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Permit Addition 1992 Colina Ct 2011 C ' CITY OF ATLANTIC BEACH r j 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002059 Date 10/05/11 Property Address 1992 COLINA CT Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 150000 Application desc ADDITION /INTERIOR REMODEL Owner Contractor FRITTS, JR CHARLES & KAREN OWNER 1992 COLINA COURT ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type . . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . RIX MECHANICAL INC. Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/02/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. 1)If on -site storage is required, a post construction topographic survey documenting proper construction will be required. 2)Roll off container company must be on City approved list and container cannot be placed on City right -of -way. PERMIT 19121111MOVERBOISELY IN ACCORDANCE WITH ALL CITYSNAATMAIMCVIEWIPORgiAgiAl3a5 THE FLORII?A• 00 BUILDING CODES. : (-- ` f CITY OF ATLANTIC BEACH r) 800 SEMINOLE ROAD !:1 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002059 Date 10/05/11 Other Fees STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 79.00 79.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 � y`1' Ph (904) 247 -5826 Fax (904) 247 -5845 Z C., d JOB ADDRESS: / / °I 2, e-i- PERMIT # / / 'oq 9 5 PROJECT VALUE $ 1, COO NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# Air Conditioning: Unit Quantity Tons Per Unit REQUIRED Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: . Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators /Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Rework E X t 57 N j Duct" -'o r Jv 2 c.S LA 6 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company R \ X YV l EC 44 /iJ (A CT-AA, Office Phone (2. M6 ??0.1. Co. Address: ( c3 9'j 7'`if 5 T s ©ug h City 'r4)Ct 3ck State FL Zi License Holder (Print): 7 Au 1. 17 e R 1 X State Certification/Registration # C / CO 1 /3943 Notarized Signature of License Ho Mr i C r (1 _ ,'° SHIRLEY L GRAHAM orn and subscribed before me 4 is a da o r 20 / • • r.. li■ ,,,,_ RnY COMMISSION # D D 95 7760 / i , . S nature of Notary P ublic � ' s, ; � , :� ;' :XPIRES February 14, 2014 I of ` ,X , c Thru Notary Public Underwriters • � fs , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �; ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002059 Date 7/15/11 Property Address 1992 COLINA CT Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 150000 Application desc ADDITION /INTERIOR REMODEL Owner Contractor FRITTS, JR CHARLES & KAREN OWNER 1992 COLINA COURT ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit PLUMBING PERMIT Additional desc . Sub Contractor . JAMES JOLLY PLUMBING Permit Fee . . . 111.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/11/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. 1)If on -site storage is required, a post construction topographic survey documenting proper construction will be required. 2)Roll off container company must be on City approved list and container cannot be placed on right-of-way. PERMIT IX PPQVED ' IN ACCORDANCE WITH AIL CITY 't�l+' xC1:�1N71'C"7RACtYoRDIIVL i'HE FLORID • 00 BUILDING CODES. £ . CITY OF ATLANTIC BEACH , z 800 SEMINOLE ROAD -« - wA .4, ...y ATLANTIC BEACH, FL 32233 a.. b w ; INSPECTION PHONE LINE 247 -5814 . 111 W" Page 2 Application Number . . . . . 11- 00002059 Date 7/15/11 Other Fees STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 111.00 111.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 115.00 115.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: figd..... CD iihis Coq PERMIT # ( / ' � (� d 5 -I NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 1 Septic Tank & Pit Clothes Washer Shower _/._ Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet o� Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures / Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authori , ) viol.: the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name / Phone Number Plumbing Company 1►1[ 1WI . _ Office Phone oZ t 0 Fax .A) Q Co. Address: _ // D JJ 91/4 is 4 . Cit . 6( State /( Zip 6 License Holder (Print): v nir'K$ 661 ► State eft' ' cation/Registration # C - ko a Notarized Signature of License Holder e; �^" i •. =d' ::: / - 1 _.: .•. .. , • Nye • , , s 9577 ' • �� / S `` P . a o 1�. ( 20 /1 Signature of Notary Public \ �I . `r * 1 4 4 4 I CI s , As' CITY OF ATLANTIC BEACH VF".Pt ,, 4: j 800 SEMINOLE ROAD J w ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002059 Date 6/01/11 Property Address 1992 COLINA CT Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 150000 Application desc ADDITION /INTERIOR REMODEL Owner Contractor FRITTS, JR CHARLES & KAREN OWNER 1992 COLINA COURT ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . . . 630.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 150000 Expiration Date . 11/28/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. 1)If on -site storage is required, a post construction topographic survey documenting proper construction will be required. 2)Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees SSTTAT SURCHARGE 9.45 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITYR V ATL` IMIC A� R IAI§CE A IWIHE FLOR • 0 0 BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1942 6.61ehA C.a,,,•t M!aM +; _ t3 ,1. FL Permit Number: /1 OS? Zof ui, `l€ivA tVor < / tfn; f-Aae, aS p-e,.., � 3 .� Legal Description ;tat t:ea,k ?9� p4.1...." g41444 4 Q4E3 P .F r i.t. t Parcel # a /(09`50(0--,/052 C - ty etco• floor Area of q.Ft. Sq.Ft Valuation of Work $ /30,000 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New r,A ition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial I: C M_ If an existing structure, is a fire sprinkler system installed? (Circle one): 'es o N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: AL /4.0 va. /ate 1 af + ak n4,, aela(F.oM -C. ,.vi "5 r7aT�L Ah `vGHi et..fN7 • 4//e .4( • t iv evitJ•^ t^ ekOV4lt om 0 ' -I , 1 34 Property Owner Information: // Name: Cha•.4e5 fNat5 Address: /On- 60)4" comer City kriet...t. - f544.4 State rt- Zip 32253 Phone Z670 -?4/P) W 3o 7- lot C.<t( E -Mail or Fax # ( Optional) G,114c.k. {v: tt s t? e'sakd I1. Cow,. Contractor Information: Company Name: nk►•oN•r, -'t t4 17»18_ Qualifying Agent: Address: City r / Zip Office Phone Job Site • .. ct Number "/ n _ State Certification/Registration # ■11111111111 Architect Name & Phone # cow,Ke b 704 - ,'r- %�=11RIM N AVE Fr Engineer's Name & Phone # MII LINIMIE41 Fee Simple Title Holder Name and Address 11 ,'1 - IF Bonding Company Name and Address A! Mortgage Lender Name and Address A Application is hereby made to obtaina permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended q_ period or abandoned for aeriod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this placation and know the same to be „true and correct. ,A11 provisions of laivs.and ordinances governing this type of work will be complied wi h whether .eci lied herein or not. The granting of cl txut,•dses.iiot- 3�tlmp t"t5 rF,titi Pfitrity to violate or cancel the provisions of any other federal, te, or 1. a 'w regulating construction or the perform )2, ddthit' - ' „ ,t, p�, pr G Signature of Owner ai �i Si r re� • ctd !. 1 .- , 5 , IAA v Print Name A. , ft' t ..v`.. Print -ski z . >.>�:,�r .�..;..k. ..- Sworn,to and subscribed before me Sworn to and subscri. • be ore me this 6 1 Day of fAll t____._ 20 - - : — 20 Q0" • 'J REVIEWED FO ' ODE COM ' . • CE No blic F? . 7O ., "4 WI` ; • C SEE RMITS FOR ADDITION * ised 01.20j. I 0 W.x. JANET P. ROBINSON RE S 0 IREMENTS AND CONDITI p ". `¢„ MY COMMISSION #DD823125 � � EXPIRES: SEP 15, 2012 REVIEWED BY: _ IP DATE: `� •6-' 1 / . : of Bonded through 1st State Insurance t ,51 City of Atlantic Beach APPLICATION NUMBER r It t S Building Department (To be assigned by the Building Department.) } 800 Seminole Road F Atlantic Beach, Florida 32233 -5445 �� Q / Phone (904) 247 -5826 • Fax (904) 247 -5845 ' >r E -mail: building- dept @coab.us Date routed: &/D 1/ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 942- i i Z/ '71& Z - • - • ent review required Y Applicant: /17, Planning & Zoning i-hb.7=-/-7" Tre ii nistra or Project: ern - / ,iD4 Pu.' Works " '/ e • •li Utilitie `y- /` f A/ VA- D �J Public Safety Fire Services i ie 7� '� � ) � �%*� aiw�, � � � vat o 1 � -� i g� 11 � a@ ev epee; $, .0 .. ( � 1 li I'� , :i) � (iii) epti S� a�� 1 P' *� 11 a � I 6 r `, VP o a. 72, i �kh��, � I �� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By p Florida Dept. of Environmental Protection T. Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [y pproved. ❑Denied. (Circle one.) Comments: BUIL-DIN PLANNING & ZONING Reviewed by: Date: S - ,26 - 1/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 s Ot t W;14, l i'') . '',r , ::::* 0 LY V t\ CITY OF ATLANTIC BEACH / (OWNER / BUILDER AFFIDAVI ' '' Wt1:9 M r o zo» I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PA' ' • ' N ST - CTION 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 REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. 1°Z 6 ea4 ZSlo - Z4i ADDRESS /J � PHONE NUMBER � u: CAR ",EsIl� S PRI'• NAME / I %V./ -el' /I r ' • DATE Before me this day of , 20 in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. Notary Public at Large, State of rz_ , County of a ❑ Pe rally Known 3 2 t0.. Rfroduced Id icatio / �-1111J11", 0 7 ` . ._• t; �'. . ;-•,,, SHIRLEY L GRAHAM i I i, .,,: MY COMMISSION # QD 957I60 February 1 4, 201 Notar" atu ` = _ ./ I - Public Undenvdters t -`-' Bon Notary F: BLDG / Owner - Builder Affadavit; REVISED: 4/112009 NOTICE OF COMMENCEMENT Permit No. 11 - 20 5/ Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of proppe�rty (legal de cription of property and ad res if available): 1442. C.1.-,„ C • s, A+14—t,-,...r Lot zo, ';¢Iva No 04.+ e a.5 record. ( .,, P 1 t ook, 39 Fr._ Pc,, 44, 4 14A k'W E3 of ft vflat Go..1. re to vds 2. General Description of improvements: New coveeeo( 1ah.o.; At v.e,r n a aal frt w aa`d: �.'o. -•. co r Sit',.- PA-ti., 4 ., 0 ( 1'w9,.,f eve -G. 1 . 44g-$4.e Ikke..0 C.I S t+titeNivv /`Gioya+. • 3. Owner Information: a) Name and Address: kar)es 1: t65 ig9z. 60 i e .,,, Gown-, 44+144, c. eL, E'.L 3 z2..3 b) Interest in property: 0 w+te, c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: a) Name and Address: 5o0.gh,`•,c L a44 - 'io,., j 1,.. q,oA "d .9t,...„4 .� e t P . FL. b) Phone Number: ( ' ? 4 4 ) e - 5 . Surety Information: a) Name and Address: NA b) Phone Number: c) Amount of Bond: $ 6. Lender Information: 1 a) Name and Address: N b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: --ka- s 4 µi is , 1442- (Oli/..Q 6+,.. -+ i , fit la4.•� 7 'c.c.14 1L. 32z -3'5 b) Phone Numbers of Designated Person: Ceti : (4 4') 3o7 - 7or3 4 wc, k ( 4 ) .Z�s"tQ -- 241g, 8. In addition to himself /herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 13.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this d ay of .. ti t.. f ' , 20 1 ' 7h-a 0-----x- ''''* 11 . NOTARY PUBLIC, STATE OF FLORI A ` ^. MELANIE L. NICHOLS Print Name: "C t C, �' l , e L I ` 'tee -` ` S • • , ; ., :,: Notary Public, State of Florida ; : �-, My Comm. Expires Sept. 20, 2011 u/rersonally Known ,, •'' Comm. No. DD 690984 ❑ Identification/Type: Verification pursuant to Section 92.525, Florida Statutes. Under penalt' of pe 'ury, declare that I have read the foregoing and that the facts stated in it are true to the best of my kno ledge and belijef. • Uoc g .=0 ; 1 120883, O R 8K i 5616 Page 1 190, Signatur6 of Propotty Owner Number Pages 1 Recorded 06101 2011 at 03:56 PM. JIM PULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $30.00 Revised 10/1/2009 D APPENDIX 13-D • 2 FLO" NE = ,r BUILDING CONSTRUCTION FORM 600C 04R Re s idential • Limited Appli s Prescriptive Method C NORTH 1 2 3 Small Additions, Renovations & Bui 7_1 • Systems +Compliance with Method C of Sub - Chapter 6 of the Fl. . • a + a p. , • • .. be demonstrated by he use of Form 600C-04 for additions of 600 square feet or less, site - installed components o manufactured homes, and renovations to single- and multiple - family residence n • • ••:win.n ;r ided for additions by use of Form 6006 -04 or 600A -04. PROJECT NAME: f:d5 iedw o.•ct BUILDER: AND ADDRESS: MI. 004,644. 16.4 PERMITTING Aye CLIMATE OFFICE: f}�fa••�:� 4 ZONE: 1 I , 2 3 OWNER: . v, PERMIT NO.: ( ( - 2 0 5-4 JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2, and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or.is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOWTIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 60 -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site - installed components and features are covered by this form. BUILDING SYSTEMS, Comply when complete new system is installed. 6.0..-4?..../4-441-.1u, Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single- family detached or Multiple - family attached 2. S•Kg&e - Rctaci.•rq/ 3. If Multiple - family -No. of units covered by this submission 4 ' a. 4t. 321y s L. f-t': 4. Conditioned floor area (sq. ft.) 5 2 I- 5. Predominant eave overhang (ft.) SH&G. = .'43 6. Glass type and area: Single Pane Double Pane a. Clear glass 6a. sq. ft. 74 sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. 2 8. Floor type and insulation: a. Slab -on -grade (R- value) 8a R = D lin. ft. b. Wood, raised (R- value) 8b. R = sq. ft. c. Wood, common (R- value) 8c. R = sq. ft. d. Concrete, raised (R- value) 8d. R = sq. ft. e. Concrete, common (R- value) 8e. R = sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R = sq. ft. 2. Wood frame (Insulation R- value) 9a -2 R = l sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b -1 R = sq. ft. 2. Wood frame (Insulation R- value) 9b -2 R = sq. ft. c. Marriage Walls of Multiple Units* (Yes /No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R- value) 10a. R = /0 sq. ft. b. Single assembly (Insulation R- value) 10b. R = sq. ft. 11. Cooling system* 11. Type: q{ (Types: central, room unit, package terminal A.C., gas, existing, none) SEER/EER: CCx 5) - 12. Heating system* 12. Type: t14 Poi, (Types: heat pump, elec. strip, natural gas, LP -gas, gas h.p., room or PTAC, HSPF /COP /AFUEIEtr.Ste215) existing, none) 13. Air distribution system* a. Backflow damper or single package systems* (Yes /No) 13a. b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. Al _ 14. Hot water system: 14. Type: Ciectr• (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site - installed components. ` C?2 �7 I hereby certify that the pl... . specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Cod'. Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F.S PREPARED BY: - DATE: 6724V, BUILDING OFFICIAL: C-- I hereby certify that this building is it `ompli.., , J h the Florida Energy Code: S�r'7" �/ DATE: 5 --- 0 7 S ---- // OWNER AGENT: /� ! DATE: ` FLORIDA BUILDING CODE - BUILDING 13 -D.33R • APPENDIX 13 -D Climate Zones 1, 2, 3 TABLE 6C -1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft. and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE - INSTALLED COMPONENTS OF MANUFACTURED HOMES COMPONENT MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete Block R -7 Frame, 2' x 4' R -11 z Central A/C - Split SEER = 13.0* SEER = I+ a Frame, 2' x 6' R -19 /t - - tei o - Single Pkg. SEER = 13.0* SEER = 3 Common, Frame R -11 _ 0 Room unit or PTAC EER = 8.5* EER = 0 Common, Masonry R -3 A Under Attic R -30 IG_ So Electric Resistance ANY c7 Single Assembly; Enclosed z Heat pump - Split HSPF = 7.7' HSPF = Z Frame R -19 P - Single Pkg. HSPF = 7.7* HSPF = 7., Metal Pans R -13 _ M Room unit or PTHP COP = 2.7* HSPF /COP = 0 Single Assembly; Open R -10 = Common, Frame R -11 0 Gas, natural or propane AFUE = .78 AFUE = O At_ Fuel Oil AFUE =.78 AFUE= co Slab -on -grade No Minimum co ix 8 Raised Wood 5-19 Raised Concrete R -7 • ry � '- Common, Frame R -11 .. w Electric Resistance EF = .92 EF = 7c. < Gas; natural or LP EF = .59 EF = In unconditioned space R -6 i� -(O _ 3 Fuel Oil EF = .54 EF = In conditioned space No minimum 0 TABLE 6C - 2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY • See Table 13 607.1.ABC.3.2 and 13 608.1.ABC.3.2 Maximum percentage glass to floor area allowed Is selected by type, overhang length, and solar heat gain coefficient. Maximum % =S0 Installed % = 25 GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UPTO20% UPTO30% UPTO40% UPTO50% Single Double Single Double Single Double Single Double OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC 1' -.87 0' -.78 2' -.87 1' -.78 NOT 2' -.78 NOT ALLOWED 3' -.78 0' - .75 1' - .75 0' - .61 ALLOWED 1' - .61 2' - .61 0' -.57 0' - .44 1' -.44 0' -.35 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .75, double clear SHGC = .66, and single tint SHGC = .64 TABLE 6C -3 MINIMUM REQUIREMENTS FOR ALL PACKAGES T COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather- stripped or otherwise sealed. Exterior Windows & Doors 606.1 Max. 0.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. a Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed). f Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. Y.-- Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion air, except for direct vent `o'...-- appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked circuit breaker electric or Y....- cutoff (gas) must be provided. Extemal or built -In heat trap required for vertical pipe risers. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas ✓ spa & pool heaters must have minimum thermal efficiency of 78 %. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units). ✓ Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. ✓ HVAC Duct Construction, 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated ✓ Insulation & Installation and installed in accordance with the criteria of Section 610.1. Ducts in attics must be insulated to a minimum of R -6. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. P" ----- GENERAL DIRECTIONS: 1. On Table 6C -1 indicate the R -value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R- values and efficiencies installed must meet or exceed the minimum values listed. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass door panels. Double the area of all nonvertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the pecent. Find the largest glass percentage under which your calculated percentage falls on Table 6C -2. Prescriptives are given by the type of glass (single or double pane) and the overhang (OH) paired with a solar heat gain coefficient SHGC). For a given glass type and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the house and being reinstated in the addition do not have to comply with the overhang and solar heat gain coefficient requirements on Table 6C -2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated, The overhang (011) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2 -foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane clear or double -pane tinted. 4. BUILDING SYSTEMS. Comply when new system is installed for system instated. 5. Complete the information requested on the top half of page 1. 6 Read 'Minimum Requirements for Small Additions and Renovations; Table 60-3, and check all applicable items. 7. Read, sign and date the'Owner /Agent' certification statement on page 1. 13 -D.34R FLORIDA BUILDING CODE - BUILDING If W n . • c o Y o 0 • v• J 1.1 A N O\ to W Nt = .0 f D n CD I 1 d x C > ,1 O O c r C ..ti ..r d1. = d� 0 0 5 ( � o A CD • � � "c' � c' F o a' 8 IA 4 lD N 0 H x CD N A b ,..," : : t ' ?' 2' i $ ct = \ C kl gt. p C cc o A� t3 -r C • 5 p o a I ,.*% t i f, .7 z' lb' Z ' E i. It. F d t n ° -- . S N .. o _ `1 CD = N H Iv 'p . T 2 >v F m . w , i n . v C• rS o H "i ...., T . . o °p CJ -A N 0 = c_ '14 x CD P o 2.,.. i ..,.;, 1 Fa CD c = >s c c a.,'- ° 4. C n n c, tli A w N _ O .0 oc, v : 01 v, ! 4. w N ,-- p , D 00 �l LA W N' b e ' N 0 - � o co :6. r o 0 r o o o o o = �' C � � -c i ", p Z o j o v' © 0 , ° , A , o c 6-:+1 0 ' ° o a °� °� a, , r ° , c o o ' - c , co N 5 re, = p coo (A 5 r i p , w ° a - co -o as Po t G� � . 0 p, - ° o °I"' a '+ Ts u, o a ,..t c `< 0 ° d o 5• o w co A T AT 1 ' A i v Id 0 . x rt d A `C' lit o t'' 2 to s. O .. y A .57.,, co O A . b co co > `.- Ei a " —: 4 E_„ (t.:). ... , .., 5 , , = no 5 . CD y g' D c F n c I U Ivy to tic, � ; n c ,. 4 V a ti p C t �� P U ` Cf b O N z o �CD AA`` ' 7 0) 0 0 a - V] N —, N P ca C (-D P ? a " 0 0 O O O v - s i _ P. A�" O O w Z ° ., 0 a. d ro O n A r �. o h o Fr atz N , c - N \ 0. co ,.,:. ,D ...... , o CD ' AD N cip o . ,_, , .. CD o IN a ,s 5 CT 0 a O CL.. o - s n O� C O E D .. c. — a o 0 3t a CD a- • 'CS 0 o co o 0 5. co co co ° `S CITY OF ATLANTIC BEACH AR, �, j 800 SEMINOLE ROAD w'= ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002059 Date 7/25/11 Property Address 1992 COLINA CT Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 150000 Application desc ADDITION /INTERIOR REMODEL Owner Contractor FRITTS, JR CHARLES & KAREN OWNER 1992 COLINA COURT ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type . . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . WIRE ADDITION Sub Contractor . LIMBAUGH ELECTRICAL CONTRAC Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/21/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. 1)If on -site storage is required, a post construction topographic survey documenting proper construction will be required. 2)Roll off container company must be on City approved list n( and container cannot be placed � o o n T Cit t y � r r A3CFi " O ig g h r t � - o . PERMIT IS"APPRVVED IN ACCORDANCE WITH ALL CITY (>F ATFAP ( �'4ND' THE FLORID' 0 0 BUILDING CODES. r '' ! Ja ' g_.. r � .. � ` i CITY OF ATLANTIC BEACH '' % ' 800 SEMINOLE ROAD t ATLANTIC BEACH, FL 32233 $ INSPECTION PHONE LINE 247 -5814 Page 2 Application Number . . . . . 11- 00002059 Date 7/25/11 Other Fees STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 1 G G C i i n GI C -. - -- PERMIT # — JEA INFORMATION REQUIRED ON ALL PERMITS (XJI) AMPS (.) VOLTS , PHASE VALUE OF WORK $ 4 ' 0c. • NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole :Residential (Main) Service 00 - 100 amps 0101 150amps ❑ 151 200amps 0 amps # of Meters :Commercial (Main) Service 00 - 100 amps 0101- 150amps 0151- 200amps ❑ amps OCT Service Conductor Type Size amps :Multi- Family (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps 0 amps # of Unit Meters :Temporary Pole ❑ amps SERVICE UPGRADE 0 amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps 0150amps 0200amps 0 amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS :Swimming Pool 0 Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS . --- ❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection DPanel Change ❑ OH to UG :Other: W tftt, SIM.11t4 ,46,.t/I 4_ Nmit,certkiv PLat ca cC et k Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners NameCh �' S �l - Phone Number33 — - 15G - 3 Electrical Company' 1 l h(`, \ i( tC CO rQG o e Phone . I — q05 I Fax Co. Address: Z WC -4 %" h '_ City ES ate F1 Zip - fGZ--)S License Holder (Pri: 't % Ci Ill , State Certificatio i # off r ,,, , r' i • I- 8, � Notarized Signatu , ' b leers ' 0 , "" , :6878 litirilirdi + v ct • u Fore z 03,1112013 INV ,,, , ,w , , _,^. ,, Sworn :.. .: ri. - d b; for _- his )4 day of _ 201 1 Signature of Notary Public t_ / .. c- k_ �, i' , C,---\