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Permit 1810 Live Oak Ln (vault folder) CITY OF ATLANTIC BEACH i , 800 SEMINOLE ROAD =r ` ATLANTIC BEACH,FL 32233 A n INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: J»� di 19 Building-deptra?,coab.us Application Number 07-00001609 Date 12/13/07 Property Address . . . . . . 1810 LIVE OAK LN Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 0 -------------------------------------------------------------------------- Application desc paver driveway ------------------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ LAGUE, RON OWNER 1810 LIVE OAK LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 .00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . . 6/10/08 ---------------------------------------------------------------------------- Special Notes and Comments HAD TO DELETE APPROVAL NOTED APN WOULD NOT ALLOW PERMIT TO PRINT ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35. 00 35 . 00 . 00 . 00 PERMIT IS APPROVED.ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BP250U01 CITY OF ATLANTIC BEACH IL/ IL/U / Application Tracking Step Selection by Revision 15: 15: 18 Application nuifitter . . . . : 07 00001609 Address . . . . . . . . . . . 1810 LIVE OAK LN RE number . . . . . . . . 172020-0744- - Application type . . . . , : RIGHT-OF-WAY PERMIT NCR OLD ACCOUNT NUMBERS . . : AB04222 Tenant name, number . . . . . Type options, press Enter. 2=Change 4=Delete 5 View 6=Fast log 8 dation log maintenance 9=In/out maint Path ---- Rey Dates --- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By PUBLIC WORKS A 01 Y 12/11/07 12/17/07 12/11/07 APN CK Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions F8--Xisc info inquiry F9=Corrections report Flo View 3 Fll=Sort by agency F24=More keys CITY OF ATLANTIC BEACH PERMIT rY- -ZONING DEPARTMENT APPLICATION # BUMDING $' 000 Seminole Road Atlantic Beach,Florida 32233 a% (904)247-5800 ; (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM � � REQUIRED DEPT: /8 /e ZI Yt 4,016 - Y PLANNING > Pr®peAddress: z N PUBLIC WOR Applicant. -PUBLIC UTILITIES Y N FIRE DEPT. Project: d>r V6 GJ A V Y N PUBLIC SAFETY U) APPROVAL Ly 00 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w w Y N D.E.P HUFSTETLER ¢� cl�� Y id S.J.R.W.M_ CARPER LU 0_1 Y ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 1 ST REV ® o l 6_ COL._V_ ,k 4XlST/N4 �IvF,way e lvv� ,2�✓h'�i�" r/v c 7`1 2 E I�iF ��'�-y N.I Gl PLANNING ® BUILDING 2ND REV UBLIC WORPCS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Bdilding Department once you have entered your comments into the AS400e 4 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this k� J *'Iday of , 200�� CITY OF ATLANTIC BEACH,FLORIDA, By: a municipal corporation: Property Owner BX- <=�( 'j / JimZ, " on, ity Manager Attest: . �- Rick Carp r, PublicWorks Director STATE OF FLORIDA COUNTY �OF�DUVAL �.y On this `�'''' day of , 200 personally appeared before me, a Notary Public in and for said County and State, L t , the property owner of )bt 0 u Vif W Y. LA he , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. By:i& 'ra'07� � ' Notasaid County and State Property Owner (to be signed in presence of the Notary) K. CUNNINGHAM ` Notary Public•State o+Fbrida _ Commipion Expkea Feb 28,2010 �: •• CommWsion N DD 523638 ', t3onded By National Notary Assn. ,,,a+ Page 2 of 2 Public Works Plan Review Comments Date: 10 f 0f A 6b Initials: ProjectName/Address: V (�/ { j d Application/Permit#: l + i41.p`c r [7�, k.4i m ` *r$''�6^ ",yr 4»,!�'y`��-.r t` 'hi'�T`"t1�'r`�fr:�•..r-..,yy,�,,��ih''�,.0 4��°'i7ln,�;^ i'�.k'i^x:` 3.a-st'�'G. T�..r� "�itr N fin.-"k�,� ud h'-��¢ ��,.�.a+Fe t�.i' ss�.}+' � ��ri.i).�i7;o,F `!1^``�`p 11JCsL LQ71 �C 1nb Q711t1IeII S r pt, r tt ;` r rti� s sh: q zc��"' �a '3r r rr r o.+„ ie ?sA t.f"(a4*1 3 - Tawe ;id�,L 4� f3S' "rrP:cwcnrs�s';iiT+?I F'r �}1�-:.;r r'� ��t`ii �,;,� i `"��rra �1�✓�� a v 1 i�!"ca..:.. ._ ..Y�:;-IFC�r_ n�; ^�a�k�'#rl^ �� ..... .,._ .,"'—..�r 4:i1°P"4.,.��A., Provide impervious surface calculations. Efr Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage lans'showin site flow arrows Ietc. P g topography )------------- ❑ Provide constriction site management plan,including Right-of-Way Permit if using right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing l' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. A Right-of--Way Permit must be obtained. ❑ A Revocable Encroachment Permit must be obtained for ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street 13or drainage feature (swale or stricture) All driveway aprons must be concrete, 5 inches thick,4000 psi,with Ebermesh from the . edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in ❑ the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction fromithe center of the cut. Repair must be shown on [] the plans. AlAoz;w .. S I-IO YY/NG SC1RVE Y OF OT 6 , „SEL VA MA.Q/r'V,4 C//V/T' /V" /OA A S RECO,QOEL7 art/ ,,C:>L.A T Bo aK 36 , 45A GE 60 OF Th/E' CU,QRE/V T oUBL/C / L5-G'OROS O/c- Oma/VA L COUA/T y FL O/Q/OA. orL'4 x o 9 x lb 1' 000 fill tip' h ` /-% %I /I + sF J' LES OEA.4/NGS N. a-,OYES NORTH w ,Soc/rH E EAST W. y WEsr /6' /6 DEGREES /3"' w /SM/MUTES a- ARC OF,ICRC U VE 7 CH DENOTES CHDRO O/STANCE C�D G � DELTA A r ARC O/.STANCE R x 4 eMS7W OF RAO/US /V� TE.S �� L/VS,4 L O/MENS/ON /6.54' DENOTES /6 FEET STENTHS /. rWIS/,f A .604/NOARY SURVEY i NO ¢HUMOR=THS OFA FOOT. t,(N.T,S� OENDTES NOT TO SCALL; (R) DENOTES RAO/AL L/NE !. 6'N'F, •� 6'N/6N IY20o60';rNCE L'H/GH CNA/AI L/�VA^FFNC! FOUNO YZ"/RO.V P/Pf-. 7. SETYC'/P, n SET!,4-/ROW.?/PE-LONS5r5l OENOTCS /GAO/AL/GAO/ALV, !. NOTES CENTER L/NE OF.Q/GNP"OF W.4r /O.OEAq/NG 'STRUCTURE LfASE'O ON R O, 3 G PGS, G O cer' .f�e J +0: 1�' OnAkci E LF%Gut , -TA,,, I.A Gue. TN/SART ~qfY A.,-.ffARJ�O L/F/N '�'�.`=i►Syr/�u�Y- FC 000 I ,rS 'A -AREAS le A400IN/O �o�E,outs/Ot 100 YEAR it000 J PSA/N. Cosh✓UN/TY-PANG[NUMOEip ' /t007,/i,a00/O.MAP REV/SED APR/G /H�-R�'�Y ccvrrFy rrr,4r rHrs svRvt'Y /1.lEET',S' TN.E M/N/�t1UiYf TECHN/CAL. Sr-ANOAROS AS SE"T FO/4Ty QY THE FLOP/OA BOAQG� OF LA/VO SUR✓�YORS FU/4SU,q NT To SCCT/oN 4 72.OZ 7 FLOR/oA sr�rIr-C/rZ S ANO d/NH-6 FL 0,4?1OA AAOA,//,V ISrRAr/O.N COdg e SUR VEYORS,/NC, P,O,BOX 17190 �2ell"�eel awl 1A CKSO/V V11-LE, Np 4 70 7 .32245 N. BR/�cE OURL7EN FZ. 904) 24/-064 Q THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. N t . CITY OF ATLANTIC BEACH J CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASE T 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SET OF PLANS WITH APPLICATION. �? L) Z ©v'7 Date � 7 2PERMIT# 1 ISSUED BY THE CITY Job Address ,.moi ®0 Permitee: v "` v Telephone# / ° Y— ,'TT Permittee Address: 6 Requesting Permission to Construct: tc c r 4 Location: (Reference to Cross-Street) S4 e,I' �- 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ' ate: Bell South Telephone Company Yes ( ) No ( Date: Ferrell Gas Yes ( ) No (/� Date: Comcast Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach o;—Flori a Department of Transportation Standards and be performed under the supervision of /k--' (Contractor's Project Superintendent) located at 1,2_1D =,J j✓ Telephone#:1/04/19 CT1"77 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with "y days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER �vU ? ! , "�K: AMY RENEE CLARK-WHITE Signed: Date: *_ Before me this Zi day of ov. n the County of Duval, : MY COMMISSION#DD891371 State Of Florida,has personally appeared Rona, E. La que EXPIRES July 02,2011 Notary Public at Large,State of Florida County of Duval. '3p"1S3 pbMJeNMry34nft.aom My commission expires: Ol 02 +1 ersonaRyKnowp Produced Identification: A R.O.W. Permit Attachment of for b _,I 4, 6<� R.O.W.Permit# issued ,2005 Atlanti Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: .r Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3) COMPLETE SETOF PLANS WITH.APPLICATION. Date A t PERMIT# Job Address © f v �� /i ISSUED BY THE CITY Permitee: C .� L- "� v x Telephone# / a Y' Permittee Address: 6t Z Requesting Permission to Construct: r c r C 4< / � y t�- t (,7 u"-r) Location: (Reference to Cross-Street) 1, Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ate: Bell South Telephone Company Yes ( ) No Gate: Ferrell Gas Yes ( ) No (�-Date: Comcast Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach olori a Department of Transportation Standards and be performed under the supervision of l✓ (Contractor's Project Superintendent) located at ` 0 y D 4Z-Z" ay a - Telephone*-W'-/ 2*6'77`77 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 1— days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. & It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER d vs/L ��li Signed: Date: 2� 2 1 AMY RENEE CLARK-WHITE L j Before me this 2 7 h day of Mov. in the County of Duval, t MY COMMISSION#DD691371 State Of Florida,has personally appeared RQ1t. 1,3 cru e EXPIRES July 02,2011 Notary Public at Large,State of Florida Count of Duval. j " p153 Fwra.rya,ryservioe.00m My commission expires: 0 Z G Z +1ersona y nown. Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued , 2005 Atlantic Beach,FL 32233 Owner's Name: Property Address: T Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitationsh-equirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this J -day of '2001. CITY OF ATLANTIC BEACH,FLORIDA, By: ;'-4-� a municipal corporation: Property Owner By: Jim Hanson,City Manager Attest: Rick Carper,Public Works Director STATE OF FLORIDA COUNTY �OF�DUVAL On this *h' day of �� , 2007, personaAly appeared before me, a Notary Public in and for said County and State, the property owner of 1,610 (j VC'C 4 L4ne' , Atlantic Beach, Flon%a, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. B �"'Q �- Y No b ' or said County and State Property Owner (to be signed in presence of the Notary) ,gNiuq, K.CUNNINGHAM Notary pubk.Stale of Fbdit •3Ay ConwW fexpkes Feb 2 12010 _ ,, Commissbn ff DD 5236M •�;�„s'` @ended Nabwal No"Assn• Page 2 of 2 rte' CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS � 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SET OF PLANS WITH APPLICATION. Date I " � PERMIT# E f _ 6 ISSUED BY THE CITY Job Address " I Permitee: v ✓ w L �` v x Telephone# y ° Y— � Permittee Address: Requesting Permission to Construct'. /2 6�, r L Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ate: Bell South Telephone Company Yes ( ) No ( rate: Ferrell Gas Yes ( ) No ( � Date: Comcast Yes ( ) No (,�Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach o;—Flori a Department of Transportation Standards and be performed under the supervision of J✓ (Contractor's Project Superintendent) located at `4 �DJ�- Telephone C 7777 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 1' days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER 4 ^� yy,_ `• 'F` Date: �" �1 ; ''sir: AMY RENEE CLARK-WHITE Signed: -'; ••c MY COMMISSION#DD691371 Before me this 2 i th day of ov. n the County of Duval, State Of Florida, has personally appeared RonZ E. I-a 0 EXPIRES July 02,2011 Notary Public at Large,State of Florida Countyof Duval aea oTss Fbdd&NMryServfce.wm My commission expires: O 1 G2 E ersona y nown. Produced Identification: l� C R.O.W. Permit Attachment of for ( V ! ° R.O.W. Permit# issued , 2005 Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this PJ->J 27day of ,200-1 CITY OF ATLANTIC BEACH,FLORIDA, By: a municipal corporation: Property Owner By: Jim Hanson,City Manager Attest: Rick Carper,Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this day of , 200'f, persona ly appeared before me, a Notary Public in and for said County and State, t, the property owner of 115119 y1f - Lan , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. By: No b ' . or said County and State Property Owner (to be signed in presence of the Notary) K.CUNNIKMM Notary Pudic-Stata of Fbdda Comm"m Expbes Feb 28,2010 Co w"m#00 523638 '�y9;..•"` g Malbnai Notary Assn. Page 2 of 2 �r CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 '7 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETI OF PLANS WITH APPLICATION. Date J 2_00--7 / PERMIT# Job Address O L t �` �� I`} ISSUED BY THE CITY Permitee: Telephone# Permittee Address: J b Requesting Permission to Construct: c (', 12 ek u"`3 Location: (Reference to Cross-Street) �- 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( ate: Bell South Telephone Company Yes ( ) No ( ate: Ferrell Gas Yes ( ) No (/�-Date: Comcast Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach olori a Department of Transportation Standards and be performed under the supervision of 1✓ C, rt„c (Contractor's Project 5 Superintendent) located at `a 0 .D '4�-/,` V"✓_� Telephone C77-0 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with °7-' days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER ��_ fid 4, .��._. ..... g /� i/ F+ ✓n - AMY RENEE CLARK-WHITE Si ned: � –- Date: Before me this 2'i h day ofcv. n the Gounty of Duval, '' •': MY COMMISSION#DD691371 State Of Florida,has personally appeared Rona 1 . E. I•a y J e EXPIRES July 02,2011 Notary Public at Large,State of Florida County of Duval. 1 pi53 FwriaeNaeyservce.00m My commission expires: C 1 G Z s l ersona y n— Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued . 2005 Atlantic Beach,FL 32233 Owner's Name: 2— 41 Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page I of 2 USER shall, at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this 2Iday of ,200$ CITY OF ATLANTIC BEACH,FLORIDA, By: lin a municipal corporation: Property Owner By: Jim Hanson, City Manager Attest: Rick Carper,Public Works Director STATE OF FLORIDA COUNTY �O�yF,DUVAL On this '`�'''' day of 200 persona ly appeared before me, a Notary Public in and for said County and State, the property owner of 1�j 0 u VIo LLQ z `Q pep , Atlantic Beach, Flon%a, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. No b ' or said County and State Property Owner (to be signed in presence of the Notary) K.CUNNINGHAM Ndwy Pubic-Shale of FWft • M Commision Expires Feb 28,2010 _ Cion#DD 523638 nQn„•`r 8w"By National NOlaxy Assn. 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I of 1 11/27/2007 10:09 AV, AIA/P SHOWIIVG SC/RV5Y OF OT 6 , SEL VA M.A/Q/A`�9 UN/T I /d A A 5 Rc 4?0iF 11V 6'0 Oi" Tfi/E CU/QR'F1VT ,DOBE/C RE'C'OF'O S OF OU✓,4 L COUN�''Y, FL OR/OA. gyp' V� o ,q V o P .mss a�� /, 0(� 'h a1� oo •/�/�I /2 9 °°� n o3 u 3 y°'*' 4�r tis -J V �o� � ;►, + 'E� <- 'p[S v.M \• ate? ry\ .O ,��/_. � "\ c o 0 C> tpgC GS � 0e1 �\ L ElsE/VL7 \� E7EA.4/N6S Al O�"/OTOS NORTH W. r wEsT ■ /6' /6,OE6REES /SM/NOTES Of`.tRG /9" w /9SEC0//OS OF ARC U VE Cf/ DENOTES C//ORO DISTANCE 4 •• DELTiq ' A ARC O/STANCE LENGT// OF RAO/US NOTES L/NFA[ O/MENS/ON /6,_54' DENOTES /6 FEET, STENTNS /. rwls/f A ANo ¢NuNORE T//S OF AFOOT. t.(N,T,S) OENDTEs NOT TO S6.4L C, �' (R) OENOTES RAO/AL L1,41-6 J.�.Q/W) •# R/GNT C- WAY, 4. SWA .4 6'N/6N N4W,06",NCC. 9. 4'C.L.A. w 4'11/6N CNA/N L/NK FFiVV4r FOUNO /t'/170N PIPE. 7 SET Yr'/•P• « SET%Y'/.gO.VP/PE-LON1Jt'J/ A. (R� OENOTL'.''S .QAO/AL L/NE f. DENOTES CENTtrR L/NE Of R/GNT O,r P1'.IY /O.&EAR/NG ',STRUCTv 4E &ASCO"A A 14 PGS. GO cert��leJ '10: 1�' WAW E t,A Gue., SAS., K 11 AFue. TN/l PRo a�'R1Y APP/AR �J ro C/!/N Ims` «4NPANY o�• (��'nnielo�7Q A;A CC•X ' 1000?DNF'X'-AR//I S OfTQRM/N/O q AA I ro llo11,1s/Os Joa Ya'AR fLaoo J J PL A/N. COMMON/rY-PANGL NUMOE.P ' /d0076 000/O.MAP RCv/SBO APA/L /7/989. /NERCLYY CCRT/FY Tf/AT' TN/S .S URVE'Y MEETS T/YE M/N/iL 1_11! TECHN/GAG STA/VlJAROS AS S"E-'T X 0RTy BY T/!,.— FLOR/AA 60.480 OF LAA1,0 SG/RV.EYORS F�uRSUA/VT To SL'CT/O/V 472.027 FLOf7/OA STATUTES ANO Cf/AVTER /HH-S FG ORioA AOMI.ti%STR.q i'/0/V CDOE. SUR I/EYORS,/AC. PO,BOX /T/B2 _1ACf<,S01VV/1-L5, FL• FLOR/OA RSG/�TGREo ,SuRV OR /V-P ¢707 .3'0245 'Al. B/QCJCE OlJROEN R. THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. IV CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 �' - �• http://ci.atlantic-beach.fl.us Thursday, April 04, 2002 Ronald E. Lague 1810 Live Oak Lane Atlantic Beach, Fl 32233 Subject: Aluminum Roofing Dear Sir, We have reviewed a permit application from Distrito Enterprises, Inc. of 590 Park Ave. Orange City, Fl., to install an aluminum roof shingle on you house at 1810 Live Oak Lane. The shingle as submitted to us is not approved by the Fla. Building Commission and is a relatively new product in our area. We have researched the product for compliance to the Fla. Building Code and it meets all the requirements of Section 1507—Metal Roofing Shingles. The code does not address attaching these shingles to existing roofing shingles, however Section 1507.6.1 states, "Metal roof shingles shall be applied to a solid or closely fitted deck, except where the roof covering is specifically designed to be applied to spaced sheathing." I would not recommend this product be applied as a roof over on existing shingles. Sincerely, Don C. Ford CB Building Official Cc: City Man er File 206 W ,, WPM DMRTWW CW SU-ONG OMY OF ATLANTIC SEACH { PERMIT NI't A " C ---- _� LAI ►N ISI"PCPJMxON e to t t u�rer'R 12069 Addx ► s 8" . LIVE OAK LANE Permit ;TfO'e .M11CH�ICAL� ATLANTIC' .111~�AC"�, �`�+��I�A 32233. lee of work:ALTERATION - __ _�--�- 'LEGAL ?� SCI��Ot t , ��-------- Class -.».... . � C t r. + �: �S I oink sit; Twp, , 0 Fr ee ees Section! � ibdE4 0t�e1' f} subdivision Est . Vali ie. 0 .00 Improv. oset- .ob :Total ,.Ute AnduntiT ION PESMI' 33.00 'Addr: LANE. S, I +Sf. eY R S Ate . t 0 ,,;�#I A11'y��4 few/IDA yy) 1 1 04 4 OERmrr vt)tt)six MONTHS AFTER DATE OF ISSUE y BU,I DtNGi MATERIAL,RUE EI / t1�MMM$,FAW THIS SOS MUST SE I LACED IN I USLIC SPAS,ANIS MUST BE CLEAN UP , I" I,E AWAY,$Y.MTHER C+E3NTRAC110R O owi HE-MECHANIVS1JEN LA LT IN j ,I; f ACCOR I G Tc3.A1'I t1jPi ANS WHICH AAE FART QIy T#IIS t� f M t .. t VII �: .� AE iIcsral caF LAW,, ATLANTT1C BEACH,IWILDINC.I PAWMENT CITY HALL ATL BCH TEL No .2475805 Apr 4 ,96 11 :33 No .005 F .01 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC WACM wT�.ANY,c .twcn, rwttlNl►ssree APPLICATION FOR MECHANICAL PERMIT CALWN NUMil' R IMPORTANT --Applicant to complete all ifefns in sections I, II, Ht, and IV. - t• Flo CATION �'••� Ad�.•wl co latem4tial Pfoot.: �Wv.•*_ Y-n- lf,{.�AGf(iili And , WILDING tob.40wlelox il. IDENTIFICATION -- To be completed by all applicants. In con.;deretion of permit given for doing Ike work •s described in the •bo•e itare-on, we hereby s9ree to perform said work in eccordente wIM M• anac►ud Alen, end 60e6I:ce60n► which ere a parr hereof end in eccerdenca with the Coy o{jactfonvNIO 04n•oce, *(4d cf•ndsrds 0f 90040 proc,;c• h094 N+ewn- Now of OW04"a"I c- Csskest•r, C,..,�t►.etw 1 hc,tt) /�` C� r ..d Metter J`1 G o S 6 7 J- S� Oda" 91 s. fM►pA,f 0woorQv ldvr•1w of O*eer SlenaNn of or Aw"*W Aeeel AreAHeet or Ensi�eer III. 600tAL 1NfvRMATfON A. Tr..04 b." #*W+ 8. Ifl OTMiA OONfiT11UGTr4N 011**0"s 011 THIS AV140I11119 OR SITe 1_/1 p iia—O U Q N.antl p Ce�•nf t1lfMly """"'"� d W IF res, Give t1msest of Wt,sylWCTION Ps11MIT IV. MMOKWIC401t stpuMlArft To M NWAtn NATUM OF WORK (fhv"do esnyises W of""P~%so bsA sf"Ivan) 04 Residom►et or (3 Comnwclol 14"t p tps a Ressea 1 *1 csshd O Iba C7 New Sutlang Arr bgI D R«eee CWOO a Existing 6000v two h"W; 1'mdoet►—,,� ak Riplawrwa of existing system "gob""" ss/esov . ---- - sT ►. 0 New Inetettetron(No system predovoy insto", D fled ig•,stlee Q Extonslon or sdoon to exialtng system D C+siliaf Muer C•rseUtr D oche.— spowry D Aft •piakiaa pswe&sr el O Nuns w C) tt4slih Q (etr�er► TM PACO PM QNgg US"Ky D T tw+�er) RSM O IJi (w,srier) D u,.R•+d N.nw.roue, UNT A" XQtT111'irt>r T Aa COKpITltkCM AND RlIORiMATttlif tQV 'Pfai 7ttit>•Me tis DrtMs xsiM Tfu�IMr illOstwArGpM,a• �! WATM • Ft",4M MoU1tRi r1 tEftActs i1T+Iw6W VKRe G TAKRS Item Of 51WW 1440. 0002505 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT #N talRMA'1 It N - L OCATION INFORMATION Permit Number I 25M ddress�s ��11Q LIVE f.9AI� LANE Permit Type BUILDING ATLANTIC BEACH, F`L,CQ, ��: 3 J� �s� `meg Wcaark ADDI TION l t: M. Blocks Sections a +Cors. Types 4ttCltllL Tcs�w x°�esb iP l IfI;Nt : C3 Propos Urea SINGLE P'AMIL X ubdivisiOn s tim t*d Value" *10001 00 Improv. C"t $0.00 so.00 O.dfl AmC.1uJC1t INN �TIN' � AFPT.ICA`I'CN FEES -- -- "' ' ' PERMIT � O -�}O W IlPACT Its EE ho 7 so Ota F FOR I I1ALANE 'A61 1 j Addra lie k", AT $ RADON GAFv�H. R# S. �a#LICJI CO* RAG � l�t�€t�l!►'�'ItJ -� RADON OAS - ►# " WATER TAP _.,. . NP !lAir 113Y ;I[.,C!!'MElt'' C4 .. n o.00 9 ddress% 323 �A ;� 1C I3t.VD SEWER 'I'�tP EACH# FL. 3,2233 HYDRAULIC SHARE sI�Q.C1C) ATL�AM�� RE-INSPECT F"EE ' a Types 1 ENCiINEIit�ElrlC Ct• 1 C: a �� , r f a " :� xx �:ems,,. ��*ut, � ar tart,.i;a'3kN'�.,.�w.-5+k r„_. :�.. Y,;R OTHER NOTES: 3, NOTICE=-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE ROURING PERMIT VOID SIX`MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED IJP AND HAULED�AWAY BY EITHER CONTRACTOR OR OWNER. ",FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAWCAN RESULT IN THE PROPERTY OWNER. TWICE FOR BUILPING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED-PLANS'WHICH ARE PART OF THIS PERMIT AND SU BJREVOCATION R VIOLATION OF APPLICABLEPRO OF LAW. ,: ATLANTIC BEA H BUILDIN. PARTMENT By; Al A P P L I C A T I O I1 F O R B U I L D I It O P .E R M I T CITY OF REQUIRED SUBMITTALS 716 OCEAN BOULEVARD Each application .for building P.0.BOX 26 permit will be accompanied by ATLANTIC IIF,ACII,FLORIDA 32233 two complete sets of plans, including TELEPHONE(9041249-2396 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiertcry Code sheets; recent survey (ori new constructibn) SCIIEDULE OF IIISPECTIOU Requests for inspections will be accepted tx-om 8toO AN until 4130 PH. All inS[3ections will be made the following working day. 1. Fooling 2. Rough Plumbing/Sewer CALL III WITII PFIVIll' 3. SlnI NUMBER FOR EACH TRADE 4. Fi aming, Rough Electric, Hecharelcal, Top Out Plumbing 5. Insulation G. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR 110 INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by 'the inspector. You Y I will be required to uncover any work that has not - ry leen inspected. �! 3.10 fee is required for all re-inspections. U 1- i'C1O1'F:11TY DESCf2IP7'IOil r � 716 OCEAN BOULEVARD Lot R __ _"' -_-`--Block --Section #-------- P.0.BOX 25 Al'LAN71CIIEACII,FLOI11DA12233 ITAXP11014F 1904)2.19.2395 Subdivipion:--------------------------_--_ Street flame DESCRIPTION OF WORK or Address------------ ------------------ If in a FLOOD HAZARD Flood Zones...............area complete page 3. Brief Description s-_Cy jce Claes of Works (flex/Remodel/Addition) Z011IIIG 111FORHATIUN Type of Constructions-------------_._-------- Zoning Proposed Districts Uses--------------------- Estimated Value S_ _�' --_----__-- Exceptions or Hattrials:-------------------------- VArinncrrn U:•ontnr.P1_____^---•�----^-^-----__.._ Solid or Filled ------------------------------------------- '• Grounds-------------Roof:_---------- OWUER INFURIIATION Hothod of 11ratingr------------------ Property Own•yrs----> �= ---� Ef -_---_-_-------- -__- PhonesO76 �.�� —e402< Hailing Addrese .ti's.. _,_ --------------------- z1p' COUTRAC'YOR INFORMATION Contractors � ► � � l� M ti3+ _------------------- Phone s_;?4(o 0cf34__- H3111ng CG,C �} r --_ - Addressi1_-[ A1iov.flL_�,�1�------------------------ .L L---------- --,------ zip e=3aa3 3------- Expirntion License Numbers____________ ___________________________ Dates_--__--------- I NERERY CERTIFY TIIAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE' TRUE AND CORRECT. ALL PROVISIONS OF THE LAMS AND ORDINANCES GOVERNING THIS TYPE of WORK WIi.L PF. COMPLIED WITH, WHETHER. SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOE'S PLOT rRESUME TG OIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULE!, �y RFOULATIO113, ORDINANCES, OR LAWS IN ANY MANNER, INCLUD1110 THE GOVERHI110 of CONSTRUCTION OR THE "•Y ,I•� ` ,• rFRFORHAIICE OF CONSTRUCTION OF T'11E PROJECT. I UNDERSTAND THAT' THE ISSUANCE OF TIIIS PERNIr 15 • �� t }t. J,...,, Ci711TIMOEIIT 11POPd TItE ABOVE INFGRMhTION BEIIiG TRUE AND CORRECT AND THAT T94E PLANS AND SUPPORTING DATA 11AVE BEEN OR SHALL BE PROVIDED AS REOUIRED. Y ~ Owner Signature __ _ _ . ----_--_-_Date --- Date -- - - Contractor Signature_ ---__--•••_ d r R FLOODPLAIt1 DE'VELOPHENT I1IFORHATION Typeof Development:-------------------------------------------- Flood Zone:----------------------- Required Lowest Floor Elevationf_,_-______-.-,-_-_ If building is located within a flood hazard zone, a survey must be made AFTER T11E SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elev„tiori entablieshed for,, that zone. Ho final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMME11TS : Appliuiiii t Acknowledgement f I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance 110, 25-7-11 and all other laws or ordiriances affecting the proposed development. Date--------------Applicant's Signature_________-_-____-- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ^______,:_________ As Built Lowest Floor Elevation _________________ , SSurvey Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 r 1 ACCOUNT NO. 41289-0000-3 1989-90 OCCUPATIONAL LICENSE COUNTY CODE 770.000-005 DIST. CITY OF JACKSONVILLE and/or COUNTY OF DUVAL,FLbRIDA QUALIFYING AGENT, CONTRACTORS S THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING MACHINE SNOWING A TRANSACTION NUMBER.DATE AND AMOUNT PAID. m19 ACEPURSUANCE Of CHAPTER I CITY ORDINECOD amu 3�5 r MpARY, PETER N MAu'' 'I DEVELOPMENT CO, INC MUNICIPAL CODE DIST, cc wog 299 ATLANTIC BLVD 772.325 1 13 ATLANTIC BCH FL 322330000 GENERAL BUILDING RESIDENTIAL s w�W SHEET M�TAL, ROOFING, AIR CONDITION- _j z _jOMMERCIALSPOOLHRRESIDENTIALICALPOOL, [9 SWIMMING POOL SkRVICING PLUMBING, R ..2 T. IS HEREBY LICENSED TO ENGAGE]IN THE BUSINESS, PROFESSION ELECTRICAL, AND SPECIAL�'Y. . . . $100. 00 0 A_" IICOI .Ol,UPI,Tfrf,113 hAff Dgg ffil d Tb$IEtjjQJfOIfJ�,N�,G 1990 F>N 1 j tj`� ryu ryU N� N b��J s 1 TOTAL W<N AN OCCUPATIONAL LICENSE SHALL NOT GIVE ANY PERSON THE RIGHT pOF Yym TO VIOLATE ANY OTHER LAW OR ORDINANCE. 700 ✓ � TAX COLLECTOR PAYMENT RECEIVED AS CERTIFIED SP 3/26/90 RCPT #: TOOS736 DATEI 9/29 AMTt 100.00 OCCUPATIONAL LICENSE ACCOUNT NO. 412138-0000-7 1989-90 -COUNTY CODE T OI , C CITY OF JACKSONVILLE snellor COUNTY OF DUVAL,FLORIDA 770.307-001 1�+ CONTRACTOR]. ALL TYPES 5---- THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED BY RECEIPTING 1-10 PERSOAS1 S11.25't 1 1-20' $22.50 MACHINE SHOWING A TRANSACTION NUMBER,DATE AND AMOUNT PAID. 21-301 $33. 75 31-401 $45.00• 41-50, THIS LICENSE IE FURNISNEO IN PURSUANCE OF CHAPTER T "0.772 Cm ORDINANCE CODES. $56'25• 51-1001 $187.50- 101-1501 Qat 28 .26; 151-200' $375.60; OVER 200' 39. I MARRY DEVELOPMENT COs INC 468.75 zigPETER MABRY PRES MUNICIPAL CODE DIST cc ¢Ro 299 ATLANTIS BLVD 772.000 3 13 owz ATLANTIC BCH FL 322330000 -- ..I ym@ <( -.1 L m D; ww IS HEREBY LICENSED TO ENGAGE IN THE BUSINESS. PROFESSION 0 <U2 OR:OCCUPATION AS STATED ABOVE FOR THE PERIOD BEGINNING ON 6.8 OCT 1, 1989 AND ENDING ON SEPT 30, 1990 IIn n . R F w<z AN OCCUPATIONAL LICENSE SHALL NOT GIVE ANY PERSON THE RIGHT TOTAL S _ Yas ym TO VIOLATE ANY OTHER LAW OR ORDINANCE, Z. 0 - / � J y«,.✓ TAX COLLECTOR 66 SP 3/26/90 PAYMENT RECEIVED AS CERTIFIED RCPT #t T009735 DATEt 9/29 AMTt 11.25 MAP SHOWING SURVEY OF ' LOT 6, 5F' V AARINA UNIT 10-A, AS RECORDED IN PLAT BOOK 36, PAGE 60 OF THE CURRENT PUTS' C RECORDS OF DUVAL COUNTY, FLORIDA. f , x � a � dyP b Q 0 �Q ,sem, A 0 6/.9 ON - IC ' -.4 +Ss,�/�i .. wry n�re��ff�- � �»��o�✓ d•O7��jl"'p'!•• A �r'7•.7 f+'�w�, C,is �!� r�+R�✓ND BlT �L Ds �1� QUA/i� X47 G7 t ,87' .1►r,+� P L / rote a ,, • � a a�r�o�.�b Re 9 rRC"rAMV Aur. /S Tf+�E ARE.I .�ETwEEt/ TSE �A�✓1S .3" 1G' I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant Nra DURDEN to Section 479.07 Florida Statutes. t ASSOCIATES ,.c. zaswz' LAND sarestsuse suavaror,»o.X.�ru. 1LSRV[YOIt Post omcr Box 60410 SIGNED 1ecx 830 Brach Boulevard JacksofW94 Brach,F%M&32260 SCAM ! J THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SIAL OF THE ABOVE SIGNED. /�3 , APPLICATION FOR FENCE PERMIT --, . Owners name-- }- .NJ am -----phone -� -� �� _--�-� ` -- Job - --- address1ly10iv_e_ C �1K�,f9�^'�= ---- ------------------------------------- Lot___-�L---block and/or unit. # ��_ -____subdivision______________ Contractor if different from owner �-_ f1 _ �_ 3Zqc/, _ 1Vf 1A,J4(Q fie, ------------------ Valuation of fence 0 ` Corner or nterior ; of Type construction__ / _�,r'v2t>Cf/.-E__________ Show location and height of fence as well as location of street(s). E'. Owner signature---------------------------------------Date Contractor signature ____ __________Date_________________ ------------ -------- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, F132233-Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION ATION INFORMATION Permit Number: 23790 Address: 1810 LIVE OAK LANE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township:0 Range: 0 Book: Proposed Use: WWI! Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 16,000.00 OWNER INFORMATION 1 Date Issued: 4/04/2002 Name: RON LAGUE Total Fees: 120.00 Address: 1810 LIVE OAK LANE Amount Paid 120.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/04/2002' Phone: (904)246-3766 Work Desc: ROOF REPAIR/REPL.ACLEMENT CONTIACTO S A#�RLICATIQN FEES DISTRITO ENTERPRISES, INC. - - 120.00 � r NOTICE- I PECTION BUILDING MATERIAL; ,.,. ..._., ;, BLlC SPACE,AND MUST BE CLEARED 'BY EI1� Q FAILURE TO COMP L L r T IN THE. PROPERTY OWNER POprA ISSUED ACCORDING TO AP Rol T AND SUBJECT TO-REVOCATION FOR VIOLATION OF APPLICABLE,PRO t OPer: DSMITH - Type: OC Draver: i Date: 4/84182 01 Receipt no: 45455 CITY OF ATLANTIC BEA H 14 PERMITS-BUILDING 1 E12a,88 Trans number: 981474 CK CHECKS Trans date: 4/84!82 Time: 14:35:23 F- L('4L CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ,�ST� t tpv e o Q tf C� OWNER OF PROPERTY: TELEPHONE:: 2 T l 5T CONTRACTOR: CONTRACTOR'S ADDRESS: S_ © ZIP: Z2. 7G STATE LICENSE NUMBER: 4* ,6,4 9'q 1 y }= 1 ItIELEPHONE: qS O d'7 DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTIONraj 000 MATERIALS TO BE USED: LQ"ell d- 1 _utul� 5 CL'(>� SIGNATURE OF OWNER: ��Gam` SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIj3.C%DAWnFAQRE ME THIS Y OF C'Ch }7Patti 0iC i3 COMMISS► # CC9418t2 EXPIRES August 27,2004 AS TO OWaoNOEonuuTaovfaNw+suttaK"'C NOTARY PUBLIC ' SWORN TO AND SUBSCRIBED BEFORE ME THIS Z �� DAY OF ao0 Z .._ AS TO CONTRACTOR NOTARY PUBLIC 'J•„ Liability Insurance Supplied � E� Patricia Amonette MYCOMMISSION# CC947011 EXPIRES Workers Com ensation Insurance Su lied August v,2004 p PP � BONpECTHRUTROY FAIN INSUAANCE,iNG Cant-actor License Information Supplied Occupational License Information Supplied 5 MIN. RETURN Book 10411 Page 685 SHONE# ?�J q 99 =2100001 302 1 Page: 685 Filed 3 Recorded 03/25/2002 0969:21 AM JIM FULLER CLERK CIRCUIT COURT DUAL COUNTY TRUST FUND t 1.00 RECORDING f 5.00 NOTICE OF COMMENCENtENT TO WHOM IT MAY CONCERN: The undersigned nere'oy informs all cancemed that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the fallowing information is stated in this NOTICE OF CONiNIEl\,iCENIENT. Cescrtption of Property L,O :L �; � Ivo /'�4► ;K Q t�(K r� l a -J� I&t %do k 3 G as e P 0 6r- Z -721 - '-Ivy vice/ General Cescriptan of Improvements.- 49of wil Owner I /o L Address: Owner's interest in site of improvements: Fee Simple Title H ider (if other than owner) .Name Address j Contractor_J- e e - edSz �?f P �( Address S-�go dad lc bro.�oe r .�k (1 2- 76 3 0 i ' Surety (if any) Address Amount of Sand Name of person within the State of Florida designated by owner upon wham-noticas ar other documents may be served: N ame A) A- Address In addition to himself; owner designates the following person to receive a capy of the t_einors Nodc` as provided in Sec`'ion 713.13(1)(F), Florida Statutes. (Fill iri at Owner's option). Name Address: '- CC947012 1010 August 27,2004 ',;� ••d:� BONDED THRU TROY FAIN INSURANCE,INC. 1 �_� wand e are me this- day of ,w DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 6639 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date MEtrdl r5, 19 85 112197.80 394.13 194.13IG L Valuation$ ' Fee$ 114.1 3CC M {This permit not valid until above fee has been paid to City Treasurer,and iso subject to revocation for violation of applicable provisions of law. CJ .�J l "r ti� Ll This is to certify that Hardnani Builders' Inc. 1 C11 has permission to build Single FaTily H29e aSepe LWS Classification Nasidoprial Zone Owned by Michael and Sue Allison Lot Block Unit 10-A S/D Se1va Marina. House No. 1810 LIVE MAK LAW According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. it PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- Building Official. FOR OFFICE PkR T - DATE CONTRACTOR USE ONLY NUMBER i PLUMBING ELECTRICAL SEWER WATER (Urtifiratt of (Orrupattry CITY ANOWk &OA- Oppartmrmt of Builbing Atapprum This Certificate issued pursuant to the requirements of Section. 149 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Stuc�iti�1�" B,d �fv Use c6mifcXtion t s %-permit Na. Group TypeConstnxtion-j—'r-a _,Firree District_ p�.jBeach owner ofBuiadins t A1xM_B111 L xdddrve+- +1+ � � 1610 :eve Uc L :Se1 a thit 10-A BuildinsAddreu � ality______ __ UlI In%t� EA� ACC: 'f^ !WT IN A CONSPICUOUS IKACC CITY OF 4&6 B -taiford- 4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. "�71 Time A.M. Received District No. Job Addrps4 kocallty Owner's / / Name /L� (1�`"`'' Contractor � C..e-F %C�r+ s BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ RDugh Wiring ❑ Rough ❑ Air.Cond.& ❑ lie Roofing ❑ $lab ❑ Temp Pole ❑ Top Out ❑ Heating Wntel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A M Mon. Tues. (Wed„ Thurs. Friday P.M. A.M. Inspection Made CtP.M. Inspector Final inspection V/ Certificate of Occupancy Date CITY OF /fcu ' Ve4,d - 94t a4 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32235 TELEPHONE(904)249-2396 June 26, 1985 Pre-Service JEA 233 West Duval Street Jdcksonville, FL 32202 The following final inspection has been made and is satisfactory: Permit I/V401 - 1810 Live Oak Lane Permit issued to Raymrnd Electric Company Sincerely, `John M. Widdows Building Inspecjfiion Supervisor JNW:ra INSPECTION LOG JOB ADDRESS CONTRACTOR - J ��" '( OWNER _ BUILDING PERMIT 6TRICAL PERMIT PLUMBING PERMIT ` TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED [Called-In /Approved ' /J .F .A. Temp Pole -/ ('J 3 �-f ` 3 Footing –1–(�— (Y1 __�__ Slab Framing Plumbing (R) 4' Electrical (R) Mechanical Sf Fireplace Top out Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued 'A COPS, ENTS : –��— CITY ©1" m 4Awdw- Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received p}�('��/ District No, Joh Address [G Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING 1 MECHANICAL Framing C Footing �qY Hough Wiring u Rough tt Air.Cond.&. O Re Roofing O Slab Q Temp Pole D Top Out ❑ Heating Lintel Q Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. 3—rl- f "" A.M. Inspection Made i7 P.M. Inspector Final Inspection 0 Certificate of Occupancy Date CITY OF` A 4&4M4'0 !3 - � Office of Building Official QUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. ,Q District Job Address !i#y Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Q Footing ❑ Rough Wiring 0 Rough ❑ Air.Cond.& a Re Roofing O Slab Temp Pole 0 Top Out 0 Heating Un#ei Q Fire Place D Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. Friday P.M. ' U A.M. 0 Inspection Made LJ l.1 P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY OP. Office of Building Official t"� REQUEST FOR INSPECTION (1�12 Z Date Permit No. Time A.M. Received P.M. � Di ictNo. ddress Locality OwneHamer ✓ - '/� __Contract BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Q Footing 0 Rough Wiring ❑ Rough D Air.Cond.& D Re Roofing 0 Slab G Temp Pole Top Out p Heating Lintel a Fire Place L Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday P.M, tr "fw A.M. Inspection Made l ✓ P.M, inspector Final Inspection 0 Certificate of Occupancy Date CITY OF 4&a4c Bead- 9&W4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M District No.L-J — ob Address ,Locality Name Contractor _.., BUILDING PLASTERING ELECTRICALPLUMBING HEATING Foundation ....0 Wire ........:.0 Rough Wiring . Rough ........0 Rough ........0� Chimney .... ❑ Lath ........C Finish Wiring ..C Final ........C Final .....C Framing ...... Scratch .......0 Fixtures .......C Sewers ........0 Water Heater ..❑ Final ..........0 Brown ........C Motors ........0 Gas ..........0 Footing .......C Finish .....C Temp-Pole .....C Cesspool ......p/ Slab ..........C Wallboard .....0 Final Inspection.❑ Top-out ..... [p] Lintel Beam ...C Water ......... READY q INSPECTION A.M. Mon. Tues. W Thurs. Fri. P.M. A.M. Inspection Made P.M. Inspector CITY OF ATLANTIC BEACH, FLORIDA ' +� 3 Appr--d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE; 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. -e 742.., E E ICA FIRM: ER EUCTAICIM NAME C I&C kf ADDRESS:.jtf/0 41, (2 f RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES. APT.I I COMM.( 1 PUBLIC( 1 INDUS.'( I NEW KJ-I/OLD 11 REW.l 1 ADDITION 1 1 TRAILER ( I TEMP.1 SIGNS I 1 SO.FT. $IwRY10E:. NEW INCREASE I ► REPAIR( I FEE 14W" t:QN O S#ZE AMPS '0 u COPPERf I ALUM. TCH OR BRMFo AMPS PH W e2l OLT R CEWA BX*C.SERV.SIZE Aim PH W VOLT RACEWAY FEEDERS, NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETSCONCEALED OPEN [TOTAL RECEPTACLES CONCEALED OPEN TOTAL 1 ,0-30AMPS. f 31-100 AMPS. SWITCH RS INCANDESCENT FLUORESCENT&M.V. FIXED 0 10C AMPS. I ov" APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP. R OTHER MOTORS AMPS, CE#L HEAT: KW-HEAT r Qt OVER MOTORS H.P. VOLTAGE PHS NO. 1 R•F• VOLTAGE PHS IVR LLANEOUS= TRANSFORMERS: UNDER 600 V. OVER Soo V. NO. KVA [NO. lKVA NO.NEON TRA NSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL f EES t CITY OF ATLANTIC BEACH, FLORIDA Approvwd ar APPUCATION FOR ILECTRIM Pit TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— IMPORTANT ATE:IMPORTANT NOTICE: 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'ACCORDANGE WITH THE ELECTRICAL REGULATIONS, ES AND CITY Of ATLANTIC BEACH ORDINANCES. r AI . Wim ^ E 'E RICAL FIRM: Ec DRESS• / lve 1' RFD, WX OLDti.SIZE BETWEEN: RES.t APT,( ) COMM,t PUBLIC t } INDUS.( } NEW fLD( 1 REW.i } ADDITION( ! TRAILER ( } TEMP.t } SIGNS t } SO.FT. SERVICE: NEW "i � tN . CREASE# } REPAIR t 1 FEE QR 1 ` jef /IMPS COPPER I I, ALUM. SIAlITCH-OR BREAKER t PH W OLT RACEWAY EX#S°I',SERV.SIZE + S PH W VOLT RA EW;AY , FEEDERS NO. SIZES NO. SIZE NO. SIZE L12tTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES.. CONCEALED OPEN TOTAL 0-90 AMPS. 91.100 AMPS, SWITCH" INCANDESCENT FLUORESCENT&M.V. FI�C�D 0.100 AMPS, I OVER APLIANCEB BELL TRANSF, . AIR H.P.-MATING H.P.RATING tl-1 OVER MOTORS 'H.P. VOLTAGE PHS NO. 1'H.P. VOLTAGE PHS MISC LLANEOU TRANSFORMERS." UNDER OW V. ` " OVER 6m Y. NO. KVA ' 1 NO, lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES _ .w ro..Mm t3 w_ CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner A4 ksles! a&Aff"J Address I$to �u;e, en!u6 (,&.,y Phone Architect Address Phone Contractor �IRRomA«J !;�Lbk.5 INc� Address I(o44 ��L f Gr1� �,8,Phone �qa aIL� License Number G. t,,r, �y-�g Expiration Date to FS, Lot # lftr-kr to A Subdivision `jJ.,,a, YY\-ari�&.) Zoning Qeo_ Street Got 00-JL �� Between _ 10-1 and 1_9 ,� side Wdi4t Valuation $_ GE, mOo Purpose of Building P"id w_&_ Type Const.1" Dimensions : Building Lot �� ,` ,00 Sz.Footings feK -1 , Sz. Piers Sz. Sills - Greatest Span Sills Sz. Ceiling Joistsfriss zx4 Distance on Centers 24." Greatest Span 16'5" Sz.Floor Joists-rruss 14" Distance on Centers Q4" Greatest Span 22 ' Sz.Rafters TIVSS(egig\T Distance on Centers a,+" Greatest Span IS'g' Heating(2) , Solid-Filled Ground ' 'LID Roof�QW,,,1 Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this 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/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5. Rough electrical . 6. Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made . �Q . P_e- �J In consideration of permit given for doing Rear Lot Laine the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and cn specifications , which are a part hereof, and p~. APPROVED a. in accordance with the building regulations m CITY OF Ail_ANdTIC BEACH of the City of Atlantic Beach. o EUILDING OFFICE o r �;ap A, 1985 rt FJ- Signature OWNER Signa re BUI - Front Lot Line FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must*be made after the slab has been poured, certifying that the "lowest floor e evation is equal to or above the base flood elevation established or that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date Applicant 's Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative Llil of A1Liu.i1L bt.AUH * APPLICATION FOR PLUMBING PERMIT r . DATE _ NEW TYPE OF BUILDING WNER'S NAME J A P PROVED REPIPE RESIDENTIAL CITY 0!' FkTi.ANTIC BEACH LOCATION cm"icE ADDITION COMMERCIAL �e1;�p r. 185 PLUMBING FIRM ADDRESS MASTER PLUMBER please pr' CITY/COUNTY OCCUPATIONAL LICENSE NO. STATE CERTIFICATE NO. — BUILDER OR CONTRACTOR --t-------------------------------------------------------------------------------------------- 1 SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS DISHWASHERS ( ' DISPOSALS WASHING MACHINE f�C4'h p `SOTHER TOTAL FIXTURE COUNT l �''3�0 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION _ OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BRF.AKDOl-TN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) S BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN. TUB OR SHOWER STALL (b UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK COMBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) _ KITCHEN SINK W, DRINKING FOUNTAIN (!I UNIT) DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARB! LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) _ SERVICE SINK TRAP POT, SCULLERY SINK (4 UNITS) STAND (3 UNITS) URINAL, PEDESTAL, SYPHON JET URINAL STALL, BLOWOUT (8 UNITS) URINAL, WALL LIP (4 UNITS) WASHOUT '(4 UNI' URINAL TROUGH, EACH 2' � WASHING MACHINE RES. WASH SINK EA S SECTION (2 UNITS) (3 UNITS) OF FAUCETS - WATER CLOSETS, TANK- __ EATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) rr OPERATED (8 UNITS) TOTAL FIXTURE UNITS �N /O't�c� ay. 00 ADD S MECHANICAL PERMIT# PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # _ TEMPORARY ELECT. �� heated Square Footage 4��J @ $ �� per sq ft = $ 9�' 9'0.2- , 5-U Garage/Shed SCi @ $ r per sq ft = $ 2 Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck 77 @ $ per sq ft = $ '57,5X 30 Patio _per sq ft = $ TOTAL VALUATION $ Total Valuation Data lst $ / 0,00f 000. 400 Remainder Valuation @ $ yper thousand or rtion thereof TOTAL BUILDING FEE $ 0;2�,r(>2 • �'S + 2 FILING FEE $ b c3 FIREPLACE @15 . 00 $ /S •�� TOTAL BUILDING PERMIT $ ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ /3_ TOTAL WATER METER CHARGE $ d 11 APPROVED TOTAL SEWER IMPACT FEES . ,�tv �� f; _ ;,;>>C, BEACH $ /d 3��. O U E:UILDING OF51ca TOTAL WATER CONNECTION CHARGE MISCELLANEOUS CHARGES $ B GRAND TOTAL DUE : m,r. o F3 , . . ,: IAS, ( a 1, v e - _ I ON c }-I ?-'N RAju'r►'C C44-zt Pl-(A t-4W wy C��P. ;:j) ki ss ST JA-k 3c- .x —- --please print r, 'r Cr:.R 'I F1 CATE NO. C FCA S Zcl P OF CC : = C'I'0P. A-Vc( r" I-IJ +k J UiZl' ..... .:5 ISRS j I E F, 'r. 'Y,S S RS :.ER L r i x_11 :E r C, ;�T UF AND C.i 1_j` _ - - - S _D r.si 11CD ` - - - ' - •_ J , r•� C11 _kS . L-y _ 1YjURE CCI' CC .,:t-Cl=D TO 2;-3 (c) 6T CC'':S'_ S'= 1*:G OF _- .Tr.UB (' %U . 1•,/G CR _F'. S_ _ . ,T C ' Sr: , '-.`.-n.Or;I b �r_Jb _-'-I .! r.) {" -ITS) + . _ SIIC (_ TUB OF: 5 0`.:EF STALL, (6 UNITS) B I I!'-,t T (3 is'<I TS) I Cl': S I tit: S T r yTTAL L. 1'r 'TUBI - (� i,' i T S) (1 UNIT) — K"i C E,N S1 N,F. SINT, & 'TR-A1 w/ (2 UNITS) ? DOD DIS. (4 liNITS) — D'?�T.AI t ]IT OR CUSPI- DOR (I UNIT) KlIc"EN SI1a: t;/ DRINKING FOUNTAIN (!:� UNIT) - [TASTE GRIN-TIER - DISLr:.SSH£R (2 UNITS) FLOOR TIRAINS (I UNIT) ---- — 1 '.VATORY (I UNIT) L-V.:'TORY - 1_4VA j ORY, SURGEONS (2 UNITS) 1- A l—Y SHO":;T-RS GROUT PSR H IkD Str�C>1C,NS SINK (3 UNITS) (3 UNITS) POT SCt!� ___RI' Fll"? ,JIING RIM. SINK (8 UNITS) SERVICE SINK I-kP - --- + -- SIS,}: (4 rIIS) ST�';D (3 UNITS) li'r,INAL, PEDESTAL, SYPHON JET 'A! BLC',:GUT (8 LvITS) URI-NAL !-:ALL LIP (4 UNITS) _ L"RI;:.�L irOC�GN EACH 2' CECTION (2 UNITS) WASHING -_-iCEI = -2ES. i�ASH SINK F~A (3 UNITS) 0: F-.i;CEPS :A . I'S)' , 3 I t_ _ D (G . 5) C:r . ED (8 i_?:1 IS) r I M DEPARTMENT OF BUILDING n a CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO, b4 c PERMIT fi0 BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/5/ 1 19 85 ` 69,50 I 50 Valuation$ � Fee$ 69' 6 •bOCK T Iiia? ! This permit not valid until above fee has been paid to City Treasurer,and is 6643 •V 4 subject to revocation for violation of applicable provisions of law. 7,267 4 4 3/20/6 This is,to certify that ATLANTIC COAST SIX 022RNY has permission to lid RISMT T. PLA Classification RESEEK1IAL Zone Owned by A.lZaigi Lot 6 Block tb it Q-AS/D Selva Marina House No. 1$10 LIVE OAK LANE 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 „ AFTER DATE OF ISSUE ♦' 4 1 O Building material,rubbish and debris I from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner.. JCtW M. WIDE Building Official I j FOR OFFICE PERMIT 1 USE ONLY NUMBER DATE CONTRACTOR PLUMBING `I I ELECTRICAL SEWER i WATER I I �,HErre FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION D FORM 902 BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES "••, ..•°° GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 PROJECT NAME f."/e l..t. AND ADDRESS c = ZIP " ✓3 3 ZONE BUILDER 70/-,09-00-0,",,%4 4CVRIJ' /NC.. PERMIT NO. OWNER 4-;.S r✓ JURISDICTION NO. STATISTICS IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE E RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED SGL❑ GLn a FOR EACH WORST CASE UNIT MULTI FAMILY Ipg�`'(, 3 r BL� TYPE.) SEC. H901.1 LJ GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY [� r 2 G R= ®.0 R= =Q COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM "CENTRAL NONE STRIP ❑ GAS ❑ NONE 54 RESISTANCE SOLAR UNITARY OIL F-I SOLAR 1:1 HEAT RECOVERY GAS EER-SEER = �•� HEAT PUMP: COP = ®.® i_�i DED. HEAT PUMP: COP = OTHER: - Q'OTHER: MAX. E.P.I. ALLOWED (from 9A►° ® CALCULATED E.P.I. ' CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH (SEC. 903.11)* DATE FORM COMPLETION DATE CERTIFIED BY: (owner/agent)ent) CHECKED BY: (building official THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 1 2100 2300 1ABOVE _ BASE E P 1 120 115 110 105 1 100 95 1 90 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 c> DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. Q,,,� E.P.I. ALLOWED �V -- Ga *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE i APPROACH" (SEC 90 ) ARE REQUIRE O T O P 3.11 D T MEET R EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM AND ALL OTHER APPLICABLE R PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS.NOT. CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 ( FORM 902 CLIMATE ZONES123 9 F WINTER OVERHANG FACTOR (WOF) 9F SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0. 9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1 .00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5.5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0. 79 0.88 6-6.9 1.00 0.99 1.000.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0. 70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0. 79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP :1.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 1 3.0-3.1 t 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) "9H I COOLING SYSTEM MULTIPLIER (CSM) EER R 6.8-6.9 7.0-7.417.5-7.914.0-8.4 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10A 1OS-10. 11.0-11.9 120-t� ELEC. CSM 1.00 0.93 0.87 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413=ARI RATED COOLING OUTPUT IN BTUH TOTAL WATTS CONSUMED F9 17 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER GAS BACKUP 13.9 HRU-(HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 F- r/• ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER o z U) o GAS BACKUP 11.4 12.8 '14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 V 0 "PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM 100 - OVERALL SOLAR FRACTION •i- ii 2 3 OR AREA SGL DBL WOF GWP OR AREA SINGLE DOUBLE SOF GSP 9F CLR TIN CLR TIN 9F N 157.4 N 40 146 123 120 101 bo6o NE 7.4 120 A NE 221 90 159 E 157.4 120.8 E _ 289 242 1251 SE 1.57.4.....120.8 SE _ 9 226, 189 0 S 157.4190,, S - 1 0 160 134 ,. SW1 12 SW 261 1 22 18 Q W VL9 157 4 12 .8 W 2. 289 242 251 209 . ZG NW 7.4 12 8 _ NW 221_ 1 190 159 H 79. H 489 408 ,432 360 Q W Jo _ J U _ O Z p - - C " " ` ►: >::> H HORIZONTAL GLASS ? SS (SKYLIGHTS).CRA 8N6FOR SC LESS THAN 0.83 SEE SEC. 902.2d TOTAL GROSS WINTER POINTS ��'Z TOTAL GROSS SUMMER POINTS L3 R = 3.5 1V2. 1.15 " R = 3.5 ��Z.� 1.15 « Z rF- R = 5.0 1.12 R = 5.0 1.12 V J p R = 6.7 1.09 R = 6.7 1.09 &A 11.001 HSM FROM 9G j>� x , CSM FROM 9H 1),-q'74 x. f I DIVIDE BY DIVIDE BY FLOOR AREA 7001"u-1 - FLOOR AREA 4`ra 21— UMMER POINT CALCULATE E. P. I. WINTER POINTS I SUMMER POINTS HOT WTR PTS CREDIT POINTS PENALTY POINTS r Cl + 3 r 0 (9I)7 T (90 + (9D)'F 0 (9E)'� ��-• FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS 9C DESIGN CREDIT POINTS (CP) 9D I HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CP) t NATURAL GAS/PROPANE HEATING 16.0 - MULTIZONE A/C SEPARATED BY DOOR 5 1OIL HEATING 12.8 CROSS VENTILATION (1 CP per room) i WHOLE HOUSE FAN (min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E I DESIGN PENALTY POINTS FIREPLACE with outside combustion air2 WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 40% 5 9C TOTAL (not to exceed 12 points) FIREPLACE W/ INSIDE COMBUSTION AIR 5 3 Y RESIDENTIAL CALCULATION FORM 902 CLIMATE ZONES 1 23 COMPONENT WINTER GROSS SUMMER GROSS WINTER SUMMER AREA x WPM = POINTS AREA x SPM = POINTS R .. .) 19.3 1 1 .5 CONCRETE R 4-5.9 15.6 9 9 N R6 & UP 31 9. 2 J J Q FRAME h Z- . 7.8 `ls' 9 2 ILQ C? 3 OR R19-25.9 4.9 5 .6 BRICK R26 & UP 3.6 4.2 VENEER COMMON 7.8 2 .5 N .............:...::....::.:::.::.:..:.:.::...:..::.:::. Z 247.7 9t,ou 36.4 INSULATED 235.5 14.5 O STORM DOOR_ 124.4 29.0 COMMON 61 .9 4.5 5.0 5. 5 9 009 UNDER R22-29.9 4,1 5 ATTIC R30 & UP 3.3 3. 7 C7 Z R 6-7.9 14.2 14.9 J R 8-9.9 10.9 11 .3 UJ SINGLE RIO-1 1.9 9.2 9 5 ASSEMBLY R 12-18.9 6,7 0 NO ATTIC ...............'Ei+ ii<s 5.0 5 .5 COMMON 4.8 1 .5 R 0-6.9 15.5 4 Lu R 7-10.9 65 2 .1 WOOD 5.5 1 .8 W R19 & UP 4 1 .3 oc 0 O;: R 0-2.9 19.4 �o R 3-5.9 6 1 24 . 7 LLZ R 6-10.9 CONCRETE 2 62 2.2 R19 & UP 4.4 1 6 O COMMON 4.8 1 .5 EDGE INSULATION PERIMETER WPM m� NO PERR 3-5.9 IMETER R 6 & UP69.5 46,4 2