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419 Whiting Ln 11-00002890 Addition CITY OF ATLANTIC BEACH .\, 800 SEMINOLE ROAD Z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002890 Date 12/12/11 Property Address 419 WHITING LN Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 36000 Application desc 360 SF ADDITION AND INTERIOR ALTERATIONS Owner Contractor LEDFORD REX E. OWNER 419 WHITING LANE ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . . . 230.00 Plan Check Fee . . 115.00 Issue Date . . . Valuation . . . . 36000 Expiration Date . 6/09/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 SUBMIT ROOF TRUSS ENGINEERING FOR PLAN REVIEW BEFORE THE FRAMING INSPECTION PER THE BUILDING OFFICIALS REQUEST.* Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. PERMIT ISCAQPIt-OWIi ORIPPIVICKfib 4V 1 . 8 ChigY ) OII LA P% r li AYIPL4 AIE FLORIDA BUILDING CODES. , , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1l ATLANTIC BEACH, FL 32233 *„.../ a n. , INSPECTION PHONE LINE 247 -5814 r -Jt3 �� Page 2 Application Number 11- 00002890 Date 12/12/11 Special Notes and Comments Control Inspection prior to start of construction. Other Fees STATE DCA SURCHARGE 6.90 DEV REVIEW - SINGLE & 2 -FAM 50.00 ENG REV PRE APP > 3 HRS 25.00 STATE DBPR SURCHARGE 3.45 UTIL REV PRE APP >3 HRS 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 230.00 230.00 .00 .00 Plan Check Total 115.00 115.00 .00 .00 Other Fee Total 110.35 110.35 .00 .00 Grand Total 455.35 455.35 .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: 4H'1 Lt1�•� 0 � LA . 4 fit Li Fl a2-33 Permit Number: ! .21k ?C Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 36 De. Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New t dd Alteratio Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Resident installed? s If an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes N /A Florida Product Approval # For multiple products use product approval form /� L j /� Describe in detail the type of work to be performed: key/ de,t / i k / /4-e , 7 �i c� ,d d14/ 36 0 Sr—' Property Owner Informatiion: Name: es. E. L 4 a r01 Address: `}I cl wk ` �-n • t City �}�la t-, �c�, State j-( Zip 32233 PhoneCi&f) 4 33W4 E -Mail or Fax # (Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/ Contact Number Fax # State Certification/Registration # Architect Name & Phone # Engineer's Name & Phone # OM r ' Fee Simple Title Holder Name and Address , 1 i 1 A 11 g i s Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 16) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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. I hereby certify that 1 have read and examined this . application and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Own -4 o Signature of Contractor Print Name ked E Print Name Swo ubscrib • ., , or ; e ` °/ / Sworn to and subscribed before me this / Day of ' , 20. - this Day of _ , 20 F4 �� / �. Notary Public " ' Notary P DEBOHAI AMANDA WHITE • • • ; =. qty COMMISSION Ir EE 057349 • Revised 01.26.10 - 4 1 EXPIRES: May 21, 2015 Bonded TrU Notary Public Underwriters • 4 DO NOT WRITE BELOW OFFICE USE ONLY Applicable Codes: 2007 Florida Building Code w/ 2009 Revisions Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: /719. 0-10.- /1 Development Size Habitable Space 36 d sr Non - Habitable Impervious area Miscellaneous Information Occupancy Group Res Type of Construction iZ 8 Number of Stories / Zoning District e s-1 Max. Occupancy Load Fire Sprinklers Required O Flood Zone ,X Conditions /Comments: %rv s fpc ka S -c k 6e- d 'e[/vOr 'Q0 'TG I3(IJ1V'. b 6p °7 lrt t 1 et s. rh� Oh 'ec ho", - D N 13 m n Q 4 C. p M m WHITING LANE `., m v (60' R /W) p v Z _ �,8 Mc • o my ;o N 07'16'02" W 157.41'(P) - N 07 i '02" W 80.65'(M (P) ' N 0716.02" W 80.65'(P) !n p 157.52'(M) (x�,EE11 80.70'(14) m w x � . I j "l/-. O � D ° N u �m N.. N 1—ThAc?°11- ' ( a o r r 3 4 ' 2 ��w vl cn , y I Z7 0O Y Co ? — w PA w+ � (a &. ) : g :j DO °� oo U1 Ur co � u DI W UI '117 r O ? U� 03 _73 J _� O 1 -STORY BRICK, ro 5 O --I 4 * < O 10.4 d 419 . ;•_. fn [A! 33 C zv G N3 (7, o zs o _ I . � -1Q // z t0 c � W N 47.7 , (1 6 ') N W .9 Q --I 1fr J n o c.n - o p ° m -1 O .. in • 20.0' \ 2.1; V) CO b O .3' 32.o m � c c D 1 ( �.(2 7.5' B.R.L. S� ` ) n .. Z mm0 0 ? X X w DG Ai cS S 07 18' 10" E 80.58 (M) " h z D S 0716'02" E 80.6 '(P) o . Cl) 5 C C/L OF 10' EASEMENT FOR LOT 4 DRAINAGE AND UTILITIES a 0 C rirt O LOT 3 Z I- c C) m a 2 co en el r A, ),/ ( Pit/ 5 r e n e > Z Q) N0 A 0 - oz Cnc ODD ZCi> -oz *rnm • r R 1 � A 5 2 fi r _ir mo (4 v a D o n - tZ (AZ O C ;/.2 o tO 0 r iT ' zc � m c N -1o0 NZ .. p 0 (n o Z Z O r in � =,, ., r O 2 Z O -1 r Z m� Z • M N 0 O�Z rn oN � 11 ' in D r 1n r'1 �, z• r s2ZWs; — rl iI (11 11 11 O ( �� v $�2 UC 0000'0 �'i w GI AI �,..� i � � r� o ro o 111111111 1111111111111111111111 , " CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; 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 1-IAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE 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 FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE 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 YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. 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. `l (ASk s`y.q Lot= 604) 4 13Y -339( ADD ESS J rr PHONE NUMBER /Z€ F_. PRINT N E t SIGNATUR �, ' DATE Before me this day of iy L., 20 " in the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. Notary Public at Large, State of r --;: ti ; �" ?County of Z; iv I Z ' ❑ Personally Known // / `j 4 - Produced Identification - /"'� o c- 3/ 6 ? ?T 2 1 v = M} �va.. f° 0A 8'Nll ; bonded lhn Y2� E 0 5 7 4 1 , N ) Notary Signatur - bn of '4.4:4 4e F: / BLDG / Owner - Builder Affadavit; REVISED 4/16/2009 NOV -14 -2011 15:21 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 Per t 1- 2R90 NOTICE OF COMMENCEMENT State of f10 r- ,( Tax Folio No. Cotmty of "Duvet I • To Wham It May Concern}.: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal. Description of property being improved: 4,"7 •2' /S L.rae /4... %/ , /2:,0 ' c.f o b improved: ved: 9 ` 1 T 'ACta ( j„ 4 1. G g F# • 32233 tin.. Address of property � >� of irnprave L t h . � i f'4r r +,K+NA description 1 ' � + ,C � a .�t n� . ` n � General � s I� t r oa rve Q� � t.._e �� -� !mod ree 1 Owtaer: /,�. I L' e > r- Address: 0.47 a a E *Owner's interest in site of the improvement: "� Fee Simple Titleholder (if other than owner): Name: Contractor: A.ddress: Telephone No.: Fax No: Surety (if any) Address: Amount of Bond $ - - Telephone No: Fax No: • Name and address of any person malting a loan for the construction of the improvements Name: Address: Phone No: Fax No: Nata.o of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: - - - - - - -- , Fax No: _ — — — In addition to himself, owner designates the following person to mock Doc 0201124E5871, OR BK 15768 Page -852, 713.0G(2)(b), Florida Statues. (Fill in at Owner's option) Number Pages: 1 Recorded 11/14/2011 at 02:37 PM, Name: -- -- JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING 510.00 Telephone No: Fax No: „-+- Expiration date of. Notice of Commencement (the expiration date is one (1) year from the date of recording unless a atrrereni. (.21-W specified): TRTS SPACE FOR RECORDER'S USE ONLY OWNER' < ail e gn d' 1 Date: / ' ft! i) � DEORAHAMANDA Before me this _ v r! i i.__ = day . o a it the Co ty ofD uval, State MYCe.AMIS3ION# 057349 Of Florida, has personally appeared he - f t , c vu- /.' I7/ -tve. r.f EXPIRES: May21, 2015 Notary Public at Large, State of Florida, County of Duval- i @onamT hruNolNy Pubic unden,,rhr, - - lvly coma issi.on expires: - ! , Personally Known: �• / _ 3/472 j 7 Gr G or — Produced Identification: (jakiel • L YS , �, CITY OF ATLANTIC BEACH , Building Department 7;. y I 800 Seminole Road r Atlantic Beach, Florida 32233 T r (904) 247 -5800 PLAN REVIEW COMMENTS Permit Application # /f -- 0 Property Address: 4/ :/ ',5 7 Z. 41 Applicant: .,7 r Project: a r'1 ::� r, This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: - t`�" f � x } • d 7 ( 1 0 V r ri" r" . �$ ;✓�: { i /< ai �.� r t;? r`�'` 1 r r ` r nI _ , d Please re- submit your application when these items have been completed. Reviewed By: /*,? Date: w-v..1/2 Fax (904) 247 -5845 City of Atlantic Beach APPLICATION NUMBER J r 1 1 Building Department (To be assigned by the Building Department.) 800 Phone Seminole (904) 247 -5826 Road d / -;? , Atlantic Beach, Florida 32233 -5445 //r .. f `" ' `7 r g T%' E -mail: building- dept @coab.us Date routed: p . , '' ' City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM / i ./'t ;� , / r ..` De ent review required Yes No Property Address: / `°r Build' _ Applicant: ° i L - L- ' tannin g_ nine r Tree Administrator Project: l` /i, e., f-7_�. � r._ .t ° k , � U.-lit 1.,� : � .P s° ,r'' 4 ("I lot ic tilitie& — °' 4 Public Safety Fire Services Review fee $ 5. AO Dept Signature ______Cte Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: Npproved. ❑Denied. (Circle one.) Comments: e _ ��'t� l PLANNING & ZONIN f 1 / 1 ./ �1 1 Reviewed by: ate: EE 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: I Revised 05/14/09 0 .:p r ,,,. City of Atlantic Beach [R CEJVET) APPLICATION NUMBER s Building Department NOV 15 2011 (To be assigned by the Building Department) Y i,, ; 7 S ii 800 Seminole Road // j � Atlantic Beach, Florida 32233 - 544 ,,,, • h — c' '' Phone (904) 247 -5826 • Fax (904 -247 -5845 - J J s P• E -mail: building-dept@coab.us routed: 'r� 7 r, f City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM -Ndv- De ent review re uired Yes No Property Address: � / � pe,..�? q Buildina:L Applicant: , ` t' ° `k-- tann & Zoning') V Tree Admin trsi ator Project: L __ . ,W c: }� L `C 4 ' � L . 4, - Puh ks �' (Pi b lic iiiiities - :Y Public Safety Fire Services Review fee $ ( )--6 Dept: Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: APP CATION STATUS Reviewing Department First Review: Ap proved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed Date: Ii—/3 — /I TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P i •:.S , . C,- m•nts: PU: IC TI TIES P BLI AFE4 Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 s!-% . City of Atlantic Beach . R. ; C F!VFD APPLICATION NUMBER fl :o Building Department (To be assigned by the Building Department.) '� 800 Seminole Road NOV Y 5 2011 / f,. j ' , Atlantic Beach, Florida 32233 5445 ' Phone (904) 247 -5826 • Fax 247 -5845 Date routed: �`� »: �._ � ) 'r` E -mail: building- dept @coab. _ - - - City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM f . t - - ' -- Depa.,l ment review required Yes No Property Address: � ` � - Buildi f ,. Applicant: -` oe J _ tanning & Zoning_, A . Tree Administrator Project: ,� % f �_� � 7� f ';:'r. �_, ,.'puhlic Work = = M" ublic l tilities -°' V Public Safety Fire Services Review fee $ ( Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: s clQ � BUILDING � PLANNING & ZONING : Date: if . I Reviewed by. 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 ,a,/ City of Atlantic Beach APPLICATION NUMBER S r^ r ' ? Building Department (To be assigned by the Building Department.) Y S 800 Seminole Road 2��'v. yr Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 !� /`, / 7. E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION-REVIEW AND TRACKING f ORM f Property Address: '/" a/ /7 A De ent review required Y� No J Build Applicant: /arming & Zonin ✓ Tree Administrator Project: /' . 4"-D-4'4161'1 (--ill->"1-a-&-;N - i�ueraFS '' ublic Public Safety Fire Services .. ............................... . Review fee $ Dept; Signature Other Agency Review or Permit Required Rew o Receipt of Permit vie Verified r By Date 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: BUILDIN PLANNING & ZONING Reviewed by: 4 Date: /2 - 1 2. • — // TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. DDenied. Comments: Reviewed by: Date: Revised 05/14/09 N ' all Ill Alt 4 � . 0 a) g 0 -v , . 4«. ,..4. IIIIMPPOINIMIN 5 00 Al -5 ,0 s IN i ›..17,,, „, 0 1 a i 6 W x U * a ° •_. 0 .4.,. Z".. g ,..4g r/3 O \ lir '4111 M o 4 , 111 1 m am pr if x t = a1 r r� w a, ›• 0.4 .1 t = '4 6 r 4111 .. 00 low s Vb ! 4 . s ir:" W 1 , ° t° A V -° on " 1 o u *4- .4 _. E� a.) - 8 r w (h) , g 0 r „...: 11 r W i 1 O p tIJ _1 p C1 O .5 I 03 . 1 s. id 1 - .0 Q . o - o U d o CI Q, o 6 > a . N .. —" •-i. W O ° o Pi N ° ° N •— O z • A It - o 0 y �" n c t3 4 O { cC Z a> to i Z "'° Q W 3- 0 o A i Th ! o, 3 o Q° •S . o = E c/ FA vi <C O Z IC..) Ca r s, a a r4 y cr Q, w .- c r i 7' 1,( to r N i('�i vi �.o I co' Q- Cj . Cli . a� . F+ a a ¢ �° � , u. U � _. 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U U '1 N �N N o C Con N U 0 a) 1 14 o E Ct u E ,� 4. a a� 0 p o o 0 �� P • y t II E o „ �, M o ,z,.., , 0 > o � � o ."' �� 3m 0 a c,.: Z II b.0 r ��, ` i CZ a : ag cC -� o 1 �..� u !W o r b i ( ' 6.4 a .c2 , E-i f U --a w v Zvi ..fl -0 = Lx i t .c..42 W , c-d - o Z 8 _ 0 o au 3 N cat U U x ∎ �" � , l as o a) o W U U .. .....L U li CITY OF ATLANTIC BEACH ` A ) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002890 Date 1/31/12 Property Address 419 WHITING LN Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 36000 Application desc 360 SF ADDITION AND INTERIOR ALTERATIONS Owner Contractor LEDFORD REX E. OWNER 419 WHITING LANE ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type . . . . . TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . WIRE NEW ADDITION Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/29/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 SUBMIT ROOF TRUSS ENGINEERING FOR PLAN REVIEW BEFORE THE FRAMING INSPECTION PER THE BUILDING OFFICIALS REQUEST.* Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. PERMIT ISQ01114A44 ORLI1bablitctdITIZIPME OlfCiirLANPPURITI AbnItf1E FLORIDA BUILDING CODES. C 5 CITY OF ATLANTIC BEACH r) 800 SEMINOLE ROAD J .'- Z ATLANTIC BEACH, FL 32233 _ INSPECTION PHONE LINE 247 -5814 Oily Page 2 Application Number 11- 00002890 Date 1/31/12 Special Notes and Comments Control Inspection prior to start of construction. Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: L4 ,01 tq l ( L a le. PERMIT # //c'&9 JEA INFORMATION REQUIRED ON ALL PERMITS goo AMPS 9-4 VOLTS / PHASE VALUE OF WORK $9 p v '' NEW SERVICE ❑ Overhead 7 Underground D Underground up Pole ❑Residential (Main) Service 00 - 100 amps ❑ 101 150amps 0151 200amps ❑ amps # of Meters ❑ Commercial (Main) Service 00 - 100 amps ❑ 101- 150amps ❑ 151- 200anips 0 amps OCT Service amps Conductor Type Size ❑Multi Family (Main) Service 00 - 100 amps 0101 150amps O 151 200amps 0 amps # of Unit Meters ❑Temporary Pole 0 amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 0100 amps 0 150amps 0200amps ❑ amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0 -3 Damps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS 0 Replace Burnt/Damaged Meter Can O Safety Inspection OPanel Change ❑ OH to UG Other: ee,,,,,,,..dte., 4 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. cod Property Owners Name Phone Number - CS J Electrical Company 1 ___,(1, • ( t Fax . �f i - �os( hone Fax Co. Address, ii �� Jr) � fr.: — � 3 "T2 L t - Seek- Cit • - , t - F I Zip S2Z 3 License Holder (Print): k r ' ' L, 4 , A j I, S Certification/Re istr .� Pow , , g 130022 °6 ;"Notarized Sig hveca L��a fr 'S1i ar_I 1 � r ; Barba K Konne:: I M Corner or , and 1 n sc ! ed before me Y " 0 1 2._ � o F �,a4� Fxp�;es t,si„ �,� ,,'�' `' i / day of .'',. ,; Viitia` il"rY. • Notary ublic � 1 XU `a (� Y s CITY OF ATLANTIC BEACH ` s- 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002890 Date 2/09/12 Property Address 419 WHITING LN Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 36000 Application desc 360 SF ADDITION AND INTERIOR ALTERATIONS Owner Contractor LEDFORD REX E. OWNER 419 WHITING LANE ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . DON'S AIR CONDITIONING INC Permit Fee . . . 180.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/07/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 SUBMIT ROOF TRUSS ENGINEERING FOR PLAN REVIEW BEFORE THE FRAMING INSPECTION PER THE BUILDING OFFICIALS REQUEST.* Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. Roll off container company must be on City approved list PERMIT IS i(�V i�1i ACCt'� ItEE 44111:4 t� i' ®F tiUIYIC ialkilibi AND THE FLORIDA BUILDING CODES. cam r o f 4 CITY OF ATLANTIC BEACH r A l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 5 ,S. ,,;Z - INSPECTION PHONE LINE 247 -5814 -0131 - .9 Page 2 Application Number 11- 00002890 Date 2/09/12 Special Notes and Comments Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. Other Fees STATE MECH DCA SURCHARGE 2.70 STATE MECH DBPR SURCHARGE 2.70 Fee summary Charged Paid Credited Due Permit Fee Total 180.00 180.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.40 5.40 .00 .00 Grand Total 185.40 185.40 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 3 ,��} JOB ADDRESS: `- 1 � GU a 1 °7!'V , C-J Ai L f 4' bf e 4 PERMrr # /1 O COOA57 " PROJECT VALUE $ 3 5 ci c ARI # / i 7 REQUIRED NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit _ Scer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING 3 YTEM INSTALLATION Air Conditioning: Unit Quantity � 1 Tons Per Unit 3 Heat: Unit Quantity 1 BTU's Per Unit 3 'r Seer Rating REQU,�RRD Duct Systems: Total CFM i c d FIRE PREVENTION 3 sets of Fire Sprinkler System Quantity (Requires plans) ) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fircplade Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets _ Pumps • # Vented Wall Furnaces _. Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells Q �Ls OTHER: C Z r), - - r Mr,. A fc�f ,0 ',kJ / ..Pk . w 4. c IA. of Pc wink becomes void if work does not commence within a s month period or work is suspended or abandoned for six months, t hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give uut city to violate the provisions of any other state or local law regulation construction or the P9 of construction. Property Owners Name tL 4 Le t) ,Phone Number I Mechanical Company Do NS 41 it et, t.4 ✓, al:"- C Offs hon Zip SLUG Co, Address: (2 3 0 it £i� 0 C ou C ity�� State p License Holder (Print): IK.J N ` ` el C c Li r' State Certification/Registration # :e e `sr v Notarized Signature o Livens , , , older Out.z. �( i _ .. . SCHANNE R. THOMAS Sworn and subscribed befor • m this • , of / I o�� � 20., : t COMMISSION # DD 931903 :.: ..; . MY Cow ., /l /,I�/i EXPIRES. October g, 2013 S o Notary Public _ a 4 i / 6/6 d OZL086£*7O6 « 085 LW '1.do0 BuLpl ing Lt:°l, LO-ZO-ZLOZ ti ri e% CERTIFIEDTM www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 1443977 Date: 2/9/2012 Product: Split System: Heat Pump with Remote Outdoor Unit - Air- Source Outdoor Unit Model Number: GSZ130421A* Indoor Unit Model Number: AR *F364216B* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 40500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 40000 Region IV HSPF Rating (Heating): 8.00 Heating Capacity(Btuh) @ 17 F: 24000 • * 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 te u authorized on of data listed on this I liability Certiificate. Certifi d ratingsare d only for models and configurations listed nth the at wwww.ahridi ( r rectory.ag. 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. UUCP 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 �� • � +' and Refrigeration institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129732754510478135