a. Under Attic R=30.0, 1066.0 ft2 _ 15. HVAC credits _ b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, a N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Attic Sup.R=6.0,25.0 ft RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) o4z10 ST9r8 in this home before final inspection.Otherwise,a new EPL Display Card will be completed �y _ o,p based on installed Code compliant features. qua ,,,.{£ �r°•�� Builder Signature: Date: Address of New Home: City/FL Zip: cOb ws'�`� *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPADOE EnergyStar""designation), your home may qual6 for energy efficiency mortgage(EEM incentives rf you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at wwwfsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version:FLRCNA-200) s 67957 -46 Page: 1791 Filed 8 Recorded 03/27/00 02:58:32 PM This instrument was prepaired by WAY 0 COOK CLERK CIRCUIT COURT P.O. bo4939 DUYAL COUNTY TRUST v4 Jacksonville Beach,Florida 32240 DIND f 5. 0000 ti ,a NOTICE OF COMMENCEMENT Cn STATE OF FLORIDA Permit No.: COUNTY OF DUVAL Tax Folio No.: h N The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713,Florida Statutes,the following information isprovided in this Notice of p Commencement. ai 1. Description of property:(legal description of pro erty and street address if available) l 071 � / ���,�v; 2. General description of impro ents: To build a single family residence 3. Owner Information: a. Name and Address: Habitat For Humanity Of The Jacksonville Beaches,Inc. P.O. Box 50939, Jacksonville Beach,FL 32240 b. Owner's interest in the site of the improvements: 100% C . a and Address of fee simple title holder(if other than owner) :N/A 4. . a. Name and Address: :/0-7 b. Phone Number: -2 — / c�t C. Fax Number:(optional,if service by fax is acceptable) 5. Surety on any payment bond: NONE 6. Name of any lender making a loan for the construction of the improvements: N/A 7. Persons within the State of Florida designated by owner upon whom notices may be served as provided by Section 713.13(1) (a)7,Florida Statutes: P.O. Box 50939,Jacksonville Beach FL 32240 Phone: (904)241-1222 Facsimile: (904)241-4310 8. In addition to himself, owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13 (1) (b),Florida Statute(Name,Bank and Address): N/A 9. Expiration date of notice of commencement: 1 year from the date of recording. 0 The foregoing instrument was acknowledged before HABITAT FOR HUMANITY OF TH-E me this J0day of_ LtAA-z4, 200jQby 4&41 JACKSONVILLE BE HES INC. KKAXjZT",who [Pfis personally known to me or ��� r i , , . ' -- 50 5� -ft fl O 4 1 ! yy Y Au✓R LF5 20L-0 ity of i�flantic k�C'< UHding and Zanir 3 an