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Permit 1543 Main St 1-9 (vault) JOB ADDRESS 15 3 PROPERTY OWNER GL, PERMIT NUMBER ` 7 -�� DAT l G INSPECTIONS: FOOTING SLAB a z v -5 X TIE BEAM LINTEL NAILING/SHEATHING FRAMING/COYER UP /2— ,(6 5�P INSULATION FINAL BUILDING — - CERTIFICATE OF OCCUPANCY r ELECTRICAL PERMIT# 172- 91/ 9z 93/ `��� q11 9-7,. ,, INSPECTIONS ROM FINAL D-y -S e� X, 3 * 6 MECHANICAL PERMIT#_ 1 `7 7 � �J INSPECTIONS ROUGH e 2_ _V k FINAL PLUMBING PERMIT# - 2 INSPECTIONS ROUGHIUNDER SLAB —Sd' TOPOUT e,2-t6 y Y WATER/SEWER FINAL D--- rl I NOTES'3"'L ��►`"� I / r CITY OF ATLANTIC BEACH ,sl ;♦ r.a 800 SEMINOLE ROAD \l �F ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 rr X11,1}`� Application Number 05-00031040 Date 8/31/05 Property Address . . . . . . 1543 MAIN ST Tenant nbr, name . . . . INSTALL PARTITION WALL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 Owner Contractor ------------------------ ------------------------ CRANE CONSTRUCTION OF JACKSONVILLE INC 1735 NORTH LANE AVENUE JACKSONVILLE FL 32254 (904) 786-5244 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee . . 00 Issue Date . . . . Valuation 9000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. syli j! BUii, ' fieLAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: - I - 6 S Address (K S . = i,ca s i A c c F"t at e w �9 c Heated Square Footage @ $ per sq ft = $ Garage/ Shed $ per sq ft = $ Carport/Porch @ per sq ft = $ Deck @$= per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ coo®® Total Valuation i st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: _ TOTAL BUILDING FEE $ ZONING: c (,— + `/z Filing Fee $ FLOOD ZONE: �_ ( ) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: 0 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT L. Higgins si 800 Seminole Road 99 / Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 5- � Pror a Address: �0. I Applicant: ,4 Project: n C�- -e- This << eThis permit application has been: ❑ Approved Reviewed and the following items need attention: ✓�i l S (�CC- �L et, k t aR 3Lc)c LS-1� e,,c� c wk-(cam c�G F U(-,7(2 , FZe r 2a= tiL Please re-submit your application when these items have been completed. Reviewed By: L41-- Date: 10� Date Contractor Notified: Aug 17 2005 3: 42PM HP LASERJET 3200 p. 3 CITY OF AT � T BEACH r 1lJ�$ i , B &DING PERMIT APPL��ATION (Alteratigip&Additions) Date: Job Address: 1-5L43 "A l Q S Owner of Property: P R CZ JP RD L-T p Address: P. d . BSC 1-30F11 ATLWr t c 5CN Telephone: �Oq -2`L(-- 43091 E)( 22,t Legal Description: Block Nurn/b�er: S-Z9 Lot Number:�_Zoning District: l lS�= `4 i ©c7 Contractor. L k6i 6- t-CxiS 4"dJ1v t0 C9,� ;4�DC State License Number. C&C- 4t>5-&C>1-3 Contractor Address: -Zr "t Telephone: `1l5 Gs' S 2 t-l� �V Fax: (RV tk� l e&- Describe pro use acid work"Ltd _--E J S ia� ,',a lL1- �-rcL w C-U „ Present use of land or building(s): ,——r wu6A-C (NN m A C. — CA f)rMQC,Ib.\ kpaS ) 4 (Oct Valuation of proposed construction. What are the dimensions of the added space: feet x 66 ow t, 00d a �� Will the added area be heated and cooled? N 6 New electrical or increase in service? /✓0 Add plumbing fixtures? IVO Add fireplace? Pd Add heatinglair conditioning? /(-/d is approval of Homeowner's Association or other private entity required? AVO if yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of tail material, or the addition of 5% or more to the original impervious area or the removal of any trees? {d0 NO. 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 aoorooriate 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, picase 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 ofPublie 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. SPEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Corrrruencemert, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction pleas to the Building Department which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-SM -Fax: (904)247-5845 - http:/hvwtw.cLstlantic-beach.fl.us Page 2 Revised VO4 mug tt 2005 3: 42PM HP LASERJET 3200 p.4 In addition to construction and cri<gineering 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 end distances and the legal description. 2. Location of all struCtu res,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 Warks,a pre-construction topographical survey. 4. Any sigsriScant 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 way be excluded from total Impervious Surrsce, 6. Otter information as may be appropriate for individual applications. 1 hc7ek,certify all info ion prov*d with this application is correct ' Signature o owes a Date: 1;119 Sr 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 speciIled herein or not. The granting of a permit does not presrune to give authority to violate to cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the fififlormarice of co on of the property. I understand that the issuance ofthis permit is contingent upon the above information beingtrue co that the and supporting data have been or start be provided as requirc& Signature of Contractor. Date_ Address and contact information of person to Teceive all correspondence regarding this application(please print). Name: Mailing Address: %% Gl iJ ' C? 7c tel'.4-1'& ' Telephone: 9 4 Y " II- JV 1 Fax tx r AS TO OWNER: Sworn to and subscribed before me this day of �� ,20d s— State of Florida,County of Duval `• Y'`" KAREN E.HEATON Notary's Sigttature: .: .- MY COMMISSION#DD 232109 a EXPIRES:October 20,2007 hA pf d Bonded 7hru Notary Public Underwriters ❑ Personally known Produced identification Type of identification produced,-'-O,�/�/ft AS TO CONTRACTOR Sworn to and subscribed before me this ,day of 0 State of Florida,County of Duval Notary's Signature: �Y A+bMc..�M 0111et�� Irby Pcrsonally known COIItOlyOA•pq�=� ❑ Produced identification � Ng Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247 SS45 -http://Www.cLaGantic-bexck.fLus Page 3 Revised 8104 1.IL�r3E MODIP1G.1s.-rt ,rV1LtAC, 5i 05 2 i a e , b 4 (7 ICU' +lG f+YM SQ �y ,.;y .'•.4t`,'at`�lr z._w �Y�F ��F Q u G AA �y.•..:...I:.i4 ..�yM�..v R.Bf. 9°y ,> . • rn ��y/r V R,�.i(��yiiyy �*M t. }:+. v tipp,,.yc� '•' 44M. HPS OW, HPS " 4 OW. HPS I y b s f.t r f •d.fw�q+i 5 �'' �1 A�JG y / 17 1W NPS [. Oildd JJt'Ql PA. S 1012 ea.L-W Rug_17 2005 3: 42PM HP LRSERJET 3200 P, 2 ( NOTICE OF COMMENCEMENT State of 4ew-[di'4 Tax Folio No. I�Z�Z� O 0 OU County of ^ 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 follow ri -n ig information is stated in this NOTICE OF COMMENCEMENT. Leval description of pro rty bking improved: I T -ZS _ 2. l U►S 6 �f 0\/T- Lo�9 KBD co R 1154 1,7?� fFI'JCa PflRC,EL. 3 Address of property being improved: General description of improvements: tws Vot k arc oN Owner: VAR (.- Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor. Aum s -•e.- �.� m «•c. Address: 03 5 Gh+rt E. Phone No: - 7 L" Fax No: Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: 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 maybe served: Name: Address: Phone 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(2)(b),Florida Statues. ( i11 in at Owner's option}. — Name Address: Phone 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 ONLY1 IVN R i !i Date: Before me this of the ounty of Du 1,State of FIRridja,has per y a ear Y a KAREN E.HEATON C mfr' z 0� �4 DIY COMMISSION#DD 232109 eNotary Public at Large, ate of Florid-County of Duval. EXPIRES:October 20,2007 My commission expires: 7,',y�pt•F: • grmdedTbmNotary PublicUnderwriters p ovally Known: or m Produced Identification: A_ MATE PRF.-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 23i WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : f S-/ 3 '1.- --- -----------------=---------- ------ --------------- ------------------------------------- ------------7-------- --------------------- --------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, �� f ZL BUILDING INSPECTION DIVISION cc: FILE DATE ---- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC: AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS ) HAVE BEEN MADE AND ARE SATISFACTORY : y_c--- 213 -------------------------- --------------------- _Z -- ``-------------* F#Z-------------------- ------ /Z�-£_12- ----=--------------�_1�2--------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION = FILE CITY OF M444-0 7r 7'' Office / Office of Ing icial REQUEST FO SPECTI/ 71-52. Date Permit No. Time A.M. Received P.M. Job Add ss `Locality Owner's Name Contractor ~ UILD CONCRETE E RICAL P UMBING MEwANUE— Footing E, oug firing E Rough Re Roofing Slab L,1 Temp Pole El Top Out 5 Heating Insulation E Lintel L', Final Sewer 0 Fire Place 11 Pre Fab READY FOR INSPECTION Mon. ( u� Wed. Thurs. Friday�s A.M. Inspection de Inspector Final Ins eCtio ificate of Or ��ff��// CITY_.O/`F ,pry �►°t+ 4a4c I7+�iiA�-"t" Office of Building Official REQUEST FOR INSPECTION Date & Permit No. ! _ ' Time kM. r e Received P.M. Job Addrgss — � _ Locality ,z Owner's Name ✓2 Contractor BUILDING CONCRETE ELECTRICAL PLUM LNG MECHANICAL, Framing ❑ Footing Rough Wiring ❑i Rough D Air Cond.& ❑ Re Roofing E Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel _ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday _ --PK AA Inspection Made *- Inspector, Fin Certificatef Occupancy❑ ae Dt ,.�' CITY OF --q- 4&4a& Be4CA- -jol 4 94, Office of Building ffi , 1 / 7 / REQUEST FOR I ECTION Date--- 3-LI Permit No. 1-7ff 76) Time A.M. Received z2 1-7 Job ress Localit Owner's Name Contractor MECHANICAL BUILDIN CONCRETE ELE� CA PLUMBING Framing Footing (� g, E] Rough ❑ Air Cond.& Re Roofing Slab Temp P.1, E Top Out Heating Insulation E Lintel D, Final Sewer E, Fire Place C- Pre Fab READY FOR INSPECTION V lob A ress CONCRETE N C R�ET E (—ELE( A.M. ' Mon. Tues. Wed. Thurs. Friday V, A.M. Inspection Made Inspector < Final Inspectio cupancy E] Date f t ` Tatt trate of 'annancu Tito of Atlantic 76mc4 — Nloriba i0tvartm ut of Nuilbing lnnvertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Commercial Bldg.Permit No. 17152 Group steel Type Construction Cb Fire District atlantic Beach Owner of Building Staddar Tniiiigtrias Address I S45 Mains $¢gppt B ' gAddress Locality At l antixi a h. FIT, 32231 _ By: DON C. FORDS Building Offici Date: , POST IN A CONSPICUOUS PLACE CITY OF 57&UW4 800 SEMI. OLE ROAD -.-- ---._ - -- -- --- ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 347-5800 Ea.Y(904) 247-580-4 NOTICE TO: Water Department FROM: Building Department DATE* Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed: Permit Number Address Si, erely, Building Department BUILDING, PLANNING AND ZONING INSPECTION"DEPARTHENT CITY OFATLANTIC BE4CH, FLORIDA CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: �2-•_ Building Contractor: Building Permit Number : ill-i--2— Address : 7L-i-Address : 15- q3 �- Leval Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE CEPARTMENT DATE NOTIFIED DATE APPROVED BY Fire 2- Public Public Works e-%B.u,ilding ��-�� -2 Tatifiraft of @rrupanrU (situ of Atlantic ll cac4 — Nloriba Department of "Suilbing Inspertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Commercial Bldg.Permit No. 17152 Group steel Type Construction cb Fire District Atlantic Beach Owner of Building $a_nrlar Tnrinstri ea Address 1 545 Main S r Bu' i Address 1-9 Locality Atlant7iy Beach, FT. 32231 (_:L� By. DON C. FORD Building Official Date: I;t - a Y` 4 2 POST IN A CONSPICUOUS PLACE FLOODPLAIN DEVELOPMENT INFORMATION Location:: /,)aS Qin S -,�eS f X- ii Type of Development: Flood Zone: X Required Lowest Floor Elevation: //OZ,Ca G 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. COitiLMENTS: Applicant Acknowledgment: 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 0117v Department Use: Required Lowest Floor Elevation /-2-Q C) As Built Lowest Floor Elevation /� 3. Survey Filed with Building Department Building Department Represents ve PIOPERTY DESCRIPTION RECEIVED Lot # Bloch # Sectic, # pn Subdivision:T �� 3 1998 Street Name DESC=TION OftAtlantic Beach or Address:� CL/�1 �' 64,In--, /-:-2 Building and Zoning If in a FLOOD HAZARD Flood Zone:_Xarea complete page 3) Brief-Descriptio C Ck Gz 49t!� C)n 6 Class of Wor (New! NJ Remodel/Addition: /oU��"�i/lJ7/"1,tG� � ZONING 11TECF2WT= Type of Construction: � r� � Zoning Proposed I District Use (�� �lie dYl.(,/�//(r Estimated Value Exceptions or Var'ances yA�« `'i Materials: (�wcre_ k l& Granted• �'`���, `�'��`���' Solid or Filled L� Grnundf:. /� RooV /cc Method of Heating: c OWNER _TNPORM=ON Property Owner: N Ph ne. aZi G_- 2_0 Mailing Address /a Zip: CONTRACTOR INFORMATION Contractor: Phone: Mailing Addr ss .76 ad-44afA Zip: f � Expiration STATE LICENSE NO: C,6— C 7® `T���1�n Date:���('I `f3 �() 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 RE/ IsAiQUIRE Owner Si Signature �� Imo, DATE Contractor SignatureDATE 9 SWORN 0 AND SUBSCRIBED BEFORE. ME BY OF , 199k. f-800-3-NOTARY p� MILLICENT R HUGHES MY COMMISSION#CC 733285 EXPIRES.04/14!2002 NOTA Y PUBLIC Fla Notary Services&Bonding Co i POST THIS CARD AT FRONT OF BUILDING Job Address6#3 MAN sr /- Owner Contractor MMU&M I e5c)At• rx Lot. No. Y--_mak No. —� Drs r' •S „ Z�S� Em Permit No. —/7/—SZ- j! o. SZ — Signed Building Official BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ` ATLANTIC BEACH, FLORIDA 32239 /Cr"(� a..�.i,11sJrV i nni in t ■1 ■ 1 1 ■ ■ ■ 1 1■ .-1 1 1 1 1 1 GG S - or- Intersecting Slreeit: Between- 1 1 G _ And WILDING Seb-division Ii. IDENTIFICATION ---To be completed by all applicants. in consideration of permit given for doing the wort as described in the above statement we hereby agree to perform sold work in accordance with the stteciwd pians and specilicallons which are a pert hereof and in accordance with the City of JecI nville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) t� ((j� Matter Name of Property Owner S j4 N } `(`(u 1'1-5 slgReture of Owner Signature of a Aotherhed Agent Architect or Enjigeer 111. 99I9tAL 110 ORMATION A• Type of hoeling W.- fS. tS OTHER CONSTRUCTION sE1N0 GONE ON , O Doefrfe Tats NUILOiNG OR SITE Q Gas—Q V (3 Natural 13 Central Utility OF VES. GiVE"UMBER Of CONSTRUCTION O 00 PERMIT Q Other -- Specify IV. MWK�NIE'.AL WUI►MNT TO EE INSTAUM NATURE OR WORK (►Nokia complete NO of components on beet of Ale form) Ci Residential or O Commercial O• "set (3 Spee O Recaaed O Central 13 Flea 9 New Building O Air Ceodsttonings O Roam Q Control 0 Existing Building O 9"t SystoRss Motorial Thletrsota O Replacement of existing system �f•rn• New Inslslletion Ilio system preciously Installed) Masimom capacity O 11ofRgerofien 0 Extension or add-on to existing system D Other — specify Q Cooling tearer. Capacity O Are sprintlart: Number of head• O Elweter 10 Mentift 0 bc4le-- iaumber) TNI: VACS 1011 (WWI UN ONLY w, O Gasoline perp - member) (*oaafwdl Q Tests (oember) fielnaris i O LNG confoisgers Inumber) O URIIPW pressure v"91 O lettere ►eemil Approved 6y Do 0 Other — Specify Permit Fi• UNT ALL NQUiPMENT AIR COMMON&O AND RURIOERATiON EQUIPMENT f A=I►uten>wr jlalb DModpttosl Model NumberSGusut111etlttnT (�j RMTING • FURNACES. BOILERS. FIREPLACES y IiFwKw ulsRs DOM1 pliep U0441 Number ZiGltlnitt►olloltretr W sANlnl . truer wisay IK1obsea t?Rgclb Grp Lt4Wd Dame of snot APP"'ovi"s Slid Dhouumoes► ont.m.a Y.asl+ttaectaelr No. r ro, BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH �` ATLANTIC 6lACtt,Ft.ORIDA alae) ��/'� ? �w�tevr inn I A I ■1 m 1 1 ■ • ■ 1 1■ ■ 1 1 it 1 Il ] /��� ^^ Or InterteelMg Sireels: Between— Mato And � 12\op,,o BUILDING 51,6-division II. IDENTIFICATION -- To be completed by all applicants. (n consideration of permit given for doing the wort as described in the above statement we hereby 119,01, to perform told work in accordance win (A$ olleelyd plans and specifiealiont which ere a part h0eclreol and to accordance with the City of Jtwills ordinances and standards of good preetice listed therein. Name of Meehaeieal Conbaetws Contractor I►rinll 1jk1.C__4Menet Popepe rme a, Owner Si4 N Z> Sigmehere of Owner Signature of or AmtherMd A*ent Architect or En'igeer 111, 99 AL 1NFOIMATION A' Type of Qcctimg tool: 9• 1/ OTHER CONSTRUCTION /EING OOH[ON , a vottrk TNI! /UILOINd ON /IT[T p fa<ee—O V D Nderal 0 Control Utility f*YtS, GIVE WhISER OF CONSTRUCTION Q Ola PRRMIT Q oth.. -- sir.eth IY. I OMA9lNM 2WIP1AlIT TO 11 041TAUM NATURE OR WORK ITroirw cemplate Nd of to Opole h o1,Joel of Mia Ism) O Residential or O Commercial 13• "met 0 Specs 17 Reemod O Control O Acer 1( New Building Q Alt CowAllonfnls O Room Q Central O Existing Building Q Ose1 Syetorms MahrMl 16k4-�-� O Replacement of existing system Maelnswn ecpaeify o(,1,,, New Inslelletlon(No system previously Installed) O Extension or add-on to exleling system RettigoraNsrn El Other — Specify Q Cee14 town" Copsoily Q Pito cprinNNt: Nembor of hooch_ �g Q liwotor 0 IAeall" 0 6aloter...- IneMberl THIS 11►At:1 l0R OI+M UN ONLY p Gasoline•--0. 1"ns wl IRaMhd1 Q 1e4e_,__.(nemberl Romarh i o LM seri Iaw++ba+l Q V"110W prNwm www Q 001111,011 13 1lpprewd by, 00 a- (Q ONnr — lipoelfy Permit Fo- U IT ALL BQUIPMBNT AIR EXIMI IONINti AND RV11,1061RATION EQUItMENT ttuelber T,1dte 1)ssoefollost Rede!ItumMt• IRaetdaetmrs �Y A�� 1 1111AIM • PIIRNACIES, 301URB, I:IRBn ACES Ilmis>tae Velar Desoelptlow model Numbeir si[an 641111rK t>Iri'1JiP TA1Qtg new,slow alrestllsW onrodb 1=UTA4 NO=*of 801W AP �g rsl4 Dlaasrisloar boeltaLteA staantaettarstr No. deer d&: � tic 1111011fire Marshal 4 Fire Protection by Computer Design ASSOCIATED ENGINEERING CONSULTANTS INC 522 STOCKTON STREEET JACKSONVILLE FLORIDA 32204 904-381-5687 Job Name : SANDAR - PHASE III Building : PHASE III Location : 1545 MAIN STREET ATLANTIC BEACH FLORIDA System : #1 Contract FP-5-698 Data File 031-98-1.WX1 ikk t0 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 SANDAR - PHASE III Date 081998 Hydraulic Design Information Sheet Name - SANDAR INDUSTRIES - PHASE III Date - 081998 Location - 1545 MAIN- STREET ATLANTIC BEACH F ,0R­1DA­ Building - PHASE III System No. - #1 Contractor - MILLIGAN AND SON CONSTRUCTION INC Contract No. - FP--5698 Calculated By - PERRY Drawing No. - FP-01 Construction: (X) Combustible ( ) Non-Combustible Ceiling Height - 20' Occupancy - ORDINARY HAZARD GRP I S (X) NFPA 13 ( ) Lt. Haz. Ord.Haz.Gp. (X) 1 ( ) 2 ( ) 3 ( ) Ex.Haz. Y ( ) NFPA 231 ( ) NFPA 231C ( ) Figure Curve S Other T Specific Ruling Made By Date E M Area of Sprinkler Operation - 1500 System Type Sprinkler/Nozzle Density - 0.2 ( ) Wet Make STAR D Area Per Sprinkler - 125 (X) Dry Model SG E Elevation at Highest Outlet - 19' ( ) Deluge Size 1/2" S Hose Allowance - Inside - ( ) Preaction K-Factor 5.8 I Rack Sprinkler Allowance - ( ) Other Temp.Rat.200 G Hose Allowance - Outside - 250 N Note Calculation Flow Required - 656.7 Press Required - 37.0 At Test Summary C-Factor Used: 100 Overhead 150 Underground W Water Flow Test: Pump Data: Tank or Reservoir: A Date of Test - 7-28-96 Cap. - T Time of Test - 2:26 pm Rated Cap.- Elev.- E Static Press - 50 @ Press - R Residual Press - 40 Elev. - 1.4 Well Flow - 805 Proof Flow S Elevation - U P Location - 6" MAIN IN LEVY STREET P L Source of Information - CITY WATER DEPT. Y C Commodity Class Location 0 Storage Ht. Area Aisle W. M Storage Method: Solid Piled % Palletized % Rack M ( ) Single Row ( ) Conven. Pallet ( ) Auto. Storage ( ) Encap. S R ( ) Double Row ( ) Slave Pallet ( } Solid Shelf ( ) Non T A ( ) Mult. Row ( ) Open Shelf 0 C R K Flue Spacing Clea-ranrP=Storage. to Ceiling A Longitudinal Transverse G E Horizontal Barriers Provided: Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 ►GIAtED EkdINEERINd Page 2 - P II date 481998 .ty Watkr Supply: Pump Da(ta(: .-Statit Pressure: 56 PSI ?-Residual PressJrd: 40 PSI ?-Residual Floe: 805 GPM 150 D1-Eievation: 6.75$ PSI 1�0 D2-System Flovf:658.�9 GPM D2 'm Pressure: 36. 81 PSI F#o,te { Adj City ) :0 GPM 130 Doge { Demand ) :0 GPM D3-Tmtal rlow:656i69 GPM P 1:20 Satety Mhrgin: 6.158 PSI R 110 E 100 S 90 S 80 U 70 R 60 E 50 C2 40 30 20 10 LW"aw" NAM"06"_ 6 100 200 300 400 500 600 700 800 900 N ^ 1.85 ) Route 111 Windham N.H. USA 03087 _-7_ - SANDAR - PHASE Ii, Date 081998 Fitting Legend Abbrev. Name A Generic Alarm Va B Generic Butterfly Valve C Roll Groove Coupling D Dry Pipe Valve E 90' Standard Elbow F 45' Elbow G Gate Valve K petector Check Valve L Long Turn Elbow M Medium Turn Elbow Q Flow Control Valve S Swing Check Valve T 90' Flow thru Tee W Wafer Check Valve Z Flow Switch Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 SANDAR - PHASE III Date 081998 Unadjusted Fittings Table 1/2 3/4 1 1 1/4 1 1/2 2 2 1/2 3 3 1/2 4 A 7.7 21.5 17.0 B 7 10 12 C 1 1 1 1 1 1 1 1 1 1 D 9.5 17 28 E 2 2 2 3 4 5 6 7 8 10 F 1 1 1 1 2 2 3 3 3 4 G 1 1 1 1 2 K 14 14 L 1 1 2 2 2 3 4 5 5 6 M 2 2 3 3 4 5 6 6 8 Q 18 29 35 S 4 5 5 7 9 11 14 16 19 22 T 3 4 5 6 8 10 12 15 17 20 w 10.3 Z 2 2 2 3 4 5 6 7 8 10 5 6 6 10 12 14 16 18 20 24 A 17 27 29 B 9 10 12 19 21 C 1 1 1 1 1 1 1 1 1 1 D 47 E 12 14 18 22 27 35 40 45 50 61 F 5 7 9 11 13 17 19 21 24 28 G 2 3 4 5 6 7 8 10 11 13 K 36 55 45 L 8 9 13 16 18 24 27 30 34 40 M 10 12 16 19 22 Q 33 S 27 32 45 55 65 76 87 98 109 130 T 25 30 35 50 60 71 81 91 101 121 W 13.1 31.8 35.8 27.4 Z 12 14 18 22 27 35 40 45 50 61 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 -I SANDAR - PHASE III Date 081998- Node Elevation K-Fact Press Flow Density Area Press No. Actual Added Req. Req. SPRG 18 5.8 18.58 25 .20 125 7 7 17 5.8 19.36 25.52 .2000 125.00 7.000 6 17 5.8 19.59 25.67 .2000 125.00 7.000 5 17 K = K @ EQ01 20.45 25.21 8 17 5.8 19.05 25.32 .2000 125.00 7.000 9 17 5.8 19.28 25.47 .2000 125.00 7.000 10 17 K = K @ EQ01 20.13 25.01 14 17 5.8 19.37 25.53 .2000 125.00 7.000 13 17 5.8 19.61 25.68 .2000 125.00 7.000 12 17 K = K @ EQO1 20.46 25.22 15 17 5.8 19.1 25.35 .2000 125.00 7.000 16 17 5.8 19.33 25.5 .2000 125.00 7.000 17 17 K = K @ EQO1 20.17 25.04 19 17 K = K @ EQ01 22.45 26.41 1 17 5.8 19.04 25.31 .2000 125.00 7.000 2 17 5.8 19.27 25.46 .2000 125.00 7.000 3 17 K = K @ EQ01 20.11 25 4 17 22.7 11 17 22.71 18 17 22.77 TSR 17 24.25 BASE 0 31.77 TEST 1.4 36.98 250 The maximum velocity is 10.17 and it occures in the pipe between nodes 5 and 4 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 --I SANDAR - PHASE III Date 081998 Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv ******* Notes ****** Point Qt_ Pf/UIQ Eqv. In. Total Pf Pn SPRG 25.00 1.0,8.7 1T 4.244 0.500 18.579 18.579 K Factor = 5.8 to 100 4.246 0.433 EQ01 25.00 0.2318 4.746 1.100 Vel = 8.643 25.00 20.112 K Factor = 5.57 7 25.52 1.752 10.000 19.357 19.357 K Factor = 5.8 to 100 6 25.52 0.0235 10.000 0.235 Vel = 3.396 6 25.67 1.752 10.000 19.593 19.593 K Factor = 5.8 to 100 5 51.19 0.0853 10.000 0.853 Vel = 6.812 5 25.21 1.752 1T 8.617 3.950 20.446 20.446 K Factor @ node EQ01 to 100 8.621 4 76.40 0.1790 12_571 2-250 Vel = 1Q.168 76.40 22.696 K Factor = 16.04 8 25.32 1.752 10.000 19.052 19.052 K Factor = 5.8 to 100 9 2.5.32 Q.02.32 10.000 0.232 Vel = 3.370 9 25.47 1.752 1,0.00Q 19.284 19.284 K Factor = 5.8 to 100 10 50.79 0,0841 10.000 0.841 Vel = 6.759 10 25.00 1.752 1T 8.617 6.040 20.125 20.125 K Factor @ node EQ01 to 100 8.621 11 75.79 0.1764 14.661 2.586 Ve-1 = 10_086 75.79 22.711 K Factor = 15.90 14 25.53 1.752 10.000 19.370 19.370 K Factor = 5.8- to 100 13 25.53 0.023-6 10.000 0.236 Vel = 3.398 13 25.68 1.752 1.0.000 19.606 19.606 K Factor = 5.8 to 100. 12 51.21 0.0854 10.000 0.854 Vel = 6.815 12 25.21 1.752 1T 8.617 3.950 20.460 20.460 K Factor @ node EQ01 to 100 8.621 11 76.42 0.1791 12.571 2.251 Vel = 10.170 76.42 22.711 K Factor = 16.04 15 25.35 1.752 10.000 19.098 19.098 K Factor = 5.8 to 100 16 25.35 0.0233 10.000 0.233 Vel = 3.374 16 25.50 1.752 10.000 19.331 19.331 K Factor = 5.8 to 1-00 17 50.85 0.0843 10.000 0.843 Vel = 6.767 17 25.04 1.752 1T 8.617 6.040 20.174 20.174 K Factor @ node EQ01 to 100 8.621 18 75.89 0.1768 14.661 2.592 Vel = 10.100 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 SANDAR - PHASE III Date 081998 Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv ******* Notes ****** Point Qt Pf/UL Eqv. Ln. Total Pf Pn 75.89 22.766 K Factor = 15.91 19 26.41 1.752 1T 8.617 3.950 22.450 22.450 K Factor @ node EQO1 to 100 8.621 18 26.41 0.0251 12.5..71 0._315 Vel = 3-..515 26.41 22.765 K Factor = 5.54 1 25.31 1.752 10.000 19.040 19.040 K Factor = 5.8 to 100 2 25.31 O.Q232_ 10.000 0.232 Vel = 3.368 2 25.46 1.752 10.000 19271 19.271 K Factor = 5.8 to 10Q 3 50.77 0.0840 10.000 0.840 Vel = 6.757 3 25.00 1.752 1T 8.617 6.040 20.112 20.112 K Factor @ node EQO1 to 100 8.621 4 75.77 0.1762 14.661 2.584 Vel = 10.084 4 76.40 6.357 12.500 22.696 22.696 to 100 11 152.17 0.0012 12.500 0.015 Vel = 1.538 11 152.22 6.357 12.500 22.711 22.711 to 100 18 304.39 0.0043 12.500 0.054 Vel = 3.077 18 102.30 6.357 1E 12.563 187.500 22.765 22.765 to 100 12.568 TSR 406.69 0.0074 200.068 1.485 Vel = 4.111 TSR 6.357 1G 2.692 17.000 24.250 24.250 to 100 1C 0.897 3.591 7.363 BASE 406.69 0.0074 20.591 0.153 Vel = 4.111 BASE 6.08 2E 21.411 100.000 31.765 31.765 to 150 1T 45.881 88.699 4.394 Fixed loss = 5 TEST 406.69 0.0044 188.699 0.822 Vel = 4.494 250.00 Qa = 250.00 656.69 36.981 K Factor = 107.99 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 4 ^ k t3EPA Aj ; 1 ; i IN q V .w''ON.++yiK.• E „ w/,.lMu YIM1 '-# tw �Xi 1T t4po�• :✓ ��wyy��rayyw..M...w Number 1�C 1�1L,152: 'r � � ' it TYPO'-` C ES ;�'. �.� •�` � xi " . 1P TION of Work'gs we 0 Ilin ;+ ` r,o S'ed use:�COMMERCIAL ,l 2S R202 CT 6 .00 ��mP civ n Cost ,h 425,000' '0 jDtal Fee Am t F 7.50 h AOtic Y7 N Mgr .w +�}r+w w/ne�s FSE 60 .00 . •� GRID E ►> . �° X64.1 h :`' 3 - 5 w'E. 3.38 ) h '- Ct�B �N , ' ION 3QN3 2 5-,Qq ER UP" NTL 1� NSTE PI'I 1+ PRO E,' D..00 .00 35 oIDA32259 ROS , IC ILto'.40 6' 7 5 i f , 4 NOT, E- INSPECTIONS MUST 0E REQUESTS PRIOR TO INSPECTION ------------ { F ILpING MATS IAL, RUBBISH"ANd D BRiS FRClhA THIS WORK"MUST NC1T 8E i LACED IN"PUBLIC SPACE,AND"MUST BE , p }P' p HRULED AWAY RY EITMEtCfl�1TRACTCf Q f LUR TO CQ PAY w H film 1V t All a' L.tEI LA Y1l C�► RESULT", 11 v. THE PR PAYING Tw pINQ TO AppRtJV, p ;PLANS WHICH ARE BART bI~.,THIS f�ER141iT AND SUBJECT TO REVOGATIOfiI FOR CF., PP0901, 77 UCA�pR0V00N bF LAW. V i q s 14,Bqj 4t � , MXX � ®EPAITAI�ENT4CF. DINi IdT1� CH e Flu b®I~m 17519 A dr ss" 32233 54 1010-'STRUT .' kUS 1 " 9 + +i:il2t 'Typed CHANICRL - 01 iiis of ` C t.r. 'TYp �tPTI AI�E1�tN1INtLQ; t3 'Posed ��: O i Rt;I�iL �S�c�4�a�: Sub�lt SUIT ION, N ItDw 1gi. Qov. cost 0.00 ' value6 011,00 , fi st 're+, 63 .00 uut ga 3.UD MFR r "` ;���, �� r ORIDA 3,223 a t`ON. I3 A T I ON `1------ f - a� A,I R R "lyre I .. . ` µ. Z� ' JACI Std 1L 'L4ft2256 �7 dM'," '^ ; "areN,�96v,",i",'m.dnn .svar,t+ re:^. orran ,r.r ,aaecwru owr. ,.e.« :cw +s k 3,`�'Q y 4 N INSPECTMS MUST BE REQUESTED AT LEAST 24 NO A PFII«F To I�c�ION , f WILDING MA IAL,"RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE' 'LAt` D 1N PUBLIC SPACE;AND MUST BE ' LEARED UFA. D`HAULER AWAY y EITHER CONTRACTOR OR OWNFER � ¢; `FAILURI TO ?MPLY, WI`1`H THE MECHA 111cs PEN LAW CAN AE ULT IN : . 1¢ SPR, ARTY [ P, YING TWICE, 1 #I `B J.t : fiIG 1 PROVEMEI TS .} TIOt SL ED At<t II ANG TO APPRE7VEt3 PLANS WHICH ARE PART OF THIS PERMtT"At3D SUBJECT fit) F1E1Jt3CATiON FOR JPL RIM 32 I tiAT►C I+k:4 .I L'#OAI EPI Ct IBIIJ IFB OF LAW. 811#LDI ;D 'ARfiAENT r BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, 111, and IV. LOCATION Street Address: OF Intersecting Streets: Between_ And BUILDING Subdivision II. IDENTIFICATION — To be completed by all applicants . 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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) l 6 Master v 7 Nanta of r Property Owner Signature of Owner Signature of or Authorized Agen Architect or Engineer 111. GENERAL INFORMATION A. Type of heating fuel: B. / IS OTHER CONSTRUCTION REIN� DONE ON 0 Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF Yea. ssiVe NUMBER OF CONSTRUCTION Lj Oil PERMIT 17152- 13 71 2— (] Other — Specify IV. MICMANICAL EQUIPMWT TO SE INSTALLED NATURE OF WORK 3— (Provide complete list of components on beck off this form) �❑ Residential or Ls1 Commercial (�Heet 13 Space O Recessed ClhiControl O Hoer [.R New Building ;Izct / Conditioning: ❑ Room ,entre) ❑ Existing Building System: McNriat���Af�d/f�b f �?hiekness � ❑❑ Replacement of existing system Maximum capacity e.f.m. Ld/New installation(No system previously Installed) ���� ` ❑ Extension or add-on to existing system / ❑ Refrigeration i/ ❑ Other — Specify (3Cooling tower: Capacity q.p.m. Q Fire sprinklers: Number of hoods .- 0 Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q Gasoline pump (number) (Received) Q Tanks (number) Remarks Q LPG contain* (number) Q Unfired pressure veael Q 1111e13ers Permit Approved by Date Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT CS;=_) wACOMW Number Units Description Model Number lManufacturer ('RHone) HEATING - FURNACES, BOILERS, FIREPLACES _ ClaNumber Units Ilescription Model Number Manufacturer (NM)y ApAVMY �- 27 7P Z5 ii/ a /Z12 TANKS Now Many NomjxW Capacity Type Nquid Name of Serial ApppmYin$ and Dlmaesdass Contained Manufacturer No. =cT spm `' 17327 n, QEpAt'fiAAENT OF$UN.CfINGi CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION - �'m t Number 1 17327A dress. �5#3: 1 $I.I�t �TI�BE e ini t Type: CHAl I CA ATLko C S A:CR, PL OR I ISA, 2 2 3 lad of wor,C i ----- La, L DESCRIPTION �-�---_ Co 'tr.,, Type E LIwTI4i N1 M, Block,' Ldt : Trip: 0 P a ot4d OM�IAL Section.- O Subd= Rn+�: 4 e11 in0 aubd viisiow CTI R R I~ t . val ue# 4 .00 Irnov. Cx t » 0.00 tal I ee9 z $2 .00 jj.y.fi�gg,, 990 r _ 01r,. `° 05-C SORINKLER SYSTEM APPLICATION FRES -_ _- 52.100 RIDA 3223 -Zolto f, TMO —PROTU Wl My- a a �JIL FLORIDA 3,2204-2 5 r ? V t t t a ceeq TIONS MUSTBE F�EQtJESTID At LEAST H �PIw#fiQF�TO 4S lir F Df IG M "4 1 1 L, RUBBISH AND DES RIS,FRAM THIS WORK M�7 N6T PLACES tN`R1JSLiC SPACE, 1�Nf MIJ^.�X°B ARE(3:UP.ANf1 AULE[7`A1141A'Y BY IriTHIwR CdNTRACTOR OR OWtdSR A LIltRE COMPLY WITH THEM:CHAN . LI ` LAW CAM R SUl.T ' N R .r RRC3P n►W E OIWG TWICE FQ BU LG11 1G IMPM MENTS,' ! a ACCORD I TC ,AF'1Ra111=C1,PI.ANS.WHICH ARE PART OF THIS E? Fiitl# ,AND SUBJECT'TO REvt14 TtaN aF .. ; .CASLE PRavISIaNS aF LAW, Data! w-l—Wil OEM _ILDING DEPARTMFt4T' of .� °{edollsO XpN FOR NS v�cJ'� perm`s No t� M•�, p.M• LE... p`�oc ateed Go ttactor -\me Ftepe1 /� tl �NG pJz MNEe�iCaeH2 omFopadN c1�e ro ab C A` �pl piP J OM . E pu9h \rin9 Sewer owoer s CONCAE�E 'v FernF p0\e O Frrday / a, e N FpOting R\NSpE Th�rs• H,�p1N a g\`ee\ REpD`�FO p.M• Fra Q0Em9 Wed G P.M ect`°n c Fe vko. n FIoa\\r sP of oc"po' y \ns '(Ues• C � Ge�rf\cafe i Aare Made \",ge&on \nsPectOr CITY Of 14A ";Splecl otikee 0100 \t N°, FpFs Qerm �� � P•M• c Dam etved r� � ont�a°tor ��MB\NG' C NBai�n9 ce Rec ! C F\re p\a Job dyes �CS�t\GAS Cj p pit C pre Fan P, n Wtryn9 C sewer °ug po owner S CR Pemp \e C1 Faday Name D\NG C F tab t Frn ppR \"tet ��ppY M• P A d+Q 9 C Wed p.M•F+na\\"Spee of o r Panty C T�eS Gera\ca r Date Mon, \nSPect\on Made \naPedW 75 CITY OF /310112413.4- Office of Building Official REQUEST FOR INSPECTION Date Permit No. _--._-- Time ----- Time A.M. Received Job Ad ess Locality Owner's N Contractor BU DING' CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing I] Rough Wiring Ej Rough Air Cond.& D Re Roofing 0 Slab Cl Temp Pole Ej- Top Out 07 Heating Insplation 0 Lintel El Final D Sewer D Fire Place E, Pro Fab REA INSPECTION 24V- (A.M. Mon. --Tues. Wed. ' Thurs, Friday A,M Mad P.M. Final Inspection 0 Certificate of Occupancy D. Date CITY OF 4f.��/l__a4-c Bwoc,4-07" Office of Building Official l } REQUEST FOR INSPECTION f Date ` ~" M _� Permit No. r _7-5 Time A.M.k Received _ PM. Job Add ss Locality Owner's Name Contractor BUILDIN CONCRETE ELECTRICAL ING ECH ICAL Framing I Footing G Rough Wiring Cl Ro h Re Roofing Slab ❑ Temp Pole Insulation _ Lintel t. Final E" ewer Fire Place ❑ " Pre F'ab READY FOR INSPECTIO -' A.M.' Mon. Tues. Wed. hurl. Friday. Pm e _.._..___.. Final Inspection [J Certificate of Occupancy L Date _ _ CITY OF 4&4A4'0 &40A-04 Office of Building Offy'al REQUEST FOR INSP 0 Noo f 7 `0 Date— Permita. Time A,M. Received M, Job ddress orality Owner'i Name Contractor I�i, BING CONCRETE SIN M HANICA E Footing E oug wing E Rough 0 Air Cond. & Re Roofing El, Slab L, Temp Pole D Top Out E Heating Insulation y_7 Lintel E] Final D Sewer E, Fire Place ❑ N Pre Fab ol--� READY FOR INSPECTION Mo#-----Tues. ---(—;PM,-,) .�Wed. Thurs. Friday f. A.M. Inspection Made P.M. lnspector—�I� Final Inspection 0 Certificate of Occupancy E., Date TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address T-1 '71 1�,Z)14_ ��e &i�� � �a5� i � 3 2Oj / - Please update your records accordingly. ThanQ BUILDING CLERKr ' z 'F CITY OF ATLANTIC 2 r /vc f L, 1Y p 0 Inepeesor � "! 1 f OF fm&4krz BEACH, FLORIDA ! 7 Q rgrmlt No. APPLICATION FOR ELECTRICAL PERMIT 9P TO THE CHIEF ELECTRICAL INSPECTOR: DATE, DATE: IMPORTANT NOTICE, (� INCONSIDERATION OF PER MIT GIVE � � :SCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN A( / IED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCO �} A TIONS, CODES AND CITY OF ,�}.�jC 9 BEACH ORDINANCES. �� l/��� ELECTRICAL FIRM: JE & NO. NAME: 4� 06 ,LEGAL DESCRIP.-LCI*.. SK S/D RES. ( ) APT. ( ) COMM. i PUBLIC ( i NEW ( i OLD ( i REW. ( i ADDITION ( ! TEMP, SIGNS ( ) SQ. FT, SERVICE: NEW( i INCREASE ( i REPAIR ( ) FEE SERVICE INSTALLATION$ G'D ) CONDUCTOR SIZE AMPS l COPPE ( ALUM. WITCH R'BREAKER bD AMPS I PH U V!OL1 RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY i FEEDERS SIZE NO, SIZE N�. SIZE LIGHTING OUTLETS CONCEALED I OPEN 'TOTAL RECEPTACLES CONCEALED OPE TOTAL 30 AMPS. 31. PS, SWITCHES INCANDESCENT FLUORESCENT & M.V. FIXED 0,66 AMP6. 61•100 AMPS. OWER APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CONDITIONING COMA MOTOR OTHER MOTORS AMPSJ CEIL HEAT: KW-HEAT ` !I i 0. 1OVEp HIP.H. VOLTAGE PHS NO. 1 H.P, VOLTAGE PHS MISCELLANEOUS i i i i TRANSFORMERS: UNDER�600 V. OVER 600 V. N0. KVA N0. KVk NO. NEON TRAN81'. NO. VA. MA. MOTOR 51*E SWITCH FLASHER EACH SKJN i MOTORS H.F. VOLTAGE PH NO. H.P. VOLTAGE PHS ; i ISSUING FEE 810.00 i ' TOTAL FEES ' CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE.LXND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTE2l. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET HATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) YITCHEN SINK (2) DENTAL LAVATORY (I) KITC3Fti1 SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET -URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET _±_DRINKING FOUNTAIN (1/2) ' BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY. SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 0 S + $20.00 EACH1 j�, 'y C7 `;- 70 a JOB INFORMATION -71,, 0 ,011) #SW DEPARTMENT OF SUIkbit+G 'CITY OF ATLANTIC BEACH ? TION I'PERMITINFORMATION -� .��� ,�.�_ LQCA�' O�( INFORMATION .. lr, it Number- 17247 : A 1dress,: l it �AZN STREET 1 THRU #9 AI P mit TyPeF,.PLUMBING ATL MOT :BEACH, FLORIDA' 32233 Iia, of Nark:NEN ��,. . �. � `�EO�� ;� E�CRIPTION ----------- C t TPS METAL Block: Its Twp Pr ; osed Use, COMMERCIAL Sect ars: 17 Su1�d: Rngt: 0 Dwell in s', J ubdvso�»'T�- I RI:P 2StE21Z BECT 17 t , Valut 0.00 � I ray.. * rst +tal Feem 57 .00 � A, punt Pa, .00 IJIte Pal' 948 i c+ Desc: O PPICT }>1 VERS ---------- 57 ..00 Ada ` AT ORIbA 32233 e: ( � r CON TI ?I~I � SUNSK E ` DM1311"1401 ,. � ^ JA's CSO IL PL 12223 J ,. { .)k}i i CC, 3 m4 -44 h, N t ES: � s "OT E - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HO� PRIOR T© INSPECTION , k t ILDING MA IAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE PLACED IN PUBLIC SPACE, AND MUST BE r EARED UP AND HAULi D AWAY BY EITHER CONTRACTOR OR OWNER FAILURE COMPLY WITH THE MECHANICS' LIQ LAW CAN RESULT IN E PAIDP RTY OWNER PAYING TWICE,FOR BUILDI , G IMPROVEMENTS." ED A COF kI IMG TO APPRQVED PLANS WHICH ARE PART OF THIS PERMIT IND SUBJECT TO REVOCATION-- IIQN PPLICABLE PROVISIONS OF LAW. 5 2748 A 1C BEAC 'BUILDING D&AR*,ENT 11181183 18 Book 9068 ` 'P'g `"2500 J i 9060 This instrument Prepared By: Pg. 2500 Name James +Mi l l i, an Doc# 98217015 9 Filed 8 Recorded Address 1030 Bernath Drive Jax, FL 09/03/98 HENRY W. COOK M. � �� CLERK CIRCUIT COURT Ferni't N��it i DUV/++AL COUNTY, FL Tax Folio No. ���� (� j BELE. $ O.00 -172125 1/000-3 NOTICE OF COMMENCEMENT 172325-050-3 STATE OF Florida COUNTY OF Duval THE UNDERSIGNED hereby gives notice that improveruent will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 Description of property: (legal description of property, and street address if available) Pt. Govt. Lot 4 0/R Bk 7185-1290 and 0/R Bk 6068-1795 1543 Main Street Suites 1 thru 9 Atlantic Beach, FL 32233 2. General description of improvement: Sitework, utilities and construction of a 13,500 sf building 3. Owner information a. Name and address: Peter A. Rodriguez 1545 Main Street, Atlantic beach, FL 32233 b. Interest in property: Fee Simple c. Name and address of fee simple titleholder (if other than owner): N/A 4. Contractor: a. Name and address: Mi 11 i gan & Son 1030 Bernath Dr. Jax, FL 32259 b. Phone number: 904/287-3134 c. Fax number (optional, if service by fax is acceptable): 5. Surety N/A a, Name and address: b, Amount of bond $ c: Phone number: d. Fax number (optional. if service by fax is acceptable): } � i G. Lender N/A a Name and address: b. Phone nuniber� c. Fax number (optional, if service by fax is acceptable): 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713.13(1)(a)7., Florida Statutes: a. Name and address: Mi 11 i gan & Son 1030 Bernath Dr. Jax, FL 32259 b. Phone number: 904/287-3134 c. Fax number (optional, if service by fax is acceptable): 8. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section► 713.13(1)(b), Florida Statutes:r a. Name and addrees: Mi 11 i gan & Son 1030 Bernath Dr. Jax, FL 32259 b Phone number: 110,1/287-3134 c. Fax number (optional, i service by favi is acceptable)- 9 Expiration date of notice of coinmencenient(the expiration date is I year from the date of recording unles a different date is specified) worn to and subscribed before me bySignature of Owner ho is personally known to me or produced _ as identification. and who did --take Owner's Namc teeter A. Rodriquez an oath, this .,7/ day of_4 (/ t�.�_ IrJ-It -. Owners Address: 1545 Main Street- -Atlantic Beach_ FL 32233___ Signature of Notary Printed name of Notary Virgginia K. PPattonn Q� VIRGINIA K.PATtON Commission No./Expiration:�7` 9Y f?T Notary Public-State ofMOM � My Commission bores Feb 19,E Seal: Commission#CC 718M ALL IN'NOPMATION MUST BE TYPED OR PRINTED LEGIBLY TO COMMY WITH RECORDING REOUIRE�1t;NI i Whole 13uilding Performance Method for Commercial Buildings Form 40OA-97 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLA/COM--97 Version 2 .2 PROJECT NAME_SANDAR INDUSTRIES PERMITTING OFFICE- ADDRESS : 1543 MAIN ST . „Atlantic Beach CLIMATE ZONE: 3 OWNER: _,BANDAR PERMIT N0: AGENT: JURISDICTION NO: 261100 BUILDING TYPE: Business ( office ) CONSTRUCTION CONDITION New construction DESIGN COMPLETION: _Finished Building CONDITIONED FLOOR AREA: _3352 .50 NUMBER OF ZONES: 2 MAX . TONNAGE OF EQUIPMENT PER SYSTEM: 5 COMPLIANCE CALCULATION: METHOD A DESIGN CRITERIA RESULT A . WHOLE BUILDING 77 .32 100 .00 PASSES PRESCRIPTIVE REQUIREMENTS: LIGHTING LIGHTING CONTROL REQUIREMENTS PASSES HVAC EQUIPMENT COOLING EQUIPMENT 1 . SEER 10 .00 10 .00 PASSES 2 . SEER 10 .00 10 .00 PASSES HEATING EQUIPMENT 1 . HSPF 6 .80 6 .80 PASSES 2 . HSPF 6 .80 6 .80 PASSES AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS 1 . Conditioned Space 4 .20 0 .00 N/A 2 . With Insulated Roof 6 .00 6 .00 PASSES REHEAT SYSTEM TYPES USED NO REHEAT SYSTEM is USED WATER HEATING EQUIPMENT 1 . EF 0 .88 0 .88 PASSES PIPING INSULATION REQUIREMENTS 1 . Non-Circulating 0 .00 0 .00 PASSES ---------------------------------------------------------------------------- COMPLIANCE CERTIFICATION= I hereby certify that the plans and Review of the plans and specifica- specifications covered by this calcu-- tions covered by this calculation lation are in compliance with the indicates compliance with the Florida Ene ficiency C Florida Energy Efficiency Code . PREPARED B Before construction is completed , DATE: this building will be inspected for compliance in accordance with I hereby certify that this building is Section 553 .908 , F/Ierida es. in compliance with the Florida Energy BUILDING OFFICIAL Efficiency Co-4— DATE: OWNER/AGENT: DATE= I hereby certify( * ) that the system design is in compliance with the Florida Energy Efficiency Code . SYSTEM DESIGNER REGISTRATION/STATE ARCHITECT MECHANICAL. PLUMBING ELECTRICAL: LIGHTING ( * ) Signature is required where Florida law requires design to be performed by registered design professionals . Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans . BUILDING ENVELOPE SYSTEMS COMPLIANCE CHECK 401 . -----GLAZING--ZONE 1------------------------------------------------v- Elevation Type U SC VLT Shading Area( Sgft ) --------- --------..,__.. ...--_- -_-- ---- ---- -------------- __------_ 1 North Commercial 1 .31 1 1 None 4 Total Glass Area in Zone 1 = 4 401 .-----_GLAZING--ZONE 2------------------------------------------------v- Elevation Type U SC VLT Shading Area( Sgft ) --------- --------------- ---- ---- - - -------------- --------- Adjacent Commercial 1 .31 1 1 None 4 Total Glass Area in Zone 2 = 4 Total Glass Area = 8 402 . -----WALLS--ZONE 1--------------------------------------------------- � -__ Elevation Type U Insul R Gross( Sgft ) --------- --------------------------------- ----- ------- ----------- North Mtl Siding/2x4@24"+R-11Batt/5/8" .083 11 556 ; Adjacent R-11 ,1/2" gyp 24 o .c .met st .084 12 1096 ; Total Wall Area in Zone 1 = 1652 ; 402 .------WALLS--ZONE 2------------------------------------------------ ; --- Elevation Type U Insul R Gross( Sgft ) --------- ------------ -------------------- ----- ------- ----------- North Mtl Siding/2x4@24"+R-11Batt/5/8" .083 11 390 ; Adjacent R-11 ,1/2" gyp 24 o .c .met st .084 12 858 ; Total Wall Area in Zone 2 = 1248 ; Total Gross Wall Area = 2900 ; 403 .-------DOORS--ZONE 1------------------------------------------------ ; --- Elevation Type U Area( Sgft ) --------- ------------------------------------------ ----- ----_-_-- North 1- 3/4 Steel Door-Fiberglass/Mineral woo 0 .60 40 South 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 60 East 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 Total Door Area in Zone 1 = 120 ; 403 . -----DOORS--ZONE 2------------------------------------------------- : --_ Elevation Type U Area( Sgft ) --------- ------------------------------------------ ----- ---------- South 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 East 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 Total Door Area in Zone 2 = 40 Total Door Area = 160; 404 .------ROOFS--ZONE 1------------------------------------------------ : -_- Type Color U Insul R Area( Sgft ) ------------------------------------ ------ ----- ------- --------- ' SUSPENDED CEILING , R-19 Light .048 21 353 ; Total Roof Area in Zone 1 = 353 ; 404 . -----ROOFS--ZONE 2------------------------------------------------ ' ---- Type Color U Insul R Area( Sgft ) ------------------------------------ ------ ----- ------- --------- Mtl Bldg Roof/R-19 Batt Medium .051 19 1500 ; Total Roof Area in Zone 2 = 1500 ; Total Roof Area = 1853 ; 405 .__-_-_FLOORS-ZONE 1------------------------------------------------ : __- Type Insul R Ar ea( Sgf t ) ------------------------------------------------ ------- ---------- Slab on Grade/Uninsulated 0 .0 1853 ; Total Floor Area in Zone 1 = 1853; 405, .------FLOORS-ZONE 2------------------------------------------------: I --_ Type I nsu 1 R Ar ea( Sgf t ) ----- _ _______ _________ _________________________________________ _ No exterior floor 0 .0 0 Total Floor Area in Zone 2 = 0 Total Floor Area = 1853 ; 406 .---------INFILTRATION-------------------------------------------------- ; _-- CHECK Infiltration Criteria in 406 . 1 .ABCD have been met . MECHANICAL SYSTEMS CHECK _ � _ HVAC load sizing has been performed . ( 407 .1 .ABCD ) 407 ._------COOLING SYSTEMS----____________________________________________ � ___ Type No Efficiency IPLV Tons , ---------------------------- -_- ---------- ----- ---------- 1 . Split System 1 10 0 .0 5 .00 ; 2 . Split System 1 10 0 .0 5 .00 ; 408 . ------HEATING SYSTEMS----------------------------------------------- I Type No Efficiency BTU/hr -------------------------------- __- ---------- ---------- 1 . Split System 1 6 .8 56000 ; 2 . Split System 1 6 .8 56000 , 1 409 . -----VENTILATION--------------------------------------------------- ; CHECK ; Ventilation Criteria in 409 .1 .ABCD have been met . 11 410 ._-----AIR DISTRIBUTION SYSTEM--_______________________________________ � ___ CHECK ; __________________________________________________________________ � _____ � ___ Duct sizing and design have been performed . ( 410 .1 .ABCD ) AHU Type Duct Location R-value ; ----------------------------------- ---------------------- ------- 1 1 . Air Source Heat Pump Conditioned Space 4 .2 2 . Air Source Heat Pump With Insulated Roof 6 CHECK ; ------------------------------------------------------------------ Testing and balancing will be performed . ( 410 .1 .ABCD ) 411 .------PUMPS AND PIPING--ZONE -----_____________________________________� ___ Basic prescriptive requirements in 411 .1 .ABCD have been met . PLUMBING SYSTEMS 411 ------PUMPS AND PIPING-ZONE 1--______________________________________ � ___ Type R-value/in Diameter Thickness ; ________________________ ---------- -------- ________ 1 . Non-Circulating 0 .0 .75 0 .0 ; 411 ------PUMPS AND PIPING-ZONE 2--------------------------------------- 1 ___ Type R-value/in Diameter Thickness ; ---------------- ------- __________ ________ ________ � 412 .------WATER HEATING SYSTEMS-ZONE 1---------------------------------- � ___ Type Efficiency StandbyLoss InputRate Gallons ; ------------------------ ----------- ---------- ---------- _______-- 1 . <=12 kW .88 0 .0 4 .5 40 412 .-----_WATER HEATING SYSTEMS-ZONE 2__________________________________ � ___ Type Efficiency StandbyLoss InputRate Gallons ; ------------------------ __________ __________ __________ ---------- ELECTRICAL SYSTEMS CHECK ; 413 .-----ELECTRICAL POWER DISTRIBUTION---------___________________ � _____ � ___ Metering criteria in 413 . 1 .ABCD have been met . 414 . --_-_MOTORS--__________________________________________________ � Motor efficiencies in 414 .1 .ABCD have been met . 415 ------LIGHTING SYSTEMS-ZONE 1--------------------------------------- � ___ Space Type No Control Type 1 No Control Type 2 No Watts Area( Sgft ) ---------- --- -------------- -_- -------------- -__ ------ _____-_-- Reading , T 1 On/Off 6 3300 1853 ; Total Watts for Zone 1 = 3300 ; Total Area for Zone 1 = 1853 ; 415 .-----LIGHTING SYSTEMS--ZONE 2------------------------------------------- : Space Type No Control Type 1 No Control Type 2 No Watts Area( Sgft) ---------- --- --------------- --- --------------- ___ ------ ---------- Reading , T 1 On/Off 2 2600 1500 ; Total Watts for Zone 2 = 2600 ; Total Area for Zone 2 = 1500 ; Total Watts = 5900 ; Total Area = 3353 ; ; CHECK ; Lighting criteria in 415 . 1 .ABCD have been met . ------------------------------------------------------------------- 16 . Operation/maintenance manual will be provided to owner .( 102 .1 ) ------------_-----_-------------------__----------------------------------------- Whole -Building Performance Method for Commercial Buildings Form 40OA-97 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLA/COM-97 Version 2 .2 PROJECT NAME_SANDAR INDUSTRIES PERMITTING OFFICE: ADDRESS: _1.543 MAIN ST . Atlantic Beach CLIMATE ZONE: 3 OWNER= SANDAR PERMIT N0: AGENT: _ JURISDICTION NO: 261100 BUILDING TYPE= Business ( Office ) CONSTRUCTION CONDITION: New construction DESIGN COMPLETION. Finished Building CONDITIONED FLOOR AREA: _3352 .50 NUMBER OF ZONES: 2 MAX . TONNAGE OF EQUIPMENT PER SYSTEM: 5 COMPLIANCE CALCULATION: METHOD A DESIGN CRITERIA RESULT --------------------- ------- ---------- ------ A . WHOLE BUILDING 77 .32 100 .00 PASSES PRESCRIPTIVE REQUIREMENTS: LIGHTING LIGHTING CONTROL REQUIREMENTS PASSES HVAC EQUIPMENT COOLING EQUIPMENT 1 . SEER 10 .00 10 .00 PASSES 2 . SEER 10 .00 10 .00 PASSES HEATING EQUIPMENT 1 . HSPF 6 .80 6 .80 PASSES 2 . HSPF 6 .80 6 .80 PASSES AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS 1 . Conditioned Space 4 .20 0 .00 N/A 2 . With Insulated Roof 6 .00 6 .00 PASSES REHEAT SYSTEM TYPES USED NO REHEAT SYSTEM is USED WATER HEATING EQUIPMENT 1 . EF 0 .88 0 .88 PASSES PIPING INSULATION REQUIREMENTS 1 . Non-Circulating 0 .00 0 .00 PASSES --------------------_..---_------•---------------------------------------•-------------- COMPLIANCE CERTIFICATION: I hereby certify that the plans and Review of the plans and specifica-- specifications covered by this calcu- tions covered by this calculation lation are in compliance with the indicates compliance with the Florida Ener g n y 'o e Florida Energy Efficiency Code . PREPARED BY: icieBefore construction is completed , DATE: this building will be inspected for compliance in accordance with I hereby certify that this building is Section 553 .908 , F1 ida to u es. in compliance with the Florida Energy BUILDING OFFICIAL: Efficiency Code '' DATE= OWNER/AGEN�� DATE: - I hereby certify( * ) that the system design is in compliance with the Florida Energy Efficiency Code . SYSTEM DESIGNER REGISTRATION/STATE ARCHITECT ` MECHANICAL- PLUMBING ELECTRICAL: LIGHTING ( * ) Signature is required where Florida law requires design to be performed by registered design professionals . Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans . BUILDING ENVELOPE SYSTEMS COMPLIANCE CHECK 401 .------GLAZING--ZONE 1------------------------------------------------v_ Elevation Type U Sc VLT Shading Area( Sqft ) ---------- --------------- ---- -__- -__- -------------- __-_--__ - North Commercial 1 .31 1 1 None 4i Total Glass Area in Zone 1 = 4i 401 .-------GLAZING--ZONE 2----------------------------------------- _v_ Elevation Type U SC VLT Shading Area( Sgft ) --------- --------------- -_-- _--_ __-_ -------------- --------_ Adjacent Commercial 1 .31 1 1 None 4I Total Glass Area in Zone 2 = 4 , Total Glass Area = 8i 402 .-------WALLS--ZONE 1------------------------------------------ � ..__ Elevation Type U Insul R Gross( Sgft ) --------- -------------------------------- ----- ------- ----------- North Mtl Siding/2x4@24"+R-11Batt/5/8" .083 11 556 ; Adjacent R-11 ,1/2" gyp 24 o .c .met st .084 12 1096 ; Total Wall Area in Zone 1 = 1652 ; 402 ._-------WALLS--ZONE 2------------------------------------------------ �: ___ Elevation Type U Insul R Gross( Sgft ) --------- -------------------------------- ----- ------- -------- 1 North Mtl Siding/2x4@24"+R-11Batt/5/8" .083 11 390 ; Adjacent R-11 ,1/2" gyp 24 o .c .met st .084 12 858 ; Total Wall Area in Zone 2 = 1248 ; Total Gross Wall Area = 2900 ; 403 ,------DOORS--ZONE 1----------------------- ' -__ Elevation Type U Area( Sgft ) --------- ------------------------------------------- ----- ---------- North 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 40 South 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 60 East 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 Total Door Area in Zone 1 = 120 ; 403 .------DOORS--ZONE 2------------------------------------- : -__ Elevation Type U Area( Sgft ) ._--_----- ------------------------------------------ ----- ---------- South 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 East 1-3/4 Steel Door-Fiberglass/Mineral woo 0 .60 20 Total Door Area in Zone 2 = 40 Total Door Area = 160 ; 404 .-____-ROOFS--ZONE 1------------------------------------------------ 1 --_ Type Color U Insul R Area( Sgft ) ____________________________________ ------ ----- ------- _________ SUSPENDED CEILING , R-19 Light .048 21 353 ; Total Roof Area in Zone 1 = 353 ; 404 .------~--ROOFS---ZONE 2------------------------------ - � --- TypeColor U Insul R Area( Sgft ) ------------------------------------ ------ ----- ------- -------- Mtl Bldg Roof/R-19 Batt Medium .051 19 1500 ; Total Roof Area in Zone 2 = 1500 ; Total Roof Area = 1853 ; 1 ___ 405 .-----_FLOORS-ZONE 1------------------------------------------------ I Type Insul R Ar ea( Sgf t ) ------------------------------------------------ ------- --------- Slab on Grade/Uninsulated 0 .0 1853 ; Total Floor Area in Zone 1 = 18531 405 .------FLOORS-ZONE 2----------------------------------------- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /SL// /t'!A (AJ T` (1" QTS / rf- ,- v 6 Date - 2 3 - 7 �- Heated Square Footage 0 @ $ © per sq ft = $ Garage/Shed 5006 @ $ /6.00 per sq ft = $ /L��/,1�0000 Carport/Porch 0 @ $ per sq ft = $ Deck ® @ $ 0 per sq ft = $ Patio 0 @ $ per sq ft = S TOTAL VALUATION: $ I c/ 00()0,) j X114 oo 0 a 4140.0'0 $ 1-(6 0 az Total Valuat.Qn 1st $ 160 4 o O � /-fit-I n (10 ) .Z 2 .O D Remaining Value $ oc per thousand o� portion thereof TOTAL BUILDING FEE $ , 00 + 1/2 Filing Fee $ 9 ? 61 ( ) Fireplaces @ $1 . 00 $ BUILD NG PERMIT F n $ M-06 WATER MPACT FEE $ / C/o.0O SEWER I PACT FEE $ , 2 /0,00_ M.Js e' WATER ME R/TAP $ F r/-/Z 4 �'j CAPITAL I ROV MENT $ ADD SEWER TAP $ rte (g000) RADON S) . 0050 S s � - SECTION H P VIN ( ) $ HYDRAULIC HARES $ -fl CROSS CON CTION $ S.Oio 8000) SU HARGE . 0050 OTHER $ GRAND TOTAL DUE $ �tC9 g ADDITIONAL PERMITS OR FEES : M chanical Plumbing Electric/New Electric/Tem ; SwimmingPool Septic Tank Well Sign Finish Floor Elevati Survey Other CALCULATIONS and/or NOTES : G PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 33 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONtS ) HAVE BEEN MAGE AND ARE SATISFACTORY : � d i — � l ------ ' -----------------------'--------------------------- ------ ' ------------------------------------------------- ------ ' -------------------------------------------------- Enclosed are the blue copies of the permits. CE LY BUILDING INSPECTION DIVISION cc: FILE CITY OF 800 SEMINOLE ROAD -�� ATLANTIC BEACH, FLORIDA32233-5445 TELEPHONE(904)247-5800 FAX 1904)241-5805 SUNCOM 862-5800 7L lVdgti) ✓yam. J' , p .0 s � 1 o ID zo 0 c-� 0 0 o � o J J o � F�ow o o 6" 6GA zr • . T-C) G Y^T MT; BACKING F,' LA r . 2-2X6 VA JOfS7 { SCALE: 3,18^ r SES DON 4 tA.')Y - KlSthC UMLUr\ vrti�y� W/ TRIM AND DRAIN 4" BTFY. VA. w/ T.S. 6 x 4 FLG'D. CONC. REDUCER --_ 2,_6" 6" FLG'D. SPIGOT PIECE 1 F" SUPPLY R 1 1 Detail D D.I.PIPING » t tt �.' 1 f FEBM 'VALVE 1 /4 _ 1 -Q ELL t11..1 x Mw s DETAIL - SECTI FIRE PROTECTION GENERAL NOTES 1. FIRE PROTECTION SYSTEM TO COMPLY WITH NFPA 13,(1994) AND Ail. APPLICABLE j STATE AND LOCAL CODES. r' 2. ADHERE TO AND OBTAIN ALL PERMITS, LICENSES AND ALL AND GOVERNMENT REQUIREMENTS. 3. FINAL INSPECTION AND APPROVAL BY LOCAL FIRE DEPARTMENT. AND ARCHITECT/ENGINEER. 4. PROVIDE SYSTEM(S) WITH FLUSHING CONNECTION(S). 5. CUTTING OF STRUCTURAL AND/OR ARCHITECTURAL MEMBERS TO BE DONE ONLY WITH THE WRITTEN APPROVAL OF THE ARCHITECT. 6. PROVIDE HEAD GUARDS ON SPRINKLER HEADS WITH DEFLECTORS AT OR BELOW 7'-6" ABOVE FINISHED FLOOR. 7. PIPE ROUTING SHOWN SHALL BE USED AND ANY ADDITIONAL OFFSETS OR FITTINGS REQUIRED FOR PROPER INSTALLATION, COORDINATION WITH OTHER TRADES, AND/OR TO MAINTAIN PROPER CLEARANCES SHALL BE PROVIDED. VERIFY EXISTING _ STRUCTURAL, MECHANICAL, ELECTRICAL INSTALLATIONS AND AVOID ANY/ALL OBSTRUCTIONS OR INTERFERENCES WITH FIRE PROTECTION PIPE ROUTING. 8. PROVIDE ACCESS PANELS TO ALL VALVES ABOVE NON-ACCESSIBLE CEILINGS AND P.M CHASES. 9. SPRINKLER HEADS ARE TO BE COORDINATED WITH ALL EXISTING/NEW DIFFUSERS. HYDRANT SPEAKERS, LIGHTING FIXTURES AND CEILING SYSTEMS. 10. PIPE SHALL BE REAMED AND CLEANED BEFORE ASSEMBLY 11. METHODS OF HANGING PIPES, HEADERS AND BRANCHES SHALL BE IN ACCORDANCE WITH N.F.P.A, 13 (1994). 12. AUTOMATIC SPRINKLER TEMPERATURE RATINGS OF BULB ELEMENTS TO BE IN ACCORDANCE WITH N.F.P.A. 13 (1994). All POWER WIRING SHALL BE ACCOMPLISHED UNDER THE ELECTRICAL DIVISION. ALL "Trul OCK WIRING SHALL BE ACCOMPLISHED UNDER THIS SECTION OF wrrH THE REQUIREMENTS IN THE ELECTRICAL ..T01t^AL CONTRACTOR AND �1 s ,. 4.1 r 12 , &-wi ls� ozu-.e�o c?/r yov 0- _�}3 Aa0 v ,,uec�,7r��o - X L�'a-*- _ _ _ 7.7yo Iro `.�i4�[�. �q�a. O�sdO�' ''/z0/ZoP _ _ S8' .nryn ow laee 7 7/ YoW wow _ _Sti.�r.�. ul.,c.c0 � — e1/o X�i�w_a� Now.-M 7 7/#iP .pvi --------------- ------------- M z S- 124) A 'Alka hY D. C 4�& L� CITY OF ATLANTIC BEACH, f LORIDA r� - A111,1(",.<ItY - APPLICATION FOR ELECTRICAL. PERMIT TO THE CIIIEF' ELECTIIICAL INSPECIOR: DATE:. /-0 �z � 19 IMPOTI T AN 1 NU 1 ICE: IN CONSIULIIAHON OF JIFItMll GIVEN FOR DOING THE WORT( AS DESCRIBED IN 1111-. FOFIOWING, wF +IEI1FIlY AGRFE TU PERFORM SAID WORK IN ACCORDANCt- with 111E AT IAC11FU PLANS AHD 9PECIFICA11014S, WHICH ARE A PART IIIAMOF, AND IN ACCORDANCE WITH 111E ELFCIRICAI_ REGIILAHONS, CODES AND CITY Of- A TFAN T IC REACH ORDINANCES. 3eL7 -OtF- � ELECTRICAL FIRM: MAS Efi ELECTRICl/1N SIGNATUfTE JSLI1LlU YMAN NAME _ JPAC RFU- ---fiUX-- --- BLUG. SIZE----__--- —__ --13EIWEEN: -___--__---- RES. ( ► APT. ( 1 COMM. PUBLIC ( ) INDUS. ( 1 NEW I- OLD ( 1 IIEW. ( 1 AUDITION ( 1 TRAILEFI ( ) TEMP. ( ) SIGNS { 1 ___-----___-SO. FT. ___-___----------,------__ -_ SERVICE: NEW.( / INCREASE ( ) IIEPAIII ( 1 FEE GC CONDUCTOII SIZEc;,)D W X _ _. _._AMPS OW C0PPE II 1 ) Al-UM. SWITGII OF1 BREAKER AMPS 111 �JW VULT IIACEWAY PXIST. SERV.SIZE — AMPS I'll W VU1_T RACEWAY FEEbETlS NO. SIZE I NO SIZE I No. SIZE LIGHTING OUTLETS ©/ CONCEALED OPEN IOIAI_ /p`2 RECEPTACLES 7w CONCEALED OPEN TOTAL 114 0.3 AMPS. � 31 IU0 SWITCIIE9 INCANDESCENT FLUORESCENT & M. V. --- -- - - - - -- - rIXED o 100 Attrs. weh APPL IntWE-9 - _ ` BELL IIiANSF. Alli II.P. IIA T ING H.P. IIAT ING CONDITIONING COMP. MOTOR OTHER MOTOIIS AMPS CEIL IIEAT: KW HEAT OVER - - MOTOIIS N.P. VOLTAGE PIIS NO. I II.P. VOLTAGE PIIS MISCELLANEOUS - Tf1ANSFURMERS: UNDER GOA V. OVER 600 V, NO. K V A NO. KVA tEA CH SIGN NEON TRANSF- - NO. , VA. 1 MA. MO foil SIZE SWITCH I FLASHER JO.EA1 I t-011WAIMEU 0 -7T1s �- IC/rAL Pr_rs bi I Pte~ _----- --- -- CITY OF ATLANTIC REACT-I, FLORIDA I-----ni,nio�:,f+>>y APPLICATION FOR ELECTRICAL. PERMIT 1 'TO THE CHIEF F:LEC1IIWAL INSPEC1011: DAIE:-.,_�r! ----__---19-!� IM110111AN1 NO11(.f: IN CONSIDERAI)ON OF PERMIT GIVEN 1-oR DOING 'IIIE WORK AS DESCIIIBED IN 111E Fol.I.UWING, WE HEREBY AGREE '10 I'ERFom SAID WORK IN ACCORDANCE WI111 �1IIE AI fACIIED PLANS AND SPECIFICA11MAS, WHICH ARE A PAII1 IIf:11EOF, AND IN ACCORDANCE Willi 11111ELECIRICAL 11rGULAIIONS, CODES AND CITY or AI LAN T 1C BEACl l ORDINANCES. ELECTRICAL FIRM: MASTER ELECTR 'IAN SIGNATURE JOURNEYMAN ADDRESS: nFD--BOX BLDG. SIZE BETWEEN: RES. ( 1 APT, i 1 COMM. f PUBLIC ( I INDUS. ( 1 NEW.(�1' - OLD ( 1 REW. ( I AUDITION ( 1 TRAILER { 1 TEMP. ( 1 SIGNS i FT. SERVICE: NEW+-'1' INCREASE ( I REPAIR ( 1 - FEE - CUIJDUCTUI► SIZE �D `----.-___-- _-AMPS /Z� COPPE11 SWI1Cl1 UI► BREAKER --,f�`5�--AMPS- ----= - i'I1- W � VOLT c---IIACEWAY_ ...-..... ___.--.---------- EXIST.SERV.SIZE AMPS PIT W VOLT r RACEWAY FEEDERS NO. SIZE NO. SIZE NU. SIZE LIGIITING OUTLETS CONCEALED -` OPEN RECEPTACLES CONCEALED OPEN TOTAL O JO AMPS. 1 IDU.AhIP6 SWITCHES y INCANDESCENT FLUORESCENT &M.V. FIXED 0.100 Ab1P9. OVER ArrLIA(•ICES _ - '--- -----`�- -- I - - - ` IIELL T-RANSF•- ` -------------- AIR ILP. RA11NG II.P.RAI ING CONDITIONING COMP.MOIU11 OMER MOORS AMPS CEIL IIEAT: KW-IIEAT ' 0.1 OVER MOTOIIS II.P. VOLTAGE PIIS No. 1 ILP. VOLTAGE PIIS MISCELLANEOUS TRANSFOT►MEHS: UNDER 600 V. OVER GUU V. NO. KVA_ NO. KVANO, NEON TRANSF. J�No. VA. MA'- MOTOR SIZE SW11CI) FLASIM11 EACII SIGN FORWARDED TOIAL FEES CITY OF ATLANTIC BEACH, FLORIDA – n„_p-..1,-by — APPLICATION FOR ELECTRICAL. PERMIT (� l TO -TIIE C1IIFF ELECIItICAL INSrf_CTOIT: DAZE:-,-_f� z” T9 IMPOIIIAIJI noII(,. IN CONSIDF-RAIION OF PERMIT GIVEN [-oft DOING 111E WORK AS DESCINIIED IN 111E 1`011.0WING, WF. IIEREITY AGREE_ lO 1117ItroIIM SAID WORK IN ACL•ORDANCE WIII1 111E ATTACHED PLANS AND SI'ECIFICAIIONS, WHICH ARr_ A PAIII II1:11EOF, AND IN ACCORDANCE Wit It 1IIE ELECT11ICAL ItEGULAIIONS, CODES AND CITY OF Al LAN I IC HACI I ORDINANCES. I � b, ELE TRICAL FIRM: MASTER ELECTRICI N SIGNATURE JOURNEYMAN NAME _ - - ADDRESS BLDG. SIZE IIETWEEN: TIES. ( 1 APT. 1 I COMM. kj PUBLIC l I INDUS. 4 I NEW OLD ( 1 t1EW• ( I AUDITION ( I TRAILERS 1 TEMP. { { SIGNS FT. SERVICE: NEWA--f____INCREASE ( I REPAIR ( 1 _ FEE CONDUCTOR SIZE b_ _ AMPS f am ,En _► —�_pntun�, t-- --- --------- - SWITCH OR UREhKER _ / AMPS. ._- ._(���_ Z w -VOLT- --1�- ---BACEW/1Y.. ---.--__- --- EXIST.SERV.SIZE AMPS P)I W - VOLT _ :---- ---RACEWAY- _ r,_-_-- , FEEDERS NO. SIZE —,NO. _ SIZE - -� NO -i ---- SIZE------ - - -- _- - LIGHTING OUTLETS CONCEALED OPEN _-_ 1OTAL RECEPTACLES CONCEALED OPEN - - - IOTAL _- O JO ATA T`8. JI•IVU.AtII'6. SWITCIIES �k INCANDESCENT FLUORESCENT & M.V. FIXEt] ArrLIAt,ICEs-- - --- -----, _ - --- 1 --- -- - - 1 BELLTyRN ASF.__1 --- AIR II.P. IIATING II.P. RATING CONDITIONING COMP.MOToil OfHEll MOTOIIS AMPS CEIL IIEAT: KW-IIEAT 0.1 UVFR - ---`_- MOTOII5 II.P, VOLTAGE ITIS NO. 1 ILP. VOLTAGE PIIS MISCELLANEOUS TTIANSFORMEIIS: UNDER COU V, UVEB 600 V. —_ NO. KVA_ NO. __ KV_A --___--..-- NO.NEON TRANSF, NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN - _ - ----- - - ----- - - ----- FOItWA11UED 101AL !"EES CITY 01= ATLANTIC BEACH, FLORIDA Appioved by -- APPLICATION FOR ELECTRICAL. PERMIT I 'TOT II E CHIEF Ill ICAL INSI'EC'ioll: DA E:_.,� - —� ! 19—_ TMPOIT 1 ANT NOTICE: IN CONSIDERA11014 OF I'LRMIl' cIVLN FOR DOING '1IIE WORT( AS DESCRIBED IN mE i(11.1.UWitiu, WF. I1FREBY AGREE 'IO PERFOIIM SAID WORK IN ACCOIIDANCE WIIII 111['_ Al TACIIED PLANS AND SPECIFICA11ONS, WHICH ARL A PARI I II:REOF, AND IN ACCORDANCE WI1"11 111E LLECT111CAt_ IMMI—AI IONS, CODES AND CITY OF XILAN I"IC DEACI I ORDINANCES. h =1-t�y cin c_ r `z ELECTRICAL Flfihl: MASTER ELE I1ICIAN SIGNATURE JO RNEYM NAME _ AUUIIESS:�/may 3 IFU—,BOX BLDG.SIZE - BETWEEN: RES. ( I APT. ( ► COMM. PUBLIC ( ) INDUS. ( I NEW+-I-r OLD ( 1 11EW. ( I AUDITION ( I TRAILER ( ► TEMP. ( ) SIGNS ( ) ------SO. FT. SERVICE: NEW (-r' iNC1IEASE ( I REPAIR ( ) FEE CONDUCT-011 SIZE _AMPS COPPEIA_S_-) SWITC)i 011 Il11EAKEIi _ AMP S1'll_ W �VOLT _15_G- -- '�-- fl.nCEWAY.- Tu- - - EXIST.SERV.SIZE AMPS I'll W VOLT IIACEWAY FEEDERS NO. SIZE NO. SIZE ]_NO. SIZE LIGHTING OUTLETS CONCEALED OPEN 1O'1AL RECEPTACLES CONCEALED OPEN TOTAL 0.70 AMPS. � I 31,100 AIAI16 I SWITCHES INCANDESCENT N, FLUORESCENT &M. V. FIXED o.iooAMPS. oven nrrLInNCEe DELL'ifIANSF. AIR ILP. IIATING II.P. ITATING CONDITIONING (`OMP_MOIoil OTITER MORRIS AMPS CEIL IIEAT: KW_IIEAT f — 0-1 OVER — - --------_ MOTORS II.P. VOLTAGE PIIS No. I II.P. VOLTAGE PIIS MISCELLANEOUS TRANSFOIIMEFIS: UNDER GUU V. OVER GUU V. NO. KVA NO. KVA _ -- ------- ---- NO. NEON TRANSF. NO. VA. MA. MOT011 SIZE SWI1C11, �FLASIIE11 -_- EACff SIGN FORWATIIUEU TOTAL FEES CITY OF ATLANTIC BEACH FLORIDA J) APPLICATION FOR ELECTRICAL PERMIT 70111E CHIEF ELECTIIICAL INSPECToll: DATE:_., C� ~l 19 __- IMPOIT I ANI NO 1 ICF: 114 CONSIDERATION OF I'EITMir ciIVEN F011 DOING 111E WORK AS DESCRIBED IN 111E rot.l.oWIHG, WE HEREBY AGREE 10 I'ERr011M SAID WORK IN ACCORDANCr W111111111 AITACIIED PLANS AND SI'EC.IrICn1I(ms, WIRC1I ARE A PART IIEREOF, AND IN ACCORDANCE WI1I11IIE ELECTRICAL_ REGULAHONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. . r �-f ELE TRICAL FIRM: MASTER ELE//CT ('IAN SIGNATU R E JURNEYMA NAME AUURESS:'_���/% a'�'y��f R f1FU_—E3UX BLDG.SIZE BETWEEN: RES. ( ) APT. ( ) COMM. ( -t--PUBLIC ( ) INDUS. ( 1 NEWj--r__ OLD ( 1 [I EW. ( I AUDITION ( 1 TRAILER ( ) TEMP. ( ) SIGNS ( ) _—_ 5U. FT. SERVICE: NEW.(-} INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE Q _ -- AMPS ZSR COPI'EI __ SWITCH Oil UPIEAKEPI -� AMPS PH_ W VUL1'. _ _RACEWAY-: EXIST.SERV.SIZE AMPS PH W VOLT Y RACEWAY FEEDERS NO. SIZE No. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN IUTAL RECEPTACLES CONCEALED OPEN 10TAL O JO Ah1r•8, 31-100 AMPS, SWITCIIES INCANDESCENT FLUORESCENT &M. V. - --- -- - --- -- - - - - - - _ ---- FIXED o•roo AMrs* oven ArrLIArlcEe IIELL iIIANSF. ---------- AIR II.P. RATING II.P. IIATING CONDITIONING COMP.MOT UR OILIER MOTORS AMPS CEIL IIEAT: KW HEAT 1 OVER ----- MOTORS II.P. VOLTAGE PIIS NO. 1II.P. VOLTAGE PIIS MISCELLANEOUS ----- -- TRANSFORMERS: UNDER GOO V. OVER Goo V. - ---� NO. KVA NO. KVA - ---- --- NU. NEON TRANSF. —NO. VA. MA- MOTOR SIZE �- SWITCII- [FLASIIER -- --_ EACH SIGN - -- -- - FORWARDED 1U1ALrEES CiTY 01= ATLANTIC BEACH, FLORIDA ` °�•'�"Y - APPLICATION FOR ELECTRICAL PERMIT 'TO TIIE CHIEF r:1.EC1IIICAL INSPECTOR: DATE:_., IMPOIIiANT N(11ICE: IN CONSiDERATION OF i'EitMll GIVEN i.Olt DOING -iris WORK AS DESCI1111ED IN mE rou.owmu, WF. iIFIlERY AGREE •iO t'ritrc)RM SAiD WORK iN ACCORDANCr wim -mr- A1TA(Air-m PLANS AND Si'ECIFICA11ONS, WHICH ARE A PART IrrUr, AND IN ACCORDANCE WIT11 -111E ELLUMI :AL REGULATIONS, CODES AND CITY Or ATLANTIC BEACH ORDINANCES. lick.C C c- dl�, ELE RICAL r-mm; MASTER ELEC ICIAN SIGNATURE ° JOURNEYMAN NAMEC _ nUURESS:1S7+�a�✓I� D�� RFD —BOX ' BLDG.SIZE BETWEEN: RES. ( 1 APT. ( 1 COMM. KT----pUBLIC ( ) INDUS. 1 ) NEWS— OLD ( 1 REW. ( I AUDITION ( 1 TRAILER ( ) TEMP. ( ) SIGNS ( ) -----SO. FT. SERVICE: NEW (ri—'INCREASE 1 ) REPAIR ( 1 FEE CONDUCTOR SIZE S _�-- AMPS �� COPPEiI SWITCH UR BREAKER ���� AMPS PII_ uINRACEWAY EXIST.SERV. SIZE AMPS PII W VOLT' y RACEWAY FEEDERS NO. SiZE :1-190. SIZE NU. SIZE LIGATING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-JO Ahl(•B. I J 1•IVU AMPS. SWITC)1ES - -------- INCANDESCENT--,-.---.— FLUORESCENT --INCANDESCENTFLUORESCENT &M. V. FIXED o.loo A1•irs. vvEn ArrLIANCE9 IIELL TRANSr ---- --- ------- ------ ---- -. -- -------__—... _ __ --- ._. _._.I —^- - -• --------------- AIR ILP. RATIN(; II.P. RATING CONDITIONING COMP. MIDI oil OUTER MOTORS AMPS CEIL III-AT: KW-IiEAT 0.1 OVER ----- MOTORS Ii.P. VOLTAGE PIIS No. T II.P. VOLTAGE PIIS MISCELLANEOUS - TRANSFORMERS: UNDER GOO V. OVER GOO V. NO. KVA_ NO. KVA NEACH SIGNO. NEON TfiANSF. -- NO. VA. — MA-- MUTUII SIZE !� SWITCH rFLnsllrR -- ___ — I r0IMARDED TOTAL rrr-S d' NO CITY OF ATLANTIC BEACI-it FLORIDA —� ApPfowdfiy – - APPLICATION hOR ELECTRICAL. PERMIT TO TIIE CHIEF F.I.EC1i1It;AL INSPFC"T0T1: 0AIE:_.�.�� iM11011 1 AN 1 NO 1 ICF: 114 CONSIDI-A ICIN OF PERMIT GIVEN [,Qit 1)()1N(, 'IIir WORK AS DES(:IiIBrI) iN lltr rou.OWING, WF. 111711EHY AGRFr_ 1O 11E 11FO11M SAID WORK IN ACCORDANCE Willl 111E AT TACIIFD i'LANS At-it) SI'ECIFICAIIONS, WHICH ARE A PA1I1 11rREOF, AND IN ACCORDANCE W1111 -illi rl.CCIRICAL IIEGULA11ONS, CODES AND CITY OF A"I LAN I IC i3EAC11 ORDINANCES. ' 4041v (6� - G�Pc roc ELE TRICAL FIRM. MASTER ELECT ICIAN SIGNATURE JOURNEYMAN NAME _ ADURESS:� 1` u�''` �_" FU--E30X BLDG.SIZE BETWEEN: RES. ( 1 APT. 1 1 COMM. f- PUBLIC ( 1 INDUS. ( I NEW-r1 ULD ( 1 i1EW. ( I AUDITION ( 1 TRAILER ( 1 TEMP. ( 1 SiGNS 1 ) _____so. FT. SERVICE: NEW 1"'1' INCREASE ( 1 REPAIR ( 1 FEE CONUUCI"011 SIZE of-J(?------_ ._---- - AMI'S1215r CUPI,Ei{.t_-) _ _..ALUM: SWiTCII OIT BREAKEiT ._�ZS� AMPS 1'11_ W _VOLT .---B AGEWAY-: -----------_- _-- EXIST.SERV.SIZE AMPS -- I'll w VOLT_ y iIACEWAY FEEDERS NO. SiZE I NO. f SIZE - l NO. - - --- SIZE ^ LIGHTING OUTLETS CONCEALED OPEN - _ TO"FAL_ ]-- RECEPTACLES CONCEALED OPEN _ TOTAL O JO AM 1'13. l JI IDU Atdl'6. SWII'CIIES ih INCANDESCENT FLUORESCENT &M.V. FIXED o•Ioo-AhtP9� _ ovEn Arrt_IANCEe^- - --- ----`-- 1- - _-_ _ } BELL TiiANSP.---.I _ ------- AT 11 A111 ILP. iIATING II.P. iIATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS-- CEIL IIEAT: KW-IIEAT --------ter- -- ------- --- —-----__-_- ------ _____—` .- ;7 UVE12- ------- MOTOi1S iI.P. VOLTAGE ITIS NO. 111.P. VOLTAGE i'IIS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVE11 GUU V. N0. KVA NO. _ KVA _PLAS-IIEFI NO. NEON TRANSF. JNO. VA. ]MA. MOTOR SIZE SWITCH _ EACH SIGN �__--. -"--- -- -_-- -------------------- FORWARDED TOTAL FEES - CITY OF ATLANTIC l3CACI I, FLORIDAf; -"-� nt�,���•+�,Y_ -- APPLICATION FOR ELECTRICAL PERMIT l TO TIIE CIIIEF F.I,ECI ItICAL INSPEC1O11: UAIE:_. � -- IMPOII I A141 1,101 10E: IN CONSIUI'llAIION Or I'r1IMI1' GIVI_N rOlt DOING lllr WORT( AS UFSCItlllri) IN 11Ir, FOLLOWING, WF. HEREBY AGIRE 10 I'Crtrc)RM SAID WORK IN ACt:O12DANCr WIli1 lllE AI'TACIIEI) rt.ANS AI•IO SI'ECIFICA11( 3, WI llCI l ARE A PATI i I IrltrOr, AND 1N ACCORDANCE Wl l it -1I Ir I_I-ECI RICAI_ Itr_GULAI IONS, CUDFS AND CITY Or Al LA14 TIC 13EACI I ORDINANCES. ' h /J, Inc �c ELECTRICAL FIRM: MASTER ELE TRICIAN SIG/JNATUREfy��f, NAME .h _ ADDRESS:; V34, /�` 1+� BOX BLDG.SIZE K" BETWEEN: RES. ( i APT. ( 1 COMM.jr 1 PUBLIC ( 1 INDUS. ( I NEW4-+— OLD ( 1 FLEW. ( 1 AUDITION ( ) TRAILER ( 1 TEMP. ( I SIGNS ( 1 _ SO. FT. SEIIVICE: NEW Wr INCREASE ( 1 REPAII{ ( ► FEE _. CONDUCTOR R SIZE �fJ __— - - _AMPS� ,-_ COPPER SVV11CI1 UR BIIEAKEIIL_�a-'— AMPS ._VOLT- EXIST.SEIIV.SIZE AMPS I'll W -- _ V0LT �' - --IIACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN 101At. RECEPTACLES CONCEALED OPEN IOTAL O-JO AMPS. J I IUO.Ald i'6 SWITCHES INCANDESCENT FLUORESCENT &M.V. _ FIXED o.too Ala re_ ArrLWICE9 BELL-T1IANSF. All{ II.P. IIAIING II.P. 11AlING CONDITIONING COMP.MOIUI{ OTIIEit MOTORS AMPS CEIL IIEAT: KW•IIEAT - — ' 0.1 OVER — - --.—_— MOTORS II.P, VOLTAGE PIIS NO. 111.P. VOLTAGE PIIS MISCELLANEOUS TRANSFOIIMEIIS: UNDER 600 V. OVEII 600 V. NO. KVA NO. __ KVANO. NEON TilANSF. NO. VA. -' MA. MUTUiT SIZE SWITCII FLASIIFII EACII SIGN — -—- -- _ --- ------ - -- - --- -- - - rc�nwnitl�El� TOTAL FEES CITY OF ATLANTIC BE-ACI-11 FLORIDA - --- +iY- - APPLICATION FOR ELECTRICAL. PERMIT TO IIIE- C111E1- E1 EC111ICAL INSPECIOil: DATE:_, ld� /2 U_ --T9-------- IMPOIF 1 AN I r4o 1 ICE: IN CONSIDI_TIAIIOFI OF I'ERMiI GIVEN 1-011 DOING 111E WORK AS DESC1 mri) IN mr. rOI.LOWING, WE IIFIIE13Y AGRFF 'IU PERFORM SAID WORK IN ACCOIIDANCE-Wl1Ii IIIF Al tACIIFI) PLANS AFID ST'E(:IFICA IK)NS, WHICH ARE A PARI IIIA?FOF, AND IN ACCORDANCE Willi 111E 1_LLCII11CA1_ IIFGULAIIONS, CODES AND CITY OF Al LAN TIC 13EACII ORDINANCES. EL Tf1iCAL F1lih1: MASTER EL TRICIAN SIGNATUIIE �ltLIlIlI1�Y61AI�II NAME _._ADU11ESS:_X/3 IiFU_—BOX ULDG. SIZE -----_.__---_-__--_--___—_-- —__11EIWEEN:�—__� RES. ( 1 APT. ( 1 COMM.+-r' PUBLIC ( 1 INDUS. ( I NEVl ) OLD ( I iIEW. AUDITION ( I TRAILER l I TEMP. ( 1 SIGNS ( 1 __------ So. FT.SERVICE: ,NEW 6-1' INCIIEASE l 1 IIEPAIII ( I ___FEE, --_ CONDUCTOIF SIZE AMPS ' COPPEIl_(_. _) AtUh1.t" SWI1 C)i Oil UIIEAKEII /2 ,__AMt'S- I1/1C[WAY- EXIST.SEIIV_SIZE _ AMPS — S'11 �^VV ------ VOLT- _-- -----i1ACEWAY rEEUERS NO. SIZE NO. SIZE I NO. - SIZE LIGATING OUTLETS CONCEALED OPEN IOIAL FIECEPTACLES CONCEALED OPEN TOTAL O },1 JO A1.9. 11 IDV A1.11`6. - SWITCII[s -- -- }.— INCANDESCENT rLUORESCENT & M. V. IX�U 100 AMr9. oVEII - ------- -- -- ArrunllCEs HELL TRAN! Alil II.P. RATING II.P. 1IA1ING CONDITIONING COMP.MOTO11 OIIIEll MOTOIIS AMPS CEIL IIEAT: KW IIEAT 0-1 UVEB -- ----- -------------- ------ MOTORS II.P. VOLTAGE PHS NO. 1ILP. VOLTAGE ITIS MISCELLANEOUS TRANSFOT1MERS: UNDETI EUU V. OVER GUU V. - - -- --- — ------- NO. KVA NOS-A�_ ` IKVA NO. NEON TIIANSr�^' LNO. VA. MA' — MU1O11 SIZE SWi1CTi rLASIIEPI EACH SIGiV -- - rOIIWAIIDED 10TAL FEES CITY OF ATLANTIC BEACH, FLORIDA Anp,o-•j-hy-- -] APPLICATION FOR ELECTRICAL. PERMIT TO 111E CI1IE1 ELECIIII(:AL INSE'F_CTUH: DALE:__,- 2- IN iN CUIISIDEPA F ION OF PERMIT GIVF_N TOR DOING 111E WORK AS DESCiMIED IN 1 I IE FOLI OWING, WE iIEREBY A(A(H- TO IIFIZFOI?M SAID WUI?K IN ACCORDANCE WIIN iIIL At IACIIED i1ANS Atli) SI'LCIFICAlIONS, WHICH ARE A PART IIIAMOF, AND IN ACCUIMANCE WIM TILE 1-F_C_CIItICnL 12LGULAII01"IS, CODES AND CITY OF Al LAN TIC BEACH ORDINANCES. ELECTR CAL FIRM: MASTER E LECTFIICIAN S 'NATURE I(MHE MAN NAME /A-r"T -__ ---- ADDRESS: /` L� / . .'�itF0_�_,E3OX_ BLDG. SIZE TIES. 1 I APT. ( 1 COMM.— PUBLIC i ► INDUS. ( ) NEWt-r-- ULD ( ► iIEW. ( ADDITION ( I TRAILER 1 1 TEMP. ( 1 SIGNS SEiIVICE: NEW (r1'— INCiIEASE ( I REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. SWITCII OF1 UREAKEll ! AMPS PiT- _W VOLT HACEMY EXIST.SE{iV_SIZE_ _ -AMPS PIT W VOLT iiACEWAY FEEDETIS No. SiZE No. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN 101Al_ RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMr'9 31 100 AHP6 SWIiCIIES INCANDESCENT FLUORESCENT & M. V. FIXED o too A+Ire. oG`en - - - -. ArrunrICEe ' I iLEI_l. iRANSF. I AM iI.P. HATING 11.P. RATING CONDITIONING COMP.MOioil OTHER MUTUitS AMPS CEIL IIEA1 KW BEAT 0-1 UVEiI - --- - - MOTORS Ii.P. VOLTAGE Pits NO. 1II.P• VOLTAGE PFIS MISCELLANEOUS TRANSFORMERS: UNDER-600 V.---- OVER 600 V, NU. KVA NO. KVA - - - - NO. NEON TRANSF. NO. VA. MA. MO1UR SIZE SWIl( II-I 'FLASIIFFi EACH SIGN 1 FOIIWARDED IOTAI_ FEES -01344 DEPARTMENT OF BUIL&NG CITY OF ATLANTIC BEACH _---- PERMIT INFORMATION ------ ---- - LOCATION INFORMATION --------- Permit Number: 13808 Address : 1541 MAIN STREET Permit Tve: COMMERCIAL ATLANTIC BEACH . FLA-PDA nA 9'TM Class of Work:NEW --------- LEGAL DESCRIPTION ---------- Constr . ,Type: STEEL Block: Lot : 4 Twp : 0 Proposed Use:COMMERCIAL Section : 17 Subd: Rnq : 0 Dwellings : 0 Subdivision: PART OF GOVERNMENT LOT 4 Est . Value: 0 .00 improv . Cost : 144 ,000 > 00 Total Fees : 8 . 688 .00 Amount Paid: Dat 427 i Ton ,- (7,7 }+ ITT (-J 5 / Cn--gnnn _______._ OWNER INFORMATION APPLICATION FEES -.--------- Name : PETER k. RODRIGUEZ PERMIT 888 . ')0 I Fddr : 1545 MAIN STREET 0WATER IMPACT FEE 2 . 140 . 0^ ATLANTIS BEA'-'H FLORIDA 3,2 2.33 EWER IMPACT FEF. 6 , 210 .00 01 Phone: ( 94 :`46-4309 WATER° METER/TAP `30 ORADON GAS-H . R . ,S . 42' 7,5 14TRACTOR INFORMATION - -_.--- ( RA DQN CAB 5% 2 2,5 1 e : , i •ON [ 1, _ ,-,AP ITAL ?MPROVE , Tame : �4_LLI�..•A!V � SON G�s.STRJ�,TIL?�i , .. j _ddv ,, 103-01 BERNATH ROAD SEWER TAP JACKSONVILLE . FLORIDA 32259 L ,ROSS C.10NNECTION 35 .00 j Li :1 v 35.' Ex.r: . / 1 SEE:' H IMPACT FEE r 00 ! YPp - yt 4CiNST . SURCHARGE 4'=` - 50 ! `/SCHARGEfATL .BCH . 4 , 50 i CITES: " f i 1 NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED B ORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE f UILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLA ED IN PUBLIC SPACE,AND MUST BE LEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER `FAILURE TO COMPLY WITH THE MECHANICS' VIEN LAW CAN R�' -- 'HE PROPERTY OWNER PAYING TWICE FOR BU&DING IMPROVFI SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBjr OLATION OF APPLICABLE PROVISIONS OF LAW. erator: CHEF,, Total I:'aymen ANTIC BEACH BUILDINGDEPA TMENT CITY OF ATLANTIC BEACH PERMIT CALCULATrION SHEET Address Date " ' Heated Sauare Footage @ $ per sq ft = $ Garage/Shed @ $ per sq f`_ = S Carport/Porch L� ;d $ per sq �} t = $ Deck �r(�, @ $ per sq ft = $ Patio )) d par sa ft = S 00 TOTAL VALUATION : S Total Valuation 1st $ /0q, a x Remaining Value . per thousand or portion thereof TOTAL BUILDING FEE $_ /y 3 ad + 1/2' Filing Fee $ -7 / 7.S-b ( 1 Fireplaces @ $15 . 00 $ —Q BUILDING PERMIT FEE S-V/ WATER. IMPACT FEE SEWER IMPACT FEE 600 � WATER METER/TAP S d CAPITAL IMPROVEMENT S :3,2 3`Oo SEWER TAP S - 0 - 131309 0 - 131309 RADON (HRS ) . 0050 SECTION H PAVING HYDRAULIC SHARES S CROSS CONNECTION $ 3S.aa Y3sD4 SURCHARGE 0 50 860 .7-5- 07ER $ `J ---0 - GRAND TOTAL DUE y ��_t O 5 0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_ Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : *C. T UW5 UNITEDSTRUCTWk URESWAMERICA P.O. BOX 60069 HOUSTON, TEXAS 77205-0069 281-442-8247 Milligan& Sons Const. Inc. September 8, 1998 1030 Bernath Drive Jacksonville,Fl. 32259 RE: U.S.A. Job Number 23373-898 End Use Customer: Sandar Ind. Lease Bldg. #2 ` S �j ~ l r��n� � /Y If !`v � Location: Jacksonville,Fla. Dear Sir: United Structures certifies the above referenced building(s)has been designed in accordance with the order documentation and the AISI Cold Form Steel Manual (19 86 Edition), and the AISC Steel Construction Manual (9th Ed. —ASD) as applicable. The following loads are applied in accordance with SBC. DEAD LOAD metal building structure only as furnished by U.S.A.,Inc. LIVE LOAD 20 PSF With Tributary Area Reduction WIND LOAD 100 MPH SBC 97 SEISNIIC ZONE 0 Importance Factor 1.0 OTHER LOAD: 3 PSF Collateral Load This building(s)and its component parts as furnished by United Structures of America, Inc. and specifically excludes foundation masonry, or general contract work including erection certification. The design and certification for this project is in accordance with the provisions and loads specified on the building order. The buyer is responsible to insure all specified loads are in compliance with local regulatory authorities. This building and its structural components has been produced by an AISC-MB Certified Manufacturer, in an AISC-MB Certified Facility. Sincerely, UNITED STRUCTURES OF AMERICA, INC. Allam N. Mahmoud,P.E.. l Engineering Manager This building will be designed in Houston, Tx._and fabricated in Houston, Tx.. HOUSTON PLANT: 1912 BUSCHONG,HOUSTON TX 77039 PORTLAND PLANT:FOUNTAINHEAD RD.,PORTLAND,TN 37148 r F 0c!:C. , C CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR :-S (,.5- '�k LICENSE NUMBER: ---C-ISG c)---1-473 7--------------- --------- — —_ OWNER : - _ - S' --- - - ------------ _— 13 BUILDING CONTRACTOR : TYPE OF BUILDING : GdW MIe -Ccc✓! -SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS U CLOSETSWASHING MACHINE --- - (-------------- ----- ------- FLOOR DRAINS OTHER �va��chJ TOTAL FIXTURE COUNT:-/,,2 x $3 . 50 = ca + $15 - 00 = - INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 7 i ' J ° ,' �,� 1 CITY PF ATLANTIC BEA PERMIT APPLICATIOk REMODEL ADDITI07 �,�' )H0VING,DEMOLITION. Owner(s) : Job Address: !f�y3 � �/� Phone:— Lot hone:_Lot # Block or Unit # Subdivision: Contractor: ly'G � d/ j> ., "✓ �S' Address: /l—�3 3'�' ,Sj Phone No: 6� " City J4- 1r �U?� State /-L��- Zip Code 2Z�� Describe work to be done: �y'O r'K, elelf /,ft& Present use of building: L/Gti17- �yOulTi Valuation of Proposed Construction: Z�qtq L Proposed use: LfGH/r Is this an addition? If yes, what �� C-- ..• r` J space: ft. X ft. Will t} � 7 cooled? New electrical (or incre New plumbing fixtures? New fireplace: SUBMIT THREE (COMORCIAL) TWO (RESIDENT) t NG SITE PLAN, SURVEY, ENERGY CODE FC ND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS Signature OWNE Signature CONTRA R: Date: � L AS TO OWNER: Sworn to and subscrib before me this^day of 1999, t:00L'l•L tieruga j saJidx3 . a V 46b80933 uoissiwwoC,tw uoisinctiouief31ae� �,.^ ,r NOTARYPUBLIC AS TO CONTRACTOR: ,,//�� Sworn to and subscribed before me this day of (A l,,, c-i(-,z 1999 *,**Ma.• N Carol Elaine Thurston NOTARY PUBLIC •y y Commission CC808484 iwa `Expires February 11,2003 APPLICATION FOR FENCE PERMIT z�Q-7Ob Owners Name �� /��U.I��/�S Phone Joh Address. 1 S'-'/J A141n/ r Lot Block and/or Unit # Subdivision Cantractnr if different_from. Valuation-of fence- DD Corner or Interior.Lot i Type of Construction C44 44/wd Show location and height of fence as well as location of street(s). Owner Signature Date Contractor Signature Date / Book 9388 Pg 23 NOTICE of COMMENCEMENT -RA!�! (self addressed stamped envelope enclosed) ATKINS BUILDERS,INC Pg:D4`" 23 9388 711-13 S.THIRD ST. Doc# 99207307 JAX BCH,FL 32250 Filed 8 Recorded This Instrument Prepared by: 5 MIN. RETURN 08/18/99 JOHN ATKINSPHONE # 4(�5"37'S1 HENRY�W . COOK �M� CLERK CIRCUIT COURT DUVAL COUNTY, FL Property Appraisers Parcel Identification Number REC. $ 6.00 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE of COMMENCEMENT State of Florida County of DUVAL The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE of COMMENCEMENT. Legal description of property: IL`3 /I7kII/ 5-r �1��.��✓i�, ���/� / Street address of property: 1543 MAIN ST. ATLANTIC BEACH FL Description of improvements: POUR TWO CONCRETE PADS AND INSTALL FENCING Property Owner Name: EARL INDUSTRIES Property Owner Address: 1543 MAIN ST. ATLANTIC BEACH FL Owner's interest in property: LEASEHOLD Fee Simple Title Holder Name: SANDALAR Title Holder Address: 411 LEVY RD 0 Contractor Name: i rp ATKINS BUILDERS Contractor Mailing Address: 711-13 S. THIRD ST JAX BCH, FL 32250 Surety Name: Amt of Bond $ Surety Mailing Address: Lender Name: Lender Mailing Address: Person within the State of Florida designated by Owner upon which notices and other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name Serve Owner Address Serve Address In addition to himself,the Owner designates the following person to receive a copy of the Lienor's Notice as provided l�/ in Section 713.13(1)(b),Florida Statutes. Name Address Expiration date of this Notice of Commencement: This Notice of Commencement expires in one year. �- EARL INDUSTRIES Signature of Owner Printed Signature of Owner .Y SEAL HERE I have relied upon the following identification of the Affiant: 10 11\�j1SSSS�..1 Jl3pff :,r5r� Sworn to and subscribed before me this day of 1�.t..S�,19 +�. Notary Signature Carol Elaine Thurston ..:. *ap;r(*MY Commission CCh6r:5..:,. CCgQ i p r "•�°iy°� '+ Oct �, a,. Expires February I1 I ZQ�3 • fffllffl7i/iii+