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Permit 1960 Mipaula (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ±� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001375 Date 10/01/08 Property Address . . . . . . 1960 MIPAULA CT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc roofer pulled permit see 08 1287 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHERINKA, ANDREW/JANET PRINCIPLE CONSTRUCTION 1960 MIPAULA COURT 3119 SPRING GLEN RD, STE 110 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 398-3525 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/30/09 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 w Application Number . . . . . 08-00001287 Date 9/18/08 Property Address . . . . . . 1960 MIPAULA CT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7500 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHERINKA, ANDREW/JANET COBBLESTONE CUSTOM HOMES 1960 MIPAULA COURT 907 NEPTUNE CIR ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 372-9600 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 67 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7500 Expiration Date . . 3/17/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 67 . 50 67 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Lq Y+ 3� k f��C C rr ° a m �x x r a� � F a a F� 6 �N r� x� z 34 Ems} k7!« 4 3 S� l 1 a 4r�h r a � z kaA t a3 \ � � � a . � ) � ] 2j \ j , \ � j . � � ) �2 � j � j _ � \ � � �\ j .�� . j % d �\ \ ��\ j ��\ j . f ) �^ ] .�\ j ��\ � j 7 e �� \ \ <� { / y CITY OF ATLANTIC BEACH p (� + 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-v ., OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OFF 1WORK: 3.SQ.FT.UNDER ROOF Atlantic Beach, FL 32233 / `�vl . 00 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE F STRUCTURE: ElNEW BUILDING ElDEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑A RATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER: Rf FAIR ❑POOL/SPA 11 Y ❑NIA OUT �7 1'2 C1�d )J4-1 �4� IMIc l 11 MOVE ElOTHER LINO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: / r k`�`k 15.COMPANY NAME: 23.COMPANY NAME: l� (�75ble.�t't7:'1=C:e.t,�tuth �rVrS.__. 16.NAME:►tt,� 24.L SEE NAME: M � �uz2a 1� EN 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATF FLORIDA LICENSE NO.: Lk-c--D 18.ADDRESS: C.)o-i pip tT(AN E/� Je- 26.ADDRESS: �C ,� .� ,•,� g�"fir. 3� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: -_- ` ''� ? wo gdif 37.x- 9'1oU 13.CELL PHONE: ^ I3 21.CELL PHOONE- 43Q_ I to lo r� 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMA`IIIL�IADDRESS: 30.EMAIL ADD R S: FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: .,.-� 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.AD ESS: 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,Signs,Wells,Pools,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. * WARNING TO OWNER: *** 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 of Attorney or Agency Letter Required) c Iualifier Only) Signed: Date: S S'f Signed: Date: �� d Before me this day of v.��e,d 2007 in the county of Before me this 1S day of 2007 in the county of Duval,State of Florida,has personafly appeared Duval,State of Florida,has personally appeared St 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 'L' County of Oy V(;L k Notary Public at Large,State of / L County of ❑Personally Known ffi ❑Personally Known VS Produced Identificati I O�Y�l `> I L�nS '� I*Produced Identificaf n- -0,iVe L1 Cthse. Notary Signature: Notary Signature: rr Kenneth McAllister II Commission DD 747998 'A aF Expires January 13,2012 COAB FORM BLDG01:REVISED:11/6/2007 ', �'AaFF as67olo City of Atlantic Beach Complete Plans Checklist Provide (5) copies of plans — (2) copies signed and sealed ❑ Cover Page: o Address of project o Occupancy Class: For One &Two family"Group R-Y. o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings &attachments and all pages numbered. o Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan: o Distance of proposed house to property lines o A/C compressors, generators, LP gas tanks, pool equipment etc. o Driveways, walkways, patios... o Impervious Surface Area(lot coverage) calculations o Drainage plan with supporting on-site water storage calculations, and location of easements. ❑ Erosion &Sediment Control Plans: o Silt fence location, construction detail and maintenance plan. o Inlet protection (if existing storm water inlets are adjacent to property. ❑ Construction Site Management Plan: o Location of any proposed demolition o Grading &drainage surface water management plan o Onsite& offsite parking for construction workers o Location of temporary fencing with height and screening indicated o Location of dumpster, construction trailer& chemical toilet. COAB Code of Ordinances-Sec.6-18 ❑ Foundation Plan: o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks." ❑ Floor Plan: o Size and arrangement of all rooms and intended use. o Locate air handlers, fireplaces, water heaters, attic access, etc. o Label accessible 1St floor bathroom, egress, windows etc. ❑ Elevations ❑ Structural Engineering: o Structural design criteria, loading requirements indicated. o Shear Wall plan. o Size all beams, headers and support requirements. o Detail uplift& load path connections. o Engineers embossed seal required. o Supporting structural calculations included. '04 FBC-Sec.1603 ❑ Roof Plan: o Indicate how attic is to be ventilated. 1 ❑ Sections and Details: o Typical wall sections for each dissimilar wall type. o Stair sections with guard and handrail details. o Balcony guardrail details. ❑ Electrical Plan: o Riser diagram including size and type of service entrance conductors o Location of all receptacles, switches and the distribution panel. o Rerluired plan note: "All electrical wiring to be in accordance with '05 NEC. Provide arc-fault circuit interrupters in all bedrooms per article 210-12." ❑ Plumbing (please note if the following applies): o New or existing private well on property o Irrigation to be installed o Irrigation meter desired 2 U O a 0 0 0 w a 0 0 a mu � u � A w u 0 0 a � a� +r v Cz O � I ct ,00 � 6. Ln ; Cr JO a3 O O U � n U n V V �" l Atecc , n cH � O fro0 p o x� ca U O a 0 0 a o O U U _ A b � o _ � � l'J w � v U cz o75 tj cd U `n a . ciy p Un u O O O O O O O v) l--� OO Q1 � V A CITY OF ATLANTIC BEACH When Validated, This No. 36394 FLORIDA Becomes an Official Receipt. NAME 3u 20 OZ ADDRESS p CITY G may/ 1ST M �: J5/30 02 81 RNIER ecceipCCrui Drawer:16 828 79 VARIANCEIRE-INSP 1 $15.00 ��0�3291A60 C1 CHECKS 12383 ID E Pp.' ._ CITY OF A. _..,FLORIDA PERMIT NO. PERM r TO BUILD ' S 2959 1A 0/04/0 THIS PERMIT MUST BE POSTED ON JOB 0171CACIG 8/4/ 2959 1 A B/04/fIF Date 19 88 1 f1 0) Valuation$ Fee$ R2.QQ _ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. I This is to certify that Ocean State Neat panel Air- has permission to �=XTn�+alI goat And A3* Classification Reca+i2l Zone RS Owned by Tn P r i 1 1 _ Lot 1 t Blockn ase 11 D Sklva 'Norte House No. 1960 Mipaula Ct I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE �i O Building material, rubbish and debris zii from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL _ I SEWER WATER I .14G 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, III, and IV. I. !— t LOCATION Street Address: t61� -�- OF Intersecting Streets: Between And BUILDING Sub-division 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 attaciLed 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 MechanicalContractors Contractor (Print) oC e� Master Name of Property Owner - Signature of Owner Signature of or Authorized Agent Architect or Engineer III• GENERAL INPOATION A, Type of heating fuel: B. 1 �1 IS OTHER CONSTRUCTION BEING DONE ON !(J Electric THIS BUILDING OR SITE? Xi S /❑� Gas—❑ LP ❑ Natural ❑ Central Utility El Oil IF VES, GIVE NUMBER OF CONSTRUCTION \ ' PERMIT ` ❑ Other — Specify IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Central O Floor New Building Air Conditioning: ❑ Room X Central ❑ Existing Building Duct System: Materials Thicknm—L— ❑� Replacement of existing system Maximum capacity c.f.m. / \ �- � New installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower. Capacity q.p.m. El Other — Specify ❑ Fir* sprinklers: Number of head• ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeeiwd) Q Tanks (number) Remarks ❑ LPG containeK (number) ❑ Unfired pressure vessel Q Wipers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT tar A�P> t Number Unit. Description Yodel Number Manufacturer ( ) ALLY i )� fc AF 44241 MAP SHOWING SURVEY OF LOT 11, SELVA NORTEifUNIT ONE, AS RECORDED IN PLAT BOOK 39 , PAGES 94 , 94A N AND 94B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. IG,tlrin FfI�E i LoT 3 i'GYXIOIZ /�GYt/_x /V 8a0 O 7 '4? 3 -+► �ty(/O/L' /,Zoi(/ 0.273.Co p p h ov (a✓33�d�� 0 oo� 7W/5 5 A A50& 144 4,CY Sl eYek �t Ty/s i'�oR.r,CTY U�5 �.V /2ocao .Sam N Eq, 6Y /raPv W JO7 �) o/iz�j�e ✓.p �' E<e=✓.i7'iorS.or?��ow� Tries ��•T dNv �oci.Up/c5 3 asc -/- - r'!S.9I- 141 /2 �.--7d _ _f__ �. -p1`"/O • C�G�...•.•: � .5.00. <� �- �8. 37 /oC i?L`C"-/lC"{��✓ci<Y 'f, /!eB��/Ori�/..o s Ghia'y' 1 .-�fr"'.�.e_�"G".•Y<�"!� .-i'L7✓. .4! /9G!$ T.c> �.r'vr✓ Address_ Heated Square Footage Grp ` /Shed Garage @ $ �- er sq ft = $ (9SZ b @ $ Carport/Porch per sq ft = $ Deck @ $ tier sq ft = $ _- Patio @ $ per sq ft = $_ ��5 @ $ per sq ft = $ i TOTAL VALUATION: $ �O Tota a uation �� $ Remainder Valuation $ per ousan or Portion thereof ---------- ADDITIONAL PERMITS -- - --------- and/or FEES RE UIRED---'� Total Building Fee $ :307 -?!S + 'k Filing Fee $ Mechanical Fireplaces @ 15.00 $ _� Plumbing BUILDING,'PERMIT FEE $ 7 l0 3 Electric/New Electric/Ten '-------------------------------------------------- Septic ---------- ____Septic Tank BUILDING PERMIT -1 4 Co. (.o 3 Well S<aimnirg Pool WATER METER CHARGE $ 00 SEWER IMPACT FEE $ Sign � WATER IMPACT FEE $ Water Connection e 00 x ' MISCELLANEOUS $ Sewer Connection Water Meter $ Elevation Certificate $ GRAND TL DE ------------------ $ 3 ----------------------------------------'----------CALCULATIONS and/or NOTES ----------- ----------__ I City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNIT'S ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXEDaAT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. __ - i BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY & BATH -----SERVICE SINK TRAP STAND TUB OR SHOWER STALL (6) (g) ____ `WATER CLOSET, TANK OPERATED (4) -----WATER CLOSETVALVE VALVE OPERATED (g) ____BATHTUB/SHOWER (2) !� URINALIWALL LIP (4) _____SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1 ) ___SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) ___kLAVATORY ( 1 ) I -----COMBINITION SINK AND TRAY (3) _WASHING MACHINE (3) SCULLERY SINK (4) ____DISHWASHER (2) WASH SINK EACH SET OF _____KITCHEN SINK (2) iFAUCE'1� (2) i ___,_KITCHEN SINK WITH WASTE —DENTAL LAVATORY ( 1 ) GRINDER (3) ____ 'DENTAL UNIT OR CUSPIDOR ( 1) -----BIDGET (3) _____URINAL STALL, WASHOUT (4) _____FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH _____URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) _____DRINKING FOUNTAIN (1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) ____ LAVATORIY, SURGEONS (2) _____SURGEONS SINK (3) __It ICE MAKER (1/2) WET' BART (2) 2I TOTAL FIXTURE UNITS___— _ @ $20. 00 �t ) CH JOB INFORMATION t ------ --- — -- ---------- ---- _--_ _2 c -- APPLICATION FOR WATER METER DATE: CONTRACTOR: ----------------------------------------- BILLING ADDRESS:__ ----------------------------- SERVICE ADDRESS: -------------- --------------------- LOT:_ __-BLOCK:-%Zf 4IC, UNIT:---------SUBDIVISION: ACCOUNT NUMBER: of Woo 5 --------------------- METER SIZE:_ ' ;3 I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. C TR / ----------- -- -- -- ----------- CIT OF ATLANTIC BEACH DEPARTMENT OF BUILDING ��� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 476*53 T Date June 24 475.53CKT �31a 1 A. 5/27/R Valuation$ 156,&&8.S0 0 _Fee$ 9971 900CAC 476.63 0230 1A 6/27/' This permit not valid until above fee has been paid to City Treasurer,and is MOO subject to revocation for violation of applicable provisions of law. This is to certify that r 462 Sturdivant RGO028980 has permission to build SIngle vantlydwelling as per- :plans Classification Rosi limtjJA Zone FtS 1 Owned by Joe Gill Lot 11 Block Phase A S/D__Selva Notte House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE /--� —� O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and hauled awa -)y either con- tr �r caner. �'. n al FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ** PRESCRIPTIVE MEASURES (Must be met or exceeded by all residences) ** COMPONENTS SECTION REQUIREMENTS WINDOWS 904. 1 Maximum of 0.5 CFM per linear foot of operable sash crack . ---'----- '--------------------------------------------------------------- -'- - -- EXTERIOR & 904. 1 Maximum of 0.5 CFM per sq . ft . of door a/ ua. ADJACENT DOORS Includes sliding glass doors, solid core, wood panel , insulated, or glass doors only. ------------------------------------------------------------------------------- EXT. JOINTS & 904. 1 To be cau]ked , gasketed , weatherstripped or CRACKS otherwise sealed. WATER HEATERS 904.2 Must bear label indicating compliance w/ASHRAE standard 90 or comply with efficiency and standby loss requirements. Switch or clearly marked circuit breaker (electric) , or rut-off (gas) must be provided . An external or built in heat trap must be provided. .........-- -........ `.....--------------------------- -----`..... `....... .............-----------------......--- ... ... ........ -- ' SWIMMING POOLS 904.3 Spas and heated pools must have covers (except & SPAS solar heated) . Non-commercial pools must havo a pump timer . Gas spa & pool heaters must hav� minimum thermal eFficiency of 75% --'---'— ' ---'' - ' --------- -----' ------------------' ---- ----- -------- - - --' -'- HOT WATER 904.4 Insulation is required only for recirculati/nJ PIPFS systems. In such cases' piping heat loss shall be limited to 17.5 BTU/H/Linear Ft . of pipe. SHOWER HEADS 904,5 Water flow must be restricted to no more than 3 gallons per minute at 2O to 80 PSIR. -- - _--- ---- _----------------- - - _------ _-------------- _ ------------ ' I-K4AC 1A ICT 903.2 Constructed in accurdanre with industry CONSTRUCTION 904.6 standards & local mechanical codes. Ducts in Unconditioned space must be insulated to minimum R-4.2 & joints must be sealed . HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. --'- '--- ................ ---......... ...... --`----.....-.....------......... '---------........ ........--.............................- .............---.........--- - ----' CFIiING INSU . 904.9 Minimum R-19. ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS REQUIREMENTS PRACTICE 01 Comply with Infiltration Prescriptives in above table.. - -` -.... ............ ----------------------'------ - -------------------- - -- ---------- `---' - `' PRACTICE #2 Comply with Practice #1 and the following. ��........�������............. ---------------------- -------- ----- ------- - '-- -----------' Exteriur Walls & Floors Top plate penetrations sealed . Ir/fi ] tratio-c` ^ barrier installed . Sole plate/floor joint caulked o/ sealed. Exterior Walls & Ceilings Penetratiohs, joints and cracks on interior surface caulked , sealud , and gasketed GILL -RES. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION ' Section 9 Compliance Program--Residential Point System Method ` Version 1 .05 March , 1987 Department of Community Affairs Printout Submitted in lieu of Form 90OA-86 -' -- - ------'-------------------------------------------------------- ---' ' ' - --- PROJECT NAME: | PERMITTING OFFICE� ___-__ | 'x ""-_ _ +^-- _ AND ADDRESS: | CLIMATE ZONE: 1 2 -------'-------- ------...............-......... | ' _ _..........' BUILDER: ^�� | PERMIT NO. : ............... OWNER: | JURISDICTION NO. : s=........ _ -- ---- - ..........-... ............ ............ `- -`-----.... '.........-..... -.... ........... --------- ----------...............-------'..........-.....----- -------- '- BUILDING OFFICIAL COMPONENT VALUE C|IECKLIST WINDOWS Double Clear Total Area: 554.0 WAILS K Ext Wood Frame A/ ea: 2865.0 _........._....................................___ R-Value: 19.0 ___..................... _......... ____ P. Adj Wood Frame Area: 156.0 R-Value: 19.0 CEILINGS 1 . Under Attk- Area: 2841 .0 R-Value: 30.0 _.............._... __ FLOOHS 1 . Rsd Wood Area: 1618.0 _............. _............. R -Value: 19.0 ................._........................ DUCTS ()ncond . Space Length : ALL .....____________.......... R-Value: 4.2 COOLING 1 . Cc'ntral A.C. SEER: 9 .60 ...._....................._...............__ HEATING 1 . Heat Pump COP: 3.00 HOT WATER Bedrooms: 1 . Electric EF: 0.88 INFILTRATION Practice: 2 Conditioned Floor Area: 2717.0 AS BUILT POINTS / BASE POINTS * 100 = EPI 50971 .7 52113.5 97.8 GLASS TO FLOOR AREA RATIO = 0.2039 DuctWork Ductwork in unconditioned space must be sealod . Fireplaces Equipped with outside Lombustion ai / , d»urs, and flue dampers. Exhaust Fans Equipped with dampers. Combustion devWps see 903.2 M . ` Coohlmtion APp] ianwos Provided with outside combustion ai/ . __-_______-__ -_-___ ' -___-__-________-___-___-____ _'_____- -- '_ - ' In Accordance with Sec . 553.907 F.S. , | Review of the plans and specifications I Hereby certify that the plans and 1 covered by this calculation indicates specifiLations covered by this Lalcu- | comp] iancc with the Florida Energy lation are in compliance with the | Code. Before construction is completed Florida Energy Code. 1 this building will be insPected for | compliance in accordance | 553.908 F.S. � (UNER/AGENT: | B\|ILDING DFFICIAL: | ~~ }QTE:_ 1 DATE:........ . � ***********»*****************************************************************»* S\iMMER CAL CU|ATIONS ***************************»********************»********************»*****»*** ' == BASE =`'= | === AS-BUILT =�= ORIEN AREA x BSPM POINTS 1 TYPE SC ORIEN AREA x �LASS '---------- - � � SPM x SOF = POINTS WINTER CALCULATIONS BASE MS-BUILT HL ASS-- ORIEN AREA RWPM POINTS 1 TYPE SC ORIEN MREA x WPM x WCF - POINTE; | DBL CLR N 42.0 7.3 1 .09 334.3 1 DBL CLR N 1P.O 7.3 1 . 13 99. 1 | DBL CLR N 9.0 7.3 1 .40 92.2 | DBL CLR N 4 .0 7.3 1 .48 43.P S 270.0 -28.4 -7668.0 1 DBL CLR S 30.0 '`28.4 0.92 '707.6 | DBL CLR S 72.0 ' 28.4 0.93 -1947.4 | DOL CLR S 15.0 08.4 0.74 '313.2 � DBL CLR S 15.0 -P8.4 0.96 ' 409.3 | DBL CLR S 72.0 -28.4 0.97 -1993.6 | DBI [ LR S 24 .0 ' 28.4 0.97 -658.9 1 DBL CLR S 42.0 -28.4 0.97 -1154.9 W 157.0 ' 9.P -1444.4 | DBL L1R W 9.0 -9.p 0.01 -0.6 | 08L CLR W 21 .0 -9.2 0.85 -164.8 | DBL CLR W 18.0 -9.P 0.39 -65.3 | DRL CLR W 36.0 -9.2 0.86 -284.2 1 DRL [&R W 73.0 -9.2 0.68 458.3 �`.......... ............. �..... ...�..............�� ������........ ��'...... .. ........ �`������ ��` . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x FV'ASS = ADJ GLASS | H 'ASS AREA AREA FACTOR POINTS POINTS 1 POINTS . 15 2717.0 554.0 0.736 -8185.3 '6021 .5 1 -7114.2 � AREA x BWPM = POINTS | TYPE R'-VAii}E AREA x WPM = PDJNT5, - -'------ ------ ---.... ......- -----'........- -........--.....- ........ '.....-------- - ----'---.... ------- ------- ' W0LLS- --' � - -''- | Ext PB65.0 200 6303.0 | Ext Wood Frame 19 .0 2865.0 200 6303.0 Adj 156.0 3.60 561 .6 | Adj Wood Frame 19.0 156.0 2.20 343.2 � DOORS- ----'--' -' | Fxt 44.0 15.40 6-77.6 | Ext Wood 44.0 15.40 677.6 Adj 22.0 13.30 292.6 | Adj Wood P2.0 13.30 292.6 | to 2717.0 1 .20 3P60.4 | \}nder Atti(. 30.0 2841 .0 1 .P0 34090.1 | FlOORS--------' - | Rea} 1618.0 0.96 1553.3 | Rsx\ Wood 19.0 1618.0 1 .90 3074 .P | INFILTRATION ---'----' | 2717.0 7.40 20105.8 1 Practice #2 2717.0 7.40 20105.R T([[AL WINTER POINTS | P6732.8 | 27091 .4 � [0TAix SYSTEM , HEATING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = HFATING WlN PTS MULT POINTS | COMPON RATIO MULT MULT MU -T POINTS 26732.8 0.39 17772.3 1 27091 .4 1 .000 1 . 100 0.463 1 .000 13057.2 ' - ******************************************************************************* WATER HEATING **********»**»*******»******»***»****»***************»***»********************» �== BASE AS-BUILT ==� NUM OF x M<U-T ` TOTAL 1 DESCRIPTION EF CAP x MMT x CREDIT = TOM REDRMS RATIO M|U-T 4 3803.0 15212.0 1 Electric 0.88 1 .000 3803.0 1 .00 13212.0 ««***************************************************************************** SUMMARY ***«*************************************************************************** === 8ASE AS-BUILT =='` CCKIL I NG i i F*.()TI I"I i.-.3 HOT WATER TOTAL 1 COOLING HFATING HOT WATER TOTAL POINTS + POINTS POINTS = POINTS | POINTS + P + POINTS = PO]NTF3 -------- `--`-- --------- ------.....----- -............... - `-- ........... --- ------'-- `--------- '--' P11P9.2 15772.3 15212.0 5PI13.5 1 2190P.5 13057M 15P1P.0 50971 .7 ***************** * EPI = 97.8 » ***************** ' | � � ) ~ CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner Address zip______phone_______ -------- -- ---- ----- -------------- Architect_ _ ,� ---Address__ � � .-zip��- phone�J5_-4 . Contractor_66Fe� e `�'�`Address � �� - ip------phone?f�fZ�7 Contractor's License numberR,ff!jkftG______expirations 3aa-J:4- Lot-,4/ J:4- Lot-,4/_---Block or Section_4��_ ��J'-•,�c«�-1��c1 g - -"- /96a Street44.,e wsen______________and side Type ConstructionL.-kea _No. Units-----L___No. Fireplaces___ Purpose of Building__-J-,�-ILLa------------- Est. Valuation Utility Method - Water__U12,------ Sewer— C ---- Dimensions - Buildingfl �-C'ot_ G,��____Size Footings Sz. Piers _ __Sz. Sills Greatest Span Sills -- ------- --- --- ............... Sz. Ceiling Joists---------Distance on Centers---------Greatest Span_______ Sz. Floor Joists _ �� Distance on Centers6!` Greatest Span/� Sz. Rafters Distance on Centers---------Greatest Span_______ Method of Heating__/ e. '----Solid or Filled Ground Roof J�- Flood Zone__ __If locj6ted within a FLOOD HAZARD ZONE complete page 3 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 building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed A PT V E D dedicated City rights-of-way and to clear, clean, gra¢R,A CF"I;ttA V TIC BEAC!! drain said right-of-way to City BUILDING OFFICE specifications. JUN 0�03 Signature Owner____ _ --------------------Date------ B___ _ Signature Contract ---------Dat ,/(1� _ ► 7� page 2 D 423 1?z M JUN 17 1988 Building and Zoning FLOODPLAIN DEVELOPMENT INFORMATION Type of Development _ .�.a, , ------------------------------- Flood Zone: A ----------------------- Required Lowest Floor Elevations___/1l'. 2 If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all 'other laws or ordinances effecting the proposed development. Date , /,.„ijee-_Applicant '8 Signature ,`_�_ #_._.---------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation APPROVED --------- As Built Lowest Floor Elevation CITY Gr ATLANTIC BEATI Survey Filed with Building Department------------ BUILDING OFFICE ----- ----------- SUN ----------------------------------- Bui�ding Department Representative g+ page 3 1 QL4111 -A I v � _ O I I I I \ I I I I 01 I I I 1 I I I I 1 wwI I I 13 1 I I 1 a A I I I I Vol 1 I I I I I I x I 1 I I H 1 I I I ro I I 1 I 1 I o I I I I O I I 1 I l0 I 1 h I I N I 1 H I I M I 1 pI 1J I I I 1 1 I m I o x x 1 •• •• I I o M (o I I p I I '•I 1.I I o lzz I o •• O F h i A i i W W o W v W li l-I U W W°i P. i E-�i W Z E E I Z r H r F I ro O I A I z q uu �Z x0z a s i F 0 to w zz ooa�° ^' H N I I '~.II\ IW 4J N u w H H i bEo O w I VN WWUDw.Om ✓ I � w I I I G u a C4 i M tan'J � I In I �W ro r l �zI-I w I h I N I Nml aI � £ I xllyo oNla I I a i H W z to o f OAA .pq I aI-loo I W W I m w I m oRlalno I P6FF I o 0 O u 1 W W I I V w 0)0 l \ \ I \H 1 01 o x 1 004 l 01 O I m � .IUUrIo I oua .. .. .. .. i w a 0 CI I ai I O W u I I A W r.o 1 m a i a i o o a w u a w A a l a u S�a I •ail I r CD I aU I QUOa�, I F I rl '•I I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- }I I. OFFICE:(904)247-5826•FAX NO.:(904)247-5845 Jt i BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1:JOB ADDRESS: 2.VALUATION OF WORK: 3,SO.FT.UNDER ROOF ,T..-OP Gf� � 4.LEGAL DESCRIPTION: Atlantic Beach, FL 32233 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑ LOT_BLOCK_SUB DIVISION NEW BUILDING ElDEMOLITION 19 RESIDENTIAL ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: 10ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: � 11 10 ❑POOL/SPA ❑YES 11 N/A C' ❑MOVE ❑OTHER NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAM 23.COMPANY NAME: A,,l� 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORID CENSE NO25.STATE OF FLORIDA LICENSE NO.: t_'G- F7.S /QlatJ M��dL/d W 18.ADDRESS: /gyp �t�:,_ /�y� 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.JEMAIL ADDS: { 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: ONDING COMPANY:PANY:F OTHER THAN OWNER) MORTGAGE LENDER: 31.NAME: 33.NAME: 35,NAME: 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,Signs,Wells, Pools, 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. * WARNING TO OWNER: * 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 of Attorney or Agency Letter Required) (0 llfie Only) p Signed: Date: Signe • Before me this day of ,2007 in the county of Before m�thls /day of 2007 in the county of Duval,State of Florida,has personally appeared Duval, to of Florida,hasonally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirml that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of Notary Public at L (_ Count of ❑Personally Known Pers ally Ki `,.P��; ❑Produced Identification- oduce Iden' 'O - ° SHIRLE �• GRAHAM Nota Signature: - = C tate /Florida z1rV0 74 9nin Ir Notary 9 Notary ' nat r p Nctary Assn. COAB FORM BLDG01:REVISED:11/6/2007 City of Atlantic Beach Complete Plans Checklist Will Provide (5) copies of plans — (2) copies signed and sealed ❑ Cover Page: o Address of project o Occupancy Class: For One&Two family"Group R-Y. o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings &attachments and all pages numbered. o Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan: o Distance of proposed house to property lines o A/C compressors, generators, LP gas tanks, pool equipment etc. o Driveways, walkways, patios... o Impervious Surface Area (lot coverage) calculations o Drainage plan with supporting on-site water storage calculations, and location of easements. ❑ Erosion &Sediment Control Plans: o Silt fence location, construction detail and maintenance plan. o Inlet protection (if existing storm water inlets are adjacent to property. ❑ Construction Site Management Plan: o Location of any proposed demolition o Grading &drainage surface water management plan o Onsite&offsite parking for construction workers o Location of temporary fencing with height and screening indicated o Location of dumpster, construction trailer&chemical toilet. COAB Code of Ordinances—Sec.6-18 ❑ Foundation Plan: o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks." ❑ Floor Plan: o Size and arrangement of all rooms and intended use. o Locate air handlers, fireplaces,water heaters, attic access, etc. o Label accessible 1St floor bathroom, egress, windows etc. ❑ Elevations ❑ Structural Engineering: o Structural design criteria, loading requirements indicated. o Shear Wall plan. o Size all beams, headers and support requirements. o Detail uplift&load path connections. o Engineers embossed seal required. o Supporting structural calculations included. '04 FBC-Sec.1603 ❑ Roof Plan: o Indicate how attic is to be ventilated. 1 ❑ Sections and Details: o Typical wall sections for each dissimilar wall type. o Stair sections with guard and handrail details. o Balcony guardrail details. ❑ Electrical Plan: o Riser diagram including size and type of service entrance conductors o Location of all receptacles, switches and the distribution panel. o Required plan note: "All electrical wiring to be in accordance with '05 NEC. Provide arc-fault circuit interrupters in all bedrooms per article 210-12." ❑ Plumbing (please note if the following applies): o New or existing private well on property o Irrigation to be installed o Irrigation meter desired 2 U O a U O O O ai O Z G v Q A u O z, 0. U 44 C Cel CITY OF 4&04-C �eacic- aicda Office of Building Official REQUEST FOR INSPECTION Date Permit No. 0 Time A.M. Received P.M. District No. T W N J O vi p� CD00CD uq O I-] Y-M Bp O O O 2 CD p, y '1 C3 r CD CD CD(D 'TS n `O `t� p 50 �] h N Z O ,ti r+ CD C/1 p CD " n r v' co r-r cC 0 a C -s b 0 c d CD b 0 c t" 0 c 0 c r 0 c ftl O 'y cON +�+ O ; Rt Q] �. 4-1 40 40 w N U w 0w .fl H ^C3 O U O O a,4-4 0 Eo � a03 U c9 A24-4 '" o ° .� b ° d A co . -° •3 w 0. rn Q. � s = � C) w al O C 4] Q•' 4) U �' a) U a) C, ,a �cs o ��. 4": � a) o v 0 ca O V .� " 1.1.0 z o p .z� cc c U [� Cc a. O r O to O a O O O v ^ iz- 0 cc rA 10 RS W (V Q t1 y p �M CO V w Q cd o ° p cd a H U E� U CITY OF ATLANTIC BEACH MECHANICAL PERMIT 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24114 Address: 1960 MIPAULA COURT Permit Type: MECHANICAL ATLANTIC BEACH; FLORIDA 32233 Township Class of Work: ALTERATION Range: Book: Lots : Block: Section: Proposed Use: SINGLE FAMILY gubdivision: Square Feet: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/20/2002 Name: CHERINItA, ANDY. Total Fees: 59.00 - Address-; 1960 MIPAULA COURT Amount Paid: 59.00 ATLANTIC BEACH, FLORIDA Date Paid: 5/20/2002- Phone: (000)000-0000 Work Desc: CHANGE OUT 2 UNITS APPLICATION FEES CONTRACTORS . 59.00 SCOTT AIR TECHNOLOGY PERMIT iii , � 4tr TL \.• r . Ilia it.Ji _ •liC w. ,{4�r u.,r,�,�.�--aP'a, ,a• ^Yy'ga -. ' ..,�:z�i: 'aM -.�•r,,,,i�'- ' "t�. °"'Zi�•x :p� ;"'Y"•:!,,'x+`�," +s,-'�,� �,•`• 3sA.'"r "rF y� 4+Si�' `' 'y. �'� „zi •a .,�:: r y •'ate,.� ,� ,e.r c, .,;,'�.,, a N,pc' ` 2 3 x � , +�' nwlz A . ` a aar °��+# "mac ti tai v' �r : �r =� �� �► • �•_ - � � ." �fir",,"r°y � 7 ���� r._:y'p��.�,�.t,�y��"r y,J,':�'�y+m�i�^3.��'?�,a.^•' +� r^�r"� c.9' fT}�':� napr�a '� •M RCT .iT`'-'�M„y.`,"�1'i� i"f3l��L��,y�',ri �+�-'� iy ��°�•� � 3�s #(' ��`Y. i.,q;�-� 4 AKK NOTI 5 4 ION 6d} y _ SPACE, AND BUILDING MATE ; �, MUST BE CLEAR' YI'1fTtt `` � kY'h. ^w��S� { r�{cs� •"' ; �4 f r �'r�i i T'-sy .�.,y��.. a..,.. ::"=•-;•�'� a �9x _ ..R' fi Sr—t- •r°�y t.A r S' . E "FAILURE TO C��€� - PROPERTY OWN ISSUED ACCORDING Ts ECT TO REVOCATION FOR VIOLATION OF APPL r oiler: CNERYLE Type: OC Drawer: 1 Dete: 5/21/02 01 Receipt no: 59753 14 PERMITS-BUI1211% 1 559.00, 041OW221Q00 A TIC BEACH B ILD G DEPT. I%$ NIPAUU • Cr GNECrS_ 559.00 -- ---- - -- �f 9ifs'16te: '5Y�42 TiM 13:16:24 Feb-09-98 15 : 13 wa ,il P .01 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ArLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER — IMPORTANT — Applicant tO complete all items in sections I, II, III, and IV. I. ` LOCATION Street Address: lQVO t�. e�LA—q . OF Inlerteeting $Iretlt' Between T.1� ty}p � LJC• And_ 2c) BUILDING Sub-division - 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work at drscribed in 11,p ahr,.r tlene ta+ enl we heinbv ngree to perform said work in accordanc with the ellech_ed plans and spec,fications which are a pert hereof and in accordanco. with the City of Jacksonville ordinances and standards of good practice listed Iherein. Nome of hfvl(clsan'cel O� N. T ' Manhattan ACa�Sco z7 Conaelor Print •C ) eC�� �tetler C Name of Property Owner Cs Signature of Owner Signelure of or Authorised Agent Archilecf or Engineer III. 6ENER.AL INFORMATION A. Type of heeling fuel: B IS OTHER CONSTRUCTION SIZING DONE ON �, Electric THIS BUILDING OR SITE T r�Q ❑ Gas--❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other -- specify IV. MICHANICIIL IQUIPMINT TO It INSTALLED NATURE OF WORK (Provide complele list of components on beck of this form) 00 Residential or I.:) Cominerci,,i ❑ Hoof ❑ Space Q Recessed g Central O Flop 1.3 New Building ❑ Air Conditioning: ❑ Room g Central 10. Existing Bullding ❑ Dvcl System: Mehrial Tlsickneu Replacement of existing system Maeirnum capacity 2A c(,m, LU Now Installation (No system prevlously Installed) ❑ Refrigeration L7 Extension or add-on to existing system ❑ Cooling tower: Capacity g•p•m. U Other — Specify ❑ Fin sprinkler: Number of head. ❑ Elevator ❑ Man1111 ❑ Escalator, (number) ❑ Gasoline pumps _ (number) TMS SPACE FOR OFFICE USE ONLY I ❑ Tarlo (number) Ramorls ❑ LPG container (number) ❑ Unfired pressure vessel -- ❑ {ellen Permit Approved by Doh ❑ Other -- Speclty Permit Fie LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMEN-1- CTfty A P��Number Vnfta UecHptlon Model Number tanutecturer s) I _— _ --art,vz 3.o tai w ADDRESS I------- -- CONTRACTOR------- 6vm--------------------------------------- ^e ► O OWNER----- �K.---- --------------------------------------- BUILDING_ MECHANICAL-=/ g 7 _ PLUMBING__! --- ELECTRICAL_(0/51 TEMP POLE------- MISC----------- ELECTRICIAN---- __________ELECTRICIAN____ / --------------- DATE _____________DATE FAILED DATE PASSED TEMP POLE .7EA_p�a-s__ __ _`_ _ FOOTING ----------- ROUGH PLUMBING ----------- ----- SLAB -_rt �a\ J FRAMING ----------- - ! --- MECHANICAL/FIREPLACE ----------- Zd TOP OUT PLUMBING -5e LJ?i2 `I uJ p-IeGL., ROUGH ELECTRIC ____ FINAL ELECTRIC FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF OCCUPANCY DATE ORDERED 40ml` DATE ISSUED Olk _ Ook aMb .f .�.I Amk .r► H E. d H W Z p cv N :3 14 � W i11 w I w v Y W W Z W O O LU F F O co p g CO a p cr coLU LU a vi a L) a O Q z Z o a WWF o v a m C TZ w .rT**.1 a can ?. Lu Zai goz ° a U F- H U QzW 4 O LLaNU. 0 J Z LTi' z F ° o a m U W Vu U U � W � 0, HU � H W o } 01 a m m •1 F d p w O z m N o � F O z a w w w O W ¢ ¢ H 2U O U Z U � w U U z w U U' O U) Z O W a ¢ Y w Z m � O z ¢ .- a LJ a O O -' O ? p U sly ►. ` M� i. - ,MR Am W S30IA83S1N3W'J1(J,VVW NOf1VYYHOdNI v irate # (�rrunr CITY OF 0jJfQ1CR#faa JDp:Pttrtntrnt of Muilding Jnowtion tandard This Certificate issued pursuant to the requirements of Section log was i�eSouthern compliance ith the Building Code certifying that at the time of issuance this various ordinances regulating building construction or use. For the following. New Fesddential Bldg.Permit No.9871 -- Use.Classification FrameFirc District. Atlantic Beach -- Group Type Construction_— -- . _ Owner oEBuilding Tee Glll _ Address_— 1960 Mipaula Selva Notre _---- _Locality .--- . Building Address t �— Rene' Angers______ Dare i Badding ►OtT IN A CONSFICUOUa PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : Building Contractor: C �l Building Permit Number: Q< , ' Address: &aoo-- Legal Description : L-C) 4 , �ha� 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 n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY : Fire Chief Public Works _______________ Planning Director _______________ Building Inspector _______________ k UTILITY SERVICE'• AGREEMENT (Water and Sewer) THIS AGREEMENT entered into this GQ3 day of W yam_ 198 , between the City of Atlantic Beach a Municipal (corporation, hereinafter called "City", and corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T 11 WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as refer to acreage, plat engineering drawings, or legal description as Exhibit A and WHEREAS, Developer plans to develop said land by constructing ' buildings,' residences and/or other improvements thereon consisting of ' ' S►� t -� YYl thome and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary- for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and : valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of- public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and Agreement under this provision, City reserves the right to negotiate With Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any governmental entity or agency shall be paid - by Developer except such part thereof that has been deeded to the City in accordance witl► tl►o Le"i"s of this agreement. 5. The rates charged by City :for water and sewor so"viec shall be in accordance with its rate schedule which shall be subject to change , from time to time. City shall have the right to determine reasonable meter size and location. 6. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnisl► title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements ' will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer • to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumpi►►g station and water to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right., privilege and easement to construct, reconstruct, operate, maintain,- repair, aintain,repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and egress to' each of the building sites on Developer's property which are served' by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not Have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves ori Developer's I property. 'I'lie .Developer hereby agrees .' • to hold harmless and indemnify City for all costs and damages resulting from flooding due to .back flow preventor valve failure. 8. The construction and design of all facilities to be Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into tate Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities. than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's' service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing ar.id specifications are to be in accordance with the City of Atlantic beach requirements unless otherwise .specified by City or its engineer. D. The City also reserves the right to approve the utility contractors to wllicl► construction bids are sent by Developer as well as the contractor to which the award is made. C. A representative of City or its engineers will be the .inspector of the project along wit)t the Developer's engineer, but City absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City.. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lilies on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-flunily projects such as apartments, mobile home developments, condominiums and PUD's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such conveyance to take effect without further action upon the completion and acceptance by City Of said incttil1gf, . A- __, , - 11. Developer shall pay .the City upon. execution of this Agreement the sum of .10� per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of 10¢ per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to . provide water and sewer service to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at, the rate of onethousand thirty ,five dollars ($ 1,035.00 ) , per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of • r , 5 D. A meter installation fee to cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter E. 1£ available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property.. is prgvided by tl►e use of a mein extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer'Developer's share of tine cost of said main extension o,r other• improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro, rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of tine cost of said facilities. Said refunds shall be calculated on tine basis of the hydraulic capacity and demand of said future developer whenever feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire- at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of and B. Water plant capacity charge upon the execution of this Agreement, a total of ��p� , 0 C) and C. Sewer plant capacity charge upon the execution of this Agreement, a total of '• (�3 �� and D. Meter installation fee according to the City's service availability policy at time of installation which currently is 44S . op. upon application for hook-up of individual lots, apartments, multi-family lots or units; and F. Construction water based on meter readings in accordance With City's rate schedule; and F. hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of'$ and G. Service availability charges and other additional aids in construction in accordance with paragraph 11G of this Agreement in a total amount of '$ . . . . . • • • • . navahlP 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect ori date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water systems, for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part ofthe project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per Million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs, above ninety percent (900) treatment, and of the cost of any additional required outfall pipes to may be required by City, subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the facilities by the City. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic payment of the water usage and sewer usage charges in effect oil the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the Developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to tl►e City by Developer wider the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall, not inure to the 'benefit of the successors or assigns of the Developer. ' 19. It shall be .'tile responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or conunercial construction. 20. Unless the damage to any o►tsite improvements are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer .of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property including ail necessary and reasonable repairs which must be made by the City or independent contractors engaged by the City tn Prfo�* --L _ _ _ prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (90) days of the date from the last date Upon which any such repairs or restoration were made by the City or its authorized representatives. 7'liereafter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. if the property is platted, otie copy of t1le recorded plat shall be furnished to the City. ' B. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne b the ' Y Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of ,as built" drawings, verify the marked water and/or sewer services as to location and depth. Ill addition, for purposes of locating and protecting installed service lines and valves Developer or his contractor shall mark each service line and all valves with an eiglit (8) foot pressure treated wooden post in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. . D. All water and sewer Ssrvirac n,,., J Irrevocable letter of credit, the terms i of Which will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects ill the workmanship or materials used in the facilities discovered within a period of one year from and after tl►e date of acceptance by the City of the facilities. F. A Bill of Sale for facilities from t1►e Developer to City, , G. Conveyance of easements as required under this Agreement. ��• A deed for ,any and all land on which lift stations or water stations or other improvements if required by City. 1. The title evidence, mortgage • releases and mortgage subordinations as required ill this Agreement. �. For onsite and offsite construction provide City an ' accounting of the actual costs (schedule of values) and releases of 1•iens from utility contractors in such detail as the City requires. K• City shall have the right to refuse to accept title to Developer's construction until Developassed construction has certain tests, including, without limitation, closed circuit television inspection of the gravity sewer lines, witnessed by a City representative, to determine whether the Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at -least three (3) times; the first test upon completion of the system; tine second test upon completion of ., all building, roads, paving, drainage, and all construction within the right-of-way casement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from the appropriate regulatory agency for the water and/or sewer system, are required prior to fi,,.r �1 22. All notices that may or must be given under this Agreement shall be in writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: To Developer.: To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: DettPfoper "' Witness <� City of Atlantic Beach Witness : , t ale(] AouednooO 10 aleoillua(] ❑uogoadsul leul j Joloodsul Wd-- AL-pljj sm (/' aPeW uolloedsul 41 paM Qed aid N011.03dSNI 1:104 Aatl3ri sant `uOw aoeld e1 ❑ nj ❑ �aMag �� � 6upes j ❑ 8•puo(]•ply ❑ 1np dol ❑ alod dwal ❑ lalu,S lt/01Nt/H03W 46noa ❑ 6uui ❑�'}atf;qe�S ❑ 6ulloo8 ay `JNiewnld M 46n1 ❑ 6uilooj 3 t"frtc! 1d01!l10313 ❑ 6ulwejj 313!l0N00 `JN,c line �oloe�luo� AUleoo� aweN S,jeuM0 ssa�ppy qof 'ON loulsi(] '' - � � wd ON l!wiad AV Panlaoay awll N011.03dSNI No 1S3f1p3li 1e131;10 6u1PpS 10 981110 -?,wad y�m,,. JO A110 CITY OF r�tlaK Frmd- Office Of Building Official a REQUEST FOR INSPECTIOiJ Date 5 P Time Permit No. Received A.M. P.M. District No. Job Address e 15zOwner's Locality Name Contractor -- BUILDING CONCRETE ELECTRICAL Framing Footing PLUMBING MECHANICAL Re Roofing ❑ ❑ Rough Wiring tr„/✓ Rough ❑ Slab r; Top Out �[f Temp Pole ❑ Air.ting & rxat Lintel El Final 11d� Heating Sewer ❑ Fire Place t( READY FOR INSPECTION Pre Fab ©/< Mon. Tues. Wed• Thurs. A.M. Inspection ad Friday�_P M A.M. P.M. Inspector Final Inspection❑ fCertificate Of Occupancy Date CITY OF Office of Evllding Official l l7 REQUEST FOR INSPECTION Date g" a� Q Time Permit No. a'05' Received P.M. District No. Owner's Job Address Locality Name Contractor L9– L9y BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer TA-? 7-- Fire Place ❑ READY FOR INSPECTION Pre Fab � � Mon. Tues. yyed, t A.ly,/ Thurs. Friday —FICA Inspection Made -Z ( A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OP Office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. DistrictKO? Timelip D4��= Received Locality Jo Ad ess Owner's Contractor _.: PLUMBING MECHANICAL NameELECTRICAL Air.Cond.& CONCRETE ❑ BUILDING Rough Wiring VRough Heating Footing T ❑op Out ❑ p Framing i� Slab ❑ Temp Pole Fire Plane Re Rooffn& C1 ❑ Pre Fab Lintel R I SP RE Friday ThursC . Mon. Tues. A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF ,&4,,t& vead-576Wi la Office of Building Official REQUEST FOR INSPECTION Date Permit No. (J D Time 3 j District No. Received 1/?o:— / /_:' Locality I Owner's Job Addrelss j�(n/t �, b( , Contractor �6J��b-� L� Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL Rough ❑ Air.Cond.&Roug ❑ Framing El Footing Slab Pn Temph Wole Gd' iring 11/ op Out ❑ Heating Re Roofing �=� Final ❑ Sewer �-- Fire Place E3Lintel Pre Fab READY FOR INSPECTION A.M. Wed. Thurs�� Friday------P.M. Mon. Tues. i Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date *iec i � V Office Of Building Official Date ry REQUEST FOR INS pE�ION Time Received C / A.M. Permit No. �Jt C.a PM. Job Ower's Address District No. n Name BUILDING cality Framing CONCRETE Contractor Re Roofing Footing ,/ ELECTRICAL Slab ❑w Rough Wiring ❑ PLUMBING Lintel 1 Temp Pole Rough " MECHANICAL Final Top Out Air.Cond.$ ❑ Mon. ❑ Sewer Heating rues. READY FOR INSPE�ION C Fire Place Inspection Made Wed. Pre Fab ❑ Thurs. Inspector � � Friday P.M, ��P.M. Final Inspection❑ Certificate of Occupancy Date u 0 a �.�1•� ,� O N .� I� � C w •j o o b o C/0 ca �+ •� � oo o O00 14 �J c 0to to Cato tb N O U O O a1 O m U V 6 N U a� a� ai a> N cYi d kr) N From:Elinguzman At:Insuramerica FaxID:9045551234 To:City of Atlanitc Beach Date:9/172008 08:53 AM Page:2 of 3 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID EG DATE(MM/DDYYYY) COBBL-1 09/15/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INSURAMERICA OF FLORIDA, INC. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4348 SOUTHPOINT BLVD STE 200 ALTER THE COVERAGE AFFORDEb BY THE POLICIES BELOW. JACKSONVILLE FL 32216 Phone: 904-332-8585 Fax:904-296-1888 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Vinings Insurance Company Cobblestone Custom Homes Inc. INSURER 8: Mark Tu2Zolo INSURER 907 Neptune Circle INSURER 0. Neptune Beach FL 32266 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTW- DATE(MM/DD/Y1') DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE b 1000000 A X COMMERCIALGENERALLIABILITY GLP001605700 10/29/07 10/29/08 PREMISES(Es occure e� ; 100000 CLAIMS MADE D OCCUR MED EXP(Any one person) $5000 PERSONAL BADV INJURY E 1000000 GENERAL AGGREGATE S 2000000 GEN'L AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMP/OPAGG $2000000 POLICY JEa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) -- ALL OWNED AUTOS --'-'--'-----------------'-- --- bY:HEDULEDAIJTO;; BODILY INJURY ; (P(,r persrxt) t9kEDALJ"TUS -------------_--------- -'----------------- —' BODILY INJURY ; NON-OWWO AtfTOS (Per accident) PROPERTY DAMAGE GARAGE LIABILITY AUTOONLY-EAA(:CIDEII- $ ANY AUTO OTHER THAN EA ACC E AUTO OR.Y: AGG ; -� ^ EXCESWUMBRELLA LIABILITY EACH OCCURRENCE ; 7 OCCUR �j CLAIMS MADE AGGREGATT_ ; DEDUCTIBLE --'--'---_—'---•------ RETENTION ; — --'-------- E WORKERS COMPENSATION AND EMPLOYERS*LIABILITY TORY LNAITS ER ANY PROPRIETOR/PARTNER/EXECLITIVE E.L.EACH ACCIDENT ; OFFICERMIEMBER EXCLUDED? If yes,dewibe under E.L.DISEASE-EA EMPLOYEE S SPECIAL PROVISIONS below E .DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 10-Day Notice of Cancellation applies for non-payment of premium CERTIFICATE HOLDER CANCELLATION CITYA-1 SHOULD ANY OF THE ABOVE DESCRIBED PONCES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL INDEAVOR TO MAIL 30 DAYS WRITTEN City of Atlantic Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building & Zoning Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 800 Seminole Rd REPRESENTATIVES. Atlantic Beach FL 32233 AUTHORIZED REPRESENTATIVE Bobb L. Walton ACORD 25(2001!08) ©ACORD CORPORATION 1988 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT ( „ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~Z2 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE ATTACHED PLANS AND SPECIFICATIONS, RK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CI TY OF ATLANTIC BEACH ORDINANCES. Ide ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE NAME v f C ,S/-T CLc ADDRESS: �`�� �P RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 0 ADDITION ( 1 TRAILER ( ) TEMP. 1' SIGNS ( 1 SO. FT. FEE SERVICE: NEW)) INCREASE ( ) REPAIR ( 1 CONDUCTOR SIZE 6,0 AMPS COPPER ( 1 ALUMr("` ! �� SWITCH OR BREAKER AMPS PH � W LT / RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES I CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS oRTSfC-,Vr ,47-4,4N Op Op aUt� TINS pE�•,I BEAcN F D1Nc PE�IrM�T T®���RtOA V aluahop$ Date eE POST ED ON O peRM�T N B 98TH This \ s 6j,,,,to valid°aril Fee$ 19 This is to c `-Ocatton lbOye fcr ha 69.SQ --ad- to,, fO �o/atioo of °Paid to �+ry j tildt F aPPlicabl City T" l�I.)(�� �*+1�J has per F'A a Pro�s'Ons oflae`'and is / R3�'7Q phis w. s,on ro R P��IB l�kT ClassaFoa . hon Owned by 111?/ Lot_ Nouse No Acc Zone ording to approved plan Block s K'hich ate Part of this �iS/D Permit NOTICE SPECT ED OATINCCONCRE at SPORE Po tjST EPO ORMS 0 Bu, AFTE VOID SI UR11V E IN i r d, D ~ Bo,h th- ateri ATE FIOIV�NS in pub bis Ivor al, rub SSU P U lic k bish R oFF P and space 'host „ and sf ONCYE p tracttof ohauled' and,bust be plaebris p�u' NMB/T ( r o her Ivay be cleared f4E Ng OAr f y� ,. er cob' CrRtcA4. Sewlit. B FR c�NTq cial. AcrOR WATfR /�1►v CITY pF ' _: I Te AVON CITY OF ATLANTIC BEACH : APPLICATION FOR PLUMBING PERMIT 249-2395 ti JOB LOCATION PLUMBING CONTRACTOR F . W. FAIR PLUMBING �COIMP�ANY LICENSE NUMBERS mP145 State RF0037503 OWNER.-- BUILDING WNERBUILDING CONTRACTORS _ TYPE OF BUILDING SINKS SHOWERS LAVATORY _WATER HEATERS-4— ' _BATH TUBS DISHWASHERS URINALS DISPOSALS _CLOSETS _WASHING MACHINE FLOOR DRAINS OTHER JTOTAL FIXTURE COUNT X$3 . 50 + $10. 00 !DATE / / TOTAL AMOUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. w I I"mol MAI ,�' Af+��jM�•k. ,�„a;;. „_ ..;.. -. ,,,v, ...,;r 34+.k,�b.. a.YY ,.7.y',.7i;�:- .. _ � -«--.. t .,•- '. ice' a ' f wky't' sxn•. Niel =:.A .air:_.. y k . s .r e1.;,'.�dF,w 716 OCEANBOULEVAftD P.O.BOX 25 _ — ATLANTIC BEAC I,FLORIDA 32233 `�- TELEPHONE(9134)299-2605 233 WEST 5�VAL STEEN-!' THE FOLLOWING OW NG F.i:NAL IN P .TION ( S ) ;{(tisTYE BEEN MADE AND ARE ---- ----- -- ---------------------------------------- --------- --- --------------------------------------- --- ----------- - ---------------------------------- -- -- -- -------------------------------------------- 1 7� tj t; =SPECTIUA cc : PLANS REVIEW CHECK LIST Address_ 19('0 (Y1 ia \o0. - ------Owner----yO . ► ---------------- Legal Description Lo+ �) � 1a 2. ______Contractor CZ°� V`(1 ------ ----- --------------------- License Number RG 00� $9 $� -------------------------------------- ------------------------ License on File YES ) NO Section 24-101 * Zoning Regulations Zoning District )�S Proposed Required Lot Size_ 71,500 S d) Q-c Actual Lot Size tr- U Setbacks Required Provided Section 24_17 front _ ao—,-_ _90___ CORNER LOT INTERIOR LOT 1 ,31' rear a-- ac) i/- ------�� � � �q � Flood Zone_______IN____ side-1 -------- ------ 14 ac Required Elevation -------- side-2 1. 5-- -O�___ i Max. Height Allowed35 Proposed Height_____ Section 24-82 * Minimum Lot Coverage Requiredieatced Area _�� DCT Proposed Area X, 5� N ke5S Section 24-161 * Offstreet Parking Number Spaces Required_ C� Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL . Plans Reviewed by• kSQ1X.5hd--,' Building Permit #---------- ISSUED DENIED CITY OF ,� Seac�-��ncda Office of Building Official ten( REQUEST FOR INSPECTION 7-f 7 Date 7 "'pfd/r Permit No. Time A.M. Received P.M. District No. f 44-1,00 6L- Job Address cality Owner's Name Contractor BUILDING CONCRETE / ELECTRICAL PLUMBING MECHANICAL Framing Footing P' Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel 1 Final ❑ Sewer Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. ues. ed. Thurs �.-��/ Friday P.M. Inspection Made 2 PM. Inspector Final Inspection❑ Certificate of Occupancy Date j CITY OF ATLANTIC BEACH, FLORIDA jl Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: AS DESCRIBED IN THE IN CONSIDERATION OF PERMIT GIVEN FOR DOING E WORK ATTACHED PLANS AND SPECIOF WING, WCATIONSE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. eX _00Off S� ELECTRICAL FIR MASTER ELECTRICIAN SIGNATURE G�f�) CCS.�S�-4z�7d�ADDRESS.:2�� / RFD-BOX- NAME FD BOX NAME BETWEEN: BLDG.SIZE RES.K APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW OLD ( 1 REW. ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. ADDITION ( 1 TRAILER ( 1 . FEE SERVICE: NEW INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE (9 AMPS ® COPPER ,( 1 ALUM. Il 1 C C) t�0 AMPS / PH W VOLTRACEWAY EXIST. 3� SWITCH OR BREAKER EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 31.100 AMPS. 0.90 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS OVER 600 V.