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Permit Addition 390 10th St 2011 z11 CITY OF ATLANTIC BEACH • , 800 SEMINOLE ROAD J , .e ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 4 «1 10 Application Number 11- 00001986 Date 5/04/11 Property Address 390 10TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . 7000 Application desc add detached office space Owner Contractor PIRDEAUX PHILLIPS BUILDERS LLC 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 349 -2999 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . . . 85.00 Plan Check Fee . . 42.50 Issue Date . . . Valuation . . . . 7000 Expiration Date . 10/31/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 2.00 ENG REV PRE APP > 3 HRS 25.00 STATE DBPR SURCHARGE 2.00 UTIL REV PRE APP >3 HRS 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total 42.50 42.50 .00 .00 Other TT Feee Total 54.00 54.00 .00 .00 PERMIT IS fivRiV`ED ER iN ACCORDANCE WPiI$ALL OF ATIJAIIIC ORDINANCO.QND THE FLORIDA° 0 BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 fob Address: 39 6 Permit Number: / — / 98C ,egal Description 0 D 6 Parcel # Floor Area of Sq.Ft. Sq.Ft Taluation of Work $ Proposed Work heated /cooled /13 non - heated/cooled ;lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Ise of existing /proposed structures) (circle one): Commercial Residential f an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A lorida Product Approval # or multiple products use product approval form )escribe in detail the type of work to be performed: De77)0 0Q 0 r c a C 6 roperty Owner Information: 'ame: a 4 �l / � � Address: gFo / d ity State _Zip Phone -Mail or Fax # (Optional) ontractor Information: ompany Name: / l �� / s &//C ‘S Qualifying Agent: l hP s ddress: City State Zip ffice Phone Job Site/ Contact Number Fax # :ate Certification/Registration # rchitect Name & Phone # agineer's Name & Phone # 3e Simple Title Holder Name and Address Dnrling Company Name and Address :ortgage Lender Name and Address plication 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 uance 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 d 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 Irk is commenced. I understand that separate permits must be secured for Electrical rforly Plumbing, Signs, Wells, Pools, FurnarPc, Boilers, Heaters, nits 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. ereby 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 e 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 rvisions of any other federal, state, or local law regulating construction or the performance of construction. mature of Owner Signature of Contractor 7 4/1aFe hi) int Name Print Name orn to and subscr before me Sworn to subscribe. b- j* e s Day of 0 this Day of 1 , 20 Mary Public { b Notary Public COPY I L. E Revised 01.26.10 Survey MAP SAO" ING BOUNDARY SU IVKY OF it/. 3S ' Ler 4 j &-35 BLOCK /L. AS SHOWN ON MAP OF yar 4i 41L../.77c. /izAcw AS NOM= AV PLAT BOOK 6 PAGES 44 O' nE' PUBLIC =OROS O" 0019 # 1 L OVUM FLORA CERTIFIED Mu: Jgct. f �'j�A/ U Sur f /7eAG PA : r4.JA4 -r TTLE L ✓at TY /o' - Sr. (41'44/ Survey YAP 3110 91TG BOUNDARY Si VEY OF I,/. is ' Gor 4/; 6.35 BLOCK /Z- AS SHOWN ON MAP OF t.o r 44 4 rI A/r /C fiE..rC,U AS RECORDED IV PUT ROOK 5 PAGES 64 OF ME MEW NECODS I5 F DUYN. COUNTY. FLORIDA CERTIIMED FAR: JgLL f'A/'t, S,, m/ &R; fipg,s4.:r f ORAL., PA ; Sr &a/ALr Ti TLE Ci✓aR.A,I co. /0 ra S (4O'44 so �5 . \ O 35 y ` i'5 si (,-1 ize 4 t,t ro SILT F eae ,y. : Co iTala UL 9 R- cu'tw. i -� Mil %• Z . :1' 21' 4.,'(0, Ml S 2 1.7. • 110' r � ■ .,leer, " / ' r✓/> 1. I Akrer it 1 ✓ flock. 1.,• „11.390 a!I °, . ji.. �QrY�($6f as '° • • L : "or : 0 4 i4 wdAVO/Tid Al o M ,; H OA r. r o ' 15.4" `` IN d n L. i S 1 ' � s r ,; v R N J e. 70. ,0' el dL 44 41 to I1E PROPERTY 9YONN HEREON APPEARS /O LE NUNN HOOD HAZARD 1_L_ AS SCIlLED F 151 FLOOD OR INSURANCE RATE AMP 0001 FUT E an n OF /d.Ir4 &(, FLO IM. DATED a- • 1 7 - 89 . AAV IS 9AONN AS A COURTESY ONLY AND OOES NOT CO STIT/1E A CERrINCATION OF SNAG TRI—STATE LAND SURVEYORS INC. 8 411 8AYPEADORV WAY 5107£ ,/2 JA(XSONWU£ FLORIDA 32258 (804) 731 -7235 1142(N• IEARINOS BASED ON - 15* AS SHOINIL • — KIN MS SURVEY DOES NOT REFLECT OR LIEIERINYE ONNrRr9+r. • n., W• NOT ALAI N*INOUT RE ATIAMILOIT AND IRE MORAL RASED SE'A1. o Nor wa r,..+9 L lAVI ' 1 W W i gZ 45 Na IMIMWT • 0400 WI swim QF A AIL" timaJARSIRACT a< RNIE s 1 l 'I ,14 IMAM NIS11.C11W WE or wmr LARRY 4 man RLS Ala p wwo-.. .-.wr a /' • ZO s r_ ;:. as RS•U SAL , 5E14 C.. C.or MIA — it / - ( m.a... PO MOM p.r.w MD WORK DA 1E Zfl 'di �^••- ', ., SURIEiuv PAD ... • © C..,.r 9QYA ROAE DAIS• - ' �' TAR' OF FLORIDA RR 1a921) FR_ a.PC ,5LSY- 000 Na.�S• 1 .Q CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 98 -72, please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.ora Category/Subcategory Manufacturer Product Description FL Approval # (s) EXTERIOR DOORS a. Swinging P 2o Fiege -&14.0 fi , 1 1949' b. Sliding c. Sectional /Roll Up d. Other WINDOWS a. Single /Double Hung p Ca T Vi i11. Fl ' o Z R — 1 9 r b. Horizontal Slider c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles b. Non - Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other Wl GTArt- G V c R-1,itn. P 4 y e. SCR IC2 rf,fri\ STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. Insulation Forms e. Lintels f. Others NEW EXTERIOR ENVELOPE I understand that, at the time of inspection, the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the applicable manufacturers' installation requirements. Further, I understand a product may have to be removed if approval cannot be demonstrated during inspection. Applicant Signatur Date H: /Product approval spec sheet short form.xlsx / APPENDIX 13-D Effective March 1, 2009 * FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 110013-08 Residential Component Prescdptve Method B AU. CLIMATE ZONES Compliance with Method 8 of Chapter 11 of the Florida BuiWIng Code, Residential or Subchapter 13-6 of the Florida &Offiing Code, BuRdmg may be demonstrated by the use of Form 11008 for single -and multiple-family residences of three dories or Tess ill height, addWons to existing residential buildings. renovations to a dsting residential buildings, new heating, cooling, and water healing systems to existing buildings, and site -added components of manufactured hones and manufactured buiIduhgs.To comply. a building must meet or exceed all of the energy efficiency requirements on Table 118-1 and all eppNcable mandatory requirements summarized in Table 118 -2 of this form. If a building does not comply will This method, it may stU comply under Method A of Chapter 11 orSubchapter 13-6 of the applicable code. PROJECT NAME: I P R1DEAU.V _ BUN-DER: T.1411 ?.�P AND ADDRESS: 390 t 0 '' /7 s %' - PERMITi1HG A T1 N'�1 C. 'g EA C :ii 3 ► OFFICE , 1 OWNER: PERMrr NO. rifillIfigitalll I JURISDIC1TON NO.:) 1 1 1 1 1 1.New construction including addmons which incorporate any of the following features cannot comply using this method: skylights or oUrernonvertical roof glass, glass areas in excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes to Bee 118-1 on page 2). 2. fill in all the applicable spaces of the To Be installed" column on 'fable 118-1 with the information requested. All To Be Installed" values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the 'To Be installed' column infomnaton. 4. Read °Minimum Requirements for All Packages", Tele 118-2 and c hedt each box to indicate your Whet to comply with all applicable items. 5. Read, sign and date the `Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form. Please Print CK 1. New construction, addition, or existing building 1. hi C 2. SIngfe- family detached or multiple-family attached 2. " SF 3. 11 multiple- faumily -No. of units covered by this submission 3. - 4. Is this a worst case? (yeslno) 4. Ni (7 5. Conditioned floor area (sq. ft.) 5. 1G 6. Glass type and area: . a. U- factor Sa ' b. SHGC 6b. a Glass area 6c. 3p3. sq. fl- 7. Percentage of glass to floor area 7. t . 5 % 8. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R- value) 8a. R= ' 3 367 b. Wood, raised (R- value) 8b. R= MAL c. Wood, common (R- value) Sc. R= Nit- d. Concrete, raised (R- value) Rd. R= sq.ft e. Concrete, common (R value) 80. R= sq.tt. 9. Wail type, area and insulation: a. Exterior. I. Masonry (Insulation R-value) 98-1. R= Sq. ft. 2. Wood frame (insulation R- value) 98-2. R= 1 3 4 sq.ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b-1. R= sq.ft. 2. Wood frame (Insulation R- value) 9b-2. R = sq. ft. 10. Ceiling type, area and Insulation: �7r a. Under attic (Insulation R - value) 10a. a= 30 slit. 1 ✓62 b. Single assembly (Insulation R- value) 10b. R= `-' scot, 11. Air distribution system: Duct insulation, location 11a. R= w�.� iD W Test report required if duct in unconditioned space 11b.Test report attached? Yes No 12. Cooling system: 12a. Type: WIN D Gnl 12b. SEER/Mt R: ( Types: central, MOM unit, package terminal A.C., gas, none) 12c. Capacity: D 13. Heating system: 13a. Type: r ZaiNi (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC, none) 13b. HSP • p/ . 13c. Capacity: It IA 14. Programmable thermostat installed on HVAC systems: 14. Yes No ' IA- 15. Hot water system: 15a. Type: (Types: elec., nat gas. LP- gas, solar, heat rec., del heat pump, other, none) 15b. ER hereby t �� by the � r�∎ are In comp : Wuh Review of plans and specifications covered by this Calculation kidicales conptance with the FlaW0 the �� � p Enea�gyECod Code. Oe ote h c completed. 010 building vas be inspected for compliance In PREPARED BY: EP N RD L'ie1 / .6 � DATE BUILDING OFFICIAL /11 I hereby certify that this building is in compliance with the Florida Energy Code (/ y a 7 - // OWNER AGENT: DATE: DATE 2007 FLORIDA BUILDING CODE - BUILDING 13 - D.23 APPENDIX 13-D * TABLE 118-1 MINIMUM REQUIREMENTS (See Neal) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: U -Factor = 0.65 U- Factor = O. 7 Windows (see Note 2): SHGC = 0.35 SHGC = 0. / I %of CFA < =16% %of CFA= ,15 is Exterior door type Wood or insulated Type: W0 Walls — Ext. and Adj. (see Note 3): = Frame R R -Value = -13 ! Mass (see Note 3) Interior of wall: R-6 R -Value = Exterior of wall: _ R-4 R -Value = s Electric resistance heat (See Note 10) Not allowed Ceilings (see Notes 3& 4) R =30 R -Value = 3 Q Floors: Slab-on-grade No requirement Over uncomdtioned spaces (see Note 3) R -13 R -Value = 1 Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = I� 50 gal: EF = 0.90 EF= Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 gal: EF =0.58 EF Air conoltioning systems (see Note 7) SEER = 13.0 SEER = Heat pump systems (see Note 8) SEER = 13.0 SEER = ► 1 6.- HSPF = 7.7 HSPF = Gas furnaces -- -- -- AFUE = 78% AFUE = -- Oil furnaces AFUE = 78% AFUE _ ' -- a Programmable thermostat (see Note 10) Must be installed on all HVAC systems. Installed? 7 `. 4 r1 frJDjt s tJrtaj IT Ductwork (see Note 9) Location: W imp ow space Unconditioned space R-6. TESTED Unconditioned C �1E/7A� '� Conditioned space NA R -Value = ®® f Unvented attic assembly per R806.4 with insulation at the roof plane R-4.2 Test report report P e- Ur./ t l' Conditioned space ,, !'1,w R-Value = 11i '✓V (No test report required) Air Handler location: Unconditioned attic' or garage Requires test report Location: W ( N(514 Conditioned space or Test report Unvented attic assembly per R806.4 with insulation at the roof plane No duct test required (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; oth- erwise Method A compliance must be used. rt (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16% of the conditioned floor area (CIA), otherwise Method A must be used for compliance. Exceptions: 1. Ad- ditions of 600 square feet (56 m or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under >_ 2 foot overhang whose lower edge does not extend further than 8 feet from the overhang may have tinted glazing or double -pane clear glazing. Replacement skylights installed in renovations shall be double paned or single paned with a diffuser. (3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement (R -6) must be met except if at least 50% of the R-4 insulation value required for the 'exterior of wag" is installed exterior of, 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/ht: For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13- 607.AB.3.2A of the Florida Building Code, Building or Table N1107.AB.3.2A of the Florida Building Code, Residential. (8) For all conventional units with capacities greater than 30,000 BtWht For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13-607A8.3.2B of the Florida Building Code, Building or Table N1107.AB.3.2B of the Florida Building Code, Residential (9) Al 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. wc.) across the entire air distribution system, including the manufacturer's air handler enclosure. Exception: New or replacement ducts installed onto an existing air distribution system as part of an addition or renovation. Such ducts shall either be insulated to R-6 or be installed in conditioned space. = 10) The prohibition on electric resistance heat and the requirement for programmable thermostats do not apply to additions, renovations, and new heating systems installed in existing buildings. TABLE 11B-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks N1106AB.1.2 To be caulked, gasketed, weather-stripped or otherwise sealed. / Exterior Windows & Doors N1106.AB.1.1 Max .3 cfmIsq.ft window area; .5 chm/sq.ft. door area. - r Sole & Top Plates N1106A8.12.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting N1106.AB.12.4 Type IC rated with no penetrations (two alternatives allowed). Multistory Houses NI 106.AB.1.2.5 Air banter on perimeter of floor cavity between floors. Exhaust Fans _ N1106.AB.1.3 must nuctwo vented to unconditioned space shat have dampers, except for combustion devices with integral Water Heaters Ni 112.A8.3 Comply with efficiency requirements in Table N1112.AB.3. Switch or d cutoff j early marked circuit breaker electric or cute (gas) must be provided. External or built -in heat trap required for vertical pipe risers. Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas Swimming Pools & Spas N1112.AB2.3.4 spa & pool heaters must have minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum . COP of 4.0. Hot Water Pipes N1112.AB.5 Insulation is required for hot water circulating systems ( includng heat recovery units). Shower Heads N1112.A8.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 prig. ,- HVAC Duct Constriction. All ducts, fittings, mechanical equipment and plenum chambers shat be mechanically attached, sealed, insulated Insulation &Installation N1110AB and instated in accordance with the criteria of. Section N1110.AB. Ducts in attics must be insulated to a minimum of R-6. HVAC Controls NI 107.A8.2 Separate readily accessible manual or automatic thermostat for each system. / 13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING S>ry; City of Atlantic Beach a ' PLPTION .NU4UIPE , . .....7Z 4 : R t �''" � �' -�� o be asst n e tb the B g De • ar "nent y ,�� B Department � (T �� s ,� g ,�� �� r ;' 800 Seminole Road � x ' € „, - `� ` r ° �� Atlantic Beach, Florida 32233 5 4 € i s ; . Phone (904) 247 -5826 • F- L• • ) 247 -58 ' f . F.n; - art d : oil Or E building- deptc@coab.us 6�®/, Datarout -. .1 r City web -site: http://www.coab.us ••• REVIE i . , ' TRACKING FORM Property Address: � /2 (57 ent review required Yes No r g Applicant: 7W2 7// �- / ld f 2 S Planni & Zonin Tr inistrator Project: / .Pi T77 /7L°h,L 6167 66 Signe ublic Work ublic Utilities ,4-nb 9M ig Public Safety ' / e o Fire Services R evletfee $> "� .��� ��� � r }:,� � s .. - � D - s � I • �� � ; . t <� .�: � ,�,:: ..: , ..�_'�= _ 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: KlApproved. ❑Denied. (Circle one.) Comments: BUILDING �' PLANNING & ZONING Reviewed • : Date: , 2 '// TREE ADMIN. Second Review: DApproved as revised. ['Denied. p - Comments: Dy PUBLICS • FEW Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14/09 sr 1',� City of Atlantic Beach �, P 'LpCATION ; N.U� E ; �s ' ' Building Department a'(fo be assign46 th Building D R •aitmentr It.:._-_ y 800 Seminole Road , � +r� � . i �. ^t +[ - 4aw y y yy � � J J, I K y G- r � � Atlantic Beach, Florida 32233 �� *�'� � ��,� ` � � ,� �„ 4 � , a Phone (904) 247 -5826 • Fax (9 44:7 -5845 �® / � r • E � - E -mail: building- dept@coab.us ' \ Date routed .• �, ._ - - r , ._ rtF`; w City web - site: http:Uwww.coab.us APPLICATION REVIEW AND RACKING FORM Property e /' 7? ff r ' - ° - ■ ent review required Yes No j , I i /6 1c2 � i • Applicant: / Planni • & Zonis p G e - h 6 G pinistrator Project: ik G i� 6 , i L k` j �� 6 - 1 Re wor • ubiic Utilities q * 8 0144 F eo6 Public Safety Fire Services R '-?;.qq•: 4�%'•' �+F , , Ct "S� 'Ei T x ; ' . �, ? r , z r t . J `. x t � f ° k, y -4,v. e teeireS t . �J11 . De Sig r ,� ,. �� _,,, „ . . ....4 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: E pproved. ❑Denied. (Circle one.) Comments: 4/(eP14:: , BUILDING PLANNING & ZONING Reviewed by: Date: 5/.3111 TREE ADMIN. Second Review: Approved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14109 ' U BER ,t�VI -f. Cit of Atlantic Beach s PP C TION.IV M.. i . Y !,. �� (To be assigned`6 the Building De • a rent ) � Building Department , . 800 Seminole Road 4 � Atlantic Beach, Florida 32233 -5445 { ; Phone (904) 247 -5826 • Fax (904) 247- 5845�"�� {� v� \ -�11 �r E -mail: building- dept@coab.us Data uted M1" ^ ^1'° °t City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: vt? /0 ff r ent review required Yes No 1/Applicant: idf Planni & Zonin TT / i y Tr inistrator Project: G / r7 e-Ai i LAS 6 6 AC ublic Work L Proje �� - ublic Utilities -J o.6 Public Safety Fire Services R� = r te t ' � 7 a u za P ' am ., c • . . r i , n ., z .t m i v i y r Revlewfee $�1i r � De• �SIg �r ,yu - , -r Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: • Date: 1 / - 2 TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05114(09 Y i'-vl:, City of Atlantic Beach . A LiCA, TIQN: N.Ul1A BER Buildin De artment = (To be assi the Bwiding De•artment) + mss ', s ,� 9 p r r��� + y ._ 800 Seminole Road c� 4'� r ' a --0 Atlantic Beach, Florida 3 2233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 k �€ c �� T,�" .4 ' ` t 4 - F { { � � - a '� Date routed gr -� - 0�i , E - mail: building- dept @coab.us r,..1. ., �1 _.�.� City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 9.° /d r ent review required Year No Applicant: pll)W s Planni & Zonin pp Tree.Administrator Project: 0 Ems �a e d i- c o/9C P blic work (ublic Utilities ' i 6 Public gafety Fire Services a mot; r :"On r, *-t ll # m ' ? " 3�t ;# Eevlewfee$= .., :... ,.�.'; D. S u , = z � a 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: APPL ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING Reviewed by: r Date: 4 1 - 0 7 7 — II roved as revised. - TREE ADMIN. led. Second Review: ❑App Den ❑ PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 ° L CITY OF ATLANTIC BEACH -. s) 800 SEMINOLE ROAD " �" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 P t-0E1 9 ' 1 ' 4 Application Number 11- 00001986 Date 6/01/11 Property Address 390 10TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 7000 Application desc add detached office space Owner Contractor PIRDEAUX PHILLIPS BUILDERS LLC 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 349 -2999 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . MARCO ELECTRICAL CONTRACTORS Permit Fee . . . 59.20 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/28/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 59.20 59.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 63.20 63.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 3 c t o I v + � ST PERMIT # ! 1 Icr V4 JEA INFORMATION REQUIRED ON ALL PERMITS - O AMPS . 1C) VOLTS PHASE VALUE OF WORK $ ' OC) 0 0 NEW SERVICE ❑ Overhead ❑ Underground 1 Underground up Pole ❑ Residential (Main) Service ❑ - 100 amps ❑ 101- 150 amp s ❑ 151- 200amps ❑ amps # of Meters ❑ Commercial (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps Conductor Type Size ❑ Multi- Family (Main) Service ❑ 0 - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑ Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) L 4 -miTps ❑ 150amps ❑200amps ❑ amps ❑CT Service amps Co AAAPS' ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 5 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG ❑ Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Electrical Company MA -i2G0. G(t- tCA'1,. Co.'JTPkk(1 t' S Office Phone 7 33 5"G Fax Co. Address: City _) .g K State SL_ Zip 31,. i License Holder (Print): 2e/1p9 /A/ C J-, , �� State Certifi t' n/Registration # Notarized Signature of License Holder t 801*Int ' MAKI Sworn and subscribed before e this l day of urtk 20 , NOTARY PUBLIC � '- STATE of FLORIDA Signature of Notary Public AA_ILQ- Li 071 Comm# E6036917 Expires 12/11/2014