Permit 1690 Jordan Street t
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 thea agenda. INCOMPLETE APPLICATIONS OR
INACCURATELY MARKED SITES WILL NOT BE PROCESSED.
�� 1�/ 12, 0
ylot-,/ j�l�' /G. _ 2 6
APPLICANT NAME ADDRESS TELEPHONE
2. /ca
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: 21 RESIDENTIAL ❑ COMMERCIAL
6. LIST TREES PROPOSED FOR REMOVAL:
INTERIOR OR
SPECIES DIAMETER * EXTERIOR ZONE**
A� �FVIG
d�2
* 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.
ra
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. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES
WILL NOT BE PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11,
TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF
THE CODE OF ORDINANCES OF ATLANTIC BEACH.
x"
Applicis Signature Date
Owner's Signature Date
CITY USE ONLY:
Tree Conservation Board Chairperson Date
Z//7,000
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PrP'
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLANTIC BEACH, FLORIDA
CER TIFIC4TE OF OCCUPANCY
WORKSHEET
Date Requested: Al� O
Building Contractor�R
Building Permit Number:
Address : I6 gd)1ZCDA4x)
Lecal Descriptio : L0 (/�_
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
L•cwest Floor Elevation:
recruired as built
BEFORE ISSUING CER777CATF OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire N
Public `forks -- -a(_._�
Planning
Building
MAP SHJVING BOUNDARY SURVEY DF .,
THE NORTH 47.50 FEET OF LOT 8, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED IN
PLAT BOOK 26, PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, TOGETHER
WITH THE SOUTH 2.50 FEET OF THE 20 FOOT ALLEY AS PLATTED BY SAID ED SMITH
SUBDIVISION, SAID 2.50 FEET OF THE 20 FOOT ALLEY LYING BETWEEN THE NORTHERLY
PROJECTION OF THE EAST AND WEST LINES OF SAID LOT 8.
fo - -
fOiJNO, �I BN//of Z O' ALLEY 6Y OLA T f04V4!¢"/RON/1�E
(la ccffi
pi�•vuNO'►f CoN�/oE 1V�9 X3(0 � 00 E /00.00 e.9'
Q IN 411 .COAIGtETE
13
ONE AIRY Y/Nf[ S/D/NG tz: D!e!vE:ti•
of N FIN1fNED FLOO,Q
4 w ELEYsIT/ON!37.44 fi levfCtD ENT�ANtt Q
v
Farad%'Iron Plop ✓ v y
118 66 45) Jam. 89 36�A0�!4/. X00.X
$ This Portion Of Lot 8 Nol Inc/uot-d In This Survey re-
Lor 7 ,00 oo. LOT 8 �% y 3 LOT 7
LOT �` o LOT 6
LOT 9 ,o
cl
N07ES: O
BEARINGS ARE BASED ON THE WEST RIGHT-OF-WAY LINE OF
✓ORDAN STREET AS BEING S.0075'00'E 65YI-6.17'
NO BUILDING RESTRICTION LINE BY PLAT,BUT THERE MAY BE
RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY
BY ZONING OR RECORDED/N THE PUBLIC RECORDS OF THIS COUNTY "
THAT ARE NOT SHOWN ON THIS SURVEY.
THIS PROPERTY LIES/N FLOOD ZONE X"BY FLOOD MAPS 4/17/69, 7
COMMUNITY PANEL NO.120075 0001 D.
mom 4a„„,
City of Atlanfl' acl7
UU1161lig and
PREPARED FOR THE 80E'F1T or:
CITY OF ATLANTIC BEACH
i' DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
ELECTRICAL PERMIT
LOCATION;INFO ,_..Permit Number:Number: 22324 Address: 1690 JORDAN STREET
Permit Type: ELECTRICAL 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: ilE3R11 ' IfNw
Date Issued: 7/16/2001 _ Name: BEACHES HABITAT
Total Fees: 53.00 Address: P. O. BOX 50939
Amount Paid: 53.00 JACKSONVILLE BEACH, FL 32240
Date Paid: 7/16/2001 Phone: (904)241-1222
Work Desc: NEW HVAC
r _ CtTRATIF�I 3v".r , �� .. ►PttCATttl�f FEES
I OCEAN STATE HEAT &AIR PERMIT 53.00
i
+«
ROUGH MECHANICAL
NOTICE - INSPECTI(*S, M,,' T BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
f..
BUILDING MATERIAL, RUBBISHA DEBRIS FROM THIS WORK MUST NOT BEP` GED IN PUBLIC SPACE, AND
MUST BE CLEARED IjP AND HAULED AWAY BY EITHER CONTRACTOR OR OW
- - - - - --
"FAILURE TO COMPLY(WITH TkQONSTRUCTION LIEN AN RES4kT IN THE
PROPERTY OWNER PAYING G EMENTS"
ISSUED ACCORDING TO APPROVED PLANS V'►ffQSH AREARTJFIHI F4RI `AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PILO QV Ii514S OF
I
` ( 1
o .• j(j.�f pp
i SSS
ATLANf C BEACH BUILDING DEPT. atm 7/16/61 61 RK#ipt: W73
I
BUILDING AND ZONING NSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATI-%NTiC STACH.FLORIDA SALTS
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPCRTANT—Applicant to complete ail items in sec"cns I, I1, 111, and IV.
LOCATION Street Addrau:
16��� r) Jc' S� ,
OF lnbrsaollnq Stnee: 30—sn And
BUILDING Suh.diritien
11. IDENTIFICATION —To be completed by ail applicants,
In Consideration of permit given ter doinq the nark sa datcrib.d in the above statement»s h•raby ages to perform said pork in seeordanee
with the attac4d plant .ere .perifications Which are a part hersaf and in accerdants»ith the CSiy of Jecktonvii1e ordinances and standards
of good.peectlee bled thoain.
Netee of Meehaeleal r� r/ C Cankaeron
Coakeater(triol( rt F� Mester V f
Name of
Signaler•of t>wae Si niiTn+L +'
er Acether' gen i•c neer
INfC
A. T of heating 8•
1Pe IS OTHER CONSTRUCTION BEING DON[ N/'
Ry Asia THIS au1L01NG OR SITE? U )
Q baa—Q Lr Q Nuvni ❑ Central U+giiy F
IF YES, GIVE NUMBER or
tN N
❑ Gg PERMIT n[-
❑ 044W—Specify
IV.kQCHANICAL EpUIPM11 T TO It 114TALLM }N��uRE OF WORK
(rtenride complete list of tempeaeah on beak of*k fool `l'.1 Residential or ❑ Commercial
Heat ❑ Space u tempted "Ittmi Q Rear New Building /6 —
two
6two )�k-Ces" Q Existing Building
+pecf SyaMn: lAalefie
Thickse� Q Replacement of existing system
�
New Installation(Na syaltNn prwiously Installed)
Masisaetn"!.tiff Q Extension or add-on to existing system
❑ R ~kO" ❑ Other—Specify
❑ eoeilaq losers Capacity 146V.
C3
❑ Rte whillj st Nttrnlow of beds -
❑ HaNar (3 httarAff 13 Inviable) T141S S►ACi.f0OR OFFICE USE ONLY
Q.Gaadlee pomp• tnw"h'rt (Raa.t•dj
❑,•Tai" -tnasnia.i ft.wana
❑ IJC aRlainws. — !neetber) _ �..
p Wised pew«....." L
snail Appsesod by-
13
y Q Wave
Q Clbw--specify
LIST AL2.EQUIPMENT
AIR Cor=nOMNG AND REFR)GMUTIoN 8QUn%w1 CAty •ypsYelAtY
Nmaber units Daaaat ]Cd"Numbs• manutacturer (woos)
o� --jviIf(UJI AQ2Lj G
MATING•FURNACES.BOiIFRSS,Fi[R n AMS �yp�dty A=NeastberVaYtn DeseelptWa ]LedMNtmtber ]Lautstaatvrer (EIV) �!
G t
TA21E9 S.sial App-wing
Bar Yaa1 I111—fual ca b'
Tc
LWeid 2itame of Na AVt7
area Dlmaeatlsas Caatatoed ]Lataoatsettrter
CITY OF ATLANTIC BEACH
DEPARTMENT QF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
.I ^ ,. .+vn,.. G:tivr 4Y,..t11 .R0.u...kJ..uNu J ,nW.w.a !.I#"U.r.F�.T..9.., 'CxLvw.•'L�4M.U��« „{+, a:r.,..
Permit Number: 21165 Address: 1690 JORDAN STREET
Permit Type: BUILDING 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: 55,347.00 ` .'OINNER4tNFORMATIOH , . s µ
Date Issued: 12/19/2000 Name: BEACHES HABITAT
Total Fees: 2,057.14 Address: P. O. BOX 50939
Amount Paid: 2,057 14JACKSONVILLE BEACH, FL 32240
Date Paid: 12/20/2000 Phone: 904)241-1222
Work Desc: CONSTRUCT NEW HOME PER-PLANS HSF 1213
PROPERTY OWNER SEWER IMPACT FEE 1,250.00
WATER METER/TAP 85.00
RADON GAS-H.R.S. 5.77
RADON CAB 5% 0.30
CAPITAL IMPROVE, 325.00
CROSS CONNECTION- 35.00
CONST.SURCHARGE ;` 5.46
SCHARGE/ATL.BCH. ;", 0.61
----- > WATER IMPACT FEE 350.00
'k
FOOTING/SLAB.. R-UP FINAL BUILDING=`
CERTIF/OCCUPANCY
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
M,
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR:BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICt 1 ARE PART,,OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Operator: CHERYLE
Date: 1/25/81 81 Receipt: 8819645
ATLANTIC BEACH 13UILDING DEPT.
Tota] Payment SM7.14
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMkT(N
Permit Number: 21165 Address: 1690 JORDAN STREET
Permit Type: BUILDING 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: 55,347.00 OWNER:CN.F;bRMATiOiY }; >
Date Issued: 12/19/2000 Name: BEACHES HABITAT
Total Fees: 2,057.14 Address: P. O. BOX 50939
Amount Paid: 2,057.14 JACKSONVILLE BEACH, FL 32240
Date Paid: 12/20/2000 Phone: 904)241-1222
Work Desc: CONSTRUCT NEW HOME PER PLANS -HSF 1213
-------------
ON=FEES ;
PROPERTY OWNER SEWER IMPACT FEE 1,250.00
WATER METER/TAP 85.00
RADON GAS-H.R.S. 5.77
RADON CAB 5% 0.30
CAPITAL IMPROVE, 325.00
CROSS CONNECTION 35.00
CONST.SURCHARGE 5.46
SCHARGE/ATL.BCH. 0.61
--.� WATER IMPACT FEE 350.00
dTE
FOOTING/SLAB, R-UP FINAL BUILDING
CERTIF/OCCUPANCY
NOTICE- INSPECTION'S 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.
Operator: DOYLE
Date: 1/25/91 91 Receipt: 9929645
ATLANTIC BEACH UILDING DEPT.
Total Payumt 12857.14
ECITY OF ATLANTIC BEACH
)IEPARTMIENT OF BUILDI NI C-3.
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 3/233-TEL: 247-5826-FAX: 24Y-58.17
j:
I 1%N1-A, 1 0
rt 1-1
Permit Number: 21188 j Address:� i529 JORDAN STREET
Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: FRANCIS COVE
Est. Value: Parcel Number:
Improv. Cost: -0 C
�L6r"" ,'': "7.:"",:L "","-','�.�'..";,- WN-RI—WPORMATIORT'
Date Issued: 12/21/2000 . 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 BEACHES HABITAT HOME
C
PROPERTY OWNER
nw,-T el
FOOTING/SLAB
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.
—S� --
ATLANTIC BEACH B ILDING�DE .
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233- Tet: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATIQN INFORMATION
Permit Number: 21182 Address: 1690 JORDAN STREET
Permit Type: PLUMBING 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: OWNER JNFORM�4TiON
Date Issued: 12/21/2000 Name: BEACHES HABITAT
Total Fees: 46.50 Address: P. O. BOX 50939
Amount Paid: 46.50 JACKSONVILLE BEACH, FL 32240
Date Paid: 12/21/2000 Phone: (904)241-1222
Work Desc: INSTALL PLUMBING
CONT"046- S r z `P N FEES
B& G PLUMBING PERMIT 46.50
t ctions
UNDER SLAB PLUMBING SEWERNVATER TOPOUT
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 ACCORDING TO APPROVED PLANS WHIT LAW.
74 PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS O
f46. 74
CRgIECK5 1?J21/98 $' 19536
ATLA TIC BEAC BUILDI EPT. M18W32200
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
Permit Number: 19701 Address: 1690 JORDAN STREET
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:
Date Issued: 3/09/2000BEACHES HABITAT
Total Fees: A sr0 BOX 50939
Amount Paid: � � NVIL
2 E BEACH, FL 32240
Date Paid:
Work Desc: TREE R VA ..R P°b N ,,,,.,>a
PROPERTY OWNER .. x. , A5 ,.
A
00-1
T � Y k '
150
zl
161-1,AM 0",
y
FINAL -
� .,
0 Wi�
WON
NOTIC'
Al,
INSPECTIO .UST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERINUBBISH AND R@FROM THIS WORKMU T TBE PLACED IN R JBLIC SPACE, AND
MUST BE CLEARED HAULE ,a '�I1/AY"By..E,T , I CQN ,;CSI ISR Old ,WNER
"FAILURE TO COMPLY, F THE CONST C I
OWNER PAYING TWICE FO�t`' 1J11 ,I C��I ESULT IN THE PROPERTY
1W I
ISSUED ACCORDING TO APPROVED PLAkt-'WH, �.O iS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LA
CQ� e.—••.
( jt�",
AT TIC BEACH bUILDING DEPT.
CITY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION
All applications must be received by 5 PM on the Mondaypriox to the scheduled meeting in order
to be placed on the agenda. INCOMPLETE APPLICATIONS OR
INACCURATELY MARKED SITES WILL NOT BE PROCESSED.
P':�5 -?C>" ,ra5737 Z'/-/Z Z '—
vl-"l 1,:5L -�Tzzz/a
APPLICANT NAME ADDRESS TELEPHONE
2.
ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE
r
3. REASON FOR PROPOSED TREE REMOVAU 0
4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES 0 NO ❑ NOT SURE
5. PROPERTY ZONING: 2rRESIDENTIAL ❑ COMMERCIAL
6. LIST TREES PROPOSED FOR REMOVAL:
INTERIOR OR
SPECIES DIAMETER * EXTERIOR ZONE**
/,c1L 17�' �x i
* 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.
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
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 comers must be marked by stakes or paint indicating the Lot
Number or Address.
9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES
WILL NOT BE PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II,
TREE PROTECTION,AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF
THE CODE OF ORDINANCES OF ATLANTIC BEACH.
x"
A1i t's,Signature Date
���4j- - z a,e
Owner's Signature Date
CITY USE ONLY:
Tree ConseryBoard Chairperson Date
7 f FOR ANY
4,
free Re oval Approved
Pp ed
i
"All treec. to remain mast be barricaded
a minima of 5 ft. from the trunk of each
> tree. Bari icad s must be installed BEFORE
PIXY e site clear ng End remain in place during
7 ( ALL pha s of construction."
�II-
QV
,
C�q
CITY OF
800 SEMILE ROAD
ATLANTIC BEACH,,FLORIDAF32233-5445
TELEPHONE(904) 247-5800
FAX (904)247-5805
SUNCOM 852-5800
DATE -d !
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved:
PERMIT NO. ADDRESS
p
Please call me at 904-247-5826 if you have any questions.
Sincerely,
er /
N
ATLANTIC BEACH BUILDING DEPARTMENT
BUILDING,PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: S-. 7'3`01
Building Contractor: t-6f��A
Building Permit Number: aj}u S-
Address:
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:
required as built
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE
COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire kj�zl --&/A
Public Works5�� I
Planning
Building S7-61
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address C �1 30 fz-D"
Date la -/ ;"'-00
Heated Square Footage 1.213 @ $ per sq ft = $ ,S3 3 ? Z
Garag hed @ $ 2�� per sq ft = $ / 000
Carpor /Porch s @ $ per sq ft = $ �1 S -
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: S
Total Valuation 1st $ ..5(Z/, OJ
3 Y7 /. nom
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ '
WATER IMPACT FEE $ D.0®
SEWER IMPACT FEE cro
WATER METER/TAP S -Lo-
IMPROVEMENT
SEWER TAP $
U,�t,5) RADON (HRS) . 0050 $ 7 A � U
SECTION H PAVING ( ) $
HYDRAULIC SHARES $ --O
CROSS CONNECTION $
O2(3) SURCHARGE .0050 $ 5 Ll4 • G
THER $--Z
GRAND TOTAL DUE $ 49S— .
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp ;SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
SINGLE FAMILY RESIDENCE
HVAC LOAD ANALYSIS
for
Beaches Habitat
P.O. Box 50939
Jacksonville, FL 32240
Oftwo fe
RHR�SIDMIAL
VAC.
HVAC LOADS
Prepared By:
Jeri Boxx
Ocean State Heating&Air Conditioning
1476 Atlantic Boulevard
Neptune Beach,Fl- 32266
(904)249-8251
06-29-00
1
RHVAC-Residential 8,Light Commercial HVAC Loads Program Elite Software Development,Inc.
Ocean State Htg&A/C Single Family Residence
Neptune Beach,FL 32266-1798 06-29-00 Page 2
Project Summary
Project: Single Family Residence Company: Ocean State Heating &Air Conditioning
Client: Beaches Habitat Representative: Jeri Boxx
Address: P.O. Box 50-439 Address: 1476 Atlantic Boulevard
City: Jacksonville,FL 32240 City: Neptune Beach, FL 32266
Phone: 241-1222 Phone: (904) 249-8251
Fax: Fax: (904) 249-8949
Design Data
Project Name: Single Family Residence
Reference City: Jacksonville, Florida
Daily Temperature Range: Medium
Latitude: 30 Degrees
Elevation: 26 Feet
Elevation Sensible Adj. Factor: 1.000
Elevation Total Adj. Factgr: 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
Check Figures
Total Building Supply CFM: 811 CFM per square foot: 0.668
Square feet of room area: 1,214 Square feet per ton: 628.917
Building Loads
Total heating required with outside air: 25,232 Btuh 25.232 MBH
Total sensible gain: 17,836 Btuh 85 %
Total latent gain: 3,175 Btuh 15 %
Total cooling required with outside air: 21,011 Btuh 1.751 Tons (based on sensible +latent)
1.930 Tons (based on 77%sensible capacity)
Notes
Calculations are based on 7th edition of RCCA 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.
Thursday,June 29,2000
RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc.
Ocean State Htg&A/C Single Family Residence
Neptune Beach,FL 32266-1798 06-29-00 Page 3
Total Building Summary Loads
Component Area Sen. Lat. Sen. Total
Description Quan Loss Gain Gain Gain
` 3C Window Double Pane Clear Glass 4etal Frame 150 4,894 0 6,728 6,728
10D Door Wood Solid Core 38 787 0 430 430
12C Wall R-11 + 1/2"Gypsum(R-0.5) 934 3,783 0 2,068 2,068
13C Part R-11 + 1/2"Gypsum(R-0.5) 64 130 0 92 92
16G Ceiling R-30 Insulation 1,214 1,802 0 1,802 1,802
22A Slab on Grade No Edge Insulation 149 5,431 0 0 0
Subtotals for structure: 2,549 16,827 0 11,120 11,120
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 1,202 0 1,622 1,622
Infiltration: Winter CFM: 145.6, Summer CFM: 64.7 188 7,203 2,255 1,494 3,749
Ventilation: Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0
Sensible Gain Total: 17,836
Temperature Swing Multiplier: X1.00
Building Load Totals: 25,232 3,175 17,836 21,011
Check Figures
Total Building Supply CFM: 811 CFM per square foot: 0.668
Square feet of room area: 1,214 Square feet per ton: 628.917
Building Loads
Total heating required with outside air: 25,232 Stuh 25.232 MBH
Total sensible gain: 17,836 Btuh 85 %
Total latent gain: 3,175 Btuh 15 %
Total cooling required with outside air: 21,011 Btuh 1.751 Tons (based on sensible +latent)
1.930 Tons (based on 77% sensible capacity)
Notes
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.
Thursday,June 29,2000
10BADDRESS146 9�) 3,,dA� � TYPE WORK L(- J mom
PROPERTY OWNE,I O C l 1 vl� TELEPHONE
CONTRACTOR
TELEPHONE
!z
PERMIT NUMBER "� DATE
INSPECTIONS FOOTING
SLAB 1
ITE B I
LIlVTF.L
NAILIIVGASHEATAEVG 77
FRAMINGACO
INSo /
OLATION Q
FINAL BUILDMV
CERTIFICATE OF OCCUPANCY �2 _o
ELECTRICAL PERDrII3# ',-
INSPECTIONS ROUGH "?
FINAL
M aUMCAL PERMIT# a
INSPECTIONS ROUGE Y-19 -Q
PLUMBING PERM
INSPECTIONS ROUGMUNDER SLAB l2 �22(o
TOPOUT 1 v�-
WATEMEW.R l(c
/0
NOTES: r� -
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION 77 LOCA�TIQ JRIYIATION%
Permit Number: 19701 Address: 1690 JORDAN STREET
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: s.' C WNEf NIFQt;;tj i 'Ttm=4 1
Date Issued: 3/09/2000 Name: BEACHES HABITAT
Total Fees: Address: P. O. BOX 50939
Amount Paid: JACKSONVILLE BEACH, FL 32240
Date Paid: Phone: (904)241-1222
Work Desc: TREE REMOVAL PER PLANS
PROPERTY OWNER
i
FINAL
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.
AT TIC BEACH UILDING DEPT.
�RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc.
Ocean State Htg&A/C Single Family Residence
Neptune Beach,FL 32266-1798 06-29-00 Page 4
System#1 Summary Loads
Component Area Sen. Lat. Sen. Total
Description Quan Loss Gain Gain Gain
3C Window Double Pane Clear Glass Metal Frame 150 4,894 0 6,728 6,728
10D Door Wood Solid Core 38 787 0 430 430
12C Wall R-11 + 1/2"Gypsum(R-0.5) 934 3,783 0 2,068 2,068
13C Part R-11 + 1/2" Gypsum(R-0.5) 64 130 0 92 92
16G Ceiling R-30 Insulation 1,214 1,802 0 1,802 1,802
22A Slab on Grade No Edge Insulation 149 5,431 0 0 0
Subtotals for structure: 2,549 16,827 0 11,120 11,120
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 1,202 0 1,622 1,622
Infiltration:Winter CFM: 145.6, Summer CFM: 64.7 188 7,203 2,255 1,494 3,749
Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0
Sensible Gain Total: 17,836
Temperature Swing Multiplier: X1.00
System Load Totals: 25,232 3,175 17,836 21,011
Check Figures
Supply CFM: 811 CFM per square foot: 0.668
Square feet of room area: 1,214 Square feet per ton: 628.917
System Loads
Total heating required with outside air: 25,232 Stuh 25.232 MBH
Total sensible gain: 17,836 Btuh 85 %
Total latent gain: 3,175 Btuh 15 %
Total cooling required with outside air: 21,011 Btuh 1.751 Tons (based on sensible + latent)
1.930 Tons (based on 77% sensible capacity)
Notes
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.
C,�rs
Thursday,June 29,2000
�IRHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc.
Ocean State Htg&A/C Single Family Residence
Neptune Beach,FL 32266-1798 06-29-00 Page 5
Room Load Summary Reports
System#1 Room Load Summary
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 Bedrms 322 5,283 69 0-0 0 3,637 820 165 1.00 165 165
2&3
2 Bedrm4 322 7,808 101 0-0 0 5,145 950 234 1.00 234 234
Living
3 Bedrml 322 4,517 59 0-0 0 2,963 482 135 1.25 169 135
Bath
4 Kitchen 248 7,624 99 0-0 0 6,091 923 277 1.00 277 277
Dining
System 1 1214 25,232 328 17,836 3,175 811 845 811
Totals
Main Trunk Size. 12x12 in.
System#1 Cooling System Summary
Cooling Sensible/Latent Sensible Latent Total
Tans Split Btuh Btuh Btuh
Net Required: 1.751 85%/15% 17,836 3,175 21,011
Recommended: 1.930 77%/23% 17,836 5,328 23,164
System#1 Equipment Data
Heating System Cooling System
i
4
Thursday,June 29,2000
FORM 60OA-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS. , , , 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 1214.0 33.05 7223.1 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 N 1.5 6.0 30.0 19.22 0.94 541.2
Double,Clear E 1.5 6.0 30.0 40.22 0.91 1101.4
Double,Clear W 1.5 6.0 15.0 36.99 0.91 506.7
Double,Clear S 1.5 2.0 6.0 34.50 0.57 117.0
Double,Clear E 5.5 6.0 30.0 40.22 0.54 649.0
Double,Clear S 1.5 4.0 9.0 34.50 0.74 228.9
As-Built Total: 150.0 3921.6
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 64.0 0.7 44.8 Frame,Wood, Exterior 11.0 934.0 1.70 1587.8
Exterior 934.0 1.70 1587.8 Frame,Wood,Adjacent 11.0 64.0 0.70 44.8
Base Total: 998.0 1632.6 As-Built Total: 998.0 1632.6
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 1213.8 0.60 728.3 Under Attic 30.0 1214.0 0.60 728.4
Base Total: 1213.8 728.3 As-Built Total: 1214.0 728.4
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 149.0(p) -37.0 -5513.0 Slab-On-Grade Edge Insulation 0.0 149.0(p) -41.20 -6138.8
Raised 0.0 0.00 0.0
Base Total: -5513.0 As-Built Total: -6138.8
INFILTRATION Area X BSPM = Points Area X SPM = Points
1214.0 10.21 12394.9 1214.0 10.21 12394.9
EnergyGauge®DCA Form 60OA-97 EnergyGauge@/FIaRES'97 FLRCNA-200
FORM 60OA-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
BASE AS-BUILT
Summer Base Points: 16697.7 Summer As-Built Points: 12770.5
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
12770.5 1.000 0.974 0.341 1.000 4244.0
16697.7 0.3573 5966.1 12770.5 1.00 0.974 0.341 1.000 4244.0
EnergyGaugeTm DCA Form 60OA-97 EnergyGauge®IFlaRES'97 FLRCNA-200
FORM 60OA-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , 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 1214.0 9.76 2133.8 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 N 1.5 6.0 30.0 14.30 1.00 430.1
Double,Clear E 1.5 6.0 30.0 9.09 1.04 282.4
Double, Clear W 1.5 6.0 15.0 10.77 1.02 165.3
Double,Clear S 1.5 2.0 6.0 4.03 2.27 54.8
Double,Clear E 5.5 6.0 30.0 9.09 1.26 344.7
Double,Clear S 1.5 4.0 9.0 4.03 1.35 49.1
As-Built Total: 150.0 1706.7
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajcent 64.0 3.6 230.4 Frame,Wood, Exterior 11.0 934.0 3.70 3455.8
Exterior 934.0 3.70 3455.8 Frame,Wood,Adjacent 11.0 64.0 3.60 230.4
Base Total: 998.0 3686.2 As-Built Total: 998.0 3686.2
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 1213.8 1.20 1456.6 Under Attic 30.0 1214.0 1.20 1456.8
Base Total: 1213.8 1456.6 As-Built Total: 1214.0 1456.8
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 149.0(p) 8.9 1326.1 Slab-On-Grade Edge Insulation 0.0 149.0(p) 18.80 2801.2
Raised 0.0 0.00 0.0
Base Total: 1326.1 As-Built Total: 2801.2
INFILTRATION Area X BWPM = Points Area X WPM = Points
1214.0 -0.59 -716.3 1214.0 -0.59 -716,3
EnergyGauge®DCA Form 60OA-97 EnergyGauge®lFlaRES'97 FLRCNA-200
FORM 60OA-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
s
BASE AS-BUILT
Winter Base Points: 8353.8 Winter As-Built Points: 9402.1
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
9402.1 1.000 0.990 0.487 1.000 4532.2
8353.8 0.5340 4460.9 9402.1 1.00 0.990 0.487 1.000 4532.2
EnergyGaugeTm DCA Form 60OA-97 EnergyGauge®/FlaRES'97 FLRCNA-200
FORM 60OA-97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
s
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
4 2746.00 10984.0 50.0 0.92 4 1.00 2526.61 1.00 10506.4
As-Built Total: 10506.4
CODE COMPLIANCE STATUS
BASE AS-BUILT
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
5966.1 4460.9 10984.0 21411.0 4244.0 4532.2 10506.4 19282.6
F:PASS
y�yo4 sTAT�oA�+
rl c01)WE
EnergyGaugeTm DCA Form 60OA-97 EnergyGauge®/FlaRES'97 FLRCNA-200
FORM 60OA-97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
[ADDRESS: , , , 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 wails 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 cfm from
conditioned space,tested.
Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors.
Additional Infiltration reqts 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.
EnergyGa uge rm DCA Form 60OA-97 EnergyGauge®/FIaRES'97 FLRCNA-200
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE* = 84.3
The higher the score,the more efficient the home.
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 4 _ b.N/A
5. Is this a worst case? No _
6. Conditioned floor area(ft) 1214 ft2 c. N/A
7. Glass area&type _
a. Clear-single pane 0.0 ft2 _ 13. Heating systems
b. Clear-double pane 150.0 ft2 - a. Electric Heat Pump Cap: 100.0 kBtu/hr _
c. Tint/other SC/SHGC-single pane 0.0 ft2 _ HSPF:7.00
d.Tintiother SC/SHGC-double pane 0.0 ft2 b.N/A
8. Floor types _
a. Slab-On-Grade Edge Insulation R=0.0,149.0(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=11.0,934.0 ft2 _ EF:0.92 _
b. Frame,Wood,Adjacent R=11.0,64.0 ft2 _ b. N/A _
c.N/A _
d.N/A _ c. Conservation credits _
e. N/A (HR-Heat recovery,Solar
10. Ceiling types _ DHP-Dedicated heat pump)
a. Under Attic R=30.0,1214.0 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:Interior 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) "'t%E sT9T1
in this home before final inspection. Otherwise,anew EPL Display Card will be completed ti -
based on installed Code compliant features.
Builder Signature: Date:
Address of New Home: City/FL Zip: �'coD Vv� 4�5
*NOTE: The home's estimated energy performance score is only available through the FLAIRES computer program.
This is not a Building Energy Rating.Ifyour score is 80 or greater(or 86 for a USEPA/DOEEnerg6tarTMdesignation),
your home may qualify for energy efficiency mortgage(EEAIP incentives if you obtain a Florida Energy Gaugl-Rating.
Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsec.ucfedu 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)
RECEIVED
PROPERTY DESCRIPTION
Lot # 0 , Block # Section # uLv 7 2000
Subdivision: City of Atlantic Beach
Street Name /� / DESCRIPTION �uitand Zoning
or Address: IVI 7 A 9 x.10 J0,0/V sG1W,,F7—
(If in a FLOOD HAZARD
Flood Zone: area complete page 3)
Brief Description_.S(/✓61��f�yJ/Ly,yOM,E
Class of Work: (New/
Remodel/Addition: NeW
ZONING INFORMATION Type of Construction: 0001�1) `t'Z#A96
Zoning Proposed /'
District: Use: leI6(E/�"�►'wo Estimated Value $ a
Exceptions or Variances Materials: Ndop', Y/NyL-
Granted; 1110A46 !— �I
Solid or Filled (�
Ground: S'C�LI(� Roof l�/ 6 Gi(jsS. /9(IN4W'T
Method of Heating: M6W PUP
OWNER INFORMATION
Property Owner: Phone:Ci?V J 1 L2-2---
Mailing Address ,g"p
.5b V1 Zip: `�2 2-yo
CONTRACTOR INFORMATION
Contractor: �ESWV TR% Phone:
Mailing Address: t3pk 22 '
Zip: 2SGa
Expiration
STATE LICENSE NO: Date:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO
BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL
RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE
ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE VE INFORMATION BEING TRUE AND CORRECT AND
THAT THE PLANS AND SUPPORTING DATAVE B EN O HAL BE PROVIDED AS REQUIRED.
Owner SignatureFX�TC DATE
a44#&
Contractor Signature ) J —nje' DATE L O0
SWO TO AND SUBSCRIBED BEFORE ME BY 6Ad THIS _ DAY
OF
ry•,� Carol A Marcello
�/� .
NOTARY PUBLIC Expires June 08,2004
FLOODPLAIN DEVELOPMENT INFORMATION
Location:: /G 90 -�O,2�64Al ! d 7-c..4A/
Type of Development: S�NGGE �R.►-,jL y
Flood Zone: rC
Required Lowest Floor Elevation:
If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB
HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above
the base flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy will be issued until the survey is
on file with the Building Department.
COMMENTS:
Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon
the above information being correct and that the plans and supporting data have been or shall be
provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11
and all other laws or ordinances affecting the proposed development.
Date, y Applicant's Signature
;;3r9CW:S' //�1-3,17;P7—
Department Use:
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed with Building Department
Building Department Representative
MAP SHOWING BOUNDARY SURVEY DF,
THE NORTH 47.50 FEET OF LOT 8, BLOCK 1, ED SMITH SUBDIVISION, AS RECORDED IN PLAT BOOK 26,
PAGE 50 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
R lFV E
DEC 7 2000 _
City of Atlantic Beach
Building and Zoning
ZO' A L L E Y
fyrrnd!�t'/ran Pix �e yriG45j��
X00.
moo'
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8 �
pie I`asj 1'°r S. 88 036'00"it/. /00.00' W
This Rbrtion 4V Lof 8 Nof/x/artrd/n Thrf SurKy M -�
LOT 7 'pro y > LOT 7
LOT 6
/00oo' LOT 8 „
LOT 9 LOT 6
Zt 4-
I
Th'N instrume was pre ared by
ZA %O 77450
P.O. Box 50939 Raee., 21aga
CO Jacksonville Beach, Florida 32240 Filed & Recorded
12/04/2000 11:06. AM
W _ HENRY Y COOK
CLERK CIRCUIT COURT
y MIN. RETURN NOTICE OF COMMENCEMENT Duval. COUNTY
PHONE; �41— ��a COPYTFEEND $ 1.40
CL RECORDING I 5.00
STATE OF FLORIDA Permit No.:
In COUNTY OF DUVAL Tax Folio No.:
.q
a0
M The undersigned hereby gives notice that improvements will be made to certain real property,and
0 in accordance with section 713,Florida Statutes, the following information is provided in this Notice of
p Commencement.
A4
1. Description of property:(legal description of property and street address if available)
.S T /-'4JGC.' ►'1
rue cse4^1. 12t�
2. General description of improvements: 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. Name and Address of fee simple title holder(if other than owner) : N/A
4. Contractor:
a. Name and Address: As
b. Phone Number: A 4-1 _ / Z Z i--
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
CITY OF ATLANTIC BEACH, FLORIDA l7
_ Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�� 19 L
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM" SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
( A! /Ej �"
ELECTRICAL FIRM
S�;yy ���� J MAST ELECT JAN SIGNATURE pJOURNEYMAN
NAME 1 eLw-s ' �`��'� ADDRESS: Z6 �1.�,T ®lam-p J RFD-SOX-
BLDG.
FDBOXBLDG.SIZE /&e)52 / ZA7- - BETWEEN: "5 AD ` eO 76K r✓i s/1 stJ
RES.s?Q APT.( 1 COMM.( ) PUBLIC( ) INDUS.( i NEW,04 OLD( 1 REW.( ►
ADDITION( ) TRAILER ( 1 TEMP.( I SIGNS ( 1 SO.FT.
SERVICE: NEW INCREASE( ) /` REPAIR ( 1 FEE
CONDUCTOR SIZE r AMPS/,5e COPPER I ALUM.
SWITCH OR BREAKER AMPS I PH I W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH I W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. ]1•f 00 AMPS.
SWITCWES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVSA
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING '
CONDITIONING COMP-MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
04 oval
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 FLASHER
EACH SIGN --
FORWARDED
s
TOTAL FEES
F '
CITY OF ATLANTIC BEACH
a .
APPLICATION FOR PLUMBTNG ;PERMTT t
30B LOCATION: 1410 'TQ/Z p o►.1 S -rR E.,E T-
a Etc II ESA-Q
OWNER OF PROPERTY : � '►'�T' TELEPHONE NO .
PLUMBING CONTRACTOR {3CV nn,Q,,jb c o ,
.r I•
CONTRACTOR' S ADDRESS : (39R -7 464CN QLv�
STATE LICENSE NUMBER: G C a Z 2 S `13 TELEPHONE : zz 3 3585
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
( SINKS SHOWERS
Z LAVATORY I WATER HEATERS
Z BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES :-- _ x $3 . 50 a $ 15 . 00 `?��• S °
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH1`
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
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 Spec 1214 Builder: Beaches Habitat
Address: 16FU•. � , Permitting Office;e rz-4A177C ei fk if
City, State: F� �-� � F�3Zz.37 Permit Number: x116.11
Owner. & :At: A/317-fit`, Jurisdiction Number:
( Climate Zone: North
j1. 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 _
j 4. Number of Bedrooms 4 _ b.NIA
15. Is this a worst case? No
6. Conditioned floor area(W) 1214 W c.N/A _
7. Glass area&type
j a. Clear-single pane 0.0 ft 13. Heating systems
b.Clear-double pane 150.0 W a. Electric Heat Pump Cap: 100.0 kBtulhr _
c. Tint/other SC/SHGC-single pane 0.0 f 2 HSPR 7.00
d.Tintlother SC/SHGC-double pane 0.0 ft= b.N/A _
i8. Floor types _
a. Slab-On-Grade Edge Insulation R=0.0,149.0(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=11.0,934.0 fP _ EF:0.92 _
b.Frame,Wood,Adjacent R=11.0,64.0 ft_ 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-30.0,1214.0 fP _ 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:Une. Ret:Unc. AH:Interior Sup.R-6.0,25.0 ft RB-Attic radiant barrier,
b.N/A M&C-Multizone cooling,
M&H-Multizone heating)
Glass/Floor Area: 0.12 Total as-built points: 19283.00 PASS
Total base points: 21411.00
I 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 +.o�� So
Energy Code. calculation indicates compliance € A
! PREPARED BY: Ocean State HVAC
with the Florida Energy Code.
DATE' 6a- -tom Before construction is completed a
this building will be inspected for
1 hereby certify that this bui 'ng,as de ned,is in compliance with Section 553.908
compliance with the Florid ergy C Florida Statutes. °D
OWNER/AGENT: BUILDING OFFICIAL: .
DATE: DATE' ,C_ a.
EnergyGauge®(Version: FLRCNA-200)