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1918 Oak Circle (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001271 Date 9/15/09 Property Address . . . . . . 1918 OAK CIR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace pieces of driveway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KLEIN, KARL OWNER 1918 OAK CIRCLE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/14/10 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and cannot be placed on City right-of-way. --------------------------------------------------------------------------- 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. MAP SHOWING SURVEY OF L_O"T to SC-SCVA6QXjA UN17 PJc) 1;•A (nlBo_Ay- according to plat recorded in Plat Book ?4S— Pope (n4 of the current public records ofDL"-AL County,Florida. Examination of Flood Hazard Boundary Map, Community No. IZ°o-i,5 , Panoi c� , dated `!-n -ria , indicate& .that the property shown and described hereon Iles within a Zone X area 77 Plo C.p/'T L.oT Z ' I2 4ti o �w P� Q S EI"' I (v 8 J ti� Or v Lo-r I I N 1 3 „i N A AK 0.2 GoJ'T LoT L-w000 I�. A; IBo ' SEc ,T-Z • FE,,. .� 2Z.Z 11,9 01 NOTE PLAT bIME�.1SI otvS ALOIJ C� Z-ST`( FrZAFfE n,' TNiS LINE C \} OeQvE vp, ES. 5Howu AEE NEW Gori PVTEO wf 1, 1918 DIST AI.1G Tc�+ J - F.F.GLEV 5.a Q \` r 41J c ap FuO P U9' 60 T co (TIES „GI�ZGLE \ �A(. �w Z (GULF DE- '� 16 f Pwo M� G N - ;.z a -, _.: _ _. -. dSo 47'19'• -iia �.::.zo,..-,E.ASHM EI.S'Y uA° IN F/y.}I'. S,0•. 24•53 0 I I5.5'z .TC¢E0 12 LP A N.G 77 4 V d �r eEFEZEIJGE BE�1GLlHA2.C'. -7"N. OF IIJTE25EGTIOIJ OF 19 Tu ST. AND $EI-III.IOLE Q,p g.N. ELEV.�l O.gp1 REJISBO FLoop GECTI FIGATio Irl 6-loe9 DAVID CLARK & ASSOCIATES LAND SURVEYORS 2711-2 ST. JOHNS BLUFF RD.— A KS NVILLE FLORIDA—(904)841-8700 '•t+�t:>vn l'.A ZI- MAUL'( J[. ! poC OT 41'f 6. KI-.21�1 f'FIA Form 2005 U,S.DEPARIMENI tat II(AA lG AIIU OR(IAN UI VLLOPIALNI VA Form 26-18$2 FEDERAL HOUSING ADMINISTRATION ..,FOS Approved For accurate register of carbon copies, form pp Form Fm HA 424-A may beseparatedalong above fold. Staple OMB No. 63—ROOSS Rev. 4/77 completed#sheets together in original order. Proposed Construction DESCRIPTION OF MATERIALS No. Lot 10, Se 1 va Marina Unit l 2-A (To 6c inserted by FHA,Vit or Fmll/l) ❑ Under Construction Property address Oak Circle City Atlantic Beach, Fl . State Mortgagor or Sponsor Jax. Fed. Say. 8 Loan Asn. 2107 Hendricks Ave. Jax. Fl . (Name) (Address) Contractor or Builder Ellis Homes , Inc. 48. S. Penman Rd. Jax. Bch, Fl . (Name) (Address) INSTRUCTIONS 1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance, VA Request for Determination of Reasonable Value, or 4. Include no alternates,"or equal" Phrases, or contradictory items. FmHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materials or equip- 2. Describe all materials and equipment to be used, whether or not shown ment is not thereby precluded.) on the drawings, by marking an X in each appropriate check-box and entering 5. Include signatures required of the end of this form, the information called for in each space. If space is inadequate, enter "See mise." and describe under item 27 or on on attached sheet. THE USE 6. The construction shall be completed in compliance with the related OF PAINT CONTAINING MORE THAN THE PERCENTAGE OF LEAD drawings and specifications, as amended during Processing. The specifi- BY WEIGHT PERMITTED BY LAW IS PROHIBITED. cations include this Description of Materials and the applicable Minimum 3. Work not specifically described or shown will not be considered unless Property Standards. 1. EXCAVATION: Sandy loam Bearing soil, type 2. FOUNDATIONS: Footings: concrete mix Transit mix strength psi 2500# Reinforcing ?;kpiW ba rs Foundation wall: material Con c re to block Reinforcing Dur—Wall Interior foundation wall: material NA Party foundation wall' NA Columns: material and sizes See plan Piers: material and reinforcing 'See plan Girders: material and sizes NA Sills: material NA Basement entrance areaway NA Window areaways NA Waterproofing 6 Mi I V i squene Footing drains NA Termite protection _ So i 1 poisoning BasementlCSs space: ground cover NA ; insulation 14A ; foundation vents 8A Special foundations See p 1 an Additional information: _ FOO t i n g 2011 X811 —bars Steel _yql�� 3. CHIMNEYS: Material See plan Prefabricated(make and sire) P reway Flue lining: material Stainless steel Heater Rue size 711 Fireplace flue size 1 811 Vents (malerial and site): gas or oil heater water heater Additional information: 4. FIREPLACES: Type: ❑ solid fuel; ❑ gas-burning; ❑ circulator(make and site) Pre fab Ash dump and clean-out No Fireplace: facing Brick or s tee.l lining Stainless steel hearth _ _Brick ; mantel Wood Additional information: S. EXTERIOR WALLS: Wood frame: wood grade, and species #2 SYP [ Corner bracing. Building paper or felt # Sheathing thickness width ❑.solid; ❑ spaced " o. c.; ❑ diagonal; Siding Cedar grade Premi MUM type size 4 1 1 exposure 4811 "; fastening P�aj lS Shingles grade type size ; exposure- "; fastening Stucco thickness 'Lath ; weight lb. Masonry veneer Sills Lintels Base flashing Masonry: ❑ solid' ❑ faced ❑ stuccoed; total-wall thickness' "; facing thickness "; facing material Backup material thickness "; bonding Door sills Conc. Window sills WOOd Lintels Wood Base flashing Mn 1 c tin Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material 0 i I number of coats. Gable wall construction: ❑ same as main walls; ❑ other constructionSPP T l In 6. FLOOR FRAMING: Joists: wood, grade, and species NA ; other bridging anchors Concrete slab: ❑ hasSment Poor; [X first floor;i1 ground supported; ❑ self-supporting; mix 2500# ; thickness 41I "; reinforcing 0X0 #10 WM ; insulation ; membrane 6M i l Fall under slab: material Clean sand —; thickness—". Additional information: Compact to 95% density 7. SUBFLOORING: (Describe underfloorinfor special floors under item 21.) Material: grade and species size type Laid: ❑ first floor; ❑ second floor; ❑ attic - sq, ft.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCATION -Rooms GRADE SPECIES THICKNESS WIDTH BLDG. PAPER FINIStI First floor Second floor Attic floor sq. ft. Additional information: FHA Form 2005 VA Form 26-1852 I DESCRIPTION OF MATERIALS —18 DESCRIPTION'OF WATERIALS 9. PARTITION FRAMING: Studs: wood, grade, and species //2 SYP size and spacing 2x4 1611 �.C. Other Additional information:. 10. CEILING FRAMING: Joists: wood, grade, and species #2 SYP Other Truss Bridging Additional information: 11. ROOF FRAMING: XgXXKNXX�X�MgA Trtss #1 SYP Rafters: wood, grade, and species Roof trusses (see detail): grade and species Additional information: 12. ROOFING: Sheathing: wood, grade, and species 11 C DX p 1 ywoo d ; 6 solid; ❑ spaced "o.c. Roofing Fiberglass shin les ; grade A ; size 12X36 ; type S t r i p Underlay #15 0 r 30# felt . weight or thickness ; size ; fastening Built-up roofing number of plies ; surfacing material Flashing: material 2 GA Ga 1 v rOn gage or weight C] gravel stops; C] snow guards Additional information: 13. GUTTERS AND DOWNSPOUTS: Gutters: material Aluminum gage g 4' pe u a e or weight ; size ha Downspouts: material A 1 um i n u Rl ; gage or weight ; size T ; shape 0 ; number Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry-well. [�Splash blocks: material and size Additional information: 14. LATH AND PLASTER Lath ❑walls, ❑ ceilings: material weight or thicknessImo— Plaster: coats fipis�I Dry-wall 6walls, ceilin s: material Sheet roc thickness finish Tape Ski h I sI1 ,Joint treatment Tape bed & san 15. DECORATING: (Paint, wallpaper, etc.) Rooms WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION Kitchen Enamel Stipple Bath Wallpaper Stipple Other Latex Stipple Additional information: 16. INTERIOR DOO�j AND T�11 Doors: type us s I O 1 d material F i r ; thickness 1 3 811 Door trim: type 1101 ded material 1 r Base: type San I to ry material 1 r ; size x Finish: doors Stain or .paint ; trim talc or paint Other trim (item, ape and location) Additional information: 17. WINDOWS: Windows: t}p. 'Single hung ; make K i n eo ; material Al.um i"num ; sash thickness '06211 Glass: grade D S B ❑ sash weights; ] balances, type ; head flashing Built—i n Trim: type : material Paint ; number coats Weatherstripping: type R u i 1 t in material Storm sash, number Screens: ❑ full; ® half; type A 1 t Im i n u m number ; screen cloth material Basement windows: type material screens, number ;Storm sash, number Special windows Sae n 1 an Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: �� Main entrance door: material 11ahogany ; width 36'' 1; thickness_3/" Frame: material SYP thickness 1 1�$ Other entrance doors: material Fir ; width 2�' thickness114 Frame: material SYP ; thickness Head flashing Aluminum Weatherstripping: type Spring Bronze ; saddles Aluminum Screen doors: thickness UA "; number screen cloth material Storm doors: thickness "; number Combination storm and screen doors: thickness "; number ; screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings See plan ,Attic louvers See plan Exterior millwork: grade and species SYP Paint 0 1 1 number coats 2 Additional information: 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material Custom Birch lineal feet of shelves ; shelf width 1211 Base units: material Wood ; counter top Formica ; edging Fo rm i ce Back and end splash Formica Finish of cabinets Va rn i s number coats 3 Medicine cabinets: make Lawson ; model 14x18 Other cabinets and built-in furniture See plan for van i ties Additional information: 20. STAIRS: TREaus RISERS STRIN(;. _ HANURAIL B,Lt:STERS STAIR Material Thickness Material Thicknen Material Size Material. Size Material Size Basement Main Attic Disappearing: make and model number Additional information: 2 21, SPECIAL FLOORS AND WAINSCOT:(Describe Carpet as listed in Ce.rtiied Pruduct_e Wrector `TIMESHOLo WALL BASE UNDERFLOOR L.00�TION MATERIAL, CALOR, BORDER, SIZES, GAGE, ETC.- MATERIAL MATERIAL M'Y'ERIAL Kitchell Vinyl Al um i n um Wood Con c. 8 Bath Ceramic tile t4a rb l e Con c. Balabce of house Carpet Coll c. LOCATION MATERIAL, COLOR, BORDER,CAT. SIZES,GALE, ETC. HEIGHT E HEIGHT IN O OVVER T F, uB (FROM FLLOOORK)) Bath Tile at tub & shower 61 61 3 Bathroom accessories: ] Recessed; material China number 8 []Attached; material number Additional information: 22. PLUMBING: FIXTURE NUMBER LOCATION MARE MFR`s FIXTURE IDENTIFICATION NO. SIZE COLOR Sink I K' hen Kohler 3 "X21" Lavatory 2 Baths Koh l e r 1 'Ix 1 1 1 Water closet 2 Baths Koh l e r Bathtu I Bath Kohler 3OX60 30X60 Shower over tuby I Bath Stall showery Laundry trays A6 durtain rod A❑ Door Shower pan: material Compot i to Water supply: 0 public; ❑ community system; ❑ individual (private) system.* Sewage disposal: b public; ❑ community system; ❑ individual (private) system.* *Show and describe Indiuuluol rystem in complete detail IR separate drawings and speci�ficalions according to requirements. House drain (inside): ❑ cast iron; ❑ tile; ❑ other ' PUC House sewer (outside): ❑ cast iron; ❑ tile; ❑ other Water piping: ❑ galvanized steel; 6 copper tubing; ❑ other Sill cocks, number 3 Domestic water heater: type Electric ; make and model Rheem ; heating capacity 0 g a l H i 9 h Recovery gph. too' rise. Storage tank: material F i berg 1 ass ; capacity- 40 Q a lgallons. Gas service: ❑ utility company; ❑ liq. pat. gas; ❑ other Gas piping: ❑ cooking; ❑ house heating. Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model ; capacity discharges into 23. HEATING: - ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system, ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model ; capacity gpm. Boiler: make and model Output Btuh.; net rating Btuh. Additional information: Warm air: ❑ Gravity. � Forced. Type of system___Air to Air Heatpump Duct material: supply return Insulation thickness ❑ Outside air intake. Furnace: make and model Input Btuh.; output 36000 Btuh. Additional information: ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model Additional information: Controls: make and types Additional information: Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑ other storage capacity Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Input watts; 0 volts; output Btuh. Additional information: Ventilating equipment: attic fan, make and model capacity cfm. kitchen exhaust fan, make and model NuTone V-20 Other heating, ventilating. or cooling equipment 24. ELECTRIC WIRING: Service: ❑ overhead; 0 underground. Panel: ❑ fuse box; It circuit-breaker; make AMP'S 200 No.circuits Code Wiring: ❑ conduit. ❑ armored cable; n nonmetallic cable; ❑ knob and tube; ❑ other Special outlets: In range;Z3 water heater; n other Dryer & heatpump J Doorbell. ❑ Chimes. Push-button locations— F ron t doo r Additional information: 25. LIGHTING FIXTURES: Total number of fixtures Plans 'Total allowance for fixtures, typical installation, 8.00.00 Nontypical installation Additional information: 3 DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 26. INSULATION: LOCATION TmcKN 1-11 MATERIAL, TYPE, AND MEmoo or INSTALLATION VAPOR BARRIER Roof Fiber Glass Ceiling �—1 9 Wall R-11 'I �� Floor S 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) HARDWARE: (make, material, and finish.) Dexter Brass SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattles prohibited by low from becoming realty.) Ranae IVY Ifill-Pe d Zj0 Hood &to 721 XIR Smoke de_rtgr T'L).AII-11' - PORCHES: See plan TERRACES: See plan GARAGES: Floor, '' finished concrete Ceilings & walls finished WALKS AND DRIVEWAYS: Driveway: width 16 ; base material Sand thickness "; surfacing material COn C. ; thickness 4 Front walk: width 3 ; material Conc. thickness 3I ss Service walk: width ; material thickne " Steps: material COn C treads. 1 1 "; risers . Cheek walls OTHER ONSITE' IMPROVEMENTS: (Specify all exterior onsite improvements not described elsewhere, including ilents such as unusual grading, drainage structures, retaining tualls,ftner,railings, and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Fill to grade & landscape t Topsoil 4 " thick: [j front yard;/[fside yards; [f rear yard to 15feet behind main building. Lawns (seeded,sodded,or sprigged): ❑front yard Sod ; [ side yards seed rear yard Planting: ❑ as specified and shown on drawings; ❑ as follows: Shade trees, deciduous, " caliper. Evergreen trees. ' to ', B t1L B, Low flowering trees, deciduous, ' to Evergreen shrubs, ' to ', B & B. High-growing shrubs, deciduous, to Vines, 2-year Medium-growing shrubs, deciduous,. ' to Low-growing shrubs,deciduous, ' to IDENTIFICATION.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor ' the latter,is known at the time of application. Date. Signature Signature FHA Form 2005 VA Form 26-1852 4 Form FmHA 424-2 iy 8' 0 !to' tw /I� �s 7s• SE e- V y9 4-7 ,,Q.e/Al.19JG�- CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: nit? OWNER OF PROPERTY: TELEPHONE NO.,g& rel PLUMBING CONTRACTOR S 111 � �/-Ct�E'G�el�l� Ae, CONTRACTOR' S ADDRESS: A- kpo.?14'� STATE LICENSE NUMBER: TELEPHONE: HOW MANY OF THE FOLLOW G FIXTURES INSTALLED. SINKS SHOWERS LAVATORY C WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road' 904247-5800 Al, Atlantic Beach,Florida 32233-5445 Fax 904247-5845 PLEASE SUBMI (3) OMPLETE SETS OF PLANS WITH APPLICATION. FILE COPY Date PERMIT# l f g rJW C'1-� ISSUED BY.THE CITY Job Address Ag4l ! 1;<!'��`� _ ` G q�a (�,Permitee: �G.1•�l,V Telephone 7 0 f-ZV,4 i�l V � { Permittee Address: l J` 3 aw t4 R_,CL-k,- , t3 x,53 Requesting Perm' ion to Construct: 64,G'� �3� �C�l . Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( Date: y d Bell South Telephone Company Yes( ) No ( L Date: Ferrell Gas Yes( ) No ( y Date: Comcast Yes( ) No ( } Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone* 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any Increase in impervious area on owner's lot or in the city Right of Way are to be included with this application, 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon gpTpIFWn. OWNERm 4;L Signed: Date: `�,� _�2 Before y of i the Countyrof puvr Stat f Florida, as perso ally ppe a ,1 > - ';,y,; SHIRLEY L. GRAHAM N Publi at rge Sta Florida, unty of Duval. «�^: Notary Public-State of Florida M mm n "jar N pires Feb 14,2010 Produced ommission#DD 518533 "" Bonded By National Notary Assn. City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) 800 Seminole Road �p Atlantic Beach, Florida 322 45 Phone(904)247-5826 - Fa 4)247-544V J'tit E-mail: building-dept@coab.us �(jp� Date routed: City web-site: http://vmw.coab.us 0- APPLICATION REVIE TRACKING FORM Property Address: A/S D � 'kilt Department review required Yes No p Building Applicant: Q�(}'71�`il�, Planning &Zoning Tree Ad ' ' ator Project: 1dj-�rlawkvublic Works Public Utilities Public Safety Fire Services w Dept,Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ]Approved. ❑Denied. (Circle one.) Comments: b BUILDING q PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 n�1//� �j�� //CITY OF 4&4#d //-�__ TY+LLQ dw- Bwc-A-�L�LL�Q Office of Building Official REQUEST FOR INSPECTION Date__,2 ~ co" Permit No. 2 A15-0 Time /� A� Received/may /Q' /� M. ( 1 l! C/i Job Address Locality Owner's Name 1' Contractor BUILDING ON RETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ �re Fab READY FOR INSPECTION -�r.(y j A s 0 -11 e �_ Mon. Tues. Wed. Thurs. Friday CePtvMr� A.M. Inspection Made - ® � P.M. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date DEPARTMENT OF BUILDING 6335 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 1-10- 19 84 Valuation$ PLUMBING Fee$ 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 $fir PLUMBING 55*50CKT 2221— JA b714/04 ��3r, nr:rnr has permission to INSTALL PLUMBING AS PERS I A 5/14/6 t 3�1 Classification RESIDENTIAL Zone Owned by ELLIS HOMES INC. Lot in Block S/D Unit 1�'A House No. 1918 Oak Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,t AFTER DATE OF ISSUE Q---'► 4---i O Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up auled away by either Ion- a iwner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME LOCATION_/C d MASTER PLUMBERS STATE/COUNTY OCCUPATIONAL LICENSE NO. c c-q r7 c 6c)17 - CERTIFICATE N0. CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS �- BATH TUBS / _DISHWASHERS URINALS DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH .THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. I DEPARTMENT OF BUILDING L+ /I 4 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 6 j PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 1-10 19 84 50.11 T1. Valuation sNECHANICAT. Fee$ nn a 600OCKT t 5174 1 A 7/1 WEI jThis permit not valid until above fee has been paid to City Treasurer,and is 6311 •0 CAC isubject to revocation for violation of applicable provisions of law. 5 174 1 a 7/1 S/8 This is to certify that ATR SYSTEMS, INC. 7727 Alton Avenue, Jacksonville, Florida has permission tckMX& INSTAT T 1 PAT & _AT2 CONDITI91414G AS PER. PLANS Classification RESDIENTIAL Zone PUD Owned by ELLIS HOMES INC Lot 10 Block S/D Unit 12—A House No. 191$ Oak Circle 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 z from this work must not be placed j in public space, and must be cleared up and hauled away by either con- or,owner. Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i BUILDING AND ZONING INSPECTION DIVISION -33 CITY OF tTLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT lMPORTANT_/%pplicbanf to crx-np'afo 011 items in soctiorts I, II. III, and IY. '• On __Sid. of 1918 02b Cade L(Y-'ATION (North. S.A' E.st, west) (,adr,f, ---- e•t...^ st. .,,a sf. OF 1 (Intwr"'Ct;w4 Stnett) BUILDING Lot No , Btod No--- L s 5�6div�:on _�Q I r IW��IfL�.+ (State portion of bt if toss titan full Iof-Attach 69al dottripGon par d.red in dupl;uta if nacawry) IL TYPE OF FRO'K)SED MECHANICAL WOM - All rpplicant% cornplafe Parts A - D A. uk Of tU1LDING L OWNEUHII RESIDENTIAL ISrrvate (;nd;vidwl, to.yvraf;c,w, na++pcofif inttifirfiyn, a4c) 1. One family 11. ❑ Utility 16. ❑ Pu61;c (Fadsral, State w local poverww.eaf) 2. ❑ Two or rnore Cam;y- 12. ❑ Sc". lio-mry. --- Enfa,r num6ar of mom• other e.e;s.Cet;onal C, NATUR E OF WORK 3. ❑ Trans;ent, hotel, motel, 17,�('� Nrw &ui ding rooming hours- 13. ❑ Ston, n-omanfrls i Enter num6er of unit- Other 19. ❑ Usfing 8v;td;a9. 4. ❑ Ofbar res-.dentia) 14. ❑ OTHER-SPECIFY 19. ❑ RtpSacenenf of eaisfing sytte•a 20�i. installation (No.system prarviovslyr iwcir!'.sd) NON-RESIDENTIAL 21. ❑ bte`;;cn or add-on b bitting sys+erw. S. ❑ Amusement, ncraafonal 22. ❑ 04rer-Specify 6. ❑ CAurch, other rel;g;out 7. ❑ industrial 8. ❑ Garege, sarv;re station 9. ❑ Hospital, institut;onal E TYPE OF FUILL'iNG 36&Nvmbar of storitrs_-� 10. ❑ Office, 6anl, prfass onal 37. 1rlcod froms D. MECHANICAL EQUIPMENT TO CE INSTALL 38. ❑ Mn�enry and .-..od (Prov;de complete list of compohontt on 6acl of this form) 39. ❑ t'a;rfnr:,d concnta 2�Furnacs: ❑ Specs ❑ Racessad 'Central D FI,>w 40_ r] Structural steal 24.-'t!r Air Conditioning: ❑ Room „„��anfral 41. ❑ Other 2�ucf System: Material_ C T}siclrte�• Mas;mum Capacity �' l'r�� c.fin. 26. ❑ Refr;geret;on S f/Z Te A/S 27. ❑ Cooling +o.er- Capac;ty q t-mTHIS SPACE FOR OFf+Cfr USE ONLY 22. ❑ Fin sprint4m: Num6ar of 4ad- 29. ❑ Etcvtlor ❑ Man131 ❑ E calalar (num6ar) 30. ❑ Ges-cXhe pvmps (nunbei) 31. ❑ Ta*lc (nun6ar) Rern.41 32. ❑ LPG cent.in..t _-(nu^+ba►) _ 33. ❑ Unfirod pmsure "Uel Parm;f Appro.ed 6y Qat: -� 34. ❑ 6o;len le'rrsit F.a 35. ❑ Otbsr - specify Ill. GENERAL iNFOPMATiON A Tyro of hee' IS OTHER CONSTRUCTION nEING CONE ON 4j, Et-ctric W // THIS BUIED14G OR 43. ❑ Cas - ❑ I.P ❑ ►resvrel ❑ CV-iral U';';ty IF YES, GIVE KUubER OF CUNSTRUCTION 1 44. O.I P_EMIT 4S. ❑ 104,4.r - %-city -- - ------ - _ N. IDa4TIHCATION -- To bs ccmpl34o-d by all epp"c'-h In c'.^s'ea'at;on of ptmit ;..n for 4oirg fi.a .ori as d c 't_d in "s sl0cr * t ..e ere5y agree to per-Iorrn said vo+l ,n �A% the stieched pant and sp.•cifutcr+s .N;eh are a ppm F.-. f 4-d e•.. <ft ce _'Ith the City of .act n.;IL ord;^anus nd -.lt sf g_od p'acfics Gsfad 0.4rea. f R/. l,an-'c.al i.#!.-e of (P nt) jaAAiw,4 ce i` i C�Mture f I •� �yanf Ar<hil►ci or Eng;neer <ER G4C 08'032. CITY OF- Office FOffice of Building Official REQUEST FOR INSPECTION Date / Permit No. U Time A.M. Received District No. J b ddress S /}rocaliit�fy Owner's t C C. r✓.✓ / 'C� Name��,i"''' � Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thur.. Friday P.M. A.M. Inspection Made ^ P.M. Inspector Final Inspection � Certificate of Occupancy Date CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 November 1, 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville , Florida 32202 The following final inspection has been made and is satisfactory : Permit #3803 - 1918 Oak Circle, Atlantic Beach Permit issued to Donaldson Electric Company, Sincerely , 4ohn M, Widdows Building Inspection Supervisor JMW:ra CITY OF ATLANTIC REACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: l OWNER OF PROPERTY: /�iQ<_ ��!-/iY TELEPHONE N0. -Yy/'`F PLUMBING CONTRACTOR DAVID GRAY PLUMBING, INC. CONTRACTOR' S ADDRESS: 8850 CORPORATE SQUARE CT . JACKSONVILLE , FL. 32216 STATE LICENSE NUMBER: CFC 022586/4M TELEPHONE: 724-7211 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: if lvlo vid Gray ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-58.34 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERM . INFO ATI N " `t`IO `:INFORMA 'ION Permit Number: 21472 Address: 1918 OAK CIRCLE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Logs): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INF RMA71ON' Date Issued: 2115/2001 Name: KLEIN Total Fees: 25.00 Address: 1918 OAK CIRCLE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/15/2001 Phone: (000)000-0000 Work Desc: REPLACE WATER HEATER c Q n ' P FEES DAVID GRAY PLUMBING, INC. PERMIT 25.00 ons I+t Imo' AK :, ` FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. M.9@ 14 A LANTIC BEACH BUILDING DEPT. htee:s 2/15/91 01 Receipt: I M36 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOC TION NFORMATION Permit Number: 21450 Address: 1918 OAK CIRCLE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/12/2001 Name: KLEIN Total Fees: 25.00 Address: 1918 OAK CIRCLE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/12/2001 Phone: (000)000-0000 Work Desc: REPLACE WATER HEATER P T N FEES DAVID GRAY PLUMBING, INC. PERMIT 25.00 FINAL Itis ions Re uk�ed NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ✓�-� f25.N 14 ATLANTIC EACH BUILDING DEPT. CHECKS ®1 Receipt S : 883348544 CITY OF ' Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING fAECHANICAL Framing ❑ Footing ❑ Rough Wiring ough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. ridgy _ P.M. A.M. Inspection Made i�y P.M. Inspector �r—/ Final Inspection❑ 1 Certificate of Occupancy Date CITY OF U�,��, . y� �4+> A& /3eacls- — J Office of Building Official REQUEST FOR INSPECTION Date ICZ.. Permit No. Time A.M. Received P.M. _ District No. Job Address JG Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL UMBING MECHANICAL Framing ❑ Footing 11 RoughWiring ❑ Rough ElAir.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed, Thurs. Fda P.M. ` A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&",&c B" �.� Office of Building Official REQUEST FOR INSPECTION Date 2 b Permit No. TimeReceived District No. � ,g 0Gl C i rC-� Job Address Locality Owner's Name Contractor. 5 """"'VVA es BUILDING CONCRETE ELECTRICAL. / PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring 5, Rough 01K Air.Cond.& Re Roofing ❑ Slab [B Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place L9� Pre Fab READY FOR INSPECTION A.M. Mon. Tues. / ecL J t; Thurs. Friday P.M. IJ1 A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date --A.:ITY OF Office of Building Official REQUEST FOR INSPECTION Date V Permit No. Tim A.M. Racal ad P.M. District No. Job Address Locality Name Contract BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Th urs. Friday-P.M. A.M. Inspection Made P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY ,OF 4&4a& Office of Buildirta Official REQUEST FOR INSPECTION Date �v Permit No. Time A.M. Received District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing �_ Footing ❑ Rough Wiring � Rough ❑� / Air.Cond.& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. d -. A.M. Inspection Made !9 y / P.M. Inspector ��/ Final inspection❑ Certificate of Occupancy Date CITY OF AA Office of Building Official REQUEST FOR INSPECTION DatePermft No. Time A.M. Received A P,M. District No. 'JobAdore i Locality Owner's s%/q/ Name �^�� Contractor / D' BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. urs. Friday P.M. Inspection Made v — P.M. Inspector r✓ Final Inspection❑ Certificate of Occupancy Date CITY OF /ftw4c Teach - 9&ud4 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32299 TELEPHONE(904)249-2395 INSPECTION LOG BUILDING PERMIT/ ELECTRICAL PERMIT/ PLUMBING PERMIT/ MCHANICAL PERMIT/ JOB ADDRE S r• CONTRACTOR , OWNER Called In Inspected JEA 3 /X i ;rtpproved Temp-Pole 15-- / u" !�-- �/ Slab Footing Foundation Framing �J Plumbing(R) Electrical(R) Mechanical Fire Place Top Out 17>13 _ Electrical Final f FINAL INSPECTION / f r Comments :G/ 1' CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS APPLICATION IS HEREBY MADE FOR _WATER CUT-IN AT THE FOLLOWING ADDRESS FOR -�j /I UNITS .. CUT-IN CHARGE OF STREET NO _ r LOT BLOCK SUBDIVISION//;t), ACCOUNT NUMBER BUILDING DEPARTMENT DATE METER NO. DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT NO. DATE LOCATION LOT NO. BLOCK NO. SUBDIVISION, ! ; ,!;'/ �� • OWNER -c�� '�, TYPE OF BUILDING BUILDING DE7RTMENT ,J DATE INSPECTED BY ENERGY DATA SHEET NAME r�[ G- /' DATE a' 2 JOB ADDRESS C�l /U .�G�!/A.I�C1�►„�. /,�1y,'}' /Z /4" EPI q ' 1. Type Insulation In Walls �G s R / 2. Type Insulation In Ceilings ] R J2 3. Type Insulation for Wood Floors OVA R 4. Concrete Slab Edge Insulation /V/Uk� R 5. Insulation Around Ducts In Condit. Space 6 . Type Heating System ,� ,,yy,Zi COP Z . 7. Type Cooling Systeme rhn EER (.0 8. Type riot Water Heater �r,�y G 9 . Type Glass In Windows and Doors: Double Glazed ✓� Tinted Single Glazed Tinted 10 . Type Exterior Doors LV PP 11. Fireplace? Le"" W/Inside Combustion Air W/Outside Combustion Air 12 . Woodstove? h n 13. Are the dimensions of all windows and doors shown? If not, this is required either on floor plan, elevations or in a schedule. 14. Size of Roof Overhang? 2 , 15. Are the washer and dryer located on floor plan? 16. Any ceiling fans? ff Q, If so, identify on floor plan. 17. Is a multi-zone A/C system to be used? 18. Is the building oriented on plot plan with compass direction? �. If not, draw in on plot plan. 19 . Is there a whole house fan (attic-type fan with 1.5 CEM/SF) ? `jl I certify that the above is the correct data used to calculate the EPI on the energy form submitted, and will be incorporated in the subject job. Signed MAP SHOWING _.SURVEY OF SEL VA MARINA A' IN PL 1T dOi)K 30 , ''U-�L_ RECORD Or PUV, :AUNTY , I. OR [ , . -Z:7- 4 07 -LOT // N r- 12 ? �O F.F. 10-00 �. x ,3 0 D �,cC',P0.4GyG'� . N � s N N\c �4sEMe�vr Al 0 � ; av t a '-iFRE3Y Cr PT (F Y THA IINE PROPERTY SHOWN HEREON IS IN FL 0 )D ZONE SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ,AT',- 1NTIC BEACH , Ft ORIDA . I N!t'?'HY ERTiF `/ TO PERRY HOLDINGS, INC . THAT I HAVE SURVEYED THE ANDS AS SHOWN 1N THE ABOVE CAPTION AND IHAT THIS MAP IS A TPUf_ ANS) I-ORRE.CT REPRF`:,ENTAT ION OF THAT SURVEY AND THAT THE SURVEY REPRESENIED HEREON MEETS TETE MINIMUM STANDARD REQUIREMEt4TS ADOPIED BY THE Ft r1RJDA SOCIETY OF. PROFESSIONAL. LAND SURVEYORS AND_ Tk+F t_ORInA 't AND T ITL E ASSOCIATION . f SIGNED : JA.MU&Z'V 1-9, 1'783 SCALE: I" = 30' - 1 FLORIDA REGISTERED LAND MXWEVOR No. NN W. BONTWAIGHT LAIM rUIRWAl 0 40 PSAIMAM ROAD SOUTH CITY OF ATLANTIC. BEACH, FLORIDA Approved b* APPLICATION FOR ELECTRICAL PERMIT U r �L" 2Y 19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _... -- IMPORTANT NOTICE: AS DESCRIBED IN THE WE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE W ATTACHED PLANS AND SPEC , , HEREBY AGREEI:TO PERFORM SAID WORK IN ACCORDANCE WITH T WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. zz , ELECTRICAL FIM: R `E ILIA NAME "�- f�6s--� -- ADDRESS: ��--RFD_BOX � 1,' BLDG.SIZE BETWEEN: RES.# Ate.( 1 COMM.( 1 PUBLIC# 1 INDUS.# 1 NEW(41' OLD( 1 REW.( 1 ADDITION l 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SQ.FT. FEE SERVICE: II NEW(K INCREASE( I REPAIR ( 1 1 CONDUCTOR SIZE AMPS COPPER ALUM. r , TCH OR 0 RfAKER PH W VOLT AY 'EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO.: SIZE NO. SIZE LIGHTING OUTSETS CONCEALED OPEN TOTAL RECEPTACLES' CONCEALED OPEN TOTAL O.aO AMPS. 31.100 AMPS. SWITCHES Z" i INCANDESCEN FLUORESCEN &M.V. FIXED i O-,00 AMPS, OVER APPLIANCES BELL TRANSFr AIR H.P.RATING H.P.RATING CONDITION# COMP.MOT R OTHER MOTORS AMPS CEIL HEAT: KW-HEAT a A p-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H,P. VOLTAGE PHS.— V1 HS MISCELLAM US TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TR NSF. NO. VA MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ �" TOTAL FEES - -, ..------- "11-X11:1\1 CAI.: 1:JAM RI CAL: BUILDING PEIC-11 T ww KSHEET HEATED SQUARE F00TAGE: T� @ $ `r , / / � Per sq. ft. _ $— - -- 1 Z -/ ---_-- CARAGE (PRIVATE/SHED) : --- @ $ —`----____-- _ Per sq. f t. _ CATTORT: @ $ _ per sq. ft. _ $` PORCHES: — @ $ Per sq. ft. _ DECK: —_ @ $ ---- -- per sq. ft. _ $ PATIO: -- -- @ $ - — ----- Per sq. ft. _ $.- ---- --- TOTAL VALUATION: $ PERill IT FEES TOTA7. VALUATION DATA Ist $_ — 0 REMAINDER VALUATION @ $ per thousand or portion thereof (� TOTAL BUILDING PERM IT FEE. . . . . . . . . . . . . . . . . . . . . - . . . . .$ � 1 — PLUS THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G'C� -------------------------------------------------------------------------------------------- PLL:•;BING PERMIT FEE: $ IECiAMCAL P=%i1IT FEE: $ ELECTRICAL RESIDENTIAL• $ ELECTRICAL TE'TORARY: $ _ -- WATER _IETER SIZE: FEE: $ — SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CAARGE: FIXTURE L'NITS @ $10.00 PER UNIT: $ ACCOUNT NO. : APPROVED BY- ". P}' f O V D TOTAL BUILDING/PLAN FILING FEES: -- tAr_ /i-1. gut ;rs TOTAL WATER '- ET-R CHARGE: _— ,£ ^ TOTAL !NATER CO':`:ECTION CF-ARGE: $__ TOTAL SEWER CO':`:ECTIOIN CHARGE: $ 1;y �a GRAND TOTAL DUE: $ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO,6237 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB April 18 84 01 *00 T Date 19 81 •UBCKT Valuation$ 16,170-40 Fee$— 81.00 47U 1 A 4/19/8 b237 OUCA 476 1A 4/19/8 This permit not valid until above fee has been paid to City Treasurer,and is 1- subject to revocation for violation of applicable provisions of law. This is to certify that ELLIS HOMES, INC. has permission to build SUN ROOM AS PER FLANS SUBMITTED RESIDENTIAL 1A Classification Zone Owned by DANNY AND WANDA VAIL Lot 10 Block S/D 12A House No. 1918 OAK CIRCLE 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 4--D --00 O Building material, rubbish and debris Zi from this work must not be placed in public space, and must be cleared u h led away by either con- ra r owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Amok CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT b TO THE CHIEF ELECTRICAL INSPECTOR: DATE: .S ' --Z 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. Pn 41 ALP aw LECTRICAL FIAM- MWERE CTI I NAMEADDRESS: RFD BOX BLDG.SIZE BETWEEN RES.(a.- APT. ( ) COMM,t } PUBLIC( I INDUS.( ) NEW(6V OLD ( ) REW.( 1 ADDITION ( 1 TRAILER 1 ' I TEMP.( SIGNS t ) SO. FT. SERVICE. NEW(W INCREASE( ) REPAIR ( I FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BRiAKER 100 AMPS _PH W AY EXIST,SERV.SIZE, AMPS PH W VOLT RACEWAY ' „FEEDERS_ NO. SIZE NO.: SIZE NO., SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL 'RECEPTACLES CONCEALED` OPEN TOTAL ' 0.30 AMPS. 1 31-100 AMPS. SWITCHES INCANDESCEN FLUORESCENT&M.V. FIXED If 0.100 AMPS, I OVER APlaLIANCES BELL TRANSF. A!R H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPSCEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS Nd. 1 H.P. VOLTAGE PHS I MIlEgLEME4 Us TRANSFORMERS: UNDER 600 V. OVER BOO V, NO., KVA ]INO. K NO:NEON TRAINSF. NO. VA. MA, MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED TOTAL FEES i DEPARTMENT OF BUILDING 7 �+ CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 6336 _ PERMIT TO BUILD THIS PERMITJIAUST BE POSTED ON JOB t Date 1"10-84 19 70,938.45 267.55 l Valuation$ Fee$ P67 s 5b T � This permit not valid until above Fee has been paid to City Treasurer,and is P67*65CKi 73xc subject to revocation for violation of applicable provisions of law. I A 1'/24/5 This is to certify that Ellis Homes Inc. 1 A '2/24/6 48 S. Penman Road Jacksonville Beach I uaui has permission to build Single Family Home aseper plans i fClassification Residential Zone PUD Owned by Ell" Homes , Inc. Lot 10 Block Unit," 11 /i�� House No. 1391$ Oaks—Q1r_61® According to approved plans which are part of this permit NOTICE--ALL CONCRETE FORMS AND FOOTINGS MVaE IN SPECTED BEFORE POURING PERMIT VOID SIX MONTHS ,AFTER DATE OF ISSUE --1 4 01 O Building material,rubbish and debris —ZI from this work must not be placed in public space, and must be cleared up and-.-hauled away by eithel4conl- fr'act or weer.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR 1 USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date _ ....... .....................19 ...... Permit *.............. .........Fee $.................. CITY OF ATLANTIC BEACH Valuation $.-.................................. ................. FLORIDA House # ..... .......................... APPLICATION FOR BUILDING PERMIT ....................................................................... .......................................................................... 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-1--6-84------------- --------------1 19_........... Owner-_E1.115---Romea.,._Inc...................................... .........Address-M...5.9...Fe41MX1_Rd-*----J.aX.-Telephone No,2-46--n-1-828........ Architect....Lar-ry..V13.U.S.....................................-----------------------Addres&_AA?�.._.F1.a..................................Telephone No...7.2-4fn3.94.4...... Contractor BullderE.1.115....HQ.MP_5.,__1n.0..........._-----•.......-.......Address.-4.8...S._.P.enmaa__Rd.---Jax....Eltphphone No...246-428.-.. Lot No...1.0.....................------------.........Block No_....................... ....Sub Division...S.elva...Karina.112A.................._...........Zone................. .....O.a.k...C..i-r.c- ................. .----Street---- ----- --I.........Side Between.... of 19th. St--........-and_------_-_-_------_----------------------------Stit. Valuation $...1.00L 00.0............For what purpose will building be used....Res Res n.-.-F rame 7 lder.vc.s-- -----------Type of constructio .. .......------_---------- Dimensions of Building.....-65.-.X..-42.__..- ......Dimensions of Lot...Irrigular......................_.....Size of Footings...X'X 1-0.................. Size of Piers--- ------------------------Size of Sills_....-.--.NA._.___.....Greatest Sill Span in ft.......NA..............Type Roof---541ingle................ How will Building be Heated?.--Forced ai r A ............ ........ ......__----------- .........._...Will Building be on Solid or Filled Ground?.....Soll 16 F_ Size of Ceiling Joists---..-.Tr_uss..-&2x1_2__.-.., Distance on Centers- .24..................... Greatest Span..38.1................................. Size of Floor joists.... NA .. ..................................... Distance on Centers- ............................ Greatest Span..................NA................... Size of RaftersTr.14ss---V2K12 Distance on Centers 161;24.."-._.-.--.- - Greatest Span.---•-38.......-.._.........--•-•-•----••- ' 38......I...........--1......... V E D This rectangle is to represent the lot. Lo-ate 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 F IV be submitted with application. Inspections required. 1. When steel is in place and ready to pour foortin .1 2. When steel is in place and ready to pour colu and/or lintel. Z 3. When steel is in place and ready to pour bea A I 4. When framing is completed. E. 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 JackBor.ville. S. 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 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 the City Atlantic Beach. Signature of Builder(,-'.4e .................... Address.,F;� Signatureof Owmer.�..... ......... ...... . .......... Address.............. ...........•........... -------.......................... ...... _ :IF"CH AN I CAI-: BUILDING PLI,"AIT b:O;;}:SHEET H!--AjFD SOU'ARE FOOTAGE: ------d I — @ $ �J per sq. ft. _ 1 __-- _ - -- -- ________ . `'� � S� C.'•.RAGE (PRI�'h'TE/STIED) : ------ ,-3�-- -- @ $ _ _��__- --- --- ------ per�r s q. ft. _ $ _6—j CARPORT: @ $ - --------- per sq. f t. _ $ PORCHES: @ $ �- per sq. ft. _ DECK: @ $ per sq. ft. _ PATIO: 1 @ $ per sq. ft. _ $ �� TOTAL VALUATION: PER'-IIT FEES Al: VALUATION DATA 1st RE'•IAI' D-, ER VALUATION @ $ a. ozper thousand or portion thereof $1 TOTAL BUILDING PEr::-3IT FEE. . . . . . . . . . . * . . , . . . . . . . . . . . . . . . 3z PLUS 2 THE BUILDING PER*1IT FOR PLAN FILING FEE. . . . . .-. . . . . $ 4J TOTAL FEE DUE. . . . . . . .... . . . . . . . . . . . . . . . . • $ ��_� -- "----------------------------------- --- ----------------------------- - --- ._.. � 6 PLUMBING PEiClIT FEE: $ ��-(��J--- M-EC -�NICAL PERMIT FEE: $ �� v - - -- FLECIRICAL RESIDENTIAL: $ EI-I:CTRICAL TE'•5PCRARY: $ -- l/ — $KATER ?, U `--------- �: SEWER CONNECTION CILARGE: SQUARE FOOTAGE: � � FEE PATER CONNECTION CF-ARGE: FIXTURE UNITS �° @ $10.00 PER UNIT: — --— ——-- ACCOUNT NO. : APPROVED BY: TOTAL BUILD"I`:G/PLAN FILING GEES: 1-1 c, v TOTAL !dA'l ER '-ILTER. CHARGE• lYY 11T F y TOTAL WATER CO'.';ECTION CPARGE: J `^� TOTAL SEWER CO'-.."CTION Cl-ARGE: vo as�, GR-ND TOTAL DUE: 1 APPROVED :DF CE PIAT_.-iBING I.'OYFSHEET SINKS S H O'v.'E RS DISHWASHERS &__ CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY UR I`ZALS OTHER c 03 TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE t7,�ITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER D_F','_AND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CH A RGE IS HEREBY FIXED AT $10. 00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTF11, BAT-HROOM GROUP CONSISTING OF LAVATORY (I UNIT) 1-7-ITER CLOSET, LAVATORY, A_ND BATH TUB OR SHOT-.ER STALL SERVICE SI'N'K TRAY STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (1-, UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (.1 UNIT) WASHING 1.11ACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) 4 UN I T S SHOI...ER STALL, DOMI-ESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) I_AU\DRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHI-.ASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) cco" TOTAL FIXTURE UNITS C $10..00 EACH MAP SHOWING SURVEY OF LOT 10 , SELVA MARINA, UNIT 12-A, AS RECORDED IN PLAT BOOK 36 , PAGE 64 , OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SFc T'Q-v 9 T 9 0 8 • z s�T 9� > a 9 �- I C. QO' O �4f • rte„ M i P /9. c Qh a • o N 4?. 49- o jo4RC- 43.89 soy / �"r� t -1—oVIS /S 4 L.amo s-44,e/EK No E7Y.��O.fN4 �PEvsTR/eT.Gn/L/.VE ZY •At,,07 O ` TJy/S RPGPElTY �/ES A�V FLgMp zGln/E %4,' .Q4E.4 0 GF Tit//' /pp w4R 'Cx'00T3 . �LEKIrnc+a/s afE,pEL�ry 4?E scroa�v -s//vr.• (ro.44) .4N0 ,QEFE.P •7'p�/.4T�•t/,Ol 6EG�T.0 l�E.QTiC'.4L 047Ti"•/ I hereby certify that this survey meets the minimum technical standards as set-forth by the Florida Board of Land Surveyors, pursuant Ns AASOCIATESINC.DURDEN to Section 472.07 Florida Statutes. & LAND "901emeso suwvsva.No 42na. SURVEYOR8 Post Office Box f>0870 aIGNf<D _._1 _ _isPJs 830 Beach Boulevard Jacksonville Beach,Florida 32260 SCALE.'-- THIS CALE.'__...._.__THIS SURVEY NOT VALID UNLESS THIS PRINT 18 EMBOSSED WITH THE S&AL OF_THE ABOVE SIGNED. AV 9 35- r — CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION �� LOCATIONINFORMATION Permit Number: 18445 Address: 1918 OAK CIRCLE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 i Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: i Est. Value: Parcel Number: Improv. Cost: _OWNER INFORMATION T _ _ Date Issued: 7/01/1999 Name: KLEIN J �j Total Fees: 25.00 Address: 1918 OAK CIRCLE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/01/1999 _� Phone: (000)000-0000 Work Desc: REPIPE — ---- ------_ CONTRACTOR{S) APPLICATION FEES LARRY TEAGUE AND SONS PERMIT 25.00 i i yp Ins ections Re ulred FINAL j j - NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION I 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 j "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY I- 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. I I I i � - I $25.0014 Date: 7/01/9981 Receipt: 8868512 ATLANTIC BEAC BUILDING DEPT CHECKS 18658 88188883221988 crux OF BID= APPL.i:C.A'T ION PLM2SING ?. Z OWNER ` - PROPERTY: _-��----i: �r M-= N:, CON PJ CTOR LARRY TEAGUE & SONS C"CNTR CT-OR' S ADDRESS:s.�-��L LICE\SE �;�r,BE:. :� � TEL-P {OIiF HOW I•L 47Y OF THE FOLLOWING FIXTURES INSTALLED s IZT{S SHOWERS L A4'ATORY WATER HATERS SATE _U?S X15- <AvnEF:S -RINrIS CLOSETS WASr;T'TG FLOOR DRAINS S owER Pi-s.NS rtER WATER REP_TPE OTHEei TOTA-L FIXTURES: x *3. 50 S 15. 00 MINI?U.N1 PERENIT FEE - 525. 00 SIG`iTA_TUcE 0_ OWNER: Z//"-- SIGNATURE 1vIGNATURE 07 CONT —... ----------------- *----------------------------------------- II STALLkTION OF PLT.',ING A2QD FIXTURES MUST B IN ACCCP.DAiiCr WrTH TiE MOST RECENT EDITION OF THE SOUTHERN _STFtiDARD PLUMBING CODE. GALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-582c SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC. WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 FLORIDA MODE.*-*ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 902 BOB GRAHAM SECTION 9. 9H POINTS METHOD CLIMATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 123 PROJECT NAME 6JURISDICTION AND ADDRESS 5AW ftvrtZ A ZIP ZONE 3 BUILDER PERMIT NO. OWNER JURISDICTION NO. Z G o p� S T ATISTICS IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED nTT�SGLa GL[] MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 3 Z DBLa BL� GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY G R= TFil.[�j] R= COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM Ei�NTRAL NONE Q STRIP F-1 GAS NONE ESISTANCE SOLAR UNITARY El OIL El SOLAR HEAT RECOVERY R GAS EER-SEER = [ HEAT PUMP: COP = Z�,� DED. HEAT PUMP: COP 11 OTHER: =OTHER: MAX. E.P.I. ALLOWED (from 90 =Eff I CALCULATED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* CERTIFIED BY: /siv 144 DATE FORM COMPLETION DATE (owner N ^�4~�' CHECKED BY: (building official THIS DATA IS TO BE SENT TO OCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- 1 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300 ABOVE _ BASE E P 1 120 115 110 105 1 100 95 90 85 8C A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS COMPUTE MAX, BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED E.P.I. ALLOWED , Q 7 8'SeZ *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903. WATER HEATER • ASHRAE LABEL 903.2 PIPING INSULATION SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 RESIDENT14L "CALCULATION FORM 902 CLIMATE ZONES 1 2 3 COMPONENT WINTER GROSS SUMMER GROSS WINTER SUMMER AREA x WPM = POINTS AREA x SPM = POINTS CONCRETE R 4-5.9 15 6 9.9 U) R6 & UP 31 J 9. 2 J a FRAME 7.8 2 g �--- 2 O Hca OR R19-25.9.:.. 4,9 5 .6 BRICK R26 & UP 3.6 4 .2 VENEER COMMON 7.8 2 .5 247 7 ct 3 g 36.4 INSULATED 235.5 14.5 O STORM DOOR 124.4 29.0 COMMON 61.9 4.5 5. 5 UNDER R22-29.9 4,1 5.0 ATTIC R30 & UP 3.3 3. 7 C7 Z R 6-7.9 14.2 14.9 J R 8-9.9 10.9 11 .3 LLJ SINGLE R10-11.9 9.2 9 5 U ASSEMBLY R12-18.9 6, 7 7 .0 NO ATTIC 5.0 5 .5 COMMON 4.8 1 .5 R 0-6.9 1 1 5.5 4 . Ul R 7-10.9 6 2 .1 WOOD 5.6 1 .8 p R19 & UP 4O 1 .3 W MO QP- R 0-2.9 19.4 6. oO R 3-5.9 2 3. 7 LLZ R 6-10.9 3 2.6 O CONCRETE6 2 2.2 Lu R19 & UP 4.4 1 6 O COMMON 4.8 1 .5 Iy EDGE INSULATION PERIMETER WPM Im Jc07 R 3-5.9 g NZ PERIMETER R 6 & UP O _ 4�C4 . 2 i1 2 3 s 0R AREA SGL DBL WOF GWP OR AREA SINGLE I DOUBLE SOF GSP 9F CLR TIN CLR TIN I 9F �N _f IC. 157.4 120.8�Lw* $ N 146 123 120 101 lcV-Zqg9t9 NE_ 157.4 120gi NE 221159 E � 7.4 J2.Q.$ Z1 E - - 289 242 2-51 SE _ 57.4 12 0.8 -__ SE219 226 18_9 = S - Z 157.4 120, 7 -33 , - S --- 2- Iso 160 Iso 134 -. `= Sw 1 12 SW 2 1 1 22 1 W W -4. 157.4 12o.8 W _ 2 242 251 209 NW 7.4 12 8 N W 221 1 190 159 4 6.4 79. --- H 8 9408 43 3 `0 _ J - �!►- 2- .7 _ o - O iitlEt !1i:Mf1IF:IST E1: iF.# [.t 1$56 4!F IFIwtOtatl 1kAI* ► H = HORIZONTAL GLASS (SKYLIGHTS). .. ...1DI� AM, V, >14•;:.>:.;:;:.>:<.;: FOR SC LESS THAN 0.83 SEE SEC. 902.2d .> <:: :;::::. _........209Pi... ....Ff TOTAL GROSS WINTER POINTS gZZ aS TOTAL GROSS SUMMER POINTS R = 3.5 grzZS 1.15 9 +SC O R = 3.5 �'L 1.15 F-a- R = 5.0 1.12 R = 5.0 1.12 (�J p R = 6.7 1.09 R = 6.7 1.09 BAfi E<: 1.00 DUCT 1.00 HSM FROM 9132� x.q-2. 39-I( CSM FROM 9H x ,ap ds� DIWDE BY 7 l�) Z2T DIVIDE BY FLOOR AREA '^F WINTER POINTS FLOOR AREA �O� UMMIER POINT CALCULATE E.P. I. WINTER POINTS SUMMER POINTS HOT WTR PTS CREDIT POINTS PENALTY POINTS Z2. G + (911 7 / (9C) + (9D)+ (9E) •i FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS 9C DESIGN CREDIT POINTS (CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 51 OIL HEATING CROSS VENTILATION (1 CP per room) 1 12.8 WHOLE HOUSE FAN (min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E DESIGN PENALTY POINTS FIREPLACE with outside combustion air I2 WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 40% 5 9C TOTAL (not to exceed 12 points) FIREPLACE W/ INSIDE COMBUSTION AIR 5 3 CFORM 902 """. CLIMATE ZONES 123 9 F IWINTER OVERHANG FACTOR (WOF) 9 F SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0. 74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0. 91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.9L 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0. 70 0.68 0.77 0.68 0. 70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0. 76 0.64 0.64 0. 76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0. 76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP ;i.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 1 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT Y_ ............. . :. NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) `9H I COOLING SYSTEM MULTIPLIER (CSM) 40, ESER R 6 .8-6.9 7.0-7.4 7.5-7.919.0-8.4 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10A 10.5-10.911.0-11.9 12.0-1P ELEC. CSM1.00 1 0.93 0.87 1 0.81 0.76 0.72 1 0.68 0.65 0.62 1 0.59 0.54 COP 0.40-0.4410.45-0.49 0.50-0.5410._55-0.5910.60-0.64 0.65-0.69 0.70 & UP GAS - CSM 1 1.50 1.25 1.20 1.09 1.00 0.92 0.89 'ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413=ARI RATED COOLING OUTPUT IN BTUH =- TOTAL WATTS CONSUMED 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER 13 9 GAS BACKUP ELECTRIC BACKUP 9.7 HRU (HP) WATER HEATER GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION 10.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 I- v. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER o Z ¢ o GAS BACKUP 11.4 12.8 -14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0. V a "PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM 100 - OVERALL SOLAR FRACTION 4