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Permit 650 Palm Ave (vault folder) PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: (PSG Pc�.(m A ve Property Owner: Phone # Fps e. h �s Contractor: er Phone # Cp(PZ 43(03 Permit#: a Date Issued: Building Inspec ,� Footing ��cm �`''��� r741.64, 0 Slab -7 4 t4 Tie Beam Lintel Nailing / Sheathing Z _t 7 0 Framing / Cover Up s7#WAt, Insulation (j Final Building e43 O Tree Permit# YES NO Electrical Permit# G� _ r} Date /Copy to JEA Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# - Inspections: Rough Final Plumbing Permit# 1 Inspections: Rough / Underslab 2 Topout Water/Sewer - Final Drainage Inspection: Pool Permit# _ Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final 2 Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH 1. PUBLIC WOKS DEPARTMENT 1200 Sandpiper Lane .' Atlantic Beach,Florida 32233 (904)247-5834 — (904)247-5843 Fax www.coab.us PLAT REVIEW COMMENTS Permit Application # L4 -AbAq-9- Property Address: 5() NO NP Applicant: J Project: 0-dkdij ioi -It tdf on I V,/Jaf i I J Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: k Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call(304)2475834. Revie b ck Carper,P.E.,Public Works Director e S�Y' Signature Contractor Notified Date MAY " 4pp BY: oi p .9 t I CP 14 sq"n ih Ti N Main House 1088 sq ft rn rn 0 o a 0 Proposed ENTRY 77 sq ft m o iv N Proposed Concrete PORCH 131 sq ft Proposed 14'5 GARAGE L.� f fI UVJ//� zo'a 1a•s �— ---- ---`— Jose h nd Shireen Zsomboran 110 1'1a ! 650 al Ave. v each, FL 32233 Lot 5,000 sq. Driveway 312 sq ft Impervious Area: Main House 1,088 sq.ft. Garage 380 sq.ft. Driveway 312 sq.ft 131 Porch 131 sq.ft. 1 Entry 77 sq.ft. Pic pad / 14 sq.ft. / Sia��wAilj`C 8`1 s�f t � s'� Zo C Impervious Total Area sq-0. o _.-------15'4-----__._ _____ -. DDD f Impervious Percentage 4p.01%; �7llo�b �4 19' or '-/a c/ri &tva Y t h i �9 o wa y Book 11809 page 562 OAW 5 MIN. RETURIN �001S1 621.2 Filed 05 & Recoeded /18/2004 12:00:58 PM JIM FULLER CLERK CIRGIlIT COURT NOTICE OF COMMENCEMENT DUB- COUNTY RECORDING 5.00 TRUST FUND 1.00TO WHOM IT MAY CONCERN: The undersigned hereby informs all cancemed that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Oescrlption of Pr a erty F g-1 loL 63 5 U VC. u 4s1 L 22 General Cescri tion of Improvements '&'rndl5 arG ota / car 4400" n o f Owner ahll Address: l S Palm Ar, 1411,ube /SojeA, ;L. 322 3 Owner's interest in site of improvements: ty'n&r Fee Simpie Title Holder(if other than owner) Name Address Contractor v 5ep1-7 Address ;c BeaCA�1 FL 32— Am i Surety (iff any) Address Amount of Hand $ Name of person within the State of Florida designated by owner upon whom-notices or other documents may be served: Name Address In addition to himself, owner designates the fallowing person to receive a copy of the Leincr's Notice as provided in Section 713.13(1)(F), Florida Statutes, (Fill i6 at Owner's option). Name Address: SHARON K.JENSEN 1 W COMMISSION#f DD 122M 4,4011 EXPIRES:June 23.2008 0 e r A$NOTARY PL NQWY S9MC9&sw%WKne.dna Sworn to and subscribed before me this L� _day of Mau _ CITY OF ATLANTIC BEACH I f PERMIT CALCULATION SHEET � SJ u -� Date: ��� % — U v Address 6 q e si rJF_ . — 12ei✓b vkl b eJ k.24r P/d aJ Heated Square Footage @ $ per sq ft= $ Garage / Shed @ $ per sq ft= $ Carport/Porch � $ 1 per sq ft = $ 6 Deck OS `� $ per sq ft= $ Patio @$ per sq ft = $ TOTAL VALUATION: $ �z6, ©O 0 Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: S ' Z + 1/2 Filing Fee $ FLOOD ZONE: _ ' ( ) Fireplaces @ $35.00 $ — IMPERVIOUS SURFACE: �p BUILDING PERMIT FEE $ WATER IMPACT FEE $ 1 y O SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 �r CITY OF ATLANTIC BEACH =� YJ BUILDING PERMIT APPLICATION .3 N t (Alterations& Additions) 0,119 Date: /VIC, N .2 Job Address: /��a�AI �LICA N E Owner of Property: G'� ) "Cr►�J✓i"/ 1 Address: lr 5rh )941,41At. �/ .�� ��,• 4 _322-43 Telephone: .2 Legal Description: Block Number: Lot Number: Zoning District: Contractor: 5C A- _State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: A 2��Z G tj Present use of land or building(s): Valuation of proposed construction: - C C'C 1, What are the dimensions of the added space: ee�Px r v feet Will the added area be heated and cooled? r New electrical or increase in service? Add plumbing fixtures? N,/C-_5 Add fireplace? h 1; Add heating/air conditioning? S f Homeowner's or other private entity required? If yes, please submit Is approval o P 9 -��� application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? "5 NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as aooropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 9 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all inform 'on provided with this applicaf n is correct. Signature of owner: L Date: 14 1 I hereby certify that I�ve read and examined this application and` ow the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive a 1 correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 1 20 State of Florida,County of Duval N ary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary s Signature: ❑ rsonally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 3 Revised 1/04 i' CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS, MOVING, DEMOLITIONS Owner(s) and s Ir"�c"`� Z5-o-"lJp/'a1I7 Job Address � U a/m A v,-,q uC' Phone wc54 12 0� Ic)i 77�r3 Lot ry{, Block or Unit# Subdivision lUcS� a lot Contractor y �e�� State License Address Phone City State Zip Describe work to be done &&M011,511 < a h - / o� �oarrr �iiiH �c4' y � �d Z C ata ra if ord, S'r n� &n 1f r oc n.t u�.( closed Ara q' I'Oeo F a s , n irl trV oo u�� ousc� �un1� Is ,i�c Yresent use of building !at Valuation of Proposed Construction / yG, 06 o Proposed use Is this an addition? . Ve 5 If yes, what are the dimensions of the added space: z c, ft. x /1Y ft.. quzgd Sr Will the added area be heated and cooled? C9, New electrical (or increase) y&5 New plumbing fixtures? New fireplace? /10 New Heat/AC? SUBMIT THREE (CONINIE CIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S IN SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, .F OWNER IS CONTRACTOR. Signature of OWNER W4�1ADate: . ��1 ©`-I Signature of CONTRACTOR Date STATE OF FLO IDA I COUNTY OF Puvek Sworn to (or affirmed) and subscribed before me this day of MOLA 200q AS TO OWNER: Notary's Signature r..,,.�..... Personally known SHARON K.JENSEN `❑ Produced Identification MY COMMI6SION#� DD 1223®6 EXPIRES:June 23,200E 14WOHoruiY FL NarySwvft&Sordnp W- Type of identification produced �Zlk Swam to (or affirmed) and subscribed before me this day of . 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced a " SS CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: Flood Zone: Required Lowest Floor Elevation: 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 Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CITY OF ctcc Ve4d — 7&ud4 800 SEMMNOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489. FLORIDA STATUTES. PART I 'CONSTRUCTION CONTRACTING' RSOUtRE5 OWNER/BUILDER To ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECrIaN 489. 103(7). FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO HE 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 YOU ELF. 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 $28,000.00 OR (SSS. THE suit-DING 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 MASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNUCENSF^ PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING COOLS AND ZONING REGULATIONS. IT 15 YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YdU HAYS LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL UCENSiNG ORDINANCES. Q.gDINANceS ALSO ALLOW AN OWNER TO IMPROVE THEIR 4WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE. AND UKEWISE REOUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) SE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNUCENSED WORKERS PROVID60 SUCH WORKERS Be UNDER 'DIRECT SUPERVISION OF THE OWNER. WHO MUST H£ ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLS. T)ilS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. _ SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING V(ORKE.P5 BECOME EMPLOYE"AND SHOULD ALSO OBSERVE IFAS WITHHOLDING TAX AND/OR FORM 1099 REOUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTc NO. 455-228(l). AN 'OCCUPATIONAL L10EN58' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS CERTIFlCATE' TO ASCERTAIR IF A PERSON IS A EICENSED CONTRACTOR. TeLEPHONE THE BUILDING DEPARTMENT(247- 58283 IF IN DOUIlIT. I HEREBY/CIWED OWLG£THAT) HAVE READ THE ABOVE DISCLOSURE STATEMENT ANO THAT I COMPLY WTTM ALL THE REQUIREMENTS FOR THE ISSUANCE or AN OWNER-$UILDER PERMIT. P P O N UILDER ADDRESS ./ TELEPHONE S O AWAi9Mt 0VhlEF E ME THIS1 44 DAY OF� Yr Q MY COMMISSION# DD 122339 EXPIRES:June 23.2006 1.800 NOTARY R Nary SVVI0*6 8ondng,I"�. NOTARY PUBLIC N . PHRASES UNDERLINED ABOVE MY COMMISSION EXP ARE EMPHASIZED BY THE BUILDING DEPARTMENT. MAP SHOWING SURVEY OF i OF -SECTION j\N�l) I'HE L/ 2 ul'' LCY1 284 , PLAT W E:j�i 0i R R K N'l' P U B 1,1 C NU . 2 A 3(-)()K 10 PACE 15 Ul' 1'11E� PALM AVENUE 50' R / W ( PAVEL) LEGEND - I.P. DENOTES IRON PIPE. - FND. DENOTES FOUND. - R/W DENOTES RIGHT OF WAY. - RES. DENOTES RESIDENCE. F NO 3/ P REBAR 6 50.07'FIELD F N 0 3/4- 50.0e 140 CAP FND. 1/2"1 p (P (So') 9.6-7-7.0.7 50" L.B 3 672 CO. (5- 0 WEST 1/2 OF LOT 283 O1 W 0 w 7.3' z' u WOp0 DECK A88VE 0 30 E AS T 1/2 0OF LOT 283 O 7 1 0 ui 0 7. 3 20.5, z �-j 0 I I na I LL 2 - STORY 0..u: 'x J FRAME a 0 T 0 06 STUCCO -0 RES-No.650 w w U. 35�2 7.3.. 7.3" E AS T 1/ 2 > w OF LOT 284 0 U. 'd WOOD 0 CC K > 0 WEST 1/2 OF LOT 284 0.2' 0.1 0.9' (50') FNO 1/2 '1.P 50. 00 NOCAP 49.65 FIELD oNO CAP LOT 273 LOT 285 THE-PROPERTY SHOWN HEREON APPEARS TO LIE IN' FLOOD ZONE 'A' AS WILL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989. N07ES - THIS IS A BOUNDARY SURVEY, - ALL INTERIOR ANGLES ARE 90' AS PER PLAT. ANGLES SHOWN ARE PER FIELD MEASURE. - NO BUILDING RESTRICTION LINES PER PLAT. °z, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028299 Date 5/21/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor --------- ------- -------- ------------------------ ZSOMBORA.N, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 240 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230 . 00 230 . 00 . 00 . 00 Plan Check Total 115 . 00 115 . 00 . 00 . 00 Other Fee Total 275 . 00 275 . 00 . 00 . 00 Grand Total 620 . 00 620 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EYFHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUIL IAL a ;Q, CITY OF ATLANTIC BEACH CDD Ford BUILDING / ZONING DEPARTMENT ins ss� S. Doerr 800 Seminole Road s) Atlantic Beach,Florida 32233 v (904)247-5800 sy°'Jf31�•,� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C�q Property Address: Lt s3Q P /M ✓` Applicant: =5T1 �6 C nn 7c ra t" Project: ad-al; L n Q This permit application has been: �O ER---Approved � Reviewed and the following items need attention: Please re-submit ur ap i ation when these items have been completed. Reviewed By: Date: c .S- d� —H CITY OF ATLANTIC BEACH 1 004 BUILDING PERMIT APPLICATION (Alterations & Additions) Date: Job Address: 10 A LIC'A 0 Owner of Property: a)ld fie-elle, Address: 6 5'0 f41,#A;t, 32Z_3_ Telephone: Legal Description: Block Number: Lot Number: Zoning District: 0 uz Contractor: State License Number: Contractor Address: RECEIVE U I y lj� Telephone: Fax: B 1,J I L. Describe proposed use and work to be done: Y) MAY 14 2004 Present use of land or building(s): Valuation of proposed construction: 0 0 e e, elt?-Tvk x A4 fee x ro <c feet What are the dimensions of the added space: A Wc- Will the added area be heated and cooled? V W-17 New electrical or increase in service? \l� Add plumbing fixtures? 5 Add fireplace? y Add heating/air conditioning? -5 Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? 9NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit: 9N0. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description_ 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all inform 'on provided with this applicat' n is correct. P /yj adv y Signature of owner: `; if i Date: / /q l _ I hereby certify that I ave read and examined this application and ow the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. \J Signature of Contractor: AAAv `6Date: Address and contact information of person to receive a I correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ,24 State of Florida,County of Duval N tar' Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary s Signature: ❑ ersonally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 3 Revised 1/04 CITY OF ATLANTIC BEACH PERMIT APPLICATION RENIODEL, ADDITIONS, OR ALTERATIONS, MOVING, DENIOLITIONS Owner(s) and J� /✓�'�'� �SOmJO�ah Job Address /mAVL-,gae- Phone we5-f 37 fl- o'� 1vf 7� r-:3a - - -- - LatSlack or Unit# Subdivision 1Uc y� , o o Contractor y 5C IT State License # A/ 1 Address / Phone City State Zip r--- Describe work to be done ern 0 n r0 or ✓r`/ �d, q /bo�"w"�iUi�loen Cd Y, 4,1ra 11, , �7dn 7 ord' o61u A6 clo5ey cj'vrr ar., q' I. e0 F PV /\Gi�7I PS � � ^ ,n r Dm A cry Aqo U ou$c/ C lun10 I-4/ el resent use of building I at .lore c Valuation of Proposed Construction :26, 00o Proposed use tr�lldrrrjla f Is this an addition? If yes, what are the dimensions of the added space: _ft.x ft.. riuragd/44 s Will the added area be heated and cooled? C-5- New electrical (or increase) lle5 v5cW7 New plumbing fixtures? New fireplace? /10 New Heat/AC? C` S 119ro 64 SUBMIT THREE (COMMS CIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING . / SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, .F OWNER IS CON RACTOR. Signature of OWNER Date: I y Ll sl/ o Signature of CONTRACTOR Date STATE OF FL O ICA COUNTY OF uVA _ Sworn to (or affirmed) and subscribed before me this. day of _, 200q 1 AS TO OWNER: Notary's Signature . SHARON K.JENSENPersonally known MY COMMISSION# DD 122339 `❑ Produced Identification EXPIRES:June 23,2006 14WONOT,R, FLNO Y SWAM&SMIM.IM Type of identification produced Swam to (or affirmed) and subscribed before me this day of ' 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced J� S' CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: Flood Zone: Required Lowest Floor Elevation: 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 Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CIT`! OF >��°auttc Fe4d - �7&rides 800 SMYMNOU ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACTING' REQUIRES OWNZWBUILDER TO ACXlNOWLSDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRAL'TORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN CmmPTION 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 $Z5,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, IT MAY NOT BE BUILT FOR SA, OR LEAVE, IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION 15 COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION, YOI.1 MAY NOT HIRE AN UNUCENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST SE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT 15 YOUR RESPONSICIUTY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL UCENSING ORDINANCES. 0913NANCCS ALSO A'I W AN OWNER TO IMPROVE THEIR 9WM PROPERTY WHEN TY IS FOR PERSONAL OR FAMILY USE, AND UXENaSE RECUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE.UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPIrcnaNS. TINE ORD/MANCE STATE'S OWNERS MAY PM'31Cat.LY DO WORK T-IFMSELVES; OR MAY MIR£ UNUCENSED WORKERS PROVIOBD SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THC OWNER, WHO MUST BE ON THE.IOC AT ALL TIMES WHILE WORK 15 IN PROGRESS BY UNUCENSED TRADES PEOPLE.' 71415 DOES NAT ALLOW USE OF UNUCENSED CONTRACTORS. SINCE OWNERS MAY BE LL/ACL-- FOR INJURIES TO WORKERS THEY MORE, THE BUILDING DEPARTMENT SUGGE5T3 WORKER'S COMPENSATION INSURANCE BU E PURCHASED NDER THE HOMEOWNERS INSURANCE POUCY CLEARLY PROTECTS THE OWNER. OWNERS MIRING WORKERS BECOME EMPLOYERS AND S49ULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES, UNUCENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TQ $5,CCX:) Pe TY UNDER FLORIDA STATUTE NQ, 444-248(1). AN 'OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPtLTENCY' OR THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR, TELEPHONE THE BUILDING OEPARTMENT(247- 58Z,5) IF IN DOUET. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEIENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER'$LNLDER PIDiM1IT. P O N UILDE�R �mve, { ) ` ;�D Q �a� !�L -'L22,33� �c ACORESS TELEPHONE Sl woAN3HAWftttA&A&EhlEFCE ME THIS 144 DAY OF MY COMMISSION# DO 122309 EXPIRES:June 23,2006 1 E006&NOTARY R.Notary S-1000 3 8—IN.Ina NOTARY PUBLIC N PHRASES UNDERUNED ABOVE MY COMMISSION ExPI n e a3 �00( e ARE EMPHASIZED BY THE BUILDING DEPARTMC?IT. MAP SHOWING SURVEY OF 1)L A'l' 0 F E CT1 0 N 112 Ul LOT Z£34 VIE IWE:J;l 5 1, "Ir (-URRENT PUBLIC 2 L A L 11 i " f. PL 'il 3'-)()K PAGE ,4 'y 1 L I L)A PALM AVENUE 50� R W ( PAVEL) I FQFND - I.P. DENOTES IRON PIPE. - FND. DENOTES FOUND. - R/W DENOTES RIGHT OF WAY. - RES. DENOTES RESIDENCE. F NO 3/9 50.07'F71ELD F N D 5/4 P REBAR C 50-0e 140 CAP L4 2t FND. t/2"1.P 690 LSO 1 9 6, 0.7, ( 50'! L.B 3672O (36 w WEST 1/2 OF LOT 28 3 w 7.3' 0 2. 1 w 4,8 _A ci wo11DECK� A 8 811E 0 CU E AS T 1/2 u I. OF LOT 283 o ow 0 _Z2 z 7. 3 2 0.5' I c9 10 7 4 0-1 U-j 0 CL ui 2 - STORY u 0"L FRAME a a 00 p STUCCO a.sj —0 RES.No.650 Lu LL 6 T.31 35.2 ' T.3EAST I/ Z Z N W OF LOT 284 N 0 WOOD U DECK > (r 690 CL C3 0 WEST 1/2 OF OP LOT 284 0.1. �K No 1/2...[ F 50. 00, FND 3/4''I.P. NOCAP 49.65'FIELD 6 NO CAP LOT 273 LOT 285 THE-PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE 'A' AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989. NOTES - THIS IS A BOUNDARY SURVEY. - ALL INTERIOR ANGLES ARE 90' AS PER PLAT. ANGLES SHOWN ARE PER FIELD MEASURE. - NO BUILDING RESTRICTION LINES PER PLAT. S. I AJ CITY OF ATLANTIC BEACH c BUILDING / ZONING DEPARTMENT LL Di 'ns r 800 Seminole Road _r Atlantic Beach,Florida 32233 (904)247-5800 0 . ;a (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # G,'-t Property Address: (.c S[) PQ Applicant: C-4�"'Spa Project: QcU,`4r�r� This permit application has been: �/ Approved F7 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: C (J�_._.. Date: WATER IMPACT FEE WORKSHEET ADDRESS: � �M ✓t _ - !'< n3Oc�r'� T ip^S�/� O�/ 1 /0 DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower g Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountaiNlcemaker Y2 Floor drains 2 Nose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder andlor dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory I �-- �.- Shower compartment domestic 2 Sink 2 Urinal 4 Urinal, 1 allon per flush or less1 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 l Water closet, private installation - 4 Water closet, public installation g TOTAL NUMBER OF UNITS= 1 L MULTIPLIED X 20 TOTAL$ �� Project Summary Date: Entire House By: DONOVAN HEATING AND AIR CONDITIONG 315 6 TH AVE SOUTH,JACKSONVILLE BEACH FL 32250 Phone:904-241-3785 Fax:904-241-3745 Email:bill@donovanac.com Web:www.do a Project • • For: JOE AND SHIREEN ZSOMBORAN 650 PALM AVE,ATLANTIC BEACH, FL 32233 Phone: 904-246-8896 &�Ptes: ROOM ADDITION O Desian Information Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 25 OF Outside db 94 OF Inside db 70 OF Inside db 72 OF Design TD 45 OF Design TD 22 OF Daily range L Relative humidity 50 % Moisture difference 61 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 15282 Stuh Structure 14054 Btuh Ducts 764 cfm Ducts 1278 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 16046 Btuh Use manufacturer's data n Rate/swing multiplier 0.89 Infiltration Equipment sensible load 12508 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 StrucDucture 3500 Btuh Heating Cooling Central vent(0 cf� RA 0 Btuh Area(ft2) 511 511 Equipment lat '"moi 3507 Btuh Volume(ft3) 5053 5053 Air changes/hour 1.00 1.00 Equip a d 16015 Btuh Equiv.AVF (cfm) 84 84 Req.to ity at 0.70 SHR 1.5 ton Heating Equipment Summary Cooling Equipment Summary Make Trane Make Trane Trade XR12 Weathertron Trade XR12 Weathertron Model 2TWR2018A1 Cond 2TWR2018A1 Coil TWE018P13 Efficiency 6.9 HSPF Efficiency 12 SEER Heating input Sensible cooling 12530 Btuh Heating output 16700 Btuh @ 47°F Latent cooling 5370 Btuh Temperature rise 23 OF Total cooling 17900 Btuh Actual air flow 672 cfm Actual air flow 672 cfm Air flow factor 0.042 cfm/Btuh Air flow factor 0.048 cfm/Btuh Static pressure 0.10 in H2O Static pressure 0.10 in H2O Space thermostat Load sensible heat ratio 0.80 Bold(Ralic values have been manually ovenldden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wa'�gf 7t50ft Right-Suite Residential 5.9.35 RSR39613 2004-May-12 12:49:39 ,o C C:\My Documents\Wrightsoft HVACyoe.rrp Calc=MJ7 Orientation=NE Page 1 Job: Building Analysis Date: Entire House By: DONOVAN HEATING AND AIR CONDITIONG 315 6 TH AVE SOUTH,JACKSONVILLE BEACH,FL 32250 Phone:904-241-3785 Fax:904-241-3745 Email:bill@donovanac.com Web:www.donovanac.com Project • • For: JOE AND SHIREEN ZSOMBORAN 650 PALM AVE,ATLANTIC BEACH, FL 32233 Phone: 904-246-8896 Design Conditions Location: Indoor: Heating Cooling Jacksonville, Ma port Naval, FL, US Indoor temperature(°F) 70 72 Elevation: 16 ft Desiggn TD(°F 45 22 Latitude: 30°N Relafive humidity(%) 30 50 Outdoor: Heating Cooling Moisture difference(gr/Ib) 17.4 61.2 Dry bulb(°F) 25 94 Infiltration: Daily range °F) - 15 (L ) Method Simplified Wet bulb(°� - 78 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 0 • Component Btuh/ft' Btuh %of load Walls 3.4 3058 19.1 Glazing 21.3 2576 16.1 Doors 20.7 869 5.4 Ceilings 3.5 1926 12.0 Floors 5.3 2684 16.7 Infiltration 25.5 4168 26.0 "° Ducts 764 4.8 Piping 0 0.0 Humidification 0 0.0 D-" `F Ventilation 0 0.0 °,Av, Adjustments 0 Total 116046 1 100.0 Component Btuh/ft' Btuh %of load Walls 2.2 1987 14.1 wa. Glazing 50.2 6079 43.3 Doors 13.6 572 4.1 Who- Ceilings 3.8 2101 14.9 Floors 0.0 0 0.0 Infiltration 12.5 2038 14.5 Ducts 1278 9.1 Ventilation 0 0.0 Internal gains 0 0.0 Blower 0 0.0 Adjustments 0 Total 14054 100.0 Overall U-value=0.120 Btuh/ftl-°F WARNING: suspicious slab-on-grade floor perimeter in master bath. So/cOtalic values have been manually overridden +~ wr-10HV!&oft Right-Suite Residential 5.9.35 RSR39613 2004-May-12 12:49:39 kt�K C:\My Documents\Wrightsoft HVAC\joe.rrp Calc=MJ7 Orientation=NE Page 1 Short Form Date: Entire House By: DONOVAN HEATING AND AIR CONDITIONG 315 6 TH AVE SOUTH,JACKSONVILLE BEACH,FL 32250 Phone:904-241-3785 Fax:904-241-3745 Email:bill@donovanac.com Web:www.donovanac.com Project • • For: JOE AND SHIREEN ZSOMBORAN 650 PALM AVE,ATLANTIC BEACH, FL 32233 Phone: 904-246-8896 Design Information Htg Clg Infiltration Outside db(OF) 25 94 Method Simplified Inside db(°F) 70 72 Construction quality Average Design TD(°F) 45 22 Fireplaces 0 Daily range - L Inside humidity(%) - 50 Moisture difference(gr/Ib) - 61 HEATING EQUIPMENT COOLING EQUIPMENT Make Trane Make Trane Trade XR12 Weathertron Trade XR12 Weathertron Model 2TWR2018A1 Cond 2TWR2018A1 Coil TWE018P13 Efficiency 6.9 HSPF Efficiency 12 SEER Heating input Sensible cooling 12530 Btuh Heating output 16700 Btuh @ 47°F Latent cooling 5370 Btuh Temperature rise 23 OF Total cooling 17900 Btuh Actual air flow 672 cfm Actual air flow 672 cfm Air flow factor 0.042 cfm/Btuh Air flow factor 0.048 cfm/Btuh Static pressure 0.10 in H2O Static pressure 0.10 in H2O Space thermostat Load sensible heat ratio 0.80 ROOM NAME Area Htg load Cig load Htg AVF Clg AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) master bath 183 4987 2611 209 125 hall 27 4068 3997 170 191 master bedroom 300 6992 7446 293 356 Entire House d 511 16046 14054 672 672 Other equip loads 0 0 Equip. @ 0.89 RSM 12508 Latent cooling 3507 TOTALS 511 1 16046 16015 672 672 Bold/itelic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. „t wrightsoft Right-Suite Residential 5.9.35 RSR39613 2004-May-12 12:49:39 AC(K C:\My Documents\Wrightsoft HVACyoe.rrp Calc=MJ7 Orientation=NE Page 1 FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: ROOM ADDITION Builder: Address: 650 PALM AVE Permitting Office: ATLANTIC BEACH City, State: ATLANTIC BEACH, FL 32033- Permit Number: Owner: JOE AND SHIREEN ZSOMBORAN Jurisdiction Number: 261100 Climate Zone: North -- _ -g --- -- _Addition _ — -- �- -------- Cap: kBtu/hr 1 New construction or existing 12 Cooling systems 2. Single family or multi-family Single family — a. Central Unit p — 3. Number of units,if multi-family 1 _ SEER: 13.00 — 4. Number of Bedrooms 2 — b.N/A — 5. Is this a worst case? No 6. Conditioned floor area(ft2) 511112 c. N/A — 7. Glass area&type Single Pane Double Pane — — a. Clear glass,default U-factor 0.0 ft2 0.0 ft2 — 13. Heating systems b. Default tint 0.0 ft2 56.5 ft2 _ a. Electric Heat Pump Cap: 12.3 kBtu/hr _ c. Labeled U or SHGC 0.0 ft2 64.6 112 HSPF:6.90 — 8. Floor types _ b. N/A _ a. Slab-On-Grade Edge Insulation R=0.0,64.8(p)R — — b. Stem Wall ft2 — c. N/A _ c. N/A — 9. Wall types T 14. Hot water systems i a. Frame,Wood,Exterior R=13.0,866.8 ft2 _ a. Electric Resistance Cap:30.0 gallons — b. Frame,Wood,Adjacent R=13.0,31.3 112 _ EF:0.97 — c. N/A — b.N/A _ d.N/A — — e. N/A c. Conservation credits _ 10. Ceiling types with(RBS) _ j (HR-Heat recovery,Solar a. Single Assembly R=19.0,350.5 ft2 DHP-Dedicated heat pump) b. Single Assembly R=19,0,197.5 112 — 15. HVAC credits MZ-C,CF,MZ-H _ i c. N/A (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts(RBS) 1 HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0, 10.0 ft — PT-Programmable Thermostat j b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) L _ Total as-built points: 11595 PASS Glass/Floor Area: 0.24 Total base points: 12247 PASS I hereby certify that the plans and specifications covered Review of the plans and ,111E sT by this calculation are in compliance with the Florida specifications covered by this o4 Energy Code. calculation indicates compliance ,N''�- r•s ,o PREPARED BY: l with the Florida Energy Code. h bill "„ •,`ria •• N 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 �o �yc compliance with the Florida Energy Code. Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: —C- DATE: DATE: c EnergyGaugeO(Version: FLRCSB 0.30) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 660 PALM AVE,ATLANTIC BEACH, FL, 32033- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 511.0 20.04 1843.3 Double,SHGC=.30 NW 0.0 0.0 26.3 8.03 1.00 211.1 Double,SHGC=.30 SW 0.0 0.0 16.0 14.49 1.00 231.8 Double,SHGC=.30 NE 0.0 0.0 22.3 9.71 1.00 216.6 Double,Tint NW 0.0 0.0 45.2 20.48 1.00 925.7 Double,Tint SW 0.0 0.0 11.3 32.30 1.00 365.0 As-Built Total: 121.1 1950.2 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 31.3 0.70 21.9 Frame,Wood,Exterior 13.0 866.8 1.50 1300.2 Exterior 866.8 1.70 1473.6 Frame,Wood,Adjacent 13.0 31.3 0.60 18.8 Base Total: 898.1 1495.5 As-Built Total: 898.1 1319.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 6.10 128.1 Exterior 42.0 6.10 256.2 Exterior Wood 21.0 6.10 128.1 Base Total: 42.0 256.2 As-Built Total: 42.0 256.2 CEILING TYPES Area X BSPM = Points Type(Rad.Barr.) R-Value Area X SPM X SCM = Points Under Attic 510.7 1.73 883.5 Single Assembly 19.0 350.5 5.64 X 0.70 1383.8 Single Assembly 19.0 197.5 5.64 X 0.70 779.7 Base Total: 510.7 883.5 As-Built Total: 548.0 2163.5 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 64.8(p) -37.0 -2397.6 Slab-On-Grade Edge Insulation 0.0 64.8(p) -41.20 -2669.8 Raised 300.0 -3.99 -1197.0 Stem Wall 19.0 300.0 -4.70 -1410.0 Base Total: -3594.6 As-Built Total: 364.8 -4079.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 511.0 10.21 5217.3 511.0 10.21 5217.3 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCSB v3.30 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 650 PALM AVE,ATLANTIC BEACH, FL,32033- PERMIT#: BASE AS-BUILT Summer Base Points: 6101.2 Summer As-Built Points: 6826.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 6826.5 1.000 (1.051 x 1.147 x 0.91) 0.263 0.902 1774.4 6101.2 0.4266 2602.8 1 6826.5 1.00 1.097 0.263 0.902 1774.4 EnergyGaugeTM' DCA Form 60OA-2001 EnergyGaugeOD/FlaRES'2001 FLRCSB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 660 PALM AVE,ATLANTIC BEACH, FL, 32033- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 511.0 12.74 1171.8 Double,SHGC=.30 NW 0.0 0.0 26.3 27.03 1.00 710.9 Double,SHGC=.30 SW 0.0 0.0 16.0 23.50 1.00 376.0 Double,SHGC=.30 NE 0.0 0.0 22.3 26.68 1.00 595.1 Double,Tint NW 0.0 0.0 45.2 25.14 1.00 1136.3 Double,Tint SW 0.0 0.0 11.3 18.79 1.00 212.3 As-Built Total: 121.1 3030.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 31.3 3.60 112.7 Frame,Wood,Exterior 13.0 866.8 3.40 2947.1 Exterior 866.8 3.70 3207.2 Frame,Wood,Adjacent 13.0 31.3 3.30 103.3 Base Total: 898.1 3319.8 As-Built Total: 898.1 3050.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 12.30 258.3 Exterior 42.0 12.30 516.6 Exterior Wood 21.0 12.30 258.3 Base Total: 42.0 516.6 As-Built Total: 42.0 516.6 CEILING TYPES Area X BWPM = Points Type(Rad. Barr.) R-Value Area X WPM X WCM = Points Under Attic 510.7 2.05 1046.9 Single Assembly 19.0 350.5 1.86 X 0.85 554.1 Single Assembly 19.0 197.5 1.86 X 0.85 312.2 Base Total: 510.7 1046.9 As-Built Total: 548.0 866.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 64.8(p) 8.9 576.7 Slab-On-Grade Edge Insulation 0.0 64.8(p) 18.80 1218.2 Raised 300.0 0.96 288.0 Stem Wall 19.0 300.0 2.30 690.0 Base Total: 864.7 As-Built Total: 364.8 1908.2 INFILTRATION Area X BWPM = Points Area X WPM = Points 511.0 -0.59 -301.5 511.0 -0.59 -301.5 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCSB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 650 PALM AVE,ATLANTIC BEACH, FL, 32033- PERMIT#: BASE AS-BUILT Winter Base Points: 6618.4 Winter As-Built Points: 9070.8 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 9070.8 1.000 (1.045 x 1.169 x 0.93) 0.494 0.950 4838.2 6618.4 0.6274 4152.4 9070.8 1.00 1.136 0.494 0.950 4838.2 EnergyGaugeTM DCA Form 60OA-2001 EnergyGauge4DIFIaRES'2001 FLRCSB v3.30 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 660 PALM AVE,ATLANTIC BEACH, FL,32033- 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 2 2746.00 5492.0 30.0 0.97 2 1.00 2491.22 1.00 4982.4 As-Built Total: 4982.4 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 2603 4152 5492 12247 1774 4838 4982 11595 PASS �y04 THE S FApAO.c � a COD we EnergyGauge'rm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCSB v3.30 FORMA 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 660 PALM AVE,ATLANTIC BEACH, FL,32033- PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/sg_ft._window area; .5 cfm/sq_ft.-_door area - --- ------------ ---- -- ------- - ----- Exterior&Adjacent Walls 1 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends from,and is-sealed to,the foundation to the tom-plate.____._ Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,-e_enetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested Mufti-story Houses_—_ 606.1.ABC.1.2.5 Air barrier on perimeter of floo_r_cavity between floors. - - -- -- - Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences. COMPONENTS SECTION i REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12 Switch or clearly marked circuit breakerelectric)or cutoff(gas)must be provided.External or built—in heat trap-required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiencyof 78% Shower heads 612.1 Water flow must be restricted to no more than 2.5-gallons-per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min_insulation___—_ HVAC Controls 607.1 ____ Separate readily_accessible manual or automatic thermostat for each system_ Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCSB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =83.8 The higher the score,the more efficient the home. JOE AND SHIREEN ZSOMBORAN, 650 PALM AVE, ATLANTIC BEACH, FL, 32033- 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 12.3 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 13.00 - 4. Number of Bedrooms 2 _ b.N/A 5. Is this a worst case? No 6. Conditioned floor area(ft2) 511112 a N/A - 7. Glass area&type Single Pane Double Pane _ - a. Clear-single pane 0.0 ft2 0.0 ft2 - 13. Heating systems b. Clear-double pane 0.0 ft2 56.5 ft2 _ a. Electric Heat Pump Cap: 12.3 kBtu/hr - c. Tint/other SHGC-single pane 0.0 ft2 64.6 ft2 _ HSPF:6.90 - d. Tint/other SHGC-double pane b. N/A - 8. Floor types - - a. Slab-On-Grade Edge Insulation R=0.0,64.8(p)ft c. N/A - b. Stem Wall R=19.0,300.0ft2 - - c. N/A 14. Hot water systems 9. Wall types T a. Electric Resistance Cap:30.0 gallons - a. Frame,Wood,Exterior R=13.0,866.8 ft2 - EF:0.97 - b.Frame,Wood,Adjacent R=13.0,31.3 ft2 - b.N/A - c. N/A d. N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types with(RBS) - DHP-Dedicated heat pump) a. Single Assembly R=19.0,350.5 ft2 - 15. HVAC credits MZ-C,CF,MZ-H - b. Single Assembly R=19.0,197.5 112 - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts(RBS) - PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0, 10.0 ft _ MZ-C-Multizone cooling, b.N/A 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) o1-tHE STgl� in this home before final inspection.Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: y r Address of New Home: City/FL Zip: *NOTE. The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. ff your score is 80 or greater(or 86 for a US EPADOE EnergyStar' designation), your home may qualms for energy efficiency mortgage(EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version:FLRCSB v3.30) nNF�-..i�a.�.1Vli Vd1Uc7L10I7 _ (► CITY OF ATLANTIC BEACIf 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: BWding_dwtncoab.us Application Number . . . . . 04-00028299 Date 7/30/07 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . ADDITION Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------------------------ ------------------------ ZSOMBORAN, JOSEPH OWNER 550 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35. 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 40000 Expiration Date . . 1/26/08 - - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35. 00 35. 00 . 00 . 00 Plan Check Total .00 .00 . 00 . 00 Grand Total 35.00 35.00 .00 . 00 PERMIT Is APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TETE FLORIDA BUILDING CODES. City of Atlantic Beach *** CUSTOMER RECEIPT *** Opem D9$4ITH Type: OC Drawer: 1 Date: 5121/04 01 Receipt no: 58179 Description 2Quantity Aaount 2W4BP BUILDING PERMITS 1.00 $620.00 Tender detail CK CHECKS 1015 $620.06 Total tendered $620.00 Total payeent $620.00 Trans date: 5/21/04 Time: 14:48:02 CITY OF i� l3 - Office of Building Official / REQUEST FOR INSPECTION /J - � - j 9 , Date—_-� ---- Permit No. _ -- - Time 11 A.M. Received _ L P M ZJodress .Locality Owner's Contractor \ 1.4tNG CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing - Rough Wiring Rough Air Cond. & Re Roofing Slab F Temp Pole E Top Out E Heating Insulation Lintel Final ❑ Sewer Fire Place Pre Fab READY FOR INSPECTION tA.M Mon. Tues. Wed. Thurs. A.M. Inspection Made L�J��_.��—PM Inspector_ /' L Final InspectioXccupancy G Certificate of 6 E Date EI p Main House 1088 sq ft rn Proposed ENTRY 77 sq ft co 0 Proposed Concrete PORCH Proposed 77 e 14'5 131 sq ft Proposed GARAGE 380 sq ft 14'9 20'4 Joseph and Shireen Zsomboran ,1'10, 1110, 650 Palm Ave. Atlantic Beach, F1 32233 Lot 5,000 sq.ft Driveway 312 sq ft Impervious Area: Main House 1,068 sq.ft. Garage 380 sq.ft. Driveway 312 sq ft Porch 131 sq,ft. Entry 77 sq.ft, A/C Pad 14 sq.ft, AA Impervious Total Area 2002 sq.fl. Impervious Percentage 40.040/) 19, 35-1 CITY OF ATLANTIC BEACH SIl 800 SEMINOLE ROAD r ,t ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028299 Date 7/25/05 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner' Contractor ------------------------ ------------------------ ZSOMBORAN, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RENEW PLUMBING PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO S. BUILDING OFFICIAL `1 S fY `SJ CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028299 Date 7/25/05 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------- ------- -- -- ---- -- ---------- -------------- ZSOMBORAN, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------ ------ ---------------- ------------ ------------------------ Permit PLUMBING PERMIT Additional desc RENEW PLUMBING PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO ES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD U y ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 ryJTil�' Application Number . . . . . 04-00028299 Date 7/25/05 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor --------------------- --- ---------- -------------- ZSOMBORAN, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------------------------------------- BUILDING PERMIT RENEW BLDG PERMIT 35 . 00 Plan Check Fee . 00 Valuation . . . . 40000 aarged Paid Credited Due --------- ------ ---- ---------- ---------- 35 . 00 35 . 00 . 00 . 00 . 00 . 00 . 00 . 00 35 . 00 35 . 00 . 00 . 00 City of�� Atlantic Beach eee CUSTOlER RECEIPT *** Oper: DSMITH Type.- OC Drawer: 1 Date: 7/225/85 81 Receipt no: 718% Description 2untity Amount BP BUILDING PERNITS1.89 :78.88 M4 2W 9P BUILDING PERN1TS 135.88 TD(�M erdetail 1879 :185.88 Total tendered $185.88 Total payment fI85." Trans date: 7/25/85 Time: 18:17:17 'E WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029397 Date 7/25/05 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . WIRING AND REWIRING Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ----- -------- ----------- ZSOMBORAN, JOSEPH AND SHIREEN VALDAN ELECTRIC CO. 650 PALM AVENUE 338 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-8896 (904) 716-3626 ------------------------- --- ------------------- ----------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . RENEW ELECTRICAL PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- - ---------- ---------- ---------- ---------- De..rmit Fee Total '35 . 00 35 . 00 . 00 . 00 0 . 00 . 00 . 00 . 00 35 . 00 35 . 00 . 00 . 00 eCity ch CUST�RaRECEIPT ntic a**e 0 er DSMITH 1Ype. UC Drawer: 1 Dater71 25!05 01 Receipt no: 71858 Des tion Quantity Asount 2�4 28299 BP BUILDING PERMITSIM $70.0% 2004 29397 Ap BUILDING PERMITS $35.00 Tender detail 1879 :105.00 CK [NECK Total tendered :105.00$105.00 Total paysent Tr�nc date: 7125/05 Time: 10:17:17 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Q6. C. BUILDING OFFICIAL CITY OF ATLANTIC BEACH J � 800 SEMINOLE ROAD s ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Al Application Number . . . . . 04-00029397 Date 12/14/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . WIRING AND REWIRING Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- ZSOMBORAN, JOSEPH AND SHIREEN VALDAN ELECTRIC CO. 650 PALM AVENUE 338 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-8896 (904) 716-3626 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ------ ---- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 b PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t BUU DING OhWUL- S r11`l rJr CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION -o3 Date: 1 O Property Address: — (�o 111,11n A✓e,,u e Owner: t/o.5e oA Y- 5h i/et-,O Z5omA9,-a M Telephone#: Contractor: lA(.- A P F L E(,t -K...- Telephone Contractor Address: � 3 9' 1'x51-- A 11"f u. 3 �l Fax#: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: B ilding Type: ❑ Trailer Service: 1f other construction is ❑ New . Residence ❑ Temp. ❑ New being done on this building El old ❑ Commercial ElSi ns ❑ Increase Or site,list the building `�Y,'/ g Permit number: Re-wire ❑ Addition Sq.Ft. q/Repair Conductor Size: AMPS: COPPER ALS Switch or RACEC*te,. Breaker AMPS A' PH W 43 VOLT? WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign pp Miscellaneous W-4 o L P&U 0�a W1 r t.. a tP44 c 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 . http://www.ci.atiantic-beach.H.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00031782 Date 12/12/05 Property Address . . . . . 650 PALM AVE Tenant nbr, name . . . . . . DUCT WORK Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- - ------ ------------- ------------------------ ZSOMBORAN, JOSEPH AND SHIREEN INDOOR COMFORT 650 PALM AVE 1539 MONTANA AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 246-8896 (904) 396-7771 ---- ---------------------- =------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------- -------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 E PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: �p�0 a 11'1 U Owner: ft 1 Telephone#• orb` Nla:�f414 Contractor: Y)(� � Telephone#: 3�6 `7 7 J Contractor Address: 129cnla 11ri� Fax#: 13 Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heati g Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP _Natural Central Utility LlOil ❑ Other—S eci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential ❑ Air Conditioning: Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity­______________dm❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Ll Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation r ❑ LPG Containers (Number) /(No qy,*!f-m previously installed) El Unfired Pressure Vessel 17 Extensi n or Add-on to Existing System ❑ Boilers {� E3 Gas Piping LlOthez -Specify O G tt ❑ Other—Specify i LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• httn://Nvww.ci.atlantic-beach.fl.us Revised 1/04 0 City of Atlantic Beach *** CUST(WR RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: 7/25/05 01 Receipt no: 71858 Description 0Quuantity Amount 2W4 28299 BP BUILDING PERMITS1.00 $70.00 2004 29397 BP BUILDING PERMITS 1.00 $35.00 Tender detail CK (NECK 1079 $105.00 Total tendered $105.00 Total payment $105.00 a __�_a__ rioc.er z,.s. I9.t7slT +"tf AkIntic Dow* oAHiilEo IM D 0000 Type= M Drawer: i Dmtetr4V14/64 61 Rksipt not IN% DewAption 293D Qmtity IMowt BP amem PMTS 1.68 17L0 Tender detail CA {CISH f86.ii Totalpendered ays nt SMO Ow" MW Trans dates 12/14/64 Time: MUM City of Atlantic Beach *** CUSTOMER RECEIPT *** Over; BORDERS Tvoe: OC Drawer: 1 Date: 12/12/05 00 Receiat no: 17305 Descriotion Quantity Amount 2005 31782 BP BUILDING PERMITS 1.00 475.00 Tender detail CA CASH 480.00 Total tendered $80.00 Total oavoent $75.f00 Chance $5.00 Trans date: 12/12/05 Time: 11:23:07 CITY OF ATLANTIC BEACH t° 800 SEMINOLE ROAD 3 ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029379 Date 12/10/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ------------------ ------ ------------------------ ZSOMBORAN, JOSEPH AND SHIREEN OWNER 650 PALM AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-8896 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 2000 Fee summary Charged Paid Credited Due ----------------- ------ ---- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CQPES. r BUILDING OFFICIAL r s CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION t r1,Jii1�r' Date: z Job Address: 11.6 — /� /M A L/C-4 Uc 11 Owner of Property: / 7`i 5A /'coli oI� Q h -� - O � Address: /-, /21 & C-il 1 A e Telephone: 2 YZ- 6 Contractor: dant O Whet* State License Number: Contractor's Address- Telephone: Fax: Scope of Work: I<e r y(2� Deck Slope: Greater than 2:12 V., Less than 2:12 Valuation of work: 'C2 0 U U Product Name(Example: Timberline): &C- aoe 30 AX Manufacturer(Example: GAF): 7—c4m LO ASTM Designation(s): Required Inspections: Sheat g and Final Signature of Owner: '7¢vl Date: f li Signature of Contracr: Date: AS TO'OWNER: G� Sworn to and subscribed before me this / day of lecell"41fP-- ,20 0Y_. State of Florida,County of Duval Notary's Signature: Z/L/3v?22 ",•.,y WONNE M.CALVERLEY COMMISSION N DO 342192 ersonal y k wn !' t EXPIRES: 29,E roduc d ' entification _ ?Rte} eaaea r-No" ft""n Type o - entification produced 9'�93 -G AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ' ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 221/03 } J r s' CITY OF ATLANTIC BEACH 1� OWNERJBUILDER AFFIDAVIT I Date: Aa Job Address: �SU /'A/A' /IVFAae. 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 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. 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. 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. 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. deal 3�6�-7 A— OP TY O BUILDER 4,/4r SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OFCcrhye--10- 200`f �/�J✓XQ ""t ", YVONNE M.CALVERiO N Y PUBLIC - _ COMMISSION 0 DD 342192 COMMISSION EXPIRE EXPIRES:JUy29,2008 Sawed 7hru Nowt'PutiYe UnwwAwt NOTE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH cc. BUILDING / ZONING DEPARTMENT "'air 1 J 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C T— Z95-7 Property Address: Applicant: Project: RE� - Roc,F-= This permit application has been: ZApproved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L\� Date: a- to•O!A rr fGy\ 1 - Y CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ,Date t21d ' Cy Address I V1 Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ S per sq .ft S Garage/Shed @ S per sq ft = S Carport/Porch @ $ per sq ft= 5 Deck @ 5 per sq ft= 5 Patio @ 5 per sq ft= S TOTAL VALUATION: S e� S $35.00 1't 51000.00 S 535.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S ZONING: + '/z Filina Fee $ — p. 10") Mn FLOOD ZONE: ( ) Fireplaces @ S35.00 S . IMPERVIOUS SURFACE: BUIII.DING PERMIT FEE S Cv�• �� WATER L 1PACT FEE S SEWER IMPACT FEE S WATER NIETERITAP S CAPITAL IMPROVEMENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S S — --- City of Atlantic Beach *" CUSMIER RECEIPT DOOR CKQ9IAEK Type: M Drawers i Datis 12/19/94 91 Receipt no: 16637 Description wantity Astount 2MA 29379 BP BUILDIIE PERMITS 1.99 169.98 Tender detail CK CIECII 1965 %t o Total tendered f68,9e Total payaent va N Trans date: 12/18/94 Tine: 11:36:23 ` sv is CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028299 Date 7/16/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 40000 Owner Contractor ------------------------ ----------------------- ZSOMBORAN, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------------------------------------- ------------------------- Permit PLUMBING PERMIT Additional desc 17 FIXTURES Permit Fee . . . . 154 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 154 . 00 154 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -( .". C • 1�%K B G FICIAL CITY OF ATLANTIC BEACH s, PLUMBING PERMIT APPLICATION r ��Ji313� Date: � Property Address: .��� 1�+�� A v`, Owner: I'Ir3C �� 0/ X7/1!f ec- Telephone #: Contractor: Telephone #: Contractor Address: �t S�C' /11M Ave, Fax#. hi consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: /� If other construction is being done on this building or site, U New list the build in ermit n tuber- too Re-Pipe 'Z Number of Fixtures: Bath Tubs Showers Closets _ Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine C' Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 1 s4, c D 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845. http://www.ci.atiantic-beach.fl.us City of Atlantic Beach *** CUSTOMER RECEIPT *** 4oer: CKGM4REK Tyoe: CSC Drawer: 1 Date: 7/16/84 81 Receiot no: 71763 Descriotion Quantity Amount 2884 28299 BP BUILDING PERMITS 1.88 $154.88 Tender detail CK CHECKS 1825 $154.88 Total tendered $154.88 Total payment $154.88 Trans date: 7/16/84 Time: 14:39:17 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �33Z Application Number 04-00028299 Date 5/21/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------------------------ ------------------------ ZSOMBORAN, JOSEPH OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 240 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230 . 00 230 . 00 . 00 . 00 Plan Check Total 115 . 00 115 . 00 . 00 . 00 Other Fee Total 275 . 00 275 . 00 . 00 . 00 Grand Total 620 . 00 620 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING ICIAL PREPARED 6/05/03, 8:15:08 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/05/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 650 PALM AVE SUBDIV: TENANT, NBR: REP EXIST.WDS WITH VINYL CONTRACTOR WINDOW WORLD OF JACKSONVILLE PHONE ; (904) 443-7001 OWNER ZSOMBORAN PHONE (904) 246-8896 PARCEL . : 170439-0000- - APPL NUMBER: 03-00026096 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PBYNIT: BLDG 00 BUILDING PSYNIT REQUESTEDINSP SCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMRNTS ------------------------------ ----------------------------------------------------------------- 16 01 6/05/03 L BD FINAL TIME: 13:00 _, -5---� -__ 443-7001 -------------------------------------- COMMENTS AND NOTES -------------------------------------- dcA,v'i New Stem Wall New Stens Wall FTS (�° , 20"W -'"FTG 16" D, 20"W 4. Conc. Slab @ 300OPSI jW/ FIBERME SH E Drill into existing foundation and ' epoxy #5 dowel wirnin. h" embeded �F III�IIiI�1�FC� LAS (4�3yy DOLIble 24"Wf O.C.�.) along entire front �• _ ) ti 1 4" Conc. Slab @300OPSI W/ ' f 16" s I Nein Stem Wall FIBERME SH 20"W i 1 FTG 16" D, 20"W HINKEN1='D SLAB, 4Q, C 1 300OPSI FTG '1&" D, ( I {Double 24"W) �FTGj��1�(2"�"�f�, �{}� I W/ FI .� ... ...Sk 20"W \. END i::'. -G ENI::) 1:=..T..G � � � APPROVE D CITY OF ATLANTIC BEACH i 1��6` �D. +`I�6" �D, � BUILDING OFFICE 20"�'d Y G0yY�'1 V I l i JUL 1 2004 f % THINKENE.D SAAB i i' (Double 24"W) `� ' U n 'Plan -1 FO — under Garage Door — � � � gy i i. ... ...K._._.._ 1. 20,4 ,I 14'4 _f 34'8 Jose hand Shireen Zsomboran 650 Palm Avenue Atlantic Beach, FL 32233 Revised July 12,2004 l II Existing Foundation & Mab { } { I I � Reinforced Footing { under SLIpport Wall I with (3) # 5 ContinLIOLIS { I i { I !I { I ( � } I } I i I i } I Existing Fon ` n & Sib { iFyictinn Stam tttla{# � i 4 CITY OF ATLANTIC BEACH el 800 SEMINOLE ROAD t' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028297 Date 5/14/04 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . DEMO GARAGE & FRONT DECK Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------- ----------- ------------------------ ZSOMBORAN, JOSEPH AND SHIRLEY OWNER 650 PALM AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-8896 ---------------------------- ------------------- ------------------------------ Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH s� DEMOLITION PERMIT APPLICATION Date: Ray Job Address: Owner of Property: AS ie-tl ,W) Pa r) Address: (�O, Telephone: y G $ G Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: Aem SI' 'n Present use of land or building(s): Za, Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? "KNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated I hereby certify that all info rmati n provi d with this application is correct. Signature of Owner: Date: I hereby certify that ve rea �deined this application and know the same to be true and correct. All provisions of the laws and ordinances governing his type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 1 Revised 1/14/03 Rece Date: 5/WW 91 ipt no=r 695@3 Description 26996 Qty Mount 8P MJILDIN6 PERNIT5 1 $67.59 Tender detail CK Total tendered 3951 $67.59 Total payeent $67.59 Trans date: 5/22/93 Time: 12:99:97 CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 �S/05 .. d INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026096 Date 5/22/03 Property Address . . . . . . 650 PALM AVE Tenant nbr, name . . . . . . REP EXIST.WDS WITH VINYL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . 2999 Owner Contractor ------------------------ ------------------------ ZSOMBORAN WINDOW WORLD OF JACKSONVILLE 650 PALM AVENUE 8535 BAYMEADOWS RD UNIT12 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 246-8896 (904) 443-7001 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2999 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL AV CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 .� FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us L. �'s PLAIN REVIE`,V MMENTS Permit Application # )q (r Applicant: . (i n(I n vo (-.A)crl JA-Cksontl1 �L Address: LCl rY-) Project: 1( — I L +(S Your application is approved 011/your permit application has been reviewed and the following items need attention: L 1Of I Pr 1 �5 +tit�,C (,fit ► Cz 1/4) P42PEA • !Ii 4. Please re-submit your application when these items have been completed. Reviewed by L-( 6• l Signed ) Date Contractor Notified Date MAY-15-03 03 :29 PM WINDOW–WORLD–of–Jac 9044437778 P. 01 Maw 08 03 0 r 710 Information 649tems 247-51945 p' t CITY OF ATLANTIC; BEACH PE 'APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGMTS AND GARAGE RS OF SINGLE—FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION � ( Date: Job Address (0 0 Pic- 1 WIN A u 'e Owncr's N �P �'1 ' rte' R ~ -- — -� Adtcsa; U PR sn 4 V Phone: Legal Desc i ion: Block Nutnoer: Lot Number:_ Zoning District: Conrract<>r: W 0;l� - 1t�Ir rr C 6 State LicenseNurnber: �+�C Addraas: Z � 1Yt t�4�liJi Rei Phone: City: - op A) t -- _—-- _State:-.EL Zip: ZZ Fax:....fgf- n th; - 7;? Describe p o osed use and work to be done: rte_ +�s r G�ou'S __..+C-r� cp- Present us i land or budding(s): rc5. e w o c Valuation proposed construction: ,2_4 t}S� s�_ _ Is approvi f Homeowner's Association or other private entity required? &Q-if yea,please submit with this appluati Building D is: Mesa Ri lo Height_„r,,,__(tt) BeIlding Width (ft) Building Length ( ) Roof$io _ ;Window Elevation from Grsde_(fit) 4WIndow Height 4 ( ) 4 Window idth�r �L -_(h) Messarertrent from corner of buiWag to window_ to #keq'r5� V [+Dim �' t a) s i r s 100 Seminole Road •Attentie Beach,Fronds 32233-3445 Phone: (906)247.4100 • Fax: (404)1,17-3845 - hitp✓Iwww.si.stiontk-beach.fl.us Peat) R.oi"d Ut R1Y MAY-15-03 03:29 PM WINDOW—WORLD—Of—Jac 9044437778 P. 02 rtes ua u' 3:37le I nformot i on ZMatome 247-5845 P.2 Procedure: a order to expedir.e istwseee of permit provide all 11011Matios se aoeroeriste latomplete appNcetiosa m y result In d th V b Iasusisce of Permit. Is additi o the building dais,the%liowint leforssatlos la requlfdd: 1. Masts rer'sTat Repo:K I 3. Y s"I Procedures 3. Mao escriptionriype 4. Gar nor Oneriptioerl'ypc S. skyli t Dexriptlos/Type 6. Blow o View of Window l.ocaliont thereby the alt tiltbr Frovi y1111 tM pppll� ba Ir Correa. Sidnaturo ner: — .-.---�-..Dior; I horoby of 1 thet'.f havo madMi examined this opplictim and know the same to be true and correct. All provisiora or the laws i ordinaries; ndnS this typo of work*ill be compiled wlYi.wl'techer spoclAod lutein or nol. The venting of a per(nk does not presume bra w violsie a aartoai ttte provisions of any Ibdcral.stote or loci rules.ro�d>r =&ordinances.or laws In any marimr,brcludirra t pvewing o ion or the perfiamanee of construction of the property. I undeawid that the iwuanee of this pwmk is uontie`ern upon above to n Bain`hue end ea aid that the plans and suppaniriS data have bean or shall be provided as toquitod signature -_Dale: f __-- Address as tact information,)f person to receive all cmrespondonix regarding this application(plata print). Name: Mallins Ad Ir ss: Tetephonr — _ ___.._Fax: E-Mail:- ---,---.-.---- AS TO 0 Ii: sworn to jim d.,wiliewIlliad.befamn" la Jay of -- i State otFlo id .CountyofDuval ry' i An I Notas Signature: I Dp17ri+1►► lot IL i� ersonally known Ila a"Twit Produced identi6ution .rri,v , Type of identification produced _._._.— AS TO CO. CTOR: Sworn to Ascribed before me this l day of t_ ,��c • State of Flo id k,County of Duval Notuy'a$iGritWrt. poboroh 7.Contaq Com/ t;C9 iwi I1@ Personally known _.-.... �: - Oecetnbet ti►_�� roductd Idc�ntlfication VFW Metlruttarart+NaauMar Type of identification produced f- 1 . .6__.t�r/70 M Seminole Road -Advatic Beach,Florida 3223 .5445 Phase: (904)247MOO • Fox, (!04)247.5345 • bttpa/lwww.oi.etlaotk-beaeb.ILas Par Z Rerlste I117N1 I i City of Atlantic Beach Building Permit 1 Applicant to complete numbered spaces only Job Address: /_p 5 o �A L.f� 4%,� �)t✓ C��R �C. ��Z 3 1 Lot No.� Block: Tract: see attached sheet 2 Owner(Mailing Address): tJ t1�-r vG r c-�@%C 1�4 3 Contractor(Mailing Ad ress): Registration#. G PC r"�iLr �s si � r.s oda z503zI 4 Architect or Designer(Mailing Address): Registration#. y� 5 Engineer(Mailing Address): Registration#. 6 Lender(Mailing Address): 7 Use of Building: Iv' Cir 8 Class of work: New • Addition • Alteration Repair •Move • Remo 9 Describe Work: V L u.TrH�EI 7 `ti 10Valuation of Work For Office Use Only w� $ 2 R i�Q o Plan Check Fee Permit Fee' 11 Special Conditions: Type of Construction Occupancy Group Division Size of Building No.Of Stories Max Qcc.Load Fire Zone Use Zone Fire Sprinklers • Yes • No No.Of Dwelling Off street Parking Spaces: Units • Covered_ a Uncovered Accepted ans Checked I ApprovedSpecial Approval equire eceived Not Required Zoning Separate permits are required for electrical,plumbing,heating, ventilating or air conditioning. This permit becomes null and void if work or construction authorized is not commenced within 6 Health Department months,or if construction work is suspended or abandoned for a period of 6 months at any time after work is commenced. Fire Dept. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws of laws and ordinances governing this type of work will be complied Soil Report with whether specified herein or not,the granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction of the Other(Specify) performance of construction. Signature ol Contractor or Authorized AgentMate Signature ot OwnerOwner builder) Da e i` I'arcelSummary-Current Ownership and Sale Information Updated Weekly .. ._... RE No.: 1170439 0000 Owner's Name: ZSOMBORAN , SHIREEN E Property Address: 1650 PALM AV Unit No. ATLANTIC BEACH 132233 Mailing Address: 1650 PALM AV __...___ ....._-: _._... ....___. .......: _ .__ __ _......._ ATLANTIC BEACH , FL 32233 4010 _. . __...._.. _.. ---- Property Use: 0100 SINGLE FAMILY _._.__ Legal description:' 16-2S-29E SEC 2 SALTAIR WI/2 LOTS 283,284 F___ O/R BKS 6260-179, 6783-2223 Neighborhood: 1941601 SALTAIR NBHD ;Sec-Twn-Range: 16-2S-29E OR BK& Page: 08340-0562 Map Panel: 15592 1Sale Date: 5/2/1996 �No. Buildings: 1 Sale Price: 1$98,000.00 Heated Area: 11392 Exterior Wall: TILE/WD STUCCO Parcel Summary-Values & Taxes from the 2002 Certified Tax Roll Land Value $44,500 00 ._..._ __. _.. __ ......... ........_ ......... ........ ___..._---- Class Value: $0.00 Improvements: Fs76,688.00 Taxing Authority: USD3 Market Value: 1$121,188.00 'County Tax: $509.91 Assessed Value: $99,177.00 ;School Tax: $620.05 .._.._.: �._.__.____:T -::.e:� ....... _..:::. — ... _ _ __.. ---------- Exempt Value: $25,000.00 District Tax: $235.30 :�. __.....�. .....:_ ........: ...___ _._ Taxable Value. $74,177.00 'Other Tax: $37.13 Sr. Exempt: $0.00 Voted Tax: 1$43.03 Sr. Taxable: $0.00 ITotal Tax: [$1,445.42 REV DATE DESCRIPTION BY WINDOW JAMB . SOLID SHIM OR BLOCKING 3/16' DIAMETER TAPCON WITH A SOLID MASONRY MINIMUM OF 1-1/4' PENETRATION INTO MASONRY (TYPICAL) 15/16' I Cm I' abovehterlor balances i:' ,• �' HORIZONTAL SECTION 3/16' DIAMETER TAPCON L.1...8 m Notes, The fasteners shown In these two views (6 Total per window) are capable of withstanding the wind pressures In the table with appropriate factors of safety, ATI Test Report # Model 0201 Double Allowable Design Wind Hung Window Size Pressure (D.P.) 05-30324,02 36' x 72' +J- 55,0 psf. I—`1 3-3/16' 05-30324,02 44' x 60' +!- 45.0 psf. 05-30324,02 44' x 77' +/- 35.0 psf, ! cf APPROVE !? x y tY`� VERTICAL SECTION CITY Of ATLANTIC BEACH BUILDING OFFICE 1'3rrt 4 012 PROJECT NO, PROJECT NAME, MODEL 0201 WINDOW INSTALLATION DRAWING MDWG ESHJ'ET 01-41462 CLIENT, ALSIDE WINDOW COMPANY r MASONRY WALL INSTALLATION FASTENERS � `� REV DATE WINDOW JAMB SOLID SHIM OR BLOCKING #8 0.164' DIAMETER WOOD SCREW TIMBER FRAMING WITH A MINIMUM OF 1-5/32 PENETRATION INTO TIMBER FRAMING 15/16' (TYPICAL? __._.I i-1x/16' 1' above L 1 inter�r balances J HORIZONTAL SECTIO #B WOOD SCREW UGDO Notes, The fasteners shown In these two views (6 Total per window) are capable of withstanding the wind pressures In the table with appropriate factors of safety. ATI Test Report # Model 0201 Double Allowable Design Wind Hung Window Size Pressure (D.P.) 05-30324.02 36' x 72' +t- 55.0 psf, ( _ 3-3/16' 05-30324.02 44' x 60' 45,0 psf, 05-30324.02 44' x 77' +1- 35.0 psf. VERTICAL SECTION t �"^�► 0201 WINDOW INSTALLATION DRAWING DWG, BYa civ TIMBER WALL INSTALLATION FASTENERS TAH 1 s - 1111201021 AAMA/NWWDA 101/I.S.2-97 TEST REPORT SUMMARY Rendered to: ALSIDE WINDOW SYSTEMS SERIES/MODEL: 0201 TYPE: PVC Double Hung Window Results Title of Test Test Specimen#1 Test Specimen#2 Test Specimen#3 Test Specimen#4 HAMA Rating H-LC30 48 x 78 H-LC35 44 x 77 H-LC45*44 x 60 H-LC55*36 x 72 Operating Force 28 1 max. N/A N/A N/A Air Infiltration 0.16 cfinlfC N/A N/A N/A Water Resistance Test Pressure 9.0 Psf N/A N/A N/A Uniform Load Deflection Test Pressure 30 sf 35 psf 45 psf 55 psf Uniform Load Structural Test Pressure ±45.0 sf ±52.5 psf ±67.5 psf ±82.5 psf Deglazing Passed N/A N/A N/A Forced Entry Resistance Passed N/A N/A N/A Reference should be made to ATI Report No. 05-30324.05 for complete test specimen description and data. Architectural Testing AAMA/NWWDA 101/I.S.2-97 TEST REPORT Rendered to: ALSIDE WINDOW SYSTEMS 3773 State Road Akron, Ohio 44309-1365 Report No: 05-30324.05 Test Dates: 01/10/02 And: 01/23/02 Report Date: 02/18/03 Expiration Date: 01/23/06 Project Summary: Architectural Testing, Inc. (ATI) was contracted to perform tests on four Series/Model DH6WW/SLOPE, PVC double hung windows at the Veka,Inc. facility in Fombell, Pennsylvania. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H-LC30 48 x 78; Test Specimen #2: H-LC35 44 x 77; Test Specimen#3: H-LC45* 44 x 60, and Test Specimen#4: H-LC55* 36 x 72. Test specimen descriptions and results are reported herein. General Note: An asterisk (*) next to the performance grade indicates that the size tested for optional performance was smaller than the minimum test size for the product type and class. Test Specification: The test specimen was evaluated in accordance with AAMA/NWWDA 101/I.S.2-97, Voluntary Specifications for Aluminum, Vinyl(PVC) and Wood.Windows and Glass Doors. Test Specimen Description: Series/Model: 0201 Type: Poly Vinyl Chloride (PVC)Double Hung Window Test Specimen #1: H-LC30 48 x 78 Overall Size: 4' 0" wide by 6' 6" high Top Sash Size: 3' 8-5/8" wide by 3' 1-3/8" high Bottom Sash Size: 3' 9-5/8" wide by 3'2-3/8" high Screen Size: 3' 8-5/16" wide by 3' 2-11/16" high 130 Derry Court York, PA 17402-9405 phone: 717.764.7700 fax: 717.764.4129 www.archtest.com 05-30324.05 Page 2 of 8 Test Specimen Description: (Continued) Test Specimen#2: H-LC35 44 x 77 Overall Size: 3' 8" wide by 6' 5" high Top Sash Size: 3' 4-5/8" wide by TO-7/8" high Bottom Sash Size: 3' 5-5/8" wide by 3' 1-7/8" high Test Specimen#3: H-LC45* 44 x 60 Overall Size: 38" wide by 5' 0" high Top Sash Size: 3' 4-5/8" wide by 2' 4-1/4" high Bottom Sash Size: 3' 5-5/8" wide by 2' 5-5/16" high Test Specimen#4: H-LC55* 36 x 72 Overall Size: 3' 0" wide by 6' 0" high Top Sash Size: 2' 8-3/4" wide by 2' 10-3/8" high Bottom Sash Size: 2' 9-3/4"wide by 2' 11-3/8" high The following descriptions apply to all specimens. Finish: All vinyl was white. Glazing Details: The sash were exterior glazed with 13/16" thick sealed insulating glass fabricated from two sheets of 1/8" clear annealed glass and a metal spacer system. The insulating glass was set onto a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. A rigid PVC adapter was applied to the head. Sash Construction: The PVC sash were assembled using mitered and welded corner construction. Screen Construction: The screen was constructed from extruded aluminum. The corners were miter cut and secured with corner keys. Fiberglass mesh screen cloth was held-in-place with a flexible spline. 05-30324.05 Page 3 of 8 Test Specimen Description: (Continued) Weatherstripping: Descriptio Quantit Location 0.187" backed by 0.200" 1 Row Lock rail high pile with center fin 0.187" backed by 0.260" 1 Row Head insert, sill, top rail high pile with center fin 0.187' backed by 0.260" 2 Rows Sash stiles high pile with center fin 0.187' backed by 0.350" 1 Row Exterior meeting rail (exterior) high pile with center fin 0.187'backed by 0.550" high l Row Exterior meeting rail (interior) vinyl jacket/foam filled bulb 0.187' backed by 0.300" 1 Row Bottom rail diameter, offset vinyl jacket/foam filled bulb 1" by 1/2" x 0.250" high 4 Meeting rails, one at each end adhesive backed pile pad Hardware: Descriptio Quanti Location Metal cam lock 2 Lock rail, 8-1/2" from each end and keeper Constant force balance system 4 Two per jamb with locking tilt shoe Plastic spring-loaded 4 Top corners of sash tilt latch Die cast sash tilt pin Af Bottom corners of sash PVC sash stop 4 Jambs, one at each end 05-30324.05 Page 4 of 8 Test Specimen Description: (Continued) Drainage: Desciiptio Quantit Location 7/8" wide by 3/16" 2 One 2-1/4" from each end of the high weepslot exterior sill face (with flaps), one at each end of the center sill wall 3/4" wide by 3/16" 2 Sill screen track, one at each end high weepslot 1-1/4" wide by 1/2" 2 Sill, one at each end of the interior deep weepslot jamb track 3/8" wide by 1/8" 4 Bottom sash rail and exterior deep weepslot meeting rail, one at each end Reinforcement: The lock rail contained a rectangular shaped, formed steel reinforcement measuring 0.649" x 0.461" x 0.047' (reference drawing #2707). The exterior meeting rail and sash stiles contained a "U" shaped steel reinforcement measuring 0.781" x 0.400" x 0.047" (reference drawing#2709). Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and sealed at the exterior perimeter with a silicone sealant. A 3/4" x 3/4" wood stop was applied to the interior and exterior perimeter and secured with 2" drywall screws spaced approximately 16" on center. 05-30324.05 Page 5 of 8 Test Results: The results are tabulated as follows: Paragraph Title of Test - Test Method Results Allowed Test Specimen #1: H-LC30 48 x 78 2.2.1.6.1 Operating Force 28 lbs 35 lbs max. 2.1.2 Air Infiltration per ASTM E 283 @ 1.57 psf(25 mph) 0.16 cfin/ft2 0.3 cfin/ft2 max. Note #1: The tested specimen meets the performance levels specified in AAMA/NWWDA 10111.S.2-97for air infiltration. 2.1.3 Water Resistance per ASTM E 547-00 (with and without screen) WTP=3.75 psf No leakage No leakage 2.1.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 37.5 psf(positive) 0.03" 0.179" max. @ 37.5 psf(negative) 0.03" 0.179" max. 2.2.1.6.2 Deglazing Test per ASTM E 987 Top Sash In operating direction at 70 lbs Lift Rail 0.060"/12% 0.500"/100% Meeting Rail 0.060"/12% 0.500"/100% In remaining direction at 50 lbs Left Stile 0.060"/12% 0.500"/100% Right Stile 0.030"/6% 0.500"/100% Bottom Sash In operating direction at 70 lbs Lift Rail 0.060"/12% 0.500"/100% Meeting Rail 0.060"/12% 0.500"/100% In remaining direction at 50 lbs Left Stile 0.030"/6% 0.500"/100% Right Stile 0.030"/6% 0.500"/100% 05-30324.05 Page 6 of 8 Test Results: Paragraph Title of Test- Test Method Results Allowed Test Specimen #1: H-LC30 48 x 78 (Continued) 2.1.7 Welded Corner Test Meets as stated Meets as stated 2.1.8 Forced Entry Resistance per AAMA 1302.5-76 Tests A through G No entry No entry Optional Performance 4.3 Water Resistance per ASTM E 547-00 (with and without screen) WTP = 9.0 psf No leakage No leakage 4.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 45.0 psf(positive) 0.04" 0.179"max. @ 45.0 psf(negative) 0.06" 0.179" max. Test Specimen #2: H-LC35 44 x 77 Optional Performance: 4.4.1 Uniform Load Deflection per ASTM E 330-97 (Measurements reported were taken on,the exterior meeting rail) @ 35.0 psf(positive) 0.44" See Note#2 @ 35.0 psf(negative) 0.46" See Note#2 Note #2: The Uniform Load Deflection test is not an AAMA/NWWDA 101/LS.2-97 requirement for this product designation. The data in this report is for information only. 4.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 52.5 psf(positive) 0.03" 0.163" max. @ 52.5 psf(negative) 0.03" 0.163" max. F MAP SHOWING SURVEY OF f }}s t Q A5 RECORDED IN FLAT BOOK 10 PAGE LS OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR Wt LTr--'R, ELF-- Z- 5-'9 05 ANN 5o ' IV. 1/-z LOT 283 0 0T 7-8`t 0 O v ti V 'a e N Q ,��► s ,y A,7 52- -S U it v cy 06 tl(e East 100 t , L � ts a , 10 , 11 , afid 12 , Beach 2 , DonncI ' s Reptax #2 , ac('-o � difig tO tll(' JA'Rt t1l" 1 (' o Peat Buvh 25 , pagc 68 o the. Pub e4c R(,c()nds c! Ouv . t' Scatc : } 30 C c tc0,-.t 1 , 1915 l.! Land Suavc yu a.s and VPaflfrc n s 2 11 Guanaff to L4 �e Gk,fq - Jaaksonv4U.e, Lf'o,Kida 32202 Y �L -4yC-7 �pUNO ;)O/c i o o h Lo r-/ N 1�4 P, i 4 t J � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;+ ATLANTIC BEACH,FLORIDA 32233-5445 .` TELEPHONE:(904)247-5800 FAX:(904)247-5877 SUNCOM: 852-5800 http://ci.atiantic-beach.fl.us December 31, 2001 Joseph P. Zsomboran, Jr. Shireen Baysore Zsomboran 650 Palm Avenue Atlantic Beach, Florida 32233 Re: Request for minor dimensional variances for property located at 650 Palm Avenue Dear Mr. and Mrs. Zsomboran: I write in reply to your attached request seeking a minor dimensional variance from minimum yard requirements as established for the RS-2 Zoning District. Section 24-47 (8) of the Zoning and Subdivision Regulations for the City of Atlantic Beach authorizes the Community Development Director to grant such Variances provided the reduction in certain standards does not exceed ten (10) percent of the established standard. (This provision will change to a maximum administrative waiver of five (5) percent upon the effective date of the amended zoning regulations.) As depicted on your proposed site plan, you have requested that the combined fifteen (15) foot side setback be reduced to fourteen (14) feet and six (6) inches. (As a matter of record, I note that the-minimum five foot side setback is provided on both sides of the lot.) You have also requested that the required twenty (20) foot front yard be reduced to eighteen (18) feet and six (6) inches. In that both of these requested waivers are less than the ten (10) percent as set forth within Section 24-47, your request to reduce the required frdnt and side yards as described above is hereby approved. To summarize, the required front yard shall be eighteen (18) feet and six (6) inches, and the combined fifteen (15) foot required side yard shall be fourteen (14) feet and six (6) inches. Also, be aware that the project must commence, and Building Permits must be issued within one year of this date, or the terms of this administrative variance shall expire. Please submit a copy of this letter along with any application for Building Permits, and feel free to call me at 247-5817 with any questions. Sincerely, Sonya B. Doerr, AICP �' 650 Palm Avenue Atlantic Beach, FL 32233 December 31, 2001 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, FL 32233 Attn: Ms. Sonya Doerr, MCP Community Development Director Dear Ms. Doerr, We respectfully request an administrative dimensional variance of not more than 5% for an addition to our owner-occupied, single family home at 650 Palm Ave., Atlantic Beach, Florida(RS2 zone). The home was constructed in 1976 out of variance to the required setbacks: (See attached survey). 15 foot combined side setback The actual combined side setback is 14.6 feet or approximately 14 feet 7inches 20 foot front setback The actual front setback is 18.6 feet or approximately 18 feet 7 inches 20 foot rear setback The actual rear setback is 30.3 feet or approximately 30 feet 3 inches I have also attached the proposed addition on the site. We will not increase the encroachment with this addition. If you have any questions or need additional information, please call me at Home 246-8896 Work 348-7181 ThzTk you very much. We lapreciate y r assistance. Joseph P. Zsomboran, Jr. Shireen Baysore Zsomboran MAP SHOWING SURVEY OF SECT10N 3 THE VJT:—'�'P 12 U .' Lul, 284 , PLAT OF TlIF- WE:-)''i I_ /, ') i 28- PACE �L5 U!' CURRENT PUBIALC 3' ()K LO PL/\'1' No . 2 L�iiL,'! Ali� PALM AVENUE • 50' R / W ( PAVEL,) - I.P. DENOTES IRON PIPE, - FND. DENOTES FOUND. - R/W DENOTES RIGHT OF WAY. - RES. DENOTES RESIDENCE. F NO 3/6 50,07'FIELD F N 0 5/4- i, R R 0.4'N. 50.0$ E 8A R NO CAP 150'1 9.6. 10.7' FND. I/Z"I.R '-g" L.8 3672 ID C5 WEST 1/2 C6 > W OF LOT 283 Ill 0 1 2' L) W08D DECK AS VE 0 kn E AS T 1/2 TE r, OF LOT 283 0 u 0 w 3t 0 0 z 2 0.5' ;n- 2 - STORY Q 0 coo FRAME a 41, ow od STUCCO 3.57 RES-No. 650 W 0 35.2E A S T 1/ 2 7'31 17.3, cy N W OF LOT 284 -0 OG Ln WOOD DECK > 0P WEST 1/2 OF LOT 284 .0", 8. 0.2' CIA'- (50') -.4 F NO 3/4"I.P. FND 1/2 "I.P. 50,00 6 NO CAP NOCAP 49.65 FIELD LOT 273 LOT 285 THE-PROPERTY SHOWN HEREON APPEARS TO UE IN FLOOD ZONE.6A' AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989. NOTES - THIS IS A BOUNDARY SURVEY. - ALL INTERIOR ANGLES ARE 90' AS PER PLAT. ANGLES SHOWN ARE PER FIELD MEASURE. - NO BUILDING RESIRCTION LINES PER PLAT. _ 30.3 ' 50 BEDROOM LIVING 7.3 ' CLOSET GUTILITY 7.3 ' HALL BATH 3'1 Sv �,CLO�SECLOSET < 100 i1 n KITCHEN 100 , N UP HALL BEDROOM 13'1 20'3 Proposed Foyer&Dining Room 7.3 ' GARAGE tr— +rpd New Porch m r 05-30324.05 Page 7 of 8 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #3: H-LC45* 44 x 60 Optional Performance: 4.4.1 Uniform Load Deflection per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 45.0 psf(positive) 0.60" See Note#2 @ 45.0 psf(negative) 0.53" See Note#2 4.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 67.5 psf(positive) 0.02" 0.163"max. @ 67.5 psf(negative) 0.04" 0.163"max. Test Specimen #4: H-LC55* 36 x 72 Optional Performance: 4.4.1 Uniform Load Deflection per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 55.0 psf(positive) 0.40" See Note#2 @ 55.0 psf(negative) 0.27" See Note#2 4.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements reported were taken on the exterior meeting rail) @ 82.5 psf(positive) 0.06" 0.131" max. @ 82.5 psf(negative) 0.02" 0.131" max. 12048 * DEPARTMENT OF BWLt ING CITY OF ATLANTIC BEACH -.,.._--- LOCATION 11VFORMAT I ON ... . . . PERMIT NFO�TION �~- ~-` 650 �'1��+1 A1��t7 ' - Permit Number: 12048 Addre�� ATLANTIC BEACH, 'FLORIDA 3 � permit pe a RUILDI�tC � Section., . . PTlGN _ -- LgOAL DZSCRI class of Wor •TECK - Two." bl �� ' Lot iv 1� �LV� FRAME 0 wdfs2, sud. i Pra a eoUse»pA4 TLCK Subdivision:SALTAIR SECTION 2 Dwelling$: Est . value; 0r00 Improv. Cast : 800.40 Total Te Amount 25-00 Ne*k C9 .. _ It N -- d - w APPLICATION FEES -------- Nam 25.00 Addr•> 6 B C PLOR I DAEli�, x , �� R � �'t3RNAT I tarme PR ER NER < � Act Exp.- -NOTES.' T ' NOTES. f NQTICS—ALL CONCROE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMITVOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY,EITHER CONTRACTOR OR+OWNER AILuRE TO,Cot 'WITH THE MECHA IC'S UEN LAW �A{ ' RESULT11 !!� THE-PROPERTY OWNERPAYINCTWICE FORTHE 81 IL1�1� N4�IPRt�VEAAEI�`�s" IS ACCMWd TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT. `' U$ RE VICE OF AMUCA13LE PROVIs OF LAW. � k ATLANTIC CH BUItDt Gf APARTMENT ay ' CITY OF 800 SEMINOLE ROAD - ----- ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247.5800 FAX(904)247-5805 Chapter 489, Florida Statutes,Part I "CONSTRUCTION CONTRACTIN<P requires Owner/Builder to acknowledge the law: DISCLOSURE STAT. NUNT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the 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 Mervise the construction nmelf. You may build or improve a one-family or two-faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The buil ' IIsi and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within I year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption. You mgy not hire an unlicensed person as you contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people mel=d by you have!icer.Les reqWred by exe law and by co or municipal licensing ordinances. Ordinances also allow an Owner to improve their own property when it is for personal or family use,and likewise require all work(except maintenance under$2,000)be carder a building permit andpass all normal inspections. The ordinance states owners may physically do work themselves;or ma hire unlicensed workers provided such workers be under "direct s;nervision of the owner,who must be on w rob site a all times while work is in progress by unlicensed trades people." This does not allow use ofunlieensed contractors. Since owners max be liable for in&aes to workers they hire,the Building Department suggests Worker's Compensation irmi-ance be purchased unless the homeowners insurance policy clearly protects the Owner. 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 work. Unlicensed contractors cannot be errmloyed Under ami circurnstancen. Owners being subject to$5,000 penalty under Florida Statute No.455.228(1). An"OccMationat License'is not ads ate. The owner should physically seethe coo nly 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. I hereby acknowledge that I have read and understand all the above on this day of� 199 Witness,Building ept.Employee Owner/BasUar ?!t-.``cY Address NOTE: Phrases underlined above aI-)ci. (,o —` )c1�Q are emphasized by the Building Phone Department. MAP SHOWING SURVEY OF T iE WE:;'i1/2 Oi� 1 (JT 283 , AND THE WEST 1/ 2 OF LOQ!' 284 , PLAT OF SECTION NO . 2 SALTA1R A', PECORDED iN PLAT 300K 10 PAGE 15 OF THE CURRENT PUBLIC RE'C'ORD:; OF DUVAk COUNTY , FLORIDA . PALM AVENUE 50' R / W ( PAVEL) LEGEND - I.P. DENOTES IRON PIPE. - FND. DENOTES FOUND. - R/W DENOTES RIGHT OF WAY. - RES. DENOTES RESIDENCE. FNO 3/6 " 50.07'FIELD FND 3/4. i, P. 0. '-N Ft _ 50.00- NO CAP FND. i/2"Lv. (501 8.6, 10.7' - - (50') L,B.3672 90 iD �r � i� W WEST 1/2 �� > F— OF LOT c~Fv x h 283 a y 07.3' C3: .8• r._. A88VOEKQ EO3 WWI" ' EAST 1/2 a o + 0 )o u x OF LOT 283 _ u ow J 3 a 7. 3 O 2 0.5' I 2 �0 4 OQ ( a OLL w 2 - STORY � mO FRAME d a, o -_ m"" STUCCO 3s) Oo W RES.No.630 M v w LL 0 > 35.2 N 7.31 3' EAST 1/ 2 Z W OF LOT 284 0 w 1— u h V wo00 ; 3 6ECK 0 WEST 1/2 OF o)O LOT 284 0.2' w 150'1 FND 1/2 "I,P. 50. 00' w FND 3/4"I.P. NO CAP 49.65'FIELD O NO CAP LOT 273 LOT 285 THE,PROPERTY SHOWN HEREON APPEARS TO LIE lt! FL000 ZONE 'A' AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY PANEL ?AJM ER 120075 0001 D, REVISED APRIL 17, 1989. NOTES - THIS 1S A BOUNDARY SURVEY. - ALL INTERIOR ANGLES ARE Q0' AS PER PLAT. ANGLES ' � �� SHOWN ARE PER FIELD MEASURE. - NO BUILDING RESTRICTION LINES PER PEAT1vboa 0 /CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET AddressAJE GO C� V Etl, ( Klte° F— Date 6, Heated Square Footage @ $ per sq ft $ __ Garage/Shed _— f`\ $ per sq f t = $ Carport/Porch _@ $___. per sq ft Deck C @ $ per sq ft = $ Patio �@ $ per sq ft = $ _ __ TOTAL VALUATION : 5 Ann /�--&� $ Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ d BUILDING PERMIT FEE $_ WATER IMPACT FEE $_. SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $� ( ) RADON (HRS) . 0050 5 �� SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ __ ( ) SURCHARGE . 0050, $ OTHER $� GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well_____; Sign_ Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : ^� MAP SHOWING SURVEY OF K Cp 0 ,A ANtiC PKIN {( �ILDiNG 01=FiCB UN 0 5 19% Ll� PALM AVEN J(/ 5 R N ' F A `J E L ! S�acC w;ll be q 1'h,#tv,e i arl !�GEND 3 X s/afs ..P. DENOTES IRON PIPE. UOt - cNC. DENOTES FOOD. l - R/W DENOTES RIGHT OF WA", — RES DENOTES RESIDENCE. No 3, 5 50.0 ' FIELD6 �' sclrws �n RE a5�R sJcn l`sidc� - -- ' - - - e FNp (50') 9 F ;0 7' - LdB 677 50 a ab w O WEST t/2 /- - m a OF LOT 283 1'Y r/ ` o. T. 3' c/C ti NO9D DECK o � ry r ABOVE 1, 00 s ; O V 3 � 7. 3 O o LL 2 - STORY wilt 5�► On y�d I —� �I ' J FRAME 8 o at co'k"cot PCC4 "' I� STUCCO 3 s r + ra C rood i 5 n+ac�F I � RES-No. 51�0�� 6 + 50M jai(pG r i35.2 ---J3-u", \, / T.3L35.2 7.37. ti a 5 Z I OCc o WOOD I f,ecl G DECK > SC'Cp/1�5�01/ F/oOr6�ro�'S- 3 cr �o O/^ OA WEST i/2 OF �� o / I. LOT 284 -'•, ; �0YA defk-s wlVl - L mods of c �' l�k�/� rr�s�rFrcr►�e�a�evao 9' L n �./p --_ - - --- SCPL°NJ GWllmh �ZX 1 O/I �/�C//` FND 1/2 ' I. R J 0. 0 O' O S Id C ),2-"10A Ce �('✓'U S/n ey NOeaP , 49.65 FIELD 2'�s�aih/e55; 5/re/ scrNw , CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS i owner(s) : Address : 150 alms! Ave- Phone:U&taz--/!- S-F�`r, Lot #Block or (Unit # Subdivision: .�c_. Sa/far,^ wcs ,o Contric Ur:_octxv-q,- r�- State License # Address : Phone No: Describe work to be done: W n Vo d -Poezrad& UAAAWn0T ��,�s�� v kdrco-41 Present use of building: r[`Sic�PncF Valuation of Proposed Construction: C� Proposed use: Is this an addition? NI-5If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled?--Ale-:, New electrical (or increase)? 4/v New plumbing fixtures? My New fireplace? ,A/6 New Heat/AC? Nc SUBMIT COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, S, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. SignatureOWNE Date: �` 3 Signature CONTRACTOR: Date: License Supplied: JEb�N P Nt��oFF�G� Liability Insurance: P pF Ptio, i r Worker s Compensation Insurance: CITY OF ATLANTIC BEACH APItLICATION FOR SEWER CONNECTIONS PERMIT NO. DATE G �Q 7_ 7 LOCAT ION.Co LOT ICO. BLOCK NO. OWNER �' � �rt C � •�v / /,- TYPE OF BU ILUINGw_•� �2 �s �-=•� ��� _ -- MASTERRCUMBER INSPECTED BY BILLED ACCOUNT NO.,_T APPI,rcATIO.4 FOTO !iWPt)R CUT-IN TO TEL CITY OF ATL,',!,,'TTC Application is horeby made for fes' water cut-in at the following adJress for _units. Cut-In charge of 4. e-,( 5 street Jo. s-6 Lo t.A) 1,1.ck Subdivision ordered hV : Otii= Plailino A�lrlltcss Z� OIL-0 DATE- ACCOU.-IT "10. co le /til<s % a, �W,644� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT ..r rrr..r ■.err ra.r.� PERMIT NO. Date : LOCATION U Street LOT NO., L2_,-;��_3 / BLOCK NO, S/D _14)" OWNER C MASTER PLUMB BUILDER OR 0016(PRACTOR Bldg. ermit_No,. TYPE OF BUILDING SIN KS Z LAVATORY Z BATH TUBS URINALS I. CLOSETS FLOOR DRAINS�SHOWERS__I _WATER HEATERS DISHVTASHERS DISPOSALS OTHER TOTAL FIXTURES 19 511 . 00 NO WCC MUST BE DONE UNTIL. A PERMIT HAS BEEF? FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size-.and looation of all the soil and vent pipes, and tja� number and logation of all fixtures, (in acoordanae with Ordnanoe fio. 188 of the City Of Atlantic Beath, Florida) must be shown on bank of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFIC.A.TION OF ABOVE PLUMBING ON BACK. S Approved by Plumbing Inspector Date (FOR OFFIDE USE ONLY) ROUGH-IN INSPECTED ARKS FINAL INSPECTION: CERTIFICATE ISSUED: CITY OF ATLANTIC BEACH AP7LICATION FOR SEWER CONNECTIONS PERMIT NO. -/ DATE_ / 9 - LOCATION( _ 2 .t _-'R'H' T LOT 5 : BLOCK NO. _ OWNER 7 77- cr TYPE OF BUILDING XAISTER�4, PLUMBER INSPECTET:f By BILLED. ACCOUNT NO._�`�7� APPLICATION FOR WATER CUT-IR TO THE CITY OF ATLANTIC BEACH: Application is hereby made for water cut-in at the following address for --a units. Cut-In charge of4f2:��L 6rD fes- tfD Street 3o. � � LotzV4 Block Subdivision �t Ordered by: OVINER Mailing Address., DAT%° ACCOU ]T NO w",ETER 130. DATE IITSTALLrD s FOR OFFICE USE ONLY Date.--..... ........... ......19. CITY OF ATLANTIC BEACH Permit #....-..••...............Fee Valuation $.M.qo45...................... ...... FLORIDA House ....... . . ......... ............. ............ APPLICATION FOR BUILDING PERMIT . ...................... .. ......... . ..........I Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date...I.C>..!M....I...01........................................ 1915.. Owner.....Wo---e)....... ---------------------Address...5 ......StS. E.S._fLC).......Telephone No.-7(0.5-3!tq2- ._T ---44 AddressAIW---_N�......714094W...AJ$*&No.7 -i) jr Y ------------ Contractor Builder.__ �...ZZEAddress__- jwig h--�- Telephone No..... ----------- WE$ I t-2 'T L 6 LotNo............ ...............................B kNo.--•-----.------................Sub Division �"V11 00 ........Alm-Ti&J-11%------M- ------------------Zone---............. ......Pa�L i�..........................ix'__ -.0-----__-------------Side Between..Ak&_(A.q-&L]A......Jr.and.... ...... Valuation $4-fo-A.0-0......For what purpose will building be used_._..294S_1.0f.Q(&F_._Type of construction. .............Size of Footings....WA....2---- Dimensions of Building-51.X._.3.57-------------Dimensions' of Lot---- I Size of Piers.....U414-k.............Size of Sills---W-0441—---------Greatest Sill Span in ft.-............------------Type Roof--- How will Building be Heated?-----011.--......I....................................Will Building be on Solid or Filled Ground?--_.%.P U_k.v.............. Size of Ceiling JoistsM.0 lb S L to. .VL'. Distance on Centers..... .........._, Greatest Span.._.sl..­......................... " ----------- -•-.-•---•--...._..'0�" Size of Floor Joists.- ')Distance on Centers.....4 ­...6AA6................. Greatest Span..... .......................... - Size of Rafters-T&Q-5-S-94----------­-------------- Distance on Centers... -------, Greatest Span........ ........................... FLORIDA STATE REGISTRATION This rectangle is to represent the lot. This the building or buildings in- the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall I L.-ib a be submitted with application. 0 Inspections required. r 1 1. When steel is in place and ready to pour footing. P4 2. When steel is in place and ready to pour columns and/or lintel. Z_ S. When steel is in place and ready to pour beam. 4. When framing is completed. '0 5. When rough plumbing Is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. M 8. Final Inspection. Note: In case of any rejection,re-inspection MUST be called for after 7.5U1 corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work In accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City ofAt�tic§each. Signature of Builder,... Address........ Signature of Owner--. IZ1121_1z"':Y.�_-. --.977—Address........�f........ t5�1_4 .................................... MINUTES AUGUST 25, 1975 PAGE THREE Mr. Eleazer stated that he signed a paper at City Hall three: moths ago in which he agreed to pay for sewer and water and then Mr. Hilliard told him he would have to build a manhole for the sewer on Lot 283 . Commissioner Rosborough asked if thero was a manhole in the area? Mr. Hilliard stated that there is a manhole there but where the problem exist is that it is located 11 or 12 feet deep and that it will cost approximately $850.00 to construct laterals to take care of the sewage. Mr. Eleazer stated that he had recently had the property re-surveyed and re-platted and that he was willing to pay the cost of the sewer and water lines, but not the manhole. Mayor Howell stated that, theoretically, Mr. Eleazer could build a house tomorrow so far as the sewer and water is concerned and hook up to the existing manhole, but since the property has been re-platted it will require an additional line running into the manhold. It appears that there is no great problem on the sewer and water if Mr. Eleazer wants to pay for it. As for the garbage, if the city cannct send a truck to the property, the owner will not be billed for that service. Mr. Eleazer stated that h�: wanted to know what it would take to get started on furnishing him with sewer and water. Mayor Howell stated that the city will have to determine oxactly what the cost will be. It was moved by Commissioner Cook, seconded by Com- missioner Rosborough and carried to call for bids and present the bid to Mr. Eleazer and as soon as he depositsthe entire amount with the city the work will begin. Mr. Eleazer also requested that a variance be granted on the rear and side line requirements . If a variance is not granted, then the property should never have been zoned or sold for residential use. Mayor Howell stated that the set back and side lines have been established for many years and that if a variance is requested then Mr. Eleazer must first appear before the Advisory P�.aning Board for recommendations to the city commission. Close Selva Marina Drive, 1633 to 1647 , 4 to 8 P M August 30, 1975 The city has a request from a number of people on Selva Marina Drive in the 1600 block to close: the east lane on August 1, from 4,00 to 8000 for the purpose of a ":dock party" . It was moved by Com- missioner Rosborough, seconded by Commissioner Cook and carried that this request be granted. MAP SHOWING SURVEY OF L t o • AS RECORDED IN PLAT BOOK L 2PAGE OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR W& I—'I LE-3—, 3 too p d i a x a M— u.i L z ul h-- t� 0 LOT 283 Q oT z8+ zl LOT - a 1 Coca ` LO-1 -•} 7 Lo T Z$ � V @f S t pswii44' ------------------- 'DEPARTMBNT OF BUILDINQ CITY OF ATLANTIC BEACH „ ,. PLMIT INFORMATION -------- LOCATION INPOPxATION - �e� l Ncimb x z 908� Addresls:' 65{� BALM AVENUE rm t Tyke: R -RCS R :ATLANTIC BEACH, FLORIDA 32233` sof Werk: NEW - -' = LEGAL DESCRIPTION -__ Ty WC�OI3 FRAME Lot.,oB oak w P,r:q used U,se; SINOLE FAMILY pct conk .1 � IA s: 1 Code.: {? Subdivision: ATLANTIS" BEACH It►47t1t2 $22. 50 i k 5 kIF oft A " TION �. _ APP L I CATION FRES - - x„ �� . _ 1?ERMIT 22_50 VENUE, 5 WA � IMP+AC ” FL�R ~: � s{? QD z ; IH FLORID A N. FIR R ER TAR .0 RA PT GAS_U R. S'�. , 0`.00 T RFORXAT:�, RADQN rAg, $0 .00 Rrne , ,ATL =s RtFN� .... s 813] 'I BOULEVARDCAF f TAL I tP1 OVE> $ty .fl SEWER TAS' $0 .00 L ,.., A'=�' ,d LLE, FL, CROSS CONNECTION 1 ;,..�3�? Type., SEC H IMPACT FEE w� � fit}.00vc ' ,$CH. Aolmi: 1 i r F t r { NOT#CE—AL,LCONCRITE FOR US AND FOOTINGS MUST-$f INSPECTED BEfpAE POU 1$40 " 1 ., flE #MiT VOID SIX MONTHS'AFT RDATE BU#. 1 Ml4TERIAI.,RASH ANCJ C3EBRIS,FRQM THIS WORK MUST NOT BE PLAOED IN'PUBLIC SPAS,ANp MttST,#�E r+t f`tlP ANi ISI I t "Ai i��BY l�l�# E4�CC?NTRiAfiTOR OR CWNER ICE, FOR ISSUE[] ACCORDING TO APPROVEp.PLANS WHICH ARE PART OF THIS PER�1�� IOLATiON OF.APPLICA$LE PROVISIONS OF LAW. '.: r A7LAN iI ., ACH.BUILDI GD PARTMENt r a rt a ICY CITY OP ALAMTIC BRACH ROOFING PERMIT APPLICATION owner(s): ./;?z>6 e.- t .Ile, S-r- Address : x,`70 / /4(,vt ,�- Phone: Lot , Block or Unit Subdivision: Contractor: etr- CAS 7` .nr�,�ZF'✓,,,y Address: ` ( t /Q 9`1.9.�t 'c T - 3 `�-`�- a City, State and Zip ✓c�•� „� Phone2v ?Ia6 3 State License ✓pnoo 51q Describe work to be performed: Aeg -c>� Valuation of Proposed Construction:4�o�2 - Materials to be used: 6e.T/d5J Signature of of Owner;^ Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information MAP SHOWING SURVEY OF i i. ! 0 AS RECORDED IN PLAT BOOK!0 PAGE OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR NV LT L �► fir. �� t 5 0 ' q!��� �.� G. . 1500 o rP d Lo -T Z 7 { -Q 1 117- LCT 283 1 o Y '2-7 2- 54' Lo-f Z�rj