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Permit 1447 Mayport Rd Unit 8 (vault) PERMIT WORKSHEET Certificate of Occupancy - Job Address: i p � Type Work: { _ 4� 8 Property Owner: Phone # Contractor: Phone # 1 t--t t7 �►J 7 44' c)Soc Permit#: r r Z Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building - Tree Permit# YES NO Electrical Permit# Date/ Copy to -d - JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final - , OL Released to JEA Mechanical Permit# - Inspections: Rough Final Plumbing Permit# oq- L Inspections: Rough / Underslab Topout Water/Sewer Final �p Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing/Sheathing Final Fire Inspectior Failed Inspectz; )ns: Date Paid: Date Paid: 4 CITY OF ATLANTIC BEACH 800 SEAMOLE ROAD 3 . ATLANTIC BEACH,FL 32233 >> INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: ffidWia -de 1(@eoab.us Application Number . . . . . 08-00000001 Date 1/10/08 Property Address . . . . . . 1447 MAYPORT RD UNIT 08 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW SIGN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ B & K PROPERTIES INC AD AMERICA 8679 W. BEAVER ST. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220 (904) 781-5900 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/08/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65.00 65.00 .00 . 00 Plan Check Total .00 .00 . 00 .00 Grand Total 65.00 65.00 .00 . 00 PERW 13 APPROVED ONLY IN ACCORDANCE WIPH ALL CrrY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION � 000 Seminole Road Atlantic Beach,Florida 32233 D P o o (904)247- 500 (904)247-5545 Fax www.cmab.us APPLICATION TRACKING FORM RV MIRED DEPT: N PLANNING PropertyAddress* / 7 �� z Y I� BUILDING T f' Y N PUBLIC WORKS AppUcant- Y N PUBLIC UTILITIES Y N FIRE DEPT. Project- S� Y N PUBLIC SAFETY m -APPROVAL w U REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z�_ Y m D.E.P HUFSTETLER ¢� =O Y-` N SAR.W.M. CARPER _ Y Iii ARMY CORPS of ENG CARPER O Y N HOTELS RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: IN AL: DTE: ® ® 1 ST REV PLANNING BUILDINt,Y / ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV FILE aw ,n.•_ "._____ .ti_ sn__ �_.:_ll�_�,11�"..._... .-.,,...,..4............,,, . ➢.mnr.,, m__4-4 aerte SEtERwAFl*q L17P7(o 1ha.- t;M1R489- CITY OF ATLANTIC BEACH 07- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION =4 " DUVAL COUNTY 1,JOB ADDRESS: 2.VALUATION OF WORK i I3.:50,(Tti;UNOEi�t fZQ(�fi j; i 14 ri ' "-t1 (}(' Atlantic Beach, FL 32233 1 , 00"0j 41♦LEGAL DESCRIPTION: 5.CLASS OF WORK I 'i. 6, STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑�RESIDENTIAL LOT BLOCK SUB DIVISION 13 ADDITION 13 CONVERTING y G USE COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORYBLDG" 1:6�b'3 NCCCER-WS ❑REPAIR ❑P(76t./SPA(1. ❑YES "'❑,NIA ❑MOVE ❑OTHER ❑NO .. PROPERTY OWNER: CONTRACTOR: ARCHITECT]E. ER" 7- 9.NAME: 15.COMPANY NAME: 23.COMPANY NAM :,.. IC, �tf Cay d CLi )-a 1 i CCS tf.. 04-1d, -k pF en-t 16.NAAO-% L 24.LICENSEE NAME: / 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICEN .: V-7-T ,• e),-7[Z+ 18 �� .�GC� ^-('-�,ADDRESS- 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: OFFICE PHO 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE, 29.CELL PHONE: 4 S-q � �sQ 14.EMAIL ADDRESS: 22,EMAIL ADDRESS: _ t 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: - IF OTHER THAN OWNER 31.NAME: 33.NA 35.NAME: NAME- 6, ggp" ES 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR If Agent,Power ofAftomey or Agency Letter Re uired Qualifier Only) Signed: Date: Signed: Date: Before me this day of ,2007 in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: COAB FORM BLDG01:REVISED:12/17/2007 DEC-'1'9-2807 05:14P.FROM: TO:7254215 P.2/3 LETTER OF AUTHORIZATION TO WHOM IT MAY CONCERN: This letter authorizes AD AMERICA to act as Agent to secure permits or variances required by the local government body,and to perform sign installation, removals or maintenance of the property located at. Name of Tenant: y;- q Property Name: t- SSO wzrf--� Property Address:_1 q�}t']—g I'Yla,u par-} T d, _R+lar*c Bach, f;j 32aa3 Telephone: Date Purchased: Name on Warranty Deed: f4K Ij Owner: K��—Vc x�r 1 moincaf Address: Univrs I o HVd t� aA Ck' J Signature: Dater 11` t" -O Print Name: Title: State of Ti ad County of t a\10 J Sworn to and subsrib d before me this_1 L_day of Personally known or produced identification o ' ep ' icathon produ d 1 �S ignatf Notary C �aayP�&�KELLY MICHELLE ERHAYEL Commission Expires: . R MY COMMISSION#DD421746 EXPIRES: Apr.24.2009 (Notary Stamp) �� (407)398-0153 Florida Notary Service.c0m m Faces: ?e sL3 Trimcap: golru d tetumS: black ■ MA !•.:•iAi`�y_'�QS�e. Ne � a df1. ile4r� ��t ' i. .i= .�, e,:.:;.:. u. far. >.•�r.;>! -n -- CROSS SECTION _- 3 CHANNEL LETTER OR LfGHT ROX CONSTittlCTION I i {ALMWllWORAMMELLETIER _. ..._... AR,i12,liBOlt ..__ f iMi01#,1Hf&pglT . .... 11 1K,. s_.L`i'::• +�4 n� 7 SfiCOM04R�tNOOKUQ _ i l f SSL 1..!'a.::yjy 1, 5}6�y°_•a�wG�4 T..•auf..YY � I Nw"aLU W ATION VENA M1MO i NOSCALE i ' 416111 IMPACT TRANSLUCENT ACRYLIC FACES •1•JEWELITE TRIMCAP FABRICATED ALUMINUM S'RETURNS •ALUMINUM RACEWAY PAINTED TO MATCH BLDG ' •SIGN MOUNTED TO WALLWITH 9*3V BOLTS EVERY Xr ON RACEWAY i•SIGN MANUFACTURED TO WITHSTAND 120 MPH ' WINOS AS PER FLORIDA BUILDMG CODE 2004 � THE COMBUSTIBILITY TEST DATA FOR 11r THICK SHEET •SIGN MANUFACTURED TO OPERATE ON 120 VOLTS IS: SELF IGNITION TEMPERATURE AS MEASURED BY 'TRANSFORMERS(MOUNTED INSIDE RACEWAY ASTM MEASURED D GREATER THAN 820 S GF.T14 RATE OF BURNd PER AO AMERICA NOT RESPONSIBLE FOR PRI MARY AS MEASGREt1 BYASTII ty-s3s IS LESS 7t1AN 1.5 INcl�s PER MINUTE AND THE SMOKE DEMSIIYAS MEASURED BYASTM-2803 IS NO MORE TIM ELECTRICALSERVICE OR HOOK-UP 7Q SIGN µ i AVAILABLE.I K NO Y SIGN E>OrfrS A FEEJWILL TRY i5 (A UNLESS SPACE FRONTAGE: 240 Sq. Ft. ALLOWANCE: g4, Sq. Ft. � o�l�EnoloATTNf`f+]CFiSEOFTHETENANI j } #f Sign: A#uti i SIGN = 20 Sq. Ft~ date: AM MATRi A Job Location: 1447 MAYPORT ROAD #8 City: JACKSONVILLE Customer: THOMAS WHITE APPROVAL (please sign): Date: (904)781-5900 Phone: 246-4777 Fax: Landlord w M - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j 7 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building: coab.us Application Number . . . . . 08-00000002 Date 1/10/08 Property Address . . . . . . 1447 MAYPORT RD UNIT 05 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW SIGN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ B & K PROPERTIES INC. AD AMERICA 8679 W. BEAVER ST. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220 (904) 781-5900 ---------------------------------------------------------------------------- Permit . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 .00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/08/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65.00 65.00 . 00 .00 Plan Check Total .00 1. 00 .00 .00 Grand Total 65. 00 65 .00 .00 .00 PERMT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORwA BUILDING CODES. t , rs!.a' `��� , CITY' OF ATLANTIC BEACH PERMIT BUILDING/ZONING DEPARTMENT APPLICATION# 800 Seminole Road Atiantio Beach,Florida 32233 Poo z- (904)247-5900 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORMA RE AQRED DEPT: n Y N PLANNING Property Address: � � ,�v ,e Z Y N BUI D94G A Y N PUBLIC WORKS Applicant: ,r7 �iJi I•G Q-�'� N - PUBLIC UTILITIES �j Y N FIRE DEPT. Project: o ` , � Y N PUBLIC SAFE i'Y L -APPROVAL 0 DREQUIRED AGENCY: RECEIVED BY: INITIAL DATE t67i Y N D.E.P HUFSTEfLER a Y N S.J.R.W.M. CARPER ww Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INfiiWI ❑ 131ST REV ❑ ( G 1L ceto PLANNING BUILDING ❑ ❑ 2ND REV � ❑ . PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY .® ® J 3RD REV ® ® . r i r6, CITY OF ATLANTIC BEACH 07- I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ci OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.30B ADDRESS: 2.VALUATIrON"OF WORK OOF 1,, l_ q`S M ( a• Atlantic Beach, FL 32233 ;315T<-00 4:LEGA.DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG S.F1 &*1MKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO PROPER OWNER: CONTRACTOR 'WWWTECTIR: 9.NAME: !� �1 til -� 15.COMPANY NAME: 23.COMPANY NAME: 16. ME: 24.LICENSEE NAME: '-at 6A 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO: 18.ADDRESS: 26.ADDRESS: $lo"7`tivr -77 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 2-0^.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: d cc, Ino ,w FEE SIMPLE TITLE MOLDER: SONDING COMPANY: MORTGAGE LE14DER: (IF OTHM THAN 31.NAME: 33.NAME: p 35.NAME: 32.ADDRESS: 134.AD ESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR , LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR 1f Power of Atlomey or Agency Letter R ed QuelKsr On Signed: Date: Signed: Date: Before me this day of 2007 in the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: COAB FORM BLDG01:REVISED:12/17/2007 DEC-26-2007 11:.32A FROM: TQ:7254215 P.2/3 LETTER OF AUTHORIZATION TO WHOM IT MAY CONCERN: This letter authorizes AD AMERICA to act as Agent to secure permits or variances required by the local government body,and to perform sign installation,removals or maintenance of the property located at: Name of Tenant: r 9),S -O rA s,* Ura n`fi Property Name: �f�-Q r (� r' � Property Address:_ 4 - moua 13o�J- d Telephone: (q.�_ Date Purchased: �� } Name on Warranty Deed: Owner: K rjl fi/i� N�f; Mt��V IAV W M C Address: �)? , Nivres 14 f' -V D N Signature: Ta','� C' Date: C? 27 07 Print Name: 1'-jAJ\4A --�EjTitle:'-)W5S State ofd i l7A County of D U VAL— Sworn to and subscribed before me this day of� �� , 200-7 Personally known or produced identification e of id 'fication rodueM S7ture f Notary Commission Expires: 7-C, ( (Nosy Stamp) F(407) KELLY MICHELLE ERHAYEL MY MMMISSIQN#DD421746 s XPIRLS: Apr.24,2009 -015 Florida Notary SWAM COM Faces: Oran e Trimcap: gold m Returns: black - - Neon: neon White 14:5 Giisr RESTAURANT CROSS SECTION " f .. CHANNEL LETTER OR LIGHT BOX CONSTRUCTION ACRYLIC FACES WITH TRIMCAP - '.. ALUMINUM CHANNEL LETTERI OR LIGHT BOX MOUNTING BOLT +j FACIA 15 MM NEON --- RACEWAY h , SECONDARY HOOKUP TRANSFORMER h PRIMARY HOOKUP AT 120 VOLTS =. NEON ILLUMINATION TERMINATING INTO APPROVED HOUSING NO SCALE *HIGH IMPACT TRANSLUCENT ACRYLIC FACES * 1"JEWELITE TRIMCAP *FABRICATED ALUMINUM 5"RETURNS *ALUMINUM RACEWAY PAINTED TO MATCH BLDG *SIGN MOUNTED TO WALL WITH 6"3/8"BOLTS EVERY 30"ON RACEWAY *SIGN MANUFACTURED TO WITHSTAND 120 MPH WINDS AS PER FLORIDA BUILDING CODE 2004 THE COMBUSTIBILITY TEST DATA FOR 1/8" THICK SHEET *SIGN MANUFACTURED TO OPERATE ON 120 VOLTS IS: SELF IGNITION TEMPERATURE AS MEASURED BY *TRANSFORMERS MOUNTED INSIDE RACEWAY ASTM D-1929 IS GREATER THAN 820 DEGF.RATE OF BURNING AS MEASURED BYASTM D-635 IS LESS THAN 1.5 INCHES PER *AD AMERICA NOT RESPONSIBLE FOR PRIMARY MINUTE AND THE SMOKE DENSITY AS MEASURED BYASTM-2843 ELECTRICAL SERVICE OR HOOK-UP TO SIGN Is No MORE THAN 5%. ® , UNLESS EXISTING PRIMARY SIGN CIRCUITRY IS AVAILABLE. IF NO CIRCUIT EXIXTS,A FEE WILL SPACE FRONTAGE: 240 Sq. Ft. ALLOWANCE: 24 Sq. Ft. FRTIF��� BE ADDED AT THE EXPENSE OF THE TENANT. ***** Sign: GR8START RESTAURANT SIGN = 20 Sq. Ft. I Date: ao AMERICA Job Location: 1447 MAYPORT ROAD #5 city: JACKSONVILLE SIGNSOFALLKINDS customer: DIANE HOWELL APPROVAL (please sign): Date: (904) 781-5900 pho55255-2164 Fax: Landlords ne: THIS DESIGN AND DRAWING REMAIN THE PROPERTY OF AD AMERICA-ALL RIGHTS RESERVED, USE WITHOUT PERMISSION IS OF ADA IS PROHIBITED BP703UO3 CITY OF ATLANTIC BEACH 1/22/08 Cash Receipt Corrections 10: 15: 50 Cashier: SGRAHAM Correction option . . . . . . 7=Adjust with G/L Application number . . . . . 08 00000001 Property . . . . . . . . . . 1447 MAYPORT RD UNIT 08 Cashier, receipt#, amount . : BASHLEY 0022665 $65. 00 Date, time, pay type, check#: 1/10/08 CK 000009528 Correction description . . nsf check Cashier ID for transaction _ 1=Current user, =Origi.na cashier Print correction receipt Y=Yes -- Fee -- Amount Credit * Amount to - Str - Permit Inspection Clss Type Paid Remaining Reduce Nbr Seq Type Seq Type Seq P PF *65. 00 . 00 000 000 SIGN 00 Bottom F3=Exit F4=Prompt FS-=Void all F12--Cancel BP703UO2 CITY OF ATLANTIC BEACH 1/22/08 Cash Receipt Corrections 10:16:46 Cashier: SGRAHAM Type options, press Enter. 2=Change 3=Refund S=View prior corrections 7 Adjust with G/L --------- Receipt ---------- --- Payment --- Application Opt Date Time Number Cashier Type Balance Number 7 1/10/08 0022665 BASHLEY CK 65. 00 08 00000002 Bottom F3=Exit F12=Cancel F13=Pending receipts s BANK OF AMERICA, N.A. Page 01 of 01 H EAST RETURN ITEMS Bank : 00075 P.O. BOX 2518 Center : HOUSTON, TX 77252-2518 Divider: 4,857 Code 3 B _ Deposit Account: 210-120-5719 Charge Account : 210-120-5719 Store/Reference:00000000000000 CITY OF ATLANTIC BEACH DEPOSITORY ACCOUNT 800 SEMINOLE RD ATLANTIC BEACH FL 32233-5444 US Date of Notice: 01-14-2008 Dear Valued Customer: The item(s) below, which were deposited to your account, have been returned unpaid. Therefore, we have charged them to your account. Fees for analyzed accounts are itemized on the account analysis statement. If you have any questions or need additional information, please contact one of our Customer Service representatives at 1-800-432-1000. Thank you for choosing Bank of America. Number of Returned Items: 2 Amount of Returned Item(s) : 194.87 SEQUENCE/ ABA NUMBER/ MAKER NAME/ RETURN REASON/ AMOUNT DEP DATE DEP AMOUNT CHECK DATE I.D. 06640374635 3140-7426 Refer to Item 64.87 1/8/2008 31,557.25 6115179050 0630-0002 Closed Account 130.00 1/11/2008 2,664.16 *111012822* 01/14/2008 c 0000059,'+0023212 0 This is a LEGAL COPY of your ru ru check.You can use it the same r=1a way you would use the original r�I'll check M AD AMERICA 9$28 ru r� EB79 W BEA VER 9W781-59M RETURN REASON-D �0 ""`E'er 0 � CLOSED ACCOUNT F9--J- DATE Er "n $ PAY �-- $ 3O•�C� C3 O ORDER OF O *18290001* 0 C3 �' -L %0 DouAR i8 *48 *2* * m W o PA°M e �wK 0 6)k 0001 *01255* 5 FOR T rrvi�-4-s Q F-006=1 M u•0095 2811' 1:0630000 2 i':20900030 2066.139■ x'00000 L3000.r 11800 9 5 2811' 41:06 30000 2 Ill: 209000 30 2066811' 01'00000 3000i'' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -' ATLANTIC BEACH, FLORIDA 32233 ` ` "'k ...`. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027926 Date 3/24/04 Property Address . . . . . . 1447 MAYPORT RD UNIT 08 Tenant nbr, name . . . . . . COMM. INTERIOR REMODEL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor --------- -- - --------- --- ------------- ----------- B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-0500 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Sub Contractor KNIGHT ELECTRIC LLC Permit Fee . . . . 116 . 40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116 . 40 116 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 116 .40 116 .40 . 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 THE PROPERTY OWNS PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ART OF T'H(E S JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACHI IN :_ s ELECTRICAL PERMIT APPLICATION 1 Property Address. N i"dTYI ��( 1� UNI o �5 Owner: ���,� �CIC-;S Telephone #: Contractor: Ku If W LTC�MZ LL Telephone#: 27346 g Contractor Address: (72 UyA-f (vtQ k- VWX Fax #: 277-69q3 In tmitsideration of permit given for doing the work as described in the abcrva statement. we hercbN agree to pertorrn tiaii9 work- lin accordance with the attached plans and specifications which are a peat hereof and in accordance with the City of Atlantic Beach ordinance and standards otcxtd aractice Listed therein i Butt ing: Building Type: j Trailer Service + It' other comm_1ct10n ,s "ew { a Residence L3 Temp. 1a New being done on this building j I Or site,list the building • old I '' Gotnntercial J Signs z] Increase pertruknumber t7 Re-wire zi Addition Sq, Ft. U Repair d 000,;9794 Conductor Size: AMPS: I A COPPER Lt.,TMINi UM Switch or �_ _ _ i-- -�'�y —t RACE 1(� Breaker ( A,\,,1PS PH tL` Y'OL F 1_16) r W.: ' 2 Existing Service RACE Size AMPS I PH I W I VOLT' WA's` j Feeders: NO, SIZE NO SIZE NO SIZE Lighting Outlets ; I CONCEALED ! ! OPEN �Q {.__._ Receptacles l CONCEALED iOPEN D i Switches I j !, Incandescent Fluorescent & I jj 1 M.V. Fixed 0 100 AMPS C1VFR DELI. f Appliances — TRANSFER. Air —r H.P_RATING H.P. RATING i Conditioning i COMP, MOTOR OTHER MOTORS AMPS `7� HEAT i l© i Motors 0-! H.P. _VOLTAGE PI4 NO. OVER l H.P. ! PHS `"ERbUUV I Transformers NO. kVA NO. KVA No_Neon_Transf. d Ea. Sin i Miscellaneous /-,, %I yd ocl( F i 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (404)247-5800. Fax. (904)247-5845• http:rjwww.cLatiautic-beach.li.us � 1J� .` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027926 Date 3/30/04 Property Address . . . . . . 1447 MAYPORT RD UNIT 08 Tenant nbr, name . . . . . . COMM. INTERIOR REMODEL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor --- -------- -------- ----- ------------------------ B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-0500 -------------------- -------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . ANDERSON PLUMBING Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 .00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 .00 49 . 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. 4--Q, , ( I., BUILDING OFFICIAL M CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION -af31 Date: 3 " Property Address: 14 Y IfflA j por 4 .d W-� 4 unn � Owner. 1� P>Zx/4 iSt S Telephone#: Contactor. Ann&Soo Pl U yh" �l� Telephone#: Contactor Address: ,�5�y N pte. "A 'Fax ft q?,5 q In cawidwdion of permit given fid doing the work as descnW in the above stat,we hereby agree to perform said work in aocardaccoe with the wed phms add apec ificaftm which ane a pmt hereof and in a000rdanoe with the Cky of Atlantic Beach ordwancce and of flood pcaci m listed therein. Installation of plumbing and fuchm must be in accrdaace-mth the mast reoent editiaa of the%uth m Standard Pbm*mg Coda. Plumbing Type: ' If other construction is being done on this binding or site, - list the building permit nimber. Q .Re-Pipe M0 ao;0 q QQo Number of Fiztares: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine l Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $3500 Total Fixtures: c X 57.00 + $35.00 800 Seminole Road.Atlantic Beach,Florida 32233-WS Phone:(904)2474M. Fax (904)247.6845. ht1p.-1A ww.ci atlanffc4mach.fl.us CITY OF ATLANTIC BEACH r I 800 SENIINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027740 Date 2/18/04 Property Address . . . . . . 1447 MAYPORT RD UNIT 08 Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------ =------- B & K PROPERTIES EAST COAST HEAT &` AIR INC. 525 N. 14TH AVENUE JAX BEACH FL 32250 (904) 247-0033 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---- ---- -- ---------- ---- ------ Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 ,Grand Total 79 . 00 79 . 00 . 00 . 00 r ; I' ti 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 AR&PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH •�th etakkhki ':. MECHANICAL PERMIT APPLICATION rat' Date: -2 /k -0 Property Address: )COA-0 Owner: & �, k- Telephone#• Contractor: 60as+ k(E'o,� Telephone #: P-Q-7,oc) 3 3 Contractor Address: r 6�1 a an/",:M k7 Fax#: 2 L4 7—9(o tp D 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 ordinances and standards of good vractice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: 6Y�Blectric �,, ❑ Gas: _LP Natural `Central Utility ❑ Oil ❑ Other–Specify_ MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat `Space _Recessed _Central _Floor ❑ Residential Conditioning: —Room _Central Duct System: Material Thickness commercial Maximum capaci10 Q cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System Ll Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other–Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency 'Tjl1 I`� HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency Hyl v w—Cf tsTi j b 3 TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 r` INSPECTION PHONE LINE 247-5826 fa�Ji31�� Application Number . . . . . 04-00027926 Date 3/19/04 Property Address . . . . . . 1447 MAYPORT RD UNIT 08 Tenant nbr, name . . . . . . COMM. INTERIOR REMODEL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 2000 Owner Contractor ------------------------ ----------- ------------- B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-0500 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 2000 -------------------------------------- -------------- ------------------------ Other Fees . . . . . . . . . WATER IMPACT FEE 160 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- - --------- ---------- - --------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Other Fee Total 195 . 00 195 . 00 . 00 . 00 Grand Total 255 . 00 255 . 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. r B DING OFFICIAL Cc: CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT s H�OeRs J 800 Seminole Road r� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C)q Property Address: - .- Applicant: - Project: C + This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountaiMcemaker 'h Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray(1 or 2 compartments) 2 Lavatory 1 Shower compartment domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet,public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 a (,o TOTAL$ r s CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION RESIDENTIAL AND COMMERCIAL) Date: ?)-- Flo--0)t Job ) t- Job Address: ILAwl r),-) a �'�� P Owner's Name: Pr o a•e_��c 'S Nk .. Address: C --Ta-(,�L.ZZo`]Phone: -,c�q5--,76 9"1 Legal Description: Block Number: Lot Number: Zoning District: Contractor: r-«,,a ,n�,�r„t L.cai•� �Nt�, State License Number: _61-c- QS9R�! Address: /3„3 R Phone: �]�4 --O 5-62C City:,-7 QIrY State: til-- zip: ,?=I I Fax: r]W 1-f Describe proposed use and work to be done: �,�,y�,,,� r•�,n D .Z-.v �r- ,.- �� D Present use of land or building(s): L&mvn ie. r •• �e-Ya; Valuation of proposed construction L L Is approval of Homeowner's Association or other private entity required?A42 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ,Z NO. Applicant certifies that no change in site grade 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 Affidavit if owner is contractor,and four(4)complete sets of construction plans 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 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.adantic-beach.fl.us Page 1 Revised 1/14/03 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. 1 hereby certify that all information provided with this application is correct. Signature of owner: e2 Date: q^ I hereby certify that I have rea�dexwnined 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: 7 --C Address and contact information of person to receive all c rrespondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: per n°c 60 C.HARMON �,Xary Public.State of Florid;, ❑ Personally known My comm. expires Jan.27. 2006 Rjr-Produced identification No.DD86603 t Type of identification produced AS TO CONTRACTOR: 03 Sworn to and subscribed before me this ��_day of C% �' — ,20 State of Florida,County of Duval Notary's Signature: �7 ❑ Personally known et I.PC.HARMON r—� � �; Notary Public,State of Florida )2tQ-1Loduced identification My comm.expires Jan.27,2006 Type of identification produce---z— No.D086603 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 - Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs EnergyGauge FlaCom vl.22 FORM 40OA-2001 Whole Building Performance Method for Commercial Buildings Jurisdiction: ATLANTIC BEACH,DUVAL COUNTY, FL(261100) Short Desc: Office # 8 Project: Office#8 Owner: Address: Unit 8 1447 Mayport Rd City: Atlantic Beach State: Fl PermitNo: 0 Zip: 0 Storeys: 1 Type: Office(Business) GrossArea: 900 Class: New Finished building Net Area: 900 Max Tonnage: 3 (if different, write in) Compliance Summary Component Design Criteria Result Gross Energy Use 95.00 100.00 PASSES Other Envelope Requirements - A PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM PASSES PLANT PASSES WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check.List? Yes/No/NA IMPORTANT NOTE: An input report Print-Out .from EnergyGauge FlaCom of this design building must be submitted along with this Compliance Report. 3/5/2004 EnergyGauge FlaCom FLCCSB v1.22 1 COMPLIANCE CERTIFICATION: I hereby certify that the plans and Review of the plans and specifications covered by this specifications covered by this calculation are calculation indicates compliance with the Florida Energy in compliance with the Florida Energy Code. Before construction is completed, this building will be Efficiency Code. inspected for compliance in accordance with Section 553.908, F.S. PREPARED BY--\ BUILDING OFFICIAL: DATE: DATE: 1 hereby certify that this building is in compliance with the Florida Energy Efficiency Code. OWNER AGENT; DATE: If required by Florida law, I hereby certify (*) that the system design is in REGISTRATION compliance with the Florida Energy Code. No. ARCHITECT: ELECTRICAL SYSTEM DESIGNER: LIGHTING SYSTEM DESIGNER: MECHANICAL SYSTEM DESIGNER: PLUMBING SYSTEM DESIGNER: (*) 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. 3/5/2004 EnergyGauge FlaCom FLCCSB 0.22 2 Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL COUNTY, FL(261100) (WEA File: JACKSONVILLE.TMY) Whole Building Compliance Design Reference Total 95.00 100.00 ELECTRICITY 95.00 100.00 AREA LIGHTS 15.29 21.18 MISC EQUIPMT 8.82 8.82 PUMPS & MISC 0.15 SPACE COOL 12.35 18.24 SPACE HEAT 16.32 9.41 VENT FANS 42.21 42.21 Credits & Penalties (if any): Modified Points: =95 ^PASSES �� 3/5/2004 EnergyGauge FlaCom FLCCSB v1.22 3 Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL COUNTY,FL(261100) (WEA File:JACKSONVILLE.TMY) Other Envelope Requirements Item Zone Description Design Limit Meet Req. PrOZoIRfl PrOZol Exterior Roof-Max Uo Limit 0.05 0.09 Yes Meets Other Envelope Requirements External Lighting Compliance Description Category Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sgft or ft) None Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL COUNTY, FL(261100) (WEA File:JACKSONVILLE.TMV) Lighting Controls Compliance Acronym Ashrae Description Area No. of Design Min Compli- ID (sq.ft) Tasks CP CP ante PrOZo 1 Sp1 26 Offices(Partitions>4.5 ft below 900 1 2 2 PASSES ceiling)Enclosed offices,all open plan offices without partitions ■ r��rrr�� I PASSESr 3/5/2004 EnergyGauge FlaCom FLCCSB vI.22 4 Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL COUNTY,FL(261100) (WEA File:JACKSONVILLE.TMY) System Report Compliance PrOSyl System 1 Constant Volume Air Cooled No. of Units Split System <65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 10.00 10.00 PASSES Cooling Capacity Heating System Air Cooled HP<65000 6.80 6.80 PASSES Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.80 PASSES System-Supply Constant Volume PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL COUNTY, FL (261100) (WEA File:JACKSONVILLE.TMY) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Storage Water Heater- <=120 [gal]& <= 0.91 0,90 PASSES Electric 12 [kW] PASSES 3/5/2004 EnergyGauge F1aCom FLCCSB v1.22 5 Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp (Btu-in/hr Thick jinj Thick jini [Fl SF.Fj None Project: Office #8 Title: Office#8 Type: Office(Business) Location: ATLANTIC BEACH,DUVAL CO Other Required Compliance Category Section Requirement(write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met System 407.1 HVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ED ADS 410.1 Duct sizing and Design have been performed T&B 410.1 Testing and Balancing will be performed Electrical 413.1 Metering criteria have been met Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 Lighting criteria have been met O&M 102.1 Operation/inaintenance manual will be provided to owner Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it Report 101 Input Report Print-Out from EnergyGauge HaCom attached? TEj 3/5/2004 EnergyGauge F1aCom FLCCSB vl.22 6 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs EnergyGauge FlaCom v1.22 INPUT DATA REPORT Project Information Project Name: Office # 8 Orientation: North Project Title: Office#8 Building Type: Office (Business) Address: 1447 Mayport Rd Building Classification: New Finished building Unit 8 State: Fl No.of Storeys: 1 Zip: 0 GrossArea: Sop Owner: Zones No Acronym Description Type Load Profile Area Multiplier Total Area IS11 IStI 1 PrOZol Zone 1 CONDITIONED Uses Building Load 904.0 1 900.0 [] Profile 315/2004 EuergyGauge FiaCom FLCCSB v1.22 1 Spaces No Acronym Description Type Depth Width Height Multi Total Area Total Volume Ift] IN fft] plier lsfl fell In Zone: PrOZol I PrOZoISI)t ZoOSpt Offices(Partitions>4.5 ft 45.00 20.00 8.00 1 900.0 7200.0 [i below ceiling)Enclosed offices,all open plan offices without partitions Lighting No Type Power Control Type No.of (WI Ctrl pts In Zone: Prozol In Space: Pr0Zo1Sp1 I Compact Fluorescent 1170.00 Manual On/Off 2 ❑ Walls No Description Type Width H(Effec) Multi Area DirectionConductance Heat Dens. R-Value (ftl (ft] plier fsfl (Btu/hr.sf. F] Capacity Iib/cfl Ih.sU1Btnl lBtu/sf.F] In Zone: PrOZol I PrOZolWal 8"CMU/R-5 85.00 8.00 1 680.0 North 0.2642 9.6960 62.72 3.79 [� Insulation/Gyp 2 PrOZo]Wa2 Gyp/3 5/8"Mtl 45.00 8,00 1 360.0 North 0.0917 0.9340 14.01 10.91 (� std a 24"oc/Rl I/ Gyp 3/5/2044 EnergyGauge FlaCom FLCCSB v1.22 2 Windows No Description Type Shaded Ucen SC Vis.Tr W H(Effec) Multi Total Area [.Btu/hr sf F] IN [ft] plier IS11 In Zone: PrOZoI In Wall: PrOZoI Wal I PrOZol Wal Wil SINGLE REF B Yes 0.8785 0.26 0.45 20.00 6.00 1 120.0 TINT-L Doors No Description Type Shaded? Width H(Effec) Multi Area Cond. Dens. Heat Cap, R-Value IN [ft] plier [sf] [Btu/hr.sf F] ]Ib/cf] [Btu/sf F1 [h.sf.F/Btu1 In Zone: PrOZol In Wall: PrOZolWal I PrOZol Wa1Dr1 Aluminum door, No 3.00 7.00 1 21.0 4.1919 43.67 0.53 5.21 F-] 1.25 in. polystyrene Roofs No Description Type Width H(Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value IN IN plier [sf] [deg] [Btu/hr.SE F] jBtu/sf.F] [ib/cfj [h.sfF/Btu] In Zone: PrOZol 1 PrOZDIRfl Suspended Ceiling! 20.00 45.00 1 900.0 0.00 0.0492 1.34 9.49 20.34 [� R-19 Batt Skylights No Description Type UCen Shading Vis.Trans W H(Effee)Multiplier Area Total Area [Btu/hr sf F] Coeff IN IN [Sf] [Sf] In Zone: In Roof: Q 3/5/2004 EnergyGauge FlaCom FLCCSB v1.22 3 Floors No Description Type Width H(Effec) Multi Area Cond. Heat Cap. Dens. R-Value Ift) [ft] plier Isfl [Btu/hr.sE F1 [Btu/sf.F1 jib/cf] Ih.sf.F/Btul In Zone: PrOZol ❑ I PrOZo I F1 I Concrete floor, 20.00 45.00 1 900.0 0.5987 9.33 140.00 1,67 carpet and rubber pad Systems Prosyl System I Constant Volume Air Cooled Split No.Of Units I System<65000 Btu/hr Component Category Capacity Efficiency IPLV I Cooling System(Air Cooled<65000 Btuj%Cooling 36000.00 10.00 F-1 Capacity) 2 Heating System(Air Cooled HP<65000 Btulh 36000.00 6.80 ❑ Cooling Capacity) Air Handling System-Supply(Air Handler(Supply)- 1200.00 0.80 r Constant Volume) Plant Equipment Category Size Inst.No E ff. IPLV Water Heaters -Heater Description Capacit Cap.Unit I/P Rt. Efficienc Loss I Storage Water Heater-Electric 20 Gal 5 [kW] 0,9100 [EF] 111/./IUJ 0 3/5/2004 EnergyGaugeFlaCom FLCCSB vI.22 4 Ext-Lighting Description Categories. Area/Len/No.of units Wattage [sf/ft/Nol [W] EJ Piping No Type Operating Insulation Nomonal pipe Insulation Is Runout? Temperature Conductivity Diameter Thickness IF] [Stu-in/h.sLFj [in] [in] Fenestration Used Name Glass Type No.of Glass SC VLT Frame Frame Panes Conductance Conductance Absorptance [Btu/h.sEFj [Btulh.sf.Fj ApLbWnd4 SINGLE REF B 1 0,8785 0.2600 0.0500 0.4340 0.7000 ❑ TINT-L Materials Used Mat No Acronym Description Only R-Value RValue Thickness Conductivity Density SpecificHeat Used [h.sLFBtuj [ft] [Btu/h.ft.Fj [ib/cf] [Btu/lb.Fj I8 Mat]18 2 in.Wood No 2.3857 0.1670 0.0700 37.00 0.3900 ❑ 264 Mat1264 ALUMINUM, 1116 IN No 0.0002 0.0050 26.0000 480.00 0.1000 ❑ 214 Mat1214 POLYSTYRENE,EXP., No 5.2100 0.1042 0.0200 1.80 0.2900 ❑ I-1/41N, 3/5/2404 EnergyGauge FlaCom FLCCSB v1.22 5 187 MatII87 GYP OR PLAS No 0.4533 0.0417 0.0920 50.00 0.2000 ❑ BOARD,1/2IN 206 Mat1206 CELLULOSE,FILL,5.5IN,R- No 20.8318 0.4583 0.0220 3.00 0.3300 ❑ 20 151 Mat]151 CONC HW,DRD, 140LB, No 0.4403 0.3333 0.7570 140.00 0.2000 ❑ 4IN 178 Mati178 CARPET W/RUBBER PAD Yes 1.2300 ❑ 265 Mat1265 Soil, 1 ft No 2.0000 1.0000 0.5000 100.00 0.2000 ❑ 48 Mat148 6 in.Heavyweight concrete No 0.5000 0.5000 1.0000 140.00 0.2000 ❑ 123 Mal CONC BLOCK No 1.7227 0.6667 0.3870 53.00 0.2000 ❑ M W,8IN,HOLLO W 159 Matl159 CONC No 0.3202 0.3333 1.0410 140.00 0.2000 ❑ H W-UNDRD-140LB-4IN 57 Mat157 3/4 in.Plaster or gypsum No 0.1488 0.0625 0.4200 100.00 0.2000 ❑ 72 Mat172 AIR LAYER,3/4IN OR Yes 0.9000 ❑ LESS,VERT. WALLS 267 Mat1267 0.75" stucco No 0.1563 0.0625 0.4000 16.00 0.2000 ❑ 266 Mat1266 2x4@16" oc+RI 1 Batt No 8.3343 0.2917 0.0350 9.70 0.2000 ❑ 215 Mat1215 POLYSTYRENE,EXP., No 8.3350 0.1667 0.0200 1.80 0.2900 ❑ 2IN, 105 Matl105 CONC BLK HW, 8IN, No 1,1002 0.6667 0.6060 69.00 0.2000 ❑ HOLLOW 256 Mat1256 WOOD, SOFT, 1-1/2IN No 1.8939 0.1250 0.0660 32.00 0.3300 ❑ 268 Matl268 0.625"stucco No 0.1302 0.0521 0.4000 16.00 0.2000 ❑ 42 Mat142 8 in. Lightweight concrete No 2.0212 0.6670 0.3300 38.00 0.2000 ❑ block 269 Mat1269 .75" ISO BTWN24"oc No 2.2321 0.0625 0.0280 4.19 0.3000 ❑ 86 Mat186 BRICK,COMMON,41N No 0.8012 0.3333 0.4160 120.00 0.2000 ❑ 211 Matl2lI POLYSTYRENE,EXP.,1/21 No 2.0850 0.0417 0.0200 1.80 0.2900 ❑ N, 12 Mat112 3 in. Insulation No 10.0000 0.2500 0.0250 2.00 0.2000 ❑ 218 Matt218 POLYURETHANE,EXP.,1/2 No 3.2077 0.0417 0.0130 1.50 0.3800 ❑ IN, 23 Mat123 6 in. Insulation No 20.0000 0.5000 0.0250 5.70 0.2000 ❑ 4 Mat14 Steel siding No 0.0002 0.0050 26.0000 480.00 0.1000 ❑ 271 Matl271 2x4@24"oc+RI I Batt No 10.4179 0.2917 0.0280 7.11 0.2000 ❑ 272 Mat1272 Panel with 7/16"panels Yes 0.9044 ❑ 273 Mat1273 Hollow core flush(1.375") Yes 1.2777 ❑ 274 Mat1274 Solid core flush(1375") Yes 1.7141 ❑ 3/5/2004 EnergyGauge MaCom FLCCSB v1.22 6 275 Mat1275 Panel with 7/16"panels Yes 1.0019 ❑ (1.375") 276 Mat1276 Hollow core flush(1.75") Yes 1.3239 ❑ 277 Mat1277 Panel with 1-1/8"panels Yes 1.7141 ❑ (1.75") 278 Mat1278 Solid core flush(1.75") Yes 1.6500 ❑ 279 Mat1279 Solid core flush(2.25") Yes 2.8537 ❑ 280 Mat1280 Fiberglass/Mineral wool core Yes 0.8167 ❑ 281 Mat1281 Paper Honeycomb core Yes 0.9357 ❑ 282 Matl282 Solid Urethane foam core Yes 1.6500 ❑ 283 Mat1283 Solid mineral fiberboard core Yes 1.7816 ❑ 284 Mat1284 Polystyrene core(18 ga steel) Yes 2.0071 ❑ 1 285 Mat1285 Polyurethane core(18 ga Yes 2.5983 ❑ steel)2 286 Mat1286 Polyurethane core(24 ga Yes 2.5983 ❑ steel) 1 287 Mat1287 Polyurethane core(24 ga Yes 4.1500 ❑ steel)2 288 Matl288 Solid Urethane foam core Yes 4.1500 ❑ 81 Matl81 ASPHALT-ROOFING, Yes 0.1500 ❑ ROLL 244 Mat1244 PLYWOOD, 1/21N No 0.6318 0.0417 0.0660 34.00 0.2900 ❑ 185 Mat]185 CLAY TILE,PAVER,3/8IN No 0.0301 0.0313 1.0410 120.00 0.2000 ❑ 82 Matl82 ASPHALT-SHINGLF.AND Yes 0.4400 ❑ SIDING 1 I Matll l 2 in. Insulation No 6.6800 0.1670 0.0250 2.00 0.2000 ❑ 47 Mat147 2 in. Heavyweight concrete No 0.1670 0.1670 1.0000 140.00 0.2000 ❑ 95 Mat195 CONC BLOCK No 0.7107 0.3333 0.4690 101.00 0.2000 ❑ HW-41N-HOLLOW 248 Mat1248 ROOF GRAVEL OR No 0.0500 0.0417 0.8340 55.00 0.4000 ❑ SLAG I/21N 94 Matl94 BUILT-UP ROOFING, No 0.3366 0.0313 0.0930 70.00 0.3500 ❑ 3/8IN Constructs Used 3/5/2004 EnergyGauge FlaCom FLCCSB v1.22 7 No Name Simple Massless Conductance Construct Construct jI3tu1h.sf.FJ [Btu/sl..' 1002 Aluminum door, 1.25 in.polystyrene No No 0.19 0.53 43,67 Layer Material Material Thickness Framing No. IN Factor 1 264 ALUMINUM, 1/16 IN 0.0050 0.00 0 2 214 POLYSTYRENE,EXP., 1-1/41N, 0.1042 0.00 F-1 264 ALUMINUM, 1/16 IN 0.0050 0.00 M No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct jBtA.sEFJ [13tu/sLF] Ilb/cfl jh.sff/BtuJ 1004 Concrete floor,carpet and rubber pad No No 0.60 933 140.00 1.6703 ❑ Layer Material Material Thickness Framing No. IN Factor 1 151 CONC IJW,DRD, 140LB,41N 0.3333 0.00 2 178 CARPET W/RUBBER PAD 0.00 F-1 No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct jRtu1h.sf.Fj jRtu/sf.FJ fib/cfl [h.sf.F/Btu] 1 1014 8"CMU/R-5 Insulation/Gyp No No 0,26 9.70 62.72 17856 0 Layer Material Material Thickness Framing No. [ft] Factor 1 105 CONC BLK HW,81N,HOLLOW 0.6667 0.00 F-1 2 269 .75"ISO BTWN24"oc 0.0625 0.00 E-1 3 187 GYP OR PLAS BOARD,1/21N 0.0417 0.00 ❑ 'A/5/2004 EnergyGauge FlaCom FLCCSB vI.22 8 No Name Simple Massless Conductance Heat Capacity Density RVaiue Construct Construct [Btu&sf.F} [Btu/sf.F] [ib/cf[ [h.sf.F/Btu] 1015 Gyp/35/8" Mtl std@24"oc/RI I/Gyp No No 0.09 0.93 14.01 10.9065 ❑ Layer Material Material Thickness Framing No. [ft] Factor 1 12 3 in. Insulation 0.2500 0.00 ❑ 2 187 GYP OR PLAS BOARD,1/21N 0.0417 0.00 ❑ 3 187 GYP OR PLAS BOARD,1/21N 0.0417 0.00 ❑ No Name Simple Massless Conductance Heat Capacity Density RVaiue Construct Construct [Btu/h,sf.F] [Btu/sf.F[ [lb/cf[ [h.sLF/Btu] 1047 Suspended Ceiling/R-19 Batt No No O,05 1.34 9.49 20.3366 ❑ Layer Material Material Thickness Framing No. [ft] Factor 1 94 BUILT-UP ROOFING,3/SIN 0.0313 0.00 ❑ 2 23 6 in.Insulation 0.5000 0.00 ❑ 3/5/2404 EnergyGauge FlaCom FLCCSB v1.22 9 CONMRCIAL LOAD CALCULATIONS Air Conditioning Contractors of America For: Name Office#8 Phone Address #8 1447 Mayport Rd City Atlantic Beach State &Zip FI. By: Contrac actor Energy Design Systems Phone 287-5339 Address 1065 Oakvale Rd City Jacksonville State &Zip FL., 32259 COOLING LOAD 1. DESIGN CONDITIONS Time of Day 3 PM Dly Range 19 Latitude 30 a.Inside db 72 RF 50 b.Outside db 94 wb 77 Grains 49 Otsid db @ 3pm 94 - TOD corr - inside db 72 Equals 22 T.D. Daily Range Factor= M 2. SOLAR RADIATION HEAT GAIN THROUGH GLASS COOLING LOAD Exposure Shading / NOTES Sq. Ft. SolrFactr GlasFactr Sensible X X = N X 19 X 0.95 - E X 56 X 0.95 = S 120 X 48 X 0.95 = 5472 W X 81 X 0.95 = X X = X X = X X = 3, TRANSMISSION GAINS Equiv or Expos xposure db Sq. Ft. U Factor Temp Diff Glass 120 X 1.06 X 22 = 2798 X X = X X = Adj 360 X 0.09 X 20 = 648 Walls N 139 X 0.125 X 20 = 348 E 360 X 0.125 X 29 = 1305 S 40 X 0.125 X 38 = 190 W X 0.125 X 41 = Doors 21 X 0.58 X 16 = 193 X X = Partition X 0.05 X 20 = RA Ciling X 0.09 X 20 = Roof/Ging 900 X 0.05 X 55 = 2475 Floors 130 X X 22 = X X = Use Table 9a to Determine the Temp. Dif. Across an RA Ceiling Q PAGE TWO 4. INTERNAL HEAT GAIN Latent & OCCUPANTS Number Sensible Latent 5 X 255 = 1275 X = 5 X 255 = 1275 X = b. Lights & Others NOTE:Use 60% of installed watts for lights in RETURN AIR CEILING Watts Incandescnt X 3.4 = Flourescent 1620 X 4.1 = 6642 HP Motors Btuh Usg Ftr X = X = Appliances 2500 500 Other 5. INFILTRATION Ft3/Min db Temp Dif 48 X 22 X 1.1 = 1162 Grains Diff 48 X 49X 0.68 = 1599 6. SUBTOTALS LOADS & SPACE LOADS 25008 3374 7. DUCT HEAT GAIN Gain Line 6 Factor Sensible 0.1 X 25008 = 2501 8. ROOM, SPACE OR DESIGN LOAD Add Duct gain (7) to Subtotal (6) 27508 9. VENTILATION Ft3/Min db Temp Dif 50 X 22 X 1.1 = 1210 Grains Diff 50 X 49 X 0.68 = 1666 9 PAGE THREE 10. RETURN AIR LOAD FROM LIGHTING AND ROOF NOTE: Use 40% of watts for lights recessed in a return air ceiling Incandescent X 3.4 = Flourescent X 4.1 = NOTE: Use 100% fo the roof load for return air ceilings (Roof Load) Sq. Ft. U Factor ETD* X 0.09 X = *(ETD correction based on plenum temp.) 11. TOTAL SENSIBLE LOAD ON EQUIPMENT (Btuh) = 28718 TOTAL LATENT LOAD ON EQUIPMENT (Btuh) 5040 12. TOTAL COOLING LOAD ON EQUIPMENT(Btuh) 33759 (Tons) 2.81 V PAGE FOUR HEATING LOAD 13. DESIGN LOADS Inside db Outside db b Difference 72 - 32 = 40 14. TRANSMISSION LOSSES HEATING LOAD db Exp. Sq. Ft. Factor Temp Diff Heating Load Windows 120 x 1.13 x 40 = 5424 x x = 360 x 0.09 x 40 = 1296 Walls 139 x 0.125 x 40 = 695 360 x 0.125 x 40 = 1800 40 x 0.125 x 40 = 200 x 0.125 x = Roof/ 900 x 0.05 x 40 — 1800 Ceiling x 0.05 x = x x = Floor 130 x 0.81 x 40 = 4212 Other x x = x x = 15. INFILTRATION db Ft3/Min Temp Diff 72 X 40 X 1.1 = 3168 16. SUBTOTAL HEATING LOAD FOR SPACE 18595 17. DUCT HEATING LOSS Loss Line 14 Factor Subtotal 0.15 X 15427 = 2314 18. VENTILATION db Ft3/Min Temp Diff 50 X 40 X 1.1 = 2200 19. HUMIDIFICATION LOAD Inside RH Desired ( ) Max ( ) Ft3/Min Btu/Hr / 100 X = (water) (air) gal/day Ft3/Min X / 100 = 20. TOTAL HEATING LOAD ON EQUIPMENT(Btuh) 23109 (Tons) 1.93 ENERGY DESIGN SYSTEMS 1065 OAKVALE RD. JACKSONVILLE FL. 32259 287-5339 PERMIT WORKSHEET certificate of Occupancy Job Address: 1447 MAYPORT ROAD - #8 Type Work: Property Owner: B & K PROPERTIES Phone # 545-9682 Contractor: Phone # Permit#: tj�5 _ Z X1 --7 3 Date Issued: ��_ C-,3 Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit# (� YES NO Electrical Permit# Date / Copy to JEA Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA _ Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# n - -7-140 �I! spec 'ons: Rough c�t- Final �! Plumbing Permit# Z Inspections: Rough / Underslab Topout Water/ Sewer Final Drainage Inspection: [— Pool Permit# Inspections: Steel _ Final Grounding Final Roofing Permit# Inspections: Nailing / Sheathing Final Fire Inspection: _ Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00027532 Date 1/15/04 Property Address . . . 1447 MAYPORT RD UNIT 08 Tenant nbr, name CONNECT TO WATER SERVICE Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ----------- - ------- ----- B & K PROPERTIES ANDERSON PLUMBING 1540 HOWARD ROAD JACKSONVILLE FL 32218 (904) 757-3413 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . 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 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. �4 BUILDING OFFICIAL Jan 15 04 12: 18p Sherri 904-757-9759 p. 2 CITY OF ATLANTIC BEACH �. PLUMBING PERMIT APPLICATION Date: Property Address: Owner: K_ Pfblxr-h� S Tekp6one#: Contractor. Telephone#: q5 T 3q/3 oZ I 'SU aq 1 � �, Ccs Contractor Address: Jr t40W�l 'Far#:_'�,. 75� In aonsidenaeion of permit given£or doing the work as descnlmd in the above statemaot,we hereby agee to pC1'kirm said work in wcordanoe with the attached plans and specific0ons which are a pmt hereof and in aoaordartoe with the City of Atlantic Beach ordinance and smodw&of good practice histed therein I aWlation of plumbing and fixtures must be in a000rdsnm'with the most recent edition of the Sowhem Standwd Plumbing Cade. Plumbing Type: if other construction is being done on this building or site, New list the buil#in it number. -7gB;L a .lam-pipe - Number of Futures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Conned+o,j S Sewer Water Heaters Other , Fees Permit Issuing Fee: 535.00 Total Futures: ( X$7.00 + $35.00= 800 Serninote road•Atlantic Beach,Florida 32233-6445 Phone:(904)247-SM• Fax: (904)247.6845• ht*rJ1www.dadant1abe8ch.ft.u5