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Permit 1570 Main (vault) AL-AJ'Pr j ;*: CITY OF ATLANTIC BEACH — , 0........• ..-, 800 SEMINOLE ROAD ; ,-‘ t'-- , . c) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 , - INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00001333 Date 9/27/07 Property Address 1570 MAIN ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc INSTALL 10 FIXTURES Owner Contractor PARROTT, G.R. ASAP PLUMBING CO SD SERVICES OF JACKSONVILLE ATLANTIC BEACH FL 32233 P. 0. BOX 16631 JACKSONVILLE FL 32245 (904) 994-6440 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/25/08 Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • / 14 / 116 ck / • , CITY OF ATLANTIC BEACH r7 ' , ` �� PLUMBING PERMIT APPLICATION ' w ! Date: 26— ci 7 Property Address: / s 7 i - i ;.-/ si Owner: (Ce E �'� nsz aTi Telephone #: 2 yr 6 C rf Contractor: /9 IA7' J t D41 c Lse,/��� Telephone #: 52 y Contractor Address: / c - � % y fc7 4 J.45 FL- .4274'7 'Fax #: 3 - a7 7s In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: if other construction is being done on this building or site, 0 vi list the building permit number: cur Re-Pipe Number of Fixtures: Bath Tubs / Showers 2 Closets / Shower Pans Dishwashers / Sinks Disposals Urinals Floor Drains / Washing Machine 2 Lavatory Water Sewer / Water Heaters Other Fees • Permit Issuing .Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • httpa/www.ciatlantic- beach.fl.us • NOTICE OF COMMENCEMENT State of ko1L/ Q 4 Tax Folio No. /123 2 3 0 000 County of StyL./tl o OPT To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF if ac. D OM., 8 K /40 L _ Legal Description of property being improved: /7 - 2 S' -a 9 17 / (C7(6.. /3 5 PT) � g 9 7 f.JA; a r :, 1/2 E 6 6�11 Address of property being improved: 15 '7 S ill 4-7 Al Sr f4TLAivfl c l &E7f i1 / 7 22 3 3 General description of improvements: /NS r7 1.LA-7-70 A) Gs' A Lthop f Afif /171J<^ a/kmt ` /Si OI ,4r✓ 6-t S ?7/1(6 ea 6L/3 / etc, Owner. 6g6 /"/ - don/4 M 3 R Address: IS75 /14A7N ST72- 1 Anitre c., &i/, fi Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: h 1 7 l4 C Lul A / f lI C A Address: 3'S2 SW 1 in' ST , 1 t c/ef h x2,.2) B&4LkJ, h - 3 3 Si 112- Telephone No.: / 412Z- i(O Fax No: 4 / 161 - 679 tf Surety (if any) Address: Amount of Bond % Telephone No: Fax No: Doc # 2007301492, OR BK 14193 Page 1668, Number Pages: 1 Name and address of any person mating a loan for the construction oft Filed & Recorded 09/20/2007 at 12:25 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Name: COUNTY RECORDING $10.00 Address: Phone No: Fax No: - -- — -- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2Xb), Florida Statues. (Fill in at Owner's option) Name: Address: 6 Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: r Date: Q-11- 0 7 Before "' 1. i' day of OF &t is in the County of Duval, State Of Florida, has perso appeared LORRAINE M. FOLSOM i Notary Public at , .e, State County of Duval. 0006585 i Myco1 •:... , .. 6 Cl /1 rt : ; , :. or tspires612 : Produ ; , cation: '�_ _ :; ?� Florida ds Nctar,►Npn »Inc N ow «n* *..t �� G �1 . . /i /'- CITY OF ATLANTIC BEACH _ BUILDING AND PLANNING Sit 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 J — V TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5845 http: / /ci.atlantic- beach.fl.us ' 13,19 March 29, 2005 To: Jacksonville Electric Authority Property Appraisers Office Bellsouth Communications Atlantic Beach Water Department United States Postal Service Pat Welte, 911 Emergency Coordinator Atlantic Beach Police Department Atlantic Beach City Clerk Office Mr. George Parrott PLEASE BE ADVISED THAT THE FOLLOWING ADDRESSES HAVE BEEN CHANGED: OLD ADDRESS NEW ADDRESS 1570 1572 Main Street 1570 Main Street Changed duplex into single family residence. PLEASE ADJUST YOUR RECORDS ACCORDINGLY. Sincerely, Don C. Ford, C.B.O. Building Official ,fr,_, ,,.‘...,)_\:1_,I,, ,1 1., ( ' `` CITY OF ATLANTIC BEACH a A 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 \ INSPECTION PHONE LINE 247 -5826 `V 9 1. a Application Number 05- 00029931 Date 3/29/05 Property Address 1570 MAIN ST Tenant nbr, name CONVERT DUPLEX TO SFR Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 150 Owner Contractor PARROTT, G.R. OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT Additional desc . WORK WITHOUT PERMIT Permit Fee . . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 150 Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA T ' CODES. BUILDING OFFICIAL { ! r5 yv1f r e , 414 4 .: \' S ; CITY OF ATLANTIC BEACH MAR 2 2 POD; BUILDING PERMIT APPLICATION (Alterations & Additions) 6- 1 ` , Date: l i74 RG A OQ.J Job Address: � �u iL � C"1 4 TL , �/' AIM. V L - Owner of Property: at I r ; I ` i ; Address: V L. ► 1 1 b ki d \, . elephone: ili i Legal Description: Block Number: Lot Number: Zoning District: Contractor: I---tarn .,D 1/• '- State License Number: Contractor Address: Telephone: Fax: escribe propo ed use . d work o b; done: �,' Q C D � p ' , . • Present use of land or building(s): ES1 1 - GN CE Valuation of proposed construction: 15 0 What are the dimensions of the added space: feet x feet r'V S bG 120(,a Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? — If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of till material, or the addition of 5% or more to the original impervious area or the removal of any trees? :KNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor AfP' owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at t' Beach City Hail; 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http: / /www.ci.atlantic -bead Page 2 a 4 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct Signature of owner: Pew? a Date: ` l1 /0 S I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: CEO& L' M] S / pi;;Ap,o Mailing Address:, 1) iii I, s;. AlL,C � • V r t C 5 / C'1 / FL. 3.2 , Telephone: o` ,6 gt Fax: Mail: AS TO OWNER: S ' ( " Sworn to and subscribed before me this a l d ay of f � , 20 V State of Florida, County of Duval , JENNIFER SCHLUETER Notary's Signature: L'• - w ' MY CMION # 121301 y.:a= EXPIRES: OMISS May 27, DD 2006 ❑ Personally known ,j' ,. .:' •' Bonded Thru Notary Public Undernmere produced identification Type of identification produced F-1... ) - So - 312 - 9-5.6 - G `�( AS TO CONTRACTOR: v Sworn to and subscribed before me this day of 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH J� ti . OWNER/BUILDER AFFIDAVIT r di —' *- Date: 0 05 J Job Address: v V I • ATIAN r ft. tC' J FL 3a,33 CHAPTER 489, FLORIDA STATUTES, PART I "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 UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER 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. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. 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. 0 , - JENNIFER SCHLUETER ' * 11 MY COMMISSION # DD 121301 EXPIRES. P PERTY WNER/BUIL DER S: May 27, 2006 «4 ,l, • Banded Ttnu Notary Pudic Undernrgere I S. SWORN TO AND SUBSCRIBED BEFORE ME THI DAY OF l f /o i 200S • ARY PUB ii • COMMISSION EXPIRES. �� ` ) 0 NOTE: PHRASES UNDERLINED ABOVE. 1 NOTICE OF PROPOSED PROPERTY TAXES DUVAL COUNTY TAXING AUTHORITIES 183,026 P. O. BOX 52658 JACKSONVILLE, FLORIDA * "YOUR FINAL TAX BILL MAY CONTAIN NON —AD VALOREM ASSESSMENTS WHICH MAY NOT BE REFLECTED ON THIS NOTICE SUCH AS ASSESSMENTS FOR ROADS, FIRE, GARBAGE, LIGHTING, DRAINAGE, WATER, SEWER, OR OTHER GOVERNMENTAL SERVICES AND FACILITIES WHICH MAY BE LEVIED BY YOUR COUNTY, CITY, OR ANY SPECIAL DISTRICT." INTERNET ADDRESS: WWW.COJ.NET # 1OT ' Y PARROTT THELMA J ET AL 1572 MAIN ST LEGAL DESCRIPTION ATLANTIC BEACH, FL 32233 -1939 18- 2S -29E USD3 PT LOT 1 RECD 0/R BK 7426 -1851 RE No.: 172384 0000 USE: 0891 PROP ADDR: 1570 MAIN ST The taxing authorities which levy property taxes against your property wiii soon itolu eu iui hcAniivG5 ru J■upi i,udyeis mid ie„ ii.i<3 fur the n.:::: The purpose of these PUBLIC HEARINGS is to receive opinions from the general public and to answer questions on the proposed tax change and budget PRIOR TO TAKING FINAL ACTION. Each taxing authority may AMEND OR ALTER its proposals at the hearing. TAXING YOUR PROPERTY YOUR TAXES THIS YEAR A PUBLIC HEARING ON THE PROPOSED YOUR TAXES THIS YEAR AUTHORITY TAXES IF PROPOSED BUDGE IF NO BUDGET LAST YEAR CHANGE IS MADE TAXES AND BUDGET WILL BE HELD CHANGE IS MADE COUNTY 151.70 166.29 6:00 PM WED SEP 9 1ST FLOOR 167.59 CITY HALL 117 W DUVAL ST, JAX FL PUBLIC SCHOOLS: BY STATE LAW 121.11 138.57 6100 PM TUES SEPT 8 135.47 BY LOCAL BOARD 52.68 60.13 1701 PRUDENTIAL DR, JAX FL 58.93 FLA INLAND .95 1.02 6:00 PM THURS SEPT 10 1.07 NAVIGATION DIST. 100 N . W . 1ST AV DELRAY BEACH, FL ATL. BCH 55.77 69.11 7 :15 PM MONDAY SEPT 14 61.50 WATER MANAGE- 800 S EMI NOLE RD ATLANTIC BEACH MJl�JITV!"1GT 9.20 10.89 SJRWM W PALATK 10.24 INDEPENDENT SPECIAL DISTRICTS VOTER APPROVED DEBT PAYMENTS 15.22 17.01 17.01 TOTAL PROPERTY TAXES 406.63 4 6 3 .0 2 FOR DETAILS ON INDEPENDENT SPECIAL DISTRICTS 451.81 COLUMN 1 COLUM 2 AND VOTER APPROVED DEBT, CONTACT YOUR TAX COLUMN 3 SEE EXPLANATION BELOW COLLECTOR AT 9 0 4— 6 3 0 — 2 0 0 0 SEE EXPLANATION • YOUR PROPERTY VALUE MARKET VALUE ASSESSED VALUE EXEMPTIONS TAXABLE VALUE BELOW LAST YEAR 38,175 37,721 10,g.1/1 10 nA'7 • YOUR PROPERTY VALUE THIS YEAR 44,575 41,238 19,451 21,787 IF YOU FEEL THE MARKET VALUE OF YOUR PROPERTY IS INACCURATE OR DOES NOT REFLECT FAIR MARKET VALUE, CONTACT YOUR COUNTY PROPERTY APPRAISER AT: 3RD FLOOR 231 E FORSYTH ST. JACKSONVILLE FL 32202 -2919 IF THE PROPERTY APPRAISER'S OFFICE IS UNABLE TO RESOLVE THE MATTER AS TO MARKET VALUE, YOU MAY FILE A PETITION FOR ADJUSTMENT WITH THE VALUE ADJUSTMENT BOARD. PETITION FORMS ARE AVAILABLE FROM THE COUNTY PROPERTY APPRAISER AND MUST BE FILED ON OR BEFORSEPT 8, 1998 EXPLANATION COLUMN 1 - "YOUR PROPERTY TAXES LAST YEAR" COLUMN 3 - "YOUR TAXES IF NO BUDGET CHANGE IS MADE" This column shows the taxes that applied last year to your property. This column shows what your taxes will be this year IF EACH These amounts were based on budgets adopted last year and your TAXING AUTHORITY DOES NOT INCREASE ITS PROPERTY previous assessed value. TAX LEVY. These amounts are based on last year's budgets and COLUMN 2 - YOUR TAXES IF PROPOSED BUDGET CHANGE IS MADE" your current assessment. The difference between columns 2 and 3 is the tax change proposed by each local taxing authority and is This column shows what your taxes will be this year under the NOT the result of higher assessments. BUDGET ACTUALLY PROPOSED by each local taxing authority. Note: Amounts shown on this form do NOT reflect early payment The proposal is NOT final and may be amended at the public discounts you may have received or may be eligible to receive. hearings shown above. (Discounts are a maximum of 4 percent of the amounts shown on this form.) For homestead property: value as Iimited by State Constitution ASSESSED VALUE MEANS: For agricultural and similarly assessed property: classified use value For all other property: market value CITY OF ATLANTIC BEACH J BUILDING / ZONING DEPARTMENT D. For. r�+y �5:,£r��- r) L. Higgins 1 ... 800 Seminole Road S. Doerr Atlantic Beach, Florida 32233 Js31�' (904) 247 -5800 (904) 247-5845 Fax www.coab.us PLAN REVIEW COMMENTS MAC P ,qi( Permit Application # OS" 29 3 1 Cam` Property Address: 1 5 Applicant: Project: (i N U F:n-T no i✓)6 - r - z) SF-R_ This permit application has been: V Approved ED Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: (,(4 Date: 3/ S Date Contractor Notified: r 1 S G IAN r 1 S 9 wIt\:-:A) stREE _ .____________. Ati_mvt EACI'l 1 1 7. . 37 . ) 5 10 MAP\ g i nil 1 411 - to u . vv .. sir . 13. ....... FPNT II 1 Id"il ' k 1, FILE COPT lej, G.---f5 _. !- \ ■ , 1 I 13:3 .:=• _____I• i WO : li lig, , l' t _7: gi 1 bAci, 111, t r i l-,- c ,.7z, iti _ .... .411. Jti ,_____, VI __.:._a„ cid. ...5j4 CI ... 1 11 ,r i -, I . --- c;" --- 41 ,...., i 1 _ a 2 r - 1 , 1 r,L, .... at i'O'l '141111111111, I , O .., FILE COPY 4 j t ' � j• CITY OF ATLANTIC BEACH f f�� BUILDING AND PLANNING ` 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 ! s) TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5845 http: / /ci.atlantic- beach.fl.us 61.,l CA21_ March 29, 2005 �iY1.— ± U al dly I To: .Jacksonville Electric Authority € c 'Property Appraisers Office ' J 'Bellsouth Communications ,0) Atlantic Beach Water Department • United States Postal Service • Pat Welte, 911 Emergency Coordinat � � f)L-/ ,:.J Atlantic Beach Police Department Atlantic Beach City Clerk Office Mr. George Parrott PLEASE BE ADVISED THAT THE FOLLOWING ADDRESSES HAVE BEEN CHANGED: OLD ADDRESS NEW ADDRESS 1570 1572 Main Street 1570 Main Street Changed duplex into single family residence. PLEASE ADJUST YOUR RECORDS ACCORDINGLY. Sincerely, Don C. Ford, C.B.O. Building Official PSC 2000 Series 2410 Log for Personal Printer /Fax /Copier /Scanner City of Atlantic Beach Bui 904 -247 -5845 Mar 29 2005 4:34PM Last Transaction Date Time Type Identification Duration Pages Result Mar 29 4:34PM Fax Sent 96657372 0:30 1 OK °+ r. 1 , CITY OF ATLANTIC BEACH " BUILDING AND PLANNING ` O x 800 SEMINOLE ROAD *� , ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5845 „ http: / /ci.atlantic- beach.fl.us March 29, 2005 To: Jacksonville Electric Authority Property Appraisers Office Bellsouth Communications Atlantic Beach Water Department United States Postal Service Pat Welte, 911 Emergency Coordinator Atlantic Beach Police Department Atlantic Beach City Clerk Office Mr. George Parrott PLEASE BE ADVISED THAT THE FOLLOWING ADDRESSES HAVE BEEN CHANGED: OLD ADDRESS NEW ADDRESS 1570 1572 Main Street 1570 Main Street Changed duplex into single family residence. PLEASE ADJUST YOUR RECORDS ACCORDINGLY. Sincerely, Don C. Ford, C.B.O. Building Official /fr CITY OF 7 b /4 k ( antic Vead - 4vrida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 - 5445 Att, A �a�iA.. aw TELEPHONE (904) 247 -5800 FAX (904) 247 -5805 SUNCOM 852 -5800 October 3, 1996 Thelma J. Parrott 1572 Main Street Atlantic Beach, FL 32233 Dear Ms. Parrott: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 1572 Main Street a/k/a Part Lot 1, Recd. O/R Book 7426 -1851 RE# 172384 -0000 Investigation of this property disdoses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 24, Section 24 -65 -c - Building Permit not issued for structure in front yard. This is a violation of the Zoning Code. Chapter 12, Section 12 -1 -6 - Unsound structure, building material scattered across front yard. You can bring the property into compliance by removing skateboard/bike ramp and all miscellaneous plywood and lumber from yard. You are hereby notified that unless the conditions above described are remedied within ten (10 daysfrom the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely Karl W. Grunewald Code Enforcement Officer KWG /pah cc: Public Safety Director VIA HAND DELIVERY AP At CITY OF rfeteufeee Nedra - wiida 3 - 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 4 ' TELEPHONE (904) 247 -5800 4 FAX (904) 247 -5805 August 23, 1996 SUNCOM 852 -5800 Thelma J. Parrott 1572 Main Street Atlantic Beach, FL 32233 Dear Ms. Parrott: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 1572 Main Street a/k/a Part Lot 1, Recd. O/R Book 7426 -1851 RE# 172384 -0000 Investigation of this property discloses that 1 have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 24, Section 24 -65 -c - Building Permit not issued for structure in front yard. This is a violation of the Zoning Code. Chapter 12, Section 12 -1 -6 - Unsound structure, building material scattered across front yard. You can bring the property into compliance by removing skateboard/bike ramp and all miscellaneous plywood and lumber from yard. You are hereby notified that unless the conditions above described are remedied within ten (10 daysfrom the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Spc erely Karl W. Grunewald Code Enforcement Officer KWG /pah cc: Public Safety Director VIA CERTIFIED MAIL li � , 4. gt o 0 5.e\ \,.,a ,QQ w, i �;„ , CITY OF r ' aaae &eae& - 9w rida 800 SEMINOLE ROAD ~ ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 FAX (904) 247 -5805 : ,4 SUNCOM 852 -5800 August 23, 1996 Thelma J. Parrott 1572 Main Street Atlantic Beach, FL 32233 Dear Ms. Parrott: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 1572 Main Street a/k/a Part Lot 1, Recd. O/R Book 7426 -1851 RE# 172384 -0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 24, Section 24 -65 -c - Building Permit not issued for structure in front yard. This is a violation of the Zoning Code. Chapter 12, Section 12 -1 -6 - Unsound structure, building material scattered across front yard. You can bring the property into compliance by removing skateboard/bike ramp and all miscellaneous plywood and lumber from yard. You are hereby notified that unless the conditions above described are remedied within ten (10 daysfrom the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sin erel ,� Y , K arl W. Grunewald Code Enforcement Officer KWG /pah cc: Public Safety Director VIA CERTIFIED MAIL Co o I J CO m � `` 0 a 2 n n m i o �o w W i w r \,, to �•J 1'v a �� fct I .Kt 1 .J Mi �, �" TV ' 4/ ^ fl < zt � � . n N 0^ NJ �, W r ry ti ti v ? 11 Lr7 '� Q �o r N ff L.) I h CU e g --■ Q9 \ -0° 7 OD /a , Jul -15 -99 09s07A Harry McNa11y 904 -247 -5872 P.06 ; JUL - 13 - 1999 12:44P FROM: 247 -5845 tIJ %�t3tC �' 1 ' PRICE QUO TE APPLICATION FOR WATER AND /OR SEWER TAP —T fg. 0 APPLICANT NAME I "• , -e-c'4 • tx,t' 1:/lS MAILING ADDRESS 1' 1-i 7212,.4. PHONE NUMBER 3 V/ --6 6 DATE 7- 1 3 -2 SERVICE REQUESTED 45-7° 71 • SERVICE LOCATION / �d ✓� � • Ci 2 DATE SET TO PUBLIC U 1-21y c,-t 7 - - DATE RETURNED TO BUILDING DEPARTMENT' 7- l .1 - - PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER: SEWER: Q d r • ? r" ' d t 1�Qr • OTHER; PRICE QUOTE PREPARED BY: tg,__ i•x _ I 1 .1 L Signature - Title DATE NOTIFIED C)wNER � Gtr -i1 p °= PAf�FeA L -15 -1999 THII 1A:P4AM T1:P47 -SR4S Duval County Property Appraiser - Parcel Summary Page 1 of l COj , ( site in fix contar_e ! VI sear I Oftoai Websrte of Cr a Gty of Jackson&e. Florcia Property 4w N� .1 Appraiser II pp , Home > Departments > Property Appraiser > Duval County Database Search Parcel Information Printable Version I 2004 Proposed Value I Owner's Name: PARROTT , THELMA 3 ET AL Real Estate Number: 0000 Secondary Name: • Property Address: ' :1570 MAIN ST Mailing Address: 157211AIN ST City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Unit Number: Zip: 32233 - 1939 2004 Exempt Value: $25,500.00 PARCEL DESCRIPTION 'Property Use: 0891 01,4 IlSale Date: 9/25/1992 I ( Legal Description: 18 2S .16 PT LOT 1 'Sale Price: $100.00 RECD 0/R 7426- 1851(EX PT R/W) - Neighborhood: 008410 (0800'S)MAYPORT 'Section /Township /Range: 18 2S - 29E ('No. Buildings: 1 I l Official Record Book and Page: 07426 I Heated Area: 1530 1851 'Map Panel: 556B1 ''Exterior Wall: CONCRETE BLOCK I VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL (Land Value: $17,280.00 I Taxing Authority: USD3 'Class Value: $0.00 IlCounty Tax: $115.91 I (Improvements: $36,000.00 I School Tax: $151.14 'Market Value: $53,280.00 IlDistrict Tax: $53.79 'Assessed Value: $43,198.00 ''Other Tax: $8.86 I 'Exempt Value: $25,500.00 ''Voted Tax: $9.04 I (Taxable Value: $17,698.00 11 I 'Sr. Exempt: $0.00 II http: / /apps2.coj .net/pao/RENO.asp ?RENUM= 1723 84 +0000 8/17/2004 Duval County Property Appraiser - Parcel Summary Page 2 of 2 II Sr. Taxable: $0.00 IlTotal Tax: $338.74 II Additional Links: Map This Property (MapIT) - Property Record Card (PRC) - Taxes - Yahoo Maps Map -It Feedback - Payment Feedback - Appraisal Feedback - Tax Estimator - Back to Search Page All values from 2003 Certified Tax Roll. Updates weekly. Maps and data are not updated as frequently as the Tax Roll data and may not reflect matching information. Mayor - City Council - Jobs - About Jax - I want to... - I am... - Services - Departments 630- CITY(2489) - Site Policies - Webmaster - © 2002 City of Jacksonville http:// apps2 .coj.net/pao/RENO.asp ?RENUM= 172384 +0000 8/17/2004 J CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247 -5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20251 1 Address: 1570 MAIN STREET & 1572 Permit Type: RE -ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s): Block: Section: Square Feet: j Subdivision: MARSH OAKS Est. Value: 1 _ Parcel Number: Improv. Cost: 3,467.00 � OWNER INFORMATION Date Issued: 6120/2000 Name: PARROTT, GEORGE Total Fees: 52.50 Address: 1570 -1572 MAIN STREET Amount Paid: 52.50 ATLANTIC BEACH, FL 32233 Date Paid: 6/20/2000 _ Phone: (000)000 -0000 � Work Desc: REROOF 22 SQUARES CONTRACTOR(S) _ APPLICATION FEES INTERCO DESIGNS PERMIT 52.50 Inspections Required NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $52.58 ....._ C Date: 6/21/88 81 Receipt: 88673 8 C OF ATL IC BEA CHECKS 1 861 { _ 88188883221888 1 CITY OF ATLANTIC BEACH ' PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner (s ) : 6e..0.... y e A9-n."...0 ;- �� j i % /� - � �'- lvlo (Pi _- __-- -- Job Address :570 l . 599a y Phone: p� Lot # - Block or Unit # Subdivision: --- ��- /6,/ . State License # Pe o ©yq4?/ Gontracto //rip r�� -�- �LJ � �`7`� ( (.°:�k '� / Address � G Phone No: x04 ,�.,/ State /-. /�9 , zxp Code_3G Cit y- - =�� Describe work to be done: .1(- / /A/ 7 -" `-S9 S - Present use of building: � O Valuation of Proposed Construction; _ Zlo �. 0 Proposed use: Oedo 0 e Is this an addition? d,6 If yes, what are the dimensions of the added space. ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing .fixtures? New fireplace? New Heat /AC? SUBMIT T (CCMM RCIAZ) TWO (RESIDENTIAL) COMPLEX 0£ CF PL N SCAT LUDIINNGG SITE PLAN, SURVEY, CODE FORMS, OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. i ' lI r !_. :�If' - 1� mC Signature OWNER: ia Date: A Date: 4--/q-19e) .._ Signature CONTRACT•' Ir_ . -. ./ f! i .�- AS TO OWNER: 2000. Sworn to ad D►'ti before me this day / n r tiS NAVARRO ' , Notary Public, State of Florida r - ' ' My comm. exp. Dec. 25, 2002 4 NOT' . PUBLIC AS TO cONTRACi. No. CC789979 of ,2000. Sworn to and subscribed before me t .' �� 0 Y PU da BLIC DARLENE TORRES NAVARRFloriO Notary Public, State of da My comm exp. D ec. 25, 2002 Comm No f'C7ggg7g 1 516 -1 S 7 MAP SOWING SURVEY OF Part Of Government Lot 1, Section 18, Township 2 South, Range 29 East, more particularly described as: for a point of reference, commence at the North- 'east corner of said Section 18, and run South 0 degrees 23 • 10" East 1012 test along the East boundary line of said Section 1A ( bane slop olong the tenter line or Levy Road (Monty Howl # 222) to a poifit{ ghd thshas r n North 9 degrees 41'1O" West fact to a point in the West right of way line of *aid Levy Road, which point is south 0 degrees 23' 10" East 77 feet from the South line of the lands of Louie Seidl as described in deed recorded in Deed Book 204 page 506 of the current public records of Duval County, Florida p4 for a point of beginning; thence run North 89 degrees 49'10" West'120'feet a point; thence run South 0 degrees 23 East 60 feet to a point; thence run south 89 degrees 49' 10" East 120 feet to a point in the West right of way line of said Levy Road; thence run North 0 degrees 23' 10" ;Pest b0 feet along the West ,right of way line of said Levy Road to the point or plane of begin- �in Wing e amit being a part of the same lands described in pied rtQnrded- ia.DeRed' ' . . *ock 072, Inge 144, and in agreement for Deed recor _ in Peed Book 16. , -� ' � -page, . ij ,, of the current public records of Duval County, Florida � ". ' FOR. J. RAY PERMENTfR ` -- — ____ — — _ )4( Section Line -1 �'ornf ofReferencc ' �� °_ _ _ LEVY ROAD (COUNTY R0�90_ N in in 56 IN G. 61 I t ., t ) No ; f Soot! r � _" _..._._ __ ._._ .� � _... � _ _ _ �3 Li r of of Lows Seid /4, Decd 2 O4,P I I J vqe 506 .00 1 /rES. TNER ROAD (COUNTY ROAD N° 970) • i n C,. Not thc'/uded ,n t /ii /ZO' I\ SurVCt • JAG%" , t 4e -,s.:a o 14 I Ff�'C.¢G.lrtrl ✓vna /9, /9G /, 76 �iivw .:r�r ' ���i its q 1 4 st $ � ' . O z i [� / /� t' k two �i 1. . .M . al/E z V • N h f /1". 5€ C C I ... 5.89'4970"E W 4 i . Set ' /e" / 20' Set yj C / /rot, /re,,- o o h 1 1 1 r__1 35' e j I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THEE ARE NO ENCROACHMENTS. HRDURDEN Check eci iri the Fig: /daad Cerbficd b SIGNED RRr4 / 4, 1961 ' ( -77 4 ;% 7 :;0 ,0 " SCALE' /�� C 6Q f - z !/ / � - .fit +"' RseisTiotgo SURVEYOR NO. $43 FLA. '�4.ORIOa IPA L, NOTICE - OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE / I S� - o 9� t 6.11.e% THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 01 -- lju, i ' Sin ►a-(J..„ tk e- rrT Ci o -) L c- CFrerc 4 t8 FPc- !� 1r REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247 -5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday.. CITY OF ROPERTY DESCRIPTION riffia4i4C Vee id -7eeptedet 7 i n. OCEAN BOULEVARD .ot 1 el f Block 1 Section „ pin P. O. BOX 26 h L 0 BEACH, FLORIDA 32233 1,: =PHONE (904) 249-2395 ;ubdivision: _fge- tif JUN 21 199r.) Street Mame BUildiritIMPbarki WORK 31- Address: If in a FLO'' NA= RD 4=--- 'lood Zone: area com • ete page 3. Brief Description: 7(4/1 V :ONING \ Class of Work (a: 0 le* 5 Iv oiteidr (New/Remodel/Addition) Aairr INFORMATION • 4°41 Type of Construction: e'149/244.4L-OfA Toning Prrpo= Ustrict : Us : Estimated Value 1 :xceptions or Materials: 6 0 eti 0 'ariances Granted: \,I Solid or . Filled Ground:51 IC-/e Roof : Cs, if afAtZ04 0 ER INFO ' NATION • • Method of lispatingsagarA"", Prop- ty Own Maili • 11/4 Addres= is 7 ,epA14.7 5 1 ' rile • art G. 0 i.. zip, y 2.7-51 (AO CONTRACTOR IN ORMA ION \\\\ Contractor : Pervrot ..t • Phone:I-W-7"i Mailing Address: ./2 1°1 r • - Zips3' .E.\,.....c.V.,4.....ic • ,- Expiration License Huebert__ ___ _____ Dote* I PIERER I Y TWAT / \4 0 A UMW, imirmoftlamou ANN KNOW TN! SAMS TO SE TRUE AND CORR LL PROVigip 0 TH LAWS AND OR0ISARCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, NETHER SPEC F • HER N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 4. '0 GIVE AUTHORITY TO VIOLATE 'R CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORD/NANCES, OR LAWS IN ANY KANNER, INCLUDING THE GOVERNING OF CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS - -7\ c' CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. I ' tesk 444,4-- (Asip Date _44 A Owner Signature ...ifiAl...._ ----- ,___ - Aeleedi- y 47'4- , 0 41176 ' Contractor Signature _IL Date .,,, .,. .14$16......................_____.,_ FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative page 3 r' . I s FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 50011.89 SECTION 5 • BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH Non•Rssidentisl Buildings `' ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS Residential Buildings over 3 stories ALL CLIMATE ZONES PROJECT NAME: (P4 1 ZONE: tIA y ADDRESS: BUILDING CLASSIFICATION(S): I CITY, ZIP CODE: BUILDING PERMIT NO.: BUILDER: T4. )2 C(A,Siz-i1 / -}-C • PERMITTING OFFICE: OWNER: _ JURISDICTION NO.: I WALLS ROOFICEILING BUILDING INFORMATION FLOORS DO ORS GLASS TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE (1 AREA ■ Concrete (CBS) Under attic • ps /�p Slab onyrade Wood I A o I Wood frame xf3.s. Single Assembly Raised Wood • o7 / p Metal •57 t�0 Double. Single, wall wall Metal Irame Other Raised concrete Insulated Single. root Insulation Fl-value •O Liv.3 Insulation R -value . S Insulation R -value . s ? /rep y Other Double. roof I SYSTEMS INFORMATION AIR CONDITIONER HEATING SYSTEM HOT WATER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUIH TYPE I Unitary & Heat Pump a / �+t, 4.. &al e,unq sT12, p /{E 4 r 2 4C- CO Electric <65.000 MUM 24:6 SEER 0 . <65 .000 Btu/h HSPF Resistance s: 65.000 Btu lh EER 2' 65.000 Bwlh COP Dedicated Heat Pump C Water cooled EER Water cooled COP Gas I Evaporatively cooled EER Evaporatrvely cooled COP Natural PTAC EER E ec!r c 'es slante COP LPG Chillers COP Gas/011 turtle over Oil Other. < 225.000/300.000 Btulh AFUE HRU ❑ 225.000/ 300.000 Btulh E t Other I LIGHTING Lighting Budget (from Taole 5.13) 7 .0 Total Lighting Wattage 20 O Z. _ Total Conditioned Floor Area a = Wattslsq. f1. /• Z— i PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.) ' COMPONENTS SECTION REQUIREMENTS CHECK Windows 502 4 Max mum of 0 5 cfm per linear foot of operable sash crack Doors 502 4 Maximum of 11 0 cfm per linear fool of operable sash crack I Joints /Cracks 502 4 To be caulked. gasketed. weatnerstripped. or otherwise sealed - Reheat 503 3 Supply air restricted to set coidlhot deck temperature to meet load of worst case zone Ventilation 503.4 Supplied with readily accessible switch tor Shut -off and volume reduction when ventilation is not required HVAC Efficiency 503 4 Minimum efficiencies — Heating Tables 5.5, 5-. Cooling Tables 5.7. 5.8. 5.9 Transport Energy 503 5 Minimum of 8 0 Balancing 503 6 Provide means for balancing HVAC air system & water distribution system HVAC Controls 503 7 Separate readily accessible manual or automatic Thermostat for each system HVAC Duct 503 9 Constructed in accordance with industry standards & local mechanical codes Ducts must be Insulated I Construction to minimum R = 4 1/15 (hr 'F It ' I Btu) Piping Insulation 50310 In accordance with Table 5.10 Wa1a1 Newels 504 2 Must bear ASHRAE label indicating compliance with ASHRAE Standard 90 or comply with efficiency and standby i loss requirements Switch or clearly marked circuit breaker (electric) or cut-off (gas) must be provided Heat traps required Must meet minimum water heating equipment elliuencles In TaD)e 5.11 after 111190 I Swimming Pools .504 2 Spas d heated pools must have covers Noncommercial pools must have pump timer & Spas Gas soa & pool healers must have minimum thermal efficiency of 75% (78% alter 1 I1 /90) Hot Water 504 4 Insulation is required for recirculating systems Piping heat loss is limned to 17 5 Btu lh /linear foot of pipes pipe. see Table 5.12 1 Water fixtures 504 5 ' Water flow restricted to maximum of 3 gpm at 80 psi toilets maximum 3 5 gallon Hush Public lavatory fixture maximum flow of 5 gpm or 5 gallon 4 has sell-closing valve „1.2 5051 Lighti Dower budgets are listed 11 T able 5.1 3 Ballast e thcacy t��cto are listed in Table 5 -14 - I� ,' `il 0 3 6 Uo wall Actual 0 • x, II complying under Inc provisions of S 5021, enter the combined U values for Inc entire meta* Uo root !ceiling Allowable le U roof /ceiling Actual 0. 3 in this section I U0 floor Allowable d • 0 . ' � U floor Actual 0 • 0 U envelope Allowable Up envelope Actual OTTV wall Allowable 0 OTTV wall Actual , L - • � OTTV roof/ceiling Alowable • S OTTV roof /ceiling Actual �• Ali plans and specifications shalt be sighed and sealed Dy a Florida registered engineer or architect Review of the plans and specifications covered by this calculation indicates compliance with with the exceptions provided for in Section 481 229. F.S and Section 471 003, FS I hereby certify the Florida Energy Code Belem construction is completed. PRis building will be inspected for that Inc plans and specifications covered by Inis calculation /re in compliance with the Florida compliance in accordance with Section 553 908 F.S. Energy Code (� .\ (� SIGNATURE �-)` BUILDING OFFICIAL DATE CP G g m DATE 1 rri ENERGY CALCULATIONS APpROVpr) fti UNIT NO. ‘/-1 1 � oaY 19 PSI /PTL Awo / 3 -3 Aw = / -3 Ar = /boy Af = /8o y Uw = O-o 5 Ur = DroS Uf = o- o'9 A g = Hoc. (windows) + o (doors) _ /6 o Ug = 1.13 Ad= Lio Lid= . 5"2 Uwo = ((Uw x Aw ) 4. (Ug x Ag) t (Ud x Ad)) / Awo = Uwo = (( - 09X/293 ) t ( it 3A r6a ) t (- 6 X 0 )) / 6 .2/ Uro = (UrxAr ) /Aro = (.OS x f8b4 )/ /BU' = . oS Ufo = (Ur *At )/ Afo = ( .01 x (fray )/ troy- _ -05 OTTV =((UwxAwxTded+ (Agx SC x SF) + (Ug xAgxAt))/ Awo OTTV = ((.o9xc2.C3.3xq c )4(l(oox (63x.7 ) +(I•l3x16o x (s. )) / N93..3 OTTV OTTVr =(UrxA /Aro = ( ° /gv x )/ /e = Z -2. LIGHTING s ?og TOTAL WATTS That is . � watts of lighting per square foot. • • FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM SOOA89 SECTION 5 • BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH Non•Residentlal Buildings ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS Residential Buildings over 3 stories ALL CLIMATE ZONES PROJECT NAME: (oL-I I ZONE: 1i y ADDRESS: • BUILDING CLASSIFICATION(S): CITY, ZIP CODE: _ BUILDING PERMIT NO.: BUILDER: T4 ? c usr ► -I-,uc PERMITTING OFFICE: OWNER: JURISDICTION NO.: I BUILDING INFORMATION WALLS ROOF/CEILING FLOORS DOOR S GLASS TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA Cdncrele (CBS) Under attic .e. fro/ Slab-on-grade Wood Single. wall �6 0 Wood Irame Single Assembly Raised Wood ° g Metal .57 y Q Double, wail Metal frame Other Raised concrete lI Insulated Single. roof Insulation R•value •0 1 1.415 Insulation R -value .0 Ig y Insulation R -value s 9 iy Other Double, roof I SYSTEMS INFORMATION AIR CONDITIONER HEATING SYSTEM HOT WATER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUIH TYPE I Unitary & Heal Pump SY c rtrew.a .2L mg spa, p /I-EA r 2.0 Lu7 Electric <65.000 Btu /h `' SEER 0 • <65.000 Btu Ih HSPF Resistance 65,000 Btu I h EER ? 65.000 Btu/fl COP Dedicated Heat Purtmp C Water cooled EER Water cooled COP Gas Evaporatively cooled EER Evaporatively cooled COP Natural " PTAC EER E ec!r c es seance COP LPG Chillers COP Gas/011 (circle ones Oil < 225.0001300.000 Blu /h AFUE HRU ❑ Other. 2 225.0001300,000 Bluth E Other LIGHTING — Lighting Budget (from Table 5.13) •v Total Lighting Wattage 2.0 � Total Conditioned Floor Area l$d� Watts lsq. It: /• Z•• I PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.) COMPONENTS SECTION REQUIREMENTS CHECK Windows 502 a Max mum of 0 5 ctm per linear fool of operaole sash crack Doors 502 4 Maximum of 11 0 cfm per linear foot of ooerable sash crack I JointslCracks 502 4 To be caulked. gaskeled. weatnerslripped. or otherwise sealed Reveal 503 3 Supply air restricted to set cold /hot deck temperature to meet load of worst case zone Ventilation 503 4 Supplied with readily access ble switch for shutoff and for volume reduct on when ventilation is not required HVAC Efficiency 503 4 Minimum efficiencies encies — Healing Tables 5-5. 5-6. Cooling Tables 5.7. 5-8. 5.9 Transport Energy 503 5 Minimum of 8 0 Balancing 503 6 Provide means for balancing HVAC air system & water distribution system HVAC Controls 503 7 Separate readily accessible manual or automatic thermostat fur each system HVAC Duct 503 9 Constructed m accordance with industry standards & local mechanical codes Ducts must be insulated Construction to minimum R = 0 t r 15 (hi 'F II ° / Btu) PiotnglnWlalion 50310 In accordance with Table 5-10 Water Heaters 504 2 Must bear ASHRAE Zabel indicating compliance wan ASHRAE Standard 90 or comply with efficiency and standby loss requirements Switch or clearly marked circuit breaker (electric) or cutol( (gas) must be provided Heat traps i required Must meet minimum water heating equipment efficiencies in Table 5-11 alter 1 / 1190 Swimming Pools 2 Spas & Heated pools must have covers Non-commercial pools must have pump timer & Spas Gas soa & pool heaters must have minimum thermal efficiency of 75% (78% alter 1 /1 /901. Not Water 504 4 Insulation is required for recirculating systems Pip ng heat loss is limited to 17 5 Btu /h/linear foot of Pipes pipe. see Table 5 -12 I Water fixtures 504 5 Water now restricted to maximum of 3 gpm at 80 psig collets maximum 3 5 gallon flush Public lavatory . fixture maximum flow of 5 gpm or 5 gallon it has sell -closing valve Lig hting 1 505 1 Lighting power budgets are listed in Table 5.13 Ballast efficacy factors are listed in Table 5-14 Uo wall Allowable 0 ' 5 U waft Actual 0 • If complying under Inc provisions of S 5021. enter Inc combined U values for Inc enure envefepe U roof /ceiling Allowable / n U roof Meiling Actual • 0 in this section U0 floor Allowable O 0 U floor Actual . • • U envelope Allowable / U0 envelope Actual OM wail Allowable ✓ "' ! OTTV wall Actual (7. 4 OTIV roof /ceiling Allowable_-, OTTV roof I ceiling Actual Z• L AO plans andspecifications shall be signed and sealed by a Florida registered engineer or architect Review of the plans and specifications covered by this calculation indicates compliance with with the exceptions provided for in Section 481229. F.S. and Section 471003. F.S I hereby cenity the Florida Energy Code 8etore construction is completed. Mis building will be inspected for that the plans and specifications covered by this calculation are in compliance with the Florida compliance in accordance with Section 553 908 F.S. Energy Code e i . .' SIGNATURE ` Q (O BUILDING OFFICIAL DATE l (S= 0 DATE _ 1 r P 1 • ENERGY CALCULATIONS AppRovely 01# UNIT NO. 6y CIQ/ 26 1b84 PSI /PTL Awo = / 3 - Aw = / Ar /goy Af = /8o y Uw= ©- Ur = 04oS Uf = O -°9 Ag = /(vo (windows) t o (doors) = /L o Ug = 1.13 Ad= (-Ea Ud= 5 Uwo = ((Uw x Aw ) 4- (Ug x A9) t (Ud x Ad)) / Awo = Uwo = (( .05x /a53 ) t ( / -C 3 x <(oa ) t (- s X'' o )) / ilg3.3= o -Z/ Uro = (UrxAr ) /Aro = (.oS x rb-b4 )/ 4.0y = • oS Ufo =(Ur )/ Afo =(•s1 x /S )/ t = -0 OTTV =((UwxAwxTded+ (Agx SCx SF)+ (Ug *AgxAt))/ Awo OTTV = ((.o9xc2-93.3xy5t )4(I(0cx (63x.7 ) +(1.13 x A. )) / " OTT V (2 - (° OTTVr = (UrxArxTdep) /Aro = ( 0.o5 - x /k��X fe"f = Z_Z LIGHTING : (3.S' TOTAL WATTS That is � watts of lighting per square foot. • City of Atlantic Beach Goer: BORDERS RECEIPT *** Date: ORD RS gB Type: OC Drawer: 1 Receipt no: 53922 Description Quantity 2005 30319 Amount BP BUILDING PERMITS 1.00 $42.88 Tender detail CK CHECK 17855 Total tendered $42. Total payment $42. "moans date: 5/11/05 Time: 12 :86:49 1 j t ,.;J,`j f' _ rJ , � { 4 , ; ,h fs , CITY OF ATLANTIC BEACH LA.? 800 SEMINOLE ROAD -;"—' V J 1 ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 N ; .w � n Jltl'r Application Number 05- 00030319 Date 5/11/05 Property Address 1570 MAIN ST Tenant nbr, name SEWER CONNECTION Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARROTT, G.R. ECONO - ROOTER INC LEROY BLANTON ATLANTIC BEACH FL 32233 9020 COCOA AVENUE JACKSONVILLE FL 32211 (904) 727 -7008 Permit PLUMBING PERMIT Additional desc . CONNECT TO CITY SEWER Permit Fee . . . 42.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 Y 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. BUILD G OFFICIAL • CITY OF ATLANTIC BEACH - PLUMBING PERMIT APPLICATION J F tiN v f ) Date: / / / /D.5 Property Address: /$2'Q -4 k Owner: C , eepe e "a4,z e© - Telephone #: /f /–gyp cS Contractor: l: C©itiO 2(')(97 _i" Telephone #: 702 ' 'O' Contractor Address: g©ao C ©cc,q /9IA'e Fax #: 7 Q'S' - 6 (P In consideration of permit given for doing the work as described in the above statement. we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water / Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: / X $7.00 + $35.00 = y on 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 - 5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Citl If Atlantic Beach Oiler: TM cUsToER RECEIPT *, Date: 5/05/05 01 Recei tC no: Drawer 1 P 52496 Description aantity Aaount BP BUILDING PERMITS 2805 38258 1 •' 81250.00 BP BUILDING PEITS 2085 302681.88 81250.80 BP BUILDING PERMITS 1.00 81250.00 Tender detail CK CHECK 83750.00 Total tendered 83750.E Total payeent 83750.80 Trans date: 5/05/85 Tine: 9:14:08 rJ ' . `' x, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 t Application Number 05- 00030260 Date 5/05/05 Property Address 1570 MAIN ST Tenant nbr, name SEPTIC TO SEWER Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARROTT, G.R. CITY OF ATLANTIC BEACH ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 5/05/05 Valuation . . . . 0 Expiration Date . 11/01/05 Other Fees SEWER IMPACT FEES 1250.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1250.00 1250.00 .00 .00 Grand Total 1250.00 1250.00 .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. Z oo* C 6 I tair k BUILDING OFFICIAL Ii....... i„\,, ,:i7,5;_..!Jr,,,r, f:y1 , `S CITY OF ATLANTIC BEACH ..., 4 0,.....;?.„,,,„,r. J 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 " " * "" INSPECTION PHONE LINE 247 -5826 Application Number 05- 00030260 Date 5/05/05 Property Address 1570 MAIN ST Tenant nbr, name SEPTIC TO SEWER Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARROTT, G.R. CITY OF ATLANTIC BEACH ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee .00 Issue Date . . . 5/05/05 Valuation 0 Expiration Date . 11/01/05 Other Fees SEWER IMPACT FEES 1250.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1250.00 1250.00 .00 .00 Grand Total 1250.00 1250.00 .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. BUILDING OFFICIAL CHECK REQUEST iS;� DATE 04/21/05 r, ( t VENDOR NO. 2948 Z7 \ , PAYEE City of Atlantic Beach - - -' ADDRESS 800 Seminole Road CITY Atlantic Beach STATE FL ZIP CODE 32233 ACCOUNT DESCRIPTION ACCOUNT NUMBER PROJECT NO. AMOUNT Sewer Other Contractual Services 110 - 1005 - 515 -83 -00 $1,250.00 Subtotal from Page 2 TOTAL $1,250.00 DESCRIPTION OF ITEM OR SERVICE: Sewer impact fee for 1570 Main Street, RE # 172384 -0000 . POSTED SPECIAL INSTRUCTIONS: Please forward check to the Building Department for processing To expedite processing, please attach adequate documentation to support payment. ADDITIONAL APPROVALS ONLY REQUIRED ,,/ WHEN CHECK REQUEST IS OVER $500 / ' , ft / - &`-`-'4/ REQ ESTED BY / DA DEPT - EAD / DA E FIN C DIR / DATE MGR / DATE r r7) 7 H: \DKaluzniak \Excelfiles \Sewer Collection \[sewer impact fee check request,xis]Form Pg. 1 \F t A ?!i t , ' CITY OF ATLANTIC BEACH — �LJ JP� BUILDING AND PLANNING J 800 SEMINOLE ROAD Ss ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 FAX: (904) 247-5845 "�''.' V sk „ http: / /ci.atlantic- beach.fl.us April 20, 2005 Econo- Rooter, Inc. 9020 Cocoa Avenue Jacksonville, Florida 32211 Re: Abandonment of septic tank and connection to sewer service Dear Linda: This letter serves as confirmation that the cost of connection to City sewer service for George Parrott's residence located at 1570 Main Street will be reimbursed to Econo- Rooter in the amount of $2,942.00 through the City's Community Development Block Grant funds. Once the work is permitted, completed and inspected, please submit the enclosed form the to the City's Utility Department so that payment can be processed. Sincerely, Sonya Do rr, AICP Community Development Director cc: Chris Walker, Department of Public Utilities • CITY OF ATLANTIC BEACH Tv 800 SEMINOLE ROAD — z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 .2 c..).r INSPECTION EMAIL REQUEST: Building-deptOcoab.us Application Number 07-00001378 Date 10/04/07 Property Address 1570 MAIN ST Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 200 amp upgrade w/ hvac hookup Owner Contractor PARROTT, G.R. AMERICAN ELECTRICAL CONTRACTOR Q/A:GRASS, ROBERT ATLANTIC BEACH FL 32233 5065 ST. AUGUSTINE RD. #3 JACKSONVILLE FL 32207 (904) 737-7770 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 85.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 4/01/08 Fee summary Charged Paid Credited Due Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 85.00 85.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .. t'' ".%:•.. CITY OF ATLANTIC BEACH J ' y " y � •, 8)0 SEMINOLE ROAD, ATLAN" IC BEACH, FL 32233 O�- I ( ' 1 : „ll OFFICE: (904 :2475825 • FAX NO.:(904)247 -5945 BUILDING - DEPT @COAB.US "'� �� ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2.15 THIS A SUB PERMIT: 3. DATE I 310 M/� 1 'LAln Si a NO Atlantic Beach, FL 32233 O YES PERMIT #: I 0 3 PROPERTY OWNER / 4. NAME: '5. ADDRESS IF DIFFERENT FROM J03 ACDRESS: 6. PHONE: C;�eorle Qa{rf4. 311-1.33,7g ELECTRICAL CONTRACTOR: . 7. NAME OF COMPANY; 8. ADDRESS.: Bim elf(% ut 4 e «r A,rt . 0.1)4 T, 5(105- ?) 5rl'• Y (1 ,,A Irr1 9. STN - OF FLORIDA LICENSE NO: 10. CELL PHONE 1 11 FAX N3: �fk? 1(.P ` 131 - 099. 12 EMAIL ADD 13. OFFICE PHONE: 14 Y . arK5 HONE: arnero Pr - �ttt,Ny%. 13) ?d 15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if w -rk not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months -1 any time aft =r • k is ommenced. CONTRACTORS SIGNATURE: _ �L .L` 16. CLASS OF WORK: 17. SERVICE: - • • 18. METER NUMBER: ❑ MULTI FAMILY - # OF UNITS: if RESIDENTIAL • SINGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ❑ ADDITION ❑ TRAILOR 19. BUILDING: • 19. CURRENT CODE ❑ ALTERATION ❑ SIGN • OLD ❑ NEW ❑ '05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL / SPA ❑ REWIRE ❑ OTHER: . UST ALL ELECTRICAL WORK . 20. TYPE OF SERVICE: ■ OVERHEAD O UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: I ■ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: - AMPICITY: AO 0 ❑COPPER 1 ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: AD- PH: _A____ W: _b__ VOLT: atil_ ✓C RACEWAY SIZE: V 24. EXISTING SERVICE SIZE: AMPS: `0 D PH: _t_ W: _a__ VOLT: alto RACEWAY SIZE: ,__ 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES El NO 29 -31 00 NOT APPLY TO NEW SINGLE FAMILY, MULTI- FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: ' 32. AIR CONDITIONING: . I OF UNITS: 1 COMP. MOTOR HP RATING:: 1 474 AMPS: I/0 HEAT KW: 11) # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33. MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34. TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35. MISCELANEOUS REPAIRS: ' DESCRIBE IN DETAIL: a () 6 - en() U p ci r LA` HVVV. *..tip COA3 FORM BLDG02; REVISED: 8/13/2007 L'd 5t89 swelsAg uoilewJojul dZji:£0 LO £0 PO