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Permit 50 Lewis St (vault folder) PERMIT WORKSHEET JOB ADDRESS = l— �``� 5 TYPE WORK IQ'C\`V PROPERTY OWNER OC'CI CWS 110b)RNa TELEPHONE CONTRACTOR._ aC_6k CJ'1 e 5 �"I G�I�i' --± TELEPHONE PERMIT NUMBER �� �% DATE ISSUED I 2-21 0 '�3 INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEATHING FRAMINGICOVER UP �� - INSULATION 3- aL,03 FINAL BUILDING CERTIFICATE OF OCCUPANCY TREE PERMIT ISSUED? PERMIT NUMBER ELECTRICAL PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER ar If Ll Lj DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC fp- ` - a RELEASED TO JEA TEMP. POWER RELEASED TO JEAN TEMP. POLE` = 2 `�'3 RELEASED TO JEA_ Z J� 2-a3-�3 FINAL 6,71 MECHANICAL PERMIT NUMBER INSPECTIONS: ROUGH 1"A-- o FINAL PLUMBING PERMIT NUMBER 02--Z5L4 INSPECTIONS: ROUGHIUNDERSLAB TOPOUT Co - WATERISEWER FINAL i DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGISHEATHING FINAL FAILED INSPECTIONS: DATE PD. DATE PD. U. ,rf CM OF ATLANTIC BEACH 800 SEtiIINOLE ROAD J ATLANTIC BEACH,FLORIDA 32233-5445 I . ,., TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.adantic-bcach.fl.us -- -------------- ------------------- ------------- ------------- =--------------- -- ----------------------------- � ___ h, jr6o L, I� ^yam J �yi .. CTTYOFATLANMCBEACH 800 SEtiIINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 1 sib TELEPHONE:(904)247-5800 �.. FAK(904}247-5805 SUNCOK-852-5800 F " http://ci atlantic-beach.S-us � �--- - --� -- ----- '� -----3-------------- T'D.•_ r� ----------------------- ��� __ ----- -------------------------------------- ------------------ gr ----'------------------------------- City of Atlantic Beach ttt Rul" ttt Oper: DSMITR Type: OC Drawer: 1 Date: 1/22/83 81 Receipt no: 29576 Description 25368 My Anount 2W2BP BUILDING PERMITS 1 92475.99 Tender detail CU CHEM 6948 $2475.99 Total tendered $2475.99 Total paysent $2475.99 Trans date: 1171163 Tine: 14:47:59 't St CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j v ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025368 Date 6/27/03 Property Address . . . . . . 50 LEWIS ST Tenant nbr, name . . . . . . NEW SFR 1100RADON, 1100SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 52800 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 56 LEWIS STREET P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/22/03 Valuation . . . . 52800 Expiration Date . . 7/21/03 ------------------------ ---------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .27 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 4 . 95 AB CONSTRUCTION SURCHARGE . 55 STATE RADON SURCHARGE 5 .22 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 330 . 00 WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 2475 . 99 2475 . 99 . 00 . 00 Grand Total 2475 . 99 2475 . 99 . 00 . 00 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD j r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 y,Si19r Application Number . . . . . 02-00025414 Date 6/27/03 Property Address . . . . . . 50 LEWIS ST Tenant nbr, name . . . . . . INSTALL 11 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT CHRISTY FIRST COAST PLUMBING 56 LEWIS STREET P .O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . 1/13/03 Valuation . . . . 0 Expiration Date 12/17/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 P\. Application Number . . . . . 02-00025368 Date 6/27/03 Property Address . . . . . . 50 LEWIS ST Tenant nbr, name . . . . . . NEW SFR 1100RADON, 1100SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 52800 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 56 LEWIS STREET P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . 3/12/03 Valuation . . . . 0 Expiration Date 12/17/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 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. BUILDING OFFICIAL t f QgCityy of Atlantic Beach *** CUSTOMER RECEIPT **m 6per. DSMITH Type: DC Drawer: i Date: 3(12/83 01 Receipt no: 41499 Description 253fi8 Qty Amount BP BUILDING PERMITS 1 $71.08 2083 25676 j BP BUILDING PERMITS 1 $71.88 Tender detail CK CHECKS 7108 $142.00 Total tendered $142.80 Total payment $142.00 Trans date: 3112/03 Time: 9:54:46 f 4i r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025368 Date 3/12/03 Property Address . . . . . . 56 LEWIS ST Tenant nbr, name . . . . . . NEW SFR 1100RADON, 1100SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 52800 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 56 LEWIS STREET P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71. 00 . 00 . 00 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 PART OF THIS FERMI, D S CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL �x r CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: rA� A- Job Address: ; Contractor: H 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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Til. GENERAL INFORMATION A. TY of heating fuel. 8, Electric t5 OTHER CONSTRUCTION BEING DOME ON THIS CI Gas_ -,,,,,LP Natural 416entral Utility BUILDING OR SITE? 13 oil 0 Other—Specify IF YES,GIVE NUMBER OFC NST I. '.PION PERMIT ® — X33 IV. MECHANICAL EQUIPMENT TO BEYATUREOFWORK INSTALLED 9' Residential or Commercial 8' New Building (Provide complete list of componentip back of this form) U Existing Building Z—Heat _Space _Recessed —Central _Floor p Replacement of Misting system iY Alt°Conditioning R m centra,} I� New Installation(No system previously installed) t3� Duct System: Material---Thickness-- © Extension or add-on to existing system Maximum capad cfm C7 Other-Specify C3 Refrigeration a Coding tower: Capacity 0 Fire sprinklers: Number of heads C] Elevator: _ Mantift Escalates (Number} TiIIS SPICK FOR OFFICE USE ONLY C3 Gasoline pumps (Number) (Eteetivtd) C3 Tanks (Number) Remarks C3 LPG containers (Number) D Un6rod pressure vessel Ptrmit Approved by Date U Bolters Q Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Modal N mbgr Manufacturer capacity Approving ( �( (Tons) ncv HEATING FURNACES,BOILERS,FIREPLACES Number Units rtptt' Model Number I tufacturer Capacity Approving OBT Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 80®Seminole Road+Atlantic Beach,Ftorida 32233-SUS Pbent:(944)247-580+Fax:(904)247-5845+ httn;ltwww.ci.atlant#r-beach.A.to 1114103 CITY OFATLANTIC BEACH 800 MUNOLE ROAD k, ATLANTIC BEACH,FLORIDA 32233-5445 a. TELEPHONE:(904)247-5800 �. FAX(904)247-5805 SUNCOM:852-5800 http://ci.atiantic4xwh.f.us 4r f 4 OFFICE OF THE CITY CLERK Phone:(904)247-5810 Fax:(904)247-5846 March 7, 2002 Ms. Shannon Nazworth,Associate Director Beaches Habitat Post Office Box 50939 Jacksonville Beach, FL 32240 Dear Ms. Nazworth: This is to advise that the Atlantic Beach City Commission, on February 25, 2002, forgave the lien against property located at 56 Lewis Street, as requested in your letter of February 13, 2002. A copy of the recorded Release of Lien is enclosed for your records. Sincerely, Maureen King Certified Municipal Cl`irk Encl. R r9 1'iBook 10385 page 1152 *� 110119+!. RETURN � � PHONE# '�% 4735 52 F, o�o6n�uue 41:ozln PR NUAR EM t9w Cm WKL CUM� FUM n 's:� Prepared By, Record and Reftm To: Maureen King, City Clerk City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 RELEASE OF LIEN The undersigned,does hereby certify that a certain lien, in favor of the City of Atlantic Beach and against J.V. Moss or Heirs dated May 9, 1996, upon the following described property situated in the County of Duval, State of Florida,to-wit: 56 Lewis Street,Atlantic Beach,Florida,32233, a/k/a N. %Lot 11,Block 3,Dormers Replat,RE#172226-0000 and verified statement and claim for said lien being recorded in Official Record Book 8357, Pages 1869- 1870, current public records of Duval County, Florida, on May 31, 1996,is fully satisfied, released and discharged,the claim secured thereby having been paid in full, and the Clerk of said county is hereby authorized and directed to cancel and discharge same in accordance with Florida Statutes. CITY OF ATLANTIC BEACH witness Qt�t,te t.� z J'Ist7 �— James R. son, City Manager The foregoing instrument was acknowledged before me this agl�k day of February, 2002, by James R. Hanson,City Manager, City of Atlantic Beach,Florida, on behalf of said entity,who is personally known to me es— ie a0lueed as identification. �D;=MAUREN ION G name: Notrry Punk-5tote oNotary Public, State ofMy Commission 0= ,x%PriCommission;ii CC7 My Commission expires: � 11 Dec IS 01 04: 44p MRUREEN KING 904 24'I ba4b AGENDA ITEM 8A _ FEBRUARY 25,2002 Book 8357 Pg 1$69 Prepared by: Return to: Suzanne Green, Attorney Maureen King, City Clerk, 708 North Third Street 800 Seminole Road Atlantic Beach Fl 32233 Atlantic Beach F1 32233 ORDER AND CLAIM OF LIEN The Code Enforcement Board of the City of Atlantic Beach, having found that proper notice was given to J.V.Moss or Heirs regarding violation of the Standard Housing Code, Chapter 3, Minimum Housing Standards; that J.V. Moss or Heirs has either failed to request a hearing or has not remedied the violation; thaw the City of Atlantic Beach has caused the violation to be remedied at the expense of J.V. Moss or Heirs ; and that the City Manager or his designee has certified to the Director of Finance the expense incurred by the City of Atlantic Beach in remedying the violation. It is the Order of the Code Enforcement Board that a Claim of Lien be filed against J.V. Moss or Heirs , and shall be recorded in the public records of the office of the Clerk of the Circuit Court in and for Duval County which shall be payable with interest at the rate of ten percent (10%) per annum from the date of certification until paid. This Claim of Lien is for unpaid assessments and interest on such assessments together with administrative expenses and any advertising costs incurred by the undersigned representative of the City of Atlantic Beach incident to the collection of the assessment and enforcement of this lien, which is granted by Florida Statute 162. 09 and Standard Unsafe Building Abatement Code, Chapter 6, Sec. Dec 18 01 04: 44p MRUREEN KING aUIr car t on-ro AGENDA ITEM 8A FEBRUARY 25,2002 Boolt 8357 Pg 187 162 . 09 and Standard Unsafe Building Abatement Code, Chapter 6, Sec. 601 .2 . 2, upon the following described property in Duval County, Florida: 56 Lewis Street Bk: 8357 Pg: 1869 - 1870 a/k/a N. ;i Lot 11, Block 3, Donners Replat Doc# 96111210 Filed & Recorded 05/31/96 RE# 172226-0000 08.35:22 A.M. HENRY W. COON, CLERK. CIRCUIT COURT DUVAL COUNTY, FL REC. $ 10.50 OWNER: J.V. Moss or Heirs This Claim of Lien is to secure payment of the official assessments against J V Moss or Heirs by the City of Atlantic Beach in the following amounts : City of Atlantic Beach Expense of remedying the public nuisance: $ 1, 270 - 00 Administrative Expense : $ Advertising Cost: $ TOTAL DUE: $ 1, 270.00 PLUS: Interest of ten percent (10%) per annum from the date of Certification: May 7, 1996 Executed this 6�t_"Z day of 1996 CITY OF ATLANTIC BEACH BY: G. Edward Mart-IN Chairman STATE OF FLORIDA Code Enforcement Board COUNTY OF OLN (-;L_ Swornto(or affirmed)and subscribed before me this_yday of , 19 , by ej . 4 . n 1 eVit,-;,,� /LAI� (Notary Stamp) +f^'�, ,o MRUREEN KING Sig tura of Notary i Notary Public, State of Florida �T„__ }:' My Comm. Exp.Mar,31, 1996 Personally know,_.K or Produced Identification °••�' Gumm. No.CC 359683 AGENDA ITEM 8A FEBRUARY 25,2002 t Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. February 13, 2002 City Commission City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Dear City Commission, I am writing to request that the City of Atlantic Beach waive the City of Atlantic Beach Expense of remedying the public nuisance lien it holds against the property located at 56 Lewis Street. A copy of the Order and Claim of Lien is attached. Beaches Habitat has purchased this property on which it will build a home for a low-income family. Beaches Habitat is an ecumenical, Christian housing ministry. It was incorporated as an affiliate of Habitat for Humanity International in 1992. Our mission is to eliminate substandard housing at the Jacksonville Beaches. To do this we bring together members of the community to build low-income homes in partnership with families in need. As of 2001 we have built 75 homes, serving over 225 family members. Beaches Habitat is among the top 50 (of over 1,600) Habitat affiliates in the United States. In 2000 we won Habitat for Humanity International's Jimmy Carter Award for building the most number of homes in the southeast U.S. per capita. Beaches Habitat relies on donations from churches, corporations, individuals and foundations to fund the construction of homes. To keep the cost of the homes down, Beaches Habitat uses volunteer labor for almost all phases of construction. The average cost to construct a home (excluding land and governemnt fees) is under $30,000. Thank you in adavance for your consideration of this request. RECEIVED s orth FFR 1 4 2002 Associate Director OFFICE OF THE CITY CLERK P.O. Box 50939 - Jacksonville Beach, Florida 32240 - (904) 241-1222 AGENDA ITEM 8A FEBRUARY 25,2002 This instrument was prepared by: HAYWOOD M. BALL DONAHOO, BALL&MCMENAMY,P.A. 50 North Laura Street, Suite 2925 Jacksonville,Florida 32202 .(904) 354-8080 SPECIAL WARRANTY DEED THIS DEED made this IS day of January, 2002 by ALISE MOSS VETICA, a married woman and ABAGAIL MOSS AUDATE, a married woman (the "Grantors"), who are the heirs at law and next of kin of J.V. MOSS, deceased, whose mailing addresses are 644 NE 9`b Avenue, Gainesville, Florida 32601 and 2444 Fernside Road, Jacksonville, Florida 32216, respectively, to HABITAT FOR HUMANITY OF THE JACKSONVILLE BEACHES,INC.,a not forprofit Florida corporation,d/b/a BEACHES HABITAT(the"Grantees"),whose Federal Employer Identification number is 65-0234544 and whose mailing address is Post Office Box 50939, Jacksonville Beach, Florida 32240; WITNESSETH: That Grantors, for and in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, have granted, bargained and sold to Grantee, its successors and assigns, in fee simple forever, the real property located in Duval County, Florida, identified by Property Appraiser's Tax Parcel Identification Number 172226-0000, being more particularly described as follows, to wit: The North V2 of Lot 11,Block 5,DONNER'S REPLAT,according to the plat thereof as recorded in Plat Book 19,Pages 16 and 16A, of the public records of Duval County, Florida. THIS PROPERTY IS NOT THE HOMESTEAD OF THE GRANTORS. This conveyance is made subject to covenants, restrictions, conditions and easements of record and taxes accruing subsequent to December 31, 2001. And Grantors does hereby fully warrant the title to said land against the claims of all persons who derive a lawful claim thereto by,through or under the Grantors, and Grantors will defend the title against any such lawful claims. AGENDA ITEM 8A FEBRUARY 25,2002 IN WITNES S WHEREOF,the Grantors have executed these presents as of the day and year first above written. Signed and delivered in the presence f: ex i s ALISE MOSS VETICA Print n e below signature itnesq 'M/ dLu"oj 41t) Ct ..cu'j...0.....a-�C d ai Print nazbelow signature STATE OF FLORIDA COUNTY OF ALACHUA The foregoing instrument was acknowledged before me this ay of January, 2002, by ALISE MOSS VETICA, a married woman, a Grantor named therein,who [ ) is personally known to me or [ ] has produced a Florida drivers license as identification [check one]. Notary Public Marci B.Brown State of Florida at Large *; +.MY COMMISSION#CCS75150 EXPIRES .o, September 30,2003 a'-f" BONDED TFIRU TROY FAIN INSURANCE,INC [ py►�j�j( �j . /moi��7G�� ] Print name below signature [Affix Notary Stamp] My Commission Expires: My Commission No.: 2 AGENDA ITEM SA FEBRUARY 25,2002 Signed and delivered in the presence of: _ f A6 li ess AG MOSS AUDATE [. ..�-. . .1 .. ..... Print name below signature Witness nr .................................... ........ Print name below signature STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this -day of January, 2002, by ABAGAIL MOSS AUDATE, a married woman, a Grantor named therein, who [ ] is personally known to me or[ ) has produced a Florida drivers license as identification [check one]. ••'; '7' Marc!B.Brown 1 *I ,- *° M1'COMMISSI #CCO75750 EXPIRES Notary Public September NI 2003 BONDEState of Florida at Large DhiRU7'ROyFAININSURANC�ING g Print name below signature [Affix Notary Stamp] My Commission Expires: MyCommissionNo.: T:UMMIosings-Real Estatek1260 HabitatU29 porchue from N Moas\Speeial WD.wpd 3 s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 J IQ fir' Application Number . . . . . 09-00000954 Date 7/06/09 Property Address . . . . . . 50 LEWIS ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6 X 3 SHED ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BALDWIN OWNER 56 LEWIS STREET ATLANTIC BEACH FL 32233 ------------------------------------------------- --------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/02/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Eye• Anchor Kit Instructions Do-it-Yourself protection for most outdoor structures or possessions. FILE C J . I I S Includes: 3011 Anchors, _ Wire Clamps & 60 ft Cable Part #59075 l ` aQ 1. Install ground anchors as close to the building as possible at all four corners. A. Install anchors using a straight rod to turn (screw)anchor into the ground. B. A starter hole, up to 1/3 of the anchor length can be used to start anchor into the ground. Once the anchor eye is level with the ground, backfill the soil and pack area around the anchor eye. C. Anchor eye should be just above soil level. 2. Cable can be secured to the building using the following methods. A. Attach one end of the cable to an anchor using the wire rope clip. Cable goes thru the anchor eye and is clamped together using the wire clip. Place the cable over the roof to the opposite anchor,loop cable thru anchor eye. Cut cable to have enough to attach to the anchor. Pull cable tight,attach wire rope clip, tighten nuts. Repeat for other side. B. Attach cable to the side wall studs.Additional hardware required,bolts,washers nuts and wire rope clips. All available at your local hardware supply. NOTE: These instructions-are for suggested attachment to small shed not located in high wind areas. For more detailed anchor requirements, see the wind zone charts for your area.You may need additional anchors, cable,wire clamps or other forms of anchor attachments to the shed to,meet local or stale requirements. Twelve(12) Month Limited Warranty All tie down anchors,when installed in accordance with the manufacturers recommendations and when used within the suggested capacities are guaranteed for 12 months from date of purchase against defects in material or workmanship. If returned prepaid to the factory.TIE DOWN ENGINEERING will replace without charge the defective part.Labor delays or damage are not covered by this warranty and while this warranty gives you specific legal.rights,you may also have other rights with vary from state to state. Instruction#08091www.tiedowti.com (404) 344-0000 Fax (404) 349-0401 TIE DOWN ENGSNEERING 255 Villanova Drive SW ,, Atlanta, GA 30336 I I o Calculation Chart Instructions Example: Note* Wind Zone If chart shows 12' x 18' building: ;—; - - - - - - - - - - 1. Looking in 12' column - Use lowest value in the 12' column for the ; - ; - `- - - - - number ofanchors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2. Looking in 18' column - find the corresponding width of 12' to Wind Zone II obtain the number of anchors for the 18' side . . . . . . . . . . . . . . . . . . 5 ; , 12' x Shed (if building width exceeds the widths shown in the Building Width column, use the lowest number of anchors in the corresponding ' Building Width column) *NOTE. Anchors at the corners shall be counted only once in the quantity required for each side or face of building. ,! ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3. Total Anchors needed per 12' x 18' shed in Wind Zone 11. . . . . . . . . . . . .12 Building Building Length(ft.) Width (ft) 5 6 8 10 12 14 16 18 20 22 24 1 26 28 1 30 32 5 2 2 3 4 4 5 6 6 7 7 8 9 9 10 11 6 - 2 3 3 4 5 5 6 6 7 7 8 9 9 10 --- 7 - - 3 3 4 4 5 5 6 6 7 7 _ 8 & 9 8: - 3 3 4 4 5 5 6 6 7 7 8 8 9 10 - - 3 3 4 4 5 6 6 7 7 8 8 12 - - - - 4 4 `2 6 �6 7 7 8 8 4 5 �_ 6 7 7 -$ 8 9 16 - - ._. 5 5 6 6 7 7 8 8-- 9 18 - - - - - 6 fi 7 7 8 8 9 9 w N Basic Wind Zone Map o N WA M, ND NH MN Af SD WI OR ID C WY M1 NY of NH PA MA IL IN OH CT NJ TIE DOWN ENGINEERING INC. Dom Wind Zone: 1 Anchor Description: 112"x 30"Eye Anchor w/4"Helix. w Model Number. 59055 z O Building Building Length(ft.) 1 Width (ft.) 5 6 8 10 12 1 14 1'6 1 18 20 22 24 26 28 30 32 A 5 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 6 2 2 2 2 2 2 2 2 2 3� - 3 3 3 3 7 - - 2 2 2 2 2 2 2 2 3 3 3� 3 3 N 8 - 2 2 2 2 2 2 2 2 3 3 3~ 3 3 _ 2 2 3 3 3 3 3 12 -_ - ? 2_...._ ......__2 2 —":2 2 3 3 3 3 3 4 14 - 18 _ _ _ _ - - 2 3 3 3 3 3 4 4 4 18 _ -- - - - 3 1 3 1 3 1 3 1 4 1 4 1 4 4 Ny Wind Zone: 2 Anchor Description: 112"x 30"Eye Anchor w!4"Helix Model Number. 59055 W Building Building Length(ft.) Width O (ft,) 5 1 6 8 10 1 12. 1 1.4 11 16 18 20 22 24 26 28 30 32 5 2 2 3 4 4 5 6 67 7 8 9 9 10 11 6 - �2 3 —3 -4- 5 1 5 ..6. _6_ 7 7 8 9 9 10 A 7 - - 3 3 4 4 5 5 6 6 7 7 8 8 9 Ca 8 3 3 4_ 4 5 5 6 6 7 7 8 8 9 10 - - - 3 3 4 4 5 5 6 —6 7 _ 7 8 8 12 _ ......_ 3.... 4 4 5 56 6 7 7 $ 8 14 __...... - - -_.._.. _ 4 5 5 6 6 7 7 $ 8 - 9 16 - - - - - - 5 5 6 6 7 - 7 8 8 9 _. _ 6 6 7 7 8 8 9 9 N Wind Zone: 3 Anchor Description: 112"x 30"Eye Anchor w/4"Helix N Model Number. 59055 N Building Building Length(ft.) Width O (ft) 5 1 6 8 10 12 14 16 18 20 22 24 26 28 30 1 32 5 2 1 3 4 4 5 6 7 7 8 9 10 10 11 12 13 6 - 3 3 4 5 5 6 7 7 8 9 9 10 11 12 —. A 7 _ .-....- 3 4 4 5 6 _ 6 7 8 8 9 9 10 11 — 8 _ 3 4 4 5 8 6 7 7 8 8 9 10 10 _._ 1D _ - _3 4 5 _5 6 6 7 8 8 9 9 10 12 - - _ __. 4 _ 5 5 6 6 7 8 8 9 9 10 14 - - - 5 5 6 7 7 8 8 9 1D 10 16 _ _ _ - _ - 6_ 6 7 8 8 9 9 1 14 111— 18 7 7 8 9 9 10 11 11 Notes: 1) Maximum 102"building height. e0 RADCCOO 2) One anchor shall be placed at each corner of building. 3) Any required anchors between corners shall be spaced equidistantwo FEB 14 2009 a apart from each other. .. m A1 4) Number of anchors required per side shall be determined by finding 4C P�WER��GT� quantities listed in columns. Eye Anchor Kit Instructions Do-it-Yourself protection for most outdoor structures or possessions. Includes: 3011 Anchors, Wire Clamps & 60 ft Cable Part #59075 1. Install ground anchors as close to the building as possible at all four corners. A. Install anchors using a straight rod to turn (screw)anchor into the ground. B. A starter hole, up to 1/3 of the anchor length can be used to start anchor into the ground. Once the anchor eye is level with the ground, backfill the soil and pack area around the anchor eye. C. Anchor eye should be just above soil level. 2. Cable can be secured to the building using the following methods. A. Attach one end of the cable to an anchor using the wire rope clip. Cable goes thru the anchor eye and is clamped together using the wire clip. Place the cable over the roof to the opposite anchor, loop cable thru anchor eye. Cut cable to have enough to attach to the anchor. Pull cable tight, attach wire;rope clip, tighten nuts. Repeat for other side. B. Attach cable to the side wall studs.Additional hardware required, bolts,washers nuts and wire rope clips. All available at your local hardware supply. NOTE: These instructions-are for suggested attachment to small shed not located in high wind areas. For more detailed anchor requirements, see the wind zone charts for your area.You may need additional anchors, cable,wire clamps or other forms of anchor attachments to the shed to meet local or stale requirements. Twelve(12) Month Limited Warranty All tie down anchors,when installed in accordance with the manufacturers recommendations and when used within the suggested capacities are guaranteed for 12 months from date of purchase against defects in material or workmanship. If returned prepaid to the factory.TIE DOWN ENGINEERING will replace without charge the defective part.Labor delays or damage are not covered by this warranty and while this warranty gives you specific legal rights,you may also have other rights with vary from state to state. Instruction#08091 Ai J, TIE DOWN ENGSNEERINGDrive WWW.tiedowri.com (404) 344-0000 Fax (404) 349-0401 DO 11 City of Atlantic Beach APPLICATION NUMBER Building Department (To be.assigned by the Building Department) 800 Seminole Road Atlantic Beach,Florida 32233-5445 - Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: httpJ/www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �d Zwis Sri T ent review required Yam No Applicant: �,�� nn' &Zo ' / Tree Administrator Project: X N�� Public Works Public Utilities Public Safety Fire Services � � F a .t Siq.a: � a{E , Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineem Division of Hotels and Restaurants Division of Alooholic Beverages and Tobacco Other. APP CATION STATUS Reviewing Department First Review: 9pproved. ❑Denied. (Circle one.) Comments: (B:UIL:D�IN� PLANNING&ZONING Reviewed by: `� Date: -/-©q TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 CITY OF ATLANTIC BEACH I 09- SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE(904)247-5626•FAX NO.:(904)247-5845 BU ILD ING-DEPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 2,NALUATIONOF WORICt. ,, "' 3::SO.Fr.UNDER ROOF;=_ + J,5 re �dD . o [i 47lL "''DESCRIPTION 4.,, ;{; 5.1CLASS OFyMORl4 - s! .7.„ 6':U E OF STRUCTURE_ ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL 77,LOT�6LOCKy SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL i' ❑ALTERATION ❑ACCESSORY BLDG. 8:FIRE SQRINb ER e-aaGG ( [IREPAIR ❑POOL/SPA 13YES 11N/A v� ❑MOVE ❑OTHER 1 VNO 77-777j";.PROPERTY OWNER_ ',. t°; CONTRAQTOR 7- t „�,JIRCHITEGT I ENGINEER. ' " �, t �9,NAME: /` 15.COMPANY NAME 23,COMPANY NAME "'r µ r vQ l dto�n 16.NAME: 24.LICENSEE NAME 10,ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 56 Lewis S4 r ec f 18.ADDRESS: 26.ADDRESS: A=-1lan4ie' 3e0t^_h, PL 32233 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.C,Ey L PHONE: 21.CELL PHONE: 29.CELL PHONE '1 12A / Y -9,72-0619 14.EMAIL ADDRESS: 22,EMAIL ADDRESS: 30.EMAIL ADDRESS: ' s FEE SIMPLE TITLE HOLDER u BONDING COMPANY ') �" a MORTGAGE LENDER 01HER THAN ONMER). .. pF 31,NAME: 33,NAME: 35.NAME: 32.ADDRESS: 34,ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *�Nr WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA LENDER OR AN ATTORNEY BEFORE RECORDING Y R N T OWE OWNER or AGENT'' C, T rs (If Agent,Power of Attomey o�Agency L`ette[Required), n1Y) Signed: Date: Signed: � t r a ` Ik;��- Before me this day of 2009 in the county of Before me thi D c un Duval,State of Florida,has personally appeared Duval,State f Florid oqjl S ITE FOR herin by himself/herself and affirms that all statements and declarations are herin by himIf/hEAU F 11�I�min— t true and accurate. true and am te. G n i Notary Public at Large,State of ,County of Notary Public a Large,Mate or eu-Ity ef ❑Personally Known ❑Personally Known [I Produced Identification- 11 Produced Identification- Notary Signature: Notary Sig REVIE ED FOR CODE COMPL CE CITY OF ATLANTIC BEACH SM PERMS FOR ADDITIONAL BLDG01 Permit Application Bldg:REVISED:12/1812006 REQ IRl NffiNn AND CONDITIONS. REVIEWED BY: ` DATE: ... City of Atlantic Beach APPLICATION NUMBER Building Department o be assigned b the Building De artment. ss� R 9 Y 9 P ) 800 Seminole Road p- _ Atlantic Beach, Florida 32233-5445 / Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1.�u1�.s dT���� De ent review required Yes No Applicant: _eT5Ga_nnjnq &Zo ,t Tree Administrator Project: X ��� Public Works Public Utilities Public Safety Fire Services -g '�+—'. ..a'�' Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICAT STATUS Reviewing Department First Review: pproved. [-]Denied. (Circle one.) Comments:,� BUILDING �W�N_IN &ZONIN (� Reviewed by: ' Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Flsv�avL�ed Date: Revised 05/14109 CITY OF ATLANTIC BEACH 83009�_ s" 0 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ' I ' OFFICE(904)247-5828 a FAX NO.:(904)247-5845 BUILDING4)EPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 576 S &rtat �eD , oG i �LA LOT BLOCK 13 NEW BUILDING ❑DEMOIMON SUB DMSION RESIDENTIAL ❑ADDITION ❑coNVERTING LfSE ❑coMMERcwL 4EtlGR: ._dN e „ _ fib."2.'c• ❑ALTERATION ❑ACCESSORY BLDG -fJR0SVffl G t ❑REPAIR ❑POOL/SPA CO,❑. WA vlJ 13MOVE O OTHER ad N RROfiRTTOWNER I. gyp= i; , #� 3 COIITi 1 1R a_ --ARCH_ _r_ c"�r.=�' rr="... .. _1TEGi?f.ENfaMEER NAME jQ 15.COMPANY NAME: 23.COMPANY NAME: r• I^. -"a���f n 18.NAME 24.LICENSEE NAME 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE N04 56 Lewy 6 S-�-r&e-f �j ,441an4 C Beach/ t'L 3`1h/� 33 /8.ADDRESS: 26.ADDRESB 11.OFFICE PHONE T7 NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE 26.FAX NO.: 13.C PHONE 21.CELL PHONE 29.CELL PHONE 9 - 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: a OF.fl17 #f ,, ,, (RMPA R �` '�AGE LENDER ski��� 31.NAME: 33.NAME E N^35.NAM 32.ADORESS: 30.ADDRESS: 38.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pemrit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if Worts is not commenced within sbc(6)months, or if Construction or work is suspended or abandoned for a period of sbc(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,HsateM Tanks, Air Conditioners,ste. OWNER'S AFFIDAVIT-I certify that all the foregoing irdbrmation is accurate and that all wok will be done in compliance with all applicable lam regulating mon and zoning.I wig not occupy or use the referenced building or any part ther&,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NEW ... /1 �� '� n i/ 2c"� 4' $.rx .+.. ^['I1Ya(2.. Y,YS �F:YFT'K 4•_. �. '4h 'F � �4� 'y ( - e 1�1!� \ryyy�� a� .. _ .. Ru.! '�: .- .c..� Yu�A� L-"i` .*....:. _,., Signed: Date" Signed: Date' Before me this day of .2M In the county of Before no this day of .2W9 in the Minty of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himsW/herself and affinns that ad statements and declarations are harm by hinteelf/herself and affirms ms that a®statements and declarations are true and accurate. true and accurate. Notary Public at targe,Stab of .County of Notary Public at large,State of .County of ❑Perwndy Kwvn ❑Penvupy Known ❑Produoaed Iden- ❑Produced mar- Notary Signature: Notary Signature: BLDG01 Permit Application Bldg REVISED:12M8r2008 FOR OFFICE/USE ONLY Date.--- i--- ----------19'x. © � Permit # Q -•--•- .Fee$ ..."...•••. ........ y Valuation $ .gip _o._.o_- ............... House #----------------------------------------------------------- a ........................................................................ --------------------------------------------------------------------------- Application is �—� of the plans and specifications herewith submitted for the building or c compliance and conformity with the Building Ordinance of the City of the State of Florida, all ordinances of the City of Atlantic Beach and all W City of Atlantic Beach, shall be complied with, whether herein specifi4 [ The Cont Permit is automatically responsible to ascertain that all sub- contractors ei J _ Beach,Florida. To prevent delay or embarrasment regard- ing intermedi -contractors be submitted to this office so that licenses can �� r-, be verified. _ ------------------------------------------------------- Owner_ � li, ..................----•-----------Telephone No.-----••-------•---- ArchiteO p T 1., _._� •--••---------------------------Tele hone No.---------------------- Contrac C ,,-; Telephone No.......... . ... .. Lot No. t !JI�C 1� � '- ----------- -----Zone---- �J Ci - ------------ ---•--S . ---------------•--------and._. ts. Valuati .. .. .. D ------Type of construction--- ---— Size of Footings.___ Dimens I„_I c -------..,Size X'YO - i Type RoofK. � ��. Size of a - in ft..-...._6..-- M ,, How w y {j° ? a on Solid or Filled Ground?__._JQ/_c _.....__.... tidw r Size of Oi i i, 1 ,�, -; ., c•_- ................ Greatest Span--------------------•-•------•--------.... 40 J em Size of r- a, „ ----------------, Greatest Span-.-_-----_-----------------_- ------ Size of N -. --- ------, Greatest Span...---------------------------------- M ---- --- -m C F = This rectangle is to represent the lot. H r y Locate the building or buildings in the r right position. Give distance in feet from all lot-lines and existing buildings. ?ry REAR LOT LINE Two c M be sub O Inspec y *- 1. WE y w w 2. WE 0” z z 00 3. Wt H---r 00 a a 4. Wl e m s s 5. Wl --- s. wl 7. El"--- 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 attached ns and specifications, which are a part hereof, and in accordance with the building regulations of the City of t tic Bea 1% Signatureof Builder.-a.! .. .......... Address----------------------------------------------------------------------- --------------- - Signatureof Owner------------------••------_---•------.---.-.------•-_----••--___-•------ Address............................................................................. ---•------•---- FOR OFFICE USE ONLY Date-----------c------------v----------19 ...... Permit * ......... ...... ee$ ............. CITY OF ATLANTIC BEACH Valuation ...... ----- ................ FLORIDA House *----- ------- ... . ...... .. APPLICATION FOR BUILDING PERMIT .................... .... ..... ............................... ................................... ................... ................. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date,,I_, -_ -3-----------------------------------_----...... 19. Owner.... ..............I-­-----------.............................. ..-Address...-S. ..........................� .t--------Telephone No............................. Architect.............. ... .. ................... /'. *4.......... .......--------......Address. ....................................................Telephone No--_--------------------- Contractor ............Address. f W...Telephone No. 1...41._qP'3---- .q Lot No.-li ARPIT-Block No......._3------- _.Sub Division_.DOkP ; ...........Zone--------- ..........................--------- .............. Street---------- ----- ---- Side Between.................. ----------_------------and-------------------------.----------.-------------...Sts. Valuation $../.4i.33-I..�OForwhat purpose will building be used__..... ..__._.._ — ..__.._..Type of construction-_------- --------------------- Dimensions of Building .............Dimensions of Lot...S_.01-_ ...................Size of Footings.._.........-.._............_........_. Size of Piers..._..... ... ............Size of Sills---_--------- Greatest Sill Span in ft...........................Type Roof.--. .........._.................. How will Building be Hpated?.6.0606­M_ ... .. ..._..OW-t.Will Building be o Filled Ground?--------------------------------------- 7. ------------P '�*-------------------- ....... Distance on C Size of Ceiling Joists_;� Centers.... .............. Greatest Span.....................__.._........__........ Size of Floor Joists....1;L_2_1T.­1---------...... Distance on Centers. ....... --------------------------------I Greatest Span_..._._.......................___._...____ Size of Rafters_... ------- - ­­ -- ---- -----I Distance on Centers ------_-------------------I Greatest Span..................................._--_ This rectangle is to represent the lot. Locate the building or buildings in the APPROVED right position. Give distance in feet from CITY OF ATLL,NTIC BEACH all lot-lines and existing buildings. BUILDING OFFICE REAR LOT LINE Two copies of plans and specifications shall 11. 1982 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns d/or Xlintel. Z Z 0-4 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksor.ville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City.PA 01ticl4eacb, — t Signature of Build- pv�o............. t_1?........................ Address__?Q% /V .................................. ••--------------­------­-­-------- . .............. V Address §ignature of Owner..................................................... ..... ............... Addren................................................................................................... DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 5 I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB I Date NOVEMBER 24 19 82 I Valuation$ MECHANICAL Fee$ 30.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that LES'S HEATING & AIR CONDITIONING SERVICE i 5939 ATLANTIC BOULEVARD, JACKSONVILLE, FLORIDA has permission to build INSTALL CENTRAL HEATING AS PER PLANS SUBMITTE . SINGLE FAMILY RG-1 � Classification Zone j Owned by J. V. MOSS Lot NORTH k LOT Il Block 3 S/D DONNER #3 House No. 56 LEWIS STREET I According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. j PERMIT VOID SIX MONTHS „ AFTER DATE OF I O T �---� r---� 0 Building material, rubbish dINGAT I from this *6V inust nbg bt IpIO448 in public spaVjjpd must be u and hau wa b ei p .5way r.ei , �f = tractor.or owner. IGOU TiI3N :'` %DDOWS,�� Building Official. f � FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL i i SEWER i WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF Ii.TLANTIC BEACH, FLORIDA r APPLICATION FOR MECHANICAL PERMIT IMPORTANT-/Applioant to,+complete all items in soct;ons I, 11, III, and IV. (• On c;do of SLS e5 fes-/S S/ - 6*+.� St. a� St. LOCATION (North, S.A. East,W.t) (Address) (Inhnect;" Streets) WILDING Lot No dock No Sub-divis;on (State rfion of of if lrss ton full lot'-Attach legal description par deed in duplicate if nacawry) 11. TYPE OF PROPOSED MECHANICAL WORK - NI applicants cornp6f* Parts A - D A. USE OF BUILDING L OWNEUI41P RESIDENTIAL IS. 4 Private (individwl,corporation, 1. One family 11. ❑ Utility nonprofit institution.etc.) 16. ❑ PebrK (Federel,State or local oovsrerwewt) 2. ❑ Two or more family- 12. ❑ Sc". Rorery, Enter number of roant other educational C. NATURE OF WORK 3. ❑ Transient, hotel, motel, 17. ❑ New building rooming house- 13. ❑ Store, mercantile Enter number of units Other It. P- Existing Build;"- 4. ❑ Other residential 14. ❑ OTHER-SPECIFY 19. Q Replacement of ex;sting syslsms 20A Nen. installation (No.system) P#aviovsly indented) NON-RESIDENTIAL 21. ❑ Estension or add-on to existing rysfem. S. ❑ Amusement, recreational 22. ❑ Other-Specify 6. ❑ Church,other religious 7. ❑ Industrial 8. ❑ Garage, service station 9. (:) Hospital, insfifutional E. TYPE OF BUILDfNG 10. ❑ Office, bank, professional 36 Number of stories 37. ❑ Wood frame 0. MECHANICAL EQUIPMENT TO BE INSTALLED 38. sscnry and wGOd (Provide complete list of components on back of this form) 39. ❑ Reinforced concrete 23. Furnace: ❑ Space ❑ Recessed Central ❑ Floor 40. 0 StNCt)Iral f}aal 24. ❑ Air Conditioning: ❑ Room ❑ Central 41. ❑ Other 2S. ❑ Duct System: Material J Thick Maximum capacity z�y chn. 26. ❑ Refrigeration 27. ❑ Cooling tower: Capacity g p-mTHIS SPACE FOR OFFICE USE ONLY 28. ❑ Fire sprinklers: Number of heads 29. ❑ Elevator ❑ Manlift ❑ Escalator Inumber) 30. ❑ Gasoline pumps (number) 3t. ❑ Tank (number) Remarks 32. ❑ LPG containers (number) 33. ❑ Unfired pressure vsuel Permit Approved by Da+< 34. ❑ Boilers 3S. ❑ Other - Specify Permit Fee III. GENERAL INFORMATION A. Type of heating fuel: B. IS OTHER CONSTRUCTION BEING fY 41. [3 Electric THIS BUILDING OR SITE? _ -- ._! - -e .- - - - AL J ), I I A ZA�---:3� I A L Pro;,rly, L.ddress . _ _. 56 LEWIS STREET, ATLANTIC BEACH, FLORIDA 0..r.er J. V. MOSS Tele;t one _ Ce,e 81-17 SU!I!.'.ARY0FV''ORK: Exterior work includes running new 4" P.V.C. line from Sept-ie -Tank to- City Sewer in street. Fill--Sept-ic--Tank-with--di-r--t. Replace damaged fascia boards and rafter ends as needed. Replace roof and repair roof deck as needed. Build new back porch 8'0" x 6'0" screened with two steps. Build new front porch 3'6" x 6'0" with stoop. Roof to match house. Install two columns and two steps. Paint all woodwork two coats exterior house paint. Haul off all trash and extra materials left on job. See Plan for finish work on interior of house. ri -7% 71ilA7T LA L-::X J SE•clions included: Work completed must adhere to applicable General Specifications, unless otherwise no in the work description (includes materials & workmanship) . All material quantities are approximate and each bidder must visit job site and estimate quantities for his bid. The terms approximate and approximately, for the purpose of this job, shall mean + - 10% of the amounts and quantities listed for each item in the work description. Scope of work inlcudes labor, materials, equipment, drawings (if necessary) and services for the proper completion of the rehabilitation of the above identified property. CASE 4l 81-17 4 s ADDRESS 56 LEWIS STREET ?EC AREA WORK DESCRIPTION COST 7-B ROOFING Remove old roll roofing, replace all deteriorated rafter tails, roof deck and fascia board. 750 sq. ft., of roofing 120 lin. ft. 2" x 6" fascia, 92 sqs. roofing. 150 lin. ft. F.H.A. eave metal. 80 lin. ft. 1" x 6" decking. $650.00 3-A FRONT PORCH Build new front stoop (concrete with steps as needed). Hol finish floor 7" below finish floor of house. Install roof with two 4" x 4" wood columns. Roof to match house. See plan for size. $475.00 3-A BACK PROCH Build new screened back porch 6'0" x 8'0" with screen door and closer. Roof to have 4" fall with overhang to match house. Use roll roofing, 1" eave metal. $750.00 3-A FRONT WALL Install 5/8 R.B.& B. Paneling on front of house corner to corner with 1 x 4 corner boards. $275.00 8-B EXT. DOORS Furnish & install pre-hung steel doors front and back., Us 8'0" x 6' 8" alum, Screen door with closer on front of house. $450.00 5-A SEWER Connect sewer from house to City Sewer in street. (4" PVC) $380.00 2—B- SLPTIC TANK No TANK oN LbT, 5-A TERMITES Treat premises for termites (subterranean), Provide renewable certification or bond, $150.00 9-G PAINT Clean, sand and caulk all wood work on exterior of house. Apply two coats (2) vinyl laytex exterior paint on all woodwork, owner to select color. $450.00 ISC. SEWER The General Contractor is to leave the sewer tap fee out CONNECTION of his bid. The grant will pay this fee. 2 CLEA1'N-UP The contractor will remove all trash and extra materials from job site at completion of work. $150.00 -9 FRAMING Extend Kitchen back 7'6". Add one window to side wall. Use window from old kitchen in end wall as shown on floor plan. $1,350.00 -9 FRAMING Remove all materials on walls and ceiling. Insulate- ex- terior walls with 32" bats and replace walls and ceilings with 2" drywall, Use green board in bath around tub. In- sulation in ceiling to be 6" bats or blown in. New pre- hung door units will be installed throughout house. Trim for base will match trim on doors. Frame in heat room as shown on plans. $ I,y00.00 •D TILE Install 44 x 44 thin set Cermic Tile around tub only. Furnish and set 2 towel bars, I paper holder, 1 soap & gra $225.00 CASE # 81-17 _ t ADDRESS 56 LEWIS STREET ;PEC AREA WORK DESCRIPTION COST 8-B CABINETS Furnish and install new kitchen cabinets with new sink i with double compartment, new trim. See plan for layout. 6,50.06 15-A PLUMBING Use bath fixtures furnished by the owner. Rough in all goes in one wall back of sink. Use 3" vent through roof,. Pick up 4" sewer line at this point to go out to City Sewer. Furnish new trim and 1 30 gal. Hot water heater. See plan for location. $675.00 16-A ELECTRICAL Upgrade meter to 100 amp. See plans for outlets and switches. Furnish 6 light fixtures. Allowance $60..00. Connect water heater and heating system. $850.00 15-B HEATING Furnish and install gas fired central heating system. 60,000 BTU. s;f E PJ-0N Fof2 h-zc.4riv111 $�Co.00 9-G PAINTING Interior of house to have (2) coats vinyl latex paint on all walls and woodwork. $450.00 MISC. Furnish 1 shower rod and medicine cabinet for bath room. $25.00 9-E HARDWARE Furnish and install new hardware on all doors._ Exterior and interior. $75.00 9-C CARPET Furnish new carpet in living room, two bedrooms over pad. Allowance $7.00 per sq. yd. Furnish 12" x 12" vinyl tile in bath and kitchen over underlayment ".. $475.00 PROFIT AND OVERHEAD $3,211.50 NBTF — H=ATI,"."G UNi+ TOTAL $13,916.50 LG.Coc �3T,U , G.qS. SID 141 }1'VC�/G;= 7� A ./..A'e ? L-c2!�� f 3 S`° f- 7-A x �G LCW is sT— : 3 C AS CS M �, Q z A DD T N IS � o Z �yo s� NOT VINV - E I o " °o IT' J! � ouNDER 1.A lv]E'IV c� z v aC� cuorp. /a y ? c ----- THS Kl i-CN FN A N D Z N n I" i3R }ar�F T I?aaNf I � z zU � 4D ( � ZZ o0 O U(3, {.AV AhD' Tar eT I p 22 r3 OwN� � �uRNi3N NFwl MJ . LT N p Svc w CAR Prsrfo a �x CO 411 I — O — — t -----• f - — -r 1S — — I — — __� SYSTEM. f /1/E4v 6'Q le r'E T o / I I AW M.SC( EEN R t,,,jen'� 1�rTE�?TNr�SOcunl �' mak$ bFAM. Picw tP.J.C• SF-Wi=R tIN* a Te- STRr=L T. J. V. /loss w \ff At ctt it S/!Y/C• ( � I s;ovr- I t Cl TY OF An-ANIT I C BEACH ✓0 v c� Nu_PEF:VI T .. J�y DATE__—� LOCATION_ _ AV CC --- — PLU431 NG FIRM �C t r Co MASTER P L Lt'.3 ER___ CITY/COUNTY OCCtVATIOVAL LICENSE N0.___4fJPI -- -- STATE CERTIFICATE N0._f fo(2 CcJ BUILDER OR CGNTRACTOR TYPE OF BUILDING —S I NKS SHO'r.'ERS —LAVATORY WATER PATERS BATH TU3S DI SK,ASHERS .—URI NALS DI SPOSALS _CLOSETS ,,ASHI PdG 14ACHI NE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT 1 NSTALLATI ON OF PLU:31 NG AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLU?-SING CODE. CITY OF ATLANTIC BEACH FLORIDA Af pope by APPLICAT16N FOR ELECTRICAL. PERJMII? TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID:WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Lo L ELECTRICAL IRM: R ladrRiciAN statlAyfiRlE JOURNE NAMEQ(LUJv- !.UE�&. AgDRESS ,c.�,�. _j L RFD BOX BLDG.SIZE b BETWEEN: �T RE$,RVI APT.( 1 COMM.! ) PUBLIC( I INDUS.( 1 NEW( ) OLD('W REW.(/ ADDITION I 1 • TRAILER ( ) TEMP.t;, ) SIGNS ( 1 SQ.FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR ( ) FEE CONDUCTOR$IZE,, AMPS COPPER AL M. MYCH OR'BR K R PH VOLT RACEWAY J .SERV.$1ZE', Ak" f PH W ?. +VOLT = RACEWAY FEEDERS NO. SIZE NO. I SIZE NO. SIZE LIGHTING OUTLETS CO" LED OPEN TOTAL RECEPTACLES CONCE LED OPEN TOTAL d,ao AMps.. f 51.106 AMPS SWITCHES r n, i INCANDESC NT FLUORESCENT&M.V. 0.1 o.A ws. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITiONtNG CAMP.MOTOR OTHER MOTORS AMPS EIL HEAT: KW-HEAT a1 avu MOTORS H.P. ' VOLTAGE HS NO. I LP. VOLTAGE PHS tSCELLANE uS:. s*t MA¢MIAM&,r 11titntst"olb'V_.. ©VELI am V. CITY OF AW4af c Ve4d - 9&%4& 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 January 18, 1995 Wayne Combass Jacksonville Electric Authority 21 West Church Street Jacksonville , FL 32202 Gentlemen: Please remove the line drop from the following location: 56 Lewis Street - Meter #40082683 The building was condemned by the City of Atlantic Beach on January 17 , 1995 and will be demolished at a future date. Sincerely , Karl W . Grunewald Code Enforcement Officer KWG/pah cc : City Manager I DEPARTMENT OF BUILDING PERMIT NO. J�t l 5 /1 7 Z I CITY OF ATLANTIC BEACH,FLORIDA I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i Date NOVEMBER 24 lq 82 Valuation$MECHANICAL Fee$ 20.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. I This is to certify that STEEG PLUMBING COMPANY 316 10TH STREET, ATLANTIC BEACH, FLORIDA has permission to bui4 EHA6 AS PER PLANS SUBMITTED. I Classification SINGLE FAMILY Zone RG-1 Owned by J. V. MOSS Lot NORTH k of LOT 11 Block 3 S/D DONNER #3 House No. 56 LEWIS STREET According to approved plans'which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r 0 O Building material, rubbish and debris zq from this work must not be placed in public space, and must be cleared 14P-atsd hauled away by either con- ,"tra t6rqi,owner. kk '2040 T 04 Fif�1°'"1 I IC4i�iJ FOR OFFICE PERMIT DATE COQTTOR 1A 11/24/8 USE ONLY NUMBER r PLUMBING ELECTRICAL i i SEWER i I WATER ;,�I►. .AMM. PREPARED 1/14/03, 8:38:50 INSPECTION TICKET PAGE 12 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 1/14/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: INSTALL it FIXTURES CONTRACTOR CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419 OWNER BEACHES HABITAT PHONE ; PARCEL 172226-0000- - APDL NUMBER: 02-00025414 PLUMBING ONLY -------------------------------------- --------------------------------------------------------- PWIT: PLBG 00 PLUNHIHG PWIT REQUESTED INSP DESC 3PTION TYP/SQ COMPLETED RESULT RES U TS/COMMBNTS ------------ ------------ ------ ------------------------------------------------------------ 42 01 1/14/03 LJB .13.`9 ---------------------- ------- ------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/06/03, 13:50;53 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/09/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: NEW SFR 1100RADON,1100SCH 4, CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL ; 172226-0000- - APPL NUMBER: 02-00025368 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 11 01 1/23/03 LJH BD SLAB TIME; 08:00 ---------- -------- 17 01 2/18/03 LJH BD SHEATHING TIME: 13:00 2/19/03 AP 813-6429 GREG 15 01 3/26/03 LJH BD INSULATION TIME: 13:00 3/27/03 AP 13 01 6/09/03 LJH --\ BFRAMING TIME: 09:00 ------------------------------------------------------------------------------------------------ PERMIT: BLBC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------- '--------------------------- -- ------------------------------ 22 01 6/09/03 LJH ROUGH TIME. 05:00 ,�- -r--------------------- PERMIT: NECK 00 NECBANICAL PERMIT REQUESTED INSP DESCRIPTION TYP)SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 32 01 3/25/03 LJH /DU UGH TIME: 08:00 3/26/03 DP FROM BATH FANS MISSING/NOT CONNECTED 32 02 6/09/03 LJH UGH TIME: 05:0-0�___ RRIDE TAKEN BY c== DATE: 06/06/03 TIME: 13:41:51 ECTION FAILEDE'TMDCfi FROM BATH FANS MISSING/NOT CONNECTIDARAl PREPARED 6/09/03, 7:22:32 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/09/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: INSTALL 11 FIXTURES CONTRACTOR : CHRISTY FIRST COAST PLUMBING PHONE : (904) 247-4419 OWNER BEACHES HABITAT PHONE PARCEL 172226-0000- - APPL NUMBER: 02-00025414 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 42 01 1f14/0 1/15/0 a n �, 1-� --3 43 01 6/09/0 p7H � C J 7c7 .'c! 23 ttJ y' ----------------- W i oa Sv OO r f... r cn 3+O .. .. .. .. ' T N r w n H cn y � @� 0 � k 0 . CA CA ' . . % ƒ ± \\© e # - a � 1 r G . ` #9 PREPARED 1/29/03, 8:37:38 INSPECTION TICKET PAGE 10 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J BIGGINS DATE 1/29/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: TEMP POLE CONTRACTOR : CMA ELECTRICAL CONTRACTORS PHONE (904) 765-6262 OWNER BEACHES HABITAT PHONE PARCEL . 172226-0000 - ? - APPL NUMBER: 03-00025444 ELECTRIC ONLY \ -------------------------------------------------------------------------------- --- ----- PBPJlIT: BLEC 00 BLECTRIM PIRNIT. REQUESTED INSP DE RIPTION TYP/SQ COMPLETED RESULT RE LILTS/COMMENTS - --- ---------- - - ----------- 20 01 1/29/03 LJ ---------------------------- --- COMMENTS AND NOTES ------------------------- PREPARED 2/18/03, 8:42:24 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/18/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: NEW SFR I100RADON,1100SCH CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL : 172226-0000- - APPL NUMBER: 02-00025368 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PMIT: BLDG 00 BUILDING PRINIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESU TS/COMMENTS ----------------------------------- ------------------------------------------------------------ 11 01 1/23/03 LJH B SLAB TIME: 08:00 17 Ol 2f18�0,� L-5D SHEATHING TIME: 13:00 fir; $13-6429 GREG -------------------------------------- COMMENTS AND NOTES ------------ -------------------- PREPARED 3/26/03, 8:10:05 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/26/03 ---------------------------------------------------------------------------------z�,7 -------- ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: NEW SFR 1100RADON,1100SCH CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172226-0000- - APPL NUMBER: 02-00025368 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PIMIT: BLDG 00 BUILDIN PIRRIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 11 01 1/23/03 LJH BD SLAB TIME: 08:00 ---------- -------- 17 01 2/18/03 LJH BD SHEATHING TIME: 13:00 2/19/03 AP 813-6429 GREG 13 01 3/25/03 LJH BD FRAMING TIME: 08:00 ---------- ------- 15 01 3126/03 LJHB INSULATION TIME: 13:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/18/03, 7:28:25 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/18/03 ---------- ----------------------------------------------------------------------- ADDRESS . �'LEWIS ST SUBDIV: TENANT, NBR: NEW SFR 1100RADON,1100SCH CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL . : 172226-0000- - APPL NUMBER; 02-00025368 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PEINIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 11 01 1/23/03 LJH BD SLAB TIME: 08:00 6/12/03 AP 17 01 2/18/03 LJH BD SHEATHING TIME: 13:00 2/19/03 AP 813-6429 GREG 15 01 3/26/03 LJH BD INSULATION TIME: 13:00 3/27/03 AP 13 01 6/09/03 LJH BD FRAMING TIME; 08:00 6/10/03 AP 16 01 6/18/03 LO PIRNIT: BLBC 00 ELECTRICAL PIRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 22 01 6/09/03 LJH EL ROUGH TIME: 08:00 6/10/03 AP 23 01 6/18/03 LJH - - ------------------------------------------------------------------------------------------------ PERNIT: MICR 00 NICHANICAL PERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 32 01 3/25/03 LJH ME ROUGH TIME: 08:00 3/26/03 DP DUCT FROM BATH FANS MISSING/NOT CONNECTED 32 02 6/09/03 LJH ME ROUGH TIME: 08:00 6/10/03 AP * OVERRIDE TAKEN BY JSCHLUETER DATE; 06/06/03 TIME; 13:47;51 INSPECTION FAILED DUE TO DUCT FROM BATH FANS MISSING/NOT COYNECTED PER LH 34 01 6/18/03 LJH -lb11-s _ PREPARED 6/18/03, 7:28:25 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/18/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR; INSTALL 11 FIXTURES CONTRACTOR ; CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419 OWNER BEACHES HABITAT PHONE PARCEL ; 172226-0000- - APPL NUMBER: 02-00025414 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PRRNIT: PLBG 00 PLUNBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 42 01 1/14/03 LJH PL ROUGH TIME: 13:00 1/15/03 AP A] M c/AA lAl TTTT nT mnn ATTM mrun. nn.nn PREPARED 2/03/03, 8:55:19 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/03/03 --------------------------------------------------------------------------------------7--------- ADDRESS . : 56 LEWIS ST SUBDIV: ` TENANT, NBR: TEMP POLE ^ CONTRACTOR CMA ELECTRICAL CONTRACTORS PHONE (904) 765-6262 �) OWNER BEACHES HABITAT PHONE _/ J PARCEL 172226-0000- APDL NUMBER: 03-00025444 ELECTRIC ONLY -------------------------------------------------------------------------------------------- PRRNIT: ELBC 00 ELI CTRICAL PIRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------'----------------------------------------------------------- 20 01 1/29/03 LJH EL EMPORARY POLE TIME: 08:00 1/29/03 AP 20 02 2/03/03 LJ-\/ 1NPD3IARY :POLE -TM.:-011D -------------------------------------- COMMENTS AND NOTES -------------------------------------- P;RBD :,,.25/03, 8:36:14 INSPECTION TICKET PAGE 3 .CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/25/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: NEW SFR 1100RADON,1100SCH CONTRACTOR BEACHES HABITAT PHONE ; (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172226-0000- - ADPL NUMBER: 02-00025368 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT %^ - REQUESTED INSP DESCRIPTION A , TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------- - 11 01 1/23/03 LJH BD SLAB TIME: 08:00 17 01 2/18/03 LJH BD SHEATHING TIME: 13:00 2/19/03 AP AP 813-6429 GREG 13 013/25/03 LJH °►MING TIMI:, 08,00 ---------------------------------------------------------------------------------------------- s PERMIT: ELIC 00 ELECTRICAL PERMIT "' REQUESTED INSP DESCRIPTION �— TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------ ----------------------------------------------- 22 01 3/25/03 LJH BL ROUGH TIME: 08:00 ---------- -------- ------------------------------------------------------------------------------------------------ PERMIT: MICE 00 NBC BAMICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - ----------------------------------------------------------------------------------------------- '~ 01 ' 1/25/03' LJH #9 10M TI11i 01,00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/25/03, 8:36:14 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/25/03 --------------------------------------------------------- -------------------------------------- ADDRESS . : 56 LEWIS ST SUBDIV: TENANT, NBR: INSTALL 11 FIXTURES CONTRACTOR : CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419 OWNER BEACHES HABITAT PHONE PARCEL 172226-0000- - ADPL NUMBER: 02-00025414 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLDNBIIG PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 42 01 1/14/03 LJH PL ROUGH TIME: 13:00 1/15/03 AP ---------- -------- 43 01 3/25/03 LJH PL TOP OUT TIME: .08:00 ---------- -------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- i s p1LAM _ F�0RIOa OF ADDITIONS or CORRECTIO-N-S"m D• NOT REMOVE JOB ADDRESS DATE 56 3 �z5 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted Wx-1-9-a t 5 $*nO REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG p.m. Monday through Friday. TTruss Type ty Ply 360 Job russ CHURCH A382306 J210414 CJ01 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr*Ml SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:47 2002 Page 1 -2-0-0 1-0-0 2-0-0 1-0-0 C le = 1:6.1 5.00 12 B 0 D cco A 2x4 000 1-0-0 1-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.21 Vert(LL) -0.00 B >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.01 Vert(TL) 0.05 A-B >458 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) 0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 6 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.21D TOP CHORD Sheathed or 1-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=-97/Mechanical, B=275/0-3-8, D=14/Mechanical Max Horz B=81(load case 4) Max UpliftC=-97(load case 1), B=-313(load case 4) Max Grav C=150(load case 4), B=275(load case 1), D=14(load case 1) FORCES (lb) - First Load Case Only TOP CHORD A-B=41, B-C=-62 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category Il, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to winse is d. The lumber DOL ide mechanical connection e n (by others) of truss sstoplate riincrease is e bearing platcapable 2) Provoof withstanding 97 Ib uplift at `y,,�00�%ti�11� rs�V joint C and 313 Ib uplift at joint B. �r�ir LOAD CASE(S) Standard ZZ 5 ATT:O November 7,2002 Job Truss Truss Type City Ply 360 CHURCH T. A382307 J210414 CJ03 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr4hM01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:48 2002 Page 1 -2-0-0 3-0-0 2-0-0 3-0-0 C = 1:9.4 5.00 12 oco o N B D A 000 X4 = 3-0-0 3-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.23 Vert(LL) -0.00 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.05 Vert(TL) 0.10 A-B >275 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/defl = 240 Weight: 13 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 3-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=28/Mechanical, B=283/0-3-8, D=42/Mechanical Max Horz B=119(load case 4) Max UpliftC=-88(load case 5), B=-229(load case 4) FORCES (lb) - First Load Case Only TOP CHORD A-B=42, B-C=-50 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 88 Ib uplift ati+YtiyyawC�S}n+U�rrlrrr/. joint C and 229 Ib uplift at joint B. 10 rr. "� A ' LOAD CASE(S) Standard rz �gr rf S Ari—r.OF November 7,2002 JobrusT s Trss Type uQty Ply 363CHURCH ST. A382308 J210414 CJ05 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr4-iM01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:49 2002 Page 1 -2-0-0 5-0-0 2-0-0 5-0-0 C Scal — :12.6 5.00 12 cco B D A 030 x4 = 5-0-0 5-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.24 Vert(LL) -0.03 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.14 Vert(TL) 0.11 A-B >250 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 19 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 5-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=102/Mechanical, B=347/0-3-8, D=72/Mechanical Max Horz B=162(load case 5) Max UpliftC=-1 64(load case 5), B=-220(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=30 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition 11 partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 164 Ib uplift ti�etiMIkkAllIII0rrartfrtr at joint C and 220 Ib uplift at joint B. \�,.%*'ti jtriz��/f LOAD CASE(S) Standard ` I f4 S AM O ` r ;+ 'SLUR ` S November 7,2002 Job Truss Truss Type ty7,y (.ptional) 15-0-CHURCH ST. A382309 J210414 CJ07 ROOF TRUSS 8 Builders FirstSource, Jacksonville, FL., Buck Thorr4iia01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:50 2002 Page 1 -2-0-0 7-0-0 2-0-0 7-0-0 C Scal =1' 5.00 12 d� B c`1 — D A x4 — 7-0-0 7-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.50 Vert(LL) -0.11 B-D >776 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.28 Vert(TL) 0.35 A-B >75 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TU -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 251b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=164/Mechanical, B=423/0-3-8, D=102/Mechanical Max Horz B=219(load case 5) Max UpliftC=-237(load case 5), B=-227(load case 4) FORCES (lb) - First Load Case Only TOP CHORD A-13=42, 13-C=50 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 237 Ib uplift tttpt111tu1�++++it+jr at joint C and 227 Ib uplift at joint B. 1+ A. "�i���'zi LOAD CASE(S) Standard Ott 9f r`� _ .. '� - November 7,2002 Job Truss Truss Type my Ply 360 CHCJR H A382310 J210414 CJ09 ROOF TRUSS 8 1 Builders FvstSource, Jacksonville, FL., Buck Thorr4h�01 SR1 s Oct 17 2001 (optional)MiTek Industries, Inc. Wed Nov 06 16:15:51 2002 Page 1 -2-0-0 4-8-2 9-0-0 2-0-0 4-8-2 4-3-14 D Scal — :19.5 5.00 12 2x4 C B A F E 3x6 3x4 9-0-0 9-0-0 P LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/dell PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.29 Vert(LL) -0.19 B-F >563 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.41 Vert(TL) -0.28 B-F >376 BCLL 10.0 Rep Stress Incr YES WB 0.16 Horz(TL) -0.00 E n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 38 lb LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) D=90/Mechanical, B=503/0-3-8, E=264/Mechanical Max Horz B=277(1oad case 4) Max UpliftD=-1 32(load case 5), B=-308(load case 4), E=-104(load case 5) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=-408, C-D=25 BOT CHORD B-F=358, E-F=0 WEBS C-F=-393 NOTES 11 This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 ti��;t�t5trir�lrlirtgrr�rjj��f'f If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to �g4tAr Vii. Ey, wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 132 Ib uplift tic` GQ ' at joint D, 308 Ib uplift at joint B and 104 Ib uplift at joint E. C}' LOAD CASE(S) Standard * J 5 ATE OF November 7,2002 Joh Truss russ Type ty Ply 360 CHURCH ST. A382311 J210414 EJ11 ROOF TRUSS 6 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr41M01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:52 2002 Page 1 -2-0-0 5-8-2 11-0-0 2-0-0 5-8-2 5-3-14 2x4 1�cale = 1:26.3 D 5.00 12 2x4 C B 0 '° Simpson SUR/L24 x6 = E 3x4 = i 11-0-0 11-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (Ioc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.37 Vert(LL) -0.37 B-E >343 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.47 Vert(TL) -0.56 B-E >229 BCLL 10.0 Rep Stress Incr YES WB 0.30 Horz(TL) -0.01 E n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/defl = 240 Weight: 52 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.1 N TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP NoA D BOT CHORD Rigid ceiling directly applied or 9-4-12 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) B=581/0-3-8, E=438/Mechanical Max Horz B=374(load case 4) Max UpliftB=-352(load case 4), E=-310(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=-522, C-D=-72 BOT CHORD B-E=462 WEBS C-E=-504, D-E=-103 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If nd. The lumbed verticals orr DOL increase antilevers is 1 60,t, they and the plate grip e exposed to nd.ncreasershes 1.60 exist, they are not exposed to ,�����t4tytstu ttrrert�rrrfr�r 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 352 Ib uplift .��'\�`� {;� A. 1b rr�Xi,�r at joint B and 310 lb uplift at joint E. LOAD CASE(S) Standard ` 5 AT�:il OFOR I �c� � V �y €17 ,�),td Y414S114C•� ���� November 7,2002 Job Truss Truss Type ty Ply 360 CdU CH ST. A382312 J210414 HJ11 ROOF TRUSS 4 1 (optional) Builders FirstSource, Jacksonville, FL., Buck horr4)M01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:53 2002 Page 1 2-9-15 5 8 9 10-5-14 15-6-11 2-9-15 5-8-9 4-9-5 5-0-13 Scale = 1:31.4 3x5 II E F 5x5 ; 3.54 12 D 3x4 C B OA 3x6 = I H Simpson THJA26 G 2x4 II 3x4 = 4x5 = 0-9-1 5-8-9 10-5-14 15-6-11 0-0-1 5-8-8 4-9-5 5-0-13 late f sets 1: (B:0-4-10,0-0-131 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.85 Vert(LL) 0.09 H-1 >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.36 Vert(TL) 0.15 A-B >238 BCLL 10.0 Rep Stress Incr NO WB 0.92 Horz(TL) 0.02 G n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/deft = 240 Weight: 921b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 4-2-12 oc purlins, except end verticals. BOT CHORD 2 X 6 SYP No.1 D BOT CHORD Rigid ceiling directly applied or 7-0-6 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) G=1660/Mechanical, B=985/0-4-15 Max Horz 8=612(load case 3) Max UpliftG=-11 57(load case 2), B=-604(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD A-13=46, B-C=-2311, C-D=-1639, D-E=-183, E-F=-26, E-G=-473 BOT CHORD B-I=2193, H-1=2193, G-H=1520 WEBS C-1=102, C-H=-712, D-H=656, D-G=-1740 NOTES 11 This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 �,,�111ti1�1111i111dt!llj11y, If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to �ti`NN I, C'V A, ll/ wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ` 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1157 Ib uplift �tirtT J at joint G and 604 Ib uplift at joint B. �' r LOAD CASE(S) Standard 11 Regular: Lumber Increase=1.25, Plate Increase=1.25 % {r Uniform Loads (plf) r ' S ATr OF Vert: A-B=-54.0 Trapezoidal Loads (plf) Vert: B=-2.8-to-E=-204.1, E=-204.1-to-F=-210.0, B=-0.0-to-G=-113.3 t.itl5"lea i'e: November 7,2002 Job Truss Truss Type Qty Ply 360 CHURCH ST. A382313 J210414 T01 ROOF TRUSS 2 1 3 BEDROOM HIP (optional) -- - - - - Builders FirstSource, Jacksonville- --, FL., Buck Thorr4hM01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:15:54 2002 Page 1 x-00-05-9-14 1 10-11-15 14-0-1 19-2-2 25-0-0 X27 2-0-0 5-9-14 5-2-2 3-0-2 5-2-2 5-9-14 2-0-0 Scale = 1:51.9 5x12 M1120H = 5x12 M1120H = D E 5.00 12 2x4 2x4 C F o �t B G �A HIa 0 0 4x14 K J I 4x14 5x12 M1120H = 10x10 = 10x10 = 14-0-1 5-9-14 10-11-15 11-,0-0 19-2-2 25-0-0 5-9-14 5-2-2 0-0-1 3-0-1 5-2-2 5-9-14 Plate Offsets ( ): :0-3-9,0-2-41, [D:0-8-0,0-1-12], :0-8-0,0-1-121, [G:0-3-9,0-2-41 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/dell PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.79 Vert(LL) 0.39 I-K >759 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.84 Vert(TL) -0.50 B-K >596 M1120H 187/143 BCLL 10.0 Rep Stress Incr NO WB 0.74 Horz(TL) 0.13 G n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 1421b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 2-0-14 oc purlins. BOT CHORD 2 X 6 SYP No.1 D BOT CHORD Rigid ceiling directly applied or 4-4-2 oc bracing. WEBS 2 X 4 SYP No.3 WEDGE Right: 2 X 4 SYP No.3 REACTIONS (Ib/size) B=3114/0-3-8, G=3114/0-3-8 Max Horz B=151(load case 4) Max UpliftB=-1818(load case 4), G=-1783(load case 5) FORCES (Ib) - First Load Case Only TOP CHORD A-13=45, B-C=-7020, C-D=-6645, D-E=-6172, E-F=-6662, F-G=-7028, G-H=45 BOT CHORD B-K=6422, J-K=6153, 1-1=6153, G-1=6429 WEBS C-K=-374, D-K=2301, D-1=35, E-1=2316, F-]=-362 NOTES 1) This truss has been checked for unbalanced loading conditions. �r1�r++Urfrli'r 2) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level `d1tio�5 A. ��fi� using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category ll, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 - < 3) Provide adequate drainage to prevent water ponding. '] 4) All plates are M1120 plates unless otherwise indicated. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1818 Ib uplift r r at joint B and 1783 Ib uplift at joint G. 5 w ORtps���v` F tis LOAD CASE(S) November 7,2002 1) Regular: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: A-D=-54.0, D-E=-54.0, E-H=-54.0, B-K=-30.0, I-K=-249.0, G-1=-30.0 Concentrated Loads (lb) Vert: K=-1660.01=-1660.0 Continued on page 2 Jo Truss Truss yp Qty ly 360 HUR HST. A382313 J210414 T01 ROOF TRUSS 2 1 3 BEDROOM HIP (optional) Builders FirstSource, Jacksonville, FL., Buck Thori2I01 SR1 s Oct 77 2001 MiTek Industries, Inc. Wed Nov 06 16:15:54 2002 Page 2 LOAD CASE(S) 2) Wind Left: Lumber Increase=1.60, Plate Increase=1.60 Uniform Loads (plf) Vert: A-B=49.3, B-D=43.8, D-E=58.6, E-G=40.8, G-H=17.5, B-K=-10.0, I-K=116.8, G-1=-10.0 Horz: A-B=-59.3, B-D=-53.8, E-G=50.8, G-H=27.5 Concentrated Loads (lb) Vert: K=961.3 1=961.3 3) Wind Right: Lumber Increase=1.60, Plate Increase=1.60 Uniform Loads (plf) Vert: A-13=17.5, B-D=40.8, D-E=58.6, E-G=43.8, G-H=49.3, B-K=-10.0, I-K=116.8, G-1=-10.0 Horz: A-B=-27.5, B-D=-50.8, E-G=53.8, G-H=59.3 Concentrated Loads (Ib) Vert: K=961.3 1=961.3 4) 1st Wind Parallel: Lumber Increase=1.60, Plate Increase=1.60 Uniform Loads (plf) Vert: A-13=64.2, B-D=58.6, D-E=58.6, E-G=35.8, G-H=12.5, 8-K=-10.0, I-K=1 16.8, G-]=-10.0 Horz: A-B=-74.2, B-D=-68.6, E-G=45.8, G-H=22.5 Concentrated Loads (lb) Vert: K=961.3 1=961.3 5) 2nd Wind Parallel: Lumber Increase=1.60, Plate Increase=1.60 Uniform Loads (plf) Vert: A-B=12.5, B-D=35.8, D-E=35.8, E-G=58.6, G-H=64.2, B-K=-10.0, I-K=1 16.8, G-1=-10.0 Horz: A-B=-22.5, B-D=-45.8, E-G=68.6, G-H=74.2 Concentrated Loads (lb) Vert: K=961.3 1=961.3 6) 1 st unbalanced Regular: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: A-D=-54.0, D-E=-54.0, E-H=-14.0, B-K=-30.0, I-K=-249.0, G-I=-30.0 Concentrated Loads (lb) Vert: K=-1660.0 1=-1660.0 7) 2nd unbalanced Regular: Lumber Increase=1.25, Plate Increase=1.25 Uniform Loads (plf) Vert: A-D=-14.0, D-E=-54.0, E-H=-54.0, B-K=-30.0, I-K=-249.0, G-1=-30.0 Concentrated Loads (lb) Vert: K=-1660.0 1=-1660.0 Job Trussru Type [Oty Ply 360 CHURCH ST. J210414 T02 ROOF TRUSS 12 1 A382314 _ (optional) Builders FirstSource, Jacksonville, FL., Buck ThorrMiaoi SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 1615.55 2002 Page 1 2-0-0 6-6-14 5-11-2 5-11-2 6-6-14 2-0-0 Scale: 1/4"=1' 4x5 = D 5.00 F 12- 2x4 2x4 C E B F oA GIS 0 3x5 J I H 3x5 = 3x4 = 3x4 = 3x4 8-6-9 16-5-7 _ 25-0-0 8-6-9 7-10-13 —� 8-6-9 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.35 Vert(LL) -0.17 B-J >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0,51 Vert(TL) -0.24 B-J >999 BCLL 10.0 Rep Stress Incr YES WB 0.24 Horz(TL) 0.05 F n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min i/deft = 240 Weight: 113 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.21) TOP CHORD Sheathed or 4-4-7 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 6-11-8 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) B=1157/0-3-8, F=1167/0-3-8 Max Horz B=162(load case 4) Max UpliftB=-665(load case 4), F=-665(load case 5) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=-2008, C-D=-1796, D-E=-1796, E-F=-2008, F-G=42 BOT CHORD B-J=1789, 1-1=1215, H-I=1215, F-H=1789 WEBS C-J=-316, D-J=636, D-H=636, E-H=-316 NOTES 1) This truss has been checked for unbalanced loading conditions. 2) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to �ti�,ri�xti4tit�tijj141frrrrpF11"'/ wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 �`\1 $ � A. 3) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 665 Ib uplift h� 01 at joint B and 665 Ib uplift at joint F. r LOAD CASE(S) Standard Z f S Al OF ORI November 7,2002 Book 10842 Page 1766 Th i / �nt vjM re ,�" Doc# 2002373000 f.ry - '� V Book: i 4 P.O.Box 50939 Fa e: 17Et Jacksonville Beach„Florida 32240 of ZQQ Filed & Recorded2002 C 1 1INIFULLERD02 12:59:25 Ptd L Z, CLERK CIRCUIT COURT '7 DUVAL COW” NOTICE EMENT RECORDING $ 5.00 TRUST FUND O 1.00 STATE OF FLORIDA Permit No.: COUNTY OF DUVAL Tax Folio No.: 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 is provided in this Notice of Commencement. 1. Description of property:(legal description of property and street address if available) 5 � o (v im. yz (_.e-' ' I 3 D o N R s IZ -0-- i rL'Z 2 2 to— o oo 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: b. Phone Number: 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: T,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. The foregoing instrum nt was acknowledgedbefore HABITAT FO HU ANITY OF e thi day of_ '200�f,by JACKSO IL C , INC. who is personally known to me or BUILDING, PLANNING AND ZONING INSPECTION DEP. RTMENT CITY OFA TL 4NTIC BEACH, FLORID, CERTIFIC4 TE OF OCCUPANCY WORX SHEET Date Requested: Building Contractor: Building Permit Number : 02 ' -2--�5 3 Addiess : P50 L fc vj1 Y - 7e^=1 Description: Improvements to the above described property have been completed in accordance with the terms of the pe reit and is certified to be ready for occupancy as y'7� . Lowest Floor Elevation : required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DE2ARTMENT DATE NOTIFIED DATE APPROVED BY Fire Public Works Z _Z"' Pinning Building 7 - 03 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 . . . . . . 6/27/03 Parcel Number . . . . . 172226-0000- - Property Address . . . 50 LEWIS ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 02-00025368 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Officfial VOID UNLESS SIGNED BY BUILDING OFFICIAL 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 . . . . . . 6/27/03 Parcel Number . . . . . 172226-0000- - Property Address . . . 50 LEWIS ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 02-00025368 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Offiqilal VOID UNLESS SIGNED BY BUILDING OFFICIAL HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jun 27 2003 1:55pm Last Transaction Dae TimeTwe Identification Duration Panes Result Jun 27 1:54pm Fax Sent 96657372 1:09 3 OK CITY OF ATLANTIC BEACH 111 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025444 Date 6/27/03 Property Address . . . . . . 50 LEWIS ST Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------- ---------------- ------------------------ BEACHES HABITAT CMA ELECTRICAL CONTRACTORS 56 LEWIS STREET 8814 DARLINGTON DRIVE ATLANTIC BEACH FL 32233 MYPT FL 32228 (904) 765-6262 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 1/28/03 Valuation . . . . 0 Expiration Date 8/03/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD j � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025368 Date 6/27/03 Property Address . . . . . . 50 LEWIS ST Tenant nbr, name . . . . . . NEW SFR 1100RADON, 1100SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 52800 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 56 LEWIS STREET P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . NEW 150AMP, 1PH, 3W, 240VOLT SVC Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . 1/28/03 Valuation . . . . 0 Expiration Date 12/17/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 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. BUILDING OFFICIAL ���a �� �a . 21i�m� � � ���'�� y�ti1�'� � � �` �,'s tti+�` aa'` a�``' �� r J�'� `� r� R ��,,�t ��, 7 '� �;� S ��..�:_ �� op �ev- ' �► tk 1 .�. C,� � CITY OF ATLANTIC BEACH %J > 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025444 Date 1/28/03 Property Address . . . . . . 56 LEWIS ST Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT CMA ELECTRICAL CONTRACTORS 56 LEWIS STREET 8814 DARLINGTON DRIVE ATLANTIC BEACH FL 32233 MYPT FL 32228 (904) 765-6262 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 y 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. BUILDING OFFICIAL Jan 23 03 09: 27a James Granger 766 7760 P• 1 01/21/2003 22:39 9042411222 BEACHES HABITAT PAGE 02 CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMrr TO TIa CHIEF ELECTRICAL wspEcrop- DATE:J 0 3 20073 IMPORTANT NOTICE; IN CONSIDERATION OF PP.RMrT GIVEN FOR DOING TWE WORK AS DESCK1990 W THE FOLLOWING.WE HEREBY AGREE TO PERFORM SAID WMM IN ACCORDANCE WITH THE ATTACHEDPL SPECMCATIONS,WHICH ARS A PART P EREOP, AND IN ACCORD CE WITH THE ELECTRICAL REGULATIONS,C T C$EACH ORDWANCES. (240 A"ci ELECTRICAL FIRM: R ELECTRICIAN SIGNATURE: OWNERS NAME:p Ae� TAI ADDRESS%, ft l i 6TRFb—BOX_ SLOG.SIZE BETWEEN:' RES.( ) APT.( ) COMM.( PUBLIC( ) INDUS.( ) NEW( ) OLD( REW.( ) ADDITION( ) TRAILER( ) TEMP.()k SIGNS( ) SQ.FT. SERVICE: NEW tNCREASE REP CONDUCTOR SIZE !s AMPS: &c) COPPE ALFEES SWITCH OR BREAKER O AMPS jrH 3W �OLT RACEWAY EXIST.SERV.SUE. AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE . NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES I CONCEALED . OPEN TOTAL 0.30AMPS 3Abe SWITCHES INCANDESCENT FLOURESCENT k M.V, FIXED 0.100 ANM. OVER APPLIANCES BILL TRANSF. AM H.P.RATING H.P.RATING CED.. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS EZAT 0-1 OVER MOTORS ILP. VOLTAGE I PHS NO. 1 H.F. VOLTAGE PHS MISCELLANEOUS 6dOVOVER 540V TRANSFORMERS: NO. KVA NO. KVA NO,N£ON TRANSF. NO V!j MA MOTOR SIZE SWITCH FLASFIERS EACH SIGN Duval County Property Appraiser -Parcel Summary Page 1 of 2 Parcel Summa - Current Ownership and Sale Information - Updated Weekly RE No.: 2260000 Owner's Name: HABITAT FOR HUMANITY OF THE , JACKSONVILLE BEACHES INC JProperty Address: IS ST Unit No. ATLANTIC BEACH 32233 Mailing Address:- O BOX 50939 JACKSONVILLE BEACH, FL 32240-0939 —1 Property Use: 0000 VACANT RES Legal description:119-16 17-2S-29E DONNERS R/P PT LOT 3 N1/2 LOT 11 BLK 3 Neighborhood: 941702 DONNER NBHD Sec-Twn-Range: 17-2S-29E OR BK& Page: 110340-1952 1Map Panel: ------]1556A2 Sale Date: 1/15/2002 No. Buildings: —�0 Sale Price: $2,000.00 1FHeated Area: —�0 Exterior Wall: — I Parcel Summary- Values & Taxes from the 2002 Certified Tax Roll Land Value:— 1$3,488.00 Class Value:�$0.00 Improvements: $0.00 Taxing Authority: USD3 Market Value: $3,488.00 County Tax: —1$23.98 Assessed Value:—]$3,488.00 IFSehool Tax: 11$29.16 Exempt Value: $0.00 District Tax: 11$11.06 Taxable Value: $3,488.00 110ther Tax: $1.74 Sr.Exempt: $0.00 JFVoted Tax: 11$2.03 Sr. Taxable. $0.00 IFTotal Tax: 11$67.97 This page displays values from the 2002 Certified Tax Roll with weekly updates of ownership & sales. Map-It maps & data are updated & maintained by COJ-GIS, not the Pr Office. operty Appraisers Please direct inquiries regarding the maps & data to Map-it Feedback (below), not the Property Appraisers Office. Map-it Feedback l .......: P Payment Feedback Home PRC New Ma IT Taxes Appraisal Feedback http://pawww.coj.net/pub/property/RENO.asp?RENUM=172226+000O 12/31/02 CITY OF ATLANTIC BEACH z) 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 3. INSPECTION PHONE LINE 247-5826 c� Application Number . . . . . 02-00025368 Date 1/28/03 Property Address . . . . . . 56 LEWIS ST Tenant nbr, name . . . . . . NEW SFR 1100RADON, 1100SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 52800 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 56 LEWIS STREET P .O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . NEW 150AMP, 1PH, 3W, 240VOLT SVC Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 a 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 CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL FROM GRANGER)( PHONE NO. : 9047640038 Jan. 29 2003 01:57PM P1 bI/2912L0� 00:54 93,;2411222 BEACHES 'HAKTA- Pr y X11 -� 3 �s CITY OF ATLANTIC BEACHr FLORMA AAFLICATION FOR ELECTRICAL PERMU TO TM cam'8LE MICAS.INSPECTOR, D.AT&� 24 C) ROORTANT N MCZ,, W CGNSID2UTtCN OF PW"T<3tM FOR DOING TM WOM AS DES=89D M TM FOLLOWNO,WE XMMY AOUE TO PEStFCitti✓I SAM WC7Rl:IN rlCZ~Qr1NCE tivI7ld TM ATTAOMb P1., S'PECIFTCATlfJN3,WHLCht ARE w PART HRRiOF. MTO I D� Tl3ECPjCA REGIiLAxtplVffi,D AND ATt.PA�"f FC$ kCK ORD4NANL'Tss. nECTRICAi. IRM: YLECTAICTAN GNAT ,, a rt s NA : f rho Ross: r PVM s i RFD_Wx.T BLDG.Em EBT'WEEN- US.Q< APTt ) CO.W4.( ) PUBLIC( ) INDUS,( ) TSMWG-�'-OLD( REW.( ) ADDITION( ) MAE. R( ) MO.( ) SIGNS( Fr. SERVICE: NIN VNic EAS ' COND CTOR SIZE A..WS: a O COPP YEAS SWIxCK OR SUAKER i a 0 AOS PH w �-VtT RACIEWAY ZxKi$x.SERV.SIZE AMPS PH W VOLT RACEWAY # FEEDERS NO. 8i NO. SIZE NO. SIZE LIGHTING Ot3'I'S.ETS CONCEAL.'ED OPEN TOTAL RECEPTACY,.'ES CONCEALED OPEN TOTAL aaonra�s Ioa SWITCH �rCANDESCLVT . FLaC11�5CI�NT do M.V. TsIXED s APP I_AN I BE F. ASL HX,RAMNO H.P.RATINGj ICETS. KW HEAT CONDITIONINO CaMP.UMOR OMER MOTORS A,Xs BEAT 0-I ( OVER , IriplOR9 E I.p. i VOLTAGE PHS N0. 1 lip VOLTAGE PIIS NESCELLANZOUS ovI OVER o 'I'RANSF'atihlE.I�S: NO. Kv k NO. XV A 1fo.i`IEOTV TRAN3F. NO YA I+dA M TOR SIS SWITCH FI.As E.�C#I SIGN ' City of Atlantic Beach ■e* FEMPf *.r aper: C[O1lDRFY Type; OC Bracer. i Oka: MAM 01 Receipt no: 30833 besa286Cion 25!!4 MY Awmat 9 84ILBIRG POMITS 1 570.60 2642 25368 V WILDING PERBITS 1 $85.00 •cam detail S 6991 $155.06 `sod" $155.00 "sent $155.04 to: 1/28103 Tine: 13:47:09 Cit of Atlic Bead .** i � so FJXM . e: 1 M 61 pt Dr Me: 26M bacri_pUes 25254 qty Aiow►t w TTNMTS 1 5112.00 2M 25M v � 25E4 IS 1 $112.06 lw MWIS HM75 1 $112.00 Temw detail tZ cum 6884 SM." Trial tesdesed SM.06 TOW p"Not. SM.00 Trans date: 1113M Tim: 13:16:01 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 19� Application Number . . . . . 02-00025414 Date 1/13/03 Property Address . . . . . . 56 LEWIS ST Tenant nbr, name . . . . . . INSTALL 11 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------- --------------- ------------------------- BEACHES HABITAT CHRISTY FIRST COAST PLUMBING 56 LEWIS STREET P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 --------------------------------- ------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 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. �y BUI ING OFFICIAL r CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: A& lfltk)1, 5- OWNER OF PROPERTY: 6/3je0G 65 '6174) TEL.4 V�_� Z PLUMBING CONTRACTOR: C r` "s� Cput,n chic. CONTRACTOR'S ADDRESS: P0. 60)< Sy I/co aK, 13clA. f4 r, 3 410 STATE LICENSE NUMBER C i�Co S(o TEL. Y 7 l HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY ! WATER HEATERS ., BATH TUBS DISHWASHERS URINALS DISPOSALS -- CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS C SEWER WATER RE-PIPE(LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES:_ X $3.50+$15.00= ' 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. ,.,56rLEWIS ST. HVAC LOAD ANALYSIS for Beaches Habitat P.O. Box 50939 Jacksonville Beach, FL 32250 RHVACRMSIUVAL . HAG LOADS Prepared By: Glenn Jones Ocean State Heating&Air Conditioning 1476 Atlantic Boulevard Neptune Beach,FL 32266 (904)249-8251 12-11-02 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Neptune Beach,FL 32266 56 Lewis St. -1798 12-11-02 Page 2 Project Summary Project: 56 Lewis St. Company: Ocean State Heating &Air Conditioning Client: Beaches Habitat Representative: Glenn Jones Address: P.O. Box 50939 Address: 1476 Atlantic Boulevard City: Jacksonville Beach, FL 32250 City: Neptune Beach, FL 32266 Phone: 241-1222 Phone: (904) 249-8251 Fax: Fax: (904) 249-8949 Comment: Design Data Project Name: 56 Lewis St. 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 NIA 72 N/A Summer: 96 78 50% 75 51 Check Figures Total Building Supply CFM: 783 CFM per square foot: 0.712 Square feet of room area: 1,100 Square feet per ton: 590.415 Building Loads Total heating required with outside air: 23,619 Btuh 23.619 MBH Total sensible gain: 17,215 Btuh 85 % Total latent gain: 2,963 Btuh 15 % Total cooling required with outside air: 20,178 Btuh 1.681 Tons (based on sensible + latent) 1.863 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. Wednesday,December 11,2002 RHVAC-Residential$Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C 56 Lewis St. Neptune Beach,FL 32266-1798 12-11-02 Page 3 Total Building Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 130 4,241 0 5,354 5,354 11C Door Metal Polystyrene Core 20 423 0 231 231 12C Wall R-11 + 1/2" Gypsum(R-0.5) 950 3,847 0 2,104 2,104 13C Part R-11 + 1/2"Gypsum(R-0.5) 120 243 0 174 174 16G Ceiling R-30 Insulation 1,101 1,635 0 1,635 1,635 22A Slab on Grade No Edge Insulation 153 5,578 0 0 0 Subtotals for structure: 2,474 15,967 0 9,498 9,498 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 3,600 3,600 Lighting: 0 0 0 0 0 Ductwork: 0 1,124 0 1,565 1,565 Infiltration:Winter CFM: 132.0, Summer CFM: 58.7 150 6,528 2,043 1,352 3,395 Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 17,215 Temperature Swing Multiplier: X1.00 Building Load Totals: 23,619 2,963 17,215 20,178 Check Figures Total Building Supply CFM: 783 CFM per square foot: 0.712 Square feet of room area: 1,100 Square feet per ton: 590.415 Building Loads Total heating required with outside air: 23,619 Btuh 23.619 MBH Total sensible gain: 17,215 Btuh 85 % Total latent gain: 2,963 Btuh 15 % Total cooling required with outside air: 20,178 Stuh 1.681 Tons (based on sensible+latent) 1.863 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. Wednesday,December 11,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C 56 Lewis St. Neptune Beach,FL 32266-1798 12-11-02 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 130 4,241 0 5,354 5,354 11C Door Metal Polystyrene Core 20 423 0 231 231 12C Wall R-11 + 1/2"Gypsum(R-0.5) 950 3,847 0 2,104 2,104 13C Part R-11 + 1/2" Gypsum(R-0.5) 120 243 0 174 174 16G Ceiling R-30 Insulation 1,101 1,635 0 1,635 1,635 22A Slab on Grade No Edge insulation 153 5,578 0 0 0 Subtotals for structure: 2,474 15,967 0 9,498 9,498 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 3,600 3,600 Lighting: 0 0 0 0 0 Ductwork: 0 1,124 0 1,565 1,565 Infiltration:Winter CFM: 132.0, Summer CFM: 58.7 150 6,528 2,043 1,352 3,395 Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 17,215 Temperature Swing Multiplier: X1.00 System Load Totals: 23,619 2,963 17,215 20,178 Check Figures Supply CFM: 783 CFM per square foot: 0.712 Square feet of room area: 1,100 Square feet per ton: 590.415 System Loads Total heating required with outside air: 23,619 Btuh 23.619 MBH Total sensible gain: 17,215 Btuh 85 % Total latent gain: 2,963 Btuh 15 % Total cooling required with outside air: 20,178 Btuh 1.681 Tons (based on sensible +latent) 1.863 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. Wednesday,December 11,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C 56 Lewis St. Neptune Beach,FL 32266-1798 12-11-02 Page 5 Room Load Summary Reports System#1 Room Load Summary Htg Htg Run Run Clg Cig Clg Zone Cig 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 181 3,298 43 0-0 0 2,730 664 124 1.00 124 124 Bedroom 2 Bath 154 1,490 19 0-0 0 1,986 82 90 1.00 90 90 1/2,Laun dry 3 Kitchen 112 1,419 18 0-0 0 3,268 123 149 1.20 178 149 4 Dining 100 4,251 55 0-0 0 1,697 477 77 1.25 97 77 5 Living 225 6,803 88 0-0 0 3,641 749 166 1.25 207 166 6 Bedroom 184 3,263 42 0-0 0 1,593 434 72 1.00 72 72 3 7 Bedroom 144 3,095 40 0-0 0 2,300 434 105 1.00 105 105 2 System 1 1100 23,619 307 17,215 2,963 783 874 783 Totals Main Trunk Size: 12x12 in. System#1 Cooling System Summary Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 1.681 85%/15% 17,215 2,963 20,178 Recommended: 1.863 77%/23% 17,215 5,142 22,357 Wednesday,December 11,2002 FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Habitat, SFH, 1100 Builder: Beaches Habitat Address: 56 Lewis St. Permitting Office: Atlantic Beach City, State: Atlantic Beach, FL 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:22.6 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? Yes 6. Conditioned floor area(W) 1100 ft= c. N/A - 7. Glass area 8t type _ a. Clear-single pane 0.0 ft= 13. Heating systems b.Clear-double pane 130.0 ft' - a. Electric Heat Pump Cap:22.8 kBtu/hr - c. Tint/other SHGC-single pane 0.0 fF _ HSPF:7.00 - d.Tintlother SHGC-double pane 0.0 ft' b.N/A - 8. Floor types _ - a. Slab-On-Grade Edge Insulation R=0.0, 153.0(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=l 1.0,950.0 ft' _ EF:0.92 - b.Frame,Wood,Adjacent R=11.0, 120.0 112 - 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=30.0,1101.0 ft= _ 15. HVAC credits _ b.NIA _ (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 - MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 18288 PASS Total base points: 19970 I hereby certify that the plans and specifications covered Review of the plans and zip sr by this calculation are in compliance with the Florida specifications covered by this x,04 s � o Energy Code. calculation indicates compliance with the Florida Energy Code. PREPARED BY: Ocean State RhVAC Before construction is completed DATE: /.Z//-O 2 this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 �o compliance with the Florida Energy Code. Florida Statutes. D w$ OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: EnergyGaugeO(Version: FLRCPB v3.21) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT FGLASSESditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF=Points .18 1100.0 20.04 3967.9 Double, Clear SW 1.5 6.0 15.0 38.46 0.89 510.7 Double,Clear NW 1.5 4.0 6.0 25.46 0.85 129.3 Double,Clear NW 1.5 4.0 9.0 25.46 0.85 194.0 Double,Clear NW 1.5 6.0 15.0 25.46 0.93 353.4 Double,Clear NE 6.0 6.0 20.0 28.72 0.59 336.3 Double,Clear NE 1.5 6.0 20.0 28.72 0.92 528.9 Double,Clear SE 1.5 6.0 15.0 40.86 0.88 541A Double,Clear SE 1.5 6.0 15.0 40.86 0.88 541.4 Double,Clear SW 1.5 6.0 15.0 38.46 0.89 510.7 As-Built Total: 130.0 3646.1 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 120.0 0.70 84.0 Frame,Wood,Exterior 11.0 950.0 1.70 1615.0 Exterior 950.0 1.70 1615.0 Frame,Wood,Adjacent 11.0 120.0 0.70 84.0 Base Total: 1070.0 1699.0 As-Built Total: 1070.0 1699.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 20.0 4.10 82.0 Exterior 20.0 6.10 122.0 Base Total: 20.0 122.0 As-Built Total: 20.0 82.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM= Points Under Attic 1099.7 1.73 1902.5 Under Attic 30.0 1101.0 1.73 X 1.00 1904.7 Base Total: 1099.7 1902.5 As-Built Total: 1101.0 1904.7 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 153.0(p) -37.0 -5661.0 Slab-On-Grade Edge Insulation 0.0 153.0(p -41.20 -6303.6 Raised 0.0 0.00 0.0 Base Total: 4661.0 As-Built Total: 153.0 -6303.6 INFILTRATION Area X BSPM = Points Area X SPM = Points 1100.0 10.21 11231.0 1100.0 10.21 11231.0 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT Summer Base Points: 13261.4 Summer As-Built Points: 12259.3 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 12259.3 1.000 (1.090 x 1.147 x 0.91) 0.341 1.000 4760.3 13261.4 0.4266 5657.3 1 12259.3 1.00 1.138 0.341 1.000 4760.3 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®lFIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, 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 1100.0 12.74 2522.5 Double,Clear SW 1.5 6.0 15.0 7.17 1.06 114.0 Double,Clear NW 1.5 4.0 6.0 14.03 1.01 84.9 Double,Clear NW 1.5 4.0 9.0 14.03 1.01 127.3 Double,Clear NW 1.5 6.0 15.0 14.03 1.00 211.1 Double,Clear NE 6.0 6.0 20.0 13.40 1.04 279.8 Double,Clear NE 1.5 6.0 20.0 13.40 1.01 269.7 Double,Clear SE 1.5 6.0 15.0 5.33 1.10 87.7 Double,Clear SE 1.5 6.0 15.0 5.33 1.10 87.7 Double,Clear SW 1.5 6.0 15.0 7.17 1.06 114.0 As-Built Total: 130.0 1376.2 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 120.0 3.60 432.0 Frame,Wood,Exterior 11.0 950.0 3.70 3515.0 Exterior 950.0 3.70 3515.0 Frame,Wood,Adjacent 11.0 120.0 3.60 432.0 Base Total: 1070.0 3947.0 As-Built Total: 1070.0 3947.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 20.0 8.40 168.0 Exterior 20.0 12.30 246.0 Base Total: 20.0 246.0 As-Built Total: 20.0 168.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1099.7 2.05 2254.4 Under Attic 30.0 1101.0 2.05 X 1.00 2257.1 Base Total: 1099.7 2254.4 As-Built Total: 1101.0 2257.1 FLOOR TYPES Area X BWPM = Points. Type R-Value Area X WPM = Points Slab 153.0(p) 8.9 1361.7 Slab-On-Grade Edge Insulation 0.0 153.0(p 18.80 2876.4 Raised 0.0 0.00 0.0 Base Total: 1361.7 As-Built Total: 153.0 2876.4 INFILTRATION Area X BWPM = Points Area X WPM = Points 1100.0 -0.59 -649.0 1 1100.0 -0.59 -649.0 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, PERMIT#: BASE AS-BUILT Winter Base Points: 9682.6 Winter As-Built Points: 9975.7 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 9975.7 1.000 (1.069 x 1.169 x 0.93) 0.487 1.000 5647.7 9682.6 0.6274 6074.9 9975.7 1.00 1.162 0.487 1.000 5647.7 EnergyGaugeT"" DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, 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 6 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water - Total Points Points Points Points Points Points Points Points 5657 6075 8238 19970 4760 5648 7880 18288 PASS �4TLiB S'r d c� a EnergyGaugeTM DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 56 Lewis St.,Atlantic Beach, FL, 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 comers;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 2erimeter,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. Mufti-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 efficient 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-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.21 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =84.4 The higher the score,the more efficient the home. 56 Lewis St.,Atlantic Beach, FL, 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:22.6 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? Yes - - 6. Conditioned floor area(ft2) 1100 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:22.8 kBtu/hr - c. Tint/other SHGC-single pane 0.0 ft2 - HSPF:7.00 d.Tint/other SHGC-double pane 0.0 ft2 b.N/A - 8. Floor types - - a. Slab-On-Grade Edge Insulation R=0.0, 153.0(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=11.0,950.0 ft= - EF:0.92 - b.Frame,Wood,Adjacent R=I 1.0, 120.0 ft2 - b.N/A - c. N/A _ - d.N/A _ c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types - AHP-Dedicated heat pump) a. Under Attic R=30.0, 1101.0 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) �o4TiE S�9T�o in this home before final inspection.Otherwise,a new EPL Display Card will be completed �. based on installed Code compliant features. /�� t• { Builder Signature: Date: > Address of New Home: City/FL Zip: c0D wB *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 EnergyStarTmdesignation), your home may qual�&for energy efficiency mortgage(EEVP incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 3211638-1492 or see the Energy Gauge web site at www.fsec.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 8501487-1824. EnergyGauge®(Version:FLRCPB v3.21) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 7 Q FAX: (904)247-5805 SUNCOM: 852-5800 " http://ci.atlantic-beach.fl.us C '=� PLAN REVIM COMMENTS Permit Application # Applicant: �Ul CJ' C' h k 1 ����- Address:- 7 Project: Your applicarion is anT.r„�.o-' o Your ns need attent C r� Please re-submit B CA Reviewed Signed — \C� Contractor Notifi 60 vp_ 1 �r �y . " p 1; 102 «' BY: City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PEP311T APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) 2DATE JOB ADDRESS LL OWNERS NAME 'Q 'i7eg 4- ADDRESS � �/ .nji% S f °L�lfl� /f'f/C(/J//<i PHONE: Pj ��A&L;�C 30?33 •pou(VeR.. LEGAL DESCRIPTION: BLOCK`NUMBER 3 LOT NUMBER nY J � � ZONING DISTRICT r�-Q LA-r CONTRACTOR u('I�eS i STATE LICENSE NUMBER ADDRESS 2A10 6d4 ei S z {n PHONE �4 �'IZZ Z CITY he (1l -STATE ZIP 90.E FAX 4t-3/U DESCRIBE PROPOSED USE AND WORK TO BE DONE ✓eLil �?4 If- A,,lja KS : PRESENT USE OF LAND OR BUILDING(S) 11d- &tt'Jf VALUATION OF PROPOSED CONSTRUCTION 7 6T Is this an addition? If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? ues New electrical or increase in service? ( e. ' New plumbing fixtures? Ne�ace? t)New heating/air conditioning Is approval or Homeowner's A sociation or other private entity required? n If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? �- ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and Provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 6/18102 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks, building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PRO D TH IS APPLICATION IS CORRECT. SIGNATURE OF OWNER /—/ "� - 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. 1 UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT 1S CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR Z7�41 014-'— DATECJZ�L—9 2--� ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME ^ , MAILING ADDRE S PHONE �Dd�-Z�G� -( T? FAX_ 0!!e-ZT=�/r ! 41 E-MAIL SWORN AND SUBSCRIBED BEFORE.ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE 5 . ATLANTIC BEACH,FLORIDA 32233-4318 SSS TELEPHONE:(904)247-5834 FAX:(904)247-5843 -+ SUNCOM:852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 3 ` r Applicant: Address: �J -4159- L� u �_5 . Project: N �' t1J �} Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date /43/0 Signature Contractor Notified Date� 0,3 1 , rf fJ4� DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 k. 1 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # 2--`5 � I Applicant: Address: Project: XYour application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the following items need attention: z!jie a-y r y n Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Donna Kaluzniak, Public Utilities Director Date Signature Contractor Notified Date s 0:3 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �` /e ci, (S' .Date Heated Square Footage C Cl @ $ 6 per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation is` $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + %z Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $15.00 $ T' IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ 14- WATER IMPACT FEE $ _3 s C SEWER IMPACT FEE $ 2-co WATER METER/TAP $ 2 CAPITAL IMPROVEMENT$ z,� SEWER TAP $ - ,- C (1/00 RADON iiPO050 $ SECTION H PAVING ( ) $ U HYDRAULIC SHARES $ i CROSS CONNECTION $ ST(�'/ft) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ CITY OFATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 ` FAX:(904)247-5805 -;" SUNCOM:852-5800 E http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # '2 Applicant: �� AddresUj 9 L JS Project: � - o Your application is approved )t, Your permit application has been reviewed and the following items need attention: 12 fC )) LLS id U S1 L Please re-submit your application when these items have been completed. Reviewed by Signed Contractor Notified Date R f 2002 c Beach 800 Seminole Road •Atlantic Beach,Florida 321 33-5445 �•./ hone: (904)247-5800 FAX (904)247-5805 • http://www/ei.atiantic- flus BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) 50 �' DATE � ��� � U �� JOB ADDRESS •J RC-01-72_ � r�Z2�6 ©��a OWNERS NAME deAes &off ADDRESS IZ :Z1 PHONE: YV'L Z10/ 2 ,�;edM,i,"it 30Z3 •p o+.t IV a lZ LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER Y ( I ZONING DISTRICT (-RQQ LA-r CONTRACTOR _ C!(:/ja � i�� STATE LICENSE NUMBER ADDRESS ADDRESS 5- &e, PHONE d'lly-IZZZ CITY_.& A j o p "L)h STATE ZIP 320-_-3 FAX Ltl -Z�f/ -4f-31 ? DESCRIBE PROPOSED USE AND`3'ORK TO BE DONE 4AW !i/)4, Arai Za PRESENT USE OF LAND OR BUILDING(S) j1d&,JL VALUATION OF PROPOSED CONSTRUCTION Is this an addition? ` If yes,what are the dnnensions of the added space: feet by feet Will the added area be heated and cooled?_ uC 5 New electrical or increase in service? New plumbing fixtures? ue< New fireplace? /'�New heating/air conditioning? Is approval or Homeowner's A sociation or other private entity required? n If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 6/18/02 STEP 2. Contact the. City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks, building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PRO D TH IS APPLICATION IS CORRECT. SIGNATURE OF OWNER / '`'L- 4— DATE 2-1 1 7/9 Z—_ 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 1S CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLAINS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR ( DATE 2 y ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRE S�_�� "YiL/JLl_S �enLk�_ PHONET Z / -(�T�, FAX ��/� Lt E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02