Permit Enclosing Porch 1945 Brista De Mar 2011 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ti ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002907 Date 12/02/11
Property Address . . . . . . 1945 BRISTA DE MAR CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 800
----------------------------------------------
Application desc
enclose patio for living space
-------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHNSON JON and Suzanne OWNER
1945 BRISTA DE MAR CIR
ATLANTIC BEACH FL 32233
( 90) 853-6794
----------------------------------------------------------------------------
Permit . . . . . . W/W/O BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation . . . . 800
Expiration Date . . 5/30/12
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
* Home owner shall be responsible for wind borne debris
protection on new area of construction; doors and windows
in the exterior wall of the new area to be enclosed.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 55 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 169 . 00 169 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: _/��fs t Is/ CYe 4,, &ec,6
Permit Number: //— a 967
Legal Description &4 &ok 37-374 Selt4 (Yo4cpa cel# 2 Lot S-S-
Mr- ea o qTt. 3d.sx4.s ,, '�'t
Valuation of Work S $"00 Proposed Work heated/cooled Z .4 non-heated/cooled p
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa indow/door
Use of existing/proposed structures) (circle one): Commerciale i ne tial
If an existing structure,is a fire sprinkler system installed? (Circle one): o CED
Florida Product Approval # 56& racM�p
For multiple products use product app—roval form
/4r♦�e�'�v SCrttn� �rc1.► ,},o tNC�DSt! tE"" GJ/Yl4o�i� hovSC,
Describe in detail the type of work to be performed: lZel'"Ove Screen Q" Mp(QC;t serte✓►a A&-w S'
Wi. f7`EKCN �oDvs, S '{►zt64ak4 windows, 1 3r4SIn the laCe Screen
W eKiS exle-iob- jc6r.
Property Owner In ormntion:
Name: b&l Address:_ de, MW Cr
City Staters Zip 3ZZ7Y Phone C10tA 91-3 (oZ-i
E-Mail or Fax#(Optional) on.lo.)cA4t4 sor%C !yKAi 1• C&W
Contractor Information:
Company Name: Qwvie,✓' Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration#Architect Name Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addr " RRQXTIR FORADDMONAL
Bonding Company Name and Address MEN ONS.
Mortgage Lender Name and Address EVIIEWPEDGY.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or insta a ton
issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nu
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical—Work,Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether specs ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner
� Signature of Contractor
Print Name . ......................S.c�'1ti............................................................ Print Name ,,.
..............................
Swor n subscri b n Sworn to and subscr• ed before me
this Da of r' 20/ this Day of 20
SHIRLEY L.GRAHAM
9 n0.2 760
:«:
Not is __ • EXPlR6S:Febmary 14,2014 Notary Public
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FORM 1100A-08
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Project Name: Brista de Mar Circle Builder Name: Jon B Johnson
Street: 1945 Brista de Mar Circle Permit Office:
City,State,Zip: Atlantic Beach, FL,32233- Permit Number:
Owner: Jon B Johnson Jurisdiction:
Design Location: FL,Jacksonville
1. New construction or existing Addition 9. Wall Types(2107.0 sqft.) Insulation Area
2. Single family or multiple family Single-family a. Frame-Wood, Exterior R=30.0 2107.00 ft2
3. Number of units,if multiple family 1 b. N/A R= ft2c.N/A R= ft2
4. Number of Bedrooms Bedrms In Addition) 3(0) d.N/A R= ft2
5. Is this a worst case? No 10.Ceiling Types (2298.0 sgft.) Insulation Area
6. Conditioned floor area(ft2) 2298 a.Under Attic(Vented) R=30.0 2298.00 ft2
7. Windows(247.0 sgft.) Description Area b.WA R= ft2c.N/A R= ft2
a. U-Factor: Dbl, U=0.65 180.00 ft2
SHGC: SHGC=0.49 11. Ducts -
b. U-Factor: Dbl, U=0.65 37.00 ft2 a. Sup:Attic Ret:Attic AH: Interior Sup. R=13,659.6 ft2
SHGC: SHGC=0.49 12.Cooling systems-Replacement for wholehouse
c. U-Factor: Dbl, U=0.65 30.00 ft2 a.Central Unit Cap:57.5 kBtu/hr
SHGC: SHGC=0.55 SEER: 15
d. U-Factor: N/A ft2 13. Heating systems-Replacement for wholehouse
SHGC: a. Electric Heat Pump Cap:55.0 kBtu/hr
e. U-Factor: N/A ft2 HSPF:8.5
SHGC:
8. Floor Types (2298.0 sgft.) Insulation Area 14. Hot water systems-Replacement equipmenta. Electric Cap:55 gallons
a.Slab-On-Grade Edge Insulation R=4.0 2298.00 ft2 EF:0.82
b.N/A R= ft2 b. Conservation features
c.N/A R= ft2 None
15.Credits CF,CV
Glass/Floor Area: 0.107 Total As-Built Modified Loads: 27.69 PASS
Total Baseline Loads: 37.42
1 hereby certify that the plans and specifications covered by Review of the plans and Q��HE S7*4:
this calculation are in compliance with the Florida Energy specifications covered by this O
Code. calculation indicates compliance
with the Florida Energy Code. I- /tell, -::;. ;•;;;. '��„ O
PREPARED BY: > Before construction is completed ?'
DATE; I1 ofl le I 1 this building will be inspected for
compliance with Section 553.908 ' °
I hereby certify that this building, as designed, is in compliance Florida Statutes. t�
with the Florida Energy ode. CPD WE
OWNER/ E T: BUILDING OFFICIAL:
DATE: I I wc
DATE:
11/17/2(111 S-48 AM FnP.rnvGmjnPRR I1SA-FlaRPG200R Pane 1 of R
PROJECT
Title: Brista de Mar Circle Bedrooms: 3 Adress Type: Street Address
Building Type: FLAsBuilt Conditioned Area: 2298 Lot#
Owner: Jon B Johnson Total Stories: 1 Block/SubDivision:
#of Units: 1 Worst Case: No PlatBook:
Builder Name: Jon B Johnson Rotate Angle: 0 Street: 1945 Brista de Mar Circl
Permit Office: Cross Ventilation: Yes County: duval
Jurisdiction: Whole House Fan: No City,State,Zip: Atlantic Beach ,
Family Type: Single-family FL, 32233-
New/Existing: Addition
Comment:
CLIMATE
IECC Design Temp Int Design Temp Heating Design Daily Temp
V Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Jacksonville FL—JACKSONVILLE—INT 2 32 93 75 70 1281 49 Medium
FLOORS
# Floor Type Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio 168 ft 4 2298 ft2 0.1 0.9 0
ROOF
/ Roof Gable Roof Solar Deck
# Type Materials Area Area Color Absor. Tested Insul. Pitch
1 Hip Composition shingles 2489 ft2 0 ft2 Light 0.96 No 0 22.6 deg
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 2298 ft2 N N
CEILING
# Ceiling Type R-Value Area Framing Frac Truss Type
1 Under Attic(Vented) 30 2298 ft2 0.13 Wood
WALLS
/ Cavity Sheathing Framing Solar
# Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor.
1 NE Exterior Frame-Wood 30 672 ft2 0.19 0.75
2 E Exterior Frame-Wood 30 495 ft2 0.19 0.75
3 SW Exterior Frame-Wood 30 544 ft2 0.19 0.75
4 W Exterior Frame-Wood 30 396 ft2 0.19 0.75
DOORS
# Ornt Door Type Storms U-Value Area
1 W Wood None 0.460000 21 ft2
2 NE Insulated None 0.460000 21 ft2
3 E Insulated None 0.460000 21 ft2
4 E Insulated None 0.460000 21 ft2
5 E Insulated None 0.460000 35 ft2
6 E Insulated None 0.460000 35 ft2
7 E Insulated None 0.460000 35 ft2
8 E Insulated None 0.460000 35 ft2
9 E Insulated None 0.460000 35 ft2
WINDOWS
Orientation shown is the entered,asBuilt orientation.
/ Overhang
V # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening
1 NE Metal Double(Tinted) Yes 0.65 0.49 N 20 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
2 NE Metal Double(Tinted) Yes 0.65 0.49 N 15 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
3 NE Metal Double(Tinted) Yes 0.65 0.49 N 4 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
4 E Metal Double(Tinted) Yes 0.65 0.49 N 15 f12 1 ft 6 in 0 ft 0 in HERS 2006 None
5 NE Metal Double(Tinted) Yes 0.65 0.49 N 15 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
6 E Metal Double(Tinted) Yes 0.65 0.49 N 32 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
7 E Metal Low-E Double Yes 0.65 0.49 N 5 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
8 E Metal Low-E Double Yes 0.65 0.49 N 5 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
9 E Metal Low-E Double Yes 0.65 0.49 N 5 ft2 1 It 6 in 0 ft 0 in HERS 2006 None
10 E Metal Low-E Double Yes 0.65 0.49 N 5 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
11 E Metal Low-E Double Yes 0.65 0.49 N 5 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
12 SW Wood Low-E Double Yes 0.65 0.49 N 12 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
13 SW Metal Double(Tinted) Yes 0.65 0.49 N 10 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
14 SW Metal Double(Tinted) Yes 0.65 0.49 N 10 f12 1 ft 6 in 0 ft 0 in HERS 2006 None
15 SW Metal Double(Tinted) Yes 0.65 0.49 N 9 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
16 W Metal Double(Tinted) Yes 0.65 0.49 N 12 ft2 1 ft 6 in 0 It 0 in HERS 2006 None
17 W Metal Double(Tinted) Yes 0.65 0.49 N 3 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
18 W Metal Double(Tinted) Yes 0.65 0.49 N 15 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
19 W Metal Double(Tinted) Yes 0.65 0.55 N 15 ft2 1 ft 6 in 0 ft 0 in HERS 2006 None
20 W Metal Double(Tinted) Yes 0.65 0.55 N 15 ft2 1 It 6 in 0 ft 0 in HERS 2006 None
21 NE Metal Double(Tinted) Yes 0.65 0.49 N 20 ft2 1 ft 6 in 0 It 0 in HERS 2006 None
INFILTRATION & VENTING
/ ----Forced Ventilation---- Run Time Fan
V Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts
Default 0.00036 2170 7.08 119.1 224.0 0 cfm 0 cfm 0 0
GARAGE
# Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
1 382.8 ft2 382.8 ft2 64 ft 8 ft 1 -
COOLING SYSTEM
# System Type Subtype Efficiency Capacity Air Flow SHR Ducts
1 Central Unit Split SEER: 15 57.5 kBtu/hr 1725 cfm 0.75 sys#0
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Ducts
1 Electric Heat Pump Through the Wall(Split) HSPF:8.5 55 kBtu/hr sys#0
HOT WATER SYSTEM
# System Type EF Cap Use SetPnt Conservation
1 Electric 0.82 55 gal 60 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
None None ft2
DUCTS
----Supply---- ----Return---- Air Percent
V # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF
1 Attic 13 459.6 ft Interior 114.9 ft Default Leakage Interior (Default) (Default)%
2 Attic 13 75 ft2 Interior 0 ft2 Default Leakage Interior (Default) (Default)%
3 Attic 13 125 ft2 Interior 0 ft2 Default Leakage Interior (Default) (Default)%
TEMPERATURES
Programable Thermostat:None Ceiling Fans:
Cooling
Venting IX Jan €X Feb €X Mar €X Apr €X May �X Jun €X Jul €X Aug �X Sep �X Oct €X Nov �X Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 78 78 78 78 78 78 78 78 78 78
Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 78 78 78 78 78 78 78 78 78 78
Heating(WD) AM 68 68 68 68 68 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
Heating(WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
FORM 1100A-08
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
E
DRESS: 1945 Brista de Mar Circle PERMIT#:
Atlantic Beach, FL, 32233-
INFILTRATION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
Exterior Windows & Doors N1106.AB.1.1 Maximum: .3 cfm/sq.ft.window area; .5 cfm/sq.ft.door area.
Exterior&Adjacent Walls N1106.AB.1.2 Caulk,gasket,weatherstrip or seal between:windows/doors&
frames, surrounding wall;foundation&wall sole or sill plate;joints
between exterior wall panels at corners;utility penetrations;
between wall panels&top/bottom plates;between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is
installed that extends from, and is sealed to,the foundation to the
top plate.
Floors N1106.AB.1.2 Penetrations/openings> 1/8"sealed unless backed by truss or
joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier
is installed that is sealed to the perimeter,penetrations and seams.
Ceilings N1106.AB.1.2 Between walls&ceilings; penetrations of ceiling plane to top floor;
around shafts,chases, soffits,chimneys,cabinets sealed to
continuous air barrier;gaps in gyp board &top plate;attic access.
EXCEPTION: Frame ceilings where a continuous infiltration barrier
is installed that is sealed at the perimeter, at penetrations and
seams.
Recessed Lighting Fixtures N1106.AB.1.2 Type IC rated with no penetrations,sealed;or Type IC or non-IC
rated, installed inside a sealed box with 1/2"clearance&3"from
insulation; or Type IC with <2.0 cfm from conditioned space,
tested.
Multi-storyHouses N1106.AB.1.2 Air barrier on perimeter of floor cavity between floors.
Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers;combustion space
heaters comply with NFPA, have combustion air.
OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N1112.ABC.3
Switch or clearly marked circuit breaker(electric)or cutoff(gas)
must be provided. External or built-in heat trap required.
Swimming Pools&Spas N1112.AB.2.3 Spas &heated pools must have covers (except solar heated).
Non-commercial pools must have a pump timer. Gas spa&pool
heaters must have a minimum thermal efficiency of 78%.
Heat pump pool heaters shall have a minimum COP of 4.0.
Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per
minute at 80 PSIG.
Air Distribution Systems N1110.AB All ducts,fittings, mechanical equipment and plenum chambers
shall be mechanically attached, sealed, insulated and installed in
accordance with the criteria of Section N1110.AB.
Ducts in unconditioned attics: R-6 min. insulation.
HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for
each system.
Insulation N1104.AB.1 Ceilings-Min. R-19. Common walls-frame R-11 or CBS R-3 both
N1102.6.1.1 sides. Common ceiling&floors R-11.
CITY OF ATLANTIC BEACH
l O ER / BUILDER AFFIDAVIT
I. FLORIDA STA'T'UTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD ORIMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25.000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FUR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER TTTE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOtTR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSINCr
QRDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
I`1& ,ggi t. We �k, et r 90(l0s3 G7g�
ADDRESS PHONE NUMBER
,,Ay �d�Nsa,v
PRINT AME
SIGN RE }} DATE
Before me this S day of 20A in the county of
Duval,State of Florida,has personally ppeared herin by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of ,County of Y
LB'Personally Known
❑ProducedIdentification- -
'*r *° MY COMMISSION pp g M740
I lotary Signatures' �•., EXPIRES:Februa
k oar War 14,2014
Bonded Thru Notary Public Underwriters
F:BLDG/Owner-Euilder Affadavit;USED: 416/2009
1
This combination qualifies for a Federal Energy
O
o , Efficiency Tax Credit when placed in service WN
between Feb 17,2009 and Dec 31,2011.
Certificate of Product Ratings
AHRI Certified Reference Number: 3930731 Date: 9/23/2011
Product:Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number:4TWR5061 E1
Indoor Unit Model Number:4TEE3F66A1
Manufacturer:TRANE
Trade/Brand name:XR15 WEATHERTRON
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third
party testing:
Cooling Capacity(Btuh): 57500
EER Rating (Cooling): 12.50
SEER Rating(Cooling): 15.00
Heating Capacity(Btuh) @ 47 F: 55000
Region IV HSPF Rating(Heating): 8.50
Heating Capacity(Btuh) @ 17 F: 34600
"Ratings followed by an asterisk(")indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.
The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated;entered into a computer database;or otherwise utilized,in any
form or manner or by any means,except for the user's individual,personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air-Conditioning,Heating,
click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on AFOUON ®® and Refrigeration Institute
which the certificate was issued,which is listed above,and the Certificate No.,which is listed below.
@2011 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 129612812902337994
Florida Building Code Online http://www.floridabuilding.org/pr/pr_app_dtl.aspx?pw-am=w...
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Product Approval Menu>Product or Application Search>Application List>Application Detail
FL# FL11595
a Application Type New
Code Version 2007
Application Status Approved
n
� Comments
Archived 0
Product Manufacturer JELD-WEN
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls,OR 97601
(800)535-3936
fbc@jeld-wen.com
Authorized Signature Janet Gerard
fbc@jeld-wen.com
Technical Representative Steve Saffell
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls,OR 97601
(541)882-3451 Ext 2900
stevesa@jeld-wen.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation& Management Institute,
Validated By National Accreditation&Management Institute,
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440-05 2005
Equivalence of Product Standards
Certified By
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- - - NOTICE OF PRODUCT CERTIFICATION ---
CERTIFICATION NO: NI009672-R2
DATE: 10/2U/ 008
CERTIFICATION PROGRAM: Structural
COMPANY: Jeld-Wen
CODE: J-194.3
I REVISION DATE: 11/05/2008
e
The"Notice of Product Certification"is valid only when Administrator's Seal is applied to the upper left hand
portion of this form and a certification label is applied to the product. This certification seal represents product
conformity to the applicable specification and that all certification criteria has been satisfied.
i
s
The product described below is approved for listing in the next published issue of the Directory of Certified Products
at www.NAMICertification.com. Please review,and advise NAMI immediately if data,as shown,requires
corrections.
COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION
Jeld-Wen Window&Doors Jeld-Wen's"Triple Fixed Transom
3737 Lakeport Boulevard w/Integral Mullion or Boxed Unit"
Klamath Falls,OR 97601 Configuration: 0/0/0
R v
Glazing: IG-1/8"Annealed Glass
i
Frame: W-3772mm(148.5")H-346mm(13.625")
Lite: W-2819mm(111") H-346mm(13.625")
STP:Pos+5750Pa(120 psf)Neg-5750Pa(l20 psf)
SPECIFICATION PRODUCT RATING I
3
AAMA/WDMA/CSA 101/I.S.2/A440-05 TR-R60 3772 x 346(149 x 14)
ASTM F588-04 FER-Passed tt
Product Tested By. Quality Testing, Inc.
t Report No: SJW2008-077
Installation Details: JW052008(1-5)
Expiration Date: May 31,2012
F
Administrator's Signature:
NATIONAL ACCREDITATION AND
MANAGEMENT INSTITUTE,INC.
11870 Merchants Walk Suite 202 r
Newport News,VA 23606
TEL: (757)594-8658
FAX: (757)594-8659
ii
v.
i�sy;y�y City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
�r Atlantic Beach, Florida 32233-5445 /
Phone(904)247-5826 • Fax(904)247-5845 Date routed:
n F A , E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: artment review required Yes o
Building
Applicant: J, arming &Zoning
Tree Administrator
Project: �O /^ Public Works
' Public Utilities
or 111� / / � "E' Public Safety
X_r) !4 Fire Services
R,'i
Receipt
Other Agency Review or Permit Required Review or 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: ZApproved. ❑Denied.
(Circleone.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 11-17-11
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed.
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