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Permit 250 Nautical Blvd (vault) M PERMIT WORKSHEET certificate of Occupancy Job Address: z$0c �—� Type Work: �vr-i am. eL� RP,,u4,2 Property Owner: Phone # Contractor: *�u�-� o� Phone # -73�1�Q4-7 Permit#: >4— 284- 8 Date Issued: _ Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building ' 1 Tree Permit# F— YES NO Electrical Permit# 04:ZSLl„7,7 Date /Cop Eto A 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 '6f A)juj Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# I o4- Z 4 Inspections: Rough / Underslab Topout Water/Sewer Final v Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: — Date Paid: � q f ' CITY OF ATLANTIC BEACH j} 800 SEN HNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 i INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number . . . . . 07-00001281 Date 9/13/07 Property Address . . . . . . 250 S NAUTICAL BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5900 ---------------------------------------------------------------------------- Application desc reroof fl 1956 .3/1956 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORBUS, ALLEN SUNLIGHT SOLUTIONS, INC 250 NAUTICAL BLVD. 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 .00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5900 Expiration Date . . 3/11/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 .00 . 00 . 00 Plan Check Total .00 . 00 . 00 . 00 Grand Total 60 . 00 60 .00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CUDES. . CITY OF ATLANTICO7_BEACH 800 SEMItrw LE ROAl!1,ATLANTIC BEACH,FL 32233 s OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US BUILDING ppPERMIT APPLICATION D�pUVAL COUNTY f.«n7 bF s��illlr=i5Y -f b r„ . �,YI?4 . ««f 'n ( ,a d r„G'- W V,M• ?pW f=ef4 RQDt=•:';.�t .'¢.>` .E 3+=.,.I ': 94�(QB ADCaRESS� (i P° .,9 f ry _ s,,l .,N r, '. 4:L7+t DBSGf `,°n r ne,, q PII s&`i(nlnit . r 011a "BdigC ;a 5%"`lK `nSTt;IIrTt�;c;> ,1. ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,LTPGftll IK « fZil,n, alu a,PrN y4 ob6, ,aNtb"'`e n .,,,, ❑ALTERATION ❑ACCESSORY BLDG. PRiMtt Q /U2,0- -/ 11 REPAIR ❑POOL I SPA ❑YES ❑N/A P- pyn.+ p p �( ❑TRAa MO�jVE ❑OTHER p� ��c ❑�NrOp�{ 'rr�r..itNs�L+,�,,,Plff lwF.V7t rl."�5a--.,.tly'"``'«;�a."r„ '3«p� rg,•p,{.! ,£± MON- ,.V Rt,.ffl � ,.-..i idUlu h�i= '""p:z,�„91 uh,(!..b�Ar}++�+4,R M,�X� 'M v�I�T�`�i^ ., .,of. 9.NAME: 15.COMPANY NAME: / 23.COMPANY NAME: Hele � �► r bidst..r1��f ,;ail 16.NAME: C77 L 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: U /�I a u- CA 1 f r l3zr c �� Z18.ADDRESS: �, j 2 "a 5S; U U a` 26.ADDRESS: i S �� 32233 1-p*'C' 11.OFFICE PHONE: 12.FAX NO.: 19. FFICE PHONE: T2� T t7 27.OFFICE PHONE: 28.FAX NO.: 11.OFFICE PHONE: 7 5 13ov 13.CELL PHONE:90 ( � ( I 21.CELL PHONE- r G t✓ 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRE S: J 30.EMAIL ADDRESS: rbcs c omcaA n(ft ,�, ��,-1� , (t ,, , r " 8 'FEp Kq l- �'fi'� nI"t;",: ikr ii ';ggb(�y.' i P na'° ' qqi ■y� 6 �. 2%a�n I "I;g '�.'. „>(�'P NJ %9 k i.r.i 131E a u .3�',,; .FPi 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. pp NE,i° .2dN/ r y, eIINl.r6 •g r "'Ma, $.� a NVy Signe Date: ^e7 Signed: ;11Date: C/ Before me this 1,-&day of 2007 in the county of Before e this �� day of 13 2007 in the county of m u al,State of Florida,has persona y appeared Duval,State of Florida,has personally appeared herin by himsel herself nd affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accura ` true and accurate. Nota ublic at Large,State of �f(ikk,County of Notary Public at Large,State of County of Personally Known ❑personally Known ❑Produced Identi io - r Produced Identification- ��^��� ���J f 2.S (-,400 \tv`1 WA `1 $O Notary Signature: Notary Signature: '_qc--_ �`-------- CAN Y S TRIMMD +8 MY COM ION#DD 287010 EXPIRES:April 7,2008 �"'""' SUSAN SPEAKS GORMAN 'q�Pf Bonded Thru Notary Public Undembrs MY COMMISSION#DD6436b8 �?�� EXPIRES:Fabruary25,2011 CO,B F I-800.3.NOTARY PI,Notary Discount Assoc.Co, f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 7 ATLANTIC BEACH, FLORIDA 32233 as INSPECTION PHONE LINE 247-5826 'V DAIT Application Number . . . . . 04-00028448 Date 6/14/04 Property Address . . . . . . 250 S NAUTICAL BLVD Tenant nbr, name . . . . . . INT RENOVATION/REPAIR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor ------------ ------------ ------------------------ FORBUS, ALLEN PAUL DAVIS RESTORATION OF 250 NAUTICAL BLVD. NORTH FLORIDA ATLANTIC BEACH FL 32233 5795 MINING TERRACE JACKSONVILLE FL 32257 (904) 739-6047 ----------------- ----------------------------------------------------------- Permit . . . . . . W/W/O PLUMBING PERMIT Additional desc . . Sub Contractor . . CERTIFIED PLUMBING CONTRACTORS Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Jun 14 04 08: 24a City of Rtlantic Beach Bu 904-247-5845 P. 1 s- � CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION %r st Jr dill ,0AU tc,-Q Date: ('Ilyle Property Address: o� O __leu 1 tl �✓f� c �� Owner: Qoau l D",C5 /'' Telephone#: Contractor: (4o �riv Ply*nky1 e�e -044� Telephone#: Contractor Address: 5' l ZA5074 Fax#: YO`( 7V 4'g6_4 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, er'New/ext-i 1%1 T_'l st the building permit number:�A j Re-Pipe ki e vid 9O 2 vt o`t G1 rS Number of Fixtures: �'�g�- ' aC��c� ��� �F �e✓ �' �' /�v�a�ta �oma. / Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals y Floor Drains Washing Machine I Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00= 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845 - http:ltwww.ci.atiantic-beach.fl.us rer.ls��crvTZL'cC City of Atlantic Beach *** CUSTOMER RECEIPT *** aper: DSMITH Type: DC Drawer: 1 Date: 6/15/04 01 Receipt no: 64285 Description Quantity Amount 2004 27747 BP BUILDING PERMITS 1.00 x35.00 2004 28477 BP BUILDING PERMITS 1.00 $70.00 Tender detail CK CHECKS 9416 $105.00 Total tendered $105.00 Total payment $105.00 Trans date: 6/15/04 Time: 14:54:05 LANTj�, ® _ L F�ORNOTICE tpP U OF ADDITIONS or • " • D• NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 35 X00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG p.m. Monday through Friday.. CITY OF ATLANTIC BEACH SsY 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028477 Date 6/15/04 Property Address . . . . . . 250 S NAUTICAL BLVD Tenant nbr, name . . . . . . REPAIR METER CAN Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DAVIS, PAUL MCDONALD ELECTRIC 250 S NAUTICAL BLVD 6915 WEST BEAVER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 356-9473 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- ----- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Le 20 d ' IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,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 ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER EL TRICIAN SIGNATURE- 13 . ;;;�7 (-,)( b 0 ci —6e&-J-)b L CZL� �J OWNERS NAME: UP'�LS ADDRESS: ? N BOX_ BLDG. SIZE BETWEEN: RES.(V�' APT.( COMM.( ) PUBLIC( ) INDUS.( ) NEW( OLD( REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPA CONDUCTOR SIZE AMPS: COPPER ALUM. FEES 40 SWITCH OR BREAKER WO AMPS PH W VOLT RAiCEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMP5 3 I.Ioo AMPs SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I BELL TRANSF. AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS G�✓ v aM UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. lKVA NO.NEON TRANSF. NO VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN updated 5/20/2002 fi 1, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 ,.' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027747 Date 3/01/04 Property Address . . . . . . 250 S NAUTICAL BLVD Tenant nbr, name . . . . . . REPAIR FIRE DAMAGE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------ ------------------ ------------------------ FORBUS, ALLEN MCDONALD ELECTRIC 250 NAUTICAL BLVD. 6915 WEST BEAVER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 356-9473 --------------------------------------------------------------------------- - Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 2/19/04 Valuation . . . . 0 Expiration Date 8/17/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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. St4 BUI DING OFFICIAL F�,OM MCDONALD ELECTRIC SERVICE FAX NO. : 786 1984 Feb. 26 2004 03:12PM P2 �tJAl CITY OF ATLANTIC BEACH,FLORIDA, APPLICATION FOR ELECTRICAL PERMIT 70 THE CHIEF ELECTRICAL.IIJSp£CTOR: DATE: 1--;Z40 2OC4 IWORTANT NOTICE! IN CONSIDERATION OF PERMTi GIVEN FOR DOING THE WORK AS DESCRIBED IN TIM FOLLOWING,WE HEREBY AGREE TO TH THE PLANS AND SpFCtFIcATION�,WHICH ARE A PART AND M ACCORDANCE WITH 714E ELECTRICAL EGATTACHED AL RULA ONS, DES AND CITY OF ATLANTIC BEACH 0 AN ES.�OF, ELECTRICAL FIRM: MASTER ELECT IC3 MLb� OWNERS NAME: �.AVtS ADDRESS: 2.'U N RFDTBOX,_ BLDG.SIZE BETWEM RES.( APT.( ) COMM( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.(`'J" ADDITION( ) TRAILER( ) TEMP.O SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPAIR CONDUCTOR SIZE AMPS: COPPE ALUM. FEES pipe SWITCH OR BREAKER ZOO AMPS I PH 3 w VOL RACEWAY EXIST.SERV.SIZE AMPS PH W I VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE . NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED . OPEN j TOTAL 030AMN 31.100AWS SWITCM 2 INCANDESCENT PLO URESCENT k M.V. FIXEb 0.100 AbM. f OVER APPLIANCES BELL TRANSF. AIR H.P.RATING ILP.RATING CEEL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS BEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. l H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO.' KVA NO. I KVA N .NEON TRANSF. NO I VA I MA I MOTOR SIZE SWITCH FLASHERS EACH SIGN �S.►�'1►`1r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD jhy_m ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 .Nµ ' Application Number . . . . . 04-00028448 Date 6/10/04 Property Address . . . . . . 250 S NAUTICAL BLVD Tenant nbr, name . . . . . . INT RENOVATION/REPAIR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor ------------------------ ------------------------ FORBUS, ALLEN PAUL DAVIS RESTORATION OF 250 NAUTICAL BLVD. NORTH FLORIDA ATLANTIC BEACH FL 32233 5795 MINING TERRACE JACKSONVILLE FL 32257 (904) 739-6047 ---------------------------------------------------------------------------- Permit . . . . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 560 . 00 Plan Check Fee 280 . 00 Issue Date . . . . Valuation . . . . 50000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 560 . 00 560 . 00 . 00 . 00 Plan Check Total 280 . 00 280 . 00 . 00 . 00 Grand Total 840 . 00 840 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODE E . BUILDING OFFICIAL Cc: irLy;f� CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Hi ms s 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 r3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # o4- Z 8 4 42) Property Address: 2 �1 (� &-OL Applicant: t--'pit}(_ �Qts]Qt�nMQ-Aalht'd Project: pE'.f'1w(1A , / KEl,f�l (Z This permit application has been: C'�Jl '� Approved F--1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L,-a Date: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION ,� - (FOR INTERIOR REMODEL) Date: Job Address: 2—So A)4V`T 1((/ ( Owner of Property: F�oa—fk o S Address: 2_S- C S-e Telephone:QgoyJ 2- { - Legal Description: Block Number: Lot Number: Zoning District: Contractor: w_� /U . V14 . State License Number: Contractor's Address: Telephone: -(Ci c`O Fax:� Dz( 17.E Describe proposed use and worktobe done: IU 'Ttle- Tc. Swzflov��( lti,^iti — rP�cc.ti s rcuoR /v'2W GA t.T Present use of land or building(s): Valuation of proposed construction: _ SO, C)o Q New electrical or increase in service? BJP S Add plumbing fixtures? Add fireplace? vin 7 Add heating/air conditioning? hQ Is approval of Homeowner's Association or other private entity required? 12C)If yes, please submit with this application. 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. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) 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 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. I hereby certify that all information provided with this application is correct. Signature of Property Owner: '�Q_4 r r 1! Jin C Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 1/15/03 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) Job Address: Phone: Lot # Block or Unit # Subdivision: Contractor: State License # Address: Phone No: City State Zip Code Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (CO14MERCIA.L) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMNCE[aNT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS N CTOR. Signature OWNER: , +: Date: Signature CONTRACTOR - 0 AS TO OWNER: (� Sworn to and subscribed before me this 714 day of �� Bia'24p * * MX COMMISSION#DD 281948 EXPIRES:Feb=g23,' OTARY PUBLIC AS TO CONTRACTOR:"AtOFFkO"��� �'"` "'^$°"kes Sworn to and subscribed before me this day of ju"'j A:0 KWORALWORQE N TARY PUBLIC ,. * MY COMMISSION#DD 28194e, a EXPIRES:February 23,2006 0 ">r,,,n� EOIN�Bd ThN BUdgef NMav$oryirs- r -��-- ---� '---�' �� ---' --���----- --- | / � / � � � ! ! ` / | `-�-----------'^ ' ' i ! | 30 0 %W5 36RE 13 DS BCR36L OD � 413,0 ~~ \ -----' ' ~-~ ��---- -----' �--------�m�^------- ---------/ � � ' . / � i I l J ,s i i �IV i Now:This drawing it mt artistic - 20- -. [hxigm-d:a/6/'-004 inwrpretatiwt of tIM MCC Yil appoaranco of rc•,.:iav;_s J Printed:4/6/200 -11,design.U is not mcant to be an 4mact - --" r4Mdition. i plm�wsaldew Droving N' t �► 'd ZZL4-LEL-i►06 13 1011 T^uosmour sSC : l l 40 60 unr I i I I ---- -------- -- I � t 1 1 � i I i � I f I I I I 2�i - �..__ y �. ..._.___.. —UULI l , 1 Ii f I Noce:This drawing is avt anistic �p Oes:gned:+t/dJ2004 interpretation*r Om general appearaneo of v<Mrolocut.J mot°d:4�62oa the design.It is not meant to be an exact rendition. I I PdrrommIdes E-d zZLb-GEG-b06 JA 1411znuos-ploer ese :11 1►0 60 unC I i 1 I — I I I QD 0L[-7 jI 1 , , Now:This drawing is an artistic Rosi-ed:416,12004 intenwataaton ofehe general appearance of Printed:4/6/2004 the design.It is not meant—be an a:act rendition, i pdrrtmeides Drawing M:1 � 'd Z�G4-LEL-406 JA 6011;^uosmoer g4E :Ti 40 60 unr ._.....-...--- _ I � I 1101' 1; 36" 21 3010 .. ..__ ... 2111 M 1 V 5 5 F W2130 W2130 co I N � i i N I r 36 F-2D 21 RHD B30 ' I 37" 21" - 30" - 22" I 19 54 37 i I I All dimtnt4ions zinc designations given arc20 This is an original dusign and must not be ocmCnod:41611- O4 subjts:t to verifit:ation on job site and :, ,,,�,,, rolcaK d or copied unless applicable rcc has Prinetul:4/6/2004 adjm-4mrnt to!it job conditions. been paid or jub order Plain!. i pdstulu:Cldr< !:1 1�1 Druwinit to 1 T 'd 22L4-LEL-b06 JA `aTTTAUOS-{aer w*c sT1 40 6Q unr Jun 09 04 02: 08p Paul Davis Restoration of (904) 739 1596 p, 3 2403-2004 OCCUPATIONAL LICENSE TAX MIKE HOGAN OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE andlor COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130. JACKSONVILLE, FL 32202 PHONE: (9041630-2060 FAX: 1904)630-1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. DAVIS, PAUL RESTORATION OF 05 NORTH FLORIDA JSK CORP 5795 MINING TE JACKSONVILLE, FL 32257-3201 ACCOUNT NUMBER: 077926-0000-7 LOCATION ADDRESS: 5795 MINING TE 32257-3201 DESCRIPTION: CONTRACTOR, ALL TYPES County License Code: 770.307-001 County Tax: $11 .25 Municipal License Code: 772.309 Municipal Tax: $76.25 Total Tax Paid: $87.50 VALID FROM OCTOBER 1 , 2003 TO SEPTEMBER 30, 2004 RCPT# : 001/26/0031/0087/09172003 DATE: 9/16/2003 AMT: $87.50 ATTENTION 'The Following Construction Contractors Require Additional Licensure*'k* ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification. AX COLLECTO THIS BECOMES A RECEIPT AF ER VALIDATION Jun 09 04 02: 08p Paul Davis Restoration of [9041 739 1596 p. 2 Acs 0 519 7 0 6 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L02080800579 The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2004 I KLEIN G CHRISTOPHER MARTIN i PAUL UAVIS SYSTEM OF NORTH FLORIDA J 106 BERMUDA COURT 1 PONTE VEDRA FL 32082 j JEB BUSH RIM BINkLEY-SEYER GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY Jun 09 04 02:08p Paul Davis Restoration of (904) 739 1596 p. l 5795 Mining Terrace Paul Davis Jacksonville,Florida 32257 Restoration , s 1304-739-6047 Fax804-738-1596 f Hulth Florida I:bx To: a__Ir\ . ? .. From: Teri Burdett Fax: OIL4!1 Pages: Phone: Date: q t OI Re: CC: ❑ Urgent ❑ For Review O Please Comment ❑Please Reply ❑Please Recycle CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION' LOCATION INFORMATION Permit Number: 23779 Address: 250 NAUTICAL BOULEVARD SOUTH Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: IRRIGATION/DRAINAGE Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: t3W1NER INFORMATION Date Issued: 4/03/2002 Name: FORBES, ALLEN Total Fees: 25.00 Address: 250 NAUTICAL BLVD. SOUTH Amount Paid:. 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/02/2002 Phone: (904)246-8506 Work Desc: INSTALL SPRINKLER SYSTEM CONTRACT _ APPLICATION FEES' HULIHAN TERRITORY/SCOTT HULI ,> 25.00 �- - - NOTICE- I _ _ PECTION ..--.•' -�..-r _-'.hn�-~'� '',':.-.:aha _ '�=4C^ '. � � ,J...' _.:. . BUILDING MATERIA D IN PUBLIC SPACE, AND MUST EITHE _ OR OWNER "FAILURE TO COMPLY LT IN THE PROPERTY OWNER PAYI - ISSUED ACCORDING TO APPROVED F AND.SUBJECT TO_ REVOCATION. FOR VIOLATION-OF APPLICABLE PROVISIO Oper: DSMITH Type:'DC Draaer:'1 s Date: 4/83/82 81 Receipt no: 46849 ,�-- 14 - PERMITS-BUILDING 1 $25.00' 01347 ATLAN IC BEACH BUILDING bEP.T Trans number: $25.00 CK CHECKS 3521 525.08 Trans date: 4/63/82 Time: 15:59:10 CITY OF ATLMTIC BEACH APPLICATION FM PLUMBING PERMIT OB LOCATION: A!5 O )!N" - .. — OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR CONTRACTOR.`S ADDRESS:Q0 .'�60-4� STATS LICENSE. NUMBER: ���7 �( �\ � TELEPHONE: HOW C OF THE FOLLOWING FIXTURES RE=BIFID OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FL©OR DRAINS SHOWER PANS SMR WATER RE-PIPE a= FSS BEING REPIPED) OTHER TOTAL FIXTURES- x $3. 50 + $15. 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER SIGNATURE OF CONTACTOR: INSTALLAT-ICQN_ CSE PLUMBING AND FIXTURES- MUST BE IN ACCORDANCE WITH THE, MOST RECENT EDITION OF THE SOUTHERN 5TANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 1t I' DEPARTMENT OF BUILDING 3194 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 10/4 19L6— Valuation 7 6Valuation$30,000.0 0 Fee$ 76.00 i This permit not valid until above fee has been paid to City Treasurer, and H anbject to revocation for violation of applicable provisions of law. This is to certify that JoBo and Cook Construction J has permission to build single family dV%R dwelling Classification_ residence Cotte Ownedby JoBo and Cook Construction, Inc. Lot 18 Block_4 SSD Seaspray Souse No. 250 Nautical Blvd. South According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS 1 AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS +l AFTER DATE OF ISSUE x ♦-----No 14-100 O Building material, rubbish and debris from this work mast not be placed in public apace, and must be cleared up and hauled away by either contractor or owner. R. C. Vagal Building iHHeial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER F PLUMBING ELECTRICAL SEWER WATER . , Tilt A 1 ; 0 Annownum to buo -11 "n J`Ml rusts nw" - V� >yj VQ 1 1 WL- , 4 n 0 1 to id: cc W ' can, Oda J� A � th. nf end lanywo"A �v mv Mdit PA ". mv � y . evotio!" "hn � ! by 1 1 b" 400 "Qmon nl ' " ., a , �Ssw MY n " i "Nov", MU bm I - eat holds . 0, to , " Vk _n " "A phn' t *xo - to! ,, VOILA> yak 5 14 Wo ab AC on on .,a to W 0 X10CA6 PORTY, N � nb cmm'nnn - x - % - h tmiMmTQ7Qj %Pd Up"ad -11 hym& poll , �4kwv Imin mx' �— v1s. shodow size and dy- Aqm' ind Uog Ailn � hx*fcr , , S , _ _ ' W ottunforsk IV X �qaze'' vivo qb. 10' eqn , atea" , x :MIA0, W; duplywatt DOMMA lba4 . IV% > ' mmn -400" pt "W . mty T MM06 alhe � , and ubm! ';' ar at too", SOO fps, up*; " is way 004 WIWAkl CRQ19104 nt,.. I 'shvic tyow vwxy & UNN 0054ny' om' iljnj wywn� 00 � SW 0 r,'..two S 0*4 my at ho PWU6Yj W i th V 1 a an--49 VQ&" , & its pxmgxn� - ok Wny Phil, * At Wn form $ mokwYou who Ali M�W plomblog WOOD sod KDOX0 *AKWAQy vcohy, ryAb Wk &"* pf.poycl 1000; must MKpfilly AMA by VDL 010V bolom? bQQAj NOV419d Cloy KSOW90j, !be nmdmrx4qv4d tlimby vv74V ­w Nat hu hoc wood whO ab�wv m*d univipwamdm thvi W4, w6dwWas V ,thp plo"Wivew do, Im to (to P! m* sod .mow¢.' 0 4 L Sk OOON voth low 1010m, an 3 @rY b, DEPARTMENT OF BUILDING 3182 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Dam 41�2/ 1976 Valuation$ Plumbing Fee $ 10.00 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. This is to certify that Jgme s R_ Mta red i th has permission to build infital I 1 sink 2 1_avatnri&4 1 hath tub 2 closets i shower 1 water heater 1 dishwasher 1 disposal Classification i-ta-gl3p-rice Zone Owned by JoBo & Cook Construction Lot 18 Block 4 SF/D Seaspray House No 250 Nautical Blvd. South According to approved plans which are part of this permit t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS "n AFTER DATE OF ISSUE x - � ► O Building material, rubbish and debris from this work most not be placed in public space, and must be cleared up and hauled away by either contractor or owner. R. C. Vogel Building official. FOR OFFICE PERMIT ATE NtACtTQR^;' USE ONLY NUMBER PLUMBING ELECTRICAL SEWER ' WATER PVT Q 1, p TVVV� OKI, CPO-. 1,7- M-P-7o cc 4 T TIM 5 60 0 0 NT 1 V ' _ --l-11---l.-Ill--.10 1711, No C F, Hary TIM A�v1; FvtApzjqp gp rN'. 4A �u and lanywou L all �7� 0011 and vent riynz . SA �hs juAtw-z' � 7axl� vv of Q ! lxrtjwp � � N "c"Ortante vith vidinEoc, ny, jtn -- p- 710 "� �Thar= v Wash , Fl4rids ) test S Snown an nlak at a;;i jt ipploved by_ m CATE FOR OFFICE USE ONLY Date--- .....197.6 91 Z" Permit # ...............Fee$.7 ........... CITY OF ATLANTIC BEACH -A---------- Ora Valuation ---------------- ........../.............. FLORIDA House ..... . ........ �'*�.. ........ iso APPLICATION FOR BUILDING PERMIT .......... .....04 ......................... ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that -a list of sub-contractors be submitted to this office so that licenses can be verified. Date.. .-......!11...___----------------------------------------- Owner!-_).0_10t?..<tC Xkc-Address..... Architect.---LJ30�.V.��i...:.�...... --------_-------------------Address,..... ------i:�a.----------------Tele hone No.... _..4.-19 Contractor Builder- ...Telephone Lot No--------- ----------------- --------Block No.-------q-----------.......Sub Division--.. —_'jars�L.�------------------------------------------Zone------- ------Side Between.H&_].m.sxy_.q ..... '&q , n — -----and... ......................Sts. Valuation ----.-For what purpose will building be .......Type of construction-czryzf"L-V.�.�?icoilf., Dimensions of Building.A3_3_k_5,_f___f...4A—Dimensions of Lot-_._..___1.Q f?......A...Z.o�4 ___....:Size of Footings...... ----­--------- Size of Piers---------Y' -­'?----------Size of Sills_----._._/<_)�'-,'1-.—__.GTeatest Sill Span in --_-_-Type Roof....-- ............. How will Building be Heated?..... .nL--------------------------_---_----Will Building be on Solid or Filled Ground?----- ............... Size of Ceiling Joists________________"------- ------------, Distance on Centers__..-_.............._. Greatest Span-__...___._..... .... ................. to to ................ Size of Rafters. ---- Size of Floor Joists-------•---------- ---------- Distance on Centers---------. ..... --- ------------------- Greatest Span------•------- --------- Distance on Centers........ ........ 11 -------- -------- ---------- Greatest Span----_----II-------------_-- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. --C-_ 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z o_"N Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit 91pni fo; doing the work as described in the above statement, we hereby agree to perform said work in accordance the to plans an s ications, which are a part hereof, and in accordance with the building tl tic "P/ regulations of the City Atl tic ch. Signature of Builder.......... . ..... ... ............... Address.... .....va-w. .......... ....... Signature of Owner. _AX. ..... ................. Address._....I. f. r ............... f CITY OF :ATLANTIC l'EACH. APPLICATION FOR SEWER CONNECTION PERMIT NO. L DATE 10/4/76 LOCATION252. Nautical Blvd, South STREET LOT NO. 18 BLOCK NO e 4 SUf'DIVISION Seaspray OWNER JoBo and Cook construction TYPE OF BUILDING Single family - 'I ER PL ER INSPECTED ]'Y FILLED ACCOUNT NO. SA T e 5- tap f( 3. C L�,c" one 1,41'1 ta s 85 . 00 plus 6 . 00 construction water 1"!',anI en: 250 Nautical Blvd . South 18 J B 0 a IV Cook 12311 Cormorant Drive Jacksonville , FL SA Meter Date Instal-led Sri`C-� ./o/Z 9/7� �r�E� � �...�.:� 1622 { " DEPARTMENT©F BUILDING CITY OF ATLANTIC BEACH I RiNI ' Ih�ll't l ltATI# St+t t'OC A`I ION INFORIfATION 41Avv t� r 3 Add o" SBO MAUTTCAL BLVD. SOUTH T r " t � BUILDa ATL.ANTC BVACH, FI-01016A 32233 , Cl- of Work; 1REPAIR. C s r„ Tjt n NSA L'ot tB �Nt ti rn� PP� d U a :G ' 6t..B - 'AA]MI 'bt "3 1 F ► O r�gso a <0:1 codes 1 0 Amsted Vis ,Uw 1 alp r .00 I r`ca�r Ca x ,Ot3 Nast . LOQ C. FCIfRI�U€� Total s '- As�. '57 llddr js " 250 NAOTICAL BLVD. #UTH m A A't"1.,AN' IC BEACH, PLORIDA 32233 �r TORT LC4't" itti 11.50 y n i ., WATER, 10PA FIRE, ym r FtDt~aMl4tr d3AB i..OO 14 ,W RAII1 GAB *' 15 *0-00 . WATER TAP -00*00 SEWER: TAP7- g , y y �y Y •Tp y/i�p j [Ai`' ft I NSPS& FEE NO S: �i sf --, NOTICE : ALL C©NCAET ;FORMS AND FOOTINGS MUST,BE INSPECTED BEFORE POURING PE8MtT VOID Six MONTHS AFTER DATE OF ISSUE :St L.DING MATEMAL,.RUBBISH AND,DESRiS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE Ct�AREQ URAND`HAULE.D AWAY�BY�-I�ITfiER�CE7NTRACTOR OR OWNER. A#LURE '#"Q VIPLI� 'VVtTM THE MECHANICS' LIEN #.A'W CA�1 RES�IL'F #N E PROPERTY QWI -ER PAYING TWICE FOR BU10,11ING° IMPROVEMENTS* fl ACCO RI I TO,APPROVED.PL,ANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIO>t�l FOR O!F At CABLE ""Ovt IC?NS OF LAW. 1 AT fi1T1 ,BEACH BUILDING.,DEP, TMENT .. f , CITY of A LANrIC BEACH !(P �i Z APPLICATION FOR BUILDING PERMIT 6 h)11 4, zip:?d Phoned (?r Architect Address zip Phone /,ocitracto C��'isei�ber ip 10, Address �?�b 6h C�c �� J� 't5 ' zip.3a�3Phones j�L tractor's LicExpiration Date Copy on File �� Block or Section Subdivision Zoning Stree Between and side aluation $/ _ <Jy --_Type of Construction Purpose of Building Number og Units ' Fireplaces ULtli4y Service: Water Sewer If the City if providing water or sever service,' do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers Sz.. Sills Greatest Span Sills Sz. Ceiling Joists �� Distance on .Centers Greatest Span Sz. Floor Joists Distance on Centers ' Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof _ Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site Flan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings.' 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plLunbing, electrical, .fireplace, is completed and ready to cover up. S. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CAM IS NOT POSTED ON JOB.. In case of rejection, reinspection MUST be called for after �� Lot Line corrections are made. In consideration of permit given for doing the En work as described in the above statement, we N r'• ,hereby agree to perform said work in accordance With the attached plans and specifications, �+ which are a part hereof, and in accordance rt rt with the building regulations of Atlantic Beach. Signature Owner Signature Contractor ronL Line CITY OF 4&4frztiC /3eacliT-��t�t Office of Building Official REQUEST FOR INSPECTION . Date �{`Permit No. rl;zl Time ^® A.M, _ Received ' CwtG�� District No. Job Address Locality Owner's ��'/' j�� p�� �7 Name �—=�c �L-�vl Contractor /PC: w-2- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ A7. READY FOR INSPECTION Pre Fab A.M. ed. Mon. Tues. /1 AI Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&4a4c Be A-PMU Office of Building Official G/ REQUEST FOR INSPECTION Date �1 2-- Permit No. Time �Cp s Received strict v J�Address�'. Locality Own ' ��C A. MA on r i UILD CONCRETE E �/ PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring/1� Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. ues * w�y Thura. Friday P.M. V Inspection Made Inspector Final Inspection❑ �} Certificate of Occupancy Date M kK t1.EPARTif ENT Of BUIk 410(11_ CTY CSF AT LANTiC-BEACH .PgjkMlT: INFORMATION . .�__.. � .. .._. - LOCATION. INFORMATION ti t Alu b r s � Addr"*.. � 1tiJ�t TIdAL. BOULEVARP SOUTH - * 3t Ty ,I 'ELECT ;AL ,ATLA TTC BEACH, FLORIDA 3033 ,. :, Lt6AL UESCRIPTIC N .._w.. a of WoJrkt ALT PAT ;Tyoei�i. WOOD' F*ANE Lots�' H1ta��C� � Section c SIi OLE FAl L� towns filp t RN s: o D Ilings: 1 Cod ,j ��.` � SubdiVisi, 6, ' E Aau ted V# ue a Eta.bQ I.*pyro-v. Capt a I~I,t C3 T6tu1 : *20. 10 Amu *20, 10 10 ,Vy E � ,ALCATION FEES TION . .._ A CAL Bt3U .EVARDsQ TH IiA IMPAC FEEl�O.QE3 I N; LQIRI ..;k iA '�� B " RAIN' dA - . R.tea. $0.00 . ..,. O R ATXON - Ire UN IFAS 5Lt Q. C1Q # AR L.LTRIC ' V i CN E ... . SEE 'fAP $t].Qty A R L.LV 8ZACN FL.. 322 HYDRAUI IC TARE Bt3. L `Tye x E� RE-ITS 'IT -FEf 'W&OO SEC ,H Pr 't" E E4 . a PAID 190P NOTICE`--ALL C JN+ R TE:'t OOMS AND FOOTINGS MUST 8a UrISPEC�`9D SE FOR$'POU itING C44 4 . PERMIT VOID SIX MONTHS AF ER DATE 4F ISSUE Ii;DING MATERIAL,Rli13 6fSH ,AN DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,,AND MAST BE EAi ED UP ANO HAULED AWAY BY1E1THER CONTRACTOR OR.4WNER' 1i.URE ' "Comet WITH THE MECHANICS' Lit i.AW CAN'RE&ULTIN PR4I t'"I'Y t 11Vtt: PAYING TWICE FOR 13U�L � 1G � PRI ?VEMEt�tfiS.'� f UED ACCOR6iNi3 TO APPROVED'PLANS WHICH `ARE'PART OF THIS PERMIT';AND SUBJECT T4 RI?YOCAT4R t irA ION OFAPPLICAS E PROVISIONS OF LAW. AT NC BEfICH GtJt O� k NT CITY OF ATLANTIC BEACH, FLORIDA jr Approved bV - APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: (ter° 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. lC114lj t l­ ELECTRICAL FIRM: MAiTJEWELECTAICIAN SIGNATURE JOURNEYMAN NAME ')# �'4-t `4-" ADDRESS:_, �E'/4( u (t.0 el � RFD BOX BLDG.SIZE BETWEEN: AES.1<1 APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD ( 1 REW.( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ► SQ. FT. SERVICE: NEW( ► INCREASE ( 1 REPAIR ( i FEE CONDUCTOR SIZE AMPS COPPER ( ► ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE S AMPS PH '3 W zfl VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 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 ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. lKVA NO.NEON TRANSF. NO. ]VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 5512 DEPARTMENT OF SUILD1140 CITY OF'ATLANTIC BSACH PERMIT "INFORMATION - --------- -LOCATION INFORMATION P*roi t i, isber s 1 Addrojes t 250 NAUTICAL' BOULEVARD SOUTH k "�1r it T'y t BUILI TRO ATLANTIC BRACH„ FLORIDA 32233 at UPorits REMODEL --w--- �+ �.»� LAL. DESCRIPTION -. -------- sin etr. Ty p+ WOOD FRAI�B Lots Black s' Suction t rod ,LUe�e s SINGLE FAMILY Tor,n*bi p l RNS s : O Dh inB z 1 Cod*t 0 Subdivisioo s "tiosted',V-0 04000.100 Improv. 068t s *0.00 *45,400 A 45*bo Da N rk +tAt E INTO FINISHED RClO - - NATION -- -. r y a a _ APPLICATION' FEES b 6,e S PBRMIT045. 00 A ,dam s' CAL SOUL" ARD SQ TB,TH AIltPACT FFE $0,00 ! H FLtITtID&I" P FEE- RADOM-GAS-14. Tt. S. $0.00 RMAT H ---- RADON GAS - 5X $0. 00 Ma x; R1 R S INC. WA, `TAP *0,00 oR;A I ARK, )w L 32I ' 3 HYI RAU41C SNARE Eta.00 Ty t O tE�,INSF BCT FSE „,a. .OQ SEC. H IMPACT FEB $0. f0� S; t J , NQTIC.B=-ALL C©NCRETE FORMS AMD FdOTING$MU$T BE!NI$ITE®"�lIF©REU4 . ` PERMIT VOI0 SIX MONTHS AFTER dAFE;O.F'ISSUE } i Av „ILDING MATERIAL,RUBBISH ANDDESRIS FROM THIS WORK-MUST.µOT:BE PLACED IN PUBLIC SPACE,AND MUST BE G%EARED UP ANE3 HAULED AWAY BY EITHER CONTRACTOR OR OWtER ► LURE O COMPLY WITM THE MECO t ' LIEN LAW CAN RESULT IN PROf��RTY dw PAYING TWICE t »13 INIP C E VENTS." .I IIT I AFI IIAiI:: .416I t 4 l ;CORDING TO APPROVED'PLANS WHICH ARE PART OF THIS PERMITI AND 1" TO` V Q N,1�4tR � '7AP1 1CABL P06VISIONS OF LAW. � p AT N"�I B>~AGtI°l3IJfiLI}IIVi"�[3�P�F#TMENT s Address Heated Square Footage � @ $ per sq ft = $ _ Shed Gar ab ge @ $ per sq ft = $ _ / Carport/Porch L @ $ per sq ft = $ Deck i @ $ per sq ft = $ -- r Patio @ $ per sq ft = $ TOTAL VALUATION: $ Q�C� Tota a ua ion 1st $ 6D _ Remainder Valuatlon per thousand or portion thereof -------------------------------- ---------I Total Building Fee $ � 02) ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee $ Fireplaces @ 15.00 $ ---� Mechanical - Plumbing 7 BUILDIW,'PERMIT FEE $`_� Electric/New ------------------------------------------------- Electric/Terp Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ Scai.nmirig Pool SEWER DTACT FEE $ — co Sign WATER RTACT FEE $ – Water Connection MISCELLANEOUS $ A1C /<"A D6br $ Sewer Cormection "r Water Meter $ Elevation Certificate GRAND TOTAL DUE $ --------------------------------------------------------- ------------------------------------ CALOJLATIONS and/or NOTES .. I I CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) _ _�QL � _ ( v��-------------7 i-- Address: _ � t1 _ALI _ r _Phone:_�?L Lot *______ Block or Unit #______ Subdivision:______________�__ Contractor �u.YYl _ - T: 1� �_� �_b� � 1359�J Describe work to be dons: ---------------------------------------+---------------------- - Present use of building:Lf�Ly C! > - _L&q2 LL _________________I__ o� Valuation: 000 ------------------------------------------------ Proposed use: 1 kap.. ---------- L t_L ----- -- 15---------------------- ----- Is this an addition? __� If yes, what are the dimensions of the added space:__P��_ ft. X ����` �It. Will the added area be heated and cooled?_-41__ New electrical (or increase) ?--MID New plumbing fixtures?_M New fireplace?_�C)_New Heat/AC? I __ SUBMIT THREE COMPLETE SETS,()F PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE"FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:_ __ Date:_____ L -�i Signature CONTRACTOR: _ Date: S � — - - 1 L^ APPROVED CITY OF ATLANTIC BEACH PLANNING & ZONING OFFICE 2 h JUN �. ��� 199 JUN 12 1992 By -' FLA 1967 LAWS SEMINOLE FORM 408 FS 713.13 NOTICE OF COMMENCEMENT if-PtIPARC IN DUPLICATE$ State of Florida County of The undersigned hereby informs all concerned that improvements will 69 made to certain real property, and in accord- ance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property...��.!&Vrne......... �'T......... . ............. ..13 3..............._11.1............................................ .............I............I.............................I......................I................... ............................................................................................................................................. ............. General description of improvements.... .......x_h.-x-.n......... Owner.......tu..... ..... .................................................. .............. . 32,L3 3 Address....... ........2--,5C........AAkYT..k-CO-d 15 Vo....!Dc ...AT.....^.N77 .15F� Owner's interest in site of the improvement. ................................................ Fee Simple Title holder (if other than owner) Name. . ..A7....................................... . .................. .......................... Address... lz ................ ............ ........................ Contractor........... �..........IV .....................................I............................................................ Address...........4.1-3.77. F=u .. ....... .A...u.. ..........." .....er. ...... .P.A...&J<.. F. ........ Surety (if any)............ ........................................... ............................... ............................................................................................................................. Address.........................................................*....... ......... ........ ....Amount of bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name.............. .... ................................... ............................................................................................................ ......................................................................... Address.............................................................. ................. ............. ..... ............................................... ................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F) Florida Statutes. (Fill in at Owner's option). Name....... �/_' ......I.................................................... ................ ..................................I............I.......I.............._... ........I.............. ... ...... Address-............................................................................... ...................................__.................................................................................... THIS SPACE FOR RECORDER'S USE ONLY Vwner Sworn to and subscribed before me this. ...... ........................ .............. ...... ...................................day of......... .................................. ....19 F . ............... ...';....... ............... ....... Notary Publie-, I r APPROVED CITY I ATLANTIC BEACH BUILDING OFFICE r ' JUN 199 eT'eQ ►12'oQ,�waL� �'x�5 Stoe a1J�-y JUN ! J 1992 _. i�EPI�AG CX1�'TING L�tl,;���� �x ►ST i N cGt����E� "s �� � �I Awrt 51N�LE aUN� ? x 2" s-T U M VJ 4,�LIr W 2.0x6 g II REMOVE Caa"r�4G�. f�CO¢► �� lC aSET r-lW5TN -L A" SN O � 'fitL1 �' a g_o xt •8 �-- -lC� _3040 8V,ot4ZE ALUIJwVN W1 DOW lUL44LI OSIS AT�� GlbSg, SGP�EEr1 5 I✓�L Co Q�t�lr AQo� , W t�'t� S�I�Dh►R9 1-t11P-0�/JhRc. 1 4 Fj L: VD 46 ,- AT LA 7,T C., fb� � F � L-, . APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE JUN 1 1992 11.10 testiUe 11�w -lit s1J1N� i u M it 1992 N��N SSE EL pooh t4eW GONG.Fi_voP-, to ui kng 2,ind Zoning zs ��' � � + I � I J I ' ! ✓r �X�S'�ING °pc?4� APPROVED CITY Of ATLANTIC BEACH BUILDING OFFICE nye of F-?�tST'G came. STEQ JUN 1 = 1992 �C. 11( JUN 10 1992 � bu° I'ding and Zoning cm IQ I c--x "5T 1 Q G G,6,-rV GF-) 19 i P'saC�, .E+ GXIS'tING 1'.41"N oav t � �-- �� �T t� t N su r✓AT c-n G L.,��,.s �.�� 2 0xG 8 .I �� nEt 10VE AAS jh GE DOOM Q'` S'�US� Ih'fi�Ll_ II _ I Wl�H ttt �X1i✓ t I _3_o xt�•8 1JC� 1040 13F,ON7,E ALUMtNVN w! 00W .111 ULL 1 045. 114 �TTIC. ► � , �-, _ o . a R a JliM ? 1992 APPROVED ►6 � t t-1 !`�©a F "�o P�=t-'1 t!.1 CITY OF ATLANTIC BEACH Bull DING OFFICE -- --- - _ UN 16, 19 2 QjL IFFR n F a Ne�h! S`�EEL Ooo� NP.W C slc,.FLooP-, 250 Q4,UTI CAL i 1) 1 t� +3.s . d r---- E I Lo 2'r .04tw f ♦t,,a. Co t-%c p t kool 9t. L' trv44 t �t I - ocb% Via- " 0 Tle. , .-Y F . i f j DEPARTMENT OF BUILDING i CITY OF ATLANTIC BEACH ` PSRXXT XUFOR11ATXON ------ -------- L+{ ATIQif.Itff;`t�tR>IIA►TIo1II - irmli Ku 011�*r t 2793 Addx`,es*was. 250 RAIJITIOAL OWLR'' ARD, zOuTH 1a�nrsr t Types I ZC1fAN;CAIS.; ATLANTIC 18EACf1, FLORIDA 32�G3 G 80A 0-9 Work RISPAYfIL AL. bfa - M V scjtr �'1XQM pon srtr. Typos 14fA Lot t f3lca�k x �a►rati+c�ss s 'ropos od UaOlw t E XNGLL FAMILY Tovnshlps Rff(3 f)Srallissgao<s 1 Cedes O Subd3vitrs s 1 st3s�at d Yi iuprs so. sssprcavt costs Total 000 k 027.00 Aso w t �' � X27.00 Wrk s4 y . _ z RA TION k ei #' 'L CA1w01! FEES T PERMIT *27. 00 1,1 IASOU1VVADSOA# d 7 � WATER ZKP#iCT PER 00-00 CRS FLCR1 a 00.1 PO ' WA*7 'WAI ifA 'i+if a ""ls• �.0 w r00 � ,. . . � r,f�IFCl flAT t31i - RAD60 OAS G $0.00 l8ili1EC ) � , A � rrA ' R `x *, �` ►. 0, A�d II*#s ti . L ►. I�sRTf1..,t 3`f WER1'. RIG WRf+t 'TAP sem.0 2 . JAR � r FLORIDA 312250 RYDRA.UlLIC, ; ffARLr *Q.00 L a► r z,; lfi L7►«��� Ty .z 3' R$-IJ%SftCT FEZ, e SE . R ffPACT° FM *O.400 i `, €' 7T NOT S: 1 i, 5 1 L- NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST 8E INSPECTED BEFORE POURING PERMIT V016 SIX MONTHS AFTER DATE OF ISSUE et BULDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL ARED UP AND`HAULED AWAY BY EITHER CONTRACTOR OR OWNER. ,Is .AI'LURE' TO COMPLY Ul/ITH THE MECHANICS' LIEN LAW CAN RESULT tN T f E PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.'' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU TO TM1/1C�LAT N OF APPLICABLE PROVISIONS Of LAW. REVOCA R ATL ,T.I- EACH BUILDING PART ENT „ ` .- �""" w F BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82283 •/7 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, LII, and IV. 1. vd LOCATION Street Address: cao 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 attaOLecl plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards sof good practice listed therein. Name of Mechanical 1 r Contractors �//^ Contractor (Print) Master( �l,,( Name of / Property Owner Signature of Owner Signature of or A411horised Agent Architect or Engineer Ill. sWRAL INFORMATION A' ypo of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON �zl W Electric THIS BUILDING OR SITE? V Q Eos Q LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION (Q OR PERMIT /(�5��•�C Q Other - Spedfy IV. #1l KH NIM EQUIPMINT TO RE INVALLED NATURE OF WORK IProvide complete list of components on beck of this formResidential or ❑ Commercial 10" Heat ❑ Space ❑ Recessed O Central O Floor `❑ New Building Air Conditioning: ❑ Room Control X Existing Building ( poet MetorieL Thickness.— Replacement of existing system, �m Maximum capacity c.f.m. ❑ New installation(No system previously installed) O Extension or add-on to existing system Refrigeration ❑ Other - Specify Cooling fowor: Capacity q.p.m. Q firo sprinklers: Number of hood. Elevator ❑ Monlift ❑ EwAlefor (number) THIS SPACE POR OFFICE USE ONLY Q:Gasoline pumps (number) (RoaoI I (3, Tanks (number) Remarks Q LPG container (number) Q Unfired Pressure vessel QIeilors Permit Approved by Deli Specify Permit Fee LIST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT tY wp A Nuts r Vain Deroription ][oriel Number Manufacturer ( ) HEATING FURNACES, BOILERS, FIREPLACES' Capaci btttmber Vnft 1)eectiption Model Number manufacdurr (VTtT)y AVW TANKS RW Many Nominal Capacity TV" t+i4V Name of Serial Ap__Wg Old Dlmeodooe Oontalned Yanutaoturar No. r" ►z.o' �'ts• 1 o 3-c3 a ,. Q 13.s , "1► J g14- 00 Jo X ti S"TN• ID jot.*. - 7• Cro• 1 F�.IA �---�� "P�,, � t..Ems✓ . .,G�, Cao FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1000-A-91 Section 10--Residential Prescriptive Compliance Method Climate Zones Department of Community Affairs NORTH 1 2 3 Compliance with Section 10 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 1000A-91 for single and multifamily residences of 3 stories or less in height,and additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any gm of the prescriptive component packages Wd comply with the prescriptive measures listed in Table 10A of this form.Compliance by this method will be,in most cases,equivalent to an EPI of 100 points or less.An alternative method is provided for additions of 600 square feet or less by use of Form 1000C- 91.If a building does not comply with this method,it may still comply under Section 9 of the Code. PROJECT NAME: W IZ Ab ALJ-&k FQ"Q5 BUILDER: E� E_ SGS L U AND ADDRESS: b AL/ Q-0 PERMITTING CLIMATE L OFFICE: ZONE: 1 ❑2 ❑3 OWNER: m wz Qu_zH rox& v PERMIT JURISDICTION 5 NO.: NO.: T1 NEW CONSTRUCTION ❑ If Multifamily,number of CONDITIONED[]::KOSQ.SQ GLASS AREA AND TYPE CCNV52r' � -_ units covered by FLOOR AREA ���/J FT. Clear Tint,Film,Solar Screen JUNT." Jyjo this submittal: PREDOMINANT Single- SQ. SQ.Single- Iso. p EAVE OVERHANG ane FT. ane L I I I I FT, MULTIFAMILY ATTACHED Check if this submittal LENGTH [23FT. (3 Stories or less) represents a worst case PORCH OVERHAN Double 3 SQ.Double- SQ. SINGLE-FAMILY DETACHED ❑ condition: ❑ LENGTH FT. pane �FT. pane ❑❑FT. PERCENTAGE WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION TOO FLOOR: ® �, WOOD FRAME MASONRY INSULATION WOOD MASONRY EXRERIOR:❑ ❑ EXTERIOR:❑ ❑ UNDER ATTIC:M.� RR= m ERAISED:= m -11 COMPLIANCE ADJACENT:m.� ADJACENTR= COMMON:II— .a COMMON:❑�❑ R= PACKAGE ❑ COMMON: ❑�❑ CHOSEN: COMMON ❑ ❑ COMMON: ❑ ❑ R= SLAB-ON-GRADE: —1 — R= DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM In Central Heat ❑Electric ❑Solar Unconditioned ❑ El Strip ❑ Pump ❑Natural Gas ❑Heat Recovery ❑gS, aceRoom ❑Natural Gas Other (� Packaged Terminal ❑Room Unit or ❑ Fuels ❑Other Fuels �]Dedicated Heat Pump ❑ ❑ in Conditioned Air Conditioner Packaged Terminal❑None ❑None EF=,❑ SF/EF= �,❑ 0 None Heat Pump R=[DE E ❑❑R/EER= . COP/HSPFIAFUE= NUMBER OF BEDROOMS= 1 hereby certify that the plans and specifications covered by to alculation are in comkncswft�h Review of plans and specifications covered by this calculation indicates the Florida Energy C compliance with the Florida Energy Code. Before construction is completed,this PREPARED 8Y building will be inspected for compliance in accordance with Section 553.VA F.S. DATE:I hereby certify t Iding f I wit a FI nergy Code. BUILDING OFFICIALOWNERAGEN DATE: DATE: TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS ICHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. Sole&Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors. Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. Fireplaces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. NIA Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Swimming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. All Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, ,( piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. All Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione Insulation&Installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. - 1 - TABLE 108 CLIMATE ZONES 12 3 MINIMUM REQUIREMENTS COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO BE INSTALLED A B C D E Maximum Percent 15% 15% 20% 20% 25% gj % of Glass to Floor Area Type DC DC DC DC DT DC. DT: L"N EL Overhang 1'h 2' 2' 2' 2, Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-7. EXT: R = Cn COMMON MASONRY WALLS R-3, ADJ: R=�- COM: R = Wood EXTERIOR,ADJACENT,AND COMMON WOOD FRAME EXT: R =�_ Frame WALLS R-11. ADJ: R = COM: R = CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11. UNDER ATTIC: R = (NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMON: R = Cn Slab-On-Grade R-0 R = U x g Raised Wood R-19 (ONLY STEM WALL CONSTRUCTION ALLOWED) R Raised Concrete R-7 R = DUCTS INSUL. INSUL. INSUL. COND. INSUL. R= COND, SPACE COOLING 1991 9.7 9.4 9.4 9.4 9.4 SEER= (SEER) 1992 10.8 10.5 10.5 10.5 10.5 ELECTRIC1991 6.7 6.7 6.4 6.4 6.4 HSPF= w (HSPF) 1992 7.1 7.1 6.8 6.8 6.8 = GAS/OIL(AFUE) 1991 MINIMUM OF.70 1992 MINIMUM OF.73(Direct fired)or .78(Central) AFUE= ELECTRIC EF.90 EF.90 NOT ALLOWED EF.90 NOT ALLOWED RESISTANCE' w-- F (SEE BELOW) (SEE BELOW) EF= UJ GAS&OILMINIMUM EF OF.54 NATURAL GAS ONLY O >- (SEE BELOW) EF= = DHP: [] EF= OTHER Any of the following are allowed: dedicated heat pump, HRU: El recovery unit or solar with a solar fraction of at least.40. SOLAR: ❑ SF= 'Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 9.7A for minimum Code efficiencies for oil water heaters and gas and electric systems with other sized tanks. GENERAL DIRECTIONS 1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls,steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass. 2. Choose one of the component packages"A"through"E"from Table 10B by which you intend to comply with the Code. Circle the column of the package you have chosen. 3. On Table 1 OB you will find a column labeled"To Be Installed". In this column fill in all the applicable spaces with the information requested. All"To Be Installed"values must be equal to or more efficient than the required levels. 4. Complete the information requested on the top half of page 1 based on the"To Be Installed"column information. 5. Read"Minimum Requirements for All Packages",Table IOA on page 1,and check each box to indicate your intent to comply with all applicable items. 6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. DESCRIPTION OF BUILDING COMPONENTS LISTED Percent of Glass to Floor Area: The percentage of total glass area to the conditioned floor area shall not exceed the prescribed percentage. This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area. Glass Type: In order of increasing energy efficiency,the glass types are: single-clear(SC),single-tint(ST),double-clear(DC)and double-tint(DT). Overhang:The overhang is the distance the roof or soffit projects out horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length with the following exceptions: 1)glass on the gabled ends of a house and 2)the glass in the lower stories of a multi-story house. Wall,Ceiling and Floor Insulation Values: The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wall,ceiling or floor. The R-value of the structural building materials shall not be included in this calculation. "Common"components are those separating conditioned tenancies in a multifamily building. "Adjacent" components separate conditioned space from unconditioned but enclosed space. "Exterior"components separate conditioned space from unconditioned and unenclosed space. Floor: Slab-on-grade floors without edge insulation are acceptable for all packages. Raised wood floors shall have continuous stem walls with insulation placed either on the stem wall or under the floor. Ducts:"COND"indicates that the ducts must be installed within the conditioned space;that is,the ductwork shall be located on the conditioned side of the insulation so that any leakage will be into the conditioned space. Ducts in conditioned space are acceptable for any prescriptive package. If`INSUL"is specified,the ducts may be in unconditioned space but must be insulated to a minimum installed insulation level of R-4.2(R-6 after 1/1/92). Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio(SEER)for central units or Energy Efficiency Ratio(EER)for room units or PTAC's equal to or greater than the prescribed value. Electric Space Heating Option: Heat pump systems shall be rated with a Heating Seasonal Performance Factor(HSPF)equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups meeting the criteria of section 903.8(b)3. No electric resistance space heat is allowed for these packages. Gas or Oil Fuels Space Heating Option: Gas or oil space heating systems must be rated with an Annual Fuel Utilization Efficiency(AFUE)of at least the levels specified for 1991 and 1992. Electric Resistance Not Water Option: For"EF.90"designation,the electric water heating system shall be rated with a minimum Energy Factor(EF)of at least.90.For packages designated"Not Allowed",an electric resistance hot water system may be installed only in conjunction with one of the"Other Hot Water System Options". See below. Gas or Oil Fuels Hot Water Option: Gas or oil water heating systems must be rated with an Energy Factor(EF)of at least.54 for all packages. Other Hot Water System Options: Any dedicated heat pump,heat recovery unit,or solar hot water system which meets the requirements of section 903.3(d)of the Energy Code may be installed. Solar systems must be designed to provide at least 40%of the total hot water(solar fraction of.40). Electric resistance systems having an EF of.88 or greater,or natural gas systems with EF.54 or greater may be used in conjunction with these systems. 2