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Permit 63,65 Lewis St (vault folder) Y JOB ADDRFM "�J 3 S = i- n-PE woRf�k PROPERTY O� CONTRAcT6,—R �'n ✓+ 'c`�` TELEPHONE PERMT rT7fT ER ,�� DATE INSPECTIONS: FOOTiN SLAB � TlE Lon EL NAILIN�T'�NG FteAAaQV"OYER INSULATION /0 - I _o I FWAL BUH-DING-43v l CER3IEICATE OF OCCUPANCY -, ' I EucnOCAL PERAH" •� - _ �'• INSPECTIONS ROUGH MEcfIANICAL PE&MM 7 Zv INSPECTIONS .ROUGH FINAL -c' FLUAMING .ROUGBV"ER SLAB �Ec77ONs . roPorrr WA�� c a/ FINAL NOTES: 4 . r } 'u xd MEMORANDUM DATE: October 26, 2001 REISSUED: November 12, 2001 REISSUED: February 11, 2002 TO: Pat Harris, Building Clerk TO: Nelson VanLiere, Finance Director FROM: Carlene Matthews, Fiscal Assistant SUBJECT: Permit issued 63/65 Lewis Street Received permit 22317 on 7/19/01 for duplex. I added to utility billing as one account since the permit indicated they paid for(1) a 3/4" meter. This (1) account was set up as duplex(R2) with full services. I issued a service order to install (1) 3/4" meter and when Ellen received service order back they had installed (2) meters. Ellen called Chris and told him that they only paid for (1) meter that they need to pull the other meter. Found out later that Chris did pull meter but was instructed by Don Ford to re-install that meter. Attached you will find copy of the permit issued and where it only indicates (1) meter. I think Robert Pennington owes us for an additional meter. Please advise, Thanks. When I was up talking with Pat the other day, I noticed a Memo sitting on Pats desk and ask her for a copy since it had to do with 63/65 Lewis Street. Attached you will find this refund request. The reason I'm sending this again is because we are billing cycle 3 tonight 11/12/01. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247'5826-FAX 247-6877 s7 Permit Number. 22317 v Address: 63/65 LEWIS STREET Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s):14 Block: 2 Section: Square Feet: Subdivision: DONNERS REPLAT Est Value: Parcel Number: Improv. Cost: 145,000.00 w. . Date Issued: 7/13/2001 Name: ROBERT PENNINGTON Total Fees: 7,044.91 Address: 142 11TH AVENUE NORTH Amount Paid: 7,044.91 JACKSONVILLE BEACH, FL 32250 Date Paid: 7/13/2001 Phone: 000 000-0000 Work Desc: NEW DUPLEX ROBERT PENNINGTON PERMIT 899.00 -. WATER IMPACT S 4 t525. SEWER.)iVIPAC`IFEE 5"9 ,a' ,L\ `> METER/TAP �.. 'AD).N GAS-H.R:S "If , � �' � RADON GAB 6°tb 0.35 GAPI7AL lMPROVI=. 750.00 Q?6SS CONNECTION S4 �,. r 70.00 `EC?NST.SURCHARGE iia- 12.55 HARGE/ATL.BCH. 1.39 .. . . ' EWER TAP s'°7 .. 1,500-00 ' �Mi • 4 X44.' �'�''�` hq:. MM y M1 8: NOTIC!--11 PEC ST BE REQUESTED AT LEAST 24 HOURS PRI© TO INSPECTION BUILDING MATERIAL, RUBBiSFf QEBRIS FROM THIS WORK MUST NOT BEP ED IN PUBLIC SPACE,AND MUST BE CLEARED IJP AND HRtI .AWAY BY EITHER CONTRACTOR OR O " "FAILURE TO COMPf WITH TW__. CONSTRUCTION LIEN LA�, NRESUi� ``tN THE PROPERTY OWNER PAYING BUILDING IMP TS" ISSUED ACCORDING TO APPR�D PLAA WHfH RL_PA T F�HI P MI_ D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PVIstems OF ATLANTIC BEACH B ILDING D 7/19/1111 Receipt: W4417 �o�T'y MAP SHOWING BOUNDARY SURVEY OF LOT 14 BLOCK Z AS SHOWN ON MAP OF n 2c-Ac-D-r AS RECORDED IN PLAT BOOK /9.__PAGES 1(o• 164 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR. 5'. Pe1UAJ/AJ67'yAj 6Ex_lg2eAe_ /I14T/D.✓4L %3/1�✓� 2 T AST T77L6- nvn �c- v X 8 , �a' titi �.o 3 4.v' 1 S \IV IV• �rl) zw,,Tv cof_. S0: O0 FC& 1Z- Z6. or ,cn✓AL /z•S•d/, 0l-555 FQU . 01- THE PROPERTY SHOIMV HEREON APPEARS To UE WiTHNV FLOOD HAZARD ZONE__X_ AS SCALED FROM FLOOD INSURANCE RATE AIAP.Zz FOR THE CITY OF JACKSONVILLE, FLORIDA, DATED Os-13 AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONS717U7E A CER77FCA77ON OF SAME. FLOODPLAIN DEVELOPMENT INFORMATION Location::-,, 2-- Type of Development: Flood Zone: Required Lowest Floor Elevation: �_ J If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of thi ermit is contingent upon the above information being correct and that the plans and s po . data have been or shall be provided as required. I agree to comply with all applicab o ' i ns of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed e to nt. Date 7 Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department t. �-. Building Department Representative R. S. PENNINGTON, GENERAL CONTRACTOR 142 11TH AVENUE NORTH JACKSONVILLE BEACH, FLORIDA. -2-73 (904) 242-4980 December 19, 2001 City of Atlantic Beach Building &Zoning Department 800 Seminole Road Atlantic Beach, FL 32233 Attention: Don Ford Re: 63 & 65 Lewis Street Dear Mr. Ford: I understand that the water closets in the master baths at the above captioned residences do not meet minimal clearance per "SRP 2705.1". To correct this violation would cause extreme financial hardship and costly delays. I personally accept all responsibility and liability for this violation and relieve the City of Atlantic Beach of any liability in this matter. Sincere ennm o , eneral Contractor ; Owner/Builder w� CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the fallowing_ Address: 63/65 LEWIS STREET Owner: ROBERT PENNINGTON ATLANTIC BEACH, FL 32233 142 11 TH AVENUE NORTH JACKSONVILLE BEACH, FL 32250 Construction Type: WOOD FRAME Use Classification: DUPLEX Permit Number: 22317 Date: 12/21/2001 C' /2.k r.., DON C. F D, C.B. . Post in a conspicuous space CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Binding Code certiift that at the tune of issuance this structure was in compliance with the various ordinances of the City reguhi ft twilding constriction or use. For the following: Address: 63/65 LEWIS STREET Owner: ROBERT PENNINGTON ATLANTIC BEACH, FL 32233 142 11TH AVENUE NORTH JACKSONVILLE BEACH, FL 32250 Construction Type: WOOD FRAME Use Classification: DUPLEX Permit Number: 22317 Date: 12/21/2001 DON C. FORD, C.B.O. 3ost in a conspicuous space NOTICE TO: Water Department FROM: Building Department DATE: -1-a=�1_d C_ Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed; Also included below is the ERU number for each location: Permit Number Property Address ERU Number — ------------- --------------------------- -------------------- ------------- --------------------------- -------------------- ------------- --------------------------- ------------------- ------------- --------------------------- -------------------- Sincerely, 4� 8;C Pat Harris Building Department NOTICE TO: Water Department FROM: Building Department DATE: / a- a 1-0 / Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed; Also included below is the ERU number for each location: Permit Number Property Address ERU Number 3 -------------------- _� ------------- --------------------------- -------------------- ------------- --------------------------- -------------------- ------------- --------------------------- ------------------- ------------- --------------------------- -------------------- Sincerely, Pat Harris Building Department CITY OF 4&4#1& 3elac-4-#nnk .' Office of Building Official REQUEST FOR INSPECTION Date Z!7�7�-� Permit No. Time A.M. Received P. Locftty Ow is Na Contrac BUILDING CON TE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring C Rough ❑ Air Cond. & Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tu Wed_ Thurs. FridayP.M. spection Made P.M. Inspector - Certificate of Occupancy ❑ Date ---- r `� 1 � t+ $ og Officialt, Q TSZUrliDate � .,,�, Permit p Time Received P.M. ob Address Locality Owner's Name - iVIVf l� �Roud or ffILDIN�G::) CONCRETE PLUMBING MEQ CHANICAL�❑ Footing ❑ ❑ Air -"' ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ beating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Tues. � Wed. Thurs. Friday Inspection Made p' Inspector ✓Final inspection pp�� Certificate of Occupancy �, 2-0 V 0 Date CITY OF Office of Building Official REQUEST FOR INSPECTION DateL Permit No. Time t A.M. Received f PM. Job Address Locality Owner's Name Contractor Pell 0//,,q/-t,,j BUILDING CONCRETi ELECTRICAL PLUMBING MECHANICAL Framing 0 Footing Ij Rough Wiring C Rough E Air Cond,& 0 Re Roofing Cl Stab El Temp Poie D Top Out F— Heating Insulation Cl Lintel D Final Gtr Sewer 0 Fire Place Pre Fab READY FOR INSPECTION Tues. Wed, Thurs. Friday P.M.— N A.M. Inspection Made P.M.21 Inspector— Final Inspection El Certificate of Occupancy D Date -- P�LANTj`, , NOTICE '�1OR10P OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE Z3 r- L Cw t s S— cz THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted V erg►►� ,to W isa Sacs t4c 'X'-c. e $15.00 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 PLUMBING made, call 247-5826, Building Depart- 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. W a r p�(LANrjC v � _ F�0RI��' OF ADDITIONS or • - - •D• NOT REMOVE JOB ADDRESS DATE fj t.6ol t 21;10 tvf THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted e �i $15.00 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 PLUMBING4 made, call 247-5826, Building Depart- 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. CITY OF No. 35023 ATLANTIC BEACH When Validated, This FLORIDA Becomes an Official Receipt. � — / 2Q2-1 NAME _ _S ADDRESS CITY `� e`J&V Z- 3 2 2 5C /S - $15.88 74 Bate: 12121/81 61 Receipt: W1531 DECKS 9728 88188183291888 NOTICE TO: Water Department FROM: Building Department DATE: --------------------------- Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed; Also included below is the ERU number for each location: Permit Number Property Address ERU Number ------------- --------------------------- -------------------- ------------- --------------------------- -------------------- ------------- --------------------------- ------------------- ------------- --------------------------- -------------------- Sincerely, r , Pat Harris Building Department CITY OF No. 34997 ATLANTIC BEACH When Validated, This FLORIDA Becomes an Official Receipt. -1!? 2002 NAME 6Z° S, (: ADDRESS CITYzu L. �Zo e T' 015.074 Date: 12/28181 81 Receipt: 8828845 CHECKS 88] 3291888 9716 _ — -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247.5877 PaRkiT INF _ Permit Number. 22317 Address: 63/65 LEWIS STREET Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s):14 Block: 2 Section: Square Feet: Subdivision: DONNERS REPLAT Est. Value: Parcel Number: _ Improv. Cost: 145,000.00 _ OV"►I!NER N�IFORMA IQN -- Date Issued: 7/13/2001 Name: ROBERT PENNINGTON Total Fees: 7,044.91 Address: 142 11TH AVENUE NORTH Amount Paid: 7,044.91 JACKSONVILLE BEACH, FL 32250 Date Paid: 7/13/2001 Phone: (000)000-0000 Work Desc: NEW DUPLEX _ I _ ,—CO!IttTC `tR{ l '. .. APPtiAT10N A— R �.tS ROBERT PENNINGTON PERMIT 899.00 WATER IMPACT FEE 780.00 - SEWER IMPACTFEE 2,500.00 'WATER METER/TAP 525.00 RADON GAS-H.R.S. 6.62 RADON CAB 5% 0.35 CAPITAL IMPROVE. 750.00 CROSS CONNECTION 70.00 CONST.SURCHARGE 12.55 I - HARGE/ATL.BCH. 1.39 �^ SEWER TAP 1,500.00 j 1 NOTICE- IIQSPECl'i NS IhtST BE REQUESTED AT LEAST 24 HOURS PRIOlk TO INSPECTION BUILDING MATERIAL, RUBBISH DEBRIS FROM THIS WORK MUST NOT BE PLA ED IN Pl18LIC SPACE,AND MUST BE CLEARED UP AND HAU D.AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THt-CONSTRUCTION LIEN LAWAM RESUt,,'I'IN THE PROPERTY OWNER PAYING BUILDING IMP VEVENTS11 ISSUED ACCORDING TO APPROVED PLANS WHrH ARE-PART PF*HI: PJAMIT*`ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P NIS NS OF „ 40, ATLANTIC BEACH B ILDING D atas 7/199/11 K Rw -- -- -- -.. Total Raynd _ — PROPERTYDESCRIPTION ° RECEIVED ma� .Pi 1 i V Lot #/_, Block # Section # yaG '` -' ,%'� Subdivision: JUIN 7 2U01 Street Name ^^�� // t 6_5/ ,, DESCRIPTION 6Y W�lantic Beach or Address:6 J Z_"q,.s ` ? Building znd zonivig (If in a FLOOD HAZARD Flood Zone: area complete page 3) Brief Description ����f- Class of Work: (New/ Remodel/Addition: ZONING INFORMATION Type of Construction: ' Zoning Proposed District: Use: Estimated Value $ Exceptions or Variances Materials: Granted: Solid or Filled Ground: cxr Roof: ,,� Vgk -r�� Method of Heating*. OWNER INFORMATION Property Owner: 1 'r .� elL ,vl Phone: Mailing Address Zip: CONTRACTOR INFORMATION Contractor: r �/1// �;�..- Phone• Mailing Address: /�C+ Zip: ExpDate: �ion Jf Z V STATE LICENSE NO: , Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PER RMAN E OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT CO NGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND S P T DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature DATE Contractor Signature DATE 4 —7 el Govnr7 y OF- nu✓Ac. SWORN AND SUBSCRIBED BEFORE ME BY /�O/� S P-XN _'1A1t 7—,6A1 THIS DAY MAUREEN VNG Notary Public-State of Fkxkio NOTARY—PUBLIC My Commission Exphm Mar 31,2W2 Commission#CC720M CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX: 247-5877 Permit Number: 23515 Address: 65 LEWIS STREET Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 . Township: Range: Book: Classof Work. Proposed Use: SINGLE FMLY(ATT) Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: — - Improv. Cost: Date Issued: 2/22/2002 Name: ROBERT PENNINGTON Total.Fees: 85.00 Address: 3602 RIVERHALL DRIVE Amount Paid: 85.00 JACKSONVILLE, FL 32217 Date Paid: 2/22/2002 Phone: (904)733-9091 Work Desc INSTALLATION OF 3/41 O4ITC 85.00 ROBERT PENNINGTON "' , •"S.. r i t-x as�' `i x. .. 'REh'p. 'r i 1110 "� 'moi '`"`• + �` . CTION — NOTICEIC' BUILDING MATERIAL;_, I I H IwttJ-T ELIC SPACE, AND MUST BE CLEARED U -` _ .. SAY BY I_ITHEE RA 1rOR OR "FAILURE TO COMPL Tk _ R401 L TiN THE PROPERTY OWNER PA ISSUED ACCORDING TO APPROVE IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVI . Gper: HDMI H Type: Gi. Drawer; t D f e. iO2 3, Rece:ot no: G r.° ' 14 PERM, �—A�tlLIi1K P13 1 $8500 ATLANTIC BEACH BU LDING D Feb 22 02 10: 14a Harry McNally 904 247 5672 p. l City of Atlantic Beach UT500L ** S E R V I C E O. R D E R ** CYCLE/ROUTE: 03 19 ** METER S E T ** 'W CODE: SVC ORDER NO. : 73637 SECTION: AB ATLANTIC BEACH ISSUE DATE: 7/20/01 LOCATION ID: 2976 CLASS: RESIDENTIAL 2 UNITS ISSUE TIME: 9:43 :40 ADDRESS: 63 65 LEWIS ST - REQUEST DATE: 7/20/01 CITY: ATLANTIC BEACH USER ID: CSTARR -------------------------------------------------------------------------------- SERVICE/SEQ: WA 000 WATER -- NEW -- %IETER NUMBER S 8 �-f i,si-4(3 MAKE _ slzE S Ct -e— LOCATION SPECIFIC LOC: tJj u&-I�`"'T � HAZARD pit �READING SEQ � NEW READINGS: 113 -1. oco6 2 . -------/ 0------ C O M P L E T I O N INFORMAT I O N ----------------- DATE: all MI SC CHARGE: AMT: ACTION: COMPLETION METHOD: METER SETS COMMENTS ' DATE INSTALLED METER NUMBER 15--7 -1/*757;Z 9' NAME K2 Vic NEW MTR.RDG. �Qd OLD MTR.RDG. SERIAL # 1 -3 CARLENE NEW DUPLEX-PAID FOR 3/411 METER ON PERMIT 22317. PAID ALL WATER AND SEWER INPACT FEES. BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OFATLANTIC BEACH, FLORIDA CERTIFICATE OF 0CCUP.4IVC Y WORKSHEET Date Requested: 1,;2- Building Contractor : Building Permit Number : Address: 63 - 65 Leal Description.e_._5 //D G �%7`" � 4c Improvements to the above described prcperty have been completed in accordance with the terms of the pezmit and is certified to to ready for occupancy as Lowest Floor Elevation : recruired as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLON?NG MUST BE COMPLETE DEPARTMENT DATE NOT�,FIED DATE APPROVED BY i Fire Public Works Planning B,uilding / 101j CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications mint be submitted with seven(?.) copies and received by 5 PM on the Friday ten I ! 10) (1gys prior to the scheduled meeting in order to be placed on the agenda. C *INCOMPLETE APPLICATIONS OR INACCURATELY MARUD SITES WILL NOT BE PROCESSED. 1 JAPPLICANT NAME ADDRESS TELEPHONE i ADDRESS OR LEGAL DESCRIPTION OF TREE MOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: AAX 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑YES ❑ NO ❑ NOT SURE 5. PROPERTY ZONING: ❑RESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER DIAMETER MITIGATION INTERI RE TERIOR *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. r See attached diagram for determination of interior and exterior zones. 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inches or more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an"X". f) Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle "O". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: a) All trees identified for removal MUST be marked onsite by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging,paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot 9. * IN!FQMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILD NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTEC N, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE C O INANCES OF ATLANTIC BEACH. a Appli t Date W 4— OV6rys Signa Date CITY USE QNLY: Tree Conservation Board Chairperson Date s TREE PROTECTION PROPERTY LINE PRIVATE PROTECTED TREE 20.00' 08JHF�6L ORMORE { I 7.50'— PRIVATE .50'PRIVATE { I PROTECTED I f TREE I I I � I PRIVATE PROTECTED TREE LINE TY I� U- D B H DBH OF 20' OR MORE I = w I Imo PROPERTY to w 1IQ (D B H OF 10" OR MORE IN LINE 0 I COMMERCIAL & INDUSTRIAL PRIVATE ui PROPERTY) ? PROTECTED FETED owl f lI � I -- --- - -- -- - -------�- 7.50' PRIVAT- E-PROTECTED- TRE- E DBH OF 6" OR MORE 20.00' PROPERTY LINEC)o PROPERTY LINE SIDEWALK SIDEWALK PUBLIC PROTECTED TREE D B H OF 6" OR MORE (PUBLIC STREET) (PUBLIC STREET) A. PRIVATE PROTECTED TREE 1. ANY TREE WITH A D B H OF: SIX (6) INCHES OR MORE LOCATED ON ANY LOT WITHIN TWENTY (20) FEET OF A STREET RIGHT-OF-WAY OR REAR PROPERTY LINE. SIX (6) INCHES OR MORE WITHIN SEVEN AND A HALF (7.5) FEET OF ANY OTHER PRIVATE PROPERTY LINE AND TWENTY (20) INCHES WITHIN ANY OTHER PORTION OF THE LOT. (EXCEPT 10" FOR COMMER- CIAL & INDUSTRIAL PROPERTY) 2. ANY CHAMPION TREE SO DESIGNATED BY THE FLORIDA DIVISION OF FORESTRY, DPARTMENT OF AGRICULTURE. B. PUBLIC PROTECTED .TREE SAME AS PRIVATE PROTECTED TREE PLUS ANY TREE SIX (6) INCHES OR LARGER WITHIN CITY RIGHT-OF-WAY. C. EXCEPTIONAL SPECIMEN TREE ANY TREE ON PRIVATE OR PUBLIC LAND DESIGNATED BY THE CITY COUNCIL AS A SPECIMEN TREE. TREEPRO CITY OF >7�yzida l--- _" 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904) 2475800 FAX(904)247-5805 Date: 2 � 0 ! r 04,2 4 YD S 4 _1� �..—. .�'ry�s .,fir. raA&mjTtc BEAC( Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ / .-00 Hater Tap - Labor and Materials to tap into water main 2 ,(q S-�?S. po Water Meter .- Cost of Meter Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ 3 S` Sewer Impact Fees - Funds future expansion. of the sewer plant Water Impact Fee - Funds future expansion of the water plant $ y(D Capital Improvement - Funds for improvements , expansion or replacement to water system 32 S, pd e,4, TOTAL COSTS $ �! S If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, zc),— C -7-0j"� Don C. Ford Building Official DCF/pah Jun 18 01 04: 27p Harry McNally 904 247 5872 P. 1 Department 904-247-5805 p 1 Jun 17 01 08:34a Building P "CEQUOPTE APPLICATION FOR WATER AND/OR SEWER TAF APPLICANT NAME 6L4 /1f? MAILING ADORESS t-4� w' S c:J�/{ Cis . PHONE NUMBER G t(-�C� [)ATE—& SERVICE REQUESTED L-- A-..- f SERVICE LCC AT ION 5- DATE SET TO PUBLIC WORKS (P- DATE P DATE RE T t'Rtt=D TO EUILDING DEPARTMENT PURI-YC WORXS DEPARTMENT `j ... rOgk PRICE QUOTE RESPONSE wATi=Rt a SPS 1 AS -o fie_ �� c'�e �z 61, Z`` 1`7 z��r ScNER a(J v,Q 1 �J t'lil L�c�_� 'Z OTHER-, PRICE QUOTE PREPARED BY: Signat ire - Title DATE NOTIFIEC OWNER CITY OF ,4&4a&c z each - �ea�ida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904)247-5805 - SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. DDRESS Please call me at.904-247-5826 if you have any questions. (: re , ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC MkCH FLxcure Unic WarksheeC for Wacer Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HE.ASURE:IENT OF WATTR CE�!kND FOR EAC3 WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATSR S7STEN. TIHE WATER SUP?LY CHATiCE IS HEREBY FIXED AT T'NE,,'TY DOL-, ' Rs ?ER FIXTURE UNIT CONNECTED TO THE Cl—, , WATER SYSTZ!u. _BATHROOM CROUP CtJNSISTINC OF SERVICE S:NK TRA° STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) J Z . WATR C:.OSE_ WAS CLOSET. TONY OPERATED (L) VALVE 3ArA;u3/SHOWER (2) URINAL WALT LI? ( •) SHOWER GROUP PER HEAD (3) FLOOR SHOWER STALL DOMESTIC (2) LAUNDRY L.IYATCR (1) Cl—jh3'4 N'A ION S:_`!K cQiC T?!�Y l31') 2WASH:NG MACHINE (3) � POT, SCU'LL2R� S::rK ( ) DISH'WAsHm (Z) WAST' S::lK _.tC rAUC�TS (=) 2 1ITG2Et SINX (2) y DE.YiAL LAVATORY (1) O XlTCSF_Y SINX WIM WASTE DF-N7AL UNIT OR CUSPIDOR ( 1) GRIXDE3 (3) BIDET (21) UR?NAL STALL, WASHOUT' (4) FLUSELNC IL'i SINX (8) CO2'.BINATT_ON SLYK AND TRAY FOCD DIS?OS. (4) QRINAL, PMESTAL, SYPHON 1ET DRINKING FOUNTAIN BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE N.AKT-R (I/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (') J.kcuz.. 2 (2) URINAL STALL, WASHOUT (4) T'0TAL FIXTURE UNITS '2 '2— t $20.00 EAC:i $ 4le 0 r )) UOS IAFOl?-uATION G 3 J L. Gt9tS ST CITY OF 20444c Beac-4 4&%&42"' Office of Building Official REQUEST FOR INSPeCTION ? Date— Permit No. Time A.M. k Received PJo ress ,1� 6s ocality Owner's Name (/--o Contrac BUILDING CONCRETV ELECTRICAL4LWUMBING MECHANICAL Framing - Footing E], Rough Wiring F Rough E Air Cond. & Re Roofing 0 Slab E, Temp Pole E, Top Out it Heating I tion E, Lintel E, Final E, Sewer [2, Fire Place lion Lintel Final Li 'n' Pre Fab y �-- ADY F INSPECTION,,� Q_ Tues. We s IM n. T-es ed� (Z�Ur ) Friday A.M. 'ffisp.cti.n Made --pW Inspector Final Inspection E nspector Certificate of Occupancy 0 Date CITY_OF 1Q� /34'ifSiiJ-`yrff/'[KT+fi Office of Building Official REQUEST FOR INSPECTION Date ©t Permit No. Time A.M. Received t�PtaA Job Address LocaliZ Owner'snJ � Name Contractor BUILDINGFCOI E� ELECTRICAL PLUMBING MECHANICAL 11-1QoflNnC Framing E Rough Wiring C Rough Air Cond.& Re Roofing E, < ❑ Temp Pole D Top Out C Heating Insulation E] Lintel E Final C Sewer E, Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. c? A.M. 7 Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy❑ J08 AO RESS OATS THIS JOB HAS NOT BEEN COMPLETED The foftowing additions or corrections shall be made before the job will be accepted _tea r v /-°v' I A $15.00 REINSPECT FEE 4>: .. It is unlawful for any Carpenter, C ractor, 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 EIEC are in the office from 8:00 a.m. to 5:00 81OG p.m. Monday through Friday. r CITY OF Office of Building Official REQUEST FOR INSPECTION Date 40-`__.ol Permit No. �✓ Time A.M. Received M. _ 3 ------ ob Addre s l ality r, Owner's } ` Name Contracto BUILDING CONCR ELECTRICAL P I MECHANICAL Framing 1 Footing Rough Wiring E Air Cond.& _ Re Roofing G Slab Cl Temp Pole E, Top Out Heating Insulation 1: Lintel �E, Final C Sewer Fire Place L. Pre Fab READY FOR iNSPECTIO Man. Tues. Wed. Thurs. Friday A,M. Inspection Made _ e RM. inspector Final Inspection D Certificate of Occupancy Q Date __ fi f ` CITY OF , Office of Building icial k1D REQUEST FOR INS&E ON a ZL-7 Date__/a t Permit No.Time A.M. Received P.M. Job"Addresscality Owner's f tJa l�1 Co for B DING CONCRET EL R L MU C CHANICAL ming - Footing ❑ Aou Wiri 0 ir Cond. & Re Roofing Stab C Tem Pole To 11 eating Insulation Lintel D Fina U Sewer C1 Fire Place C Pre Fab READY F R I Tues. Wed Friday Inspection Made ;/+ gtpf P.M A nspector Final inspection ccupancy C, Date k P�LANT�C' o � m F- c� v 'rl0 R14Q' OF ADDITIONSor • " • D• NOT REMOVE JOB ADDRESS DATE G G " a a THIS .JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted $15.00 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 PLUMBING made, call 247-5826, Building Depart- 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. n��f/�,0���t-0 //CITY__OF Office of Building Official f,e1 rj REQUEST FOR INSPECTI Date jam`` Permit No. Time A.M. Received _ PM. Job Address Locality Owner'sq G� r� Name ✓ __Contractor � " BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICS Framing 0 Footing Ej Rough Wiring Ci 17 Air Gond.& Re Roofing G Slab G Temp Pole ED Top Out 0 Heating insulation 01 Lintel L7 Final 401, Sewer#,btjfty�Fir.Place READY OR INSPECTION 4��XG Pre Fab Mon, Tues. Wed Thurs, Friday A.M. inspection Made ( a PM. Final Inspection i nspector Certificate of Occupancy 0 Date CITY OF y.. Office of Building Official REQUEST FOR INSPECTION Date ~ Permit No. Time ` 1 } AIM Received v Job dress — ocality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL C~ PLUMBING MECHANICAL Framing Footing E Rough Wiring Rou hAu<Cand.& Re Roofing Slab ❑ Temp Pole 160 Uuf G - Heating Insulation E Lintel Li Final 4:, s er 7" Fire-Place C Prefab RE �' R INSPEG�ION A.M. Mon. Tues. Wed. hurs r Ariday _ J A.M. Inspection Made PM � { Inspector Y/, z.-z i�ihi tsctidri --T — certificate at Occupancy 0 Date /n�1'- /CITY OF fY&aa& B" TW"fiifif Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time ,D0 A.M. Receiv Address ocality Owner's Name Contractor BUILDING CONCRETE EL CTRICAL MECHANICAL Framing El Footing ❑ Rough Wiring - D Air Cond. & C Re Roofing ❑ Slab O Temp Pole C utt, ❑ Heating Insulation G Lintel ❑ Final / ❑ yverrrJ ❑ Fire Place Pre Fab READY FOR v A.M. Mon. Tues. Wed. Thurs. Friday P.M. / `J A.M. P.M. r Inspection Made I ector Final Inspection C Certificate of Occupancy❑ 5j Date LANl jC Cl) FtOR% NOTICE OF ADDITIONS or CORRECTIONSE D• NOT REMOVE JOB ADDORRE(SS� ! �DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted oofljg:4-7 $15.00 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. Nitef additions or corrections have been aLunnsiNc made, call 247-5826, Building Depart- ment for an inspea 6n,.Field Inspectors ELEC are in the office from 8:00 a.m, to 5:00 BLDG p.m. Monday through Friday. ,r k P�LANrj�, '�j(1 RIDS' i OF ADDITIONS or CORRECTIONS :' D• NOT - • JOB ADORESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877 800 --- ELECTRICAL PERMIT _,T0_R INFO 1 fAT1ON LOCA63 LEWIS STREET �_ -- PERMiT tw RMATION ` Address: I e�rmit Number: 22721 ATLANTIC BEACH, FL 32 Book: I P e: ELECTRICAL Range: IPermit Type- Township: Block: Section: � Class of Work: NEW Lot(s): Proposed Use: SINGLE FMLY(ATT) Subdivision: Square Feet: parcel Number: � TI------ -" Est. Value: OWNER INFpRIy1ATION Improv. Cost: Name: ROBER VERHALPE N DGTRNE Date Issued: 9!24/2001 Address: 3602 Total Fees: 45.00 JACKSONVILLE, FL 32217 Amount Paid: 45.00 Phone: (904)733-9091 Date Paid: 9/24/2001 -- rPL1CATiO FEES Work Desc: CS150AMPS 1 PH 3W 240V EW SERVIC 45.00 CONTRACTORS NOBLE ELECTRIC b. .K'� * .AY' ✓p V X , s a .' ji - r ROUE E IC , . '1A 0 G t 6'�v"yilY+ 3 >c IY v: gk Yl T BE REQU� `i'ED AT LEAF .24iOURStiOR TOINSPECTION NOTICE- INSPECTION_ ` :w ISH Ajl3EBRIS FROM THIS WORK MUST OR B"." ERC BUILDING MATERIALRUBB ED INIUBLIC SPACE,AND 1 , MUST BE CLEARED UP``/ IdD HAULE'® AY BY EITFiEt CONTRACTOR A14 RES-OLT IN THE "FAILURE TO COMPLY"�'I PROPERTY OWNER PAY(Nelwt "FO S ;. � , PF MIT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVED PL kWP W P0 .... FOR VIOLATION OF APPLICABLE PROVISi6?4S"E w $45.9914 gEg9/25/91 91 Receipt: 0919KATLANTIC BEACH BUILDING DEPT. DECKS -- a � CITY OF ATLANTIC BEACH, FLORIDA ApVrovsO by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�T 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. Alo 3/'f 9 l C 2 t" C^o /��/!/ C/�ilcz���-t �7 ✓��h �i�.�.�c n ELECTRICAL FIRM- MASTER ELECTRICIAN SIGNATURE L JOURNEYMAN NAME /``�� Como•, ADDRESS: 63 LTJ/ s S% RFD BOX BLDG.SIZE ` 4, JG BETWEEN: 251,bley RES.(v/ APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( I REW.( 1 ADDITION ( ) TRAILER ( )) TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW L INCREASE( 1 REPAIR( ) FEE CONDUCTOR SIZE �� AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS f PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS N0. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.90 AMPS. 31-100 AMPS. SWITC.ES INCANDESCENT FLUORESCENT&M.V. FIXRD 0.100 AMPS. IOV 6R APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. KVA NO.NEON TRANSF. N0. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES —� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tei: 247-5826- Fax 247-5877 ` PLUMBING PERMIT T I.00AT10 1 iNpb �PERAAI'T INFORMATION Address:63/65 LEWIS STREET Permit Number: 22451 ATLANTIC BEACH, FL 32233 Permit Type: PLUMBING Township: Range: Book: Class of Work: NEW Lot(s): Block: Section: Proposed Use: DUPLEX Subdivision: DONNER Square Feet: Parcel Number: - Est.Value: C !iIER INFORMATION' Improv. Cost: _ Name: BOB PENNINGTON Date Issued: 8/06/2001 Address: 63/65 LEWIS STREET Total Fees: 78.00 ATLANTIC BEACH, FL 32233 Amount Paid: 78.00 Phone: (000)000-0000 Date Paid: W F XTURES/PLUMBING Work Desc: NE — qpP CATION i`-EES 78 C01iTRRCTE3 . S ' 00 COMFORT PLUMBING SERVICES ERCT . - 47, t k x Yin ;.. _. PECTION NOTICE- I�ISTIC REQ,tT_ D A7 LA f4 HtIRtz'F1 Tt3` — 41 BUILDING MATE � RUB. 1EBRIS FROM THIS\WORK MUST N BE RLA DIN PUBLIC SPACE, AND MUST GLE: P AND HAULjE[ AWAY BY EITHER . fiITR f T OR OWNER URE TO COMP TION'LI ,aI1 ; .N RE+ T IN THE I FAIL u E PROPERTY OWNER PAS AOR P ISSUED ACCORDING TO APPROVEC IT AND-SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROM AT NTIC BEACH BUILDING DEPT. Dame: 6/96/-11.61f7d.6! 1� 06199i93P IM 18��9 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : (;Sr OWNER OF PROPERTY:t�D� � EPHONE NO. PLUMBING CONTRACTOR �pYVl1-G ?W VL l$�•�r., �4 . . CONTRACTOR' S ADDRESS : AT7_A"lac.._ '2t V ,3220'7 STATE LICENSE NUMBER: CPG 05 G6 "j ( TELEPHONE: 725 -cc39'"7 HOW MANY OF THE FOLLOW FIXTURES RE—PIPED O NEW Z SINKS SHOWERS �{ LAVATORY z WATER HEATERS L4 BATH TUBS DISHWASHERS URINALS DISPOSALS t CLOSETS Z WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE—PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES : ($ x $3 . 50 + $15 . 00 17P) ` 0 v� MINIMUM PERMIT FEE — $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904 ) 247-5826 CITY OF ATLANTIC BEACH MECHANICAL PERMIT i 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 -15 AlT fNFOf2�AA�'#ISN L l-�"tt�N fflff*CiR�AT}ft3flf Permit Number: 22720 Address: 63/65 LEWIS STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s):14 Block: 2 Section: Square Feet: Subdivision: DONNERS REPLAT Est. Value: Parcel Number: Improv. Cost: 0WN R INFORMATION" 1 Date Issued: 9/24/2001 Name: ROBERT PENNINGTON �! 1 Total Fees: 94.00 Address: 142 11TH AVENUE NORTH Amount Paid: 94.00 JACKSONVILLE BEACH, FL 32250 !, Date Paid: 9/24/2001 Phone: (000)000-0000 Work Desc: INSTALL HVAC IN TWOmRDENCES D CON`fRACTO LfCATtON!'EES NICK'S SOLAR &AIR SYSTEM$= � flR IT , 94.00 4 `JYF3 p'i!Y' - ps� s _ I ROUGH MECHM Akf �— it t • r�LL t , _ Y Y= NOTICE-`#NSPEGT}C71 ST•BE REQ TEDgAT Eg5T:,24:f-1 1URS Pik#,SSR TO INSPECTION BUILDING MATERIAL,1UBBISH AIV6DEBRIS FROM THIS WORK MUST NOT B LACED IN f,*1BLIC SPACE, AND ! MUST BE CLEARED UP AND HAULS . WAl'BY EITHER<CONTRACTOR OR ER "FAILURE TO COMPLY1tITH TOT TtO� _"KW1 RE$1lLT IN THE PROPERTY OWNER PAYII FVtEOR �Q11IC !IIFUP ISSUED ACCORDING TO APPROVE6tPrI11S' tt} RDA T. F IT ANDSUBJ ECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISI01A/�, , i $94.00 14 ATLANTIC BEACH BUILDING DEPT. Date: 9/24/8181 Receipt: 091787 CHECKS 15619 00188883221800 BUILDING AND ZONING fNSPECTION DIVISION CITY OF ATLANTIC BEACH AT[,+.NTIC I[AC4.. /t.ONIDA Jtfi! APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT_—Applicant to cam late all items in sections I, II, III, and IV. h t. 5 LOC-'ATION S ..l A d..•a' OF Gl.n•O(nq Slr.•lu 6.w.., A.d WILDING t S.b-dl.ld.w 11. IDENTIFICATION —To be cample ad by all applicants. Iw co,•idvrian !p•.,nil qi.,n (.t d.iwq th• -erk .• d.•<,i6.d �+ eb. •b.., n.�•w•.w1 .•6...br .qr.a to p•der,.•.ld .w�Iw•cevd•ne. I%. .4.41'4 ' pl •rd ,p.<i(i<.rf.n• -4ic6 u• pt "—i •.d in •444.4.+c• -tIM 16.Cily of J•c6an.iU• wdi..n<•• ,wd .Lwd.rd, O( q..d.pr.cfle• li.l•dIbv.in.�� •. N.,w• .l )Ji<!t•wl al C l!� �! �•wpr. Gwh.•Iar Trlwf �'L.. ell w ArlYtwia.4 Aq•.1 Arebil.a/ w Engla•.r It1. CENE(AL INFORMATION A. Tyl••wf N..11.1 fv.i. 8• I! OTNGI CONSTRd(C71ON ACING OQNC ON C3. 8--m- rR113 7UIt.O1144 OR SIT%? ❑ C..—❑ u ❑ N-Nni ❑ Can1r•i Utility . ❑ Qg it YC3, Give NUMS&A Of CONSTRUCTION PGIMIT iv. wncmI mr-AL wuiri-AwT To u im%rALLw NATUR woRK (h.al.—F-61.lid-f—P' wb b.d wi to lI F.fltl.nttal O? Q Commercial ❑' 11.31 ❑ Sp.0 ❑ x.e 4 K! Gwfn{ O flow Q N*w Building . ❑ Air C.wdrli.wiw4p ❑ A—. a C..#,4 O Erlaing Budding . ❑ arca S74t..ws Id.t.riw! T1ek!!.• Q R.0i4c.m.nt dl.xf.11nq tyatorn M..i,w••w e.p.d►► �� ❑ Nww inataustidn(No ly.i.m prw iauaiy Inalalfwdl ❑ 11.irFga,.X.w ttl�/1 //��f Q Etl.nalOn or-414-On W walaling.ysl.m ❑ Cwwitwq te..wn C.p.dty . a 0 � �" q.prw. ❑ Olh.r—9p.Uly ❑ A- .pr1.H+n. Hrn•b.r -4 14..4• ❑ 13w..1-r Q W.wlih ❑ E+e+1••-- (w•wl..r) - . T}41S T•Aca Y'CR ORICi Vti ONtT ❑ l?C 4.wwh--• (wr,w6•.( Q 016—-.,'Sp.dit URT ALL SQ(IIPMENT ADL OINDCIIONING AND U.MGEAATION CQ(IR!(F.NT C(=1y A.Z= Iflmtl.r Units I}..arlotlda Yod.l Numbs Yaaulaatunr 1DS46TIKG FURNACES, Bclults, F( m--.ACZS CYAgprowtwe p.al !webs IIaita D..dripdom Ya¢d`•fhmD.r Ytututaaatr.r ($Stl lira i TANZT /I a—W-7If-1 Cav-duT Tr"Tr" Lur" ;lama of SArW p t q7 � ("JlL(�V aandDtm.�dma COOtais.al ][fautadtm'�r Na. K�/ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT PERM11 !NF RMA `f N OCATItO�INFORMATION Permit Number: 22722 Address: 65 LEWIS STREET - l Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: _Parcel Number: _ Improv. Cost: INFt)RMATION Date Issued: 9/24/2001 Name: ROBERT PENNINGTON Total Fees: 45.00 Address: 3602 RIVERHALL DRIVE Amount Paid: 45.00 JACKSONVILLE, FL 32217 Date Paid: 9/24/2001 Phone: 904)733-9091 Work Desc: C9150AMPS_1P`H3­W24_,0V,NEW SERVICE /^�j t = - LICATION FEES _ CON'TI�ACTOR"S a NOBLE ELECTRIC ", RIT ,« 45.00 El A3 + r �a s wow ROUGH x T- ROUGH ELECT Q, , NOTICE- WISP ION TBE REQ TED AT LEAST'24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,fkUBBISH"A( C}, EBRIS FROM THtS WORK MUST NOT BE LACED IN F IBLIC SPACE,AND MUST BE CLEARED UP MD HAULtb4WAY BY EITHER CONTRACTOR OR ER "FAILURE TO COMPLYTH T ( Ta,vTIOI .W" A RELT IN THE PROPERTY OWNER PAYII :I OR 11.D 1 I P.. ISSUED ACCORDING TO APPROVED-PAatHRF 'fT t MIT AND SUBJECT TO REVOCATION , FOR VIOLATION OF APPLICABLE PROVISIOIFI., „: I � f�5.68 1� ATLANTIC BEACH BUILDING EPT. CKS 9/25/61 61 Receipt: 88911 — - --- --881832216 - CITY OF ATLANTIC BEACH, FLORIDA App*awd br APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE, IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS:,_4EZeS G4'ja i S S'L * RFD BOX BLDG.SIZE [a{ /�OUBETWEEN: ya�rT�L? d 'll RES.( APT.i') COMM.( ) PUBLIC( ) INDUS.( ► NEW(✓1 OLD( 1 REW.( ► /7 ADDITION ( ) TRAILER ( )) TEMP.( 1 SIGNS ( ) SO.FT. SERVICE: NEW(Z INCREASE( 1 REPAIR ( ) FEE CONDUCTOR SIZE f7 AMPS COPPER ALUM. (✓ ► SWITCH OR BREAKER /'S—a AMPS PH W l VObLT `-1�0 RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS I CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE1L HEAT: KW-HEAT 0'1 OVER MOTORS H.P. I VOLTAGE J PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS e fid TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA I NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 8W SEMINO!E ROAD-ATLANTIC SEA:CH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ RRi t � A1- -_ LQ1 INFO I� it _ Permif Number: 22317 Aacre€s: 3I65 LEWD. .Ef_ �, Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Wort: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s): 14 Block: 2 Section: Square Feet: Subdivision: DONNERS REPLAT Est. Value: Parcel :Humber: Improv. cost: 145,000.00 INFOR j _ Date issued: 7113/2001 ! Name: ROSE,f t'fEij tN�INGTC N_ Tafiai Fees: 7,044.91 t Address: 142 11TH AVENUE NORTH Amount Paid: 7,044.91 j JACKSONVILLE BEACH, FL 32250 Late Paid: 7/13/2001 (000)000-0000 IL. -----UP--------____._ Work Desc: NE {DLEX :i - -- -- ROBERT PENNINGTON TRAC _ - PPLI ATIO FEE - - - _ PEI;2K.41T _ _ 899.00 WATER 99. ,0WATER IMPACTFEE 730.00 F I=EE 2,500.00 SEWER IN,PAC WATER METERITAP .525.01}. i RADON GP,S-H_R.S_ - -- 0.02 RADON CAB'5% 0.35 i -APITAL IMPROVE; � � _ -750.0` i ROSS CONNECTION _. 70.00 1 :SNS-I.SUI CHARGE -12 55 ,,3 .HARGEIATL.BCH. f.30 i' SEWER TAP 1,500.0.7 - - -- . _ t NOTICE INSPECTIONS IV16ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPm'CTION 3UILDING MATERIAL, RUBBISH AND DEBRIS FROM THISWORK MUST NOT BE PLACED IIS' PUBLIC SPACE,AND OUST BE CLEARED LSA AND HACIQED AWAY BY EITHER CONTRACTOR SDR OWNER FAILURE TO COMPLY VVIT IcH "tFIE CONSTRUCTION LIEN LA1,V',CYAN RESULT iN THE ROPERTY OWNER PAYING TIWICE FOIR BUILDING IMI _ a El�i'9Et�1TB" SUED ACCORDING TO APPR6VEC+PLANS wHiCH ARE-PAIRT OF THIS PES MiT AMID SUBJECT TO REVOCATION ?R VIOLATION OF APPLICABLE PROVISIONS OF LA���F_ r erator: m1IN ATLANTIC BEACH B ILDING DE Da Iii k ipf-; 1974417 -----------�._---___-.___--- ------ v s CITY OF ATLANTIC BEACH PERMIT CALCULATION SKEET Address (O J' � (� 4 E l.S- T (4 U JOL F X Date - (G -Of Heated Square Footage �@ $ per sq ft = $ Garage/Shed _j @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio © @ $_per sq ft = $ TOTAL VALUATION: $ l Yom©0 O //66 $ Total Valuation 1st $� Remaining Value $ per thousand portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ d b ( ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE $ R " WATER IMPACT FEE $ b SEWER IMPACT FEE $ O lUfF© S 45`Z'1/7#-T£ -------'WATER METER/TAP $ 5 Z �EWERAPITAL IMPROVEMENT _TAP $ ♦ o a (1395 RADON (HRS) . 0050 $x-70 •.3 SECTION H PAVING ( ) $ r a HYDRAULIC SHARES $_ � '— CROSS CONNECTION $ SURCHARGE .0050 $zu -s- / OTHER $ 2? GRAND TOTAL DUE $ -O YW •2 I ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH Flxcure Unic Worksheet For Wacer Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE24ENT OF WATER DE_I'AND FOR EACH WATER FIXTURE UNIT INSTALLED AND COUNECTED TO T'riE CITY "ATE'R SYST-,%4T'dE WATER SUP?LY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE C17: WATER. SYSTEM. BATHROOM GROUP CONSISTING OF I SERVICE S:NK TRl? STAND WATER CLOSET, LAVATORY b BATH (S) TUB OR SHOWER STALL (b) WATER CLOSE_ WATF3 CLOSE-.L TANX OPERATED (4) VALVE OPER;TED (°) OATH UD/SHOVER (2) URINAL WALL L:? (w) SHCval GROUP PER HEkD (3) FLOOR SHCWF-1 STALL DOMESTIC ('_) LAUNDRY TRAY (�) UYAi'OA': (1) CO:,3::ZA:70N S:NK 2_WASHIN6 MACHINE (3) POT, SC��LE�'_ S--.';K (�) _�DISiiNASHTR (2) �� WAST' SINK ACH SE:' OF AUC TS (�) KITCHEN SIn (2) � DEN AL LAVATORY (i) [ITCSF`d SINK WITZ WASTE DE.YTAL UNIT OR CUSPIDOR (1) GRIXDEY (3) URZNAL STALL, WASHOUT (�) FLIISH22iG ILM SINX (8) COt'FINAT?ON SINK AND TRAY WITF FOOD DISPOS. (4) QKINAL. P=ESTAL, SYPHON JL DRINKING FOUN"AIN (1/:) BLOWOUT (2) LAVATORY, 3ARBER/3EAU7Y *' ICE MAKER (I/'-) SHOP (2) SURGWNS SINK (3) d LAVATORY, SURGEONS (_) JACUZZI (2) V URINAL STALL, WASHOUT (4) TOTAL FIXiURF UNITS 520.00 EAcq $ U �•�� JOB INFOR.U.ATION Jul 09 01 02: 12p Harry McMally 1 904 247 5872 p• 1 Jun 17 01 00:348 Building Department 904-247-5805 p- r PF"IC E 0 UO TE APPLICATION FOR WATER ANDlOR SEWER TAF APPLICANT NAME - 1�� ---� MAILING ADDRESS PHONE NUMBER •cs�UC)(D DATE 62 • /:J SERVICE REQUESTED- SERVICE LOCATION DATE SET TC PUBLIC WORKS DATE RE TURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATEP: a PS 1 ASLO fie_ yvl et.c�g 1-2 &-7- .C)o 0Ti,1ERF: PRICE QUOTE PREPARED, BY: Signature -Title DATE NOTIFIED OWNER PLAN REVIEW CHECKLIST PROPERTY DESCRIPTION: C 3 �] ,� ,L��W f.S +'Ozz OWNER: 13r-ttf— &A, AJ1(A&f-0A) [� 1. Determine Occupancy Classification of the structure. Select occupancy classification which most accurately fits the use of the Building. (Chapter 63) [ 2. Determine actual physical properties of building. [/] a. Determine building area each floor. (Area definition Chapter 132) [X b. Determine grade elevation for building. (Grade definition Chapter 132) C. Determine building height in feet above grade. (Height definition Chapter 132) [� d. Determine building height in stories. (Story definition Chapter 62) e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter 82) [ f. Determine percent of exterior openings per floor. 3. Determine minimum Type of Construction necessary to accommodate proposed structure. (Chapter 66) [ a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table 8500) [Ly, b. Check allowable height and area increases permitted. (Chapter 65) [,X 4. Check detailed Occupancy requirements. (Chapter 64) 5. Check detailed Construction requirements [� a. Fire Protection of Structural Members(Chapter B6&Table B600) [ b. Fire Protection Requirements(Chapter B7 and Table 8700) C. Means of Egress Requirements(Chapter B10) [L-r d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) [�6. Review design as related to standards. (Chapters 1316-B26) [ j 7. Check other requirements as necessary. [ ] a. Construction projecting into public property(chapter B32) [ ] b. Elevators and conveying systems (Chapter B30) [✓j' C. Sprinklers,standpipes and alarm systems(Chapter 69) [ d. Use of combustible materials on the interior(Chapter 138) e. Roofs and roof structures (Chapter B15) [+.]� f. Light,ventilation and sanitation (Chapter 812) [ ] g. Other 6 - ( 6 - 0 ( CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date By: 2C - 1'k Don C. Ford, Building Official don/sb.1 R. S. PENNINGTON, GENERAL CONTRACTOR 142 11TH AVENUE NORTH JACKSONVILLE BEACH, FLORIDA 32250 (904) 242-4980 October 26, 2001 City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Attention: Don Ford Re: 63-65 Lewis Street/Sewer Tap/Receipt#0074417 Dear Mr. Ford: As no sewer tap was required or provided on the above captioned new construction, please refund the tap fee charges in the amount of$1,500.00. Thank you. Sincerely r Ir R ert S. ennin o� RSP:sjp J `gEPON Fi 0 POF Pc�°F�, _- •��rc, r FOR CHECK Date , Payee_R. S, Pe ---_nein Address 142 1 1 tAven Vendor City Jack 'onv -----State Amount$ ZiP Code _ Account No. Or Charge To Description Ae uad Project P to ce-i_pt N--°�ID`_417 i See Permit No. 21317 REQUESTED BY APPROVED By. PHARR'IS APPROVED By.. APPROVED By. Form No.CFR 2 DEPARTMENT HEAD FINANCE DIRECTOR CITY MANAGER } Harris, Patricia From: Ford, Don Sent: Tuesday, October 30, 2001 3:48 PM To: Harris, Patricia Cc: Benjamin, Jeri; Van Liere, Nelson Subject: Refund of sewer tap fee Pat, Please do a check request for a sewer tap refund of$1500.00 to R.S. Pennington for 63-65 Lewis St. The sewer tap was in place and no sewer tap was required. Don R. S. PENNINGTON, GENERAL CONTRACTOR 142 11TH AVENUE NORTH JACKSONVILLE BEACH, FLORIDA 32250 (904) 242-4980 October 26, 2001 City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Attention: Don Ford Re: 63-65 Lewis Street/Sewer Tap/Receipt#0074417 Dear Mr. Ford: As no sewer tap was required or provided on the above captioned new construction, please refund the tap fee charges in the amount of$1,500.00. Thank you. Sincerely R ert S. enningto rill RSP:s' �3 ..a 44III33 Cin OF No. 3 4 5 b ATLANTIC BEACH When Validated, This FLORIDA Becomes an Official Receipt. !t 7 200/ NAME ADDRESS !� CITY U 74 �� 518/18/91 91 Reeeiph mo 91198MM1999 9664 'IrORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: P278801 Builder: R-S.PENNINGTON Address: Permitting Office: City, State: Permit Number: Owner: R.S. PENNINGTON Jurisdiction Number. Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Multi-farnily - a. Central Unit Cap:36.0 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 10.00 - 4. Number of Bedrooms 3 - b. Central Unit Cap:36.0 kBtu/hr 5. Is this a worst case? Yes - SEER: 10.00 - 6. Conditioned floor area(ft2) 2788 ft2 c. N/A _ 7. Glass area&type - - a. Clear-single pane 0.0 fl2 - 13. Heating systems b. Clear-double pane 132.0 ft2 - a. Electric Heat Pump Cap:36.0 kBtu/hr - c. Tint/other SC/SHGC-single pane 0.0 flz - HSPF:7.00 d.Tintlother SC/SHGC-double pane 0.0 ft2 b.Electric Heat Pump Cap:36.0 kBtu/hr - 00 7. 8. Floor types - HSPF: - a. Slab-On-Grade Edge Insulation R=0.0,150.0(p)fl - c. N/A - b. N/A - - c. N/A 14. Hot water systems 9. Wall types - a.Electric Resistance Cap:50.0 gallons - a.Face Brick,Wood,Exterior R=11.0, 1892.0 ft2 - EF:0.9.5 b.Frame,Wood,Adjacent R-11.0,250.0 flZ _ b.Electric Resistance Cap:50.0 gallons - c. N/A EF:0.95 d.NIA _ c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=30.0,1394.0 ft2 _ 15. HVAC credits _ b. Under Attic R=19.0,136.0112 - (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=6.0,150.0 ft - RB-Attic radiant barrier, b. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,150.0 ft MZ-C Multizone cooling, MZ-H-Multizone heating) Glass/Floor Area: 0.05 Total as-built points: 23694.00 PASS Total base points: 32490.00 I hereby certify that the plans and specifications covered Review of the plans and og��Sr' by this calculation are in compliance with the Florida specifications covered by this _ o Energy Code. calculation indicates compliance y a PREPARED BY: M. S. BACCA with the Florida Energy Code. Before construction is completed DATE: this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 compliance with the Florida Energy Code. Florida Statutes. OWNERIAGENT: BUILDING OFFICIAL: DATE: DATE: 4 Cr....w..I-'........161/1/...•w:..w• CI O!`UTA r1Ml FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT GLASS TYPES .16 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 2788.0 33.05 16588.1 Double,Clear W 2.0 7.0 36.0 36.99 0.89 1180.7 Double,Clear E 2.0 16.0 24.0 40.22 0.99 956.7 Double,Clear W 2.0 7.0 36.0 36.99 0.89 1180.7 Double,Clear E 2.0 16.0 36,0 40.22 0.99 1435.1 As-Built Total: 132.0 4753.2 WALL TYPES Area X BSPM = Points Type R Value Area X SPM = Points Adajcent 250.0 0.7 175.0 Face Brick,Wood,Exterior 11.0 1892.0 0.40 756.8 Exterior 1892.0 1.70 3216.4 Frame,Wood,Adjacent 11.0 250.0 0.70 175.0 Base Total: 2142.0 3391.4 As-Built Total: 2142.0 931.8 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 22.0 2.40 52.8 Exterior Insulated 104.0 4.10 426.4 Exterior 104.0 6.10 634.4 Adjacent Insulated 22.0 1.60 35.2 Base Total: 126.0 687.2 As-BuiR Total: 126.0 461.6 CEILING TYPES Area X BSPM = Points Type R Value Area X SPM = Points Under Attic 1394.0 0.60 836.4 Under Attic 30.0 1394.0 0.60 836.4 Under Attic 19.0 136.0 1.10 149.6 One Total: 1394.0 836A As-Built Total: 1530.0 986.0 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 150.0(p) -37.0 -5550.0 Slab-On-Grade Edge Insulation 0.0 150.0(p) -41.20 -6180.0 Raised 0.0 0.00 0.0 Base Total: 45550.0 As-Built Total: 4180.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 2788.0 10.21 28465.5 1 2788.0 1021 28465.5 Summer Base Points: 44418.6 Summer As-Built Points: 29418.1 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 29418.1 0.500 0.974 0.341 1.000 4888.2 29418.1 0.500 0.974 0.341 1.000 4888.2 44418.6 0.3573 15870.8 29418.1 1.00 0.974 0.341 1.000 9776.4 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Points .18 2788.0 9.76 4900A Double,Clear W 2.0 7.0 36.0 10.77 1.03 399.7 Double,Clear E 2.0 16.0 24.0 9.09 1.01 220.0 Double,Clear W 2.0 7.0 36.0 10.77 1.03 399.7 Double,Clear E 2.0 16.0 36.0 9.09 1.01 330.0 As-Built Total: 132.0 1349.3 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 250.0 3.6 900.0 Face Brick,Wood,Exterior 11.0 1892.0 3.50 6622.0 Exterior 1892.0 3.70 7000.4 Frame,Wood,Adjacent 11.0 250.0 3.60 900.0 Base Total: 2142.0 7900.4 As-Buik Total: 2142.0 7522.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 22.0 11.50 253.0 Exterior Insulated 104.0 8.40 873.6 Exterior 104.0 12.30 12792 Adjacent Insulated 22.0 8.00 176.0 Base Total: 126.0 1532.2 As-Built Tafel: 126.0 1049.6 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 1394.0 1.20 1672.8 Under Attic 30.0 1394.0 1.20 1672.8 Under Attic 19.0 136.0 2.00 272.0 Base Total: 1394.0 1672.8 As-Built Total: 1530.0 1944.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 150.0(p) 8.9 1335.0 Slab-0n-Grade Edge Insulation 0.0 150.0(p) 18.80 2820.0 Raised 0.0 0.00 0.0 Base Total: 1336.0 As-Built Total: 2820.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 2788.0 -0.59 -1644.9 2788.0 -0.59 -1644.9 Winter Base Points: 15695.8 Winter As-Built Points: 13040.8 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 13040.8 0.500 0.990 0.487 1.000 3143.1 13040.8 0.500 0.990 0.487 1.000 3143.1 15695.8 0.5340 8381.6 13040.8 1.00 0.990 0.487 1.000 6286.2 FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: , ,, 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 0.95 3 0.50 2543.66 1.00 3815.5 50.0 0.95 3 0.50 2543.66 1.00 3815.5 As43uUt Total: 7631.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water - Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 15870.8 8381.6 8238.0 32490.4 9776.4 6286.2 7631.0 23693.6 EFPASS::] s ra� a FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 qML9g.ft.window,area;.5 cfmlsq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seat between:windows/doors&frames,surrounding wall; foundation&wall sole or slit plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between wags and floor. EXCEPTION:Frame wags where a continuous infiltration barrier is installed that extends from and is sealed to the focrxlation to the t Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed urdess backed by truss or joint members. EXCEPTION:Frame floors whore a continuous infiltration barrier is installed that is sealed to the 'meter trations and seams. Ceilings 606.1.ABC.1.2.3 Between wags&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 ceffiugs where a continuous infiltration barrier is installed that is sealed at the perimeter,at Penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.12.4 Type IC rated with no penetrations,sealed;or Type IC or non4C rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Multi-storyHouses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration refits 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 dearly marked circuit breaker electric or cutoff must be pEovided.External or built-in heat trapr ed. Swimming Pods&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 tfficienq 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 AN ducts,fittngs,mechanical equipment and plenum chambers shag be mechanically attached,sealed,insulated,and installed in accordance with the cdleda of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 crate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 CeilingsWn.R-19.Common wags-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. r_�_�.i+_..__ru r•,nw r_�_nnnw n+ r___�.....-.__worn-r_�r.+rn+rr e�n,wrw nnn ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE*=86.9 The higher the score,the more d icient the home. R. S. PENNINGTON. , , , 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Multi-family - a. Central Unit Cap:36.0 kBtu/hr _ 3. Number of units,if multi-family 1 - SEER: 10.00 _ 4. Number of Bedrooms 3 _ b. Central Unit Cap:36.0 kBtu/hr _ 5. Is this a worst case? Yes _ SEER:10.00 _ 6. Conditioned floor area(ft2) 2788 ft2 c. NIA _ 7. Glass area&type _ a. Clear-single pane 0.0 ft2 _ 13. Heating systems T b. Clear-double pane 132.0 ft2 _ a. Electric Heat Pump Cap:36.0 kBtu/hr _ c. Tint/other SC/SHGC-single pane 0.0 ft2 _ HSPF:7.00 _ d.Tint/other SC/SHGC-double pane 0.0 ft2 b.Electric Heat Pump Cap:36.0 kBtu/hr _ 8. Floor types _ HSPF:7.00 _ a. Slab-On-Grade Edge Insulation R=0.0,150.0(p)It _ a N/A _ b. N/A _ c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons _ a.Face Brick,Wood,Exterior R=11.0,1892.0 ft2 EF:0.95 _ b.Frame,Wood,Adjacent R=11.0,250.0 ft2 _ b.Electric Resistance Cap:50.0 gallons _ c. N/A _ EF:0.95 _ d.N/A a Conservation credits _ e. NIA (HR Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0,1394.0 112 _ 15. HVAC credits _ b. Under Attic R=19.0,136.0 ft2 _ (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 .0,150.0 ft _ RB-Attic radiant barrier, b. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,150.0 R 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) o� sT,y in this home before final inspection.Otherwise,a new EPL Display Card will be completed �yy' O,p based on installed Code compliant features. Builder Signature: Date: a Address of New Home: City/FL Zip: COD .��`'`' *NOTE: The home's estimated energy performance score is only available through the FLA/REScomputer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 far a US EPA/DOE EnergyStarTudesignation), your home may qualify for energy efficiency mortgage(EEM)incentives ifyou obtain a Florida Energy Gauge Rating Contact the Energy Gauge Hotline at 4071638-1492 or.see the Energy Gauge web site at www.fwaucf edri for information and a list of certified Raters For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community A„tfedrs at 8501487-1824. rr nn1rA nnnl. RIGHT-J LOAD AND EQUIPMENT SUMMARY 01-23-01 Filename: P278801.RSR Zone: Entire House For: R. S. PENNINGTON Phone: Fax: By: NICKS SOLAR AND AIR SYSTEMS 4559 FULTON AVE. JACKSONVILLE FL 32207 Phone: 904-737-5499 Fax: 904-733-5029 Job#: P278801 Wthr: Jacksonville AP FL Notes: WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Outside db: 32 OF Outside db: 94 OF Inside db: 70 OF Inside db: 75 OF Design TD: 38 OF Design TD: 19 OF Daily Range M Rel.Hum. : 50 % Grains Water 49 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING Bldg.Heat Loss 29620 Btuh Structure 28601 Btuh Ventilation Air 0 CFM Ventilation 0 Btuh Vent Air Loss 0 Btuh Design Temp. Swing 3.0 OF Design Heat Load 29620 Btuh Use Mfg.Data n RateJSwing Mutt. 0.99 INFILTRATION Total Sens Equip Load 28315 Btuh Method S imp l i f i e d LATENT COOLING EQUIP LOAD SIZING Construction Quality Average Fireplaces 0 Intennal Gains 2760 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 4964 Btuh Area(sq.ft.) 2788 2788 Tot Latent Equip Load 7724 Btuh Volume(cu.ft.) 22304 22304 Air Changes/Hour 0.7 0.4 Total Equip Load 36039 Btuh Equivalent CFM 261 149 HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 OF Total Cooling 0 Btuh Actual Heating Fan 1238 CFM Actual Cooling Fan 1238 CFM Htg Air Flow Factor 0.042 CFM/Btuh Clg Air Flow Factor 0.043 CFM/Btuh Space Thermostat Load Sens Heat Ratio 79 MANUAL J: 7th Ed. Right-Suite: Ver 4.1.27 S/N RSR24 642 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT-J CALCULATION PROCEDURES A, B, C, D Job#: P278801 01-23-01 Zone: Entire House Filename: P278801.RSR Procedure A-Winter Infiltration HTM Calculation* 1. Winter Infiltration CFM 0.7 AC/HR x 2 2 3 0 4 Cu.Ft. x 0.0167= 261 CFM 2. Winter Infiltration Btuh 1.1 x 261 CFM x 38 Winter TD = 10899 Btuh 3. Winter Infiltration HTM 10899 Btuh / 258 Total Window = 42.2 HTM and Door Area Procedure B-Summer Infiltration HTM Calculation* 1. Summer Infiltration CFM 0.4 AC/HR x 22304 Cu.Ft. x 0.0167= 149 CFM 2. Summer Infiltration Btuh 1.1 x 149 CFM x 19 Summer TD = 3114 Btuh 3. Summer Infiltration HTM 3114 Btuh / 258 Total Window = 12.1 HTM and Door Area Procedure C-Latent Infiltration Gain 0.68 x 49 gr.diff. x 149 CFM = 4964 Btuh Procedure D-Equipment Sizing Loads 1. Sensible Sizing Load Sensible Ventilation Load 1.1 x 0 Vent.CFM x 19 Summer TD = 0 Btuh Sensible Load for Structure(Line 19) + 28601 Btuh Sum of Ventilation and Structure Loads = 28 601 Btuh Rating and Temperature Swing Multiplier x 0.99 RSM Equipment Sizing Load-Sensible + 28315 Btuh 2. Latent Sizing Load Latent Ventilation Load 0.68 x 0 Vent.CFM x 49 gr.diff. = 0 Btuh Internal Loads = 230 x 12 No. People + 2760 Btuh Infiltration Load From Procedure C + 4964 Btuh Equipment Sizing Load-Latent = 7724 Btuh *Construction Quality is: a No.of Fireplaces is: 0 MANUALJ: 7th Ed. Right-Suite: Ver 4.1.27 S/N RSR24642 Printout certified by ACCA to meet all requirements of Manual Form J P278801.RSR Job# P278801 01-23-01 MANUAL J:7th Ed. Right-Suite 4.1.27 - S/N RSR2464.3 1 Name of Room Entire House LR/BR2/BR3 DR/FR/KT/MST LR/BR2/3 2 Running Ft.Exposed Wall 266.0 Ft. 57.0 Ft. 59.0 Ft. 73.0 Ft, 3 Room Dimensions,Ft. 41.0 x 16.0 ft 41.0 x 18.0 ft 41.0 x 16.0 ft 4 Ceiings,Ft Condit.Option 8.0 d 8.0 heat/cool 8.0 heat/cool 8.0 heat/cool TYPE OFCST HTM Arca Btuh Area Btuh Area Btuh Area Btuh EXPOSURE NSO Htg I Clg Length Htg CIg Length HIS I Clg Length Htg Clg Length Htg I Clg 5 Gross a 12C 3.4 2.0 2128 ssss asss 456 +**s **** 472 **ss •**• 584 as.s aass Exposed b 13C 1.4 1.3 272 sssa aass 128 **•• sass 144 a•ss sass 0 ssrs sssr Walls and c 0.0 0.0 0sssa sssa 0 asss aass 0 ssss sass 0 ssss aasr Partitions d 0.0 0.0 0 ••** ssss 0 ssss ass: 0 sssa ssss 0 ssss ssss e 0.0 0.0 0ass: ssa: 0 ssss assn 0 ssss aass 0 srsa saa. f 0.0 0.0 0 *•** sass 0 ssss aass 0 sass aaaa 0 aass assa 6 Windows and a 3C 27.6 ** 132 3637 36 992 *••* 24 661 •*•s 36 992 *+*s Glass Doors b 0.0 0 0rsas 0 0asss 0 0assn 0 0sas. Heating c 0.0 0 0aass 0 0sssa 0 0sssa 0 0ssss d 0.0 0 0 **** 0 0 *••• 0 0s.«* 0 *•** e 0.0 •* 0 0sass 0 0assn 0 0aass 0 sssa f 0.0 •* 0 **** 0 •**« 0 *•*« 0 0 as** 7 Windows and North 22.6 132 **** 2983 36 *•*+ 814 24 **** 542 36 814 Glass Doors NE/NW 0.0 0 *•** 0 0 0 0 **** 0 0 *«*• 0 Cooling EIW 0.0 0 0 0 0 0 asas 0 0 saa: 0 SE/SW 0.0 0 •*•* 0 0 **** 0 0 *••* 0 0 •••• 0 South 0.0 0 0 0 0 0 ssss 0 0 sass 0 Hoa 0.0 0 **** 0 **** 0 0 •*** 0 0 •*ss 8 Other doors a 11D 12.0 7.2 104 1253 745 41 494 294 22 265 158 41 494 294 b 11D 12.0 7.2 22 265 158 0 0 0 22 265 158 0 0 0 9 Net a 12C 3.4 2.0 1892 6471 3848 379 1296 771 426 1457 866 507 1734 1031 Exposed b 13C 1.4 1.3 272 367 343 128 173 161 144 194 181 0 Walls and c 0.0 0.0 0 0 0 0 0 0 0 0 0 0 Partitions d 0.0 0.0 0 0 0 0 0 a 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 f 0.0 10.0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings a 16G 1.3 1.2 1394 1748 161 00 0 0 0 65 823 758 b 16D 2.0 1.9 0 0 0 0 0 0 C 0.0 0.0 0 0 q 0 0 0 0 0 0 0 I1 Floors na42.2 0.0 11 357 57 1754 0 5 181 0 0 0 0 0.0 0 p 0 0 0 C 0.0 0 0 0 0 0 0 0 12 Infiltration12.1 258 10899 3114 77 3253 929 68 2873 821 77 3253 92 13 SubtotBtuh Loss=6+g..+11+12 ***« 28209 7962 *sis *s«« 7531 7295 sais 14 Duct Btuh Loss 50A 141 s*•s 50/ 398 sssa 50 37 .sar 54A 365 *••+ 15 Total Btuh Loss=13+14 ssss 29620 8360 7908 sss• *«** 7660 16 Int.Gains: people@ 300 12 ***• 3600 2 **** 600 4 **** 1200 2 •s*• 600 Appl. @ 1200 8 •*+• 9600 0 **** 0 4 **** 4800 0 **** 0 17 SubtotRSH Gain=7+$_+12+16 ••«• **** 26001 3569 8726 *s.s asas 442 18 Duct Btuh Gain 1 ODA ***• 2600 1041 *+s* 357 10w **** 873 10*/ **** 443 19 Total RSH Gain=(17+1g)-PLF 1.0 ***• 28601 1.00 •+•• 3926 1.00 •+ss 9599 1.00 *+*s 4868 20 CFM Air Required I ***+ 1 1238 1238 **** 1 39 170 331 416 **•• 320 211 Printout certified by ACCA to meet all requirements of Manual J Form P278801.RSR Job# P278801 01-23-01 MANUAL 17th Ed. Right-Suite 4.1.27 - SIN RSR24642 1 Name of Room DR/KT/FR/MST 2 Running Ft.Exposed Wall 77.0 Ft Ft Ft. Ft- 3 t3 Room Dimensions,Ft. 41.0 x 18.0 ft 4 Ceilngs,Ft Condit.Option 8.0 heat/cool TYPE OF CST HTM Area Btuh Arca Btuh Arra Drub Area Btuh EXPOSURE NO. Htg I Clg Length Htg CIS Length Htg CIS Length Htg Clg Length H% C1g 5 Gross a 12C 3.4 2.0 61 ssss rsss ssss ssss srss ssrr ssss ssss Exposed b 13C 1.4 1.3 0ssss ssss ssss ***a ssss ssss ssar sass Walls and c 0.0 0.0 ssss ssss ssss ssss :ass rrss ss»r sass Partitions d 0.0 0.0 ssss ssss sss* ssss ssss ssss arse ssss e 0.0 0.0 0ssss sqr a»»s ssss ssss ssss sssr ssss f 0.0 0.0 ssss ssss ssss ssss ssss ssss ssss ssss 6 Windows aad a 3C 27.6 ** 36 992 sss» ssss ssss ssss Glass Doors b 0.0 ** 0 0 ssss ssss ssss ssss Heating c 0.0 ** 0 0 *s*r ssss sssr ssss d 0.0 a 0ssss ssss sssr sssr e 0.0 0 0sssr r►sa sssr ssss f 0.0 ** 0ssss srss ssss sass 7 Windows and North 22.6 36 814 ssss ssss seas Glass Doors NEINW 0.0 0rsws ssss ss«s rsss Cooling E/W 0.0 0ssss 0 srss ssss ssss SE/SW 0.0 0ssss ssss sass ssss South 0.0 0ssss srrs ssss sss« Horz 0.0 «««s ws«s sass sss« 8 Other doors a 11D 12.0 7.2 b 11D 12.0 7.2 9 Net a 12C 3.4 2.0 580 1984 118 Exposed b 13C 1.4 1.3 0 Walla and C 0.0 0.0 Partitions d 0.0 0.0 e 0.0 0.0 0 f 0.0 0.0 10 Ceilings a 16G 1.3 1.2 738 925 852 b 16D 2.0 1.9 c 0.0 0.0 11 Room a 22A 30.8 0.0 0 0 b 0.0 0.0 0 C 0.0 0.0 12 Infiltration a 42.2 12.1 36 1521 434 13 Subtot Btuh Loss-6+8..+11+12 ssss 5422 wwss wwsw ssww rwww ssss wrs* rsss 14 Duct Btuh Loss 50A 271 ssss s rwsr o ssrr a/ srss 15 Total Btub Less-13+14 ssss 5r,93 ssss ssss ssss ssss rsss rrsr asr 16 Int Gains: People(01) 300 4 ssss 120 ssss *sss rsrs Appl. @ 1200 4sass 480 ssss srss sssr 17 Subtot RSH Gain=7+8.+12+16 »sss srss 9280 sss: »sar ssar rsss ssra rsra 18 Duct Btuh Gain 1 OOA 928 Y ssss y ssss s»ss 19 ToW RSH Gai"17+18)*PLF 1.00 **•* 10208 ssss ssrr *ss: 20 CFM Air Required ssss 238 442 ssss sss: rrsa Printout certified by RCCA to meet all requirements of Manual J Form "MANUAL J: 7th Ed. Right-Suite: Ver 4.1.27 S/N RSR24642 RIGHT-J WINDOW DATA Job# P278801 Filename: P278801.RSR 01-23-01 W S D W G L S S O N A S O O W c W S N K I A L O T H V G N H V V H H N H D Y R L A W R A H L G C R R G T A A W L Z E M D G Z L O X Y T M R R LR/BR2/BR3 a n w a c n n n y 2 90 1.0 2.0 0.0 1.0 71.6 36.0 36.0 DR/FR/KT/MST a n e a c n n n y 2 90 1.0 2.0 0.0 1.0 71.6 24.0 24.0 LR/BR2/3 a n w a c n n n y 2 90 1.0 2.0 0.0 1.0 71.6 36.0 36.0 DR/KT/F'R/MST a n e a c n n n y 2 90 1.0 2.0 0.0 1.0 71.6 36.0 36.0 MAP SHOVING BOUNDARY SURVEY OF LOT 1¢ BLOCK Z AS SHOWN ON MAP OF n of,/&/c-z,3 1z_c-pL47 AS RECORDED IN PLAT BOOK/_PAGES 1(o- 16A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: /Z.f. RK-&-l�-J1,-197-49a &&1g-PA (, CD&IT c Y 7- P/, P/o Lo r /4. /, f so 0�9 Q. b S ZZ,O'7-D Co f__ TH£ PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE_X. AS SCALED FROM FLOOD INSURANCE RATE MAP �Z FOR THE CITY OF JACKSONVILLE, FLORIDA, DATED AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER77FCA7ION OF SAME.