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Permit Add/Remodel 351 4th St 2011 J << CITY OF ATLANTIC BEACH IS1 800 SEMINOLE ROAD s..11 ATLANTIC BEACH, FL 32233 • J.; INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002520 Date 8/31/11 Property Address 351 4TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 30000 Application desc KITCHEN ADDITION AND RENOVATION Owner Contractor PICKETT OWNER 351 4TH STREET ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . 200.00 Plan Check Fee . . 100.00 Issue Date . . . Valuation . . . . 30000 Expiration Date . 2/27/12 Special Notes and Comments 1. Submit elevations of existing building and elevations of changes due to the new construction. 2. Show details on how 2x10 pt. sleeper is to be attached to existing roof. 3. Submit engineered truss package. 4. Submit Florida product approval number for new double french doors. 5. Submit energy calculations for addition under 600 s.f. 6. Need dimensions for new addition area (master closet and new east entry to show square footage). MJ *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. PERMIT IQ VL .Y IN ACCORDANCE WITH ALL CITY PATEA144 ABI A .VggilibI 1+IVCES AND THE FLORID3. 0 0 BUILDING CODES. BUILI PERMIT APPLICATION ' ' CITY OF ATLANTIC BEACH ' A b b 800 Seminole Road, Atlantic Beach, FL 32233 i l h W / • Office (904) 247 -5826 Fax (904) 247 -5845 4/ Job Address: : 1 7> 0 /-i- n S-f' Permit Number: / / S c17 b Legal Description j .- 69 1 1, - - - cf E= Parcel # 1 L ci `a cl .. n e. Floor Area - of Sq.Ft. q. t Valuation of Work $ � 8 i c . Proposed Work heated /cooled 1 Li 14 non - heated /cooled Class of Work (circle one): New cddition lteratio Repair Move Demolition pool /spa window /door Use of existing/proposed structure(s) (circle one): Commercial Residentia If an existing structure, is a fire sprinkler system installed? (Circle one): No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: /J,,/ 1 o v. or LL) 1 K i . 1^ Closet i 11 - c_lAev\ .e x pcx ilst`c3► 1 / l'e c.C.4+Z Prope Owner Information: Name' Address: 3 5 t 1---0 u i Si City . a mt_ State Zip ? }1�- Phone 9 1 n 4- .,4 to - 4 rig 1 E -Mail or Fax # (Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job ' e - _ Fax # State Certification/Registration # 1 , 41:11. a . • _. - Arc Name &Phone # 1 . .. 1 C i ► _ , Engineer's Name & Phone # I • * k ■ . _ Fee Simple Title Holder Name and Address 1 ITS FOR ATE: • ,i Bonding Company Name and Address ' . , , l AND C rr . . 1� � , Mortgage Lender Name and Address 1 RE l 'Al. /" . . . trommur T/ Application is hereby made to obtain a permit to do the work and insta a t ► , ' •_• i o . .t lation h a . ' J'o'tninen ' issuance o f a permit and that all work will be p e r f o r m e d to meet the standards o f all aws regulating . '-• - :., sdiction. This permit becomes hid: ,,t and void :f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after work is commenced. 1 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. 1 hereby certify that 1 have ea• and e ' ' • : • .'. . •. know the same to be true and correct. All . ovi -i. s 6f aws and or. in. 's governing this type of work will be co .lie. • ' whet er speci led herein or no . The granting of a permit does not p -sup' give a thorny to viola.' or cancel the provisions of any other • • r. tate, or 1. al law regulating construct:. n or the performance of constructio . ` Signature ofIwne/ ism ......---- Signature of Co , r or _�" Print Name \ ' .}� Print Name \ 1 14 1 i. e _ .. , Sworn,to and subscribed before 'me Sworn o and subscribed before rye this ( Da of : • , 20 1I this M Day of ¥ AJ -C.1sT" , 20 11 • 04.LJ 4 � �� i +$� ENID V. JOHNSON • ` ^ ,•, Commission uu )87850 Notary Pub " 44 `mission DD 797850 Notary Public # �:ki Expires June 15, 2012 I*: ;q Exp ires June 15, 2012 ry if" a no.eoo 1 ' '' no�a�ati,n, vorFemi��eooae57o,9 Re a °t tike _ y�r t 1 ii i 1111*( 1 i ' ` I 1 :L,� CITY OF ATLANTIC BEACH ,s r 6 i" Building Department ic1 800 Seminole Road r i Atlantic Beach, Florida 32233 i...). -1 (904) 247 -5800 ,.r 4 ''''"r ,i PLAN REVIEW COMMENTS Permit Application # 1/ S",,) 0 Property Address: 35/ ' 7"i Applicant: 014 h-e r (.J r / der'' l V g 1 e r t- i c. k 0+4- Project: i fG kto 0 >y3 is ! $ 1? / oLia �ic)V'\ 5 1 �Vali ;ek c.,.(a This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: tO s L., b m r 4-- if u c4 - i «v) S ca -C ex; 5 7 , 3 L./110/1)4i Q ne 0 Le vet l? v'i 0 - 4 c ha ,,' e c/ ue d n eiv Cc. » , s h Yti c ',obi). s�o �, a dr `/a ; / - c� u a, r1 Moe 10 T $ Le e pe ; s � 7 be a ocAmoot lea Px/ R - ,.es Pace-, 6 . .) T c.. i) ill., 4- &. e , iz e.41` r s S` a' c k4, AV42. /5 S v`om, - f' { "l orwr a Prc t,c.l a,2#2YOUct 1 A vni b r ni- n p cti uic,l4) Foceic, A 6coie s. r .i ici.. r Id one-11.0 bald S.-P. 16 4ec 0; rin or, clay/ s - ray- re w cal01 / ?C ' a,4 a r _/1 sz,. -e -roclice o3� Please re- submit your application when these items have been completed. Reviewed By: M Date: ?'? 2 " // 1 x .- Expire. xpires June 15, 012 385-7019 Print Name: li C� V k.As - Y -- ) .R, 1 i , Bondeemn, Troy Fain inwroo i [( Personally Known ❑ Identification/T • e: Verification pursuant to Section 92.525, Florida Statutes. Under . - .1 fpj - ;tdec1are that I have read the 1 foregoing and that the facts stated in it are true to the best of my ttledte and a elief. s1r►. -.igg --- -- Doc *,z01 i 82293 OR BK 15090 Page 1430. \� S i g iat s Property Owner Number Pages: 1 Recorded 08 at 02 :4i PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Revised 10/1/2009 APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR : ` l ) 1 �y �. CTiON FORM 600C-04R Residentlai Limtted Appllcetion$ P . '+iI NORTH 1 2 3 Small Additions, Renovations & Building Systems [ ,y a Compliance with Method 0 of Sub Chapter 8 of the Rodda E Efficiency Code may be demonstrated by the , �•1, /t o additions ofB80 J ' , , site-instated components of mandectured homes, and renovations to single- and multlpk -la rte. Alterative methods are PROJECT NAME: P, ke. 14 BUILDER: Q Z tJM A TE AND ADDRESS: Y / 0. , S OFFIPERMC PERMITTING A t L .. . , (, . # . . ZONE: I V t 1 / 2 ❑ 1 3 pi OWNER: 1/0l er i e ( c k e If PERMIT NO» /J- I J5 . a \e URA. , NO. : ) 1 1 1 SMALL ADDITIONS TO EXISTING RESIDENCES (800 square feet or less of conditioned ate). Prescriptive requirements M Wks 8C-1, 8C-2. and : r • to the components d the addition, not to line adalMq M building. Space ing, cooling, and water heating equipment widow awls meat be met e*j when ate a installed sped/Raw to . addition or kbeinp aled N conjunction with the addition construction. Components separating spaces from condMkned must meet the prescribed minimum Insulation Ievds. RENOIRTIONS YW (Residential buildings undergoing renovations costing more than 30% of the assessed vice of the building). Rarcdp8we requirements in 'Bibles 60-1 and 6C-2 espy only to the components and equipment bin0 renovated or replaced. MANUFACTURED HOMES AM) BUILDINGS. Orgy la•bsta*ed components and features ere covered by this form. BUILDING SYSTEMS. Comply when complete new system is instaMad. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 4.4: '-,-o r 2. Single - family detached or Multiple - family attached 2 5 . r `.O. )e - 3. If Multiple-family-No. of units covered by this submission 4 3 4. Conditioned floor area (sq. ft.) 5. -? 5. Predominant eave overhang (ft.) 6. Glass type and area: Single Pane Double Pane a. Clear glass ga. eq. f . / If Ssq. ft b. Tint, film or solar screen 6b. sq. f . sq. ft. 7. Percentage of glass to floor area 7. /1 8. Floor type and insulation: a. Slab -on -grade (R- value) 88 " R = lin. ft. b. Wood, raised ( R-value) lib. R = 14 / 3 2 sq. ft. c. Wood, common (R-value) 8c. R = sq. ft d. Concrete, raised ( R-value) 8d. R = sq. ff. e. Concrete. common (R-value) fie. R = sq. ft. 9. Wall type and insulation: a. Exterior. 1. Masonry (insulation R- value) 9a-1 R = sq. ft. 2. Wood frame (Insulation R- value) 9a -2 R =1( L z / sq. ft. b. Adjacent 1. Masonry (Insulation R- value) 9b R = s ft• 2. Wood frame (Insulation R- value) 9b-2 R = sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: 10a R = r 3 Z sq. ft. a. Under attic (Insulation R- value) b. Single assembly (Insulation R- value) 10b. R = sq. ft. 11. Cooling system* 11. Type: 5 K +S - (Types: central, room unit, package terminal A.C., gas, existing, none) SEER/EER: 12. Heating system' 12. Type: 'Fen's' 1Li - (Types: heat pump, elec. strip, natural gas, LP -gas, gas h.p., room or PTAC, HSPF/COP /AFUE: existing, none) 13. Air distribution system* a. Baddlow damper or single package systems' (Yes/No) 13a. �?c.. 5 A b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 1 14. Hot water system: 14. Type: � t5 f r n'C (Types: elec., 'natural gas, other, existing, none) EF: * Pertains to manufactured homes with site - installed components. I hereby catty that the pars and spedfadimK covered by calculation are in compliance with Review of plans and specifications covered by this calculation Indicates compliance with the Rodda the Florida Energy Code. • W with Sre nlmCtien a cempbad, this building will dbwill Ile inspected for own/Banco In vAln Section 553.908, F.S. PREPARED BY: u" BATE: g ZI ':r/ IIIIILDM MOM; / I hereby teddy that this budding is plaax Ronda Energy Code: In com eP „ -3:7 // OWNER AGENT: DATE DAM FLORIDA BUILDING CODE - BUILDING 13 -D.33R APPENDIX 13-0 Climate Zones 1, 2, 3 TABLE 6C-1: PRESCRIPTIVE REOUI EASKTS FOR SMALL ADDITIONS (600 Sq. R. and Lea), RENOVATIONS TO EXISnN6 SUIDINBS AND SITE- INSTALLED COMPONENTS OF MANUFACTURED HOMES MINIMUM EMULATION . MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete r+? Fm k R -11 1/' ? Central A/C - Split SEER =13.0' SEER = 4 Frame, 2' x 6' R -19 7a{ - Single Pkg. SEER =13.0• SEER = n Coan, Frame R-11 v Room unit or PTAC EER = 8.5• EER = Common. Masonry R-3 Under Attic R-30 ✓ Electric Resistance ANY , r Single Assembly; �P v� c7 Heat pump - Spit HSPF = 7.7' HSPF = % 5 Frame Enclosed R -19 F - Single Pkg. HSPF = 7.7• HSPF = ('� d Metal Pans R-13 Room unit or PTHP COP = 2.7' HSPF/COP = t Single Assembly, Open R-10 ig Gas, natural a Propene AFUE _ .78 AFUE Common, Frame R -11 Fuel 00 AFUE _ .78 AFUE rn Slab- on-grade No Minimum of 0 Raised Wood R -19 �` ■ iz Common, a ns R-11 6 1 Electric Resistance EF = .92 EF = 4`" a S A V ✓ = Gas; natural or LP EF = .59 EF = 8 In unconditioned space R-6 Fuel 011 EF = A4 EF = G In conditioned space No minimum TABLE IC-t PIIESCRfPTIVE REQUIREMENTS FOR GLASS AREAS NN ADDITIONS ONLY 'See Tatter 13 807.1.ABC.3 2 and 13 BOB./ ABC.32 Maximum percentage glass to Boor area ado wed is reseeded by type, overhang length, and Solar heat gain coefficient Maximum % � _ � / / r GLASS TYPE, OVERRAN°, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED 8 UP TO 20% UP TO 30% UP TO 40% UP TO Single Double Skgle Double Stgie Double Single bld'U ,4.... OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC OH -SHGC 014-SHGC P. OH -SHGC 0 ' /1 t1 i 1' - .87 0' -.78 2' -.87 1' -.78 NOT 2' -.78 NOT ALLOWED -.78 U/ ' 0 - .75 1' -.75 a•.61 ALLOWED 1'- 61 2 0' -.57 0' -.44 1 44 a -.35 \ Get certified SHGC from the manufacturer or use defaults: Single dear SHGC = .75. double deer SHGC = .86, and single tint SHGC = .64 TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gestated, weather- stripped or otherwise sealed. A Exterior Windows & Doors 606.1 Max. 0.3 dm/sq.B. window area; .5 dmveq.B. door area. r/ Sole & Top Plates 608.1 Sole plates and penetrations through top plates of exterior watts must be sealed. V Recessed Lighting 806.1 Type IC rated with no penetration (two alternatives allowed). r/ Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. t Exhaust Fans 606.1 Exhaust fans vented to unconditioned space ehaU haw dampers, except for combustion devices with integral tr exhaust ductwork. Combustion Heating 606.1 Combustion apace and water heating systems must be provided with outside combustion air, except for direct van V appliances. Water Heaters 612.1 Comply with efficiency requirements In Table 612.1.ADC.3.2. Switch or dearly marked drcuit breaker electric or / cutoff ( gas) must be provided. External or built-In heat trap required to antics! pipe risers. 0/ Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Nonconvnerdal pools must have a pump timer. Gas spa & pod heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation is required for hat water circulating systems (including heat recovery units). Y Shower Heads 612.1 Water Bow must be restricted ried to no more than 2.5 gallons per minute at 80 pig. (,/ HVAC Duct Construction, 610.1 NI duds, linings, mechanical equipment and plenum dhambers shall be mechanically attached, sealed, Insulated O / knuta ion II 1n.LMtion and Metaled in accordance with the cdteris of Section 610.1. Ducts in attics must be insulated to a n*nk/wam of Rte. HVAC Controls 607.1 Separate rea0iy accessible manual or eutomatk thermostat for each system. U GENERAL DIRECTIONS: • 1. On Table 6C -1 Ybkate the R -value of the insulation being added to each component and the elfidanuy levels of the equipment being installed. Ai R -values and efficiencies installed must meet or exceed the minimum values listed. Components and equipment nether bring aid nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage P new glass to conditioned Boa area In the addition as follows. Tbtal the area 01 all glass windows, sliding Wass doors and glass door panels. Double the area of all namarlcal roof glass and add B to the previous trial. When glass In etdsd g exerbr wags is being removed or enclosed by the additloh, an amount equal to the total area of this glass may be subtracted from the total glass area Divide the adjusted Wass area total by the Conditioned Boa area of the addition. Multiply by 100 to get the parent Rnd the largest Was percentage under which your calculated peerage falls on Table 6C-2. Prescriplves are given by the type of Was (single or double panne) and the overhang (OH) paired with a solar heat gale osere e t 15HGC). For given glass type and overhang. the minimum solar Mat gale costll Set alowed is specified. Ached Pass windows and doors previously in the exterior waged the house and being reinstalled in the addition do not have to comply with the overhang and solar hest gale coefficient requirements on Bale 8C-2. N new glass in the addition must mat the requirement for one of the options in the Wass pea:entage category you indicated. The overhang (OH) distance Is measured perpendiculaay from the face of the Wass to a post dkeclly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement pat needs to meet the folowig requirements. Amy Was type and solar hat gain coefficlant may be used for glass area witch are under at bast a 2-loot overhang and whose lowest edge does not excel further than 8 feet from the overhang. Glad areas being renovated tlst do not meet this criteria Rust be eigsr single-pane tinted, double -pane der or doable -pars tinted. 4. BUILDING SYSTEMS. Comply when new system is installed for system Instated. 5. Complete the Manatee requested on Na top hag of page 1. 6 Read 'Minimum Requirements for Small Additions sad Renovations,' Noble 60-3, and check all applicable items. 7. Read, sign and date the 'Owner/Agent' certification statement on page 1. 13 -D.34R FLORIDA BUILDING CODE - BUILDING QUM/ . http://sstsrv.lowes.corn/m2o_alirediumQuote.jsp?projectId=10... Brickmould : No T-Astragal : Yes Hinge Type : Stainless Steel Bore: Double Bore Inactive Door : None Product Approval Number : 822s3 mriarr2Tnr *** This Product is not an Energy Star Compliant Product D IF 0 rp 11 W 7 *** Picture is not an exact representation of the unit that I AUG 3 0 20 ha.s been ordered. *** 2y Unit is blab to tittlfitiotttions given in the configurator. Thank your * ''' ' ° ° ' 41# ite Pauluct- 0002 Manurrie Mate RO Size = 74 3/4" W x 82 la ivisiuu : Millwork 1/8" H i• ■ • uct : Doors ype : Entry/Extaior 1 ' 1, ... _ ' 1 nergy Star Compliant Products : No (Show all Products) onfiguration : Double Unit — aterial Type : Fibaglass F " Door Material : Smooth Fiberglass 7 i Finish : Unfinished t$ 1 r . r with Glass : Clear — — lb sor Style : Full Lite lass Family : Clear with Grille Glass Type : Low-E Handing : Right Inswing it Style : Mill Finish ab Width : 36" l• ough Opening Width : 74 3/4" eight Type : Standard Slab Height : 79" ough Opening Height : 82 1/8" amb Finish : Unfinished amb : Primed amb Size: 4 9/16" $670.00 I $670,00 08/22/2011 04:27 PM 2 of 3 , i . 3 of 3 t1"- 08/22/2011 04:27 PM Florida Building Code Online http :llwww.floridabui !di ng. org,/pr /pr_app dtl.aspx?patam =w... Limits Of Use Cwflfication Agency Certifttxlts Approved for use in HVHZ: Yes FLRZ28 f f CRC N1001900-R1.PDF Approved for use outside HVHZ: Yes Quality Asusxsnc. Centre * Expiration Date impact flesiatant: Yes 12/31/2014 Design Pressure: +55.0/ -50.5 tru#tldlelion Instructions Other: Evaluated for use in locations adhering to the Florida FLE228 R3 11 FLOt6O.ndt Building Code itc ucfing the High Velocity Hurricane Zone, and Verified fly: National Accreditation & ;Management Institute, where pressure regtirements as determined by ASCE 7, does Created by independent Third Party: not exceed the design pressures listed. 12.4-x 6'-8" max nominal Evaluation Repeals size. Hurricane proactive system required in HVHZ, but not FL8228 R3 AE 502A.odf required in the Viand Borne Debris Region. See DWG -MA- Created by independent Third Party: Yes Flared-07 for additional Information: _ 8228.5 Fiberglass Side -Hilted Door Unit 8'0 Opaque Inswing Single or Doutfle Door w/ or w/o Sidelites Limits of Use Certifloetion Agency Certificate Approved for use in HVHZ.: Yes FL8g28 R3 C SC N1009QO- R1.PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Realstent: Yee 1 2131 /201 4 Design Pressure: +50.5/ -50.5 Installation lions Other: Evaluated for use in locations adhering to the Florida Ft8228 R3 II FIAtt6l.odf Building Code including the High Velocity Hu'ncane Zone, and Vended By: National Accreditation & Management institute, where pressure requirements as detennined by ASCE 7, does Created by Independent Third Party: not exceed the design pressures listed 12'-0" x 8'40" max nominal Evaluation Reports size. Hurricane protective system required in HVHZ, but not FL8228 g3 AE 501A.odf required in the Wind Borne Debris Region. See DWG -MA= Created by independent Third Pearly: Yes FLO161 -07 for additional information. 8228.6 Fiberglass Side - Hinged Door Unit 8'-0" Opaque Outswing Single or Double Door w/ or w/o Sidelites Limits of Use Certification Agency Certificate Approved for use In HVHZ : Yes FL8p8 R3 C CAC N100 Q0- R1.PDF Approved for use outside HVHZ: Yes Quality Arreuranoe Contract Expiration Date Impact Resistant: Yes 12/31/2014 Design Premise: +55.0/ -50.5 Intel atlan Instructions Other: Evaluated for use in locations adhering to the Florida FL8228 1,3 11 FL016t.gdt Bulking Code including the High Velocity Hurricane Zone, and Verified By: National Accreditation & Management Institute, where pressure requirements as detcmilned by ASCE 7, does Created by Independent Third Party: not exceed the design pressures listed. 12.0" x 8'-0" max nominal Evaluation Reports size. Hurricane protective system required in HVHZ, but not FL8221 R3 AE 501A.odf required in the Wind Borne Debris Region. See DWG -MA- Created by Independent Third Party: Yes FLp161 -07 for additional information. C)8221k7 Fiberglass Side - Hinged Door Unit 6'-8" Glazed Inswing Single or Double Door w/ or w/o Sidelites Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FLs228 R3 C AC NI O- R1.PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date tat(laat_t Yee 12/31/2014 Design Pressure: +52.01-52.0 Installation Instructions Other: Evaluated for use in locations adhering to the Florida FL8228 R3 it FL 0162.pdf Building Code including the High Velocity Hurricane Zone, and Verified By: National Accreditation & Management institute, where pressure requirements as determined by ASCE 7, does Created by independent Third Party: not exceed the design pressares listed. 12' -0r' x S-8' max nominal Evaluation Reports size. Hurricane protective system required in HVHZ, but not naaz, R3 Al 502,A.ocif required in the Wind Borne Debris Region. See DWG -MA- Created by independent Third Party: Yes FL0162 -07 for additional information. 8228.8 Fiberglass Side - Hinged Door Unit 6-8" Glazed Outswing Single or Double Door w/ or w/o Sidebtes Limits of Use Certification Agency Certificate Approved for use in HVHZ; Yes FL8228 R3 C CAC N1006900-R1.PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Data Impact Resistant: Yes 12/31/2014 Design Preasure: +55.0/ -55.0 insgilation ht Other: Evaluated for use in locations adhering to the Florida FL8228 R3 11 FLO162odf Building Code including the High Velocity Hurricane Zane, and Verified By: National Acoreusttatlon & Management institute, where pressure requirements as determined by ASCE 7, does Created by Independent Third Party: 3 of 4 08/22/2011 04 :32 PM S !,:a,v - City of Atlantic Beach APPLICATION NUMBER J J J Building Department (To be assigned by the Building Department.) f t r 800 Seminole Road Atlantic Beach, Florida 32233 -544541/(i \. ��✓ + = Phone (904) 247 -5826 • Fax (904) 247 -5845 �e E-mail: building-dept@coab.us i •ate routed: J 1� City web -site: http: / /www.coab.us APPLICATION REVIEW AND T" ING FORM Property Address: / 7)t T D- pa review required Yes No Building _ Applicant: r'C) 4 �-�, anning & Zonin• ree C rmrinistrator i ' ublic Work Project: / 7 eA 7) l� , 79 - 2i d ' ubiic- Utilities) .- )a ll llr) - Pu. is a e� ty GZ " -2-) /a37- Fire Services Re ew4 e C 4 f t St b.. , N! Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: -- Date: g:2 -2-4// TREE ADMIN. Second Review: ❑Approved as revised. []Denied. PUa' O:. C - ments: 'UB I TILITI -l/ PUB C SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 r ra�� ;1 r City of Atlantic Beach APPLICATION NUMBER JS r Building Department (To be assigned by the Building Department.) 800 Seminole Road J-. s1 Atlantic Beach, Florida 32233 -5445 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 Sr E -mail: building- dept @coab.us Date routed: / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM nt f D - • • .l ent review required Ye No Property Address: ' Buildir ___ _ Applicant: w ar min g & Zoning,` V ) ree • iniStrator Project: /�l /'/1 » (blic Worki r ��_Utilitie) or) - Public 5a ty W a / has L 7_ Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Ericproved. ['Denied. (Circle one.) Comments: BUILDIN 2 ) PLANNING & ZONING Reviewed by: Date: �3' 1/ TREE ADMIN. Second Review: Approved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach APPLICATION NUMBER , Building Department (To be assigned by the Building Department.) 5 800 Seminole Road zi I_ a Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 Fax (904) 247 -5845 \'�611 E -mail: building- dept @coab.us Date routed: / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / 7 ". Department review required Yes No Building Applicant: i L ) a ning & Zonin� /VA > ree A•'Tminis rator Project: i �/�J�7') „5-- ay) (blic Works Pu lic 5a e� ty LS ku / -2--) ks Fire Services Re4 fee, , , ©ept Signaturse'll 1 . °, ,...,a g; Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. [Denied. (Circle one.) Comments: BUILDING A / CANNING &ZONING Reviewed by: 0/1/4.)bile)Date: 3 /22/201/ ADMIN. Second Review: [Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [Approved as revised. (Denied. Comments: Reviewed by: Date: Revised 07/27/10 BP250U01 CITY OF ATLANTIC BEACH 8/31/11 Application Tracking Step Selection by Revision 09:03:06 Application number . . . : 11 00002520 Address : 351 4TH ST RE number : 169839 -0000- - Application type . . : RESIDENTIAL ADDITION NCR OLD ACCOUNT NUMBERS . : AB08032 Tenant name, number . . . Type options, press Enter. 2= Change 4= Delete 5 =View 6 =Fast log 8= Action log maintenance 9 =In /out maint Path - - -- Key Dates - -- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By BUILDING DEPT. A 01 Y 08/22/11 09/08/11 08/31/11 AP MJ PLANNING & ZONING A 01 Y 08/22/11 09/08/11 08/22/11 AP EH PUBLIC UTILITIES A 01 Y 08/22/11 09/08/11 08/22/11 AP LS PUBLIC WORKS A 01 Y 08/26/11 09/08/11 08/26/11 AP LS Bottom F3 =Exit F5 =Land inquiry F6 =Add F7= Revisions F8 =Misc info inquiry F9= Corrections report F10 =View 3 F11 =Sort by agency F24 =More keys DO NOT WRITE BELOW - OFFICE USE ONLY Applicable Codes: 2007 Florida Building Code w/ 2009 Revisions Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size Habitable Space Non - Habitable Impervious area Miscellaneous Information Occupancy Group Type of Construction Number of Stories / Zoning District ' `- Max. Occupancy Load Fire Sprinklers Required Flood Zone ,X. Conditions /Comments: Site Information 351 4th Street, Atlantic Beach Structural Engineer of Record Jeffrey P. Arneson PE No. 58544 APEX 4745 Sutton Park Court, Suite 402 Jacksonville, FL 32224 alallaingna WIND LOADING (Cd =1.6) ROOF LOADING (Cd =1.25) MWFRS TELL 20 psf 120 MPH (3 second gust) \ ASCE 7 -05 TCDL 07 psf Q N, � Enclosed Structure (0.18) BCLL 10 psf 0 u /c Exposure C BCDL 05 psf ($ Occupancy Category I I (Res) AV G 3 0 FBC2007 Residential /TPI -2002 B 2011 Design Program: ITW VIEW v10.03.00 y:,--- This Package inlcudes 15 truss designs with individual date of design NO JOB ID ITRS ID DATE NO JOB ID TRS ID DATE NO JOB ID TRS ID DATE 1 PICKETT J01 8/30/2011 2 PICKETT TO 1 8/30/2011 3 PICKETT T02 8/30/2011 4 PICKETT T03 8/30/2011 5 PICKETT T04 8/30/2011 6 PICKETT T05 8/30/2011 7 PICKETT T06 8/30/2011 8 PICKETT T07 8/30/2011 9 PICKETT T08 8/30/2011 10 PICKETT T09 8/30/2011 11 PICKETT T10 8/30/2011 12 PICKETT V01 8/30/2011 13 PICKETT V02 8/30/2011 14 PICKETT V03 8/30/2011 15 PICKETT VO4 8/30/2011 " ^ Ste® /4, 00 lam . Apex Technology Apex Technology is a ficticious name owned by Jax Apex Technology, Inc., a Florida ;, 4 V ' o o' it f Corporation. Florida Engineer Business No 7547 - 4745 Sutton Park Court, Suite 402 ��,: +_ �b�° e Jacksonville, FL 32224 (904) 821 -5200 o ., . o \ r , a ��� " The seal on this index sheet indicates acceptance of professional engineering responsibility d `® s ° a '" , , solely for the Truss Design Drawings listed above and attached. The suitability and use of r each drawing for any particualr building is the responsibility of the Building Designer, per 111'11.01 ANSI/TPI 1 -2002 Section 2 With my seal affixed to this sheet, I hereby certify that this serves as an index sheet in J. ibiki � •n conformance with Rule 61G15- 23.002(2) and 61G15- 31.003 of the Florida Board of °' : 30/ ! 1 Professional Enaineers • < z z -ID ccmzm< 0 m p V m� ' ,M U1 1 A W S o ) T m ��TCO� Z m D C ., T omcNC� Z❑ X - 0 c O -I x m m m m o � m � g • Dm a m� m mo < m Ti_ Z � _ ° m�m N n�0 cn mp m n c n z 5m o 0D • g 1 x oNOs° — Zkn p pM v m X W: Zz � ► m z � T C mm O c O Z m 0 0 Z� O omg> m O MO 0 0 m o 4 c -1 Z' ;o" 00 - m MK m v Zo vW -1 m N M> v Oc o� m � � a i m 0m mw -, m 1 pm OZ Wr" --1 v m G) 0 • > m 2 m m n tR a. 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LO 41 o O J 1 - 8 3 ° U N? v ,_ 0 < m 0i0; sK _ O C UNrn Y • \ 0rr U O .� x d 10 w ▪ `V u_ o oa m g 6 6 as F o L [16%11' nn .- O o 4 8, - ? v, E `m c nwcn I- �{ fn o N 0 C co,. U N N w 4,>,,< 7 - °o cJ o m =E =E .o w .c F Y-o N p EE • 3.0 t ° rn�o, w m y F - wvv m IF U oa = o oN QU d 3t, o0UU o QNXX o E o...- 3 aY Em , > ^16 .0 y = F-m w (1- u a [163 0 O 00 - N C C ma C 2 F ONW L Q a F- m m I 3 w w .r rn F- -, Z h- j .-1t l t'1 r' -. `, CITY OF ATLANTIC BEACH a 800 SEMINOLE ROAD ! =�'�`` =` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002520 Date 8/31/11 Other Fees DEV REVIEW - SINGLE & 2 -FAM 50.00 ENG REV PRE APP > 3 HRS 25.00 STATE DBPR SURCHARGE 3.00 UTIL REV PRE APP >3 HRS 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 200.00 200.00 .00 .00 Plan Check Total 100.00 100.00 .00 .00 Other Fee Total 106.00 106.00 .00 .00 Grand Total 406.00 406.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT Permit No. 0-- 0 2 5 b Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of roperty (legal description of(�rroJperty an ress if available): / 2. General Descript / 40 4 , 7 '` - -. - i - e/ � RI 3. Owner Information: ----, / ill a) Name and Address: V J 1e. _ r i -e.. \ c -Ko Q__ k 4- E " b) Interest in property: j r--. `J ew c / , , �IDQJ 2.� v ui c) Name and address of simple titleholder (if other than o wner): 4. Contractor Information: / ■ �` ---- -, v n / a) Name and Address: () k� v1P ( V _1 c (t 4. -\--- .H,, . as � Q b) Phone Number: q a Li -), (n - - t 5. Surety Information: a) Name and Address: b) Phone Number: c) Amount of Bond: $ 6. Lender Information: a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself /herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date. of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this 1 ° day of nit ( t' , 20 1 1 \ i V \ems c. 7, c..,.tc_� .A4, `� • G END V. JOHNSON ;;'.``" = Commission DD 79785 NOTARY PU IC, 4ATEOF / FLORIDA : Expires June 15, 2012 X 019 Print Name: h �/ cbikrYt>�'Y -, ", � , B ThruTro9 Fain Wen° f Personally Known ❑ Identification/T se: Verification pursuant to Section 92.525, Florida Statutes. Under . - .1 fp j , T that I have read the foregoing and that the facts stated in it are true to the best of my tg led to and . elief. - 11&■„- -4111 111111111. 11r-- , Doc g 20 i i i b2293, OR 6K ' s 5090 Page i =30. j ` i f Property Owner Number Pages: 1 Recorded 08119i2011 at 0247 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Revised 10/1/2009 301503 MAP SHOWING SURVEY OF THE WEST 15 FEET OF LOT 18 AND ALL OF LOT 20, BLOCK 6, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ,< o 7 I ie. G °1- I " �T �1 Av.vO ii "" / 5' (o'woov , f CB� ,c-WA/c, a t/Pio� /" A/0CA/o� `.7'E 675-90 p• /' o. / . ■y/o CAP �/a CAW x x c ( 3 s. Co) 4 /AK< .pi ?.Z 1o• '6 � o. /' '9 E (/l b, o ME7,44 /r.2. 9/./Eo x 0 13.8 zo.3' v s 8 ` Z h - kk 0< Z z Z S aq� /I, AC, T 2 °�\ al VI h L v Q '`v/eoo 3 . /' \ FEn/cis "C / STD,e d ' woo �, ,vo. SS/ oP x /S � K \ 0 /7 ^ V 01.3 �� ,.,,/,,...... Q i /z•s') it 4 - X Y / Open arch k) tN 0 1wf :u' . . 0- Vl x , 0 ..--) '6. NI 4,,,.,t. FENlE ` 00 03 , To s,.ve' .. AID Ye .. Co 5 � c / f'� �f3.S r3 ' . Y '' fo� P /P0 /-4 GAP � A CG • �B. # /D�tg L� ?t 6 e /VorEs r te ) S Tde E - r 1 � 7_ . n/is /s a Bodvo�,ey sue ✓dy. 40' R /G.T -Or- way , � •NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE `, � MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT �1 / )A ffil; /� f el RECORDS OF THIS COUNTY THAT ARE NO THIS SURVEY. G ( /L 2',�'- �� C, /` //Y .THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS ' REVISED 4/17/1989, COMMUNITY PANEL NO. 120075 0001 D. I HEREBY CERTIFY TOc CHARLES D. PICKETT 8 VALERIE PICKETT - STFWART TITLE GAR. CO. ; PONTE VEDRA NATIONAL BANK ; BARTLETT, MILLER 8 MOREHEAD THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61G17 -6 ,, " ; ` FLORIDA ADMINISTRATIVE ODE , '\ EDURDEN LAND • . WAte-e • SURVEYORS IN C. PROFESSIONAL LAND SURVEYOR 707 FLORIDA i LB 1048 H BRUCEO , ..4e. DATE: (JUNE 5, /995 ' 1103 SOUTH THIRD STREET SCALE: /" - 20' JACKSONVILLE BEACH, FLORIDA 32250 • (904) 249 -7261 FAX.(904) 241 -1252 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UN ICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE. LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNUCENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN `OCCUPATIONAL LICENSE IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA °CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. DD R S (f P N MBER A DD A SIGNATURE Q L DA Before me this ( I day obi 20 in the county of Duval, State of Florida, has _ = • naiy a red herin by himself / herself and affirms that all statements and declaratio = are true and accurate. Notary Public at Large, State of FIDVId&, County of DItiVCA i , Personally Known ❑ Produced Identification - "'� ENID V. JOHNSON Notary Signature: A `i=�� i9 ms ,71.7.182c4 Expires i June sion DD s th� ti " g -no Troy Fain Uwurance BOA 1 F;a F: BLDG / Owner - Builder Affadavit REVISED: 4/16/2009 4 SA CITY OF ATLANTIC BEACH r- j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002520 Date 1/10/12 Property Address 351 4TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 30000 Application desc KITCHEN ADDITION AND RENOVATION Owner Contractor PICKETT OWNER 351 4TH STREET ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . TROPIC HEATING & AIR Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/08/12 Special Notes and Comments 1. Submit elevations of existing building and elevations of changes due to the new construction. 2. Show details on how 2x10 pt. sleeper is to be attached to existing roof. 3. Submit engineered truss package. 4. Submit Florida product approval number for new double french doors. 5. Submit energy calculations for addition under 600 s.f. 6. Need dimensions for new addition area (master closet and new east entry to show square footage). MJ *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. f ERMfT A PPROVED' ONLYIN ACCORDANCE' W1THI ALt'CTTY`OF`ATLANTIC BEfiCH ORDINANCES AND TFIE TLORID BIILDIN Charged Paid Credited Due r' 1\x s " CITY OF ATLANTIC BEACH �, s) 800 SEMINOLE ROAD wi ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002520 Date 1/10/12 Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. k MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 r -� JOB ADDRESS: 3 S( 9 J D PERMIT # i 1 PROJECT VALUE $ � oa NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARt# Air Conditioning: Unit Quantity Tons Per Unit REQUIRED Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: L v c i � _ c d ► 1 Ca. 0 r, 6 oocF,v7 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or Local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company TYD pi(i IAGotati n1 AA( 0340 • 1 rt C, Office Phone goq-7, g117$rax 2 41— . I72 - Co. Address: `?SO ruil k is City Mill -h(, li C t State ft, Zip 572-33 License Holder (Print): _ IL _ •- 111 r. � � ' • _ � �. • ` , State Certification/Registration # C / Notarized Signature of License Holder A , Sworn and subscribed before me this 11) day ay of van u A v 20 /Z, KAREN E. PANTFOEDER . ' NOTARY PUBLIC Signature of Notary Public A _� '_.,r , i ...... i r'ri % . 2. OA = STATE OF FLORIDA • . Comm# EE064448 Expires 3/4/2015 1 4 CITY OF ATLANTIC BEACH ` ? 800 SEMINOLE ROAD J - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002520 Date 1/11/12 Property Address 351 4TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 30000 Application desc KITCHEN ADDITION AND RENOVATION Owner Contractor PICKETT OWNER 351 4TH STREET ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit PLUMBING PERMIT Additional desc . 3 FIXTURES Sub Contractor . ROLLAND REASH PLUMBING . Permit Fee . . . 76.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/09/12 Special Notes and Comments 1. Submit elevations of existing building and elevations of changes due to the new construction. 2. Show details on how 2x10 pt. sleeper is to be attached to existing roof. 3. Submit engineered truss package. 4. Submit Florida product approval number for new double french doors. 5. Submit energy calculations for addition under 600 s.f. 6. Need dimensions for new addition area (master closet and new east entry to show square footage). MJ *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. ?ERNDT - IS APPROVED ONLY INA OR .NCE - WrPH ALt - CPPY`C3F'A TtAN'Tle fl EAC:'TI - Q D?NANCES A - THE - FCwRIDIV BUILDIN it Fees STATE PLBG DCA SURCHARGE 2.00 . 1jr r ty -,wp, 'N s CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD 0 :4' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 . i c i s �r . Application Number Page 2 11- 00002520 Date 1/11/12 Other Fees STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 76.00 76.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 80.00 80.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS:..3S7 / A S /, PERMIT # 1/ "O 0 NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer / Shower Dishwasher / Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink / Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 9 J' 07' a ] Phone Number Plumbing Company * _ , i 1 %r " .I f *ffice Phone0Y, �' 7'C FA -0 Q' /6 Co. Address: /1(c &o i fty3, City • Stater Zip License Holder (Print): g, ,f ^ ! to AlPF Sta rtificatioplRegistration # OS 7/ 7/ Notarized Si _ nature of License Holder ,, . �4 Notary Public State of Florida • OM and subscribed before me t • I/ day of Li ( Q Y 20 1 I Paul R Bagby te, AT My Commission EE042408 or no Expires 01/23/2015 gnature of Notary Public ke-e, / CITY OF ATLANTIC BEACH 4 441',,,,' s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 y INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002520 Date 1/11/12 Property Address 351 4TH ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 30000 Application desc KITCHEN ADDITION AND RENOVATION Owner Contractor PICKETT OWNER 351 4TH STREET ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . MUNSON & BRYAN ELECTRICAL CO. Permit Fee . . . 73.20 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/09/12 Special Notes and Comments 1. Submit elevations of existing building and elevations of changes due to the new construction. 2. Show details on how 2x10 pt. sleeper is to be attached to existing roof. 3. Submit engineered truss package. 4. Submit Florida product approval number for new double french doors. 5. Submit energy calculations for addition under 600 s.f. 6. Need dimensions for new addition area (master closet and new east entry to show square footage). MJ *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. PERfl iFIS f)N FY ICY AACCORDANCE" WTIII Ail , -CITY" flit APLANTIC 13 net CH CIRD'INANCES AND - THE "FLORID " BUI LDIN10 Fees STATE ELEC DCA SURCHARGE 2.00 1-1.► `�s . 4 , " I A CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD t �, = ATLANTIC BEACH, FL 32233 �. INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002520 Date 1/11/12 Other Fees STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 73.20 73.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 77.20 77.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 35 - / - 1 / - 1 - " - , JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS r I _120/240 VOLTS 1 PHASE VALUE OF WORK $ NEW SERVICE Overhead Underground U Underground up Pole OResidential (Main) Service 00 -100 amps 0101- 150amps 0 ©151- 200amps 0 amps # of Meters °Commercial (Main) Service — 00 - 100 amps 0101- 150amps 0151- 200amps 0 amps OCT Service Conductor Type Size OMulti- Family (Main) Service O0 -100 amps 0101- 150amps 0151- 200amps 0 amps # of Unit Mete °Temporary Pole 0 amps SERVICE UPGRADE 0 amps 0 CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 0100 amps O150amps O200amps 0 amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 150- 30amps 31- 100amps 101- 200amps Appliances: 20- 30amps 1 31- 100amps 101 - 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: 10 OTHER ELECTRICAL PROJECTS °Swimming Pool 0 Sign °Smoke Detectors Qty OTransformers KVA °Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ ` REPAIRS/MISCELLANEOUS OReplace Burnt/Damaged Meter Can OSafety Inspection °Panel Change DOH to UG °Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name David Pickitt Phone Number 904 - 246 -7086 Electrical Company !V A 1. AU S , / AAA) Or Ary C l e.c+ Office Phone r A () 5 Fax Co. Address: City State License Holder (Print): 3 ti S c 0 1 ( &-o State Certification/Registration # ez cop Notarized Signature of License Holder cjii 20 /7-- Sworn d subscribed be •re r e thi day of Signature of Notary P ► . 1ic , i. \