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Permit SFAT 127 Jackson 2011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 6/17/11 Parcel Number 172134 -0010- - Property Address . . 127 JACKSON RD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner BEACHES HABITAT Contractor BEACHES HABITAT 904 241 -1222 Application number . . 11- 00001516 000 000 Description of Work . . SINGLE FAMILY ATTACHED DWELLING Construction type . . . TYPE 5 -B Occupancy type . . . RESIDENTIAL Flood Zone ZONE X Special conditions . 2007 FLORIDA BUILDING CODE WITH 2009 REVISIONS Approved ` �► Builds. Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: (U 1 i Contractor Name: l- - a `a1 Permit #: //— /S X Property Address: rZ,7 J 6C cl o /2-cP ,- Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Residence El Commercial ❑ Other: Lowest Floor Elevation: / 3 0 Re d As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works i 0( / ` - Public Utilities (P / 4-f (D 7 O✓ r Building CO 1 L Planning \ l `T Tree Mitigation CA [4_ 6//07/1 Satisfied Final Survey with FFE Yes No All Re- Inspect Fees Paid No No Termite Treatment (Yes No t ----!.. ) '� 159 19th Street North '�` _i �' _ Order: 35497 /-: • Jacksonville Beach, FL. 32250 rE, F„ FLIKMMDN Work Date: 06/10/11 Friday ($. -..?:::,'. - Phone (904) 242 -9002 TERFULIOL Time: 08:00 Fax (904) 242 - 9010 <` ,a ' Route: ,reen ro 1-800-575-FROG "R" "` " °" Nc 5YST MS Tech: 2 PEST PREVENTION ' g4 7,747, " "`. w° r " "" sQ cep.: MIKE DAINING Location: [103247] Bill -To: [103247] '`' ` *' Lic: BEACHES HABITAT Target Pest: PAUL FINLEY Phone 904 - 334 -2278 Last Service:01 /14/11 125 JACKSON ROAD ATLANTIC BEACH, FL 32233 PO: . '$ -{- 4`e" . 2 ., • v % s 9 F. A . ,. ; °•c, ,'x,. 3x.,n r flt, E�,�',. .. x .. _. �'" : � - n �, .rim v -�.�., , , � ". , .. ..., '�. � ` » � � � s � • „ . � . �: ,a.,'�:2A. PRECONSTRUCTION PRECONSTRUCTION ! $0.00 Subtotal $0.00 We are grateful for your business. Tax $0.00 Thank you, Total $0.00 — DAVID HONRATH, OW ER Amount Due $0.00 y a. ` 1 • Once -A -Year Pest Prevention • Rodent Proofing °: ,. • Quarterly Pest Prevention • Real Estate Inspections (WDO) _ _ � • Termite Baiting Systems • Preconstruction Soil Treatments PLEASE REMIT STUB WITH PAYMENT � b ro r v. x �yy 0 Boa ee w . b O o o ..... (") G ° h o. p' O 4 ►ti cn 5. a y n • m b A !:i G - Q H b o d v ✓ a o E N J n et CO o , w o, °a I I 5 Iz m if VI (175 S C) A 5 .,a °nOOi •o ., y ft .. 1 2 Z O • J a. D E"� A N b A O v w p r Z O .. 0 q ,r : o ■ p a , c w^ o "N �� o S A `', a o a f p O • , _ 4 o to 5 et °o n' a O A> G C � ' a o o W M _ R White, Debbie To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm Cc: Graham Shirley; Jones, Mike Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST The C/O's have been requested on the 2 below: 11 -1515 125 Jackson Road 11 -1516 127 Jackson Road Please email me your results. Thanks and have a great day.. Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 White, Debbie From: Carper, Rick Sent: Tuesday, June 14, 2011 10:55 AM To: White, Debbie Cc: Nodine, Phil; Deming, James Subject: RE: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST Debbie, CO Inspection satisfactory. Rick From: White, Debbie Sent: Tuesday, June 14, 2011 7:54 AM To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm Cc: Graham Shirley; Jones, Mike Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST The C /O's have been requested on the 2 below: 11 -1515 125 Jackson Road 11 -1516 127 Jackson Road Please email me your results. Thanks and have a great day.. Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX i MAP SHOWING SURVEY OF UNIT 17 ORDING TO THE DECLARATION OF CONDOMINIUM OF HUANG VILLAS, A CO Ali S RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 O F T`' CU ENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. -_ Q / ASEMENT \' POND . I UNIT 3A � TOP OF BANK — . __� 1 ( S8� X5'55 "E I .' 2 ' FIELD ) FOUND , PIPE. CAP \ E, CAP L83672 Ep�J x 27.5 PPE CAP ILLEGIBLE x -7=.7 = x =- . —x 'O' - G - - 0'7 \. 4 CHAIN LINK FENCE 1.0. 0.9 UNIT 1A UNIT 1B CONCRETE A C / A/C CONCRETE STOOP PAD PAD STOOP I 9 8 .E 111 UNIT 2B .r 20.2' 20.1' 7.4' � 0Z z x 0 .. i z O O O O p (n Z m O m Z7 fTl� � 8 m i— _ o ' —X i' p -< m i�-� C --2 I *' ) 8 m (,. — i m $Z O= AN)Z a, ? 2 -_ i - u 0 D X) u V(7 Z7 7 O ' - 2 w M D c U i 00 (0 P _ - 20.1' O 20.2' P. 9.9' CONCRETE 47 CONCRETE 7'4' rn 0 ,PORCH ‘. -.1 PORCH. o � i ? ••••••••• L O 20 40 D m m ) , y o CO _ u co m SCALE: 1" = 20' I I vv y v ° rn CONCRETE © CONCRETE o) O -3 90 DRIVE 0 DRIVE p UNIT 2A v X r- - r , � - ELECTRIC « � ME1E RF L ECTRIC O BOY. � 4 -o r— I ° 25' EASEMENT FOR A CCESS CONCRETE WALK > of AND JTILITIFF -J I -4 / PAID ''OVrF R_" © ■--J POLE ( 589'59'12 "W 29.97' FIELD ) FOUND MACNAIL _ _ 30.00' & DISK, LB3672 FOUND NAIL 7 & DI K M 8367 WEST 27.50 e DISK No. 4707 ( 589'58'55 "w JACKSON ROAD 27.50' FIELD ) 10 - ALLEY PER - PLAT - PAVED NOTES 1. THIS IS A BOUNDARY SURVEY. 2. BEARINGS ARE BASED ON THE LINE DIVIDING LOT 1A FROM LOT 1B BEING NORTH, AS PER THE DECLARATION OF CONDOMINIUM AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 3, FINISHED FLOOR ELEVATION BASED ON N.G.V.D. 1929 DATUM, THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THIS SURVEY WAS MADE FOR THE BENEFIT OF THE 500 YEAR FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD RACHEL L. BOOTH; BEACHES HABITAT FOR INSURANCE RATE MAP COMMUNITY PANEL HUMANITY, INC.; FLORIDA HOUSING FINANCE No. 120075 0001 D, REVISED APRIL 17, CORPORATION; OLD REPUBLIC NATIONAL TITLE 1989 FOR THE CITY OF ATLANTIC BEACH, INSURANCE COMPANY; and DONAHOO, BALL & DUVAL COUNTY, FLORIDA. McMENAMY, P.A. ) 1134 --- "U — C______ "NOT VALID WITHOUT THE SIGNATURE AND THE STEPHEN W. CREWS, P.S.M. ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FLA. LIC. SURVEYOR AND MAPPER No. LS 5996 SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE: MAY 20, 2011 DRAWN BY: swc 1500 ROBERTS DRIVE FILE #: 2011 -0354 JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 CITY OF ATLANTIC BEACH CERTIFICATE OF O CUPANCY WORKSHEET Date Requested: /6�// Contractor Name: Permit #: //— / 7 ' Property Address: /2 7 / Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single - Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works Public Utilities Building Planning Tree 'Giitigatio Satisfied Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No Termite Treatment Yes No CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: -// Contractor Name: Permit #: /0 c 7 / Property Address: Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single - Family Residence ❑ Commercial ❑ Other: Szrup- Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works Public Utilities Building Planning Tree Mitiigon Satisfied ''/ Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No Termite Treatment Yes No CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Requested: *264 Jntractor Name: / Permit #: //— /-s Property Address: /2 / �-<'` P �y Legal Description: Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single- Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works Public Utilities Building • arming (Q ��,6 &s i t �P Tre - itigatio / Satisfied ` e Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No Termite Treatment Yes No r p . _ MAP SHOWING SURVEY OF UNIT 1B, ACCORDING TO THE DECLARATION OF CONDOMINIUM OF HUANG VILLAS, A CONDOMINIUM, AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. RETENTION 4 . EASEMENT j' C' P OND I �- -TOP OF BANK-----,..4 I UNIT 3 A " 1 (2;8143' '" I / 5 FIELD S5 E ) ` ' 'E. QA L6 3672 % \ -2IPEN CAP 2 L63672 EAS 27.50' PIPE, 1 2" IRO BLE (,) 0,7' x — fi=x =-C �£ —x o - - 4 CHAIN LINK FENCE 0 9 1,0' UNIT 1A UNIT 1B CONCRETE 'PD A/C CONCRETE STOOP PAD PAD STOOP f n UNIT 2B 9.8' r - — 21- 20.1' 7.4' - n -n z �, oF_ i cn z m ( n v , 0 - 8 0 oZrnO O—. O v ` — o 0 y ,T - — 8 _< -, m --I 0 j - Il o X II �1 0 o iv ° = w m D 0 u1 uNm o -, .p. • o rn 9, 9' _ _20 a 2 C ONCRETE CONCRETE 7.4' c- _ PORCH , -,-1 _PORCH �p o 10 20 40 r D m 01 ,; . 1 (' _______4 _ (.0 SCALE: 1" = 20' c 6l CONCRETE 0 CONCRETE 0) Q• - o DRIVE Q DRIVE pp Q UNIT 2A m r W AtER 7 � - FLECTR.�C i! ME1ERS _I 0 - BOX ELECTRIC r 1 0 25' EASEMENT FOR ACCESS CONCRETE WALK > — I 1 - 1 / AND JTILITIK --J _ POLE \ ( S89'59'12 "W 29.97' FIELD ) FOUND MAGNAIL 30.00' et DISK, L63672 FOUND NAIL &o-- FOUND MAGNAIL / DISK No. 4707 &DISK, L63672 WEST 27.50 JACKSON ROAD ( "W 277 .5050' ' FIE LD) 10' ALLEY PER PLAT — PAVED FIE — — — _ NOTES 1. THIS IS A BOUNDARY SURVEY. 2. BEARINGS ARE BASED ON THE LINE DIVIDING LOT 1A FROM LOT 1B BEING NORTH, AS PER THE DECLARATION OF CONDOMINIUM AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 3. FINISHED FLOOR ELEVATION BASED ON N.G,V,D, 1929 DATUM. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THIS SURVEY WAS MADE FOR THE BENEFIT OF THE 500 YEAR FLOOD PLAIN) AS WELL AS RACHEL L. BOOTH; BEACHES HABITAT FOR CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP COMMUNITY PANEL HUMANITY, INC.; FLORIDA HOUSING FINANCE No. 120075 0001 D, REVISED APRIL 17, CORPORATION; OLD REPUBLIC NATIONAL TITLE 1989 FOR THE CITY OF ATLANTIC BEACH, INSURANCE COMPANY; and DONAHOO, BALL & DUVAL COUNTY, FLORIDA. McMENAMY, P.A. ....kSi C......„ "NOT THE SNATURE AND THE STEPHEN W. CREWS, P.S.M. ORIGINAL VALID OF A FLORIDA LICENSED FLA. LIC. SURVEYOR AND MAPPER No. LS 5996 SURVEYOR AND MAPPER," FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE: MAY 20, 2011 DRAWN BY: swc 1500 ROBERTS DRIVE FILE #: 2011 -0354 JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 White, Debbie From: Walker, Chris Sent: Friday, June 17, 2011 7:45 AM To: White, Debbie Subject: RE: Certificate of Occupancy Inspections I told someone a few days ago that 125/127 were good to go. I will let you know about 1090 today okay? From: White, Debbie Sent: Friday, June 17, 2011 7:43 AM To: Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm Subject: Certificate of Occupancy Inspections I have three pending c /o's all approvals except Public Utilities as follows: 1090 Jasmine Street 125 Jackson Road 127 Jackson Road Please email me your results. Thanks, Debbie W Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 White, Debbie From: Clemons, Malcolm Sent: Friday, June 17, 2011 7:57 AM To: White, Debbie Subject: RE: Certificate of Occupancy Inspections Backflow inspection ok.Malcolm From: White, Debbie Sent: Friday, June 17, 2011 7:49 AM To: Clemons, Malcolm Subject: FW: Certificate of Occupancy Inspections Malcolm, Have you checked the backflows at 125 and 127 Jackson Road? Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX From: Walker, Chris Sent: Friday, June 17, 2011 7:46 AM To: White, Debbie Subject: RE: Certificate of Occupancy Inspections I send someone over there first thing this morning. From: White, Debbie Sent: Friday, June 17, 2011 7:45 AM To: Walker, Chris Subject: RE: Certificate of Occupancy Inspections Great, 1090 had some issues and they said they corrected them. ? ?? Thanks, Debbie W Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX From: Walker, Chris Sent: Friday, June 17, 2011 7:45 AM To: White, Debbie Subject: RE: Certificate of Occupancy Inspections I told someone a few days ago that 125/127 were good to go. I will let you know about 1090 today okay? From: White, Debbie Sent: Friday, June 17, 2011 7:43 AM 1 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD " A ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001515 Date 3/30/11 Property Address 125 JACKSON RD Application type description SINGLE FAMILY ATTACHED DWELLING Property Zoning RES SF DISTRICT Application valuation . . . 75000 Application desc attached single family Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS ST 1671 FRANCIS AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -1222 Structure Information 000 000 Construction Type . . . . . TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . HUXHAM HEATING & AIR Permit Fee . . . 91.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/26/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Erosion control measures must be maintained for entire property. Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 PERMIT IAgpR u (�T_I,, Y IN ACCORDA6E CITY OF ¶LAJ TIC BEACHelyda zsE$ ue AND THE D A BUILDING' E . 1 C1 C1 L C7 ;' 'A CITY OF ATLANTIC BEACH Sn ) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 4Lii119 " Page 2 Application Number 11- 00001515 Date 3/30/11 Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 95.00 95.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Senminole Rd Atlantic Beau, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 B ADDRESS: 1 2 c 3qc. k ration # / / 5 I S PROJECT VALUE $ W AIR CONDITIONING & SEATING SYSTEM INSTALLATION Air Conditioning Unit Quantity 1 Tons Per Unit Heat Unit Quantity ! / BTU's Per Unit 914'00 Seer Rating 11 / Duct Systems: Total CFM r coo REQUIRED EPLACEMENT AIR CONDMONING & HEATING SYSTEM INSTALLATION ARI# Air Conditi onmg Unit Quantity Tons Per Unit REQUIRED Heat Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED [RE PREVENTION Fire Sprinkler System Qty (Requite 3 sets of plans) Fire .....,1. - Quantity (Requires 3 sets of pis) , ,, ,, ., • , . , , gee Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Cammercia1 Hoods Quantity (Requires 3 sets of Fire Suppression Quantity Quan ty (Requi cs 3 sets of plans) IRE PLACES TJS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's LL OTHER GAS PIPING Heat Exchanger Outlets PumPs Quantity # Veld. W Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection. Systems Tanks (gallons) Wells ►zTIER: zmit becomervoid ifwodc does not commence within a six. month pedod or warkis suspended or abandoned for six months. I hereby asrtifythstI have read is application and lmowthe acme to be trace and ca ze . AU povisio s of laws sad mammal govemieg ibis wank will be complied with whether specified not. The permit does not give authority to violate the pro / visions ofarty other stye ar local law regulation construction or the performance of construction. roperty Owners Name //ij Phone Number iechanic al Company )4,//44 , ///se / Ail TAC_ Office Phone:414&7 Fax y6-0377 Lo. Address: 9.1 o 1 / 7 &,a ` )i .64, - City /741 /off State EL Zip, a1E ;‘; kxnse Holder (Print): �ftvncs E- C , i be. 1 Slate Certification/Registration. # ccC-e' S `! i S Tofnrized Signat of H o cr,..,: T . . a n d subs�d. before this day ,2 -/ �� 20 1 , ,�'' Y 4; MIRNA A t :License_ St to o F lo N G� ofNo Public �•�P - F ' N otify Publ State o 1gIL� tffiy I .. 0 • = My Comm. Exres Oct 18, 2012 C ' "• ".. 44 CommissioN OD 890487 ,- * `, ` ' Bonded Through aHOml Notary Assn. S CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001516 Date 3/30/11 Property Address 127 JACKSON RD Application type description SINGLE FAMILY ATTACHED DWELLING Property Zoning TO BE UPDATED Application valuation . . . 75000 Application desc attached single family Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. 1671 FRANCIS AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -1222 (904) 241 -1222 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . HUXHAM HEATING & AIR Permit Fee . . . 91.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/26/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Erosion control measures must be maintained for entire project. Other Fees STATE MECH DCA SURCHARGE 2.00 +� QQ��EEpp STATE MECH DBPR SURCHARGE 2.00 BUILDING ES'umm� W HH IN ACCORDA c 1LL CITY OF ' BEACHe R DI�'1 C AND THE FbORe A s ' _ f fts‘ ` CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J - " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Page 2 Application Number . . . . . 11- 00001516 Date 3/30/11 Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 95.00 95.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlas Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 B ADDRESS: /c 7 4 r-..- c) PERMIT # I /-- / 5 1 r PROJECT VALUE $ Sac - KW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity l Tons Per Unit o Heat Unit Quantity l BTU's Per Unit Sl 4047 Seer Rating / Duct Systems: Total CFM / eve REQUIRED &PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: T Unit Quantity Per REQUIRED Unit Quantity BTU's Per Unit Se Duct Systems: Total CFM REQUIRED [RE PREVENTION 3 sets of plans) Fire Sp® ' System Quantity ( � 3 sets of plans) Fi re V:,1�,.,1� U,,. _. • , �, Fire Main Value (Requires 3 sets of pltaus) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 seta of pisns) Fire Suppression Systems Quantity (Requires 3 sets of plans) IRE PLACES US: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Bow BTU's LL OTHER GAS PIPING Heat Exchanger r Outlets h Quantity # w BTU's # Water Heaters Solar Collection. Systems Tanks (gallons) Wells ►THER wit becomes voidifwo& does not commas wide/asncmonthperiodorwadcis suspended or abandoned for six. months. I hereby aitfytb tIbaveroad is application and bow** same to benne and caaact All revisions of lases and audinances govemiog fl>ia wait will becomplied with whether specified not The permit does not give amt,od tyto violate the / pro // visions of any other state or local kw construction at The j —•. once of . rope rty Owners Name < i' fife Phone Number fechanical Company c//, rr7 ?/t 4 rZ 'rt Office Phone cl+fa� ) / Fax 25/6 - 0 ) 377 `•o. Address: a t 0 fl n2icr d i , /i.�C) City /L f'- / if State / ?gip !2 4 3cense Holiest (Print): TRvrtt &--% bea-T State C on/Regisfration # Cis4C0S`1 ffl S ... MIRNA A• �'�``�� es ": P w ' •'s Notary Public - State of Florid • da y of 201 O ct 18, 2 + "' � ���� "`- „' .; M Comm. Expires I CLL • p 7 s Commlasio p 1 Notary 83048 Aa la ,,:, of Notary ilia i uERTIEiED ii WWW.atrririrre i ''1 Certificate of Product Ratin 0 s 1. AHRI Certified Reference Number. 3842467 D ate: 1119/2010 i Product Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number. GSZ130241B* Indoor Unit Model Number ASPF18301613* 1. Manufacturer GOODMAN MANUFACTURING CO., LP ISTINCTIONS, EVERREST, ONE HOUR AIR GOODMAN, JANITROL, AMAN�► Trade/Brand name: } CONDITIONING AND HEATING, ENERGI AIR � for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Manufacturer responsible i : nce with AHRI Standard 210/240-2006 for Unitary Air- Conditioning and Air- Source i He u s follows in accordance of rating accuracy by AHRI.sponsored, independent, third X Heat Pump Equipment and subject to verification i Party testing: 1 Cooling Capacity Btuh): 24000 i , EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 1 �� ,.. Heating Capacity(Btuh) @ 47 F: 22800 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 13200 t 1 is x i i 3 } . indicate evio ate a voluntary rerate of prusly published data unless accomanied with a WAS, indite an involuntary rerate. • Ratings followed wed by an asterisk (h - , . i : DISCLAIMER fisted on this Certificate and makes no repr rdtions, warranties or a t and assumes no responsibility for, t the p o des not endorse the Certificate. disclaims all y for sages of any kind arising out of the use or performance of the product(s), or the , f the uto d alteration on of to fist o this expressly disclaims valid only for models and corrfiguratiorns fisted in the directory at .vav+x.ahritrectary.or &,. i , unah utiwrized attention of data fisted on this Certificate. Certified ratings TERMS AND CONDITIONS A�litl. Certificate ate on be used for individual, personal and confidential idereiice Pure Thin contents of and tie contents are not, proprietary k bo e ror in p disseminated; entered into a computer database: or otherwise utilized, in any The corrterds cf dris Certificate may not, in whole or in part, be repoduced: for the user's individual, personal and con reference. o EinP fpm or manner or by arty means, a CERTIFICATE VERIFICATION at vnnrr.atariciirector. ar3, Air Condi #ianir�, F seating, Tick V i te" inkaedan nit enter rtherddcate Number and ihe date on a .'� find ioefrigerat"i ®rs institute wink h the certificate was issued, on "Vfy Certficate" ue d, veh is Meted 1 Certified Reference above, vAlicuerMeted above, and the Certificate No., ...rich is listed below ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129'338041767546203 _ 05/25/2011 14:49 904 - 2490703 BROOKS AND LIMBUAGH PAGE 02/02 ;:,5....Lyr ; � r e EARLY POWER AGREEMENT & RELEASE j v ....yam; sl CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement & Release Job Address: I gn . `O ,.) T c ( J Permit No. Service Type (Circle One): Overhead Underground We, the undersigned General Conttact r 45— and El cian, understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does gel substitute for Final Inspections or the C/O (Certificate of Occupancyr fiat must be issued before occupancy, and as such is at the discretion of the Buildmg Official. 2. The City of Atlantic Bet►ch will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections. 3. Occupancy or use of the new construction before a formal. C/O constitutes fraudulent use of the early electric service. Such action is expressly prohibited, and penalized by The City of Atlantic Beach Ordinances. A violation of this Agreement shall result m a request for prompt removal of electric service after a twenty -four hour notice. 4. "Early Power" release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment, devices and fixtures are installed (or blanked off) safely. b. Panel is complete with breakers and cover, and (labeling required at final inspection). o. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is permanently marked with address. f. Temporary address numbers displayed (Permanent numbers are required for C /O). 5. This fully completed form is to be submitted to the Building Department by hand, mail or fax. 6. Future such Agreements will not be accepted from those who violate any one of the above items. • l f C T RA 1 L 1II DATE _ c all__ 1 , I ( P RINT NAME .�. A { l�l Y 11 l • ELE RTCIAN>._ /2 DATE �"�}�� I 1 NAME ( q \ j ..,) . 800 Seminole Road, Atlantic Beach .FL 32233 Phone: (904)247 -5826 Fax: (904)247 -5845 http: / /www.coab.us revised 01 30 09