Permit Alt. 2337 Seminole 2011 CITY OF ATLANTIC BEACH
9 800 SEMINOLE ROAD
J
n „ �� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001428 Date 3/21/11
Property Address 2337 SEMINOLE RD UNIT #A
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 5000
Application desc
adding a Oft wall
Owner Contractor
BOHR SARAH OWNER
ATLANTIC BEACH FL 32233
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . 37.50
Issue Date . . . Valuation . . . . 5000
Expiration Date . 9/17/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE” BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE DCA SURCHARGE 2.00
ENG REV PRE APP > 3 HRS 50.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total 37.50 37.50 .00 .00
Other Fee Total 54.00 54.00 .00 .00
Grand Total 166.50 166.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
RECEIVED
s:1.Jayr,r, City of Atlantic Beach APPLICATION NUMBER
,S Building Department DEC 0 2 2010 (To be assigned by the Building Department.)
- , : v 800 Seminole Road 11 y
v ', ' .. Atlantic Beach, Florida 32233 -5445 C -. `�
Phone (904) 247 -5826 • Fax (904) . - — .
&oil 91- E -mail: building- dept @coab.us Date routed: /z 4 D
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '531 ) `{ t 2 4 I f ;( Department review required Yes No
Building
Applicant: Z � ) A/I /ten L Planing & Zonirt
j� Tree Administrator
Project: (,U/
7) l� 4- `� / GC / Public Worms
1 Public Utilities >
Public Safety
Fire • • es
Review fee $ --~— Dept Signatu
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. DDenied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by:__ __ _ Date: l2--'3
TREE ADMIN. Second Review: DApproved as revised. DDenied.
p d WO - .. Comments:
t
-lFW
,' -
Ar
PUBLI SA ETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Public Utilities Plan Review Comments
Date: I2 121 10 Initials:
Project Name /Address: 96,0:0,0k f4, 3 A Application Permit #: - IL( 9.2g,
:Cheek Boa
Application Tracking Comments to Add
Comment
Avoid damage to underground water /sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call ❑
247 -5834.
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and ❑
visible.
A sewer cleanout must be installed at the property line. Cleanout must be covered ❑
with an RT1 concrete box with metal lid. Cleanout to be set to : ade and visible.
A reduced pressure zone bacl:fLow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be ❑
tested by a certified tester and a co •y of the results sent to Public Utilities.
Plans note the building will be lmsprinkled. If plans change, any fire line installed
must be metered with a Sensus touch -read meter in a properly sized vault and an ❑
appropriate backflow preventer installed. Backflow preventer must be tested by a
certified tester and a co .y- of the .results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for
bachflow requirements. At a minimum, will require double check baclflow ❑
.reventer.
Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" ❑
must be installed in a vault as noted in JEA s • ecifications.
• ❑
0
❑
•
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 Q 2
Office (904) 247 -5826 Fax (904) 247 -5845 L' O
- ob Address: 2 31 5 /n; A DEC 01
/ ' Permit Numb : _: u I
,egal Description *7'J- 2 ?t #v/4c6 6/6,57 A/oIcs Parcel # /6,9 • 6 2 36 I/
Floor Area of 32- Sq,r't. Sq.Ft 1
Taluation of Work $ ', 000 Proposed Work heated /cooled ,/ non- heated/c
;lass of Work (circle one): New dditio �tti, c Repair Move Demolition pool/spa window /door
Tse of existing /proposed structure(s) (circle one): Commercial
f an existing structure, is a fire sprinkler system installed? (Circle one): Yes N /A
lorida Product Approval # /D 7 7!0. 2
'or multiple products use product approve oT r f rm
)escribe in detail the type of work to be performed: And -byyv toy moo," S//d;, doe✓ y
cert euye o r!, u,146., a it fve k_.ck.// .oAvee4, do 4v9-riiew 54se ,o/o" ,
'roper%y ( Owner lnr ation:
Tame: Jar lawAr Address: 337 ,S ri, nw /e- ,
:ity /4/fain - 13 «h State Zip ?=x ,33 Phone j`/G) - SS‘,S
Mail or Fax # (Optional) (v/) ,." N6-
' ontractor Information:
'ompany Name: Qualifying Agent:
,ddress: City State Zip
I ffice Phone Job Site/ Contact Number Fax #
tate Certification/Registration. #
schitect Name & Phone #
ngineer's Name & Phone #
ee Simple Title Holder Name and Address
.onding Company Name and Address
fortgage Lender Name and Address
oplication 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
suance 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
zd void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six (6) months at any time after
ork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ells, Pools, F urnaces, Boilers, Heaters,
anks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
pe o1 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
•ovisions of any other federal, state, or local law regulating construction or the performance of construction.
ignature of Owner ' Signature of Contractor
rint Name .4..410- /1. ev/t ✓ Print Name
worn to and subscribed before me Sworn to and subscribed before me
Lis / °* Day of nor amp , 2010 this Day of 20
•
otary Pubiic �Y'� Notary Public
to SUSAN SPEAKS GORMAN
MY COMMISSION # DD643668
EXPIRES: February 25, 2011 Revised 01.26.10
00 3 NOTARY Notary .
I•BW 3 - NOTARY TY Discount Assoc Co
1 D ,JlAtR,99"Pdevssark6°
•
r _. _ •
CITY OF ATLANTIC BEACH
, J WNER / BUILDER AFFIDAVIT
L FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILT PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE• SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS -AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455- 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER- BUILDER PERMIT.
4/� ,/ 1 � /e � ,!
337 S•Qil'!7 / hrJZ 4f'/ j .G R ! 'L jJ (& 'C✓' �J
ADDRESS PHONE NUMBER
.c.54 rA h &'
PRINT NAME �p
ATURE / ^ !✓ DATE
Before me this ! day of F CEMB E? , 201 in the county of
Duval, State of Florida, has personally appeared herin by himself / herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large, State of FLO e( D4 , County of 1-e vA'
�� `° S USAN SPEAKS GORMAN
L7 Personally Known MY COMMISSION # D13643668
❑ Produced Identification - ,,opf., EXPIRES: February 25, 2011
'q i•kuU• }-il0miu rl Nuiary Il,Renunt AssnC Co y
•
Notary Signature: I . • r • •••
FJBLDG /Ovine - Builder Aif davit, REVISED: 4/16/2009
i
AL
j 4
Sc 11 More saving.
0 More doing:"
3790 S THIRD STREET SO
JACKSONVILLE BEACH, FL (904)2477225
6974 00097 45134 11/24/10 06:36 PM
CASHIER - SPOS01
CUSTOMER AGREEMENT # 56150
RECALL AMOUNT 2108.46
SALES TAX 147.60
TOTAL $2,256.06
XXXXXXXXXXX1037 AMEX 2,256.06
AUTH CODE 263512/2971147 TA
IIH IIIU IIIII III IIUIIIIII
6974 97 45134 11/24/2010 8821
GUARANTEED LOW PRICES
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- BUILDING PERMIT APPLICATION
. CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 /6 !r�
Office (904) 247 -5826 Fax (904) 247 -5845 ( � LS p
A
Job Address: 23 5 ear, ha /e ,/' Permit Numb I i
Legal Description , 3 7 - o s -29e . 0 / 4 G '‚7' " � " Parcel # / /, 2 a U
Floor Area of 32 Sq.b't. Sq.Ft
Valuation of Work $ ` 7, 000 Proposed Work heated /cooled I/ non- heated. /coole
Class of Work (circle one): New 4dditiorj ,t, ,atior`l Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes N /A
Florida Product Approval # /0 7 74 . Z
For multiple products use product approval or —
Describe in detail the type of work to be performed: i Gan d - 4Ye✓ 1 eY mpi "401, 6J44fry doa'' y
fret 4 1 e 0.11 046 /, 1 *770 -i v// 0A04(41 on 0 b 01 o i e/6' ,
Property Owner inior cation:
Name: .Slai'a'h N. 0/ Ad��ress: 27 ✓'�' e
33 „ r „ rv AI/
City / 4f /an Ae /laeh State Zip z., , Phone ( 194-55Gs
E -Mail or Fax # (Optional) (/059 J4/4- g60
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/ Contact Number Fax #
State Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and 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 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. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMIVIENCEMENT.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of constructs
r
,.,...,,.,, •. + ,,, + -.^w- r ;4vv
f
Signature of Owner' ,4 S ignature of Con o
rt FILE C 0 P Y
Print Name .s.. 4rtYh / . &" Print Name ? , ,. r , - --0,.„
Sworn to and subscribed before me _ subscribed before m
ibis / at Day of Dac�,_l , 201.E RE��j[�EDa�;OR scr CODE COM
PLIANCE o
Notary Public Notar. •"� �► H
"o<, SUSAN SPEAKS GORMAN ' MITS FOR ADDITIQQ,,NNgi
•
MY COMMISSION # DD643668 REQUIREMENTS AND CONDI 01.26.1 t
OF FS
EXPIRES: February 25, 2011
t - Roo 3•NOTARY FI. Notary D scount Asses. Co. ,>
` REVIEWED BY. ' /�� vI I
. .lWs is,.A
rtV `4'^ . �(rl DATE: /a - a -/d
•
CITY OF ATLANTIC BEACH
f WNER / BUILDER AFFIDAVIT
L FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION
CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
] PROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE' SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS- AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER- BUILDER PERMIT.
3y7 S.em» 4') Z€ d 44.40,7k C°l'G 4) ?-`/ -S 5 6 5
ADDRESS PHONE NUMBER
rA & A '
PRINT NAME
ATURE DATE
Before me this 1 day of OF CLm B f f 201 in the county of
Duval, State of Florida, has personally appeared herin by himself / herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large, State of FLO e.oDk , County of k ✓.4 L.
� 4 5c 1 " , SUSAN SPEAKS GORMAN
Personally Known MY COMMISSION # DD643668
❑ Produced Identification - 3 "�t' `r` EXPIRES: February 25, 2011
� ,
OF n
14)(1.3-1,101702Y F1, Notary DiRat unt Assoc. Co
Notary Signature: .. .A Ao • • r •u ,
P: /BLDG/Owner-Builder Affadavi0 REVISED: 4/16/2009
Home Energy Services
2080 Davis Road Energy Star and
Jacksonville, Fl. 32218 HERS Ratings
904- 757 -3569 EPI and HVAC
James R Williams, CEO Calculations
December 13, 2010
Sarah H. Bohr
2337 Seminole Rd.
Atlantic Beach, Fl. 32233
Re: 32 SF Addition
I have provided the short form 1100 -b for your addition. You will need to put R13 in the walls
and R30 in the ceiling. You will need to use Low E glass on the 3' x 2' window with a U value
of at least .65 and the SHGC of .35 or lower. The existing SGD is scheduled to be moved out to
the new wall with the same orientation so it was not added to the glass totals. I understand you
will not be increasing the size of the HVAC so no Manual J should be needed.
If you have any other needs just let me know.
Thanks,
1 1
James R. Williams
DEC 1 5 2010
R -570 .,,
APPENDIX 124
I
•
FLORIDA ENERGY EFFICIENCY COOS FOR BUILDING cQNST11uenoN
FORM 11CCB.18 Raeldantlat Component Prescriptive Method 1
Compliant with Method 8 al Chap 1101 tn. Florida Buiiiire Co* Aezidenfyi or S ALL CLIMATE E 2D I
cl Form 110!18 "tor sinp1 -*nd m lleb 4am;y midmost olifwaa stories or Mess in height and ad t oo� s t Florida it ir n thi Widow may ba dpnrob { by he use mooed in Q1"the muggy a!1♦concy reguirarnarrts on Table 118-1 and . applicebis mandatory m t 1aW Merle 118-2 w 0 nis tor 11 p doss swot or
can* out t is mooed, it fray sit cornpy under Method A el Chapter 11 or sy coda.
P RUDE NAIS 4.41(44-i • n .v WILDS it
.,11 ' Se m rN dt 1414 PE11Mt rma I
r A- n . / 17 • i • ����111■■111 JIJt 1""eT1p1l so,= ,/1
,. titan coardtueaoe Including'Oita= *NM lacommoo any of Ms 1ollowfnB foams cannot -. *in0 q
rucioo. or skylights or other nonvortical root gees. comply wino thkr matlrod: NM stud walla IMO aaaenky roof/ceiling
2. fill In al Ss Dan the aakad Nola* woes 4i MI 'Is btsiattd cams on `kW 118 1 we iv kreraaatleq mooted. "To 80 MrstatMd" lebuat awl be 464 10 air mom ado*
>. Cotnpisa pogo 1 blood or 1M 'To 8e imis1sd• column intonation.
S. Rod, daq iaats for N check loch A sc sire. Tok o 111-2 and c dt tan le indicate your MYnt to comply wttt al moiloabie itMM.
"preprsd 8y' atldcidoe memo at he bottom of patio 1. tits owner or mom's ogeewe mud No aioa and dots the term.
Plano Print pC
1. Now 000.VuOtlaQ or addition
3. or odor ird 1. % . l
2.
3. If ir#fa of units wawwid by MPs submission 3.
�
4. lb Bib a worst cake (yerdno)
0.
0. Conditioned Door An 4 a h ft.)
S. Ghee typo and arras ��
a. Cldacoor
b. SEiGC Oo. t;
a Ob. - 3s�'"` -
r• d> a b glace and
ea � •1;. 5.
E. Pleor ty s
pe a or Insulation: b aatsr. And Insulation: r ' --_.4,_____. x
s ' (!t- vatse) rtes R■ I L
b Wood. inbtd (t -valve) glut
0 Wood. COMM (11- vaJrut) Ob. R■ - -.._.. ._,.. p.0.
d. Cosacruo, raised Ut-saluo
a. Commis comma pt-rrlae OL R. _,__, p ' E '
S. WWI typo, area anti AMU181iaa ils Res _--- -- --- MIA
a >islriart I. Mooaey (Lrsulation It -vehu)
2. woad fume pnarlatlan 1; value) ist-1. R ■
0. 2 1. . Wood Aumbrioo R vetoes) 91 1. R■ -- _'• - h.
Qaauiatiap It vsl►re) ---
10. Collins typo, terra and looulotioeu Ned. R■ --- 103.1.
a Wet ante !Teed sign /oohs)
it mom* (Lr«utatioa Jh+trhae) 10a. R. , p.0.__ 3 ..r?
11. Air 106. N. __ ,•„ ��
Tket repast regaaired li duct to unconditioned space 11A. Rn � 0.
11 b
12. avian% .T,wdt agacls,d? Ws No
(t psc s m i. roam tab. gecba je timbal A.C., sac, none) 1 SEA ` S-Lr P
13. Hewing system: 12 . Cops
(Than hat pow elec. strip, ma gas, LP -Gees, pa h.P., roan ar PFAC. bone) 1336.
14. Programmable t bnUUod on le1b+1C rytai.A,e; Capatoity;
VI. Not wales system 14. TN No N
Myles site- nat. pa, L P pa, Saar, hat rec.. dad heat pump, ether. noao) 1°` TM" g 4 , ..�. _..,, ._ _-
Nib. Pit
t war sons ran aa•unatasaa comet _•._.
IN o o a lace, by ale catib Naa an M tamaliwoo sear Rata. of •
O , a o 8 mew M too MI si s Co a tes we rc rrar+aa
' et W Mi•t4 vas
ale Il i 1, I ss�a act t terro+raa 5
Weiss I bobby May MO Ilis OvniER View
• �Ya.aca "Mb Ur Rook Wryly Coda
BUILDING OFFICIAL
at,E _W____ DATE:_ 4 ^ !c
MT e liv n Nei
FORM 11008.48
TABLE 116.1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones
BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES:
Windows (see Note 2): U- factor = 0.65 U- factor=
SHGC = 0. 35 SHGC=
% CFA < =16% % of CFA=
Exterior door type Wood or insulated Type:
Walls — Ext. and Adj. (See Note 3):
Frame R -13 R -value =
Mass
Interior of watt R•6 R -value =
Exterior ofwalt: R-4 R -value
Ceilings (see Notes 3 & 4) R -30 R -vakie =
Floors:
Slab-on-grade No requirement
Over unconditioned spaces (see Note 3) R -13 R -value =
Hot water systems (storage type)
Electric (see Note 5): 40 gal: EF = 0.92 Gallons =
50 gal: EF = 0.90 EF =
Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons =
50 gal: EF = 0.58 EF=
Air eondidoning systems (see Note 7) SEER = 13.0 SEER =
Heat pump sy isms (see Note 8) SEER = 13.0 HSPF = 7.7
Gas furnaces SEER = HSPF =
Oil furnaces AFUE s 78% AFUE _
Programmable thermostat Must be installed on all HVAC systems Installed? Yes No •
Ductwork (see Note 9) Location:
Unconditioned space' •R•6, Tested Unconditioned space
R- value=
Test report
asse
Unvented attic mb Conditioned je space er per R806.4 alit 8.4.2 R -velum r
insulation at the roof p
Air Handler location: (No fast report required)
Unconditioned attic' or garage Requires test. Loca
Conditioned space or
report Test ion: t sport
Unvented attic assembly per R806.4 with No duct test required
insulation at the roof plane
(1) Each component present. In the As -Built home must meet or exceed each of the applicable performance criteria In order to comply with this code
using this method: otherwise Method A compliance must be used,
(2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Haat Gain
Coefficient) criteria and have a maximum total window area equal to or less than 18 % of the conditioned floor area (CFA), otherwise Method A must be
used for compliance. Exception: Additions of 600 square feet (56 m or less may have maximum CFA of 50 percent.
(3) R- Values am for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the interior (Int)
requirement must be met unless at least 50% of the Insulation value is on the exterior (Ext) or integral to the wall.
(4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may
include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials.
(5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 • volume)
(6) For other natural gas storage volumes, minimum EF = 0.67 • (0.0019 • volume)
(7) For all conventional units with capacities greater than 30,000 Btu/hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with
capacities less than 30,000 Bhdhrsee Table 13•607.AB.3.2A of the Florida Building Code, Building, or Table N1107.A8.3.2A of the F8C- Resider al.
(8) For ail conventional units with capacities greater than 30,000 Btu/hr. For Small -Duct, High-Velocity units, Space Constrained units, and units with
capacities less than 30,000 Btu/hr see Table 13- 607.AB.3.213 of the Florida Building Code, Building, or Table 141107.AB.3.28 of the FBCResidendel,
(9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be 'substantially leak free.
'Substantially leak free shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a
pressure differential of 25 Pascal (0,10 In. w.c.) across the entire air distribution system, including the manufacturer's air handler anctosnue.
TABLE 11B-2 MINIMUM REQUIREMEN FOR ALL PA CKAGES
COMPONENTS SECTION REQUIREMENTS
Exterior joints & cracks 141106.18,1.2 To be caulked gasketed, weather-stripped CHECK or Exterior windows & doors N1106A6.1.1 Max. 0.3 cfm/sq.ft. window area, 0.5 cfm/sq ft. area. �aled. V
Sole & top plates N1108AB.2.1 Solo plates and '/
. hti p penetrations through top plates of exterior walls must be sealed, ,,,'
Recessed
lighting N1106,AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed) /
Multistory houses Ni 106AB.1.2.5 - Air barrier on perimeter of floor cavity between floors.
Exhaust fans N1106AB.1.3 Exhaust fans vented to unconditioned space shall have i14
devices with integral exhaust ductwork. ' exc ept for combustion
Water heaters N1112AB.3 Comply with efficiency requirements in Table N1112A0.3. Switch or deafly marked
circuit breaker electric or cutoff (gas) must be provided. External or built-in heat trap
required for vertical pipe risers.
Swimming pools & spas 141112AB.2.3,4 Spas & heated pools must have covers (exvitpt solar heated). Noncommercial pools
must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency
of 78 %. Heat pump pool heaters shat) have a minimum COP of 4.0, >V
Hot water pipes _ 141112AB.5 insulation is required for hot water circulating systems (including heat recovery units). AJf
Shower heads 111112.AB.2.4 Water flow must be restricted to no more than 2.5 • allons
HVAC duct construction. N1110.AB Ail ducts, q per minute at 80 psia. nl
insulation & installation attached, sealed, insulated mechanical Installed n n a
accordance with the criteria of Section
N1110AB. Ducts in attics must be insulated to a minimum of R -6.
HVAC controls N1107.AB.2 Separate readily accessible utomatic thermostat for each system. (41
13 -D.24 e manual or 2007 FLORIDA BUILDING CODE — BUILDING
•
City of Atlantic Beach RECEIVED APPLICATION NUMBER
0 Th ria ( To be assigned by the Building Department.)
ri g Building Department
DEC 0 2 2010 L/ J 1
- \ 800 Seminole Road / 7
v. �.' Atlantic Beach, Florida 32233 -5445 /
'r Phone (904) 247 -5826 Fax (904) 24; .
• ) E -mail: building- dept @COab.us
' Date routed: /
` ` ,i
City web -site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
"' ^ -- Department review required Yes No
Property Address: 7 Ad ?t d �f /� Building
n P laying & Zoniri
Applicant: �� �� Tree Administrator
Project: :b/ 7) 4/ 41 g7.. % IC A / / �, P Work's
( - Public Utilities -'
Public Safety
Fire Services
Review fee $ rU ' Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed b : Date:)6-)�`
Y
TREE ADMIN. Second Review: (Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
i r assign
a,� A Beach APPLICATION NUMBER
B uild C ity of ing A D e partment (To be e ed by the Building Department.)
- 800 Seminole Road ( �' / 9c)? � Atlantic Beach, Florida 32233 -5445
r Phone (904) 247 -5826 • Fax (904) 247 -5845
Date routed: /l L E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Department review required Yes No
Property Address: S T fir{ / IL ;(--)61 /� (-Building.>
Applicant: ZI') yt ? P lanping & Zoni /`
Tree Administrator
1� Public Wor.
Project: i7 �j `� g.) <- p Public Utilities --'
Public Safety
Fire Services
Review fee $ Dept Signature Pik'
p
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept. of Environmental Protection "7
J
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:
APPLICATION STATUS
Reviewing Department First Review: ['Approved. JZDenied.
(Circle one.) Comments: -pl 9ro \ide Stec (ta.� 0ANA/off k. v OUOL
_ �d a d
.. - �occ>w °�C lime (3l"
PLANNING & ZONING Reviewed by: P5YtJ .L Date: 12 0 22060
TREE ADMIN. - Second Review: XApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES I /4-9-( � 1 ` PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05114109
t!lf City of Atlantic Beach APPLICATION NUMBER
tit ,, , Building Department (To be assigned by the Building Department.)
4� 800 Seminole Road
,;' /9o?
-0 Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: z /z td
P is �;. E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
( ` - Department review required Y No
Property Address: c", , 1 J f` / 71 �� ,ed
p Y < Bui1ding.
Applicant: o k1 /r/Zi' Planing & ZonA
Tree Administrator
Project: ,`hf�") 7)c' w ivy /� p u� , 1 iti - s-- 1
Public Sa - y
Fire Services
Re i ® e e �f Vq'1,� c d_ : r I'Z.'. ����r �. 4 De fVdi tore 141 :�ms f , 11 fry( f
aMk+ .s. .. "�
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
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:
APPLICATION STATUS
Reviewing Department First Review: Kpproved. ['Denied.
(Circle one.) Comments:
( BUILDTN)
PL \ LANNING & ZONING Reviewed by: /'f Date: w) - /S
TREE ADMIN. Second Review: ['Approved as revised. ❑ nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
Page 4 of 4 No. 6974 -56150
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Accepted by:
X i 1 i2ai2n i n
Customer's Signature Date
Page 4 of 4 No. 6974 -56150 Customer Copy
ik,,,, v
4
40- More saving .
sm
0 More doing.
3790 S THIRD STREET SO
JACKSONVILLE BEACH, FL (904)2477225
6974 00097 45134 11/24/10 06:36 PM
CASHIER - SPOS01
CUSTOMER AGREEMENT # 56150
RECALL AMOUNT 2108.46
SALES TAX 147.60
TOTAL $2,256.06
XXXXXXXXXXX1037 AMEX 2,256.06
AUTH CODE 263512/2971147 TA
III flIHH III 1 ID IIUIII 1 Il
6974 97 45134 11/24/2010 8821
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Page 4 of 4 No. 6974 -56150
The Home Depot Special Services
Will Call /Direct Ship /Delivery
Returns: Except where prohibited by law, all returned Special Order Merchandise is subject to
a fifteen percent (15 %) restocking fee. Custom made goods are not returnable.
Will CaII: The Home Depot Store will call the number provided on the Invoice when Order is
available. A Will Call held at the Store for over thirty (30) days shall be subject to the
abandoned property laws in your state.
Direct Ship: Direct Ship merchandise will be sent by the vendor and /or manufacturer to the
address on the Invoice.
Delivery: Home Depot shall arrange for its Delivery Agent to deliver the Order to the address
identified on the Invoice pursuant to the following terms and conditions:
Roads Notice: The delivery address must be accessible by vehicle over roads and bridges rated
to handle up to and including (40) forty ton loads. If any portion of Delivery Agent's route must
traverse a section of road that is not rated to handle a forty ton load or heavier, Customer will be
responsible for seeking a waiver, at Customer's expense, from the appropriate governmental
authority. If Customer is unable to obtain a waiver, delivery service will not be available to the
delivery address.
Unattended Drop: If Customer will not be present to accept the delivery, and the delivery
can be left unattended, Please indicate by initialing below:
By initialing here, I authorize Delivery Agent to leave the merchandise
unattended following delivery and accept full responsibility for any resulting loss of, or damage to,
the merchandise.
Curbside Deliveries Only: You are purchasing merchandise that has been designated by Home
Depot for curbside delivery only. Your purchase does not include delivery beyond curbside, on-
premise or in -house ("Additional Services") or the installation /hook -up of merchandise ( "Non-
included Installation Services "), and Home Depot has not authorized its Home Depot Delivery
Agent ( "Delivery Agent ") to perform such Additional Services or Non - included Installation
Services. In the event you request, and Delivery Agent agrees to perform, Additional Services
and /or Non - included Installation Services, YOU ASSUME THE RISK OF, AND FULL LIABILITY
FOR, ANY RESULTING PERSONAL INJURY, DAMAGE TO PROPERTY, OR DAMAGE TO
MERCHANDISE. Also, any Non - included Installation Services shall void any express or implied
warranty provided by Home Depot and may void the manufacturer's warranty on the merchandise
so installed. By signing below, you acknowledge that you have read and fully understand
the terms of this waiver and release, and you intend it to be a complete and unconditional
release of all liability in regard to any requested Additional Services and/or Non - included
Installation Services.
Accepted by:
X 11 /2aI9mn
Customer's Signature Date
Page 4 of 4 No. 6974 -56150 Customer Copy