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Permit 181 Magnolia Street (vault) CITY OF ATLANTIC BEACH a 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001118 Date 8/14/08 Property Address . . . . . . 181 MAGNOLIA ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc siding hardi board t 1-11 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, MATHEW NELIGAN CONSTRUCTION 181 MAGNOLIA STREET PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 2/10/09 --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CA �1 Y y CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 �r3svr Office: (904)247-5826 • Fax: (904)247-5845 Job Address: q 0. Permit Number: Legal Description Valuation of Work(Replacement Cost) $ 206o . 00 ■ Class of Work(Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structure(ss Circle one): Commercial Residential ■ If an existing structure, is a fire spr er system installed?(Circle one): Yes No N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of work to be performed: � s Property Owner Information p Name: uin �.n,,�� Address: City �� � State Zip 2Z3 Phone Contractor Information: Name of C mpan : I. n j ro Qua i g Agent: Address: City State Zip _ Office Phone Job Site/Conta t Number State Certification/Registration# D ffice Fax# Architect Name&Phone# Engineer's Name&Phone# 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 beerformed 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_f'construction or work is suspended or abandoned for a period of six_(6) months at any time ter work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting Z a permit does not presume to give authorihy to violate or cancel the provisions of any other federal, state; or local law regulating construction or the performance f can truction. Signature of Property Owner: Signature of Contractor: Swo and subsc ed b e m Swo and subsc bed befoiP — this Day of this Day of 'W" •, •., JIRINotaubli Notary Public; r• = to of rida „ IRL A H 'N _ n Ex ices Feb 14,20 ,rf oP°- commi ion#D 18533 -• .• Y Commissio P "'v'"' Bonded B National otary Assn. =y, commission#DD 518533 REVISED 03.0 .� , gat�Y�"• Bondad By Nadonai Nota AM 4988 DEPARTMENT OF BUILDING .:: CITY OF ATLANTIC BEACH �-� PERMIT INFORMATION _� - LOCATION` INFORMATION ------ � .:. Pert Nur s58a5 Add re �s 181 MAI3Nf3LIA STREETF'e�r�ait Types W MIiINC POOL , A'T'LANTIC BEACH, FLORIDA � ��;� 'Works NEW - LEGAL DESCRIPTION Care a --__ Con str. Types CONCRETE Lot s M665� Block � Section:, Proposed U0e t SINGLE FAMILY 'Tca�rt r xAL s sECTION ICz Q Dwellings; Ca►des U ' Subdivisox�t TAIR ' Estim6ted Value Improv. cyst: ._ 00.00 Tot 030,00 Amoo $30.OU r is 3 ° r.5.° imq _. .. APPLICATION E FEE S . . sATTQyShl' H PERMIT,, 3 .CC CV D. Q 04. A+dcarM'' I A STREET W I: H, FLORI � � IAF tai �r p WA, ER RADON GASH* R.S. 00.00 1RPMA'T` . . .._ RADON A ► �- SX $0. 00 t € � Address s 605 RLIMO TO'N EXPRESSWAY SEWER `CAP CK LLE fit.: 3^ 11 HYDRAULjC SNAKE �.� �3. Ott Type: O RE-INS "EE � C.00 L . +�" OTHER " NOTES: i NOTICE=y ALL CONCRETE FORMS AND FOOTINGS MUST SIr 1NS0BC1(Eb BEFORE POURING PERMIT VOID SIX MONTES AFTER DATE OF ISSUE t BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UR AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE i t PER"L'Y O'VI I iLwR' AYIN TWICE I C I BUIL L' 1C i� E�ENTS. ' Inrl CED AGCQRDIt!IG T6) APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU T . { 'REVQCA ! OR ' VfblAT16N 60".A0PLICABY.E PI OVISIONS OF LAW, Cali E $.00 .. IIxEa113III*O#NQ BII�ARTMENT tom. . riv,, ti, o yvt CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address � �'= / v �' r 1-`� � Lot # ������ Block # Subdivision di -3 X54114 Owner rF c ha V "F Address �'�� OAC �i IS-4- Contractor e) j_a � � � c A "V Address License Number Valuation $ -7, (206 Gallons P R BENCH C1S�OF At&Ao��I�G OFFICE PLpNN1NG SITE PLAN �gg2 'front B� 4. U1 N w a cu (D rear Signature Owner �- Date —D_. ,) Signature Contracto --Date wo to arr sufscriberme this 25th day of February 1992. 1"OTARY PUBLIC, STATE OF FLOIRIDA COMMISSION EXPIRES: My commission expires Jan. 2, 1991 Bonded thru Patterson-Becht i* rrt _ � f T of �l�IIIIII�II�G111C11CFEB 2 6 1992 laeap�llr r �I w�1a1 r i✓i:iiL,!y14 and Zo3 To whole II ulal► oo11asrnl The 1m110141411414 11010by 11110111111 wall th111 IIsgn Is will ho 111011n In rnitnhl Ivnl pr0p1►tiy, null IIs scoo11111t►rs with 11octinn 11.1.13 Of 1110 1'1011114 t1In1410 • 1 h111nw111fl 1111011140111111 is 01411011 111 11110' HUTI UPI x•11' tluMM�NuFiMMlii'1'1 " � / .�G 0946VIp11AI1 AI prnr011�r .,.......... .----------------. _..- ..•......._._....._.......-----------...__... ._._.......•..................wr...............................•w-w_••.•.............-_...r...........•.......... (,te11tl111 deeeflp11ot1 of 1111prOYQI11Rllle .............../C2�/v!%0� .•:_..,..........--------.-.--_.__.__--..... ......................................... -..•..w._.....--».._•.w...__.•......_.............•......_•.....w. Owner _.1 w:�:..J.'!��.Y.1..�_•./Y�/l�c .--�`J».._`�! --------- ---_ _------------------------ Address ....� -_-f=-fig l>� / ........................................................... owllat's Illier4:st III site of (Ila 1111111oveuleut ......•_....__._.........•....................................•.. tree Simple Title bulder (It other lhnll owner) --_---r-_:...r....•_...__r.w_................................... NOnlo ............---------------------------------------........----------------------------------..._...... Address -•.... ...........-----------......._..._._.._.._............_....------- ................._...... �/ c1Ck/SSC f.n� 9!ESa�,l Lolllraclor --- -- ----------- -- -• --•_.................................. Address ....... • __- -i. .... ........ ....... Surely (it ally) ----------------------------r.•.._..._......................................................... Address ------------------------------------------'-----------------------AmouIII of bo11d $.............. Naule 1110 addlesl of my 1-c1I011 makin1l a Wall fol the r00stsycl1m1 u(the hnlonrvelllruta. Name ..._......-w.•...w..•.....w.........................•....................._..................._r....♦ AddreO� ----------------------...------------..................._._.........._............•................_. Nape of pelwu wlthlIs llw State of 1'611.h, utllct lbaa 1lfullcif. 0ct1il11alctl by Uwlk1 11i,4111 w1lu►Is IN111CCa 111 0111er 11r1cill"C1Ni Islay be KIvcO: Name ....wwww-w-----w w. --------------------------------«------- Addle" .......... r. --.-w_..•w..----•_•N--•-w-M__M--.tiw.--•----.�.-.-•'.--_--•.♦-•.-•4♦ a In oddiUon to himself, ow; do the following person to receive }4 copy of the Ltenor's Notice Ile provided In 6eellon 718.00 , tb .ds statutes. 0111111 s1 ow1►er's opliou). 1 � THIP SPAOR ION INMCa. aNLY owrler Sworn to sod subscribed brrliore me Ills �`� :.•.•. dry of ...•. ,........M IYC 2- ., .; •, I , . .w ww--- Nolasr 174ublle 1 NOTARY PUBLIC, STATE OF FLORIDA My commission expires Jan. 22, 1994 Bonded thru Patterson-Becht Agency L •� PAVED MAGNOLIA STREET ( 50 ' R/ W) FOUND 1/2" IRON PIPE 49.96' FIELD ) FOUND 3/4"IRON PIPE L.B. 1048 50.00 r NO CAP - 1-- — — — 9.I' '9. ' 10 Q.00 FOUND 1/2" `Co 41) NO CAP, o oOS, S O0 Z STEPS � $ 0.5 K.7 OD M vi :'," C KNN 7.2' t=Ly74 ' �n _ 2nd STY OVERHANG )TES �� 1 16.7 73' S A BOUNDARY SURVEY. 00 11LDING RESTRICTION LINE oa 2-STORY FRAME PLAT. o O �3a N RESIDENCE ' I. 0.3 ES AS PER FIELD SURVEY. w O N0. 181 H PROTRACTED FROM PLAT. o O 7.2' 35.4' 7.2' M -M 2nd STY.OVERHANG O _ �► 0 0 Or1bd aJLA^off 0 W OU- LOT 656 z 0 � LOT 654 d?a I 0) L .�.y wr co Oo ' CLI h - 6'W00 D s '� FENCE LI`: I —s y x x X FOUND 3/4"IRON PIPE 0.4 50.00 0 3 'FOUND 3/4"IRON PIPE ( 49.73 NO CAP ,'FIELD ) NO CAP LOT 667 LOT 666 LOT 665 D —, A P P R NT1C �EpCH f, ( 1 n p�lAOF"CE . r City OF w to�ING FEB 619g FEB 2 6 7992 OL SHAPE: tE: j 41 K X Z DEPTH: ' Tri cRIMETER: URFACE AREA' 1APACITY: GALLONS: DECK: 5 SOP t ..sem C\./ .~, �a COLOR: -_' pyCS? N FILTER MODEL$: TYPE: FILTER AREA IN SO.FT.: FLOW RATE IN G.P.M.: HRS.TURNOVER. = q PUMP: MOL O: H.P.: BACKWASH: , L-L CHLORINATOR: -C:) TIME CLOCK: - f i HANDRAIL- 6 GRABRAU, 17 SWM-OUT: , z e--�aj 18 UNDERWATER 1_04T: 14 LIVING BOARD: 2U SLIDING BOARD: 21 SKIMMER: 22 INET FITTING: 123 MAN DRAW, 24 ROPE ANCHORS: 25 HEATER: TYPE: \ 26 QUICK CLEAN SYSTEM: 27 POLARIS: J 1 28 CLEANING EOU5WENT: LEAF SKIMMER: WALL BRUSH: i TEST KIT: LEAF MASTER: r �r TELESCOPING POLE: VACUUM: HOSE: FL LONG: 29 30 37 32 33 EXP.JOINT COLOR: 34 SEPTIC TANK LOCATED: STc?(� uP N Cov c: IR r- 13 pnrtO STRUCTURE BEA M i-y rt 3 --*3 REBAR BEAM III I 1 - 1 1 1 L I 1 -. 1 Li I 1= I x X6 WATERLINE TILE 3 *3 RE B A R @ IZQ C. BOTH WAYS._..C-ONT THROUGHOUT WALLS AND FLOOR a POO LS W I.TH C EPTH 7' OR GREATER , R TO--8 ._PLACED @ G 'C E JINNI .7, AT, 4` PIH 0DEX�ENDiNG _ AB�VI ANQ _COVES,..AL$D EXT ENO lNC. S:ABQYE.-AND BELOW SLOOP, BBLAK_E.. n 8 SUMO -6"MtN 350 PS,i. CONCRETE - QR-_-ANR._WALLS CITY OF ATLANTIC BEACH z 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028096 Date 4/16/04 Property Address . . . . . . 181 MAGNOLIA ST Tenant nbr, name . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor ------------------------ ------------------------ SMITH, MATHEW NELIGAN CONSTRUCTION 181 MAGNOLIA STREET PO BOX 49249C BLVD #8 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 -------------------------- -------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3000 Expiration Date 10/16/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. IPA- BUILDING OFFICIAL Tj"'..1 eJrl J =� CITY OF ATLANTIC BEACH }.4khk 3✓�Uy .n PERMIT CALCULATION SHEET Date 4 Address ( i d l v'V S—,- Eg---Permitfeebasedondollar evaluation as indicated on permit application. 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: $ $ c4c $35.00 1st $1000.00 $ $35.00 Total Valuation $ $ S� $ lG�. Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ Z19— ZONING: + 97' Filing Fee $ I;z3 FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ (� $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ , Al-f, L-44 CITY OF ATLANTIC BEACH C� `Js _ BUILDING / ZONING DEPARTMENT s:Higgins;*'� :+ 800 Seminole Road a � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # - x&C)cl Property Address: G 's� Applicant: 3 V_ ._� 1 Gl r� ���;� 4 rI l C> n Project: f E -t-C"U C% This permit application has been: Et�'Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L4 Date: CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION r J' t/ t' Date: / OL, Job Address: IS1 M V) b N QL 1 A 'S Owner of Property: 8 V`f- t M ITS -30+0 _B, Sly` 141 Address: `$ A4 lib 1V k..i -'5Telephone: Contractor: "Add&ress.-' (iM0`j�'+ t"10'j SJ-Is, INState License Number: Contractor's � .c gc4Xyh Q� ICL 322�}c'1, Telephone: q100 zy 7 3 7 7 7 Fax: Py 21L/? 031 Scope of Work: /Z 0- — r.)a T Deck Slope: ( 2-- Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example: Timberline): jq�tjWf Gv/2 Manufacturer(Example: GAF): 0 MjN"� C4 ASTM Designation(s): 3 y 6 Required Inspections: Sheat hi and Final Signature of Owner: Date: Y L Signature T �� U ture of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this �'� h day of K-1\f 20�. State of Florida,County of DuvalIft R, Notary's Signature: L'`� JENNIFER SCHLUETER MY COMMISSION#DD 121301 EXPIRES:May 27,2006 ❑ Personally known •. y roduced identification Banded Thou Na"Pw c uncww,tars _ y Type of identification produced sJU'�G L�� SCO CS�Jf('J AS TO CONTRACTOR: Sworn to and subscribed before me this j day of 1912Y-1 ,200• e State of Florida,County of Duval Notary's Signature: iry JENNIFER SCHLUETER MY COMMISSION#DD 121301 ❑ Personally known EXPIRES:May 27,2006 ['Produced identification • Esc�uearhn,raaaryPuMcUndehv�Itars Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247.5877 Permit Number: 23573 Address: 181 MAGNOLIA STREET Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot{s}: Block: Section:0 Sq'dare Feet: Subdivision: Est. Value ParcelNumber: Improv. Cost: 2,179,00 Date Issued: 3/09/2002 Name. JOHN & NANCY SMITH Total Fees: 38.00 Address: 181 MAGNOLIA STREET Amount Paid: 38.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: ., 3/09/2002 Phone: (904)282-4425 Work-Desc: REPLACEMENT OF WINDOW P1 W AMERICAN WINDOWS PRODUCTS 38.40 4 f k Q NOTIC ION BUILDING MATE SPACE, AND MUST BE CLEAREI "FAILURE-TO CO PROPERTY OW14E VE ' ISSUED ACCORDING TO A EJECT TO REVOCATION FOR VIOLATION OF APPLICA ` ter: MITH Type:'OC Draw. i 14 PERMITS-BlIIL9II8211 �1. not. $311117 ATLANTIC BEACH ILDIN PT: Trans n�mers 7%10 CK CHECKS 16966. fia2.9li Trans date: . 3`/12/82 Tires 16:36:12 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date 3(4q �DZ 4 Heated Square Footage �`_@ $ per sq ft = $ u Garage/Shed @ $ per sq ft = $ Carport/Porch `` @ $ per sq ft = $ Deck f @ $ per sq ft = $ Patio `✓ @ $ per sq ft = $ TOTAL VALUATION: Sq. Total Valuation 1st $ l cODO, IIElq•`o 1 (D. $ t4)•� Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ S• + 1/2 Filing Fee $ 13 . ( ) Fireplaces @ $15 . 00 $ d� BUILDING PERMIT FEE $ �� • WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ • ADDITIONAL PERMITS OR FEES: Mechanical .; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: I-eb 2b UL 11 : 42a Building Department 8174-247-58ob p. l RECr-IvED CITY OF ATLANTIC E CHz BUILDING OFFICE y r t „sL MAR 1 0 2002 � AV4�ti� Bye 1. — City o an c each 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800- FAX (904)247-5805- littpJ/x,wry/ci.atlantic-beach-flus PERMIT APPLICATION FOR REMODEL, ADDITIONS .AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FANL IILY (DUPLEX) CONSTRUCTION D:�TET2SQ� _ ADDRESS I I�— -t ` PI?(UNE: — ADDRESS WHERE WORK IS O BE PERFORMED�ktYW))e- LEGAL DESCRIPTION: BLOCK NUMBER LO NUMB K--,._ZONING DISTRICT CONTRACTOR �Q, ',l CCS OJI _ 5T.#TE LICENSE NUtiIBER SC CL7`�(v�3 i O .a.DDRESS __. PHONE __- CITY lsrc(4�-- _ _STATF ZIP 22C��f FAX ---- DESCRIBE PROPOSED USE kND WORK TO BE DONE P��� C')(nd \ -k,)S PRESENT USE OF LAND OR BUILDINGS) VALUATION OF PROPP9S,:ED CONSTRUCTION n �l Is this 1, addition? ! ' if yes. what are the dimensions of the added space: _ .feat by feet Will tae added area be heated and cooled? _ `New electrical or increase in set-vice? New plumbing fixtures? New fireplace?_. New heating , air conditioning? Is approval or Home3wner's Association or other private entity required'? _--- If yes;please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP t. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this itrtorntat;or., prase contact the Planning and Zoning Department at 904-247-5817. In order to con'ectly verify zoning designatlQu,please have Property Appraiser's Real Estate Number available, STEP 2. Contact the City of Atlantic Beach Department a:PLblie Works to &tenmine if a prP-constrLction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) Th, Departmert of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach, Fl- 32233 Telephone;(90=4)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) eernplete sets of construction plans to the Building Departmerat, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic. Beach,FL 32233 Telephone: (904)247-5826 r e 0 co uc 11 : •tea bullaing jepartmenL duI+-dIti-Z)bub fn addition t:) construction and engineering detail, plans must contain the following information as appropriate for the t),-pc of N;�ork being performed. Scale of drawings should be sufficient to depict a1]required information it,a clear and legible manner. 1 Current survey showing the property boundary with bearings cnd distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building heigb� number of stories and square footage. Identify any existing smtctures and uses, 3. Existing and/or proposed driveways. A If required by the Department of Public Works,a pre-constru:,tion topographical surrey. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5 Impervious Surface area calculations. (Swimming pools may be excluded from total impervious Surface.) ? Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL.INF RMATION PRO 1) WITH HIS APPLICATION IS CORRECT. 41 SIGNATURE OF OWNER✓ DATE G'-'�`o I HEREBY CFRTIFY THAT t HAVE. READ AND F.XANIINED THIS APPLICATION AND KNOW THE SAVIE TO 6E TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF NVORK WILL BE CONIPLfED WITH, WHETHER SPECUIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUNIE TO GIVE AUTHORITY TO VIOLATE OR(CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS I,N ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERF'OR"MANCE OF CONST RUCHON OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERNIIT 1S CONTINGENT UPON THE ABOVE INFORAIATION BEING TRUE AND CORRECT AND THAT THE PLAN AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR _ DATE 22—Z52. _ ADDRESS AND CONTACT INFO101AT1ON OF SON TO RECEIVE. ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME &-A-h 6���p MAILING ADDRESS Z�D�J�J C�i�k'�12�5 � � 20 —7 PHo,Ny.9G --351- 224-7 FAf\ -77-" - 24 _E-MAIL cc4 Loi n acus v CL�,'L COLA SbVURN,1iND SUBSCRIBED BEFORE ME THIS tk DAY OF J tt'i,a"ttl —_ 7 __ --- t---- -- STATE OF FLORIDA,COUNTY OF DUVAL NOT.ARY'S SIGNATURE C AS TO OWNER: (Personally known B.Wynell Rule ❑ Produced identification * :.. MY COMMISSION#CC814128 EXPIRES Type of identification produced"....... March 23,2,00,3_" '114.41 80ROED1fRU fk0Y FAIN INSURANCE,INC. AS TO CONTRACTOR: RI-11person.ally known ❑ Produced identification Type of identification produc o„oz��z •�2 ,,,,, B.Wynell Rule MY COMMISSION#CC814128 EXPIRES . Q March 24 2003 4 BONDED THRU TROY FAIN INSURANCE,INC U.:/­//.,Uu" 14: » :JlLdb4�4JZ BILL VitW ifVl; pr at �J NOTICE OF PRODUCT CERTIFICATION CERTIFICATION NO: M 004252 DATE: 10/19/28 CERTIFICATION PROGRAM: Aluminum- COMPANY: lums umCOMPANY: Bell View CODE: B-153-1 The"Notice of Product Certification"is valid only when Administrator's Seal is applied to the upper left hand portion of this form and a certification label is applied to the product. This certification seal represents product conformity to the applicable specification and that all certification criteria has been satisfied. The product described below is approved for listing in the next published issue of the Directory of Certified Products. Please review, and advise NAMI immediately if data, as shown, requires corrections, COMPANY NAME AND ADDRESS PRODUCT DESCRZPTZON Bell-view, Incoporated Series "Blue-Chip" Tilt: PO Box 209 Single Hung Alumintup Prime Window Wrightsville, GA 32096 CX/TLT/IG%S:GjDSB/FER STP PSF Frave:W-4'6" Sash:W-4 '3" INT-205. 0 ! H-311" EXT-205. 0; SPECIFICATZON PRODUCT RATING/GRADE AAMA/2h7WWDA 2 0 2/I. S. 2-971 H - HC4 0 HAMA 1302. 5-76 Modified Sill - H - HC70 J Product Tested By: Certified Testing Laboratories Report No: CTLA-28OW-3 Expiration Date: April 30, 2002 Administrator's Signature: NATIONAL ACCREDITATIn AND A P P R O V'' ^ MANAGEMENT INSTITUTE, INC. CITY OF ATLANTIC . E`.CH BUILDING OFFICE PC Box 366 - 207 S. Washington Street Berkeley Springs, WV 25411 MAR 10 ?W TEL (304) 258-5100 FAX (304) 258-5111s (.. U,�j—,Lr ZLA34 14: JJ '11:=d04z4dG DILL V1tW 11`41, r'hiUc �JJ l.tel ERTIFIED ESTING ABORATORIES ( L Architectural Division • 7252 Narcoossee Rd. • Orlando,FL 32822 i (407)-384-7744 " Fax(407)-384-7751 Report Number: CTLA-280W-3 Report Date: May 26,199$ STRUCTURAL PERFORMANCE TEST REPORT Client: BELL-VIEW, INC. P.O. BOX #208 WRIGHTSVILLE, GA 31096 Product Type and Series: BLUE CHIP ALUMINUM TU.T SASH SINGLE HUNG DH-HC40 "54" X 75" Test Specifications: AAMA/NWWDA 101A.S. 2-97"Voluntary Specifications far Aluminum,Vinyl,(PVC)and Wood Windows and Glass Doors" Frame: The extruded aluminum frame mensured 54" x 75"overall. Coped and butted corner construction. Each corner secured with two(2)#8 x.75" S.S., P.P.H.,fasteners. Configuration: Fixed lite:Top with clear lite opening measuring 50,5"x 36,5". Operable sash in bottom. Ventilator: Operable sash ineasured 50.5"x 36.5"high. Coped and butted comer construction, Each corner secured with two(2) #8 x .75" S.S., P.P.H.,fasteners. Weather Stripping: Q$iintitv DeW 'np tion Location Two(2)Strips Wool pilo with integml fin .230"high Each sash stile One(1)strip Wool pile with integral fin.250"high Fame sill One(1) strip Rubber bulb.350 o.d. Frame sill intennediate leg One(1)strip Rubber T-spline .170"tin Fixed meeting rail One(1)strip Rubber V-spline .200"fin Glazing bead Hardware & Location: ounntix Description Location Two(2) Spiral balances One(1)per frame jamb Two(2) Nylon tilt latches Each end of interlock rail Two(2) Nylon security sash locks Mounted on each and of interlock rail face Two(2) Nylon b.1lance shoe sets One(1) per frame jamb Two(2) Cast aluminum sweep latch 13.5"frotu each jamb on interlock rail Glazing: Insulated glass, two(2)lites of 1/8"annealed glass with 3B" air space,.interior glazed with adhesive back bedding compound and aluminum extruded channel bead. Secured to frame with ten(10)#8 x V S.S..P.H.fasteners. 1"from each corner and 6"o.e. horizon4il. Six(6)#8 x 1"S.S.,P.H.fasteners, V from each corner and 6"o.c.vextieal. Sealant: Small joint sealant was used on all frame corners. Weep System: Screen retaining leg of frame sill was notched.50" x leg height, located 1.5'from each jamb. 02/22/2002 14:33 91288642432 BELL VIEW ING PAGE 04 Page 1 of 3 Bell View,Lie. Report No CTIA-28OW-3 Reinforcement: None Additional Descriptioo; None Screen: Rolled formed aluminum with fiberglass mesh,vinyl spline, plastic corner keys,two(2)pull tabs and two(2)spring clips. Installation: Sixteen(16)410 x 13/," S.S., flathead screws were used to secure the specimen to the wooden test buck. Three(3)in head and sill 5"from each end and mid-span. Five(5)in each jamb 6",21",35", 524, and 67"from top to bottom. Surface Finish: Bronze Comment: Nominal 2 mil polyethylene film was used to seal against air leakage during structural loads. The film was used in a manner that did not Influence the test results. Performance Test Results parner ph No Title of Test Method Measured Allowed •2.1.2 Air Infiltration ASTM E283-91 .06 cfinift' .3 cfm/ft- g 1.57 psf The tested specimen exceeds the performance levels specified in A.kMA/NWWDA 101/1.S. 2-97. •2.1.3/4.3 Water Resistance ASTM E547-91 5.0 gplVft2 Four(4)five minute cycles No Entry No Ent{y WTP-6 psf ASTM E331-91 Fifteen(15)minute duration No Entry No Entry Test conducted with and witihout Screen. 2.1.4.2/4,4.2 Uniform Load Structural ASTM 1330-90 Permanent Deformation 103 psf Positive Exterior .045" .146" @ 105 psf Negative Interior .057" .146" +2.1.8 Forced Entry Resistance AAMA 1302-5 1976 Test A 0" 1/2" Test B 0" 1/2" Test C 0" 1/2" Test D.E, F 0" 1/2" Test G 0" 1/2" Operating Force AAMA/NWWIDA 101/1.$.2-97 42 lbs. 45 lbs. *2.2.1.6,2 Degla2ing ASTM 1987-88 Top Rail 70 lbs. 011"= 2.21/9<100% Bottom Rail 70 lbs. .015"= 3% <100% Left Stile 50 lbs. .008"- 1.6%<100% Right Stile 50 lbs. .007"- 1.4%<100% • Reference CTLA-28OW dated May 21, 1998 ` ��'�/_2/2�J0G 14: 33 jl'�bb414y2 BELL VILW 11*[ FAiIL Page 3 of 3 Bell View,lne. Report No CTLA-280W-3 Test Date, April 23, 1998 Test Completion Date, , April 23, 1998 Remarks: Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by CTL for a period of four(4)years, The results obtained apply only to the specimen tested. This test report does not constitute certific-ation of this product,but only that the above test results were obtained using die designated test methods and they indicate compliance with the performance 14:,i.i jlLbb424J2 !JELL b ILL 11'1k; t'AkiL VJO Page 3 of 3 Bell view,Inc, Report No CTIA-280W3 Test Date: April 23, 1998 Test Completion Date; , April 23, 1998 Remarks: Detailed drawings were availabte for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by CTI,for a period of four(4)years, The results obtained apply only to the specimen tested. This test report does not constitute certification of this product,but only that the above test results were obtained using the designated test methods and they indicate compliance with the performance requirements(paragraphs as listed)of the above referenced specifications. Certified Testing Laboratories assumes that all information provided by the client is accurate aid that the physical and chemical properties of the components are as stated by the manufacturer Certified Testing Laboratories, Inc. ]aD '�elyl { Vice President Architectural Division cc, BellNI= (2) NAlvil (2) Ramesh Patel P.E. File BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC KACH ATLANT&6 DUCK, FLORIDA 028" APPLICATION FOR MECHANICAL PERMIT CALWN NUMBER IWORTANT—Applicant to complete all items in sections 1. II. III, and IV. VOCATION slnH Allow: OF lolerwliag streets: so' L F - And WILD" fob•di.k�loa IL NXNTIFICATION — To be completed by all applicants. Is censislNatioa of permit tv" for doing the work as described in the above statement we hereby agree to performs said work in accordance With Ma attactod rases cad so"Mcations whkh are a pert hereof end in eccordance with Ike City of Jacksonville ordieancos and standards of go" prestige listed thero7a. memo Of s �«te�eahoaisal �'l caoiraofm cr Jhwj �W �� C:%(r '� L moo" CLI. sls"e of heprlt oweer 040 mooof is" AqW Arag AiN� at snglooer 111. NAL Nr>lORh1AT10N A• lyre s�_boeh.g hal: a• Is al C"STMICTION "We 901016 SN IIa''stoetrie THIS SUILOfNS Oil SITB t O w—O v O Neewd O Cw*d a tar or Tilt Save IIwettn OF=NSTINKWON O 08 PRAMIT O �► — fes W. MB PWW.AL WOOM W TO M WADS NATURS OR WON I bovide eoaspM/o Ast s eemp amele wheal of iftb howl ❑ FAantlal or O Commorolal O 044,1111 O spoor O msssaw O Ce" O Near O New+ceding "ce"A aal: o sk..rs, a/cea l ❑ MIM1009 s)pttang O eM ages, -•-- --• —..... O lliplaownem of exlstino iystrwl Moslem"saromtgr s./.w. C3 New wateNo ton mo systom p"le"at insta " O Rairigmrmw.. 0 adenei"w edd•on to exlstlnp system O coos" NNW. C.radty e++s O elle"—Specify Q Fw srw.Yera: Nes.lw o/ bsar� O Gle ow O veil► p0—low 1w>NIAa ON olwm tlA ONLY O Goal" asai«I Merl O Took r„mnd,.ri Asartie Q vabod ruses+asn O ham PWM* AW aW e•a• UNT ALL NQUIP wwa AAA CCONNI NID+c AND teotuoistAisoa a rt+r >xr,..asfors. a.a.i�ln.. >rwr>ral.awr �� ° "lq' ys 09,771i X1NOW Moo >�flr..ar 'a�ls,,� da TAKU Or ffYy r� �R 11377 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - ERMI T IN,IS A' I C3N - --___--� LOCATION I N FORMAT I ON -- Pexmit Nu fiber« ,.1 377 Address: 181 MAGNOLIA STREET Permit; Type . MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class cit Work: ALTERATION �_w ----- LEGAL DESCRIPTION ---_ C nstr. Type: WOOD FRAME Lot : Block: Section: Pr posed Case: SINGLE FAMILY I Township RNG: 4 Dwellings: 1 Code: q Subdivision: ' ATLANTIC BEACH Estimst d Value: $0.00 Improv. Cost : Std ,CSD Total Fees: $37 .00 Amount " d 537 .00 D 1/25/96 Work D DENSER AND AIR HANDLER 4R�TI CIN - APPL I CAT I OILY FEES . a� $37 .00 PERMIT Ad IASTREET WATER IMPACT PER $0.04 ACR FLORID 3 33 a IMPAC FEE 6$0 .44 yyyAj( p' .A .Alln ",RADON S"R x .S. 9 $"� o -- INFOR IAT ON RADON CAS 5% $0 .00 Name: CIi II, ' �Ji R CE, JR. CAPITAL IMPROVE. 0 .00 Address: `59th AUCUS' 114 A , 32 07-8035 CROSS CONNECTION :4 .00 Licen e: CAC 0 Type: 1 SEC H IMPACT FEE $4 .44 Ct :'IST S IRCIIARQE .00 SCHARC3E ATL.'BCH 54 . 4 NOTES: t NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED 13EFORE:POURING 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 UP AND HAULED,AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO CQMPLY WITH THE MECHANIC'S LIEN LAW CAN AE ULT IN �. TSE PROPERTY OWNER,EI PAYING TWICE FOR THE SUIL0ING IIIIFROVEMENTt' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT10 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATL k BEACH BUILDING DtAkWMENT tuna � , t � 1! I �aptz,t +�7 r � ftk . ..`? . f.. ,..... Gr,.,, `n.. A or* NELIGAN CONSTRUCTION P.O. BOX 49249 JACKSONVILLE BEACH FLORIDA 32240 OFFICE (904) 247-3777 FAX (904) 247-1431 CERTIFIED BUILDER #CB-CO39536 CERTIFIED ROOFER CCC#13258SS TO: ATLANTIC BEACH BUILDING DEPARTMENT RE: ROOFING PERMIT #04-00028096; 181 MAGNOLIA STREET I HEREBY CERTIFY THAT THE ROOF SHEATHING AT 181 MAGNOLIA STREET WAS IN GOOD CONDITION; NO WATER DAMAGED OR OR ROTTEN WOOD WAS FOUND; THE EXISTING SHINGLES AND FELT PAPER WERE STRIPPED AND NEW 30 LB. FELT WAS APPLIED TO THE ENTIRE ROOF. SINCERELY, wn-' BRIAN D. NELIGAN PRESIDENT, N.C. S. INC �i`Gl 090 RWMENT Of 13UIL©ING OITY'OF ATLANTIC REACH . - ..: PERMIT T !tlClN "I` tN _... LC10A'TIONNFfltEr4ATIC11 - -- P+�rrni# H�xnbear> 0 1 Addreasl 181 MAGNOLIA ,;STREET'', P "" 3 k Ty ► EL, R CAL 11 ATLANTIC `BEAC14, fiL.ORTF?A 32233 - LEGAL DESCRIPTION lose of o'tk-a NES � S ation; l - Coos t. r.- Typo s CONCRETE, Lot: E3o+ik ted: Ikea SINGLE "FAMILY Towns�fip: RR[�t C1 Px�ap+r Subdivision*,- , ?rr"ell;ing»: 0 Codet 0 �0.0>a Estimated Value t ov" 1► cau►n at 11 _35.00 r. PATION . Rpp�� .fi� ,. a�" f- I VAT.R.1r N FEES �, � *35,,00 SK I TH �y 'Add +aaa T ET �KPACT + . FI, FLORID A♦pf{4t��y} yy44{{{ }JM�� ` ..e, C TRR : IR ORI AT 1 - RADON GAS �. 5% �£�.Ate +n EM b+— I*#lltl ! u ,AEli3 P:.F�P MATER,. T.AP.._. t7.Cli1_: ti. $EWER TAP Address t P. 0..r 9 KID L Cs, E'L 3206,8-0 ,64 kl t JRAULLC SHARE ` ' t 0 REQIE '1:C">x" FEE Li + : sEC. H INPACT FEI~ ea 00 OT HER NOTE: t N©TICF--AL1.CpNCliETE t RMS AND FCK�TINO$FUST ISE~10114PIEEC"0 it-F letiE.I�t1�11NG PERMIT VOID SIX MONTHS AFTEi GATE OF IS; uE i711 BUil.t?ING MATERIAL,RUBBISH AND pE:BRtS FROM THIS WORK MUST NOT BE E,LACED IN PU$LIC FACE,AND MUST SE, CLEARED UP AN©'t1AULED AWAY BY E#THEA CONTRACTOR'OR OWNER, s "1=-I'LURE. TES► O'M,PLY-WITHTHE MECHANICS' LIEN .LAW,CANrRESULT INS . T - ' '- tER PAYING TWICEt3F EULQQt I'Ma k. i$ 9E© AC+COR61NG eTO APPAC, PLANS"WHICH ARE PART,OF THIS PERM) AND:SU' � +� V C�LATION OFAPFC L6E,P#O*jtI0NS Of:LAW i ',,,,i",777,y ,, { AFS AM1iC SEACN NtlIL6,1"461)EPART LENT 3 t cl 4� CITY OF, ATLANTIC BEACH, FLORIDA q 5 Y'F Approved bV APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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. ELECTRICAL FIRM: MASTER LECTRICIA_f j SIdWATURE ,JOURNEYMAN NAME.�� ADDRESS:L �' iv �t�A 5 RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( 1 comm. ( ► PUBLIC 1 ) INDUS.I ) NEW( ! OLD( ► REW. ( ) ADDITION ( ) TRAILER ( ► TEMP.( ) SIGNS ( ► SQ. FT. SERVICE: NEW( ) INCREASE( i REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. /),-, LT`) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. w SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. tiyBq APPLIANCES BELL TRANSF. AIR H.P.RATING ` H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS e ' MfSCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. JKVA NO.NEON TRANSF. NO. VA. I MA. I MOTOR SIZE SWITCH FLASHER EACH SIGN t T_ FORWARDED TOTAL FEES __" " CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME LOCATION MASTER PLUMBERLyA/� STATE/COUNTY OCCUPATIONAL LICENSE NO. /21�aa �7SD3 CERTIFICATE NO. CONTRACTOR (j TYPE OF BUILDING SINKS SHOWERS LAVATORY uLWATER HEATERS BATH TUBS DISHWASHERS URINALS __/ DISPOSALS CLOSETS _/ WASHING MACHINE FLOOR DRAINS OTHER `j TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ,I , s Cl 7Y OF ATJ..kJN'J I C hFACH ;,alPLICATION FOR V.WJER CUT-INS. . . . APPLICATION IS HEREBY l,tbDE FOR__ WAIER CUT-IN AT THE F0!-1-M-.'I',G ADDRESS FOR CUT-IN CPARGE OF SIREET NO. LOT --SUBDI V I S I ON ACCOUNT NU.'-TBER -?' �6 /3cf,) / %aSTER- Pl-t�X ;:4a—s� 1-1AIL!'NG PDDRESS 'lETER Cilily OF A'1'J,7VWJC PE17�f-'H APPJ,JCJVFJON FOR Sl WER 0CYTqBCPlUllS AOrX UW. NO,,)--=:?(9 436 IjCCA'FJON,4/ T CY-P i,n- In 31 740- J SLBDIVI SION CITY OF All;I -' PJC PEACH APPLICATION FOR SI;�ER CO'I'IIX'PIC�JS ACO"JUNI' ILX1�`rI ON . IAT NO. SUBDIVISION TYPE OF BUILDING n�TE IIJSPr r1 BY ' Date...................................1! .._ Pax #........................Fes=._...._...... CITY OF ATLANTIC BEACH mit valuation=.............. ...................... ....... ... FLORIDA Hoge , .._. �...... . APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the pians and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. n rDate.......... 1,3.. 1p3.... Owner... �Y ..�:�.`�-•--�'� C t f('`!-'�5''s.......Address....fe�.. �l��r�=----...Telephone No.2.����!�..... Architect...... ....... ....�F .......................................................Address..��� ? �,...................249sphone A n i Contractor Build r.. L . . .......................Address............................................................Telephone No............................ lL7_mt Lot No........ -f............................Block No................................Sub Division......c /.Y. .....-•---------.....................?.ons................. .................................................. ......Street....-----•-•--•-------....Side Between.....................................................and......................................._...........Sta. valuation ................For what purpose will building be used.- u.�..�r� a-r c,..........Type of construction.. Dimensions of Building-I `R:�t'l !'-e a. .....Dimensions of Lot......, r `r`'............................Size of Footings... ...........�............... Sise of Pie:s.........,..........................Sin of aft................................Greatest Sill Span in ft...........................Type Roof !� tf'! �........._..... How will Building be Heated?...fe� .pu-.c±�rt...........................Will Building be on Solid or Filled Ground?.. .........1......._............... Sias of Coning Joists..�,�.A............................. Distance on Centers......-?.9k............................... Greatest Span..11.-.4................._..._. also of Floor ...........................Distance on Centers....x-Y`!....._.................. , Greatest Span__lY................... » .. ............. Sise of Rafters....�x b.................•-•----•-------.....,Distance on Centers....... .y............................., Greatest Span--./�.�............. ...._ ..._.. » 2/y o GKpZ,r/La-�P�9 This rectangle is to represent the lot. Locate the building or buildings in the 2ht aition. Give distance In fest from lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections regdz+ed. 1. When steel L in place and ready to pour footing. L When steal is in place and ready to pour columns and/or lintel. 8. When steel L in place and ready to pour beam. 4. When framing in completed. b. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. 7. Ebctrleal inspection by City of Jacksonville. S. Final inspecUM Not*: In case of any refection,re-inspection MUST be called for atter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby sgres to perform said work in accordance with the attached plans and specifications, which ars a part hereof, and in accordance,with the building regulations of the city.pem Signature of Builder.... ....2` .. ........_ ... Address....... .: . 45............... Signatureof Owner......................• ................................................... Address................................................................................................... 1't3T: SI,(f(�, 11.1 .`;R1tiG• __.._J� O�S.___ _ _ _ - - Ni,t'll:%N I CAT.: 1:1.E(A I'll CAL: . BUILDING P/FKAIT t;Ul-:}':SHEET HEATED SQUARE FOOTAGE: @ L? C. $ �� --------___� _ -�-- -'-- - ------------ Per sq. ft. � - 7 GARAGE (PRIVATE/SHED) : J L _ @ $ ----� © _---__--.--_ ------ Per sq. ft. = $ - � -0 jp-- ----- CARPORT: _— — @ persq. f t. = $ PORCHES: _ —— @ $ ------ --- — Per s q. f t. _ $ — ----- ------ DECK: - ---- - — @ $ --- - ---- --- Per sq. ft. _ $/ PATIO: @ $ per sq. ft. _ $ TOTAL VALUATION: $676 (lLs! PERMIT FEES f OTAL VALUATION DATA 1 s t RE?1AINDER VALUATION @ $ a -00 per thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 -------------- PLUS 2 THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ TAL EE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --------------------------------------------------------------- PLL:;BING PERIMIT FEE: $ 60 MECHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ _ ELECTRICAL TE'.lPORARY: $ WATER METER SIZE: FEE: _ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $ 3,5-- WATER CONNECTION CHARGE: FIXTURE UI4ITS @ $10.00 PER L:JIT: $ ' ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAN, FILING FEES: $�?�0�7' TOTAL :TATER •1ETER CHARGE: - APPROVED TTY f;c f•-i1�:;'l'l B ACC TOTAL WATER CONNECTION CHARGE; $aa©, TOTAL SEWER CONNECTION CHARGE: $/63,5 , Zj i= GRAND TOTAL DUE: BUILDING AND ZONING DIVIS10N CITY OF 1•:rLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORT.A.NT---App!ic-&,nt to cornpleta all items in sod;om 1, 11, Ill, and IV. I• �On �;le of_ l V l M1:k(.IVOC.k (-t- botwen_. St. and St. LOCATION (NOrth, South, Eat},wolf) (Addrost) (Intortoctiaq Streets) OF RULING Lai NO dJacJ[ No- (Stale o(Stat• porion of Jot if lass tf+xn CA bf•--Attoch bgal detcriptioa por diad in dvpJ;cat$ if nocauary) 11. TYP£ OF PPOPOSED hAIEG'HMICAL WOPX -- All epplicents cornp*f* Parts A --- D A. USE OF WILDING 8, OWFiEpEtilP RESIDENTIAL 15. Private curporet;on, nohpaaflt intt;fi,t4iCM, 1. I�One family 11. 0 'wil;ty If. ❑ PubCw ►f�deroJ, Stety or heal pov+foorie f) 2. D Taro or more family- 12. ❑ `:c Oel, G1-ory, -_ -- -'-- Enter number of roonx _ otker`4,cof:ar4l C. t4ATLIP.E OF WORK 3. ❑ Trarstiant, hoot. notal, 17. T[] Neo &J;Jd;ng rooming house - t!. h Sft):e, mircemtie ✓✓. � Enter number of un;k Gtt•cr IC. ❑ Ea:stinq 8-v;.{;ng. 4. ❑ O!her res;dent;al ___ 14. Q OTHER-SPF17IFY I9. ❑ Retltcarrent of eutt;ng "' tem 20. New ;nttal:stion (Na.sysfem Frtv;ovsly iwtiludl NON•RES%DENTII.I 21. ❑ Estre-::on cf cdd-on to wKtin4 tysta+a. S. ❑ Arr.v&*rneet, recreafional 22. ❑ Ot6ar--Specify a. ❑ Ckvrc}, o4w ra!;9;out 7. ❑ Industrial 1. f1 GaraSe, Hrri!a ttsf;oY � E TYAie OR '.UILt?!t�lfn 9. ❑ Horp;fal. instifut;ona► ' 36. ❑ Number of stx;er 'Z- 10. ❑ Office, bank, profess;onzl 37. F'�'1Wocd fra" V. WCH-kNICAL KlUIP)A NT TO fs' !USTALd:3t 38. ❑ t.IRsonry and vrad (Fmv;oe complete list of compN)enh on hack of 6's form) 39. 0 Cein'orcvd cvncrets 23.x Fv-nate: ❑ Space I, F.a::..*j X Central 0 Fkow 40. ❑ Structure) stool 2i.VVV✓xAir Cond;l;oning: 0 Room K Control N - 25. X Duct System: LA,torW bUC%'&fkQ\b Th;ckns'-� _. 1+la1;mum upac;ty 26. ❑ Refrigeration /Q„ _7 b10 THIS SS!PACE FOR OFFICE USE ONLY 27. ❑ Cooling towsr: Capacity _. 9.p-M. Ind) 21. ❑ Fire sprinklsn: Number cJ 29. ❑ E!evatw ❑ )danlift ❑ 30. ❑ GasoCna pumps ..__(number) 31. (] Tanlrs_ (number) Romarkt 32. ❑ LPG contains. (nun+bor) 33. ❑ Unfired pretturo vestal Permit Ap,yrored by Do 34. ❑ Boilers Permit Foar.._._ - 35. ❑ Other - Specify -- - - III. GENERAL INFORMATION A. Type of heat:nq fuel: C. IS O7r'EF. CONSTRUCTION BEING DONE ON �� 42.� F"fric Tills BUI!-�ItfG OR SITE? 43. ❑ Gas-❑ LP ❑ Notwel (� G +fral Utility :F YES, GIVE NLIM!IER OF CONSTRUCTION 44. Q Oil PERM:? 4 4S. ❑ Other -- Specify IV. ID'ENTIRCATION To b-z c:xnpintr-d Ir; cll applicants, In coAS;dvat;cn oft yivan for do;nq A-0 work at dsvrr;btef ;c t"s e`;,e sitatoment Y;a ti,aroLy .s?roe to pe-foram ta;d woA in eccordenee with the etiaclwd plans and tpoc;fic4t;oas wSi:h are a psrY herrcf e,id in .scconfence with !'!a City of Jacksonville ordinances and ttendardt of ;mod pract,ce listed t6m;n. ere ci M"I an;u! $;c;r,aturt of Celtracs;r (Print) S-1 Int-1 t,:� - -}_vntrocfr t.gsnt NAM-3 04 O.nar J'rint � �►�-•• ' Acs?rtes S:'P-tv-a of Cwnor N I S;In2hcra of or Agsnt I_Ar%:4,;le0 or Enq;nter - r1,5i,! Page No. of Pages OCEAN STATE HEATING & AIR CONDITIONING, INC. 1476 ATLANTIC BOULEVARD NEPTUNE BEACH, FLORIDA 32233 PROPOSAL SEJBMITlt D TO PHONE DATE G & M Construction September 14 1 8 rs TREET JOB NAME L__ 447 Atlantic Blvd. Ste. A. Lot 655 I� CITY STATE AND 11P CODE 108 LOCATION II Atlantic Beach, FL 32233 Salt A irit ARCwTECT DATE OF PLANS JOB PHONE �We hereby submit specifications and estimates for i I Installation of Heating and Air Conditioning. 1) Equipment to be Carrier Air to Air Heat Pump. 2) Supply ducts of 11t fiberglass duct board and flex. Exclusions: All necessary electrical, low voltage rough, PVC chases, and condensor pads. Warranty: One year on all parts and labor, four additional years on compressor. i 19r FrOPOSt hereby to furnish material and labor — complete In accordance with above specifications, for the sum of. TwoThousand One Hundred Ninety Five and NO/494ars(s 2,195.00 Payment to be madll 45% upon rough, 45% upon trim 10%u on completion All material is guaranteed to be as specified AR work to be completed in a workmanlike manner according to standard practices Any alteration or deviation from above specific. Authorized lions invOWvlg extra costs will be executed only upon written orders,snJ will become an Signature extra charge over and above the estimate All agreements contingent upon strikes.accidents or delays beyund our control Owner to carry erre,tornado and other necessary Insurance Note:This proposal may be Our workers are luny covered by Workmen s Compensation Insurancewithdrawn by us If not accepted within 10 days. Arreptanre of Proposal-The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified Payment will be made as outlined above. Date of Acctptanct Signature PLUMBING WORKSHEET SINKS _ SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS _ l _ WASHING MACHINE - ( WATER HEATERS _ DISPOSALS LAVATORY URINALS OTHER ARPROVED QlTy TOTAL FIXTURE COUNT r FIXTURE UNIT BREAKDOWN 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 16Z BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL _ SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN 02 UNIT) _ URINAL, WALL LIP (4 UNITS) - FLOOR DRAIN (1 UNIT) _ WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) .2 KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH CITY OF ATLANTIC BEACH, FLORIDA APProwd by-' APPLICATION FOR ELECTRICAL PIRMIT �373J TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ."'"' 1 � IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE`WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM'SAI{? WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL EGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES, zag).g €LE /"''I+`CAL FIBM; ER E RII—slammid J JOURZ NAME( ""'�� - t, COR ESS: '1 A i RFO WX BLDG.SIZE G 1 BETWEEN:"C l' %jcwt-s"'~,�-. fy t � C RE$.1') APT.( ) COMM.{ ) PUBLIC{ ) INDUS.( ) NEW Wr OLD( ) REW.! ) ADDITION{ ) TRAILER ( ) TEMP.1 I SIGNS ( ) SCL FT. SERVICE: NEW{ INCREASE{ ) REPAIR ( FEE CONDUCTOR joZE <b COPPER f ALUM. SWITCH OR PREAKER AMPS Pi, W LT ACEWAY EXIST.SERV.SIZE AMPS, PH W VOLT RACEWAY FEEDERS NO. SIZE IVO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS., s L 14o AMPS. SWITCH" 1NCANDESCENT FLUORESCENT&M.V. PLXXD 0400 AMPS. OVVR APPLIANCES f BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR' OTHER MOTORS AMPS CEIL HEAT. KW-HEAT OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS 1 LLANEOUS ` , TRANSFORMERS: UNDER V. OVER 800 V NO. , I KVA IND. JKVA NO..NEON TRANSF. NO: VA: MA. MOTOR SIZE SWITCH FLASHE EACH.SIGN FORWARDED TOTAL FEES' C _Y OF x Ilii OCEAN BOULEVARD r " -a P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 + TELEPHONE(904)249-2395 February 8 , 1984 Pre -Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville , Florida 32202 Dear Sirs : The following final inspection has been made and is satisfactory : Permit #3735 - 181 ;Magnolia Street , Atlantic Beach Permit issued to Ferris Electric Company . Sincerely, //Joh'n M. Widdows Building Inspection Supervisor JMW : ra t e CITY OF ATLANTIC BEACH 40► INSPECTIONS J BUILDING PERMIT NO. ELECTRICAL PERMIT NO. PLUMBING PERMIT NO. MECHANICAL PERMIT NO. JOB ADDRESSLiez CONTRACTOR OWNER _ called in ins e ted approve-disaproved reinspected JEA FOUNDATION FOOTING SLAB PLUMBING (R) TOP OUT �F,WER EMP POLE lo-17 ELECTRICAL (R) ELECTRICAL (F) FRAMING — PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING FINAL INSPECTION MECHANICAL HEAT/AC FIRE PLACE CITY OF k 7 t 6 OCEAN BOULEVARD—DRAWER 25 ATLANTIC BEACH. FLORIDA 32233 BUILDING PERMIJE NO.# ELECTRICAL PERMIT NO.# PLUMBING PERMIT NO.46 JOB ADDRESS 5_4? e_4A -, CONTRACTOR OWNER DATE REMARKS INSPECTOR FOUNDATION FOOTING SLAB PLUMBING (R) � (1-- TOP-OUT SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) PLUMBING (F) FRAMING 1 - 62 ELECTRICAL (F) GRADES SHOT CLEARING LOT OTHER FINAL INSPECTION / WiLL)AM S. HOWELL _ JAMES . MHOON ALAN C. JENSEN L. W. MINTON. JR. CATHERINE G. VAN NESS L"aycr-Commissioner Com• issioner Cc­m-,;«.;--;ier Comm.ssloner Commissioner RILL M. DAVIS OLIVER C GALL' MRS ADELAIDE R. TUCKER CARL STUCKI City ".R payer City =.::Dr ,ey City G. ..-Tr q_.,_ 'C' ';rnLEf t i.t y{ ? CITY OF ATLANTIC BEACH, FLORIDA A"►owd by Appu AirtON FOR At T� C�� � �■ TO THE CHIEF ELECTRICAL INSPECTOR: DATE-/Q 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. EL RICAL ` ; R SLLURICIMJOURNJ 11 -1 - . NAMEI .,s.:� S.�P'� ADDRESS: ~s: .,:, � RFtk�.BQX BLDG.SIZE ' .�_ BETWE,EN: RES. a APT.t 1 CQMM.I I PUBLIC t 1 INDUS.;t I NEW t I OLD( I REW.t 1 ADDITION t I TRAILER t I TEMP.(-*T SIGWS 4 I SO.FT. SERVICE, NEW Vf INCREASE 1 I REPAIR t I' ; FEE OR SIE $ AMPS COPPER I I ALUM. rs. TCH FAKE W OLT C, Y EXIST.SERV.SIZE AM$ PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO.` SIZE i LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED ©PEN TOTAL 0.20 i kP6.. 11.100 AMPS, S,WtTCHES' INCANDESCENT FLUORESCENT&`M.V. "PLIANCBS BELL TRANffi�F. AIR H.R.RATP. RATING CONDITIONING COMP.MOTOR' OTHER MOTORS A1►PS'. EIL#TEAT: KW=HEAT 9.1 OYER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MI ELLANEOUS' TRANSFORMERS. UNDII R'.60 V, OVER am V. NO. KVA NO. lKVA IWC.NEON`TRAN$F. IND. VA, MA. MOTOR SIZE SWITCH FLASHER EACH SIQN. OR A DED W R 1`QTAL FEES x } ...xmmYa.r w'iv.,..•s<,v::,. .t _✓'-.X`.Aa^�°u�d"+i .�.+fl F.., SSR sn 1u DEPARTMENT OF BUILDING � ((��' CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 1 6 0 7 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9L28 19 $3 240 e 75 T1. j ,345. 15 240.75 d4U•7bCK T Valuation6Fee$ 1 70 #� j I This permit not valid until above fee has been paid to City Treasurer,and is 1€ u7 • " subject to revocation for violation of applicable provisions of law. This is to certify that G & M CONSTRUCTION CO. j 447 ATLANTIC BLVD. ATLANTIC BEACH, FL has permission to build SINGLE FAMILY HOME AS PER PLANS SUBMITTED `I Classification SINGLE FAMILY Zone RS2 Owned by G & M CONSTRUCTION CO. SALTm SA- Lot 655 Block _ S/D SHXX AIR House No. 181 MAGNOLIA STREET j According to approved plans which are part of this permit III NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O Building material,rubbish and debris z from this work must not be placed in public space, and must be clevired ,p7'a u d away by either on- tra or nen Building fficial. I FOR OFFICE PERMIT DATE CONTRACTOR f USE ONLY NUMBER I PLUMBING i ELECTRICAL I SEWER WATER i j DEPARTMENT OF BUILDING O CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11-23 19 83 MECHANICAL 42.00 `�� .00 T Valuation$ Fee$ 4 s E iiCK T 34:,j 1 4 11 /23/83 This permit not valid until above fee has been paid to City Treasurer,and is to L 6 uncir; subject to revocation for violation of applicable provisions of law. 1 1 1 f !` j This is to certify that OEM STATE HEATING & AIR i has permission to� INSTALL HEAT AND AIR CONDITIONING AS PER PLANS Classification gTNa_T.R FAMTTY Zone_ RS 2 Owned by G & M CONSTRUCTION I Lot 655 Block e S/D SALT AIR House No. I Rl MAGNOLIA STREET According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS n AFTER DATE OF ISSUE 4 ► 4- 10 O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared u haled away by either con- tract r w�neer. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR I I PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING ® C " J +w CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 43950 THIS PERMIT MUST BE POSTED ON JOB 46.50CKT 747 1 A 1 U/13/6 Date 1011 ,1 191— 5u j5 rUUC:AC /47 1A 1u/1j/8 Valuation$BIDUMBING Fee$ 48. 50 1 i1 C3 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. This is to certify that F.W. FAIR P.O. BOA. 51149 JACKSONVILLE ,DEACH, n, 3225 1 INSTALL PLUMBING AS PER PLANS has permission to b � Classification gTNCt„F T?AMIIy HCMF Zone R9 9 Owned by G & M CONSTRUCTION i Lot 655 Block — S/D SALT AIR" House No. 191 MACM1011A STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS =r � AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 — 1110 4 O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- ,_, ct r;owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I ELECTRICAL SEWER WATER CITY OF Office of Building Offlciai 710 REQUEST FOR INSPECTION �Date �l Permit No. Time A.M. Received PV. / District No. Job Addres Locaii#y Owner's tr�G-yy Name ______—,.Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& a Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Mon, Wed. • Thurs. Friday P.M. } /r A.M. inspection Made P.M. Inspector Finalinspection Certificate of Occupancy Date pe A�raRpe�- y 'J'a�N Office of Building Official REQUEST FOR INSPECTION )ate / _ Permit No. 'ime /,lO A deceived — / ----"—Pm.—) Job Address Locality ?wner's .o lame _ Contract 3UILDING CONCRETE ELECTRICAL PLUMBING CHANICAL =raming _ Footing Rough Wiring 7 Rough ❑ Air Cond.& .e Rooting _ Slab Temp Pole F_ Top Out ❑ Heating nsulation Lintel Final Sewer ❑ Fire Place Lr READY FOR INSPECTION Pre Fab Lp.. Son. Tues Wed. Thurs. Friday A.M. spectior Made Final Inspectiorn� Certificate of Occupancy Date _--- — CITY OF 4&444'C /3+1144CA-47A t Office of Building Official REQUEST FOR INSPECTION Date ��� r � PermitNo. Time �— Received ___ P, District No. (_bob Address Locality Owner's __ �/� Name c - f / Contractor BUILD NG CONCRETE / ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing 1Fd Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. (17 5�� A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date e w. CITY OP 4&64.0 &44A of Building Official REQUEST FOR INSPECTION Date/&_ --. Permit No. Time A M Received P.M. r District No. Job Ad rasa . Looaiity Owner's Name Contracto 4 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing 0 Rough Wiring 0 Rough I Air.Cond.& Q Re Roofing O Slab O Temp Pole 0 Top Out Ci Heating Lintel 0 Fire Place 0 READY FOR INSPFPre Fab A.M. Mon, Tues. Wed. Friday P.M. {� " 6, A.M. inspection Made -P.M. Inspector Final Inspection Q Certificate of Occupancy Date CITY OF- Off ite FOffice of Building Official REQUEST FOR INSPECTION Date 7 Permit No. 43737 Time =f Received � ! District No. 2Job A dress Locality Owner's S }�`� Name y L'r - Contractor �40AA-� BUILD CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Cl Footing ❑ Rough Wiring �❑,,I^ Rough ❑ Air,Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole to Top Out ❑ Heating Lintel ❑ Fire Placa ❑ Pre Fab READY FOR INSPECTION a.M. Mon. Tues. fr67 A.M. Wed. Thurs. Friday P.M. ��`ti Inspection Made 0 P.M. Inspector } � Final inspection❑ Certificate of Occupancy Date CITY OF �t ►�' 4&K4-0 e of Building g Official REQUEST FOR INSPECTION :Date 1 I 2Permit No. Time , 00 A.M. Received District Na. ob Addr Locality. Owner's Name-- � '-t= ��✓ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Cl Footing G (tough Wiring ❑ ugh ❑ Air.Cond.& 0 Re Roofing E] Slab Cl Temp Pole Top Out 0 Heating Lintel 0 Fire Place d Pre Fab READY FOR INSPE/._._./ A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made LJr. P.M. t Inspector Final Inspection O Certificate of Occupancy Date CITY OF ,►t&4Odic 13e12C4- Office o g f Building Official REQUEST FOR INSPECTION Date � �r � 3 _�� Permit Na. �[DTime / f Received (� " P.M. District No. Jab Afd6esess Locality Owner's Name Contractors BUILDINGONCRETE ELECTRICAL PLUMBING MECHANICAL Framing �ooting 0 Rough Wiring Rough f9� Air.Conti& ❑ Re Roofing 0 Slab ❑ Temp Pole 0 Top Out 0 Heating Lintel 0 Fire Place 0 Pre Fab ,j , READY FOR INSPECTION A.M. Man. b` Tu Wed. tfhurs. Friday P.M. Inspection Made { A.M. P.M. Inspector Final Inspection O Certificate of Occupancy Date 1 <,� 06 I e Energy Performance index(EPI) rating can help ya1 judge how onergy eMcient anew home s. This card states both the EPI ALLOWED by the ".oriel Energy Etticiency Code for ,Ns new home and its EPI rating at ttl,s :ocafion and orientation. The lower the EPI is, the f' more energy efficient the house will uf, and the Less it should cost to operats. Ditferent hones can be ccAnpared by their EP; ;acing; if t,ey are aporcxirnately the same size. EPI THIS HOUSE:, _C.2, MAXIMUM EPI ALLOWED: HOUSE SIZE RANGE: EPI is unknown; Code conplianca calculated under Section _ __ EPI might be higt`er alar tale r ax;rnum c;1oYrabie for a horne alis Size. 7 Compliance by aec;ti:-n ? Prescriptive /;,iDroach (Sac. Q0311). EPI -;_,resents tho ma;x.irr:.;m a11o�Xed for ccrnpliarice: the catct.;latod EPI rray be bower than shown. EP v.�as -a!ulotea "worst case" to inc!ude several uILcs acid rncry be lowar the.- *t-,e nurnte-r pos!ExJ. ' r Location of house: �'DZ Cos`-� SAC k I4rt.2-- _ Builder/Owner, - __ _ _ Dote: _-- -_ (S+gnattre) Building Official: _ Date: s rl w ,a, ri CITY of e rIt standard Q the sou th �pQtt 109 f Bance with the section t to the requirements Of was itl co an this structure issuance ottQtellit�- to issued purse the time o For the f _ tyf ica This Ger �that at tion or usc- guitding code eertif yin'ating itd"' construe Btdg.4ecmitNo. bu ordinances rebut 1 variQ j vk UseO.-ificatioc, constcud'oo —cess— ,,—'- + � --.'...., LncaAitY Owner of$mtdtng Y auilding AddKss j aa Date.— n�J g ildin O ia1 — N h CON$P rebus ncc Citof &I Atlantic Beach m TSR RECEIPT m * Oper: DSMITH Type: OC Drawer: ; Dates 4/16/04 01 Receipt no: 488 C Dep rlption Quantity Amo-snt BP 00BUIILDING PERMITS 1.00 $68.00 Tender detail ED(S C 809 $68.00 Total tendered $68.00 Total payment $68.00 Trans date: 4/16/04 Time: 9:27:17 �YHFST,rF FLORIDA MODEL ENERGY EFFICIENCY CODE t FORM sot FOR BUILDING CONSTRUCTION u BOB GRAHAM SECTION 9, 9H POINTS METHOD CLIMATE ZONE GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 PROJECT NAME � 1" S AND ADDRESS PCT. (_ -j�,E ZIP ZONE BUILDER COw S— PERMIT NO. OWNER JURISDICTION NO. STATISTI CS F-1 IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATION COVERED BY THIS CALCULATION: FIT] CLEAR TINT OR FILM QADDITION (SEPARATE CALCULATIONS REQUIRED 1-7p, ICTISGLNI GL[] F MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 EDBL BL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY I a 5. l 1 ( 13 5 2 R �.2 R= ©,Q COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE F-1 STRIP F-1 GAS El NONE El RESISTANCE SOLAR UNITARY 1:1OIL F1 SOLAR FHEAT RECOVERY GAS EER-SEER = ®,® HEAT PUMP: COP = ®,a DED. HEAT PUMP: COP =� OTHER: a OTHER: MAX. E.P.I. ALLOWED (from 9A): L_11L�1• CALCULATED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* CERTIFIED BY: DATE FORM COMPLETION DATE (owner/a ent) I 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- 301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1-5 1700 1 1900 1 2100 2300 IABOVE BASE E P 1 120 115 110 10 100 95 1 90 85 80 to A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 Ip 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 (O BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. ++ 1 E.P.I. ALLOWED l B S *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE i APPROACH" (SEC. 903.11 ARE REQUIRED EQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 96. 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. KNE;,y.: M :i! ii GW! INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 V WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 3 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 RESIDENTIAL CALCULATION FORM 902 CLIMATE ZONES 1 2 3 COMPONENT WINTER GROSS SUMMER GROSS WINTER i SUMMER AREA x WPM = POINTS AREA x SPM = POINTS 11 .5 CONCRETE R 4-5.9 15.6 9 9 N R6 & UP 1 31 9. 2 J J Q FRAME ? * 1x € 7.8 92 :;;:...:.::::.:::.......::.......:..... 3 OR R19-25.9 (Li Z-?, 3 4,9 (.o 9cr3 C4'2 5 .6 79q'2-.S- BRICK 9 '2..S- BRICK R26 & UP 3.6 4 .2 VENEER COMMON 7.8 2 ,5 tJ] �:..:................................... ................. ............................................:............ 73o: . . m INSULATED 235.5 14.5 O STORM DOOR 124.4 29.0 GCOMMON61 .9 4.5 �Cn►EE 1 u,4 tA5.0 a cQ o 15-1- 5. 5 g UNDER R22-29.9 4.1 5.0 ATTIC R30 & UP G(')p 3.3 73 20 1 3. 7 S _2 R 6-7.9 14.2 1 4.9 J R 8-9.9 10.9 11 .3 tiJ SINGLE RIO-1 1.9 V 9.2 95 ASSEMBLY R12-18.9 6.7 7 .0 NO ATTIC <.�...E ' ` 'i.'.':..: i C) 5 5 .5 COMMON 4.8 1 .5 R 0-6.9 15.5 4 . Lu R 7-10.9 6 2 .1 $ WOOD j #< € f> ##>>>> 5.6 1 .8 W R19 & UP 4.0 ' 3 331, S 1 .3 �o Q;: R 0-2.9 19.4 6. OJo R 3-5.9 12.4 3. 7 LLZ R 6-10.99.3 2 m CONCRETE '' 'E> <':' r1?`_':' 6.2 2.2 R19 & UP 4.4 1 .6 0 COMMON 4.8 1 .5 EDGE INSULATION PERIMETER WPM Jc7 R 3-5.9 g NZ PERIMETER R 6 & UP O 4 6.4 2 AiPl LFORM 902 CLIMATE O. ES 123 9 f WINTER OVERHANG FACTOR (WOF) 9 f 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. 9 0.75 0.73 0.83 �0 3 1.00 1-1.9 1.00 1.00 0. 9 0.98 0.97 0.98 0.99 1.00 2-2.9 i .G0 0.98 0.77 0. 76 0.84 x.:-`'11.00 2-2.9 1.00 0.98 Q 9 0.92 0.91 0.92( 0.9' 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 1.00 0.90 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. 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 , .00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 �7 0.68 0.77 0.68 0. 70 0.81 9-9.9 1.00 1.00 0 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 t.2-2.3 .4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP HSM 0.45 0.4 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT Y .........................:. .......................... .......................... .NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) "9H COOLING SYSTEM MULTIPLIER (CSM) 7ER/ 6 6.9 .0-7.47.5-7.9 9.0-0.4 8.5-8.99.0-9.4 9.5-9.9 10A-104 105-10.911.0-11.9120-UP ELEC. 1.00 0.93 0.87 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 GAS CO 45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP - 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 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC _ 4.5 HEATER GAS 12.6 HRU'(A/C) WATER HEATER ELECTRIC BACKUP 6.7 GAS BACKUP 13.9 HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 1 1 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 HOT WATER p Z ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 WC GAS BACKUP 11.4 12.8 '14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.11 JU a "PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM _ 100 - OVERALL SOLAR FRACTION 4 i 1123 OR AREA SGL DBL WOF GWP OR AREASINGLE DOUBLE SOF GSP 9F CLR TIN CLR TIN I 9F N _ 157.4 1 ZO-8 __ N 146 123 120 101 NE .4 120Ri NE 221 9 E 7.4 '?O E 289 242 5 ,C('{ SE _ 57.4 1 SE ,_ 2,6-t 219 226 189 _ o S 1 .4 S 190 160 160 134 a SW 1 12 Sw 261 1 22 18 10, W S 157 4 2 Ste? t� w _ 28 242 5 209 cl c� Z NW 7.4 12 8 _ NW 221 1 1 0 159 N Cal z H 79. H 489 408 432 360 Q W u tq z 1114 M-eOLf c 4110, (c( 32,V ,2 z o --_. a HO «.; . .:....>.;. ..:;....... .:.....::...:.::.;::.;•::::::;.:;:;;:.;;::;; >:::>?:as RIZONTAL GLASS (SKYLIGHTS). .., FOR SC LESS THAN '11111 .. 0.83 SEE SEC. 902.2d TOTAL GROSS WINTER POINTS aL4a, f TOTAL GROSS SUMMER POINTS �(QG� e R = 3.5 , 1. 15 R = 3.5 _332 rL 1.15 3��b U J R = 5.0 1.12 R = 5.0 1.12 p� R = 6.7 1.09 R = 6.7 1.09 x.00 3���tr 1 _ 1.00 33 z25, HSM FROM 9G 8 L L.x r 2,c CSM FROM 9H DIVIDE BY G (��� DIVIDBy FLOOR AREA ` r(Q i wINT INTER NTS FLOOR AREA ` f�s:)—"uMER POINT CALCULATE E.R I. WINTER POINTS SUMMERR POINTS HOT WTR PTS CREDIT POINTS PENALTY POINTS a I l '}' S (91)7 (90 + (9D)+ (9 E) . 2 FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS 9C DESIGN CREDIT POINTS (CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 CROSS VENTILATION (1 CP per room) 1 OIL HEATING 12.8 WHOLE HOUSE FAN (min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E DESIGN PENALTY POINTS FIREPLACE with outside combustion air 2 WASHER AND DRYER IN COND SPACE 3 9C TOTAL (not to exceed 12 points) TOTAL GLASS OPENS LESS THAN 40% 5 FIREPLACE W/ INSIDE COMBUSTION AIR 5 3