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Permit SFR 1827 Ocean Grove 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 10/24/11 Parcel Number . . . . 169601 -0000- - Property Address . . 1827 OCEAN GROVE DR ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner COUGHLIN KELI A Contractor GRIDER CONSTRUCTION INC 904 463 -4606 Application number . . 10- 00001456 000 000 Description of Work . . SINGLE FAMILY RESIDENCE Construction type . . . TYPE 5 -A Occupancy type . . . RESIDENTIAL Flood Zone ZONE X Special conditions . 2007 FLORIDA BUILDING CODE WITH 2009 REVISIONS -)1( Approved Bui ig •fficial VOID UNLESS SIGNED BY BUILDING OFFICIAL V CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: /OA 0/ 2 /i Contractor Name: Permit #: /p - /4 Property Address: 7.g. 7 (0--L-4--- A Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single - Family Residence ❑ Commercial ❑ Other: "-e-t- Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works /p / -7 Public Utilities /d / i Building 141_1 � lanning / /0/041)011 ? Tree Mitigation 7 42 Satisfied Final Survey with FFE e s No / / All Re- Inspect Fees Paid Yes No l "4-\ Termite Treatment Yes No // ItYL D ‘.\ 1 C�� 1 CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 2Y- // Contractor Name: / 6-cti Permit #: /0 /545 Property Address: /f 7 / 6-t-ev--c j . Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. 7 ,_ Public Works V 1C9 / 7 / 2 ' .,j ;., k `�y� ,,,,q+, Public Utilities 9�� 4� ' � f ' µ t '��' r� a Building �� �' 9/.2--, 0 M, ,i' �„ O Planning /2 Tree Mitigation �/ t/1/2L-1-t Satisfied 1/2"r Final Survey with FFE Yes V"No 4 , 3 , ,, , , ect Fees Paid ,/ No P Are I_ I All Re-Inspect ..- Termite Treatment Yes No 0 t / , 4 a. Adtk 4 z . i i . 6 3 . 7....., 0 67 (53./ey MONOLITHIC SLAB CRAWL SPACE Vert Treatment Lin Ft - 10 = x 4 = Gals Voids / Footings Lin Ft - 10 = x 2 = Gals Slab Treatment Sq Ft - 10 = x 1 = Gals Foundation Lin Ft = 10 = x 4 = Gals Number of Plumbing Stubs # of Stubs x 4 = Gals Number of Piers _# of Piers x 2 = Gals Other: = Gals Other: = Gals SUPPORTED SLAB FLOATING SLAB Block Voids Lin Ft _ 10 = x 2 = Gals Block Voids Lin Ft - 10 = x 2 = Gals Foundation Lin Ft =10 = x 4 = Gals Foundation Lin Ft - 10 = x 4 = Gals Slab Sq Ft =10 = x 1 = Gals Slab Sq Ft =10 = x 1 = Gals Number of Plumbing Stubs x 4 = Gals Number of Plumbing Stubs x 4 = Gals Other: = Gals Other: = Gals BACKFILL / EXTERIOR PERIMETER FINAL COMPLETION DATE: I 0 / 1 L / / I 2 40 Lin Ft+ 10= Z R' Z x 4 = _ r 8 x ( Ft/Depth = � 6 Gals TOTAL GALS UPON COMPLETION: NDR- SAS -112 Revised 4/11 White, Debbie To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10 -1456 To All: I have an inspection requested for the Certificate of Occupancy for a new home at 1847 Ocean Grove. Please email me your results... Thanks, Debbie DEBBIE WHITE CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX 1 White, Debbie From: Hall, Erika Sent: Wednesday, September 28, 2011 4:09 PM To: White, Debbie Subject: RE: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10-1456 Debbie, I have no issues with this address. Thanks! Erika Hall Principal Planner it‘ of Atlantic Beach 806 Seminole Road Ailantic Beach, I-1, 32233 (I) 90-1.270.1605 ) 9 04.217.5815 chtt111,C0/111.1.1^, L \ SI NO 11.: blorida h, a er broad public record LIM . Your e-mail communical ions array he subject to public dkelo.aire. From: White, Debbie Sent: Wednesday, September 28, 2011 3:03 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10-1456 To All: l have an inspection requested for the Certificate of Occupancy for a new home at 1847 Ocean Grove. Please email me your results... Thanks, Debbie DEBBIE WHITE CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX White, Debbie From: Clemons, Malcolm Sent: Thursday, September 29, 2011 2:03 PM To: White, Debbie Subject: RE: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10-1456 Irrigation system with no RPZ backflow installed. Failed Inspection. Malcolm From: White, Debbie Sent : Wednesday, September 28, 2011 3:03 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10-1456 To All: I have an inspection requested for the Certificate of Occupancy for a new home at 1847 Ocean Grove. Please email me your results... Thanks, Debbie DEBBIE WHITE CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX 1 White, Debbie To: Nodine, Phil Subject: RE: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 PERMIT #10 -1456 OCEAN GROVE DR- Thanks, everybody is failing this house!! Will let you know when he calls it back in .. Sorry on the Thanks again. e addr ess, I`tl do better. DEBBIE WHITE CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247 -5845 FAX From: Nodine, Phil Sent: Thursday, September 29, 2011 3:52 PM To: White, Debbie Cc: Carper, Rick Subject: RE: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10 -1456 The address is 1827 and they are not ready for CO from PW they still have bare dirt landscaping said he would call back when ready no sod or From: White, Debbie Sent: Wednesday, September 28, 2011 3:03 PM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST - 1847 OCEAN GROVE DR- PERMIT #10 -1456 To All: I have an inspection requested for the Certificate of Occupancy for a new home at 1847 Ocean Grove. Please email me your results... Thanks, Debbie DEBBIE WHITE CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (9034) 247.5826 (9034) 247 -5845 FAX 1 w 1 N H 10/ , • ` I b N I \, 1 N N 1 to ' V� I,.r ti f b H I o N '.4 b i e / I 1 ' \ b , I N o o ' co 1 y ° w E h ' \� OL ' ' '�1 H O N = , IH N, b p. I f I ~ N a p V N g m n ' N ' Hy,? I \ to H r ,ti'O 1 w � 0 H I N1.',"' ' I p 1�f - (n N p b b '' �b i � '3' ii , b Rli 1- 'N� \ \�t^ \ \ U' I" p i Oi \i b bO b � 4 �b i by (FW]� i ti ���N� (4, 00, p '6.1. i , h�n 1,14 b b '. , , h rn i.' I b �I ' 4 I .�1 ^ 1 '" N N N O o � p \ \ ° cU / / I f f 1' -x ' y " '''''''4,,,,,, i /I ; ,,fie ' H b � � ..,;b4b b ~ ti � ti \4 h ,170 , •. X '• ; ,bO ti a PH f U�� ro 1 ti,....._ G n D 11 �, "� b4b4 b cy ~ti ~ ' � � � � �i 'p g O n o, , f \ O b n i~g �r7 L1i t 4 N'' b g T •2 z H , H, y I '0'10,c.,.7 - toy I IN 't t tr b aj c, ' , o h , ti H n I a0 , cn 1 N t ' , N, ti ti X , y ` >,0,7 [� rt 27 1y A7 I H H y b W , y $ y o r ' 0 n Ow 0 H f n ,p I . ,44 ,'htr rD b WHn 9' b m ' 4 N D ~ d b iz 18 R � r � j E ri��H y ZMNybbro 2 � W N� o G�y�b lj bb t -7'3'0' b y � d` n n ' i Z,' 0 ,„, t- of ! gz ! t" in., ,- tilt' ,, , o W bo E ,. b' . � J . h Co ! �.. White, Debbie From: Nodine, Phil Sent: Monday, October 17, 2011 7:59 AM To: White, Debbie Subject: RE: Certificate of Occupancy 1827 Ocean Grove Drive OK for PW From: White, Debbie Sent: Friday, October 14, 2011 3:00 PM To: Nodine, Phil; Carper, Rick; Walker, Chris Cc: Graham Shirley; Jones, Mike Subject: Certificate of Occupancy 1827 Ocean Grove Drive Gary Grider, Contractor has called to request a certificate of Occupancy, again. Please email me your results.. Thanks Rick: In addition, Tony (neighbor next door) would like a call from someone concerning the conditions of the vacant lot they used for construction next door. A message was on my machine and I couldn't forward since you don't have voice mail on... Please call Tony 242 - 7351. Thanks, Debbie I.m E I. OF ATLANTIC BEACH DoNLDINN DEPAR1MENT )90 4) 247-5826 (90 4) ` - 1 White, Debbie From: Walker, Chris Sent: Monday, October 17, 2011 3:28 PM To: White, Debbie Subject: RE: c/o Inspection 1827 Ocean Grove All good here ! From: White, Debbie Sent: Monday, October 17, 2011 3:07 PM To: Walker, Chris; Clemons, Malcolm Subject: c/o Inspection 1827 Ocean Grove Guys, Please let me know when you have approved this new house. You are the only two left to approve it and the contractor is callinglm Malcolm- We now have a permit (double fee) for the irrigation system and hopefully they installed the back flow. Please email me your results. Thanks, Debbie DEBBIE WHITE " OF ATLANTIC C BUILDING DEPARTMENT 47-5826 24E5845 FAX 1 White, Debbie From: Clemons, Malcolm Sent: Monday, October 24, 2011 1:30 PM To: White, Debbie Subject: RE: BACKFLOW INSPECTION 1827 OCEAN GROVE DRIVE Backflow inspection ok.Malcolm From: White, Debbie Sent: Monday, October 24, 2011 12:08 PM To: Clemons, Malcolm Subject: BACKFLOW INSPECTION 1827 OCEAN GROVE DRIVE MALCOLM, THE BACKFLOW HAS BEEN MOVED, CAN YOU REINSPECT FOR THE C/O AND LET ME KNOW THE RESULTS OF YOUR INSPECTION, Thanks, Debbie DEBBIE WHITE UTY OF ATLANTIC BEACH BUILDING DEPARTMENT I904) 2475826 (9048 247-5845 FAX 1 03/03/2011 08:02 9042461082 GRIDER CONSTRUCTION PAGE 01 itas wTo: WELLS FARGO BANK, NA 260 CHARLES LINDBERGH DRIVE, 2ND FLOOR SALT LAKE CITY, UTAH 64116 This inrintment was prepared hy: JENNY CIIESLEY WI641.3 RA$CiV AANArt, HA 260 CHARLES LINDBERGH DRIVE, 2ND FLOOR SALT LAKE CITY, UTAH 01116 Num r • : sy r z " un d { °' '.age etle, ■ / / Recn..brl oam.,.o i t ar 0' :4B PM. /�/,S�n COuoity R CLERKC1gCtn1' COURT DUVAL Permit Number l• PccoPORtG sin 50 Dan PuIluNumber: NOTICE OF COMMENCEMENT $tire at FLORIDA County oP DUVAL TwP. t Ml)P.RR1C1NRD herehy given nntice Chet Improvement(s) will be made to certain real property. and in accordance with Chapter 713, Ploridn Statutes, the following information provided in this Notice of Commencement, 1. Description of property, 1677 wit AN CRAVE nRIV All .ANTIC REA P3.32233 (Property Address) LOT 5, OCEAN GROVE UNIT NO. 2, A SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 20, rAGR 20, IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 2. General Description of Improvement: j/l n iA) (`Od1 irt./ C 4 n 0 VI 3. Owner Information: a. Nana and addre.c; CHRISTOAHRn J. .JOYCE, ICCL% A• COUCHLIN 1516 1ST STREETS. JACKSONVILLE BEACH, FLORIDA 32250 b. Interest in property: FEE. SIMPLE c. Name and address of Fee Simple Title riotdet, Wadi erthan owner. 4. Contractor Information: a. Company Name end address; GR1nER CONIrTRUCTION INC. 2051 VELA NORTE CIRCLE ATLANTIC BEACH. PWRID,t 1221:1 b. Phone number. _ Fnn number; 5, surety: n. Name and complete address: - ...•- b. Amount of Bond: 3 r Phone 'norther. Fay number: _ .. 6. Lender a. Name and complete address: WELLS FARGO RANK, NA 260 CHARLES LINDBERGH .RAIVk1, IN ft M,AAR SALT I..AKE CITY, UTAH 141.16 b. Phone number: Fax number �,,.... 7. Persona within the Sate of Plortdn deai,t,n,rd Ay Qwnrr qpv, whom neurone or Mileff Arv:umrnta mny he served at provided by $ 713.12(1 Xiej Florida Statute. a, Name and complete address: b. Phone mumbo,. Pon nombw7 8. In addition to himself. Owner designates the lbllowing person(a) to receive n copy Of the Liennt s Notice 6I provided In Section 713.13(1)(b), Florida Stawtei. n. ?lama and complete eddrola: , _ ....... Phone number: _ Fax number: Pag! 1 or tor, inn. �. Z00 /100•d 1ZE1. OE :bI llOV ZO/C0 0091 SOZ 006 Y d''a1!41 R lea0 'oalliafl:woJj 03/03/2011 08:02 9042461082 GRIDER CONSTRUCTION PAGE 02 9. ExpirntIen dare of Notice of Commencement (the expiration date is 1 year from the dote of recording. unless it different date is specltled); %ARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OP THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RP.CORDED AND POSTED ON THE JOB SITE BEFORE. TUE FIRST INSPECTION. IF YOU 1 ' • T ' OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNEY BEFORE NG e ' 'R RECORDING YOUR NOTICE OF COMMENCEMENT, MAR 012011 Z P • MAR 0 1 2011 CU *1 PHER J. JOY �—.---' Sato KELI . COUC Date The Anegnin mHn • . e .eke.eeledgm4 Iv( era ago thin 24th day of Pebruary. 2011 by CIIR5BTOP1ItR.1.4OVCIr, 14.61.11 A. COUC who isle crucially k known to or (b) al ne producod " blio. Stole of FLORIDA RLAttEF DEAL 11 Printed Name M. commissi Expires Odober 29, 2014 Y MrewrMlMwerer• a isexis VERIFICATI N PURSUANT TO SECTION 92.525, FLORIDA STATUTES Under tunaU+C! oltperi d • th / hove rend the foregoing and that the facts stated in It art true to tho hest of my knowledge and belle • /_ _ . _ MAR 0 1 2011 / MAR 01 2011 CRR. • R J. JO, Dote KE 1 A. COUGHL Sete v nee 2 or2 xs, we. • 200 /200'4 ac OC'iL 1102/ZO /C0 Dill 52? bO6 V d'Aalia9 p lea0 '1,ialing;woJj y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001456 Date 3/10/11 Property Address 1827 OCEAN GROVE DR Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 560194 Application desc new home Owner Contractor COUGHLIN KELI A GRIDER CONSTRUCTION INC 1827 OCEAN GROVE DR. 2057 VELA NORTE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 463 -4606 - -- Structure Information 000 000 SINGLE FAMILY DWELLIN Construction Type . . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . TDG PLUMBING Permit Fee 174.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/06/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent tt � o ,1t Public NL Utilities. PERMIT IS R �,Q �3 il't(9VL Ac ( N� � L t 0F i L 'I Q1 t4 A ti. OE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH � y 6 , - - ,. . A. 800 SEMINOLE ROAD z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Page 2 Application Number 10- 00001456 Date 3/10/11 Special Notes and Comments and container cannot be placed on City right -of -way. A post construction topographic survey document proper construction is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE PLBG DCA SURCHARGE 2.61 STATE PLBG DBPR SURCHARGE 2.61 Fee summary Charged Paid Credited Due Permit Fee Total 174.00 174.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.22 5.22 .00 .00 Grand Total 179.22 179.22 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 1 gal 0 Cagn Gr of PERMIT # /d " / 9,(6 NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub .2 Septic Tank & Pit Clothes Washer I Shower 1 Dishwasher 1 Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 72 Hose Bibs Urinal Kitchen Sink i Vacuum Breakers Laundry Tray I Water Connected Appliances Lavatory S Water Heater 1 Other Fixtures _L_ /� Water Treating System RE -PIPE: \ \ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Z `( Ce. Ce S: deA. T Phone Number Plumbing Company / . � L PL.-ta .'4? - 1 n C Office Phone 8 s' 7 '34/ Fax SI I I - (UT Co. Address: ( --li LA a 1 f Q, City 1 statefL Zip 3 22 L License Holder (Print): 7A J , 'S 0 0 9 , 'n e State Certification/Registration # (- f 1 (12 -7a CZ Notarized Signature of License Holder IFEVIMMIll '` )+ ' COMMISSION ! D . ' .. J Swon ' Mq" + `4►± •, i da f R eh 20 /1 Signature of Notary 'Misr a o.- cA CITY OF ATLANTIC BEACH " ` 800 SEMINOLE ROAD U "=" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 10- 00001456 Date 5/26/11 Property Address 1827 OCEAN GROVE DR Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 560194 Application desc new home Owner Contractor COUGHLIN KELI A GRIDER CONSTRUCTION INC 1827 OCEAN GROVE DR. 2057 VELA NORTE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 463 -4606 - -- Structure Information 000 000 SINGLE FAMILY DWELLIN Construction Type . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . ENVIRONMENTAL A/C SERVICES,INC Permit Fee . . . 147.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/22/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent R t � o Public Utilities. AI PERMIT IS 'Pi(3VE.SUILV itiNa L tOF �L ICE H 4 4 MIAI $I11E FLORIDA BUILDING CODES. x „ `z CITY OF ATLANTIC BEACH j � n y 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ` INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 10- 00001456 Date 5/26/11 Special Notes and Comments and container cannot be placed on City right -of -way. A post construction topographic survey document proper construction is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE MECH DCA SURCHARGE 2.21 STATE MECH DBPR SURCHARGE 2.21 Fee summary Charged Paid Credited Due Permit Fee Total 147.00 147.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.42 4.42 .00 .00 Grand Total 151.42 151.42 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 Q JOB ADDRESS: 0 27 o (" e ,il (oi 12{ PERMIT # JQ"(yrC PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity g- Tons Per Unit 3 i 3, S' Heat: Unit Quantity BTU's Per Unit c y , (cr ,�,Seer Rating /3 Duct Systems: Total CFM i� REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # HOG9 / / f /olny��2 Air Conditioning: Unit Quantity Tons Per Unit REQUIRE Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators /Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name f4 Phone Number Mechanical Company - `1v6✓o� �G Office Phone g7, Fax . 75-c 7 S-eY ° Co. Address: gil"Q Crre re, 19,^ 41/66 City 2 State 1Q- Zip License Holder (Print): ri/ i � Gf State Certification/Registration # L/gG�DS' Notarized Signature of License Holder ► 4 FIP F Ar Sworn and subscribed be ore 4 . , da ' % 20 • Signature of Notary Public ■ AI9!l CERTIFIED TM www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 1106414 Date: 5/26/2011 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 4TWR3036A1 Indoor Unit Model Number: 4TEE3F37B1 Manufacturer: TRANE Trade /Brand name: XR13 WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 35600 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh) @ 47 F: 34000 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 19900 * Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION 'AC, The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air Conditioning, Heating, click on' Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on ■a ami which the certificate was issued, which is listed above, and the Certificate No., which is listed below. and Refrigeration Institute ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129508955261535560 A195!1 CERTIFIED TM www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 1106422 Date: 5/26/2011 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 4TWR3042A1 Indoor Unit Model Number: 4TEE3F40B1 Manufacturer: TRANE Trade /Brand name: XR13 WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 41500 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 Heating Capacity(Btuh) @ 47 F: 40000 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 23600 Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION ILICO' The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on Air-Conditioning, Heating, which the certificate was issued, which is listed above, and the Certificate No., which is listed below. •al -' and Refrigeration Institute ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129508955650873840 , /' � CITY OF ATLANTIC BE j =. BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . 10- 00001456 Property Address 1827 OCEAN GROVE DR Date 6/10/11 Application type description SINGLE FAMILY RESIDENCE Property Zoning Application valuation • TO BE UPDATED • 560194 Application desc new home Owner Contractor COUGHLIN KELI A GRIDER CONSTRUCTION INC 1827 OCEAN GROVE DR. 2057 VELA NORTE ATLANTIC BEACH FL 32233 ATLANTIC BEACH - -- (904) 463 -4606 FL 32233 Structure Information 000 000 SINGLE FAMILY DWELLIN Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL GAS PIPE PERMIT Additional desc . GAS PIPING ONLY Permit Fee 75.00 Ism Dae . Plan Check Fee .00 Valuation 0 Expiration Date . • 12/07/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVI IONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. Roll off container company must be on City approved list PERMIT IS APP OVES RX.0 APTH l P-Ff,' �1 } , t R AND THE FLORIDA BUILDING CODES. C YC � tt t9 0 ' .� CITY OF ATLANTIC BEACH zs1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 , INSPECTION PHONE LINE 247 -5814 Application Number 10- 00001456 Page 2 Date 6/10/11 Special Notes and Comments A post construction topographic survey document proper construction is required. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 Plan Check Total .00 .00 .00 . .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: /f 7 Oc- C,v i 2 0 V e- J 2 PERMIT # /0 — /kS, PROJECT VALUE $ .SIV0 - 0 0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Duct Systems: Total CFM Seer Rating REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit ARI # Heat: Unit Quantity BTU's Per Unit REQUIRED Duct Systems: Total CFM Seer Rating REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value Fire Hose Cabinets (Requires 3 sets of plans) Commercial Hose Cabinets Quantity (Requires 3 sets of plans) Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets .2 Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) (/) 6011443 Wells OTHER: s AS' AI, AV 0Ally Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company a G''i4 S'CD w,) Office Phone S 3 71/ � /Fax 7,,,,? / -S7 3 7 Co. Address: ? 70 9 /41 cv A v City fA)c State w�L Zip3 22// r License Holder (Print): "" AY &,A/ (IC AA) b - �[ ' j State Certification/Registration # 92 7 � Notari ed Signature of License Holder „ 444._...---= _ s ". b eso AWDA W►I • worn and �'�'� ribed before , e 's l 0 day 20 1/ ISSI°N E X PI RES: May # EE 015 ` cowl 8 ______ r 21 2015 s ignature of Notary Public / (A-(1`-- _. ova n P ectic Underwriters 's.) 0 6 00 ,F, V 57 5/0