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150 12th Street (vault) S .0 pit je /A a—Akx .-. ,&WVt; - FF "row Lqm:Zt---- mawl 7.4 A6 '2 A.5�4- rt r-e. 2,3 15 9 42 *40 PQ.Y�- 4t Dill \P /0 4e 13' CY) a- Alf,P. Z-3 bi A /7� IT 'Sl 15,0 71 rVI oz A-, 00 INA" It, /Sl- .. .. . ..... .......... 4q) DO m le z �j 07 2L fy) iA colfb 4 Ji� rTT F—1 o -F� / ff.7 3e --------It- Pw ou 1�1\ :'s I q . 14 14 AT lip, t, 9 � 4 0 D w W- I"F t Nd a w RA'71 - 14 14- Crtl /4C- �14 LIZ Al 0 Pv\ re -7:7. -LL Ai ...... ....... -------- 17 07 Ll Lj i.4 e0 ell 1-:5 0 IL--- 17 j 21 I Y-11 Flu I f5c) 47 4- I urr AI o ij --7F- A - 10- ;� ---------- IN --L 71 X-/4 Ao 7' 1 4—A 6 E:e" Li 2. S? Q-- !�b 4L*I&- Aj� c el Je_ La AIOAI a r 7.- At 41- LI )a/a'D 2-,?�- IV,I�e Ovat-.Ad al IL h MIL 00 JPF fad NY to (��Vlwjct J--2 4� 0— C�o All I L-1 YV T 1�5eo CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 jilt Application Number . . . . . 06-00032764 Date 7/07/08 Property Address . . . . . . 150 12TH ST Tenant nbr, name ADDITION TO 3 STORY SFR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. GAMEL CONSTRUCTION CO. , INC. 150 12TH STREET 1223 TRAILWOOD DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-7009 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc INSTALL 3 CU & 3 AHU Sub Contractor ENVIRONMENTAL A/C SERVICES, INC Permit Fee . . . . 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/03/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY .1,�40E,I.ADDRESS. g, *J. -4,L LOESCRIPT) EGA -77-7777", mw "ill-,,,-1" 6';',QSE,OFSTRUCTURE: 0 NEW BUILDING DEMOLITION M11ESIDENTIAL 11,10101BLOCK 4(&UB DIVISION A;ro.AA/ 93'ADDITION E3 CONVERTING USE 13 COMMERCIAL SCRIPTIQN,OF,-VV 'KLE ,QRK ALTERATION 11 ACCESSORY BLDG. st $PAjN F4 Z�XAjret;,a REPAIR .V4 V 0 POOL/SPA 13 YES OITA 13 MOVE 11 OTHER 11 NO Of TYQ �—'PK ,ER WNE, 1'AR _PHITE�T 9.NAME: IS.CqMPANY NAME: 23.COMPANY NAME: &ANe4 CooSX 4rw. Zue. 16.NPUE: '44 1 7,,, 24.LICENPEEN e-,4AAhr,41. I-Iool- �-A#4 At 0 0.4-S:Y. 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO,: 25.STATE OF FLORIDA LICENSE NO.: C,86024 207 P. e, ?f 31�4-74 7' 18.ADDRESS;. 4�`A- 26.ADDRESS: /Z 2-.�5 Ll-f-JAA, I- 'Vl'? oq Po.#j re .329>72 57". A 11.OFFICE PHONE: 112.FAX NO.: '9 OFFICE PHO;4E: 120.FAX NO.: 27.OFFICE PHbKE: 28.4X NO.: 2)1b 5. 1 A0y--ZW-7hp2.9b)1-,ZW-706� 1 13.CELL PjiONE' 21.CEL�PHONE: 29.CELL PHO I NE: ff7i —?6 70 )NO 14- fyz-1?3.r .14.EMAIL ADDRESS: '72,EMAfLADDRESS: 30.EMAIL ADDRESS: 4gAAWTA? 4AI heAs EE r RTGAGE LENDER: (if OTHW�TOWOWNE!t)', 31�NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electelcal Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. (will not occupy or use the referenced building or any part therof,until all inspections are finafed and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT. c Ir 'y f��q Signed: ate: Signed:. Date: Before me this dayof j!!54A C 200;6in the county of Before me this/Cl day of. 200f in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personall'y appeared Fri2r) K & Aqj_C herin by himself I herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of Not ry R bl'c at Large,State of County o,-Duvaf 215arsonally Known ;;-='0-aIIy1 Known 13 Produced Identification- 13 Produced Identification- LNotary Signature: Notary Signature: ------ CUNNI HAM tary PU late of Florida GHAM Notal Public --=-M ommission Expires Feb 28,2010 State of MYCOmmission Expires Feb 010 C for da DD 523638 10 Bonded By National Notary Assn. or r:'Ot" Commission#OD 523638 Bonded By National Notary Assn. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MEWANICAL PERMIT APPLICATION DUVAL COUNTY 1-JOB ADDRESS� WTH19 AASUB PERMIT:, 3.DATE: Sjzr" IONO -0 / kr Y ES PERMIT* �'�071 77777=7 77,,,777 777777777, PROPE _N 4.NAME' 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: - :woo ME��PH _T ANICAL CPR C,,PR,1 7.NAME OF COMPANY. A.ADDRESS.: 9.STATE OF FLORIDA LICEUSE NO: CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 279-a)30 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 colm nced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at VanymeA.1) 0 27nced. CONTRACTORS SIGNATURE: :R..,CLAS6OFW0RK: 16.BUILDING. 17'.&OVICE; 18/CURRENT CODE; )3XF,W INSTALLATION (P NEW jUE-SIDEN IAL CI'06 FLORIDA 13UILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM �4x_'STING 0 COMMERCIAL MECHANICAL 0 ALTERATION ADDITION TO EXIST SYSTEM 13 REPAIR 130THER MECHANICAL EQUIPMENT TO.BE INSTALLED: 19.HEAT: 13 SPACE 0 RECESSED &CENTRAL 13 FLOOR BURNERS: 20.AIR CONDITIONING: 13 ROOM kCENTRAL - 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: aQQ0 cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: 9131TI —24.FIRE SPRINKLER: NUMBER OF HEADS: - 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 13 PUMP 0 WELL 11 PIPING —29.GAS PIPING: #OF OUTLETS: 13 GAS AHLI: 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: R- ;NT TIC, FR' C E I ENT,CONDENSO AIR, NUMBER APPROVING UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY &L -eA720A?(9r 32-H EATING EQUIPMENT:e FU14NAdESL BdLtks.'�014E01.AdE§�Alk,HANDLERS ETC. NUMBER ATIPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY rOso�N67 NKS:', APPROVING NUMBER GALLONS 7 CONTAINED MANUFACTURER SERIAL# AGENCY. COAB FORM BLDG04:REVISED:1/10/2008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032764 Date 7/07/08 Property Address . . . . . . 150 12TH ST Tenant nbr, name . . . . . . ADDITION TO 3 STORY SFR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. GAMEL CONSTRUCTION CO. , INC. 150 12TH STREET 1223 TRAILWOOD DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-7009 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc INSTALL 3 CU & 3 AHU Sub Contractor ENVIRONMENTAL A/C SERVICES, INC Permit Fee . . . . 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/03/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BP501UO2 CITY OF ATLANTIC BEACH 1/25/10 Inspection Results Entry 15: 56: 56 Application number, type 06 00032764 RESIDENTIAL ADDITION/ALTERATION Structure, permit . . . . : 000 000 BLDG 00 Inspection type, sequence : 16 0002 BD CERTIFICATE OF COMPLETION Property address . . . . : 150 12TH ST Request date, time, by . : 11/04/09 17 : 00 SLG Type information, press Enter. Inspector ID (F4) . . . . . . . MJ Results date . . . . . . . . . . IIDTn Results status (F4) . . . . . . AP Final insp - flag (F4) . . . . . y— Edit comments . . . . . . . . . Y Y=Yes Display inspection penalties . . Y=Yes Point value . . . . . . . . . . 1 F3=Exit F4=Prompt F7=Request comments F9=Standard comments F12=Cancel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-! OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MqC ,HANICAL PERMIT APPLICATION DUVAL COUNTY 6 7, R �777""2"'� 7, it 1-r, PERMIT#: 06 322 4/ /S-O 74F I i'_1211111,77"""��77'7w 7 2"If" 4 AME N 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ............... M 7.NAME OF COMPANY: ADDRESS.: 9.STATE OF FLORIDA L S 0 CELL PHONE: 11.FAX NO.: V_(2 9 12.EMAIL ADDRESS: OFFICE PHONE: 14. 97g-CV30 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 com nced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any, me enced. CONTRACTORSSIGNATURE: A ,W`NQW INSTALLATION Ep NEW ILR_ESIDENTIAL 0'06 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM 5K41STING "0 COMMERCIAL MECHANICAL 13 ALTERATION/ADDITION TO EXIST SYSTEM 0 REPAIR 0 OTHER ra" N 037-17 -7, T 77, 747777""�M 19.HEAT: 0 SPACE 0 RECESSED ACENTRAL 13 FLOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: -MAX CAPACITY: apoo cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: 9pM 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY 28.IRRIGATION: 0 PUMP 0 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: E3 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUC,TS ETC. IVALUE FOR OTHER ITEMS: "PW*rlffl MN NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY eAlf ?0 IL8LE q '�?_g g,"c' vp R =41, APPROVINC., OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY -ex 0' NUMBER GALLONS -CONTAINED MANUFACTURER SERIAL# COAB FORM BLDG04:REVISED:1/10/2008 au, CITY OF ATLANTIC BEACH 08- 4/p 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 7 777"""'77-1 g 7 =7-77"' 4 13 NEW BUILDING 13 DEMOLITION GMESIDENTIAL 10 Ade,'tC'N ORADDITION 13 CONVERTING USE 13 COMMERCIAL -OBLOCK 4(%UB DIVISION HRIALTERATION 13 ACCESSORY BLDG. [3 REPAIR 0 POOL/SPA 13 YES A 4)4 017-/'1)14 Zdre-41'0't� R6:-tj4%1'&r;'O'V'r 13 MOVE 13 OTHER [3 NO 9.NAME: 15.CqMPANY NAME' 23.COMPANY NAME: s 7. 4t�v' . Zue. 16.NAUE: 24.LICENPEE NAMF.: e-,4kUrAi, Aleo/- k ItAodot 'r. zoa'-r .1- 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C1360,2e. 2C)7 P. e, ?*:311 Y-7c- 18.ADDRESS 26.ADDRESS: Zl�,,7cF /Z2. V11i '59:kPA1;'4 p4Ae'er ?,h,-J,r0 32012 N0,07-"je A-9.-M, 2- 57. Ao-1"�s 7IZe, / ,t JZo fl� PHME: 11.OFFICE PHONE: 112.FAX NO.: 19_0FFICE PHO14E: 120.FAX NO.: 27.OFFICE 28.FV NO.: -ZW- 13.CELL PHONE' 21.CELi.PHONE: 29.CELL PHONE: fz7.Z 7-0 14- ff I-/,?3 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: le. j7g.CeArr tie ,ao "20 11 46 IF 31.NAME: 33.NAME: A)�A- 5.NAME: 32,ADDRESS: 34.ADDRESS: A)144 6.ADDRESS: Application is hereby made to obtain a permit to do the work and installabons as indicated. I Certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks,-Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 REC ORDING YOUR NOTICE OF COMMENCEMENT. Signed: Signed: Date: �-/0�off Before me a day of he county of this /10 day of 14AII C- 200An the county of Before rr 2006 in t Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared jlax k- r'-'Taad -Fr a r) X- &aff W� / herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of, 11 ta R blic at Large,State of County of ErP'ersonally Known ;;.Zn.11y Known [3 Produced Identification- [3 Produced Identification- Notary Signature: Notary Signature: CUNNI t,,HAM GHAM N6tar�ta rm P�u y Pu late of Florida m iss xowv N is 0 ry Public- State of Florida 0 iresFeb28,2010 ornimission Py COmrnission Expires vdR4MqDD 523638 1E C Feb 28,2010 Commission#DE) 523638 I ,OF ...... Bonded By National Notary Assn. Bon ed By National Notary Assn. CHECK REQUEST DATE 07/21/04 VENDOR NO. 6000 PAYEE Chantal Guilbeol ADDRESS 150 12th Street CITY Atlantic Beach STATE Florida ZIP CODE 32233-5780 ACCOUNT DESCRIPTION ACCOUNT NUMBER PROJECT NO. AMOUNT Zoning Variance 00100003291001 04-100058 $150.00 Subtotal from Page 2 TOTAL $150.00 DESCRIPTION OF ITEM OR SERVICE: iwt Applied and paid for zoning variance for 150 12th St. and it was determined by Sonya Doerr that a variance would not be needed. SPECIAL INSTRUCTIONS: To expedite processing,please attach adequate documentation to support payment ADDITIONAL APPROVALS ONLY REQUIRED WHEN CHECK REQUEST IS OVER$600 �I IPA i:411 r- , �-71-22,11 REQU8STEIJ BY DATE DEPT HEAD DATE FINANCE DIR/ DATE CITY MGR/DATE Effective: 5/10/04 Revised: 5/19/04 Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT L. Higgin 800 Seminole Road S. Doerr R F— Atlantic Beach,Florida 32233 ATLANTIC BEA(-,H (904)247-5800 UlTv OF -Di N(3 ;z 7 r�N!i N (904)247-5845 Fax JUL 1 5 2004 PLAN REVIEW COMMENTS BY: Permit Application # c)4 - i oc)o S8 Property Address: ISO I-Z�f k Applicant: Project: A VJ Cz This permit application has been: 0 Approved F-� Reviewed and the following items need attention: 17 4 CitY Of Atlantic Beach 0 *" UJUDER XCEIPT *" Per: DSMITH Type-! M Draw: I Date: 7/15/04 @1 Rke'Pt not 71263 Description Quantity Amount M4 10"S BP BUILDING PERNITS Tender detail CK DECKS W38 $150.N Total tendered Total payment S159ow $156.N Trans date: 7/15/04 Time.- 13:58:11 Please re-submit your li- these items have b,.. Reviewed By: Date: d 7 -Z-1 —aq EXHIBIT A-ORDINANCE NUMBER: 90-03-184 See. 24-83. Required Yards and Permitted Projections into Required Yards. (a) Required Yards. Unless otherwise specified in this Chapter, every part of a Required Yard shall be open and unobstructed from the Finished Grade to the sky, except for Structures that do not exceed thirty(30) inches in height. Oo. (b) Structural Projections. Architectural features such as Eaves and Cornices, and open balconies and EXHIBIT A-ORDINANCE NUMBER: 90-03-184 See. 24-83. Required Yards and Permitted Projections into Required Yards. (a) Required Yards. Unless otherwise specified in this Chapter, every part of a Required Yard shall be open and unobstructed from the Finished Grade to the sky, except for Structures that do not exceed thirty(30) inches in height. 10. (b) Structural Projections. Architectural features such as Eaves and Cornices, and open balconies and porches mpy project a distance not to exceed foM-eight (48) inches into Required Front and Rear Yards. Such balconies and porches may be covered, but shall not be enclosed in any manner, except that balconies and porches within Rear Yards may be enclosed with screening only. Eaves and Cornices only may project into Required Side Yards, but not beyond twenty-four(24) inches, or forty (40)percent of the established Required Side Yard Setback, whichever distance is less. (c) Mechanical equipment. Equipment such as heating and air conditioning units, pumps, compressors, or similar equipment that makes excessive noise, shall not be located closer than five (5) feet from any Lot Line. Sec. 24-84. Double Frontage Lots. (a) Double frontage Lots. On double frontage Lots, the Required Front Yard shall be provided on each Street, except for Lots as set forth below and as set forth in Section 24-88. (b) Special treatment of ocean-front Lots on Beach Avenue. For these double frontage Lots having frontage on the Atlantic Ocean, the Front Yard shall be the Yard which faces the Atlantic Ocean, and the Required Front Yard shall be measured from the Lot Line parallel to or nearest the ocean. (c) Special treatment of Ocean Boulevard Lots with double frontage. For double frontage Lots extending between Beach Avenue and Ocean Boulevard, the Required Front Yard shall be the Yard, which faces Ocean Boulevard. See. 24-85. Nonconforming Lots, Uses and Structures (a) Intent. Within the established Zoning Districts, there exist Lots, Structures and Uses of Land that were lawful prior to the adoption of these Land Development Regulations. Such Lots, Uses and Structures would be prohibited, restricted or regulated through the provisions of this Chapter or the adopted Comprehensive Plan. It is the intent of this Section to recognize the legal rights entitled to property owners of existing Nonconforming Lots, Uses and Structures, and to pen-nit such non- conformities to continue in accordance with such rights, but not to otherwise encourage their continued survival. Furthermore, the presence of any nonconforming characteristic shall not be considered as justification for the granting of Variances, and any Nonconforming Structure or Use, which is made conforming shall not be permitted to revert to any Nonconforming Structure or Use. Ordinance Number: 90-03-184 Initial Effective Date: January 01,2002 with amendments through June 28,2004 42 APPLICATION FOR A VARIANCE City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us Date July 12, 2004 File No. 1. Applicant's Name Chantal Guilbert Hook 2. Applicant's Address 150 12th Street, Atlantic Beach, Florida 32233-5780 3. Property Location i50 12th Street, Atlantic Beach, Florida 32233-5780 4. Property Appraiser's Real Estate Number 170277 0000 5. Current Zoning Classification 0 100 S ing leFamily 6.' Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested Twenty Feet setback requirement f rom lot line on 12th,�treet to allow for balcon remodeling. Balcony will be set appri?Timately 16 2 from lot line. Existing h1cony- already encroaches to app. 1872 from lot line. 8. SizeofParcel 63.5 x 100 9. Homeowner's Association or Architectural Review Committee approval required for the proposed construction. E]Yes KRNo (If yes,this must be submitted with any application for a Building Permit.) 10. Statement of facts and site plan related to requested Variance, which demonstrates compliance with Section 24-64 of the Zoning, Subdivision and Land Development Regulations, a copy of which is attached to this application. Statement and site plan must clearly describe and depict the Variance that is requested. 11. Provide all of the following information: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner, a letter of authorization from the owner(s) for applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property for which Variance is sought. . c. Required number of copies: Four (4), except where original plans, photographs or documents larLrer than 11x17 inches are submitted. Please provide eight (8)copies of any such orizinal documents. d. Application Fee($150.00) 1 HEREBY. CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT: Signature of owner(s) or authorized person if owner's authorization form is attached: Printed or typed name(s): Chantal Guilbert Hook Signature(s): ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION Name: Chantal Guilbert Hook MailingAddress: 150 12th Street, Atlantic Beach, Florida 32233-5780 Phone: 280-0005 x232 Work FAX: 280-2901 E-mail: ygj1i1bert@kornzebTnt-r_rom 472-9670 Cell Instructions to apply for aVariance Variance requests are considered and acted upon during public hearings before the Community Development Board at their regular monthly meetings, which are held the third Tuesday of each month, unless otherwise scheduled. Meetings are held at City Hall in the City Commission Chambers at 7:00 prn. The deadline for filing a Variance application, in order to be heard at the monthly meeting, is 5:00 pm. on the first Monday of each month. Applications should be submitted to the Planning and Zoning Department located at City Hall. In order for a Variance application to be scheduled for public hearing, the application must be complete. All required information must be provided, and the required fee must be paid. (Variance fees are not refandable.in the event that the Variance request is denied.) Once the required fee and a complete application are submitted, the request will be scheduled for the next available public hearing. An advertised notice of the hearing will be published in the newspaper, and an orange zoning sign will be placed upon the property to notify neighboring residents that a Variance request will be considered. Before filing an application for a Variance, it may be useful to read and understand the following .definition and requirements from the City's Land Development Regulations related to Variances. A Variance may be approved by the Community Development Board only when consistent with these provisions. Section 24-17. Definition of a Variance. A Variance shall mean relief granted from certain terms of this Chapter. The relief granted shall be only to the extent as expressly allowed by this Chapter and may be either an allowable exemption from certain provision(s) or a relaxation of the strict, literal interpretation of certain provision(s). Any relief granted shall be in accordance with the provisions as set forth in Section 24-64 of this Chapter, and such relief may be subject to conditions as set forth by the City of Atlantic Beach. Sec. 24-64. Variances. A Variance may be sought in accordance with this Chapter. Applications for a Variance may be obtained from the Community Development Department. A Variance,shall not reduce minimum Lot Area, minimum Lot Width or Depth; and shall not increase maximum Height of,Building or Impervious Surface Area as established for the various Zoning Districts. Further, a Variance shall not modify the Permitted Uses or any Use terms of a property. (a) Application. A request for a Variance shall be submitted on an,application form as provided by the City and shall contain each of the following. (1)a complete legal description of the property for which the Variance is requested. (2) a reasonable statement describing the reasons for the Variance. (3) a survey or Lot diagram indicating setbacks; existing and proposed construction, as well as other significant features existing on the Lot. (4) the signature of the owner, or the signature of the owner's authorized agent. Written authorization by the Owner for the agent to act on the behalf of the property owner shall be provided with the application. (b) Public Hearing. Upon receipt of a complete and proper application, the Community Development Director shall within a reasonable period of time schedule the application for a public hearing before the Community Development Board following required public notice. At the public hearing, the applicant may appear in person or may be represented by an authorized agent. (c) Grounds for denial of a Variance. No Variance shall-be granted if the Community Development Board, in its discretion, determines that the granting of the requested Variance shall have a materially adverse impact upon one or more of the following. (1) light and air to adjacent properties. (2) congestion of Streets. (3) public safety, including risk of fire,flood,crime or other threats to public safety. (4) established property values. (5)the aesthetic environment of the community. (6) the natural environment of the community, including Environmentally Sensitive Areas, wildlife habitat,Protected Trees,or other significant environmental resources. (7) the general health,welfare or beauty of the community. Variances shall not be granted solely for personal comfort or convenience, for relief from financial circumstances or for relief from situations created by the property owner. The followiny Paragraph sets forth reasons for which a Variance may be approved. Please check, the circumstances that apply to -your request and briefly describe in the space-provided. (d) Grounds for approval of a Variance. A Variance may be granted, at the discretion of the Community Development Board,for the following reasons. (1) exceptional topographic conditions of or near the property.Please see Exhibit attached hereto and incorporated herein. (2) surrounding conditions or circumstances impacting the property disparately from nearby properties. Please see Exhibit attached hereto and incorporated herein. (3) exceptional circumstances preventing the reasonable use of the property as compared to other properties in the area. Please see Exhibit attached hereto and incorporated herein. (4) onerous effect of regulations enacted after platting or after development of the property or after construction of improvements upon the property. (5) irregular shape of the property warranting special consideration. F-1 (6) substandard size of a Lot of Record warranting a Variance in order to provide for the reasonable Use of the property. (e) Approval of a Variance. To approve an application for a Variance, the Community Development Board shall find that the request is in accordance with the preceding terms and provisions of this Section and that the granting of the Variance will be in harmony with the Purpose and Intent of this Chapter. (f) Approval of Lesser Variances. The Community Development Board shall have the authority to approve a lesser Variance than requested if a lesser Variance shall be more appropriately in accord with the terms and provisions of this Section and with the Purpose and Intent of this Chapter. (g) Nearby Nonconformity. Nonconforming characteristics of nearby Lands, Structures or Buildings shall not be grounds for approval of a Variance. (h) Waiting period for re-submittal. If an application for a Variance is denied by the Community Development Board, no further action on another application for substantially the same request on the same property shall be accepted for 365 days from the date of denial. (i) Time period to implement Variance. Unless otherwise stipulated by the Community Development Board, the work to be performed pursuant to a Variance shall begin within six (6) months from the date of approval of the Variance. The Community Development Director, upon finding of good cause, may authorize a one time extension not to exceed an additional six (6) months, beyond which time the Variance shall become null and void. A Variance, which involves the Development of Land, shall be transferable and shall run with the title to the Property unless otherwise stipulated by the Community Development Board. Additional comments: EXHIBIT TO APPLICATION FOR A VARIANCE FOR RESIDENTIAL REAL PROPERTY LOCATED AT 150 12TH STREET,ATLANTIC BEACH,FLORIDA 1) LEGAL DESCRIPTION: West 1/2 of Lots Five(5)and six(6),Block 43,ATLANTIC BEACH,according to plat thereof as recorded in Plat Book 6, Page 1 of the public records of Duval County, Florida. 2) STATEMENT DESCRIBING THE REASONS FOR THE VARIANCE: I am respectfully requesting a variance from the twenty feet setback requirement from the lot line on 12th Street to allow me to remodel the existing second and third floors balconies as part of an overall house remodeling. The existing balcony on the second floor is currently approximately 18'2" from the lot line, and is sustained by one post, which is inadequate both for aesthetic and structural reasons. The balcony remodeling is part of a larger planned renovation which will improve the house aesthetically and structurally. The existing balconies on the second and third floor are not currently aligned. In order to align them, and provide visually pleasing columns and balcony space, larger support columns that will run from the bottom floor are necessary. The proposed balcony, including the columns, would be approximately 16'2" from the lot line on 12th Street. The balcony would be approximately 15'wide(narrower than it is now). As remodeled,the balconies will be approximately 15'by 6'. The columns are square, and will support a traditional gable roof for added protection from the elements. I am respectfully submitting that the balconies, as remodeled, will improve the architectural appeal of the house,and will enhance 12th Street as opposed to detract from it. The balconies will not adversely impact the nearby properties because several homes on 12th Street are already built much closer to the lot line. The balconies will not materially change the line of vision of the neighbors,nor their light and air;instead,they will add to the aesthetic environment of 12th Street and the community. Please see attached diagrams. 3) SURVEY OR LOT DIAGRAM INDICATING SETBACKS; EXISTING AND PROPOSED CONSTRUCTION,AS WELL AS OTHER SIGNIFICANT FEATURES EXISTING ON THE LOT: Please see attached survey copy and lot diagram. See attached drawings of elevation of proposed balcony and remodeled structure. See also attached Duval County Property Appraiser Record Card. 4) EVIDENCE OF OWNERSHIP Please see attached Deed. Dated: July 12, 2004 Chantal Guilbert Hook 150 12" Street, Atlantic Beach, Florida 32233 7 7 7- WC I�D z FD. 1*0 7-Z-5-5 0 S 67� 44(-j T. 'ANCC Y,! T(A -Z R60T 16 2-ND FL. eAL-C-OfVv �7r=p-a"S W4LL NO ,pzr x I L7 A 61CL -*I T 7.,;? v �4. io-11 b-75 5 0 -'L S - 73 -CE 60,fR , Ao I V-4 ZQ? I F L P Lj� 4 T, 'q7 114 TAI W,- L-r 141 'P I I t��L-rz), I L P,. cl El 'V�4, 11+ll��- ��ILI -Duval County Property Appraiser 2003 Certified Tax Roll Matching Record Cards Page I of I Duval County 2003 REQUESTED BY: Z ZIPPERER RUN 10/08/2003 12:21 Am 16-2S-29E HOOK, CHANTAL G 558 4-9416- ATLANTIC BEACH 150 12TH ST 150 12TH ST W1/2 LOTS 5,6 BLK 43 ATLANTIC BEACH, FL 32233-5706 ATLANTIC BEACH LAND VA STYLE 01 BLDG NO. 001 +PTO(7)+ MISC VA Bldg Use : 0104 SFR 3 STORY SOH +-6--+--7-----------21------------ BLDG VA Ex-Wall 1: 1775 CB STUCCO 75% 1 1 1 1 11 CAMA VA Ex-Wall 2: 0625 BD & BATTEN 25% 12FU01(72) (84) FU02(252) 12 11 VALUE B Roof Str 03 GABLE OR HIP +__+ IBAS IFU01 I BAS 1141 ASSESS Roof Cvr 03 ASPH/COMP SHNGL 1 6 1 IBAS I I II EXEMPT In-Wall 1: 0500 DRYWALL 10 PTO(7g)---+-6--+--7----------FU01(86)---+ II TAXABLE In-Wall 2: 0000 N/A interior wall 2 1 1 1------BAS1----------I SR EX V Flr Cvr 1: 0525 ASPHALT TILE25% ------------10 BAS(130)10I II SR TAXA Flr Cvr 2: 1475 CARPETING75% 1 18 FU01(109) 37 APPRAIS Heat Fuel: 04 ELECTRIC I II II DATA Heat Type: 04 FORCED AIR DUCT +----13------- FU01(441) II PROP US Air Cond : 03 CENTRAL AIR Ii UGR II Tax Dis Bathrooms: 002.5 2.5 BATHS II II NBHD Bedrooms 04 04 BEDROOMS 13 11 L100 Stories 003.0 11 11 EXEMPTI Quality 03 AVERAGE I--------21----------1 0601 Hrs.Spent: 00 ---------24----------- Minutes : 00 Rms/Units: 0000 BAS;FU01(L2BAS;FU02(L21BAS;FU01;PTO(L7PTO(UlR7DlL7)BAS Act Mo/Dy: 0000 ;FU01(L6Dl2BAS(DlOADD(U6)PTO(Ll5UlOR3D6Rl2D4)ADD(D6)Rl Act Yr Bt: 1975 3UlOLl3)R6Ul2)Dl2R7Ul2)Dl2R2lUl2)Dl2L2lDlOR2U8R2lUl4)F EFF ARE Eff Yr Bt: 1975 U01(D35UGR;FU01(L2lU2lR2lD21)L2lUl3L2Dl5R24U37Ll) SQFT RA Depr Tabl: 12 POINTS Func Obs%: 00 RCN Econ Obs%: 00 AREA GR AREA PCT AJ AREA RCN RCNLD DEPR ObsrvCond: N/A BAS 624 100 624 48148 36833 OBSOL Obsry %: 000 FU01 792 100 792 61111 46750 BUILDIN FU02 252 200 504 38889 29750 PTO 169 5 8 617 472 BOOK PAGE UGR 441 45 198 15278 11688 07283 1575 Deed Type: 06522 1712 PROPERTY NOTES Deed Type: PERMIT NO EST-FWDA EST 150 000002854 REC BLDG CODE DESC LENGTH WIDTH UNITS ADJ PRICE EYB DT PCT ADJU 1 000 FPPA Fireplaces .00 .00 1.00 1800.00 0000 F7 4 2 001 PVCF Paving Concrete .00 .00 604.00 3.55 1975 F3 80 MIS REC LUSE DESC ZONING FRONTAGE DEPTH UNITS TP ACRES PRICE AJ REASON AJ 1 0101 SFR F ARS-2 100.00 63.00 100.00 F .14 4500.00 DP 3 LAN http://apps2.coj.net/pao/Prc.asp?PRC—RENO=170277+0000&PRC—BLDG=l 7/9/2004 IN I I V(jL'rl 7-8 3 PG 15 7 5 REPARED BY: Edgar 11. Vc(;urry, jr. Att(:rney at *Law OFFMAL RECORDS 5 00 S. Thir,d S%rae r JackbOrrril3a Beach, rL 32250 RMTRM TO: 41". MI. A.E. �" .. F'0. Sox 50457 jackscnville Beach, -L 32240-0457 Q'_jIT CLAM DEED TqTS INDZVTVR2, mizide thir.. A,3�i of 7a-n 1J.-Tivy, ROBEPT ?. IHOOY, hin-4ili,naittc c �a-1. ---i t 11,� q r a n t e)r wh i c 1) :U:2c).,0de, whe�f ever tht�: c-ontext SM ts 01' reqi!ires, sirlaI13 ar Or Plural, heirs, ni.-rsi:.-n.�j.i. ttIld ansigns, and MIANTAL. C. HOOK, P.-)ql' office adcb�eFs 1.130 1'welfth Street, Atli.4y1tic B'each, Plor j da whic!�. r 3223 3. hf:-reinafturr called nic. aran - - , , - i.i. - erm snal', inclu6e F:n r-r or an," -IssiA.1113. Ll,ai. Litc: ;-A.14 k .4ittai_ui 4vr anu .La cons3.uerar:!.ozi or thft E;uya of. Ten Dollars ($10.00) , lawftil. raoney of the Vin-.1.ted States of America, and other good and valuable consideration , to the grantor in hand paid lay the grAntee, th e ri.-ceipt of all. a,"' which herr.by -C !74 Diss .4 kzpwled,.;ed, and pursuant to Jud�]Tfent Of ollation of Marriage, *3 No. J.t C '.t .- _qasa 91--14620-Ch in the Circull our t, ro u). :h Judicial Circui -, i�n 'and' 1� .�-or ffitval County, Floricin, has remised, released, and qvit-clained, and-.1iy thesn preseints doc 1,erehy 2.pmise, -Is a.' release arO quit-claim unto -.d grantee forever all of tbar rertain property situate, lying and 6_�� in 'the County of Duval, State of described as follows: West 1/2 of-. Lc,ts Five (5) arid Six (6) , 'ilock 43.. as ATLANTIC SEhCH, t-0 I- 03.at I f recorded in Plat Book 6, page 3. of the public records of Duval County, Florida. TO HAVF AND TO HOLD the same, toget1jer -.;*.Lth the heredita.mants and appurtenances, unto the said grantee in fee simple. And tl,e said grantor does hert-by fully warrant the title to ,_..r.aid above granted and described property and will warrant and defend SMTne A-MlnRt thP IAWfll rlaiTnq n' ;01 nersons whomsoever, claiminq through -or under him. ,7" This conveyance is subject to all taxes and assessments levied assessed or which may become a lien subsequent: to December 31, 1,991. IN WITNESS WHEREO�', the grnn�or lviHs execuLird this Quit Claim Deed under seal the day and year first above written. Signed, sealc-d and delivered in the presence of: Af Ar (SBAL) _POB-F_RT F. -HOOK /2 PA4ELA S. STErAINISEN OF rl,O�.111A COUNTY 0? DUVAT. 1,4 Th,- f oregoi,ng was acknowledUed be Fore ne thi P day of JaDuary. .1.992, by ROBERT r. FOOF., who is personally knowi to me and who did take an oath. NC)'- EXY ?ubll.i.c, SlItitc-'i of Flcridt at Large �VATE FLORRIW I M,"i cc�n- 00CUN121TARY..— STArg %X VT I hint., riaL 1))3 ,18. 4 0 PAMELA S. STEPANSEN il PAMFLA S.STEFAMEN InTal"OTAP KNIC UNU 'Duval County Property Appraiser - Parcel Information Page I of I PAR(301.31 INFORMATION Owner's Name: HOOK, CHANTAL G Real Estate Number: 170277 0000 Property Address: 150 12TH ST Mailing Address:150 12TH ST City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: Unit Number: 32233-5706 2004 Exempt Value: $25,000.00 PARCEL DESCRIPTION jProperty Use: 0100 SINGLE FAMILY FS—ale Date: 1/3/1992 Legal Description: 16-2S-29E ATLANTIC Sale Price: $56,400.00 BEACH W1/2 LOTS 5,6 BLK 43 - iNeighborhood: 940907 BEACH AVE F Isection/Township/Range: 16-2 FN—o. Buildings: 1 1 Official Record Book and Page: 07283- Heated Area: 1920 1575 �1 [—map Panel: 558 4 ::::=[Exterior Wall: CB s-rucco VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL I Land Value: $319,500.00 liTaxing Authority: USD3 IClass Value: $0.00 [County Tax: $1,471.94 lImprovements: $127,657.00 [school Tax: $1,919.40 IMarket Value: $447,157.00 [District Tax: $683.12 lAssessed value: $249,754.00 Other Tax: $112.49 lExempt value: $25,000.00 [Voted Tax: $114.85 ITaxable value: $224,754.00 ISr. Exempt: $0.00 F ISr. Taxable: $0.00 =Tota I Tax: $4,301.80 http://apps2.coj.net/pao/Printver.asp?ReNum=170277+0000 7/9/2004 CITY OF ATLANTIC BEACH 80O.SEAHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033148 Date 6/02/06 Property Address . . . . . . 150 12TH ST Tenant nbr, name . . . . . . MISCL REPAIRS Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. FIRST CHOICE ELECTRIC 150 12TH STREET 716 VALLEY FORGE RD. N. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-1331 ---------------------------------------------------------------------------- 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 PERMrf IS "PROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATIANTIC REACH ORDINANCES AND 7W FLORIDA BURDING CODES. BUILDING OFFICL4L CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Sn 2-t Owner: Telephone#: Contractor: I C' . _-EvesT Telephone#: .2-1 Contractor Address: Fax#: Contractor Signature: In consideration of permit given f6r—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: Building Type: a Trailer Service: If other construction is • New Q Residence Q Temp. U New being done on this building Or site,list the building • Old 0 Commercial U Signs Q Increase Permit number: • Re-wire L) Addition Sq.Ft. U Repair Conductor Size: AWS: C PPER E] ALUMINUM Switch or RACE Breaker AMPS— PH W VOLT WAY Existing Service RACE size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN AID AVPv 11 100 AMPS, Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER RELL _Appliances TRANSFER. Air H.P.RATING H.P.RAfiR—G CEILING KW-HEAT Conditioning COMP.MOTOR OTBERMOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V_____ OVFR600V - I Transformers NO. KVA NO. KVA No.Neon-Transf -Ea. Sign Miscellaneous 800 Seminole Road&Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800* Fax: (904)247-5845 http://iv,%vw.ei.atlantic-beach.fl.us Revised 1/04 HIP OfficeJet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Jun 06 2006 9:40AM Last Transaction Date Time Type Identification Duration Pages Result Jun 6 9:40AM Fax Sent 96654470 0:44 1 OK CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSpECTION PHONE LINE 247 Application Number . . . . . 06-00034450 Date 12/15/06 Property Address . . . . . . 150 12TH ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6276 -------------------------------------------------------7-------------------- Application desc new roof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. BELDOM CONSTRUCTION SERVICES 150 12TH STREET INC ATLANTIC BEACH FL 32233 Q/A:MIKHET,YURIY JACKSONVILLE FL 32225 (904) 472-9203 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6276 Expiration Date . . 6/13/07 ---------------------------------------------------------------------------- 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 pEW*JaT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: F22 Owner of Property: e,--A, 7�.j Address: 16-e) /Z:t6 st Telephone: 2vz— 45'?-T Contractor: &U��U ��9 �Iw 2-t"c State License Number: e-e(- 13Z 71W Contractor's Address: 0:5-3 64-"A4 Telephone: Fax: Scope of Work: Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: 64, 2 7 Florida Product Approval#(or NOA#froeiami-Dade) rL Product Name(Example:Timberline): kti�ekkku- Manufacturer(Example: GAF): ASTM Designation(s): 3019 310 Required Inspections: Sheathing and Final Signature of Owner: Date: If— Z-0 C7 AS TO OWNER: Sworn to and subscribed before me this day of 20 40(,o State of Florida,County of Duval Gail M.Moms Notary's Signature: oa�L-rn ctno—kj -S� 64 Commission#DD2 989 Erpersonally known .......VV Expires March 26,2007 F� Produced identification ,Bonded Tidy PM-fturanoe,Inc 800%%&7019 Type of identification produced Signature of Contractor: -ell Date: AS TO CONTRACTOR: Sworn to and subscribed before me this [Ph day of De ce iyi b e r _,20 , r-)P State of Florida,County of Duval Notary's Signature: DOMIA L IBLTUEY 4 r-1 Personally known SSION D41262 COM 'Mamh EX IRE P0 un2d My COMMSSION#DD 412624 Produced identification FL W"WdTh.t4o"I 4. MaO 30,20D9 Type of identification produced N Awl=t r, EXPIRES Bonded Thfu NOWY POft Ur W'Aers LI-3 L) 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ei.atiantic-beach.R.us Page 1 Revised 11/06 DH FEB-28-2005 19:40 From: To:904 247 5845 P.1/1 fw&lh ,.yrt .1,; out FACSIMILF. TRANSMITTAL SHEET TO: FROM: Dave Hwteder-BA-14 Official Ken Why'"". COMPANY; DATE: CAty of Adantic Beach 1/7/2008 FAX NUMBEK TOTAL NO. OF PACES INCL COVER. 247-5845 PHONE NUMBF.R: SENDEM'S PEFFR1"NCE NUMBEP, 247-5826 iE YOUR]KEFERENCE NUMBER )-"-)K RFSU)Els�. 150 12TH MEET OURGENT Or-oRKfvu-:w OPLEAsrMMMk-Wr EIPTEASLRrPi.-f 0 i,i.T:.Asv- Rr.(-.Y(-i r N(-yq,S/C0NW,,NTS: Dave, We have been retained by Chantal Hook to take over the construction project at 150 12d' Street. Since there is an open permit for this project w6c-h W-Jus obtained by a different contractor, I would like to conduct a walk through of the site with you to deten-rime anyoutstanding items. Please call me to arrange a convenient rinv.. You can reach n-w on iny cell at 334-6108. Thank yvu for your time and understanding. Ken Whyrick FILE COPY 4242 LEXIN(;'I*ON AVENUE — JACKSONVILLE, FL 32210 (904) 226-3434 OFFICE (904) 334-6108 CELT. (904) 384-7675 FAX JEP CONTRACTORS, INC. 1416 Forest Avenue Neptune Beach, FL 32266 Phone (904) 247-9525 FILE COPY Fax (904) 247-1180 FL License #CGC058043 November 28, 2007 Mr. David Hufstetler Chief Building Official City of Atlantic Beach J 800 Seminole Road Atlantic Beach, FL 3 223 3 V Re: Permit # 06-32764 150 12�1 Street Dear Mr. Hufstetler Effective immediately and until further notice, I hereby request that the above building permit no longer be in the name of JEP Contractors, Inc., and that my company and me no longer be held responsible and accountable for the project according to current laws and statutes. Should you have any questions please contact me at (904) 229-6832. Thank you, /oh:nE. Pearson 111, President Notary: dw K. puft ftb of FRbwftw COMM"E*m Fab A 20 Cwra*wW#DD 523M 60fww By N"b* AM. �1 " . "?. , q V - - — - - // - Aq. 0 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: Owner: Telephone#: Contractor: Telephone#: J Contractor Address: Fax#: C2;?!L- Contractor Signature: 4q�; In consideration of permit given for doiWhe 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, New 6;,,melel list the build�permit number Re-Pipe 76'1' Number of Fixtures: C;� Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road-Atlantic Beach, Florida 32233-WS Phone: (904)247-5800- Fax: (904)247-6845* hftp:ltwww.cl.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEAMOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033621 Date 8/02/06 Property Address . . . . . . 150 12TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ----- ------------------- HOOK, ROBERT F. STEEG PLUMBING 150 12TH STREET 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 189 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/29/07 ------------------- --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 189 . 00 189 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 189 . 00 189 . 00 . 00 . 00 PERWT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033824 Date 8/30/06 Property Address . . . . . . 1SO 12TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------ --------------------------------------------------- Application desc REWIRE/NEW ------------------------ --------------------------------------------------- Owner Contractor ------------------- ---- ------------------------ HOOK, ROBERT F. BROOKS & LIMBAUGH ELECTRIC CO 1SO 12TH STREET 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 --------------------------------- ------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH� FLOREDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE(2- I 1-,,' 15 20 IMPORTANT NOTICE: 6 IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,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 ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. TRICAL FIRM: MASTER EL71 '10 %CINATURE: (.A) u OWNERS NAME: ADDRESS:—/!Sc BOX_ BLDG.SIZE BETWEEN: RES.k APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW-( ADDITION( ) TRAILER( ) TEMP-( ) SIGNS( SQ. FT. SERVICE: NEW( INCREASE-�V- REPAIR( CONDUCTOR SIZE Amps:-.? COPPER( ) ALUNt.i4a FEES ,? 5i9c' SWITCH OR BREAKER AMPS PH (� W .. OLT RACEWAY EXIST. SERV. SIZE AMPS PH W 2N%� �"AY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED IOPEN TOTAL 0.30AMPS 31.100AMPS SWITCHES INCANDESCENT FLOURESCENT& M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. IVOLTAGE PHS NO. I H.P. VOLTAGE PHS I a - I - N MIS!�ELLAWOUS 1)&H 6A UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO VA I M= IZE I SWITCH FLASHERS EACH SIGN Updated 5/20/2002 PERMIT WORKSHEET Certificate of Occupancyl Job Address: 12 Type Work: Property Owner: koo Phone # Contractor: "Y Phone # ji, Permit#: Date Issued: 4& - 4;-AP41 0(P-- Building Inspections: Footing Slab. Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Buildi%ng 1 Tree Permit# YES NO Electrical Permit# 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# Inspections: Rough/Underslab Topoutl Water/Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing Sheathing Final F— Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (New Residential & Commercial) Date: 4?k, zenc��Z_ Job Address: 16-0 Owner's Name: 6"j, t2 V7,±3n H�Q C, Address: 5_0 12-41d -(4_ru_-+, P44ardic 6toC,4 ,FL3?_WPhone: 90 Y—Y-72-- e?Z 7e Legal Description: Block Number: el 2 Lot Number: Zoning District: Contractor: ZP e State License Number: Address: 1416 /_�_19re6r 4ve--. Phone: 2 q7 - Z5_ City: A/e 12-J'u tie &_�4A State: F-L Zip: 3 22J66 Fax: 247' // 9>0 Describe proposed use and work to be done: 14-aldl'-Also5 -/A9 ej4-)Ge 23-.��4,, r e r� ee-f'.41z / ', -i bjc,6en _addt'",t At,- 15t_3 -Q ,F re�_& ,,d I d4l _J all f. 9—VA rp 1P b/,J I'l Present use of land or building(s): 61 ".q Ir. f�xtA,V� "i d,-__t t e-c Valuation of proposed construction: 2-0 a,57a Is approval of Homeowner's Association or other private entity required? A.0 If yes,please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? El NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. 5�'YES. See Step 2 below. Approval of the Public Works Departinent is required prior to issuance of a Building Permit. RINO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVALPERA11T ISREQUIRED. 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 �rovide 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, writtenverification must be provided wfth this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantl�,Beaph,FL 32231 Telephone:("9'04)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Page 2 Revised 8/04 AP SHOWING SURVEY � O i 2 of Lots 5 and 6, Block 43, as shown on the Plot of AtlanLit: 84 41 in Plt;t Book 6, Page I of the Current Publi&Racords of Duval Comity, Ilorld(to For:' Tore King-, Inc. 10 0 r gz, 50 Ajo. OC,F,4A1 01.,r. t7l,11P1,3�,C&A'VeAs-FIT 7,wAe A�f, Ave. RAY, PVAAF&,,9,vyV,-A if. AOodf�e. COA?A-1jWA7& off-r LZOXNV RAY, DURDEN, SNYDER & ASSMIATES WftAL VMS SIM &AND MUMMM '7 ! Oft WASM 11*6 CITY OF ATLANTIC BEACH N" BUILDING PERMIT APPLICATION (New Residential & Commercial) Date: 4,0k, Job Address:— Owner's Name: e`b a vi±ra -2 Address: S-0 I 2_41�1 /?+10 -- ,�totj, FL3tWPhone: qo Y—Y-7 2 Legal Description: Block Number: Lot Number: Zoning District: Contractor: —ticlo L"Z . State License Number: C&C— 05'f�,OLVL3 < Address: Phone: -2 L/7 'Z5 Z5 -7--2-ct — City: Ale i2l-u oe- f e-.r-J-, State: F_-L Zip: 3 Z246 Fax: 2 4 7 /I F0 Describe proposed use and work to be done: 1J_41d1--A)"t)5 eJ4�((t-e d —A h fe i Present use of land or building(s): Veit Valuation of proposed construction: ao 42i a Is approval of Homeowner's Association or other private entity required? AO If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? F-1 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. F'YES. See Step 2 below. Approval of the Public Works Depar.,tment is required prior to issuance of a Building Permit. [ErNO. Applicant certifies that no trees will be removed for this project. F-1 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 Departivent 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 topegraphical,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,171, 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Page 2 Revised 8/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001111 Date 8/13/08 Property Address . . . . . . 150 12TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc UPGRADE FROM 200 AMP TO 300 AMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. ERICKSON ELECTRICAL CONTRACTOR 150 12TH STREET Q/A:ERICKSON, FRANK ATLANTIC BEACH FL 32233 12025 BEACH BLVD. JACKSONVILLE FL 3224G (9 04) 64 1-90 90 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/09/09 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CIT*'OF ATILANTiC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 0 FAX NO.:(W4)247-W45 BUILDING-DEPTQCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 11.J-06 ADDRESS. 0 TM 4$0 M MA 11P 13 NO YES PERM IT#:C)�Q PR.7 4.NAME 5.ADDRESS IF DIFFERENT FROM JOBADDRESS: PHONE: HOCK , ADDRESS IF D FFERENT FR�� L ECTR"L CONTRACTM. 7.NAME OF COMPANY: 8.ADDRESS.: SE��-�' 0 li�Ne C_�i pb'A =9 ��- 9.STAgTOF FLORIDA LICENSE NO: I .rLL PHONN I NO.: Ckc- C) k "1 4. 12.EMAIL ADDRESS: 13,!CCE PHONe.-,, 14- le f�n vcc_'nr'�e_�o CIE Loa 21C)" 15.Application is hereby made to obtain'a-ISermit"to do the work and installations as indica ed lee ify that all work will be performed to meet 11 - the standards of all laws regulating construction in this judsdiction. This permit becomes null a v d if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6) ,o hs at ti e after work is commenced. CONTRACTORS SIGNATURE:! I&CLA"011,WORK- W SERqU. 31—ANM 13 MULTI FAMILY-#OF UNITS: :EFRESIDENTIAL v ,9<SINGLE FAMILY 13 TEMP SERVICE 0 COMMERCIAL Coo J'1 ;5 0 ADDITION 0 TRAILOR 13 ALTERATION 13 SIGN LD 0 NEW 0'05 NATIONAL ELECTRICAL CODE E3 REPAIR 13POOLISPA REWIRE 113 OTHER: LIST ALL 91ACTRWAL WOM. 20.TYPE OF SERVICE: 0OVERHEAD JWNDERGROUND 0 UNDERGROUND UP POLE 211.NEW SERVICE: CONDUCTORS PER PHASE: 4(POWER IS ON 0 POWER IS OFF 22.SIZE OF CONDUCTOR: a-Qln AMPACITY:_aDfa_ OCOPPER ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS:_-3LCL PH:_L_ W:__LL_ VOLT:4'J_4_a RACEWAY SIZE: 24.EXIS71NG SERVICE SIZE: AMPS:.2CCL PH:_J_ W: VOLT: __a_ _,QYD RACEWAY SIZE: �211 25.FEEDERS: #OF AMPS: #OF- AMPS: #OF- AMPS: 26.LIGHTING FIXTURES: -INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS: 28.FIRE ALARM: 1 13 YES 0 NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: I 30.RECEPTACLES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS: $1.AN C0NDffXXVNa #OF UNITS. COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HIP RATING: AMPS: HEAT KW.- 33.MOTORS.. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34,TRAN`$TaffihW- UNDER 60OV. NUMBER: KVA OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: 36.1111115CELANEVIUS WAIRS: (—C 00ABFORMBL :RE%ASED:1/10/2008 _Q IALQ�LQ- A_Q_Ca�CtP� 0', -9-6, FROM :ERICKSON ELECTRIC FAX NO. :9046419838 Aug. 13 2008 08:38AM P2 L/ CITY OF ATLANTIC OEACW 00 SOMME 110AID.ATLAWIC MMM,FL AM 08- OFFICE:tq%)247-MX 9 FAX NO-!W41247-sm ELECTRICAL PERMIT APPLICATION DUVAL COUNTY frig A*W. S PERMITS: bo 4.NAWL P 01111:911610 FROM MXMW. -7 m4w*.,- ."";dm.. . - , , , --- Ir.—�, 36"ma"APTC0,_ - TL~OF COWAW' A.ADDRESS.; S�L , 4ry% I t- b-I en okr "rva :.,JLJ=t NY)v,,t (11 Nu 9.VA ArlF PHM 10.964 t Q!2 e 60 Ice^r-se-lo r-41 I'mo-%� 1s4;d IS.AWIcWoo Is hwaby meft to obloh 11feng tI6-d&o"wwk;;-mM W that 0 Wo*WIN be perforMild to Milial 11; ft Mendairds of all two rdqpbdng cwwVucoon in fts jumifftn. Thk pamd bommes rpAl and v d if wofk I*rao iminmenced wrM ft(6) rwom,or 0 corwnxftn or wo*is Kopended or abarWorved fbr a priod of obt 0 at any Ili 9 alW wo*is ownmermd. Swwulm; *MULTI FAMILY-0 OF UNITS, IDENTIAL *SINGLE FAMILY 0 TEMP SERVICE IAL *ADDITION 0 TRAILOR Ir"wom, EC'T I RICAL C *ALTERATION 0 SIGN NEW 11 MIONAL EL ODE *REPAIR 0 POOL I SPA CC (I-ER- M.TYPE OF SERME: C30VERHEAD Q UNDERGROUND Q UNDEI GROUND UP POLE 21.NOW SERME: CONDUCTORS PER PHASE: 0 POWE t IS ON Q POVYIER IS OFF 2L Sall OF COPMCTOR: AMPACITY: E3COPPER 13 ALUMINUM 2L 9VM`CH Oft BREAKER SIZE: AMPS:_ PH- W._ VOLT:— — RACEWAY SIZE: 34.fAs,"No$ERWIN SIZE: ZPS:-20a PH,. W.— VOLT,— — RACEWAY SIU; IDENT a COMMERC D 0 REWRE 26.FEEDERS: *OF_ AMPS:_ #OF_ AMPS- _ 0 OF_ AMPS: INC 2L LIOWMG FUCTURE01, E ANDESCIENT:— FLUORESCENT&M,V. 27.FIXED APPLIAHM: 0-30AMPS.-_ 31-100AMPS:_ OlER100AMPS. IL FIIRE ALARM: a YES a NO AIppLyToWWUWLNrACftY,iW"*AWYANb IAOW"QNS 2g.SMOKII DETECTORS: NUMBER: 30.RECEPTACLE$* 0,WAMPS:_ 31-100AMPS:_ 0 SR 100 AMPS; 31.SWITCHEB: 0-30 AMPS' 31-100 AMPS: 0 fER 100 AMPS: =17,77,= IL AM 0 OF UNITS; COMP,MOTOR HP RATING: AMPS- HEAT KW. OF UNITS., COMP.MOTOR HP RATING: AMPS: HEAT KW. H.057 NUMBER: VOLTAGE: HIP: KVA:— NUMBER: VOLTAGE. HP: ICVA:— UNDER OW 7. NUMBER, KVA.' OVER WW: NUMBEK KVA: 3L DESCRIBE IN DETAIL COAD FORM BLOOM 1116VIZED.-111IMM UN- CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (New Residential & Commercial) Date: Aok,r V, ze-2C2,Z�-, Job Address: Owner's Name: t`14 a a±3ni 67, Address: S-0 I Z46-_&4Ca,+, faagL ggLia r FL,7?223Phone: '?oY-Lr72_- q476' Legal Description: Block Number: 4J 2 Lot Number: 1�� Zoning District: Contractor: /14 z State License Number: 3 < Address: Jop--;2 r e ist Phone: 2 q 7 - - 25 Z 5' city: e_�e.A —State: F_-L Zip: 3 2-266 Fax: 17 47- // Fo 6%-3 Z Describe proposed use and work to be done: lj-dd _740 504nyet r-,-,6,,-11d el Present use of land or building(s): 1"n/ cle-lAiOz-�_ Valuation of proposed construction: S 7,�>a,I a 010 Is approval of Homeowner's Association or other private entity required? A0 If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. E�'YES. See Step 2 below. Approval of the Public Works DepprIment is required prior to issuance of a Building Permit. EErNO. Applicant certifies that no trees will be removed for this project. El)(ES. 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.) 'Me 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. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 2 Revised 8/04 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 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 infbrmation in a clear and legible manner. I. 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. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept,Planning Dept.,Public Works and Public Utilities. I hereby certify that all information provided with this application is correct. -k t zoog Signature of Owner: cxia� A/__ Date: I hereby certify that I have read and examined this application and know 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,includingthe governing of construction or the Xrformance of construction*he property. I understand that the issuance of this pen-nit is contingent upon the above information being true a/dhorrect and that the plans p rt. sup o ing data have been or shall be provided as required. Signature of Contractor: Date:. cic Address and contact info/rmation of person to receive all correspondence regarding this application(please print). Name: JE r ifoof-rc-g-tOry "e— Mailing Address: A4?1,r k,�,Q Re-4-e"4 Phone:l�fY- Zi17— :?5_2_�r Fax: ;?-Y7 //FQ E-Mail: j e e-11 h' 7-Vy 5>:3 Z- _1J AS TO OWNER: W� Sworn to and subscribed before me this ID day of APAiL, 20A( State of 0*hmaA.Skoblow Commission#DD451782 Expires September 7,2009 Notary's Signature: Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of APltj � 200/0 . State of Florida,County of Dilyal P1, Kathleen A.Skoblow 0 Notary's Signature. Commission#DD451782 9 Expires September 7,2009 O'� Personally known or4W Tm F&-WOMM,ft WO�US7019 Produced identification Type of identification producedFi, --.Ddjvade15 J-wt,4a_Asr 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone- (904)247-5800 Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032764 Date 5/05/06 Property Address . . . . . . 150 12TH ST Tenant nbr, name . . . . . . ADDITION TO 3 STORY SFR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor ------------------------ ------------------------ HOOK, ROBERT F. JEP CONTRACTORS INC 150 12TH STREET 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247-9525 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 760 . 00 Plan Check Fee 380 . 00 Issue Date . . . . Valuation' 200000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 980 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 760 . 00 760 . 00 . 00 . 00 Plan Check Total 380 . 00 380 . 00 . 00 . 00 Other Fee Total 1015 . 00 1015 . 00 . 00 . 00 Grand Total 2155 . 00 2155 . 00 . 00 . 00 IPERMrr IS"]PROVED ONLY IN ACCORDANCE WffH AI.L Crff OF ATLANnC BEACH ORDINANCES AND THE FLORIDA BUnDING CODE& All BUELDING OFFICIAL SM AD SHOWING 'SURVEY , OFr IBM owl VD P.71 14 Mo NOTICE OF COMMENCEMENT State of FLO 4,cta Tax Folio No. County Of I To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved:lw-s+ 1/z 2� /0+-S I A,4 4. a- I fe- (4 3 4±10,44 (I ue)fid;w-q j I,ta,4---HA-D-u aj�ya Ag t,6 ,-� Lo j 'A 1,1,k Z�L L21-1- 6::2 IV 0-0 )Jim pr6ved:-41AP' C"jzdA;4= 12',A-, I 1"g 4 0 C42 -r /lZU /-i�(4 tlye Address ot property bein 6 4-,Q0 - :��- Ae - -- 4 � — General description of improvements: .4j2P I r.,cA�S Rg5A/0 V4-r f A,'-S Owner: (7�a—A4-o 6 Av i I hed�- Ic Address: 1.�o ( 2-+-fj S4j(-,tt-+ -3 2-2-13 Owner's interest in site of the improvement; t---e -�,rh, Fee Simple Titleholder(if other than owner): 4 1 ',4 Name: I I 1:::�4 Address: / V I/ i ontractor: -ro t-s r-- Address: oP:�'c re--sl- AV14'. 02L%tee )3e-e,,,4 Phone No: -*4 -2 7— 25 Z 5- 'Fax No: ?t,,f q-,7 Surety(if any): 4 Address: 44 Amount of Bond$ Phone No: V / j Fax No: Name and address of any person making a loan for the construction of the improvements. Name: N c3�kle Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address:__� sa.L-Ha j:jjA&ZL-1- C 4,-e p,+ ) Tr,cAQ P,)'U-y &a �,L 2 2 J-(�, Phone No: 2.(4:7�- L� X-�q Fax-No: q&V — 7(4!a— 1 �-7 !q, In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: 7� 1 4 Address: z zi Phone No: / V f I Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): Doc#2006126016,OR BK 13190 Page 647, ONVNER Number Pages:I Filed&Recorded 04/11/2006 at 01:21 PM, Signed: aa-41" Date- )qP01,1 /,P-j za�,,g JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Beforemethis J4*1� dayof f-IFIR It—in the ounty RECORDING$10.00 of Duval State of Florida,has personally appeared , /,, -1 UAN' -M" wg?ew bar-*4a Mir Notary Public at Large, State oTF]orida,County of Duvk. mm ssion expi es: ttl pv Kathleen A Skob ht ally Known: or rCommission DD451W ed Identification: j,:OT Expires September 7,2009 Sv4W Tmy Fa%-ftwvve,hic wo-3wlois MAP SHOWING 1/2 of Lots 5 and 6, Block 43, as shq-n oil the Plot of Atlantic Stinclirz us I of the Current PubjjL�Rbcords of Duvftl Cnimly. I-hirida. in PIA Book 6. Page For:' Tore 1(ing I Inc. 0 f 4�j 4K d". 0 4 tk iv UEN' 1z ty RAI LZVZNV L�—�Xw FORM 60OA-2004 EnergyGauge@ 4.0 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Commu'nity Affairs Residential Whole Building Performance Method A Project Name: Hook Addition &Renovation-Whole House Builder: JEP Contractors, Inc. Address: 160 12th Street Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:24.0 kBtu/hr 3. Number of units,if multi-family I - SEER: 13.00 4. Number of Bedrooms 4 - b. Central Unit Cap:36.0 kBtu/hr 5. Is this a worst case? No SEER: 13.00 6. Conditioned floor area(ft2) 3024 ft2 - c. Central Unit Cap: 18.0 kBtu/br 7. Glass typel and area:(Label reqd.by 13-104.4.5 if not default) SEER: 13.00 a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble Default)487.0 W - a. Electric Heat Pump Cap:24.0 kBtu/hr b. SHGC: HSPF:7.70 (or Clear or Tint DEFAULT) 7b. (Clear)487.0 ft2 - b. Electric Heat Pump Cap:36.0 kBtuft 8. Floor types HSPF:7.70 a. Raised Wood R=19.0,382.0 W _ c. Electric Heat Pump Cap: 18.0 kBtu/hr b. Slab-On-Grade Edge Insulation,0 R=0.0,180.0 W HSPF:7.70 c. I Others 66.0 W 14. Hot water systems 9. Wall types a. Electric Resistance Cap:65.0 gallons a. Concrete,Int Insul,Exterior R=3.0,812.0 ft2 EF:0.90 b. Concrete,Int Insul,Adjacent R=3.0, 133.0 ft2 b.N/A c. Frame,Wood,Exterior R=11.0, 1988.0 ft2 d. Frame,Wood,Adjacent R=11.0, 192.0 ft2 c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0, 13 79.0 ft2 15. HVAC credits b. Single Assembly R=1 9.0, 112.0 ft' (CF-Ceiling fan,CV-Cross ventilation, c. Under Attic R=19.0, 139.0 ft2 HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0, 125.0 ft2 MZ-C-Multizone cooling, b. 2 Others 150.0 ft MZ-H-Multizone heating) Glass/Floor Area: 0.16 Total as-built points: 41852 Total base points: 43941 PASS I hereby certify that the plans and specifications covered by Review of the plans and "ME S this calculation are in compliance with the Florida Energy specifications covered by this Code. 0-4-)eV r calculation indicates compliance PREPAR�D BY; with the Florida Energy Code. DATE: (4116 ID-6, - 0 Before construction is completed I this building will be inspected for I hereby certify that this bulld�'Fp,as d cp qsigp/.,4a in _mpliance compliance with Section 553.908 with the Florida Energy Col Florida Statutes, We OWNERJAGENT: BUILDING OFFICIAL: DATE: '7L DATE: 0 G 1 Predominant glass type.For actual glass type and areas,seeSurn�mr&-W-inter Glass output on pages 2&4. EnergyGaugeS(Version: FLRCSB v4.0) FORM 60OA-2004 EnergyGauge@ 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 150 12th Street,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT GLASSTYPES .18 X Conditioned X BSPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF Points .18 3024.0 20.04 10908.2 Double,Clear N 7.5 7.9 20.0 19.20 0.72 276.0 Double,Clear N 5.2 7.9 20.0 19.20 0.78 299.8 Double,Clear W 1.5 7.0 8.0 38.52 0.94 289.4 Double,Clear W 7.5 7.9 20.0 38-52 0.54 418.0 Double,Clear S 1.5 13.0 12.0 35.87 0.99 425.8 Double,Clear E 1.5 25.0 40.0 42.06 1.00 1677.2 Double,Clear N 7.5 7.9 20.0 19.20 0.72 276.0 Double,Clear W 1,5 13.0 24.0 38.62 0.99 919.6 Double,Clear W 1�5 7.0 7.0 38.52 0.94 253.2 Double,Clear N 1.5 7.0 14.0 19.20 0.96 256.7 Double,Clear W 1�5 7.0 56.0 X52 0.94 2025.6 Double, Clear S 1.5 7.0 8.0 35.87 0.89 256.7 Double,Clear W 1�5 7.0 20.0 38.52 0.94 723.4 Double,Clear S 1.5 6.2 31.0 35.87 0.86 961.6 Double,Clear E 1.5 3.0 4.0 42.06 0.73 122.1 Double,Clear E 1.5 14.0 13.0 42.06 0.99 543.7 Double,Clear E 1.5 15.0 8.0 42.06 0.99 334.7 Double,Clear E 1.5 15.0 42.0 42.06 0.99 1757.3 Double, Clear N 7�5 7.0 20.0 119,20 0.70 268.7 Double,Clear W 1.5 9.0 38.0 38.52 0.97 1420.5 Double,Clear S 1.5 4.3 10.0 35.87 0.76 273.2 Double,Clear E 1.5 4.3 10.0 42.06 0.84 351.5 Double,Clear E 1�5 6.2 42.0 42.06 0.92 1622.7 As-Built Total: 487.0 15783.3 WALL TYPES Area X BSPM Points Type R-Value Area X SPM = Points Adjacent 325.0 0.70 227.5 Concrete, Int Insul,Exterior 3.0 812.0 1.30 1055.6 Exterior 2800.0 1.70 4760.0 Concrete,Int Insul,Adjacent 3.0 133.0 0.80 106.4 Frame,Wood, Exterior 11.0 1988.0 1,70 3379.6 Frame,Wood,Adjacent 11.0 192.0 0.70 134.4 Base Total: 3125.0 4987.5 As-Built Total: 3125.0 4876.0 DOOR TYPES Area X BSPM Points Type Area X SPM Points Adjacent 18,1 2.40 43.4 Exterior Wood 210.0 6.10 1281.0 Exterior 210.0 6.10 1281.0 Adjacent Wood 18.1 2.40 43.4 4 Bass Total: 228.1 1324.4 As-Built Total: 228.1 1324.1 EnergyGauge@ DCA Form 60OA-2004 EnergyGaugeC/FlaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge@ 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 150 12th Street,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT CEILING TYPES Area X BSPM Points Type R-Value Area X SPM X SCM Points Under Attic 1480.0 1.73 2560.4 Under Attic 30.0 1379.0 1.73 X 1.00 2385.7 Single Assembly 19.0 112.0 5.64XI.00 631.7 Under Attic 19.0 139.0 2.34 X 1.00 325.3 Base Total: 1480.0 2560.4 As-Built Total: 11630.0 3342.6 FLOOR TYPES Area X BSPM Points Type R-Value Area X SPM Points Slab 180.0(p) -37.0 -6660.0 Slab-On-Grade Edge Insulation 0.0 18M(p -41.20 -7416.0 Raised 448.0 -3.99 -1787.5 Raised Wood,Post or Pier 19.0 66.0 0.77 50.61 Raised Wood,Adjacent 19.0 382.0 0.40 152.8 Base Total: -8447.5 As-Built Total: 628.0 -7212.6 INFILTRATION Area X 8SPM Points Area X SPM Points 3024.0 10.21 30875.0 3024.0 10-21 30875.0 Summer Base Points: 42208.0 Summer As-Built Points: 48758.7 Total Summer X System = Cooling Total X Cap X Duct X System X Credit Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DIVI x DSIVI x AHU) (sys 1:Central Unit 24000 btuh,SEER/EFF(l 3.0)Ducts:Unc(S),Unc(R),Gar(AH),R6.0(lNS) 48759 0.31 0.09x1.147x0.95) 0.263 1.000 4410.2 (sys,2:Central Unit 36000 btuh SEERIEFF(l 3.0)Ducts:Unc(S),Unc(R),Int(AH),R6.0(INS) 48759 0.46 (`1.09x1.147x0.86) 0,263 1.000 6615.4 (sys 3:Central Unit 18000 btuh,SEER/EFF(13.0)Ducts:Unc(S),Unc(R),Int(AH),R6.O(INS) 48759 0.23 (1.09XI.147xO.86) 0.263 1.000 3307.7 42208.0 0.4266 18005.9 48758.7 1.00 1.120 0.263 1.000 14333.3 EnergyGauge-DCA Form 60OA-2004 EnergyGaugeO/FlaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge@ 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 150 12th Street,Atlantic Beach, Fl, 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 Pointi .18 3024.0 12.74 6934.6 Double,Clear N 7.5 7.9 20.0 24.58 1.02 500.2 Double,Clear N 5.2 7.9 20.0 24.58 1.01 497.9 Double,Clear W 1.5 7.0 8.0 20.73 1.02 168.5 Double,Clear W 7.5 7.9 20.0 20.73 1.16 481.4 Double,Clear S 1.5 13.0 12.0 13.30 0.99 158.5 Double,Clear E 1.5 25.0 40,0 18.79 1.00 754.5 Double,Clear N 7.5 7.9 20.0 24.58 1.02 500.2 Double,Clear W 1.5 13.0 24.0 20.73 1.00 498.3 Double,Clear W 1.5 7.0 7.0 20.73 1.02 147.5 Double,Clear N 1.5 7.0 14,0 24.58 1.00 344.6 Double,Clear W 1.5 7.0 56.0 20.73 1.02 1179.8 Double,Clear S 1.5 7.0 8.0 13.30 1.07 114,2 Double,Clear W 1.5 7.0 20.0 20.73 1.02 421.4 Double,Clear S 1.5 6.2 31.0 13.30 1.11 456.6 Double,Clear E 1.5 3.0 4.0 18.79 1.12 84.2 Double,Clear E 1.5 14.0 13.0 18.79 1.01 245.9 Double,Clear E 1.5 15.0 8.0 18.79 1.01 151.3 Double,Clear E 1.5 15.0 410 18.79 1,01 794.2 Double,Clear N 7.5 7.0 20.0 24.58 1.02 501.0 Double,Clear W 1.5 9.0 38.0 20.73 1.01 793.9 Double,Clear S 1.5 4.3 10.0 13.30 1.29 171.1 Double,Clear E 1.5 4.3 10.0 18,79 1.07 200.2 Double,Clear E 1.5 6.2 42.0 18.79 1.03 815.7 As-Built Total: 487.0 9981.6 WALL TYPES Area X BWPM Points Type R-Value Area X WPM = Points Adjacent 325.0 3.60 1170.0 Concrete,Int Insul, Exterior 3.0 812.0 7.30 5927.8 Exterior 2800.0 3.70 10360.0 Concrete,Int Insul,Adjacent 3.0 133.0 5.10 678.3 Frame,Wood,Exterior 11.0 1988,0 3.70 7355.6 Frame,Wood,Adjacent 11.0 192.0 3.60 691.2 Base Total: 3125.0 11530.0 As-Built Total: 3126.0 14652.7 DOOR TYPES Area X BWPM Points Type Area X WPM = Points Adjacent 18.1 11.50 208.0 Exterior Wood 210.0 12.30 2583.0 Exterior 210.0 12.30 2583.0 Adjacent Wood 18.1 11.50 208.0 Bass Total: 228.1 2791.0 As-BulltTotal: 228.1 2791.0 EnergyGaugeS DCA Form 60OA-2004 EnergyGauge(@/FfaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGaugeO 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 160 12th Street,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM Points Under Attic 1480.0 2.05 3034.0 Under Attic 30.0 1379.0 2.05 X 1.00 2826.9 Single Assembly 19.0 112.0 1.86 X 1.00 208.3 Under Attic 19.0 139.0 2.70 X 1.00 375.3 Base Total: 1480.0 3034.0 As-Built Total: 1630.0 3410.6 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM Points Slab 180.0(p) 8.9 1602.0 Slab-On-Grade Edge Insulation 0.0 180.0(p 18.80 3384.0 Raised 448.0 0.96 430.1 Raised Wood, Post or Pier 19.0 66.0 0.88 57.8 Raised Wood,Adjacent 19.0 382.0 2.20 840.4 Bass Total: 2032.1 As-Built Total: 628.0 4282.2 INFILTRATION Area X BWPM = Points Area X WPM Points 3024.0 -0.59 -1784.2 3024.0 -0.59 -1784.2 Winter Base Points: 24637.6 Winter As-Built Points: 33333.9 Total Winter X System = Heating Total X Cap X Duct X System X Credit Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Electric Heat Pump 24000 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Gar(AH),R6.0 33333.9 0.308 (1.069xl.169xO.95) 0.443 1.000 5152.2 (sys 2:Electric Heat Pump 36000 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Int(AH),R6.0 33333.9 0.462 (1-069XI.16gxO.88) 0.443 1.000 7728.3 (sys 3:Electric Heat Pump 18000 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Int(AH),R6.0 33333.9 0.231 (1.069x1.169x0.88) 0.443 1,000 3864.1 24537.6 0.6274 16394.9 33333.9 1.00 1.134 0.443 1.000 167".6 EnergyGaugeTm DCA Form 60OA-2004 EnergyGaugeS/FlaRES'2004 FLRCSI3 v4.0 FORM 60OA-2004 EnergyGauge@ 4.0 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 150 12th Street,Atlantic Beach, Fl, PERMIT#: BASE. __AS-BUILT WATER HEATING Number of X Multiplier Total Tank EF Numberof X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 4 2635.00 10540.0 65.0 0.90 4 1.00 2693.56 1.00 10774.2 As-Built Total: 10774.2 CODE COMPLIANCESTATUS BASE AS-BUILT Cooling + Heating + Hot Water Total Cooling + Heating + Hot Water Total Points Points Points Points Points Points Points Points 18006 16395 10540 43941 14333 16745 10774 418,52 PASSj j,VVURE S 0 EnergyGaugeTm DCA Form 60OA-2004 EnergyGaugeS/RaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge@ 4.0 Code Compliance Checklist Residential Whole Building Performance Method A - Details [ADDRESS: 150 12th Street,Atlantic Beach, Fl, PERMIT 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABCAA Maximum:.3 cfm/sq.ft.window area; .5 dm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wail; 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 top plate. Floors 606.1.ABC.1.2.2 Penetrationslopenings>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,penetrations 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. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor 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 REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.l.ABC.3.2.Switch or clearly marked cir breaker(electric)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 efficiency of 78%. Showerheads 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,fitt ings, 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-1 9.Common walls-Frame R-1 1 or CBS R-3 both sides. Common ceiling&floors R-1 1. EnergyGaugeTm DCA Form 60OA-2004 EnergyGaugeS/F]aRES'2004 FLRCSB v4.0 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* 83.1 The higher the score,the more efricient the home. 150 12th Street, Atlantic Beach, Fl, 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:24.0 kBtu/hr 3. Number of units,if multi-family I - SEER:13.00 4. Number of Bedrooms 4 - b. Central Unit Cap:36.0 kBtu/hr 5. Is this a worst case? No SEER: 13.00 6. Conditioned floor area(W) 3024 ft2 c. Central Unit Cap: 18.0 kBtu/hr 7. Glass type I and area:(Label reqd.by 13-104.4.5 if not default) SEER: 13.00 a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a.(Dble Default)487.0 ft, a. Electric Heat Pump Cap:24.0 kBtu/hr b. SHGC: HSPF:7.70 (or Clear or Tint DEFAULT) 7b. (Clear)487.0 ft2 b. Electric Heat Pump Cap:36.0 kBW/hr 8. Floor types HSPF:7.70 a. Raised Wood R=19.0,382.0 ft2 c. Electric Heat Pump Cap: 18.0 kBbmlir b. Slab-On-Grade Edge insulation,0 R=0.0,180.0 ft2 HSPF:7.70 c. I Others 66.0 ft2 14. Hot water systems 9. Wall types a. Electric.Resistance Cap:65.0 gallons a. Concrete,Int Insul,Exterior R=3.0,812.0 ft2 EF:0.90 b. Concrete,Int Insul,Adjacent R=3.0'133.0 ft' b.N/A c. Frame,Wood,Exterior R=I 1.0,1988.0 ft2 d, Frame,Wood,Adjacent R=I 1.0,192.0 ft2 c. Conservation credits e. NIA (HR-Heat recovery,Solar 10. Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0, 1379.0 ft2 15. HVAC credits b. Single Assembly R=19.0,112.0 ft2 (CF-Ceiling fan,CV-Cross ventilation, c. Under Attic R=19.0, 139.0 ffl HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,125.0 ft2 MZ-C-Multizone cooling, b. 2 Others 150.0 ft 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) in this home before final inspection.Oth"ise,a new EPL Display Card will be completed based on installed Cod nt fea es. Builder Signature: '74&41f_r1_ ' Date: VC M-7t, Address of New Home: City/FL Zip:ZM�4_f It *NOTE: The home's estimated energy performance score is only available through the FLAIRES computerpro This is not a Building Energy Rating. Ifyour score is 80 or greater(or 86for a US EPAIDOE EnergyStarT"designation), your home may qualifyfor energy qfficiency mortgage(EE" incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 3211638-1492 or see the Energy Gauge web site at www.fsec.ucfedufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Af 8 1 .fairs at 501487- 824. 1 Predominant glass type.For actual glass type and area,,see Summer&Winter Glass output% ges 2&4. nergyGauge(9(Version: FLRCS`A v4.0) RIGHT-J LOAD AND EQUIPMENT SUMMARY First Floor Energy Design Systems Job: 4/13/06 1065 Oak Vale Rd,Jacksonville,F1 32259 Phone:904-287-5339 Fax:904-287-1258 Email:energydesignsystema(Mgmall.com Project Information For: Hook Residence 150 12th Street,Atlantic Beach, Fl Notes: Design Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 OF Outside db 92 OF Inside db 72 OF Inside db 72 OF Design TD 33 OF Design TD 20 OF Daily range L Relative humidity so % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 22448 Btuh Structure 17214 Stuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 22448 Btuh Use mfg.data n Rate/swing multiplier 0.97 Infiltration Total sens. equip. load 16697 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 Internal gains 690 Btuh Ventilation 0 Btuh Area(ft2) Heatin Coolin Infiltration 2773 Btuh 1039 1031 Total latent equip. load 3463 Btuh Volume(ft ) 8359 8359 Air changes/hour 1.02 0.45 Total equipment load 20160 Btuh Equiv.AVF (cfm) 142 63 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n1a n/a n/a n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Stuh Latent cooling 0 Btuh Heatintemp rise 0 OF Total cooling 0 Btuh Actual eating fan 0 cfm Actual cooling fan 0 Cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 6.0.66 RSR2978 2006-Apr-14 12:02:48 vvrsoghtSC:)ft Right-Suita ResidentialTM ACCK cmocuments and settingskcustomarkMy DocumentsWightsoffiHook,15012th St.,Atlarttic Besch.rsr Page 3 RIGHT-J LOAD AND EQUIPMENT SUMMARY Second Floor Energy Design Systems Job: 41113/06 1065 Oak Vale Rd,Jacksonville,Ff 32259 Phone:904-287-5339 Fax:904-287-1258 Email:anergydesignsystemsegmail.com Project Information For: Hook Residence 150 12th Street,Atlantic Beach, FI Notes: Design Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 OF Outside db 92 OF Inside db 72 OF Inside db 72 OF Design TD 33 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 19023 Btuh Structure 23940 Btuh Ventilation air 0 Cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 19023 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total sens, equip. load 23222 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 Internal gains 460 Btuh Ventilation 0 Btuh Heatin Coolin Infiltration 3373 Btuh Area(ft') 1 361 1369 Total latent equip. load 3833 Btuh Volume(ft) 12175 12175 Air i;hanges/hour 0.85 0.38 Total equipment load 27055 Btuh Equiv.AVF (cfrn) 173 77 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a n/a n/a n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temp rise 0 OF Total coo.ling 0 Btuh Actual heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual i 7th Ed. ,—Z– vvri0htSC:)ft Right-SulteResidentiai,-5.0.66RSR29784 2006-Apr-14 12:02:48 jCC-K coocuments and ssaingsXcustomeMy DocumentsWrightsoffil-look,1501 2th St.,Atlantic Beach.rsr Page 1 RIGHT-J LOAD AND EQUIPMENT SUMMARY Third Floor Energy Design Systems Job: 4113106 1065 Oak Vale Rd,Jacksonville,F1 32259 Phone:904-287-6339 Fax:904-287-1258 Email:energydesignsysternsQgmall.corn Project Information For: Hook Residence 150 12th Street,Atlantic Beach, F1 Notes: Design Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Summer Design Conditions Outside db 39 OF Outside db 92 OF Inside db 72 OF Inside db 72 OF Design TD 33 OF Design TD 20 OF Daily range L Relative humidity 50 % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 9346 Btuh Structure 13007 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 9346 Btuh Use mfg. data n Rate/swing multiplier 0.97 Infiltration Total sens. equip. load 12617 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 Intemal.gains 460 Btuh Ventilation 0 Btuh Heatin Coolin Infiltration' 1500 Btuh Area(ft2) 6N 6N Total latent equip. load 1960 Btuh Volume(W) 5554 5554 Air changesthour 0.83 0.37 Total equipment load 14577 Btuh Equiv.AVF (cfm) 77 34 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a n/a n/a n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btu h Latent cooling 0 Btuh Heatin temp rise 0 *F Total cooling 0 Btuh Actual Yleati ng fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. vviriSjHtSC)ft Right-SufteResidentiai-5.0.66RSR29784 2006-Apr-14 12:02:48 CADocurnents and settingskeustornerNy DocurnenwWrightsoffiHook,15012th StAtlanfic Beach.rsr Page 2 '77 CITY OF ATLANTIC BEACH �"D PERMIT CALCULATION SHEET Date Permit Number Address Contact Name Phone Heated Square Footage @ per sq ft=$ Garage Shed @ $_per sq ft=$ Carport Porch @ $_per sqft=$ Deck @ $_persqft= $ Patio @ $_persqft= $ TOTAL VALUATION: $ Total Valuafion ist s Remaining Value $ perthousand or portion thereof CONSTRUCTION TYPE- TOTAL BUILDING FEE $ ZONING: + 1/-2 Filing Fee $ FLOOD ZONE: )Fireplaces@$3 5.00 $ IMPERVIOUS SURFACE; AB CONSTRUCTION SURCHARGE $ CAPITAL IMPROVEMENT $ CITY RADON SURCHARGE $ SECTION H IMPACT FEE $ SEWER IMPACT FEES s SEWER TAP FEES $ *VIA ST CONSTRUCTION SURCHARGE $ STATE RADON SURCHARGE , $ WATER CONNECT/METER ONLY s WATER CONNECT/TAP &METER $ WATER CROSS CONNECTION $ WATER IMPACT FEE $ OTBER $ GRAND TOTAL DUE: 1/13/03 CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane Atlantic each,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 32- 164_ Property Address: 12- 7-H J7-,P-I t 7- Applicant: edIVrtAt774S //7 e, Project: =3 4"ry Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Utilities Department and the following items need attention: fVtU'<k M&L&Cepd 6L2d�, lolvP-er lback-Flo, ckpn bm'&dea( COmyej- om Jrg>tm Cfe-jasrv7,5 .2q-7-,<V,24 i� OAA A . "9:4 /L L _rl JZIJ III I I Up Juk/ F" IV r I K Please, submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Revi ak, Public Utilities Director SignWt-de Date Contractor Notified Date raXeJ qlldv CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date Permit Number Address Contact Name ^-Te)tf A-) toe +,,t S C) 0j Phone 22 9 6, X 3 Q Heated Square Footage @ $ per sq ft=$ Garage Shed $ per sq ft=$ Carport Porch per sq ft=$ Deck per sq ft=$ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation ist $ Remaining Value $ perthousand or portion thereof CONSTRUCTION TYPE- TOTAL BUILDING FEE $ ZONING: 12 s-I + 1/2 Filing Fee $ FLOOD ZONE: ( )Fireplaces@$35.00 $ IMPERVIOUS SURFACE:7-co-?- AB CONSTRUCTION SURCHARGE $ CAPITAL IMPROVEMENT $ CITY RADON SURCHARGE $ t SECTION H IWACT FEE $ SEWER MACT FEES $ SEWER TAP FEES $ ST CONSTRUCTION SURCHARGE $ STATE RADON SURCHARGE $ WATER CONNECT/MIETER ONLY $ WATER CONNECT/TAP&METER $ WATER CROSS CONNECTION $ WATER MACT FEE $ �t Ivey OTHER $ GRAND TOTAL DUE: $ 1/13/03 J "I CITY OF ATLANTIC BEACH C WS BUILDING / ZONING DEPARTMENT ��rd 800 Seminole Road Atlantic Beach,Florida 32233 ((904)247-5845 Fax 'PIA) 904)247-5800 www.coab.us T�t- PLAN REVIEW COMMENTS Permit Application # S2-7&4 Property Address: 167 J 2 771t S7— Applicant: J'�5 � Project: /Hb /—/7 This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 1�� ' C . Date: 2 0 Date Contractor Notified: CITY OF ATLANTIC BEACH P BLIC WORKS DEPARTMENT U 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Perm- it Application # 3 2 -7& 4 Property Address: Z 2 7-R-4 9 7- Applicant: bnllftAof-f� Project: J;ry Your application is approved as noted by the Public Works Department. Final application approval must come from the Buflding Department. KYour pennit application has been reviewed by the Public Works Department and the following items need attention: Ile— /provide erosion and sediment control plans with details. /Eftovide drainage plan. Include pre-development and post-development storage calculations as required by Land Development Regulations 24-66 (b) - 4<1 _ — 5 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(904) 247-5834. Revie k Carper, P.E., Public Works Director Z� Date Signature Contractor Notified Date Co—,xea( !-I ........ ..... . ...... -1-- c.ew,,,o jwx— IS 41 R Wt i T,�L 41� l� I q .41 42 is 2 IS I a Is Is ---------- ---- ----- ............. taw A x y It r OCE,4AI 5OUI-FV,4PO RAY, Z7Z1AV,-11,'9,VVV4'A ll� AMP640C. COO"4WQ.V M Ar r LZGXNV RAY, DURDEN, SNYDER & Assoql�:ms S WtAW8*Wr LAND MU"XMM WATER IMPACT FEE WORKSHEET ADDRESS: -0 4 —3'� DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisfing of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(�Mth or without overhead shower or whirlpool attachments) 2 Bidet 2 C�ombinadon sink and tray 2 Dental lavatory 1 Dishwashing.machine, domesbc 2 Dhnking fountairvIcemaker Y2 Roof drains 2 Hose bib I Kitchen sink, domestic 2 Kitchen sink, domestic.with food waste grinder andlor dishwasher 2 Laundry tray (1 or 2 compartnents) 2 Lavatory 1 Shower compartment, dome,,j�c 2 Sink 2 Urinal 4 Urinai, I gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water cioset, private installation 4 q_ Water closet, pubilic instaflation 6 TOTAL NUMBER OF UNITS�-- MULTIPOED X 20 TOTAL$ �g/,) CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # cR 7 Property Address: Z S 0 2- Applicant: 6 Project: h'a-r-1 T cation has been: Reviewed and the following items need attention: Please re-submit your p . ation when these items have been completed. Reviewed By: Date: 61 Date Contractor Notified: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 32233 ATLANTIC BEACH,FL INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001391 Date 10/07/09 Property Address . . . . . . 150 12TH ST Application type description IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc IRRIGATION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHNSON LAWN SPRINKLER INC. 27 FAIRWAY LANE JAX BEACH FL 32250 (904) 249-8191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- -] OFFICE:(904)247-5826 0 FAX NO.:(904)247-5a45 BUILDING-DEPTCCOAB,US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS. 2.IS THIS A SUB PERMIT: 3.DATE. 13 NO 13 YES PERMIT#: PROPERW OWNER: 4.N�, A E- S.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHO YE' MECHANICAL CONTRACTOR: 7.NArfE OF,COMPANY: 1 8.ADDRESS.- 9.STATE_7�LO .WICENSE NO: 10 CT,;� FAX NO.: _7_ 12.EMAIL ADDRESS: 13.OFFIQE HO 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. ARI CONTRACTORS SIGNATURE: 15.CLASS OF WORK: BUILDING: Jr 17.SER%nCE. I&CURRENT CODE: •NEW INSTALLATION 0 NEW 11 RESIDENTIAL 13'07 FLORIDA BUILDING CODE7 •REPLACEMENT OF EXISTING SYSTEM 0 EXISTING 13 COMMERCIAL MECHANICAL 13 ALTERATION/ADDITION TO EXIST SYSTEM 13 REPAIR 0 OTHER MECHANICAL EQUJPMENTTO8EJNATAL1 1: `19.HEAT: 0 SPACE 0 RECESSED 0 CENTRAL 0 FCOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM 0 CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: eftn k22.REFRIGERATION: MAX CAPACITY: ch 23.COOLING TOWER: CAPACITY: 9PM 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: �ASCINRY: 28.IRRIGATION: 0 PUMP 0 WELL DIPIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 13 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. FALUE FOR OTHER I TEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING,REFRIGERATII EQUIPMENTCONDENSORS,ETC. NUMBER APPROVING OF UNITS DES RIPTION MO MANUFACTURER TONS AGENCY C QEL# 19 f J_F_4 32.HEATING EQUIPMENT: NUMbhH FURNAr SBOILERS,FIRE LACES.AIR HANDLERS ETC. APPROVINZY- OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY T 33.TANKS: I YFI=LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLOG04 Permit Applicaton Mech:REVISED:12118/2008 �ved Rec;e O,Npe,- ou", Fl. W-4c I ILL A N X OR OF ADDITIONS or CORRECTIONS ' i DO NOT REMOVE JOB ADORESS DATE /0 / THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted e, L_�415.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. DEPARTMENT 0 CITY OF ATLANTIC BEACH,FL411 PERMIT NO.- 5881 PERMIT T UILL)" THIS PERMIT MUST BE POSTED ON JOB Date 3/11/33 19 Valuation$ DLU�IBING Fee$ 13.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. T1 This is to certify that ATLANTIC COAST PLIRIBING 7 has permission to Ja* install 1 w1i (RESIDENTIAL PEPAIR.) Classification SINGLE FA11ILY _Zone RS2 Owned by- WBMF Cecil Stevens Lot Block S/D House No. fift 150 12th Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,n AFTER DATE OF ISSUE 4 10 0 Building material,rubbish and debris zi from this work must not be placed in public space, and must be cleared ,_,up.,ap&,hauled away by either con- traelt�or,,6wner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT . /t�— -1-2v, " - I ,- e) mr JOB LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR e!�199V 129a IN4 AND ADDRESS: IF TELEPHONE NUMBER: STATE LICENSE NO: !:�/a TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED —SINKS SHOWERS LAVATORY —WATER HEATERS —BATH TUBS —DISHWASHERS —URINALS DISPOSALS —CLOSETS —WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER - TOTAL FIXTURE COUNT: $3.5b + $15.00 ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 140ST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 ' SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERINO UP (904) 247-5834 RSF 1-3844 15 5 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ ------- LOCATION INFORMATION Permit Number: 15405 Address :. 150 TWELFTKSTREET Permit Type:PLUMBING ATLANTIC REACH, FLORIDA 3223� Class of work-.ALTERATION LEGAL DESCRIPTION Constr. Type:WOOD FRAME Block: Lot: Twp: 0 Proposed Use; SINGLE FAMILY, Section: 0 Subd: Rng; 0 Dwell ings 0 Subdivision: Est . Value: Improv. Cost : 0 . 00 Total Fee,$ 25 .00 Amount, 25.00 Date '41,1,997 w Z, Work Des SERVICE ...........p, V 10 N APPLICATION, FEES "W" PERMIT Add TREET B14 FLORIDA 3� 4", ft, 5, 7 2', w 1441N'2, Phong 1**� A#OR %`tPORMATION ------ Name� DAVfb GAO% PL 4BING, A, , 3 JACKSONi`,f,""�;� ,",�,E FLORIDA 32-2A9 L-i c. �,C-pq Exp: T 4 00� NOTES: NOTICE-INSPECTIONS MUST BE REOUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOTSE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' 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.REVOCAT VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 0. ,i 9711 Recei0t CHECIS, ATLANT"EACH BUILD[Nfa DEPARTMENT By: I _Pss-384; 1039 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, ------' PERMIT INFORMATION ------ LOCATION INFORMATIO14 ---------- Permit Number ! 9039 Adlress : 150 TWELFTH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 32233k 1%sa 6f Vork: NEW LROAL DESCRIPTION ---------- �"Ion.5 t r - Tvpe � WOOD FRAME Lot , 131 ock Section; r o p a s ed U s e SINOLE FAMILY 70.4nshi P 0 Dvet'l in4s , I Code. 0 Lubdivisip'n'. ATLANTIC BEACH ma t ed value: Esti, V000. $22 . 50 Total $22 . 50 4 �_JW w ot k -D ROOF WITH N V. T ION APPLICATION FEES PERMIT $22 . 50 11d, e s zv rTkj STREET WATt.; IMPACT $0 . 00 lu'D I FEE T '66 CH , PLORIP MIA- pn,_ "k TAP R.A D 0 N 0AS-H.R. S . NFORMATtON EL ,OFTN(,*, ANY kPiTAL 11APROVE1. 1111-1. $f) Or, -41 r .......... j ACK �ILLE � FL 322205 CROt�R -TONNECTION SO 0.0 Type, Q SECH IMPACT FEE cON34T.,SURCHARGE ,k,,t 4, "IE, -sCffx1R1v-A-Tv,�"B"n �Pft NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT Bs;- PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS"ILIEN LAW CAN RESULT IN THE PROPERTY OWNER'PAYING TWICE FOR BUILDING IWIPROVEIVIENTS.9� ,ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000DD0 $a.50 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 9/06/94 01 R*: 0078W CIM 4772 720 CxTr or ALANTIC BRACK ROOFING PERMIT APPLICKTION owner(s) : Address : ZS-0 L!7-1-1" 7- A1'Z--?,v,,-1C- r9r--k/-P h o n e L 7 7 Lot # Block or unit # Subdivision: contractor: OCOPv��Y Address : City, State and Zip- j1q- ,X ��'2 , Phone State License # Pt 4 '7 Describe work to be performed: Valuation of Proposed Construction: 7 dj� Materials to be used:— Signature of Owner; Signature of Contractor: -.. ��4 Liability Insurance Supplied -- Workers Compensation Insurance Supplied_ - License Information- BUILDING AND ZONING INSPECTION DIYISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT ___CALL-IN-NUM-BER--- IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION Street Address: .. S OF Intersecting Streets: Bet�een And BUILDING 11. IDENTIFICATION — To be completed by all applicants In consideration of per-it qi�en for doing the work as desc(ibed in the abcve statement we hereby agree to perform said work in accordance ith the attachLed plans and specifications h;ch are a part hereof and in accordance wiIii the City of Jacksonville ordinances and standards of good practice listed lhereiri. Name of Mechanical Contractors Contractor Print) 0—V Masfer Name of Property Own., Signature of Owner Signature of or Aufhoriied Agent Atchilect or Engineer Ill. GENERAL INFORMATION A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON U/Ele,cfric THIS BUILDING OR SITE? t-J 0 0 G a It—0 LP (3 Natural 0 Carstfal Ulili�y IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oil PERMIT 0 Other — Specify IV. MECHANICAL EQUIPMENT TO If INSTALLED NA/T$1�11E OF WORK IPmv;do complete list of components on back of this forml �4 Residential or El Commercial E� Host C3 Space 0 Recessed 0 Central 0 Fto<w LJ New Building [3 Air Conditioning: [I Room 0 Central 11 xisting Building Duct. System: Mater;al Thicinets.— VReplacement of existing system Maximum capacity c.f.m. U New Installation(No system previously Installed) Refrigeration L-I Extension or add-on to existing system Cooling towar: Capacity 9-P.M. Other — Specify Pre sprinkliers: Number of head- [I Elevator 0 Menliff [-I Escalate, (number) THIS SIPACE FOR OFFICE USE ONLY C] Gasoline purnpi (number) Tairiks Inumber) Remarks LPG contains (number) Unfir*d pressure vessel 0 Ilailem Permit Approyed 6y Date- 0 Other — Specify Permit Fee LIST ALL EQUIPMENT A.IR CONDITIONING AND REFRIGERATION EQUIPMENT Ca acity A=proving Number Units Doucription Model Number Manufacturer Xns) Cy HEATING FURNACES, BOILERS, FIREPLACES Capacity ApplavIng Number Units 1)escriptlon Model Number Manufacturer (HTU) AgftCy TANKS How Many Nominal Capacity Type LlIquid Name of Seriaj Apj�;ving and DImensions Contained Manufacturw No. ncy PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ ------- LOCATION INFORMATION PermitNumber: 15093 Address: 150 TWELFTH STREET, Permit Type:MECHANICAL ALTLANTIC ,BEACH, FLORIDA 3223.1 Class of- Work:ALTERATION --------- LEGAL ,DESCRIPTION ---------- Constr . Type:WOOD FRAME Block., 1ot : ' Twp: 0 Proposed Use: Section: 0 Slubd:0 Rng, 0 Dwellings : I Subdivision: Est . Value: 0.00 Improv. Cost * 0 .00 Total Fees. 25 -00 25.00 , Date 3/,1 1�97', Work De APPLICATION FEES ---------- _,jION -5 25.00 Name Addel�:' STREET 4 1 1 lli* , A B I : FLORIDA 3 2112,3wA�- W, ;�04 4—z 4 2 IT v 4� 4 ,,, 4 _477"A"', ,g Phonr� V, MAY,` AC R ��tQl ORMAT I ON Name: DO A AND A; Addr,:_,�.15, JAX BEA4*1 .�"�-�3'�OLOAIDA 32250 L i c 9 7 Exp. T o � 3 P4 NOTES: NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYI'NG TWICE, FOR BUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO,-� 9,,9�04 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. hate, ATLANTICIBEACH BUILDING DEPARIVENT -By: PAGE 9/97 09-51-43 8/29/97 9-51-25 954 25/97 11-15-43 PRT ERIC VALUE LOC DECIMALS —F4- 4 4 4 4 4 4 4 low, lot, Affil PRINT KEY OUTPUT 5763SSI V3RlM0 940909 S1031596 08/2, DISPLAY DEVICE . . . . . . OSP21 USER JLANIER UT50OUO2 CITY OF ATLANTIC BEACH CHANGE SERVICE ORDER COMMENT MAINTENANCE SERVICE ORDER TYPE m — WP CHECK WATER PRESSURE SVC ORDER NSR 33 STATUS — COMPLETED ISSUE DATE/TIME— 8/ CUSTOMER ID . — 25959 HOOK, ROBERT F. LOCATION ID . — 788 150 12TH STREET CITY . - - 0 a — ATLANTIC BEACH METER NUMBER . — 49825169 SERVICE CD/SEQ — WA 000 WATER TO COMPLETE SERVICE ORDER TYPE INFORMATION, PRESS ENTER. 4=DELETE 5=01SPLAY CMT CD NUM OPT —F4— ALPHANUMERIC VALUE 4 CO CITY SIDE OF SERVICE NEEDS REPLACED co LEFT TAG ON DOOR co DATE 8/26/97 NAME RH/KR READ TG F3=EXIT F4=PROMPT F12=CANCEL F18=ENTER READINGS sit C.)X kt Ali. '4F, 4z 4-7� BUILbING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH, FLORIDA z 0 :t ELECTRICAL PERMIT [i ,ate 712112S Fee $ 20.65 Permit No. 144 3: 0 LU go ocation 150 12t-h Str&at a letween and ;a 'his is to certify that rA4!Z4n& ItIj=kvin (Electrical Contractor) (master Electrician) ;z E ios permission to install Electrical Construction as described herein in ae 0. L" 3ccorclonce with the provisions of the Electrical Code and regulations z )f the City of Jacksonville, and subject to the information shown on the LU 3pplicotion, drawings and specifications which are made a part of this )ermit. or T=2=King QQ11tX&Qt0rA LU Type of work: 1"M r Ai "a SERVICE: conauctor 314/0 AIVA- tViWh 200 &MPJ "WA7 1PU 31W 230 Volt CAbl* Ra LU Feeders- :2 1 0 Outlets: �27 2 1 UA Receptacles: -1.6 ca Switches: 2A ./D/ Incandescent: 27 Fluorescent: Appliances,. 7 Air Conditioning- 1 3 tan .. ism Heat F4 Motors- Transformers. I Bell Signs. Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electric ol inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. "'�PPFZOVED IC BEAGM TVANT CM Ld G OF-FICE Dal Jay APPLICATidN FOR 14ATER CUT-IN t10 THB CITY OF ATLANTIC 73EACH: Application is hereby made for water cut-in at the following address for exe, units. charge of Street Lot Block Subdivisior�� Ordered by: OWNER: Mailing Address-. 2--2- DATE: ACCOU-XT '1110. 14ETER 110. DATE ITISTALL"D: f4, CITY OF ATLANTIC BEACH APPLICATION FOR PLUM-BING PERMIT PERMIT NO. Date : LOCATION 4) 1 -4 Street LOT NO.?,L2 BLOCK NO. V3 S/D OWNER MASTER PLUMBER Bldg. BUILDER OR CONTRACTOR TYPE OF BUILDING IKS BATH TUBS CLOSETS LAVATORY URINALS FLOOR DRAIVS__.�_SHOWERS ;" WATER HEATERS DISHVfASHERS _,�'_DISPOSALS OTHER TOTAL FIXTURES 1 . 0 0 NO WORK MUST BE DONE UNTII A PERMIT HAS BEBY IROCURED PLANS AND SPECIFICATIONS must show a plan nnd description of the size-AAd location of all the soil and vent pipes, and the number and looation of all fixtures, (in acaordanoe with Ordinanoe no. 188 of the City of Atlantic Beash, Flurida) must be shown on baok of appli- cation and be approved by the Plumbing Inspeotor. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED BY4ARKS FINAL INSPECTION: CERTIFICATE ISSUED: FOR OFFICY U ,$E ONLY Date...__6,/?/7__5" .."................19 ------ do CITY OF ATLANTIC BEACH Permit *........................Fee$... ..... Valuation $...... ............ .... .. FLORIDA W* House #........ ........�)... ..�-*-.: ....... ... APPLICATION FOR BUILDING PERMIT .........................................i:s, 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 Atlanfic 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 verihed. Date........................................................................1 19........... Owner.......... .......... .. .....................................Address................................ .................. ------ L;z. Telephone No........... Architect.......................................................----------------------------------------Address,....------------------------------------------------------Telephone No............................. Contractor Builder.-4' ........................................... ............Address--__....................... ......Telephone No..i...... LotNo-_Z�P-3�---------------------------------Block No---------�....... ...,.Sub Division------------------------------------------------------_----------- ..........Zone................. ............................................................Street....:�.........—_'.......Side Between..... .......... ------------------and............. ...........................Sts. Valuation $......... -----------_-----For what purpose will building be used...... ...........Type of constructlon_4,:�....... Dimensions of Building----- ------_:------------Dimensions of Ut---------- .................... _---------_------Size of Footings.................. . .............. Size of Piers--- ...............................Size of Sills.......... ----_------------GTeatest Sill Span in ft---------------------_--Type Roof...........................I How will Building be Heated?----- ----------------...................................Will Building be on Solid or Filled Ground?------.................................. Size of Ceiling Joists----- ............__--------...... Distance on Centers.......... -----_-_------------_ Greatest Span......------ .............................. to Size of Floor Joists----- Z IF -._1----------------------------------Distance on Centers...... .........-----------------------I Greatest Span-----L_�................................ Size of Rafters-.........................__,------------------------ Distance on Centers....-.-'� = ----_-----............... Greatest Span----- - This rectangle is to represent the lot. Locate 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 ane specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 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. 8. Final Inspection. Note: In case of any rejection,re-inspection MUST be called for after 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 of Atlantic Beach. Signature of ......................................................... Address.................I ............. .........�'_J................. Signatureof Owner...............---_--_----_---------....................----_---------- Address............................................................... (f) A� 73 YR Yr IT 71 4�4�1 )1- <1 TM,i UP 51 LP y. it-T L4 all QS bA K 10 T-n Q) iU jr j=1 714 Q> i tA I s1d, /��7 /4 . 71� —71 kj (Ti rl 03 54 3-7�iO4 �p