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Permit 672 Ocean Blvd (vault) ' CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFQRMATLQN;. _` _ .. = LG)CATION fNFORIftfATIQNr a _. Permit Number: 18870 Address: 675 OCEAN BOULEVARD 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: ATLANTIC BEACH Est. Value: Parcel Number: j Improv. Cost: II I OWIE ([ QRMiATIOI -- Date Issued: 9/24/1999 j Name: FLETCHER, JOHN Total Fees: 25.00 1 Address: 672 OCEAN BOULEVARD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 9/24/1999 Phone: (000)000-0000 Work De_sc: REPIPE -- CONTF7A ATLANTIC COAST PLUMBING & TILE PERMIT 25.00 I ' i i I i i - - Iections.Rerfiir T I 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. $25.88 14 Date: 9/27/99 91 Receipt: 8890199 A TIC BEAC BUIL G DEPT. CHECKS X41 s� 99196993221999 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Z �� "' /o OWNER OF PROPERTY: e,-�ELEPHONE NO. PLUMBING CONTRACTOR �'�C' CONTRACTOR' S ADDRESS : 32-3 STATE LICENSE NUMBER: C15 (—yo �G�J� (� TELEPHONE: 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: ----------------------------------------------------------------- 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 ) 247-5834 PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: &7z GCtarN J3)V, Property Owner: Phone # Contractor: Phone # )ea.r, :Ixx��s C'e ,,-j Permit#: Date Issued: Building Inspections: Footing I i jqjLpA Slab —Demo, 03 d 70'1- Tie Beam Lintel . 112% 104 Nailing / Sheathing 12b(04 Framing / Cover Up 3-ak - Insulation 1111 4 Final Building I q2 0 Tree Permit# (-- �� YES NO Electrical Permit# Date/ Copy to D3 -.2-733' JEA Temp, Pale Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO secu Co q Inspections: Rough Electric l Released to JEA 3 - Temp. Power a. .- Released to JEA Temp. Pole b,ri Dom` Released to JEA Final 1p jajjoH Released to JEA Mechanical Permit# Inspections: Rough Final �.07-d Plumbing Permit# - q33 Inspections: Rough / Underslab /-fu,G 3-31L� Topout - Water/Sewer Final -a Drainage Inspection: 1�ISriRLI 1 Pool Permit# Inspections: Steel Final Grounding Final _ a Roofing Permit# Inspections: Nailing / Sheathing Final Fire Inspection: Failed Inspections; A 'AffilDate Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 11/22/04 Parcel Number . . . . . 170136-0000- - Property Address . . . 672 OCEAN BLVD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . FLETCHER, JOHN Contractor . . . . . . DEAN L. DAVIS CONSTRUCTION, INC 904 237-2222 Application number 03-00027338 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type Flood Zone . . . . . . Approved . . . . . . . Building Offici l VOID UNLESS SIGNED BY BUILDING OFFICIAL MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 17, AS SHOWN ON MAP OF PLAT No. 1, SUBDIVISION 'A ,, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: JOHN L. & KRISTIN L. FLETCHER/ MERRILL LYNCH CREDIT CORPORATION/ GIBRALTAR TITLE SERVICES/ OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY S E V E N T (40' RIGHT-OFArZ with &,Wesble zoning, subdivision and oth r local land development ulaflons, but doe not constitute approval for the tswanos of Compliance with Florida tlu"ng Cods and"pt! applicable WWState permlltieip and Federal ro4uirements not be verlMd by signature of City of Atlantic am"" ng CNtlal prior to" uence of a V mk. Immun ewM �,� � L 0 T 6 'IVDat.! Nnt a 400 r 3 � r U a / 6' WOOD FENCE 4' WOOD FENCE IG/iENCE M 0 3 ONL NE N84'23'00"E 115.00' ° x 4'CHAINLINK Q t0 FENCE V7 3'X3' CONIC. A.C. PADS aD `- r FOUND 1/2" = d d V7 20.0 I.P. NO CAP> Vw Y 75.0 Q O W O m ' �' ro 2 STORY PAVER O y" © � w WOOD SIDING A BRICK 0 _1 3 00 U O RESIDENCE #672 w DRIVE WAY Z J �^ -� O Q LU t s.o' W a to >: s O Qm 0 PAVER v 24.0' O = w BRICK � 3 N COENTRY ICK 20,0' 0 m � z Va o A A • O m to O 16.3 0 0 14.2' O Z .. Z 0.2' 3.7' PAVER BRICK SIDE WALK V) J of o.7' 7-d Q iv a 2' . I.P. NO CCAP S84'23'00"W 115 00' 29.4 FOUND AP W w 00 U o m a l �7' WOOD FENCE U. O L 0 T 4 BENCHMARK: F.F.E. OF RESIDENCE ON LOT 4, ELEVATION (14.96). ELEVATIONS SHOWN THUS (14.90), AND REFER TO N.G.V.D. 1929. BEARINGS BASED ON THE EASTERLY FINAL:03-2959-3; 10-27-04 (FIELD) LINE OF ATLANTIC BEACH TERRACE AS FOUNDATION:03-2959-20-1-04(FIELD) BEING NORTH 05'37'00' WEST THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X" AS SHOWN ON FLOOD INSURANCE RATE MAP 001D FOR THE CITY OF JACKSONVILLE BEACH, FLORIDA, F.I.R.M. INDEX DATE 4-17-89. ALL AMERICAN SURVEYORS OF FLORIDA, INC. LAND SURVEYORS - 6820 SOMPOINT PARKWAY, SUITE I - J4CKSOWUE, FLOR04 32218 - 904/279-0088 - UCENSED BUSINESS NO. 3857 Legend THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE - 5 FND. - FOUND F.F.E. FINISHED FLOOR ELEVATION SUPERVISION AND DIRECTION, THAT THERE ARE NO ENCROACHMENTS ESM'T . EASEMENT ACOS ` ARMY CORPS OF ENGINEERS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS —4 CONC CONCRETE Jwl ` JURISDICTIONAL WETLANDS LINE THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA MON. MONUMENT P.R.Y.. PERMANENT REFERENCE I.P. . IRON PIPE MONUMENT BOARD OF PROFESSIONAL SURVEYORS AND.MAPPERS PURSUANT TO ALL I.R. IRON ROD P.T. - POINT OF TANGENCY CHAPTER 472.027 CHAPTER 61.,^17-6, FLOR!DA, STATUTES. Ton . TANGENT DISTANCE P.C.P. . PERMANENT CONTROL POINT / AMERICAN a DELTA ANGLE P.C. POINT OF CURVE SURVEYORS CH . CHORD P.R.C. • POINT OF REVERSE CURVE SURVEY NOT VALID UNLESS. EMBOSSED BY SEAL R ARC CCRADluLENGTH P.C.C. POINT OF COMPOUND CURVE CURVE -JAMBS D. HARRISON, JR, NO. 2847 OF FLORIDA, ACT.) . ACTUAL F,P.&L' FLORIDA POWER k LIGHT SAMUEL C. COOLER kO.- 8076 INC. P; . PLAT U.D.E • UNOBSTRUCTED DRAINAGE RRADIAL UNE EASEMENTSCALE 1" = 20' `I CENTER UNE NGVD ` NATIONAL GEODETIC VERTICAL R/W RIGHT—OF—WAY DATUM —x— ` FENCE P.I. POINT OF INTERSECTION 9 (W) WITNESS TOB T�OOF�KER DATE 12-20-03 FLORI A REGISTERED SURVEYOR AND MAPPER =B F.B. PRINT DR. BY JRB DSR, Server\Dwgs\2003\03-2959.DWG FiLE 03-2959 ORDER N0. 03-2959-3 MAP SHOWING BOUNDARY SURVEY OF LOT 5 BLOCK 17 AS SHOWN ON MAP OF PLAT No. 1, SUBDIVISION 'A '*' ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: D.L. DAVIS CONSTRUCTION S E V E N T H S T R E E T (40' RIGHT-OF-WAY) L 0 T 6 8 NaI w ZZI Q o a6' 6' WOOD FENCE I o 4' WOOD FENCE 0.3' FENCE ONL NE " N 84.23'00"E (13.5) 115 � 0. ' 9I 1' 0 (12.2) ZP 75.00' 0.3 21.00' (14. FOUND 1/2" (1 CL 8) Q c0 21.59. I.P. NO CAP = CL It - Y 75.00' - Q — 0 W J- H Q U o U7 a?�s g2 6 —� '; Lo J 3 I= J U Z o D LL os Z ¢ 3 (12.3) STAKEOUT OF RESIDENCE S W I (LM q ►- to (GOOD) n O f- s Q mCL o OU (13.2) -� � m 0 ft0Z Of� O Jv , � � • O W 4'F AICNE INK 75.00' r LnZ co _ O Z " Z 2' -- ?3?6. 13.1 J ( Q (12.5) 75.00 0.7' 1 21.00' 29.4' FOUND 1/2" W (13.38 �< 2 S84•23,00"W (13.2) 115.00' I.P. NO CAP V Z I m 7' WOOD FENCE I i p p I L 0 T 4 J BENCHMARK: F.F.E. OF RESIDENCE ON LOT 4, ELEVATION (14.96). ELEVATIONS SHOWN THUS (14.96), AND REFER TO N.G.V.D. 1929. BEARINGS BASED ON THE EASTERLY LINE OF ATLANTIC BEACH TERRACE AS BEING NORTH 05'37'00" WEST THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED THE LOT S40WIl HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X" AS SHOWN ON FLOOD INSURANCE RATE MAP 001D FOR THE CITY OF JACKSONVILLE BEACH, FLORIDA, F.I.R.M. INDEX DATE 4-17-89. ALL AMERICAN SURVEYORS OF FLORIDA, INC. L+WD SUM-M" - 6820 SOUMPOINT PARK WIY, SUITE 1 - J4=ONNLLE, PZ=a4 =16 - 904/279-0088 - LICENSED &WNESS NO. 3857 L geed THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE - 5 FWD, - FOUND SUPERVISION AND DIRECTION, THAT TKERE-ARE NO ENCROACHMENTS _4 aM� - FAsrmENT ALOE - ARMY CORPS OF ENGINEERS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS - CONI - CONCRETE JWL - JURISDICTIONAL WETLANDS UNE Y �uuP'R LL- PERMANENT REFERENCE THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA I.P. PIPE MONMENT BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS PURSUANT TO ALL I.R. - IRON ROD P.T. - POINT OF TANGENCY CHAPTER 472.027 / CHAPTER 61017-6, FLORIDA: STATUTES. AMER/CAN Tan -TANGENT DISTANCE P.C.P.- PERMANENT CONTROL POINT A - DELTA ANGLE P.C. - POINT of CURVE SURVEYORS CN - CHORD P.R.C.- POINT of REVERSE CURVE SURVEY NOT VALID UNLESS EMBOSSED BY SEAL OF FLORIDA, A •ARC LENGTH P.C.C.- POINT OF COMPOUND CURVE JAIrfES (�, I�IAI'2RISON, JR. R - RADIUS B.R.L - BUILDING RESTRICTION INC. €,QCTj.ACTUAL F.P.&L- FLORIDA POWER & LIGHT / P - PUT U.D.E - UNOBSTRUCTED DRAINAGE R; . RADIAL UNE EASEMENT SCALE 1" a 20' - 1 - CENTER LINE NOVO - NATIONAL GEODETIC VERTICAL1 R/W - RIGHT-OF-WAY DATUM 9 P.I. - POINTOF INTERSECTION -x- - FENCE EOW - EDGE OF WATER (W) - WITNESS TOB - TOP OF BANK DATE 12- 0 3 647 REGISTERS SURVEYOR AND =8 F.a. X DR. BY JDY DIR. Sarver\Dwge\200 \03- 59.DWG F7LE 03-2959 ORDER NO. 03-2959 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD -j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027869 Date 3/12/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . 35 SPRINKLER HEADS Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ------------------ ---- ------------------------ FLETCHER, JOHN FIRE SPRINKLER SERVICES NE FLA 672 OCEAN BLVD. 4533 101 SUNBEAM RD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 262-1002 ------ ----------- ---- ---------- --------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - ---------- ------ ---------- ------- --- ---------- --------- - Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH C " I",SS BUILDING / ZONING DEPARTMENT L. Higgins q s J 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # U4 Z g[ooj Property Address: (07 Applicant: t; (2- sppzlf'-* OL 7SV • o p Project: F`I }'Z. 'C This permit application has been: Approved 71 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: t- Date: ►( �4 CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION1 �� r > Date: _ fl I Property Address: C 2- Owner: Owner: �� f l�-C�S r �'✓� c e� Telephone #: Contractor: 1 `C S�-t n �C�Qr- �� b� f�?. Telephone#: 2 G Z-t ac Contractor Address: ltS l3 4v 15��t.ti. r Fax#: 2-6'?- -2(6 G In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: LP Natural —Central Utility — 2 ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat —Space _Recessed _Central —Floor ❑ Residential LlAir Conditioning: —Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm ❑ Existing Building 3" Fire Sprinklers:Number of Heads -7S ❑ Elevator: Manlift Escalator (Number) ❑ Replacement of Existing System C3Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845- http://www.cLattantic-beach.H.us _ _ _ Fire Protection by Computer Design FIRE SPRINKLER SREVICES OF NE FLORIDA Job Name FLETCHER RESIDDENCE Building Location OCEAN BLVD JAX BEACH, FLORIDA System Contract Data File 178.WX1 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 FIRE SPRINKLER SREVICES Page 1 FLETCHER RESIDDENCE Date HYDRAULIC DESIGN INFORMATION SHEET Name - FLETCHER RESIDENCE Date - MAR. 8 2004 Location - OCEAN BLVD JAX BEACH, FLORIDA Building - System No. - Contractor - Contract No. - Calculated By - JOHN SWANSON Drawing No. - FP1OF1 Construction: (X) Combustible ( ) Non-Combustible Ceiling Height 9 OCCUPANCY - RESIDENCE S Type of Calculation: ( )NFPA 13 Residential ( )NFPA 13R (X)NFPA 13D Y Number of Sprinklers Flowing: ( ) 1 (X) 2 ( ) 4 ( ) S ( )Other T ( )Specific Ruling Made by Date E M Listed Flow at Start Point - 17 Gpm System Type Listed Pres. at Start Point - 12 Psi (X) Wet ( ) Dry D MAXIMUM LISTED SPACING 18 x 18 ( ) Deluge ( ) PreAction E Domestic Flow Added - 0 Gpm Sprinkler or Nozzle S Additional Flow Added - Gpm Make VICTAULIC Model V27 I Elevation at Highest Outlet - 28 Feet Size 1/2 K-Factor 4 . 9 G Note: Temperature Rating 155 N Calculation Gpm Required 34 Psi Required 39 At Test Summary C-Factor Used: Overhead 150 Underground 150 W Water Flow Test: Pump Data: Tank or Reservoir: A Date of Test - 3/5/04 Rated Cap. Cap. T Time of Test - @ Psi Elev. E Static (Psi) - 48 Elev. R Residual (Psi) - 46 Other Well Flow (Gpm) - 16 Proof Flow Gpm S Elevation - 0 P Location: HOSE BIB ON SITE P L Source of Information: FIRE SPRINKLER SERVICES OF NE FLORIDA Y Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Water Supply Curve (G) FIRE SPRINKLER SREVICES Page 2 FLETCHER RESIDDENCE Date City Water Supply: C1 -Static Pressure : 48 PSI C2-Residual Pressure: 46 PSI C2-Residual Flow 16.5 GPM 150 D1 -Elevation 12.127 PSI 140 D2-System Flow 34.26 GPM D2 -System Pressure 39.952 PSI 130 Hose(Adj City} GPM Hose ( Demand ) GPM p 120 D3 -System Demand 34.26 GPM Safety Margin 0.321 PSI R 110 E 100 S90 S 80 U 70 R 60 E 50 2 40 30 20 10 25 50 75 100 125 150 175 200 225 FLOW (N ^ 1.85 ) Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Fittings Summary FIRE SPRINKLER SREVICES Page 3 FLETCHER RESIDDENCE Date Fitting Legend Abbrev. Name A Generic Alarm Va B Generic Butterfly Valve C Roll Groove Coupling D Dry Pipe Valve E 90'Standard Elbow F 45' Elbow G Gate Valve H 45'Grvd-Vic Elbow 90'Grvd-Vic Elbow J 90'Grvd-Vic Tee K Detector Check Valve L Long Tum Elbow M Medium Turn Elbow N PVC Standard Elbow O PVC The Branch P PVC 45'Elbow Q Flow Control Valve R PVC Coupling/Run Tee S Swing Check Valve T 90'Flow thru Tee U 45'Firelock Elbow V 90' Firelock Elbow W Wafer Check Valve X 90' Firelock Tee Y Mechanical Tee Z Flow Switch Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Fittings Summary FIRE SPRINKLER SREVICES Page 4 FLETCHER RESIDDENCE Date Unadjusted Fittings Table 1/2 3/4 1 1 1/4 1 1/2 2 2112 3 31/2 4 A 7.7 21.5 17.0 B 7.0 10.0 12.0 C 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 D 9.5 17.0 28.0 E 2.0 2.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 10.0 F 1.0 1.0 1.0 1.0 2.0 2.0 3.0 3.0 3.0 4.0 G 1.0 1.0 1.0 1.0 2.0 H 1.0 1.5 2.0 2.0 3.0 3.0 3.5 3.5 1 2.0 3.0 4.0 3.5 6.0 5.0 8.0 7.0 J 4.5 6.0 8.0 8.5 10.8 13.0 17.0 16.0 K 14.0 14.0 L 1.0 1.0 2.0 2.0 2.0 3.0 4.0 5.0 5.0 6.0 M 2.0 2.0 3.0 3.0 4.0 5.0 6.0 6.0 8.0 N 7.0 7.0 7.0 8.0 9.0 11.0 12.0 13.0 O 3.0 3.0 5.0 6.0 8.0 10.0 12.0 15.0 P 1.0 1.0 1.0 2.0 2.0 2.0 3.0 4.0 Q 18.0 29.0 35.0 R 1.0 1.0 1.0 1.0 1.0 1.0 2.0 2.0 S 4.0 5.0 5.0 7.0 9.0 11.0 14.0 16.0 19.0 22.0 T 3.0 4.0 5.0 6.0 8.0 10.0 12.0 15.0 17.0 20.0 U 1.8 2.2 2.6 3.4 v 3.5 4.3 5.0 6.8 W 10.3 X 8.5 10.8 13.0 16.0 Y 2.0 4.0 5.0 6.0 8.0 10.5 12.5 15.5 22.0 Z 2.0 2.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 10.0 5 6 8 10 12 14 16 18 20 24 A 17.0 27.0 29.0 B 9.0 10.0 12.0 19.0 21.0 C 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 D 47.0 E 12.0 14.0 18.0 22.0 27.0 35.0 40.0 45.0 50.0 61.0 F 5.0 7.0 9.0 11.0 13.0 17.0 19.0 21.0 24.0 28.0 G 2.0 3.0 4.0 5.0 6.0 7.0 8.0 10.0 11.0 13.0 H 4.5 5.0 6.5 8.5 10.0 18.0 20.0 23.0 25.0 30.0 1 8.5 10.0 13.0 17.0 20.0 23.0 25.0 33.0 36.0 40.0 J 21.0 25.0 33.0 41.0 50.0 65.0 78.0 88.0 98.0 120.0 K 36.0 55.0 45.0 L 8.0 9.0 13.0 16.0 18.0 24.0 27.0 30.0 34.0 40.0 M 10.0 12.0 16.0 19.0 22.0 N O P Q 33.0 R S 27.0 32.0 45.0 55.0 65.0 76.0 87.0 98.0 109.0 130.0 T 25.0 30.0 35.0 50.0 60.0 71.0 81.0 91.0 101.0 121.0 U 4.2 5.0 5.0 v 8.5 10.0 13.0 W 13.1 31.8 35.8 27.4 X 21.0 25.0 33.0 Y Z 12.0 14.0 18.0 22.0 27.0 35.0 40.0 45.0 50.0 61.0 Computer Programs by Hydratec Inc. Route 111 Windham N.H.USA 03087 Pressure / Flow Summary - STANDARD FIRE SPRINKLER SREVICES Page 5 'FLETCHER RESIDDENCE Date Node Elevation K-Fact Pt Pn Flow Density Area Press No. _ Actual Actual Reg. 1A 28.0 4.9 12.0 na 16.97 .05 324 12.0 1 28.0 K=K @ 1 12.54 na 16.97 2 28.0 K=K @ 1 13.01 na 17.28 3 28.0 15.45 na 4 28.0 13.58 na 5 28.0 13.58 na 6 28.0 15.39 na 7 18.0 20.17 na 8 18.0 20.21 na 9 10.0 24.01 na 10 10.0 24.31 na 11 10.0 26.56 na TOR 10.0 27.49 na BASE 0.0 38.51 na TEST 0.0 39.95 na The maximum velocity is 6.52 and it occurs in the pipe between nodes 8 and 10 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Firial Calculations - Standard FIRE SPRINKLER SREVICES Page 6 FLETCHER RESIDDENCE Date Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv *'** ** Notes **"" Point Qt Pf/UL Eqv. Ln. Total Pf Pn 1A 16.97 1.109 IT 9.906 1.330 12.000 K Factor=4.90 to 150 9.905 0.0 1 16.97 0.0485 11.235 0.545 Vel = 5.636 0.0 16.97 12.545 K Factor= 4.79 1 16.97 1.109 1T 9.906 11.500 12.545 K Factor @ node 1 to 150 9.905 0.0 5 16.97 0.0484 21.405 1.037 Vel = 5.636 0.0 16.97 13.582 K Factor= 4.60 2 17.28 1.109 IT 9.906 1.580 13.005 K Factor @ node 1 to 150 9.905 0.0 4 17.28 0.0502 11.485 0.576 Vel = 5.739 0.0 _ 17.28 13.581 K Factor= 4.69 3 -16.06 1.109 2T 9.906 18.880 15.448 to 150 1 E 3.962 23.773 0.0 4 -16.06 -0.0438 42.653 -1.867 Vel = 5.334 4 17.28 1.109 4.160 13.581 to 150 0.0 0.0 5 1.22 0.0005 4.160 0.002 Vel = 0.405 5 16.98 1.109 1 E 3.962 28.720 13.583 to 150 3.962 0.0 6 18.2 0.0552 32.682 1.803 Vel = 6.045 0.0 18.20 15.386 K Factor= 4.64 3 16.06 1.109 9.000 15.448 to 150. 0.0 4.331 7 16.06 0.0438 9.000 0.394 Vel = 5.334 0.0 16.06 20.173 K Factor= 3.58 6 18.20 1.109 9.000 15.385 to 150 0.0 4.331 8 18.2 0.0552 9.000 0.497 Vel = 6.045 0.0 18.20 20.213 K Factor= 4.05 7 1.43 1.109 2E 3.962 51.760 20.173 to 150 2T 9.906 27.735 0.0 8 1.43 0.0005 79.495 0.040 Vel = 0.475 0.0 1.43 20.213 K Factor= 0.32 7 14.63 1.109 10.000 20.173 to 150 0.0 3.465 9 14.63 0.0368 10.000 0.368 Vel = 4.859 0.0 14.63 24.006 K Factor= 2.99 8 19.62 1.109 10.000 20.213 to 150 0.0 3.465 10 19.62 0.0634 10.000 0.634 Vel = 6.517 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Final Calculations - Standard FIRE:SPRINKLER SREVICES Page 7 'FLETCHER RESIDDENCE Date Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv ******* Notes ****** Point Qt Pf/UL Eqv. Ln. Total Pf Pn 0.0 19.62 24.312 K Factor= 3.98 9 14.63 1.109 2E 3.962 41.620 24.006 to 150 2T 9.906 27.735 0.0 11 14.63 0.0368 69.355 2.555 Vel = 4.859 0.0 14.63 26.561 K Factor= 2.84 10 19.62 1.109 2E 3.962 17.670 24.311 to 150 1T 9.906 17.829 0.0 11 19.62 0.0634 35.499 2.250 Vel = 6.517 11 14.64 1.602 1E 5.899 25.420 26.562 to 150 5.899 0.0 TOR 34.26 0.0297 31.319 0.929 Vel = 5.453 TOR 0.0 1.602 1S 13.274 10.000 27.491 to 150 1 B 0.0 13.273 10.331 Fixed loss = 6 BASE 34.26 0.0296 _23.273 0.690 Vel = 5.453 BASE 0.0 1.602 2E 5.899 25.000 38.512 to 150 1T 11.799 23.596 0.0 TEST 34.26 0.0297 1G 0.0 48.596 1.441 Vel = 5.453 .0 34.26 39.953 K Factor= 5.42 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 ti LAN T'N o 4 F�OR�Q 9 rifi►.i OF ADDITIONS or CORRECTIONS- DO NOT REMOVE JOB ADDRESS DATE 6`x-2 GCE 3 t 2gfo THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 5(ze 4�sc yk i Lpp c2k k CV-TsHCl— �1 ►-�;� `i�ctt� PW E— TIS i7vw�.s L4J3S $x.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG p.m. Monday through Friday: s p�LANTjc p + cp FSU �p CK1 NOTICE OF _ Jos ADDRESS DATE 2 ��fAa �L 0o. �• 8-8 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 7-0 z s ig-m 10 S^}X- y D It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have beent PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG 02 p.m. Monday through Friday. M Citgqo_f Atlantic Beach � t:A;r*R RECEIPT *** Oper: DSMITH Types OC Drawer: 1 Date: 11/17/04 01 Receipt no: 11838 Description Quantity Amount 27338 V BUILDIMS PERMITS 1.00 170.00 Tender detail CK CHEM( 3134 378.8@ Total tendered :70.88 Total payment $78.00 Trans date: 11/17/04 Time: 15:21:31 Building, Planning & Zoning CITY OF ATLANTIC BEACH Inspection Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: NU j E mbr , Contractor Name: A E A t 1 b A v 19 Permit #: 03 - 2`13�� Property Address: 6 7 2 O C E A N d L O. Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: �,/ IJ Single-Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works ` $'- 0' Planning Dept. �� Building Dept. 2 2-0 Final Survey with FFE GQ Yes ❑ No All Re-Inspect Fees Paid 21 Yes ❑ No 11/22/2004 12:40 9042410363 ABSENT ANSWER PAGE 01 MAP SHOWING BOUNDARY SURVEY SOF LOT 5, BLOCK 17, AS SHOWN ON MAP OF PLAT No, 1, SUBDIVISION ':4" i ATLANTIC 06ACH AS REt?tGITOE'a W P1Ar BOOK 3 PACO QS OF W CLOARNr PLOLIC RECORDS lar ow4L caumm FLA. t:ERAF-WO Ya• ,1&W L. * KR/STW t. nXlr f*W/WRAYLL L"WH M-00 C00AAAMMI "IMALUR 1111,E SEJFkJCC$/ OLO REOVXEC MAPIDA I Tntf hV"ANCf -OXWANY' 1 S E V E N T H S T R E E T (40' R:GH7-Of-WAY) I 1 . t L 0 T O I� ��1 1 d 4 /-.f wale•fwCt r.. WOW: NO. (�± OE' yf ]'f7'wra AC vAOA P.h0 CK viva'n^ a MID LAJ yE s M4' p 2 STONY C wA IdtNC �� r w00D StD -ia g o RESIDENCE #47'2 � • t c � � w '°°�,+�" • tad R7 t o ri� I Z '•�P J 1 wlpM 0M i f Nflf� w a' ss4z3•oo"w 113.00' W � ��' @ �7'wJCF•i'+Cc � O I 1. 0 T • � � I � NE.yOf RE510E14CE ON LOT 4. ELEVAT(t1N ELEVA';ONS SHOWN THUS (14.00), AND ' NEMV 70 N.G.V.O. 1929. BEARINGS I^* ON TME EASTERLY 1w�33��ZA0y! -�7p �1,��1 UNE M' AtLAN.0 BEACI+ 'ERAACE AS IOVNO►TiOlf _ �7:�-aAgoiy��lEI) /p DE04C In(HOTH 0�'J7'OO" 1NEST AN b�t iltfOthtD 470MIC 11164111111101�ON 7*5 couch -01101 TMF{0 N M 04 FLOW INpT AIM t0 YM4 AlEalot wwo. furift. team. am 4-17-N. ALL AMERICAN SURVEYORS OF FLORIDA,! ING. "0011M�-am sm4m w ANN+..,Sun T ,npaalNRtuE Avah iwrir- -aor- Amwom alas wE q"y'.y°"pCLM y OIRENLt101•�TrNRt LMi AN 100 NC "«M' tKt['•Ai!N MIo INAt THEWMY SEM pN NEC7 p,,�,. �� 111E YWgWY NMICAI, it�pp1 !E7► MME ��tr reflro a i onr btAKM00tS AND f1A1SUfN1 tq ALL =gll—f Nf.% trwla wr CMfogA f? /CNMrKR 610�7•t. ►�iTAtlftEi. ./+1e jwow •e �Sae ami W xm ai�w�s�Ewi0itt0 sr SE4 q/ ry I ,IA. No 7N7, Iia yrt uaa wf e�1! SCALE ' • M�f�w{ •Cp}M UK 41M ffM{R+r1nw ofR 323-.2.4slVI t 4 tw •MMM LB OP. CITY OF ATLANTIC BEACH IS1 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027077 Date 2/04/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . DEMO HOUSE Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------- - - - -- -- -- - - - --- - --- - -- -- - - - - - -- - --- - - - - FLETCHER, JOHN L DEAN L. DAVIS 672 OCEAN BLVD. 1908 N. FIRST STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 242-8080 (904) 237-2222 ------------------ --------- - - - - -- - - ---- - - ---- --- - -- - -- - -- - ---- - ------------- Permit DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . 10/13/03 Valuation . . . . 0 Expiration Date 4/11/04 Fee summary Charged Paid Credited Due ----------------- --- --- - --- -- -- - ---- - ------ --- - ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Ak BUILDING OFFICIAL °ID CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Jw ATLANTIC BEACH, FLORIDA 32233 ~ INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027077 Date 10/13/03 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . DEMO HOUSE Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - - ------- - - - - -- - -- - --- -- - -- - - -- - --- ---- ------- -- FLETCHER, JOHN L DEAN L. DAVIS 672 OCEAN BLVD. 1908 N. FIRST STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 242-8080 (904) 237-2222 ------- -------- --- ----------------------- - ------------- ------------ --------- Permit . . . . . . DEMOLITION PERMIT Additional desc Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ----- --- -- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL f y CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION Date: Job Address: e� r�C �Ct �V/ tc � T--L -,522r? Owner of Property: 6�01— vn Address: �n uelephone: q2 Legal Descriptio Blocl Number: Lot Number: _Zoning District: ` ContractorNA-% State License Number: Cr Contractor's Address: 110 e Telephone: 7-3-7` ZX?, L Fax: p q 7-Cry s`I 3 Describe proposed use and work to be done: rlorar1 ek14 E� YtOrn e Present use of land or building(s): .31 zr4yLC &.W:A I —— ar�yrtP Is approval of Homeowner's Association or other private entity required?�If yes, please submit with this application. Will thisproject involve changes in elevation,site grade or any use of fill material or the removal of any trees? VN O. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that al ormatio ovided with this applicatio 's correct. Signature of ner. Date: IV O I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/14/03 Signature of Contract)r: J412 Date: �b 0 Address and contacl, in ation of per n to receive all correspondence regarding this application(please print). Name: 1Z�.4n�C�t-l1-1 5 Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this �!� day of 4,!z ,he^ 20 � 3 State of Florida,County of Duval Notary's Signature: ��4*+'. /'V• �u%' BARBARA A. HAMILTON Notary Public, State of Florida [-'"Personally known My comm. exp. June 1, 2007 ❑ Produced identification Comm. N0. DD 213399 Type of identification produced AS TO CONTRAC COR: ''aa / JL Sworn to and subscribed before me this 1,41 k day of �U 7414/e "' 20_0 State of Florida,County of Duval Notary's Signature: 14�4 W42z� 8AR8ARA A. HAMILTON ersonally known Notary Public, State of Florida ❑ Produced identification MY comm. exp. June 1, 2007 Type of identification produced Comm. No. DD 213399 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027338 Date 1/05/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . NEW SFR 4348RAD, 4956SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 468178 Owner Contractor ------------------------ ----------------------- - FLETCHER, JOHN DEAN L. DAVIS CONSTRUCTION, INC 672 OCEAN BLVD. 1903 N. 3RD ST ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FL (904) 616-2447 JAX BEACH FL 32250 (904) 237-2222 ---------------------------------------------------------------- ------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1602 . 00 Plan Check Fee 801 . 00 Issue Date . . . . Valuation . . . . 468178 Expiration Date . . 6/05/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE 1 . 08 ST CONSTRUCTION SURCHARGE 22 . 30 AB CONSTRUCTION SURCHARGE 2 .47 STATE RADON SURCHARGE 20 . 65 WATER IMPACT FEE 500 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1602 . 00 1602 . 00 . 00 . 00 Plan Check Total 801 . 00 801 . 00 . 00 . 00 Other Fee Total 581 . 50 581 . 50 . 00 . 00 Grand Total 2984 . 50 2984 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH 7ART OF THIS PERNHT,.7 SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL . �.�; CITY OF ATLANTIC BEACH } r ' BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION RESIDENTIAL AND CO J Date: r z✓ a 3 / n Job Address: 8 t") 9 9['a, Owner's Name: �. w,3g-- cL.0 S Address: Phone: (pf " Legal Description: Block Number: _ Lot Number: Zoning District: > O Contractor: �_ C�l�F�� State License Number: Address: lq b'3 N 2 "I_ ! Phone: I City: S(.1k State-fl• Zip: �ZZS`b Fax: .R_7-- GS13 Describe proposed use and work to be done: hQa„J S►,rar le, kbrA1Q, Present use of land or building(s): S l raQ-e. �A P Jj,A �D 0-0 Valuation of proposed construction: ;O,oQ o Is approval of Homeowner's Association or other private entity required?1\1 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 . Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all2intformaAn provided with this apphei4on is correct. Signature of —Date: [� I hereby certify that I ave read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Z I / I Signature of Contractor: Date: Address and contact information of peson to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of Q C4064--7 32003 State of Florida,County of Duval Notary's Signature L" BARBARA A. HAMILTON l Notary Public, State of Florida personally known My comm, exp. June 1, 2007 ❑ Produced identification Comm. N0. DO 213399 Type of identification produced AS TO CONTRACTOR: //�� / Sworn to and subscribed before me this Q day of V4O 44,11 , 2003_- State 00 .State of Florida,County of Duval Notary's Signature: )00&1 "k BARBARA A. HAMILTON Notary Public, State of Florida fff Personally known My comm. exp. June 1, 2007 ❑ Produced identification Comm. No. DD 213399 Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH -~ PERMIT CALCULATION SHEET s� Date: 0 3 Address (f 72- - OCEO-10 435- UP.- W,6.6c*c, Fxesr c �F12 Heated Square Footage 4/.3�/8 _@s /00 per sq ft = $ 4/3c/,p00 Garage/ Shed 0 0 8 @ $ y per sq ft= $ 2 c/,c12 F Carport/Porch .2 P 9 @ $ S� per sq ft= $ Deck @$ C> per sq ft = $ O Patio !SO @$ / per sq ft = $ TOTAL VALUATION: $ LIG 128 L168 $ Total Valuation I st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: 7L TOTAL BUILDING FEE $ ZONING: aS -2- + '/Z Filing Fee $ FLOOD ZONE: c\ (1) Fireplaces @$35.00 $ IMPERVIOUS SURFACE:I so�o BUILDING PERMIT FEE $ WATER IMPACT FEE $ '1-0 0 SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C� C (3rFRADON HRS .0050 $ SECTION H PAVING ( ) $ --O CROSS CONNECTION $ 3 ST(y9s6) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: 13e- U DRAINAGE ��►�sr�Ew ,�}'rSr��Fu� FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD URES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet,lavatory, 6 2 /3 Bidet, and bathtub or shower Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountair>ncemaker Y2 Floor drains 2 Hose bib 1 2 2 Kitchen sink, domestic 2 Kitchen sink,domestic with food waste grinder and/or 2 j dishwasher / 12, Laundry tray(1 or 2 compartments) 2 0 / / 012- �- 0 3 Lavatory � 1 0113 ,3 Shower compartment domestic 2 Sink E 2 Urinal 4 Urinal, l gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet,flushometer tank,public or private 4 Water closet,private installation 4 Z-- Water closet, public installation 6 TOTAL NUMBER OF UNITS= �- s MULTIPUED X 20 TOTAL$ O: D CITY OF 4&M14C Be*134-99& Office of Building Official R UEST FOR INSPECTION Date /,V/, r C;- RP Permit No. �� Time A.M. Received P.M. z9 District No. Job Address Locality Owner's � — Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....0 Wire ........:.0 Rough Wiring ..0 Rough ........0 Rough ........0 Chimney ......0 Lath ..........0 Finish Wiring ..0 Final .........0 Final ..0 Framing .......0 Scratch .......0 Fixtures .......0 Sewers ........[] Water Heater ..❑ Final ..........0 Brown ........0 Motors0 G .. ......0 Footing .......❑ Finish ElTemp•Pole ... D esspoof ......0 Slab ........❑ Wallboard .....0 Final Inspection Top .......0 Lintel Beam ...❑ Water .........0 READY FOR IN A.M. A.M. Mon. Tues. Wed. Thurs. Fri. P.M. A.M. Inspection Made `� P.M. Inspector CITY OF ATLANTIC BEACH FLORIDA G Ap n)vgd t�V APPLICATION FOR ELECTRICAL PE THE CHIEF ELECTRICAL INSPECTOR; PORTANT NOTICE: DATE: 1N CONSIDERATION OF PERMiT ,GIVEN FOR DOING RUBY AGREE"TQ PERfQRM. SAID T GIVEN ACC AREA PART CHED PLA HEREClF, G THE WORK AS DESCRIBED IRL'THE FOLL(3WING, WC AND IN WITH THE ELECTRICAL AREGULA ONS, D "oAINFITIQN15r BEACH CRDIIVANCESMFS ELECTRIC co,;, ►N� D ElTY bf .,... P Q: x 50398 IcxsnvvluE eCfia Fi< a4e= E RICAL FIRM R EL T ICI Alum VU A la ADDRESS: t BETWEEN: APT ( ?i COMM-( ! PUBLIC( ! INDUS. ( } NEW( 1 OLD( ( At TION t ! TRAILER( ! TEMP.( SIGNS ( ) SQ. FT. RYICE: NEW( 1 INCREE REPAIR ( ) FEE OR SIZE a AMPS G' Cop n, ALUM. OR BREAK PH W / ItYl7 R ,'41 C .SEAM.SIZE AMPS PH W IVOLT RA Y `.z F RSNO. SIZE NO. SIZE NO. St2E k Nti OUTLETS ; CONCEALED OPEN TOTAL �. ACLES CONCEALED OPEN TOTAL a.�a 1�INP8. 31-100 AMPS. :. SS ESCENT � t lI'� SCENT&M. .. ,. OL�li 100 AMPS."1�"14A � LLISFN `I DQNIP. TO ISS I+IE11T: KW-HEAL . E DRIER MOTORS H.R.` ' ACS PHS NO. 1I�.P. VOLTAGE PHS r LANEOUS � � r TRA V• OVER SW V. N r h. KVA NO. KVA ,. Np, NSf. 0. VA. MSA. MOTOR SIZE SWITCH FLASHE J FORWARDED _ w` Ir DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLAN IZC BEACH,FLORIDA 32233-4318 K gil TELEPHONE: (904)247-5834 FAX:.(904)247-5843 —* SUNCOM: 852-5834 f http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # p3 - o2X733 Applicant: 1Dcr-cn L--)a✓c.S Address: (Q '7 n C cc, r, Blvd Project: 11tnry1-e o Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: hicsuryc& In ry Goniwu s bu _ Z� Prra✓idc e/kn�,on 4 sed 1men1-c*rAa _hja/? 3, /��rr��rt,��fe rih,ra�✓'vrl�Us -- d�r�euhzu _Qa.r1c!'s crrc IYJax- -�''fo ��f'VrOLtS - Please submit these requirements to the Public Works Department,. 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date Signature Contractor Notified Date 7�3 12/12/2003 FRI 10:13 FAX 904 2467986 MGF INSURANCE Z001/001 1211 N.310 SVW P.O.Box 50069(32240} McNEILL, GARRISON Jadm&Mle Beads,FL 32250 (804)249-2345—Makk (904)246-7986--Fax Insurance Agency Ta Mr.Don Forel Fromi John L.Fletcher City of Atlantic Beach Fam 904-247-5845 Payee: 1 Date.- December 12,2003 1W. Water Outlets at 672 Ocean Blvd. 13 Urgent ❑ Por Review ❑Please Comment 13 Please Reply ❑Please Recycle Dear Mr.Ford: Dean Davis has asked me to provide you with an inventory of all of the water faucets/water spigots in the old house. They are as follows: Downstairs and on the outside of the house Two washer and dryer hook-ups equaling 4 water spigots—2 hot and 2 cold ✓ Two shower fauoets downstairs One Bath faucet downstairs One toilet faucet Nos�, a c b s 4 outside water spigots One water heater spigot with 2 bibs One kitchen sink faucet One RO Water faucet One Ice Maker Faucet TWO sink faucets 4 a 7 K f t' cR v. ( 7bK E r One shower faucet l TWO toilet faucets Total number. 22 is this what you are looking for? You can call me at 249-2345(office)or 616-2447(cell)if you have any questions or need anything further. Thanks for your help! 3= t1 DEPARTMENT OF PUBLIC WORKS x� 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us ell PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # c) - c973. Applicant: E) C, ,n a V � c Address: I C� 1 roject:. n i� F'lGm Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the ,following items need attention: r ll o�c ,AataK7 N U S Q� Cc. y1 /Le AVA62"- be— Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any AIA /0 questions please call (904) 247-5834. Reviewed by Donna K uzmak, Public Utilities Director Date 12 Signature Contractor Notified Date 1';x� CITY OF ATLANTIC BEACH Ford ns BUILDING / ZONING DEPARTMENT �- r ` qs4 . Doerr _ r 800 Seminole Road y s� Atlantic Beach,Florida 32233 J H r (904)247-5800 F raid (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C -S - a 7 3 3 Property Address: C I '7 a QCT c' n Bl v d Applicant: Z)c rp n 2-)a-y rS Project: L-e u s k r1Y1^ t This permit,applicationhas been: Approved F-1 Reviewed and the following items need attention: Please re-submitL'ur licatio,p when these items have been completed. Reviewed By: d ,(ti Date: �� d CITY OF ATLANTIC BEACH CFor `y BUILDING / ZONING DEPARTMENT L. r . S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 '.ff sp (904)247-5800 (904)247-5845 Fax 1' PLAN REVIEW COMMENTS Permit Application # C3 -- --2 7 3 32 Property Address: _& 7 CSC rc�n L3i V d Applicant: Dean T)a ✓t -s Project: r,(e -, hr -e This permit application has been: Approved F� Reviewed and the following items need attention: Mom rpt — _ GOO e` / rr'wf F 0 —c©6 4 ✓ - /Z c1 P /1-S C 4 u e- - o Al C wE 01- us 4F- 1361A) 19404-11)(JE10 00 7-4 US S 640 V L acs vK 6cJ JO "- tS DSt92 I ol Please re-submit your application when these items kaye been completed. Reviewed By: "`'� Date: /� " /�_ 3 HI. Energy Code Information: IAL CHECKLIST FOR ONE&TWO FAMILY DWELLINGS 1. Is the energy code form completed properly and signed; RESIDE correctt ccliomama te zone and correct jurisdiction? (FBC 13-600) Yes ✓No NIA 2. Does conditioned square feet area on plans match square feet NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY shown on energy forms? Yes -"No N/A AND DETAIL-(FBC 104.2.1) 3. Is the"R"value between common walls shown? Yes No N/A (FBC 13-602.I.ABC.1.1) Q 4. Is the"R"value for added insulation on exterior walls shown? Yes ,No N/A PLANS EXAMINER: /2 O DATE:I s d 5. Is the"It" IA BC.value for ceilings shown? (FBC 13-604.IBC.1) Yes ✓No N/A �/ //�� ,�gg 6. Is the"R"value for raised floors shown? (FBC 13-605) Yes No N/A OWNER:3 'carees JOB ADDRESS:(,s�L (JCEIf1J Uttl0 7. Are Energy Credits Claimed? Yes-,"No N/A A. Attic Radiant Barrier Credit (FBC 13-607.I.A.4) Yes r--flo N/A CONTRACTOR: .J�/knf A V IJ PHONE NUMBER: Z s 7-,2121 B. White Roof Credit (FBC 13-607.I.A. Yes %A<o N/A C. Programmable Thermostat (FBC 13-600.2.A.3.3.S) Yea o N/A (CIRCLE) 1. Survey: IV Foundation Plan: 1. Is a specific purpose survey submitted? Yes V No N/A 1. Are all footings shown,including interior bearing walls, 2. is correct Flood Zone shown? Yes✓ No N/A Column pads and concentrated loads? Yes V-"Po N/A 3. Are existing grade elevations shown for structures located 2. Are all locations of vertical reinforcement and anchor bolts shown? Yes No N/A in an"A"or"V"zone? Yes No N/A 3. Are all elevation changes in slab shown? Yes k_'Yo N/A 4. On lots in multiple flood zones,are flood zone lines indicated? Yes No N/A 4. Is minimum concrete PSI shown? Yes o N/A 5. Is property in a flood way? Yes No N/A ✓. S. Is slab reinforcement shown? Yes o N/A 6. Is flood way line shown? Yes No NIA ` A. Wire mesh size and gauge? Yes bio N/A B. Fibermesh reinforcement? Yes No NIA 6. Is vapor barrier,minimum 6 mil.shown? (FBC 1909.2) Yes ✓14o N/A 11. Structure Code Compliance: _.-. / 7. Is minimum slab on grade thickness shown?(FBC 1909.1) Yes• No NIA" I. Are plans sealed by architectpi engineer. Yes t/No N/A 8, Is type of soil treatment for termites shown?(FBC 1816) Yes No N/A A. Are structural calculationssnbYititted? Yes 1/)io N/A 9, Do plans show concrete footings have a specified compressive 2, is correct wind speed shown? (FBC Figure 1606) Yes / o N/A Strength of not less than 2500 PSI at 28 days? (FBC 1804.5.1) Yes-""No N/A 3. Is exposure category shown? (FBC 1606.1.8) Yes,�o N/A 10. If pile foundation shown,is Sealed Soils Report submitted? 4. Is Importance Factor shown per FBC Table 1606? Yes y No N/A (FBC 1805A) Yes No NIA 5. Are pressures for wind loading on components and cladding Shown per FBC 1606.2.57 Yes✓No N/A 6. Are pressures for wind loading on components and cladding - V. Typical Wall Section: Shown per FBC 1606.2.5? Yes V No NIA 1. Is finished grade shown? Yes ✓4o NIA 7. Does structure meet requirements of FBC Table 500 for number of 2. Is minimum floor elevation shown? Yes-- N N/A stories and allowable area? Yes No NIA A. Minimum 8"above adjacent grade? Yes NIA 8. Does structure meet Fire Resistance Ratings of FBC Table 600 B. Flood protection elevation? YesJ�No N/A for structural elements? Yes. No NSA f C. Base flood elevation? Yes --Wo N/A 9. Are plans designed per SSTD 10-99? Yes No N/A 3. Is minimum footing depth beneath finished grade shown? Yes r190 N/A A. Are all appropriate charts and tables shown? Yes No N/A ✓ (FBC 1804.1.3) B. Are all appropriate requirements circled or highlighted? Yes No N/A ' 4. Are all footing sizes shown? Yes ✓N9 NIA 10. Are plans designed per"Guide to Concrete Masonry Residential 5. Are all horizontal reinforcements shown? Yes w-fio NA Construction in High Wind Areas"? Yes VIN. N/A 6. Is vertical reinforcement shown? Yes f No NIA A. Are all appropriate charts and tables shown? Yes N/A 7. Masonry construction.B. Are all appropriate requirements circled or highlighted? Yes aN o N/A A. Is exterior wall finish shown? Yes V No NIA 1t. Are plans designed per"WPPC Guide to Wood Construction in B. Is interior fusing shown? Yes✓No N/A High Wind Areas? Yes �Dio NIA C. Is exterior wall insulation shown? Yes,,/No N/A A. Are all appropriate charts and tables shown? Yes t $o N/A D. Is exterior wall finish shown? Yes V e No N/A B. Are all appropriate requirements circled or highlighted? Yes -140 N/A 8. Wood Frame Construction 12. Are plans designed per"AF&PA Wood Frame Construction A. Is stud size,spacing,grade and lumber species shown? Yes ✓No NIA Manual for One-and Two-Family Dwellings,High Wind Edition"? Yes No NIA B. Is exterior sheathing(type and thickness)shown? Yes L-1' N/A A. Are all appropriate charts and tables shown? Yes No NIA ✓ C. Are nailing requirements(size and spacing)shown? Yes N/A B. Are all appropriate requirements circled or highlighted? Yes No N/A (FBC Table 2306.1) D. Is exterior wall finish shown? Yes f No NIA 15. Does bedroom open directly into garage? Yes No V-�N/A E. Is interior wall finish shown? Yes ✓No N/A 16. Does the number of bedrooms shown on plans match the number F. Is minimum clearance between wood siding and finished of bedrooms shown on the application? Yes ✓No N/A grade shown? (FBC 2304.2.5) Yes No N/A--' G. Are shear wall segments shown? Yes No N/A 17. Is Designer's name and address shown on plans? Yes✓No N/A A. Type of hold-downs shown? Yes v/No N/A 18. Do egress doors and landings comply with FBC 1012.1.3 9. Are ceiling heights shown? (FBC 1202.2) Yes,,"No NIA and FBC 1012.1.5? Yes ol"'No N/A 10. Are all hurricane anchorage and hold-downs specified and labeled? Yest/`No N/A 19. Are habitable rooms shown with the minimum light and ventilation it. Is ceiling type shown,drywall thickness? Yes No N/A requirements of FBC 1203.17 Yes w0'e`No N/A 12. Roof Framing / 20. Are garage doors,windows and other openings shown as meeting A. Are engineered trusses shown? Yes V No NIA wind load requirements for components and cladding per FBC 16067 Yes{��Io N/A B. Are conventional frame rafters used? Yes No N/A 21. Does floor plan show fireplace? Yes No N/A 1. Rafter size shown? Yes No N/A 22. Are stair details shown? Yes,/No NIA 2. Species of lumber shown? Yes No N/A ' A. Is minimum stair width shown? (FBC Table 1004) Yes v,No NIA 3. Grade of lumber shown? Yes No NIA/ B. Are tread and riser sizes shown? (FBC 1007.3) Yes V-15io N/A C. Type of roof sheeting shown? Yes f10 N/A C. Do spiral stairways comply with FBC 1007.8.2? Yes No NIA 1. Thickness of roof sheeting shown? Yes✓No NIA D. Are required landing shown? (FBC 1007.4)? Yes V,No NIA 2. Grade of roof sheeting shown? Yes Vf No N/A E. Is required headroom clearance shown? (FBC 1007.4) Yes,+'No NIA 3. Nailing pattern of roof sheeting shown? Yes Z.Ao N/A 23. If floor plan shows mixed construction,are mixed (FBC Table 2306,1) Construction details shown? (May require engineering.) Yes ,No N/A D. Weight of Dry-In felt shown? Yes vO"'No N/A 24. If required,are tenant separations shown? Yes No NIA E. Type of roof cover shown? Yes V'No NIA A. Duplex (FBC Table 704.1) 1. Attachment asphalt/fiberglass shingles shown? / B. Townhouse (FBC 704.4) (FBC 1507.3.7) Yes V�No NIA 25. Are all columns and beams shown for porches and lanais? Yes No NIA% 2. Attachment of the roof shown? Yes No N/A A. Are column type,size and anchorage shown? Yes No N/A (FBC 1507.3.7) B. Are beam type,size,span and anchorage shown? Yes No N/A 3. Other roof covering and attachments shown? Yes No N/A✓ 26. Are all lintel and beam details shown? Yes No N/A F. Length of roof overhang shown? Yes�No N/A 27. Are engineering details provided for butt glass? Yes No N/A-� G. Type of soffit and fascia shown? Yes✓1?lo NIA H. Attic ventilation shown? Yes No N/A 1. Location,type and thickness of flashing shown? VII. Truss/Rafter Plan. (FBC 1503.2.1 and FBC 1507.3.9) Yes 1lo N/A 1. Are engineered truss plans provided showing loads,uplifts and J. Type and gauge of eave metal shown? Yes No NIA required connections? Yes /No NIA 2. Are all headers,beams,girders and interior bearing walls shown? Yes,/ No N/A 3. Framed roof. VI. Floor Plan. A. Is rafter plan shown,including size,spacing species, 1. Does square footage on plan match square footage show on grade of lumber,span and connections? Yes No NIA application? Yes V'No N/A B. Is ceiling joist plan shown,including size,spacing, 2. Are all room dimensions shown? Yes /No N/A species,grade of lumber,span and connectons7 Yes No N/A 'y 3. Are all door and window sizes shown? ' /�o N/A C. Are collar ties shown,including size,spacing,species, 4. Are all emergency egress openings shown? Yea ,/NNo N/A grade of lumber and connections? Yes No N/A S. Is required tempered glass shown at all hazardous locations? - D. Is ridge beam shown,including size,species and grade (FBC 2405.2) Yes t o N/A V- of lumber? Yes No N/A 6. Are all vertical reinforcements shown? Yes INo N/A 4. Is roof sheeting indicated,showing type,thickness and nailing �± 7. Are all shear wall segments shown? Yes N/A pattern? Yes✓No NIA 8. Are all hold-downs and hurricane anchorages shown? YesNIA 9. Is required attic access shown? Yes o N/A 10. Are all plumbing fixtures shown? Yes r,-No N/A VIII. Floor Framing. H. Are all electrical fixtures shown? Yes,fbIo N/A 1. Is engineered floor truss plan provided,showing loads, 12. Are all mechanical fixtures shown? Yes N/A uplifts and connections? Yes'--"No N/A A. Is air handler and condensor location shown? Yes o NIA 2. Is joist plan provided,showing size,spacing,span,species, B. Are exhaust fans shown? Yes No N/A grade of lumber and connections? Yes%,,No N/A 13. Are all smoke detectors shown? (FBC 905.2) Yes,if No N/A 3. Is floor sheeting indicated,showing type,thickness and 14. Does one(1)bathroom on the first habitable floor level nailing pattern? Yes-No N/A Have a 29"net clear door opening and handicap accessible route? (FBC I I-I1) Yes✓ No N/A CITY OF ATLANTIC BEACH J� PERMIT CALCULATION SHEET Date: Address d 2 T`'NG .5 /':/z v Heated Square Footage 00 per sq ft = $ xl� y e o n Garage/Shed @ $ c/ per sq ft= $ „-/ 9 ; Carport/Porch _;L @ $ 2 �� per sq ft = $ (06 Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation ist $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE:-z4--- TOTAL BUILDING FEE $ ZONING: .S- 2. + '/z Filing Fee $ FLOOD ZONE: (1) Fireplaces @$35.00 $ ,?J-76 C? IMPERVIOUS S ACE: "7,5'6,z BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ b — WATER METER/TAP $ --O CAPITAL IMPROVEMENT$ r 0 - SEWER TAP $ -- 0 -` C K?if) RADON HRS .0050 $ SECTION H PAVING ( ) $ -0 — CROSS CONNECTION $ 3 s- ST(q?�(,?SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 r Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT S Higgins t� S. Doerr 800 Seminole Road s) Atlantic Beach,Florida 32233 -� (904)247-5800 (904)247-5845 Fax Or PLAN REVIEW COMMENTS Permit Application # Property Address: (r � t Applicant: D clt'v) Project: Nln "'} " This permit application has been: D Approved El Reviewed and the following items need attention: p fu✓ 2 ' �lam.v� Please re-submit your applicatio when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027338 Date 3/03/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . NEW SFR 4348RAD, 4956SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 468178 Owner Contractor ------------------------ ------------------------ FLETCHER, JOHN DEAN L. DAVIS CONSTRUCTION, INC 672 OCEAN BLVD. 1903 N. 3RD ST ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FL (904) 616-2447 JAX BEACH FL 32250 (904) 237-2222 ------------------------------------ - -------- --- -------------- -------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc NEW, 300AMP, 1PH, 3W, 240V, 311RACE Sub Contractor BEACHES ELECTRIC SERVICES INC. Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------------- -- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. w� BUILDING OFFICIAL CITY OF ATLANTIC BEACH �r ELECTRICAL PERMIT APPLICATION Date: 3 Q Property Address: (a � Q b C LSC"_0 � ��Ck Owner: 'FAe"VC__ Q0_`r~. l ,4��r� Telephone #• Contractor: QPAC, e S fiV c . j .r ` �- Telephone #: l j Contractor Address: 09j`( t?c,lrCeS � 7l ( C > Fax #:(r "�� o 9(Do In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is New Residence ❑ Temp. ?! New being done on this building r 1— Or site,list the building ❑ Old ❑ Commercial ❑ Signs ❑ Or Permit number- Re-wire Re-wire C3Addition Sq. Ft. ❑ Repair 61— � 7 3�p Conductor KA: S: .3oo COPPER ALLTMINtJT�i Switch or RACE 4- Breaker AMPS PH W VOLT 2 Y d WAY,, Existing Service RACE Size . AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0,100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V O VE R600 V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road• Atlantic Beach, Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027338 Date 2/25/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . NEW SFR 4348RAD, 4956SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 468178 Owner Contractor - ---- -- ----- -- ------- --- - ---------- ------------- FLETCHER, JOHN DEAN L. DAVIS CONSTRUCTION, INC 672 OCEAN BLVD. 1903 N. 3RD ST ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FL (904) 616-2447 JAX BEACH FL 32250 (904) 237-2222 ----------------- ------ ---------------- ------------------------- ------------ Permit MECHANICAL PERMIT Additional desc INSTALL 3 HVAC UNITS Sub Contractor OCEAN STATE HEAT & AIR Permit Fee . . . . 167 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------- ----- --- -- ---------- ---------- ---------- ---------- Permit Fee Total 167 . 00 167 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 167 . 00 167 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL + a tS"`Ly'�c >> CITY OF ATLANTIC BEACH .y MECHANICAL PERMIT APPLICATION Date: cl Property Address: 72 Oc-e ,- /11� Owner: `lam��„ Telephone#: Contractor: de,e--- SXvle94ofk- Telephone #: L4/g-JPZ.t/ Contractor Address: 14!76 /"-�� Fax#: -W19-JAW 9 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP _Natural _Central Utility — 43 f '.z 7??8 Ll Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 2-1 Heat —Space _Recessed _1entral _Floor CCS Residential 2,- Air Conditioning: _Room ,eentral ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfrn ❑ Refrigeration Zr'�' New Building ❑ Cooling Tower: Capacity gPm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) El Tanks (Number)- � New Installation . ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency / 4 w -ywex tf L Ti 3 U(_ ?-5- a -- HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency / 14.1.1l«_e/,.r V,-ejo Irw,4r .fG.v C qt~)cJ� .TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No- Agency 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 http://www.ei.atlantic-beach.fl.us °Ix CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �. A Application Number . . . . . 03-00027338 Date 1/14/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . NEW SFR 4348RAD, 4956SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 468178 Owner Contractor ----------------------- - ---- --- - -------- -------- FLETCHER, JOHN DEAN L. DAVIS CONSTRUCTION, INC 672 OCEAN BLVD. 1903 N. 3RD ST ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH, FL (904) 616-2447 JAX BEACH FL 32250 (904) 237-2222 --------------------------------------------- ---------- -- ------ - - --- -------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . NELSON PLUMBING CO. , INC. Permit Fee . . 217 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---- ------ ---------- ---------- ---------- Permit Fee Total 217 . 00 217 . 00 . 00 . 00 . Plan Check Total . 00 . 00 . 00 . 00 Grand Total 217 . 00 217 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r BUILDING OFFICIAL A.. Llr, CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION r> Date: /101 Property Address: C.e-.4 -il\, 1 . 1 Owner:J5 t Q_-1` U. l r Telephone#: Contractor: N,)son4Go,,, nc,_ Telephone #: 5ok- Contractor Address:Jo k 5-S-/ o)L lkv,,-la--, -ST.A nLw 'Fax#:9*Lf-$a3- 273 L In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: O Re-Pipe 03 - 733 Number of Fixtures: 3 Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer f Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: t X $7.00 + $35.00= 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800- Fax: (904) 247-5845- http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027486 Date 1/08/04 Property Address . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ---------- - - ---- -- - ---- - -- - -- - - -- -- - --- - - ---- - - FLETCHER, JOHN BEACHES ELECTRIC SERVICES INC. 672 OCEAN BLVD. 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 -------------- -- ------------- - - - ----------- ---- - -- - - -- ---- ------ -- ---------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---- ----- -------- ---------- ---------- - -- - ------ ------ --- - Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 x 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/ff PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. l� BUILDING OFFICIAL CITY OF ATLANTIC BEACH a ELECTRICAL PERMIT APPLICATION Date: I• Property Address: �� V C eh n I n d Owner: IF) Telephone#• Contractor: 1Ct c SJ<_ az, Telephone#: 40.2- Contractor 2Contractor Address: cp (q ��Urti �'-.' Fax#: 90q- 1/06,-' In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Dail Servic If other construction is aY-New ❑ Residence � 1 emp. being done on this budding ❑ Old ❑ Commercial C3Si ns ❑ Increase Or site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair aj-273 3 Conductor Size. ZAMPS: v COPPER ALI I1�IINUM Switch or RACE Breaker AMPS p PH W 3 VOLT WAY f* Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH j' 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 1 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027868 Date 3/10/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . INSTALL IRRIG METER Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------ ------------ ------------------------ FLETCHER, JOHN OWNER 672 OCEAN BLVD. ATLANTIC BEACH FL 32233 ------C'01&-__aq�fM� --------- ---------- --------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 3/09/04 Valuation . . . . 0 Expiration Date . . 9/05/04 ---------------------------------------------------------------------------- Special Notes and Comments OWNER MUST HIRE PLUMBER TO INSTALL A BACKFLOW PREVENTER AND MAKE THE CONNECTION FROM THE PRIVATE PROPERTY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CAPITAL IMPROVEMENT 325 . 00 WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- ----- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 885 . 00 885 . 00 . 00 . 00 Grand Total 885 . 00 885 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECTTO REVOCATION FOR VIOLA'T'ION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ' ATLANTIC BEACH,FLORIDA 32233-5445 "° gs TELEPHONE:(904)247-5800 i? FAX: (904)247-5805 SUNCOM:852-5800 http://ci.atiantic-beach.fl.us Date: 3 O J a I�►� F) f Gly C� Ct>,-S-n.- OGea.r r2 mat 32233 Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows: 3/40 1'° Sewer Tap—Labor and materials to tap into sewer main $ Water Tap—Labor and materials to tap into water main $ 525.00 560.00 Water Meter—Cost of Meter $ Cross Connection Inspection—Inspection by Public Works to ensure backflow prevention $ 35.00 35.00 Sewer Impact Fees_Funds future expansion of the sewer plant $ Water Impact Fee—Funds future expansion of the water plants $ Capital Improvement—Funds for improvements, Expansion or replacement to water system $ 325.00 550.00 TOTAL COSTS $ 885.00 1145.00 If you have.any questions concerning these charges, please call the building department at 247-5826. Sincerely, Don C. Ford Building Official You must supply your own backflow preventer. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 N \ ��Ji35�r- Application Number . . . . . 04-00027876 Date 3/12/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . GAS PIPING Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- ----- ----- ---- ------- ------------------------ FLETCHER, JOHN GAS-TECH SERVICES 672 OCEAN BLVD. 3910 MURRHEE ROAD ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 284-0055 -------------- -------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -------- ------ --- ---------- ------ ---- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .. ( e BUILDING OFFICIAL Mar 10 04 04:37p City of Atlantic Beach Bu 904-247-5945 p. 1 . rye. CITY OF ATLANTIC BEACH w n MECHANICAL PERMIT APPLICATION n J Date: -ilL1�tJ Property Address: Owner: � Telephone#: _.-. Contractor; �S=j'�C�{ �Se�J i c 5 .SSI- Telephone#:9a K-1O-5'-s-?V 73 Contractor Address:09 IC-1 Olur AP-e 9--4 G C 4C. Fax#•�o �BS�=as 376 In consideration of permit given for doing the work as described in the above etaterricnt,we hereby agree to perform said work is accordance with the ataached pians and specifications which are a part harcof and in accordance with the City ofAdantic Beach ordinances and standards of jgwd practice listed therein. Type of Heatiag Fuel: If other cors cdon is being done on this building Cl Electric Ir site. list Jr building permit number: ❑ Gas: P Natural Central Utility ❑ oil �3^ a7 .3✓�� D Other—SpMify MECHANICAL EQVIPMENT TO BE INSTALLED NATURE OE WORK 13Heat _Space _Recessed Central _,Floor a Residential ❑ Air Conditioning: Room Central ❑ Duct System: Material Thickness ❑ vtmmermail Maximum capacity_ efm / 0 Refrigeration New Building ❑ Cooling Tower:Capacity k*pm ❑ Existing Building. 1 ❑ Fire Sprinklers:Number of Heads Q Elevator: Manlift Escalator _ (Number) ❑ Replacement of Existing System a GasoiinePumps (.L,dumber) ❑ Tanks (Number) ; 0 New Installation I"*'LPG Containers-r am_ (Number) (No system previously installed) ❑ Unfired Pressure Vessel Q Extension or.add-on to Existing System ❑ Boilers Gas Piping i O Other-Specify ❑ Other-Specify_ LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGLRATl0r4 EQUXPMENT a CONMENSOR's Approving i Number Units Description Model M Meaubdurcr Ton's Agency { I -- HI ATJNG—FURNACES,1101URS,FEUPLACES a AIR HANDLER'S Approving Number Units Description Model N Manufecttirar BTU's Agency i 2ii✓iva i'� f�LJ �l?�U/C. rvr ,` O 00 TANKS Noudrae>Capacity Type Liquid serial Approving HoviMan r4 Dimensions Contained Manut'vccurrr No. encu 800 Seminole Rosd-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://www,cLatlaiitic-beich.fl.us §13-104.4.3 insulation Certification Card. In cases where the R-value of insulation installed in either walls, ceilings or floors is not readily apparent, the local building official shall require that an R-Value Certification Card signed by the insulation contractor be posted in a prominent location at the time of installation. The card shall contain, at a minimum, the following information: 1. Insulation manufacturer's name; 2. Insulation type; 3. R-value of insulation installed; 4. Thickness of insulation installed; 5. Location of insulation installed; 6. Indication that the installation has been checked and does not block attic ventilation. 7. Name and address of the contractor installing the insulation; B. Date of installation. ML ew./A<-O Lo � GL� cc- ; � Higgins, Larry J. From: Schlueter, Jennifer Sent: Tuesday, April 13, 2004 11:29 AM To: Higgins, Larry J. Subject: Phone call Please call Peggy Bertomihe BO of Parkland, FL, regarding your question on profoam spray insulation. She has a bunch of info for you and they have disallowed it. 954-753-5447-41w-- C) 54-753-5447.4CC) C . F 6 o O x iY tK, 14t �e THERMAL CONTRACTORS "The Energy Experts" 819 E.Waring Street Phone: (912)283-2758 Waycross,GA 31501 Website: www.Thermal-Contractors.com Insulation Comparisons Fiberglass Cellulose Polyurethane Foam ,'Approved R-factor per inch thickness -/Higher R-factor per inch thickness ✓Highest R-factor per inch thickness ✓Effectiveness dependent on correct than fiberglass (double fiberglass) installation ✓`Blocks air infiltration ✓Resists moisture and insects ✓Uses entrapped air as barrier to heat ✓Best sound proofing ✓Seals cracks and adds structural transfer -/Medium up-front investment yields integrity -/Least cost and return on investment energy savings return ✓Largest up-front investment yields largest near and long-term energy savings return Insulation Efficiency Ratings ➢ Fiberglass insulation—32% ➢ Cellulose insulation-36% ➢ Open cell polyurethane foam-44% ➢ Closed cell polyurethane foam—92% Note: Closed cell polyurethane foam insulation is moisture proof All other types of insulation will attract and hold moisture Insulation Benefits Isolates interior and exterior climates ➢ Seals cracks from drafts and odors 9 Resists moisture,mold and mildew ➢ Inhibits insect penetration Adds structural strength ➢ Offers guaranteed savings on energy bills Problem: Heated/ cooled air loss through any or all transfer methods (convection / conduction / radiation) Solution: Insulation solutions that control all three methods of transfer See or Call: THERMAL CONTRACTORS CEJ Quality materials,work and service 0 Experience and reputation with builders and homeowners H Tailored solutions using fiberglass,cellulose and/or polyurethane foam Rev 40211 -104.4.3 Insulation Certification Card. In cases where the R-value of insulation installed in either walls, ceilings or floors is not readily apparent, the local building official shall require that an R-Value Certification Card signed by the insulation contractor be posted in a prominent location at the time of installation. The card shall contain, at a minimum, the following information: 1. Insulation manufacturer's name; 2. Insulation type; 3. R-value of insulation installed; 4. Thickness of insulation installed; 5. Location of insulation installed; 6. Indication that the installation has been checked and does not block attic ventilation. 7. Name and address of the contractor installing the insulation; 8. Date of installation. R TECHNICAL 0 DATA�S H E ET PROFOAM Distribution 2171 Cheshire Bridge Road • Atjanta,GA 30324 • Phone: (866)776-3626• Fax: (404)982-0857 • www.pro6am.com RPF 1.8 PRODUCT DESCRIPTION RECOMMENDED EQUIPMENT SETTINGS PROFOAM'S RPF-1.8 is a low viscosity,two com- ponent, rigid polyurethane spray-foam system A-component Temp. 120°F minimum designed for insulating wall foam applications. It B-component Temp. 120°F minimum has a Class I ASTM E84 flame rating and is Hose Temp. 120°F minimum processed by most commercially available, air- less, two component, heat controlled, urethane Hydraulic Pressure 1000 psi spray equipment. This system yields excellent TYPICAL PHYSICAL PROPERTIES — coverage with a very smooth surface. sprayed sample CHEMICAL ANALYSIS Density, core;lbs/ft3 "A" Component -ASTM D-1622 @ 74°F 2.00 Viscosity, 74°F; cps.ASTM D-1638 250 Typical Yield 3.35 ft2/lb @ 2.0"thick Physical State Liquid Compressive strength Color Dark Brown —ASTM D-1621 @ 747, Hygroscopicity reacts with water parallel to rise,minimum psi 12 and evolves CO2 gas k—Factor,initial; BTU-in/hr-ft2-T "B" Component —ASTM C-177 @ 74°F 0.135-0.145 Viscosity, 74°F; cps.ASTM D-1638 185 Closed cell content: Physical State Liquid %-ASTM D-1940 @ 74°F >90 Color Dark Brown Burning Characteristics(Ref#EB01201, Hygroscopicity absorbs water Report#01-02058) which changes ratio —ASTM E84 Flame Spread Index 10 Smoking Developed 400 REACTION PROFILE — Hand Mix (100 grams, 74°F. Sample) R-Value: R-7 per inch Cream Time,seconds 2 MATERIAL METERING RATIOS Parts by volume(total mix 100 parts) Tack Free Time,seconds 7 Compound A 50 parts Rise Time,seconds 20 Compound B 50 parts Free Rise Density,lbs/ft' 1.55 Parts by weight(total mix 100 parts) Compound A 51 parts Compound B 49 parts Since Seller exercises no control over Buyers application or use of the product manufactured by Seller("product")and since materials used with the product may vary,it is understood that: (a) There are no warranties,express or implied,including any war- (d) Reported laboratory test results of the color stability in no way ranties for merchantability or for any particular purpose. relates to the actual performance upon exposure to light sources. (b) While all data presented in Sellers'technical data sheet is based Since all aromatic urethanes experience color degradation upon on the best information available to Seller and believed correct, ultraviolet light exposure,Seller shall not be liable for any dam- such data is not to be construed as a warranty that the product ages resulting from ultraviolet light color degradation of any will conform to such specifications.Such technical data sheets are aromatic urethane systems manufactured or sold by Seller. subject to change without notice. (e) The liability of the Seller shall not exceed the purchase price and (c) Reported laboratory test results of fire retardancy in no way the Buyer shall not be entitled to nor the Seller by liable for any relates to the actual performance under fire conditions.Since all consequential,incidental,indirect or special damages resulting in urethane systems are organic,they will burn. any monner from the furnishings of the product. OA* TECHNICAL DATA�SHEET PROFOAM Distribution 2171 Cheshire Bridge Road•Atlanta,GA 30324• Phone: (866)776-3626• Fax:(404)982-0857 • www.profoam.com RPF 2.0 PRODUCT DESCRIPTION RECOMMENDED EQUIPMENT SETTINGS PROFOAM's S 1702-CLI is a low viscosity,two com- ponent, rigid polyurethane spray-foam system A-component Temp. 120°F minimum designed for insulating wall foam applications. It B-component Temp. 120°F minimum has a Class I ASTM E84 flame rating and is easily processed by most commercially available, airless, Hose Temp. 120°F minimum two component, heat controlled, urethane spray Application Pressure 1000 psi equipment. This system yields excellent coverage TYPICAL PHYSICAL PROPERTIES — with a very smooth foam surface. sprayed sample TYPICAL CHEMICAL ANALYSIS Density, core;lbs/ft3 "A" Component ASTM D-1622 @ 74°F 2.00 Viscosity, 74°F; cps.ASTM D-163899 250 Typical Yield 2.95 ftz/lb @ 2.0"thick Physical State Liquid Compressive strength Color Dark Brown —ASTM D-1621 @ 74°E, Hygroscopicity reacts with water parallel to rise,minimum psi 20 and evolves CO2 gas k—Factor,initial;BTU-in/hr-ft'-°F "B" Component —ASTM C-177 @ 74°F 0.135-0.145 Viscosity, 74°F; cps.ASTM D-1638 185 Closed cell content: Physical State Liquid %-ASTM D-1940 @ 74°F >90 Color Dark Brown Burning Characteristics(Ref#EB01201, Hygroscopicity absorbs water Report#01-02058) thus changing ratio —ASTM E84 Flame Spread Index 10 Smoking Developed 400 REACTION PROFILE — Hand MIX (100 grams, 74°E Sample) R-Value: R-7 per inch Cream Time, seconds 2 MATERIAL METERING RATIOS Parts by volume(total mix 100 parts) Tack Free Time,seconds 7 Compound A 50 parts Rise Time,seconds 20 Compound B 50 parts Free Rise Density,lbs/ft' 1.70 Parts by weight(total mix 100 parts) Compound A 51 parts Compound B 49 parts Since Seller exercises no control over Buyers application or use of the product manufactured by Seller("product")and since materials used with the product may vary,it is understood that: (a) There are no warranties,express or implied,including any war- (d) Reported laboratory test results of the color stability in no way ranties for merchantability or for any particular purpose. relates to the actual performance upon exposure to light sources. (b) While all data presented in Sellers'technical data sheet is based Since all aromatic urethanes experience color degradation upon on the best information available to Seller and believed correct, ultraviolet light exposure,Seller shall not be liable for any dam- such data is not to be construed as a warranty that the product ages resulting from ultraviolet light color degradation of any will conform to such specifications.Such technical data sheets ore aromatic urethane systems manufactured or sold by Seller. subject to change without notice. (e) The liability of the Seller shall not exceed the purchase price and (c) Reported laboratory test results of fire retordancy in no way the Buyer shall not be entitled to nor the Seller by liable for any relates to the actual performance under fire conditions.Since all consequential,incidental,indirect or special damages resulting in urethane systems are organic,they will burn. any manner from the furnishings of the product. " l tGII GIN LLC DEDICATED TO IMPROVING THE PERFORMANCE OF RESIDENTIAL AND LIGHT COMMERCIAL BUILDINGS Spray-in-Place Polyurethane Foam Insulation An opinion paper by: Craig DeWitt,Ph.D.,PE Expanding spray-in-place foam insulation products such as those based on a polyurethane formulation have several beneficial aspects over other forms of insulation. Spray foam insulation currently costs more than alternative insulation products,but this additional up- front cost can be overcome when the other benefits of spray foam are utilized and realized. These aspects include benefits associated with increased structural/strength properties, enhanced thermal insulation capabilities, and reduced air infiltration properties. Structural benefits: Clemson University has been researching the use of spray foam as an enhanced attachment system for roofing. This research centers on how to retrofit or construct buildings to be more resistant to hurricane and other high wind events. Clemson's research shows that spray foam can significantly improve the attachment of roof sheathing to trusses and rafters, similar to the way construction adhesives help bond a floor system together. In a retrofit case, foam can be sprayed on one or both sides of the sheathing/rafter intersection from inside the finished roof. In new construction, spray foam can be applied to the entire roof system. The spray foam makes a significantly stronger roof than either nails or screws alone. More information on this research is available from Clemson University's Civil Engineering Department, or the 113 Calhoun St Project in Charleston, SC. Thermal and air benefits: A second aspect of spray foam is the enhanced thermal insulation characteristics. The stated R-value, or thermal resistance value, of insulation is measured under laboratory conditions. Real-life in-use R-values are quite different. An R-13 rated insulation batt installed improperly may only provide R-9. Whole wall R- values may be even less because of voids,wood, headers, etc. in the wall. Spray foam can provide a higher whole-wall R-value because of its ability to better fill wall cavities around electrical,plumbing, and other obstructions within the wall. The Oak Ridge National Lab has tested several whole-wall R-values for various wall/insulation combinations. Some of their results have been published in publications such as Energy Design Update, and should be available on their web site soon. Specializing in Moisture &Energy Issues 104 Vista Terrace Clemson,SC 29631 864.654.2979 craig@rlcengineering.com www.ricengineering.com Spray-in-place Foam An Opinion Paper March 11,2002 The R-value of an insulation system also depends upon the lack of air movement through the insulation. Most insulation products use entrapped air as a barrier to heat transfer. Therefore,to get a high R-value, air cannot move within or through the insulation. In a whole-house situation,part of the energy use is in infiltration air. Air flow retarder products such as house wraps were developed to reduce the amount of infiltration air. These air barriers help reduce infiltration as well as air movement through the insulation. Typical loose fill or batt insulation works well if installed correctly, and if installed in conjunction with an air barrier. Good installation is difficult to do,however. The insulation is often packed too tight or too loose, cut too short or too long, gapped around plumbing and wiring, or left out because of access problems. Spray foams claim a couple benefits. First, they fill gaps and voids better. Second, they perform well as air flow retarders. The result is a higher in-the-wall R-value. Infiltration is also reduced, so that component of a building's energy use is reduced. Both of these benefits result in raising the "effective" R-value of spray foam when compared to typically installed loose fill or batt insulation. Spray foam products must still be sprayed correctly, and dense-pack blown cellulose can make some of the same claims. Spray foam is also self-supporting, which enables its use on the underside of roofs and floors. Roof Benefits: Insulating the underside of a roof rather than a ceiling creates many other benefits as well.historically, we ventilated roofs in an attempt to prevent moisture problems and reduc heat build-up. . .. Current research shows that much of the moisture in attics comes from damp basements or crawl spaces, as well as from the living space. Research also shows that if we address crawl space, basement, attic and living space moisture, we do not need to ventilate an attic. In fact,by ventilating an attic,we can often make a moisture problem worse. Attic moisture problems are a result of moisture condensing on cold roof surfaces. Adding more vents causes the attic to be cooler, especially at night, which causes more condensation to form on the underside of the cold roof. Cutting a hole in the roof causes a bigger hole in the top of our"chimney", which makes the "chimney" draw better,pulling even more moisture upward. I have not seen any attic moisture problems solved by adding attic ventilation, with the exception of ice damming. (Ice damming is a"warm" attic phenomenon, and can better be addressed by reducing the amount of heat leaking into the attic.) Unfortunately,the building codes haven't kept up. Ventilation to reduce summer heat build up in an attic has also been challenged recently by research done at the Florida Solar Research Center and the Building Research Council in Illinois. Much of the heat in an attic is from radiant heat transfer. The hot sheathing radiates heat to the ceiling or other objects in the attic. To cool an attic, outside air is RLCGINEERING, LLC Page 2 of 4 Spray-in-place Foam An Opinion Paper March 11,2002 vented through attic or insulation is added to the ceiling to prevent the attic heat from warming the living space. Research has shown that the ventilation rate would have to be quite large to make much difference in an attic temperature. In the summer,the best you could possibly achieve was outside temperature. With a very large fan using lots of energy, you might get close to outside temperatures. In winter,this would result in a colder attic as well. Ceilings are usually insulated because of the ease of piling up cheap insulation. Recessed lights, outside walls, sloped or tray ceilings and knee walls all create a non-uniform thermal"cap"on the building and result in voids in the insulation. The real-life R-value of an insulated ceiling is very often less than the claimed R-value. Ducts are often located in the attic,which exposes the coolest/warmest air in the house to the hottest/coldest environment in the house(depending upon the season). This does not create a very energy efficient situation. As much as 10%of the heat or AC can be lost by placing ducts in an unconditioned attic. From an energy standpoint, ducts and air handlers should be located within the conditioned space. This reduces heat transfer to the outside, and reduces some concern of duct leakage. Recently,building researchers proposed making crawl spaces into unvented, conditioned plenums,which is now accepted by code. More recently,building researchers proposed making attics into conditioned space by eliminating ventilation and insulating the underside of the roof rather than the ceiling. As a building researcher, I fully support both concepts. A roof system insulated with spray foam reduces energy several ways. Energy loss from ducts located in the attic is essentially eliminated. The top of the building is much tighter resulting in less infiltration and exfiltration, so excess moisture isn't pulled into the attic. Infiltration through the ceiling is also reduced. In addition,the attic temperature is lower, which further reduces energy loads. In a standard insulation system, ceiling insulation reduces the transfer of heat from the attic to the living space (in the summer). Attic temperatures can often approach 140F during the day. Most of this heat enters the attic space through a multi-step process. First, solar energy warms the shingles and sheathing. The hot sheathing then transfers heat to the rest of the attic through conduction, convection and radiant heat transfer. The 140F temperature of the underside roof surface drives the heat transfer process By insulating the roof surface with spray foam, the surface temperature exposed to the attic (the temperature driving the heat transfer) is reduced by as much as 40F. Both conduction and convection heat transfer are proportional to a temperature difference, so that heat transfer will be reduced proportional to a drop in surface temperature. Radiant heat transfer,though, is proportional the 4a'power of the temperature difference. The reduction in radiant heat transfer resulting from an insulated roof can easily exceed conduction and convection reductions. I. RLC IGCNEERING, LLC Page 3 of 4 Spray-in-place Foam An Opinion Paper March 11,2002 The benefits of including the attic in the insulated space are: ■ Duct leakage and heat loss/gain from ducts is much less of an issue. ■ Air sealing is easier in the roof that in the ceiling. ■ Dust and loose insulation are less likely to migrate down to the living space. ■ Tests show energy costs are lower when the attic is sealed. Further information is available from ASHRAE (8700-527-4723) in a publication titled "Vented and Sealed Attics in Hot Climates". Crawl Spaces Benefits: Batt insulation is usually installed between the floor joists over a crawl space foundation. Problems associated with this installation technique include incomplete thermal barriers from obstructions such as wiring and plumbing, ductwork, and narrow or wide joist spacing. Batts are often compressed during installation due to the use of wire insulation hangers. Open web floor trusses create additional problems in that the open webs create pathways for air to move around the batts. During the summer, warm humid air can flow around the batts and create condensation, mold and decay problems in the floor system. In my opinion, open web floor trusses are impossible to adequately insulate with batts. Spray foam circumvents floor insulation problems through its ability to completely fill voids and open spaces. Areas around wiring and plumbing as well as open webs of floor trusses can be completely filled,resulting in a complete, essentially uniform thermal barrier on the floor. Spray foam will also create an effective air flow retarder layer on the floor,which will reduce the house air by crawl space air. In my opinion, spray foam insulation is a superior insulation product that overcomes several disadvantages of other insulation products. Spray foam can provide a more uniform, consistent thermal barrier as well as provide air flow retarder functions. To best obtain spray foam's potential benefits, and overcome it's higher initial costs, spray foam should be used in a systems approach to creating a better building. In a roof application, spray foam will increase the structure's ability to handle high winds as well as bring the attic into the conditioned space. A roof application of spray foam will reduce infiltration and reduce ceiling heat transfer and duct losses. Wall and floor applications will also create better thermal and air barriers, and make better use of engineered products. Spray foam insulation can result in less conductive, convective and radiant heat transfer, lower infiltration rates, less duct losses, a more structurally sound building and can result in significantly smaller-sized heating and cooling systems and better comfort levels for the occupants. RL.CGINEERING, LLC Page 4 of Apr 13 04 02: 36p DALE LEDBETTER 404-982-0857 p• 1 1A S TO ' r i RPr 13 04 02: 38p DALE LEDBETTER 404-982-0857 p. 12 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road Aon West Deptford,NJ 08066-1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Thermal Conductivity Requested By Abi-saleh,T Report Date 0611212001 Log No. 01-0473 Material Rigid Foam Submit Date 08101/2001 Report No. 01-0473C518 Customer Isotec Method No. ASTM Cfi18-98 Page No. 1 of 1 Sample 1D 7590-010-A Thermal Heat Flux Mean Test Avg.Temp Thermal Conductance Density Temp Gradient Density Thick Conductivity Aging (Wlsq.m-K) (W/sq.m) (K) (Wm) (kglcu.m) (m) (WImK) Units Conditions Date Spc (Stu/sgft-h-F) (Btu/sgft-h) (F) (Fri n) (pcp (in) (Btu-in/sgft-h-F) St 23C/iOOi6RH 06/11/2001 1 0.778 17.280 1 297 1 862 25.63 0.026 0.020 English 23CI508/.RH 1 06/11/2001 1 0.137 5.478 75 39 1.60 1 1.015 1 0.139 The heat flow meter apparatus consists of two horizontal plates configured such that the upper plate provides the cold surface and the lower plate provides the hot surface.The heat flow meter is against the cold surface of the specimen and the edges of the specimen`:are open to ambient conditions. The heat meter is checked daily before use using an NIST traceable expanded polystyrene reference material(EPS 9502_1_005). Calibrations are performed using NIST SRM 1450b when the need is indicated by laboratory control charts. Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Me urements Laboratory. Senior Analyst Apr 13 04 02: 3Gp DALE LEDBETTER 404-982-0857 P• 2 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road g 1502�C �curcorrEo West Deptford,NJ 08066-1732 LI Mechanical Field of Testing Certificate.No.:290.02 PHYSICAL MEASUREMENTS REPORT Dimensional Stability Requested By Abi-saleh,T Report Date 07110/2001 Log No. 01.0473 Material Rigid Foam Submit Date 06/01/2001 Report No. 01-0413D2126 Customer Isotee Method No. ASTM D2126-99 Page No. 1 of 3 Sample ID 7590-010-A Exposure Len Wid Thk Wgt Conditions Chg Chg Chg Chg deg Cl%RH Date 5pc ('/°) ('/) N N -25C/Amb%RH 6/1112001 (0 1 +0 +0 +0 +0 -25C/Amb%RH 6/11/2001 (0 2 +0 +0 +0 +0 0.0 0.0 0.0 0.0 Mean 0.00 0.00 0.00- 0.00 Standard Deviation -25C/Amb%RH 6/12/2001 (1 1 -0.4 +0 +2,7 +.9 -25CIAmb%RH 6/1212001-(1 2 +0 +.5 .0.4 +.7 �-0.2 0.3 1.2 _0.8 Mean 0.28 0.35 2.19 0.14 Standard Deviation I -25C/Amb%RH 6!1812001 (7 1 +1.4 +,8 +5.8 +.5 -25C/Amb%RH 6/18/2001 (7 2 +2.8 +2.6 +1,2 +,5 2.1 1.7 3.S 0.5 Mean 0.99 1.27 3.25 0.00 Standard Deviation -25C/Amb%RH 7/09/2001 (2E 1 +1.1 +_4 +4.6 -0.1 -25CIAmb%RH 7/09/2001 (2 2 +2.7 +1.9 -0.4 +,3 1.9 1.2 2.1 0.1 Mean 1.13 1.06 3.54 0.28 Standard Deviation 100C/Amb%RH 6/11/2001 (0 1 +0 +0 +0 +0 100C/Amb%RH 6/11/2001 (0 2 +0 +0 +0 +0 0.0 0.0 0.0 0.0 I Mean 0.00 0.00 0.00 0.00 Standard Deviation-� -- J 10001Amb%RH 6/12/2001 (1 1 +0 +,3 +5.2 7 i00C/Amb'/°= 6/12/2001 (1 2 +.9 +1.2 +3.1 +,5 Apr 13 04 02: 37p DALE LEDHETTER 404-982-0857 P. 3 Dimensional Stability Requested By Abl-sateh,T Report Date 07110!2001 Log No. 01-0473 Material Rigid Foam Submit Date 06101/2001 Report No. 01-047302126 Customer Isotec Method No. ASTM 02126-99 Page No. 2 of 3 0.5 0.8 4.2 0.6 Mean 0.64 0.64 1.48 0.14 Standard Deviation 10OC/Amb%R 6/1812001(7 1 +1.4 +A +7.5 -1.1 100C/Amb%R 6/1812001(7 2 +2.2 +2.3 1 +4.2 -1.3 1.8 1.2 5.9 -1.2 Mean 0.57 1.56 2.33 0.14 Standard Deviation 100C/Amb%RH 7/09/2001 (2 1 +1.4 +0 +7.1 -2.1 100C1Amb%RH 7/0912001 (2 2 +2.3 +2.3 +4.6 -2.5 1.9 1.2 5.9 -2.3 Mean 0.64 1.63 1.77 0.28 Standard Deviation 70C/97%RH 6/11)2001 (0 1 +0 +0 +0 +0 70C/97%RH 6/11/2001(0 2 +0 +0 +0 +0 0.0 0.0 0.0 0.0 Mean 0.00 0.00 0.00 0.00 Standard Deviation 70C197%RH 611212001 (1 1 +1.2 +,4 1 +1.1 +.5 70C/97%RH 6/12/2001 (1 2 +1.2 +.6 +2 +.7 1.2 0.6 1.6 0.6 Mean 0.00 0.28 0.64 0.14 Standard Deviation 70C/97%RH 6/18/2001 (7 1 +3.7 +2.5 1 +1.9 +.7 70C197%RH 6/18/2001 (7) 2 +2.5 +1.9 1 +7.1 +.i 3.1 2.2 4.5 0.4 Mean 0.85 0.42 3.68 0.42 Standard Deviation 70C/97%RH 7/09/2001(2a 1 +3.5 +1.6 +2.3 .0.9 70C/97%RH 7109/2001(2e 2 +3.3 +2.3 +7.8 -1.3 3.4 2.0 5.1 -1.1 Mean 0.14 0.49 3.89 0.28 Standard Deviation Rpr 13 04 O2: 37p DRLE LEDBETTER 404-982-0857 p. 4 Dimensional Stability Requested By Abi-saleh,T Report Date 07/10/2001 Log No. 01-0473 Material Rigid Foam Submit Date 0610112001 LLIReport No. 01-0473132126 Customer Isotec Method No. ASTM D2126-99 I Page No. 3 of 3 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shalt not be reproduced except In full without the approval of the Physical Measurements Laboratory. _ Q Senior Analyst i i i I Rpr 13 04 02: 37p DRLE LEDBETTER 404-982-0857 p. 5 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road West Deptford,NJ 08066-1732 Mechanical Field of Testing Certificate'No.:290.02 PHYSICAL MEASUREMENTS REPORT Water Absorption Requested By Abi-saleh,T Report Date 00/08/2001 Log No. 014473 Material Rigid Foam Submit Date 06/01/2001 Report No. 014473MS14 Customer Isotec Method No. MS140297 Page No. 1 of 1 Water Absorption Sample ID (Y.) Procedure 7690-010-A 1.37 24 hrs.@40C197%RH 1.36 24 hrs.@40Cl97%RH Mean 1.37 Std Dev 0.01 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Measurements Laboratory. Senior Analyst i Apr 13 04 02: 37p DALE LEDBETTER 404-982-0857 p. 6 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road West Deptford,NJ 08066-1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Compression of Rigid Foam Requested By Abi-saleh,T Report Date 06/07/2001 Log No. 01-0473 Material Rigid Foam Submit Date 06/01/2001 Report No. 01-0473DIS21 Customer Isotec Method No. ASTM D1621-94 Page No. 1:of 2 Sample ID 7590-010-A Compressive Strain Test Length Width Thick Modulus Strength Comp.Str. Orientation (in) (in) (in) (psi) (psi) (%) PARA 2.033 2.026 1.038 441 13.80 9.92 PARA 2.020 2.020 1.018 452 14.00 9.45 PARA 2.026 2.020 1.022 380 12.40 4.61 PARA 2.032 2.031 1.033 302 12.30 9.08 PARA 2.007 2.024 1.044 383 12.4D 9.98 Mean 2.024 2.024 1.031 392 12.98 8.61 Std Dev 0.011 0.005 0.011 60 0.84 2.26 PERP 2.028 2.047 1.054 203 9.70 5.74 PERP 2.028 2.065 1.052 212 10.00 6.30 PERP 2.024 2.020 1.042 206 10.80 7.46 PERP 2.038 2.065 1.062 209 9.80 6.14 PERP 2.036 2.050 . 1.065 220 10.20 5.92 Mean 2.031 2.049 1.055 210 10.10 6.31 Std Dev 0.006 0.018 0.009 7 0.44 0.68 Apr 13 04 02: 37p DALE LEDBETTER 404-982-0857 p. 7 Compression of Rigid Foam Requested By Abi-safete,7 Report Date 06/07/2001 Log No. 01.0473 Material Rigid Foam Submit Dale 08!01/2001 Report No. 01-0473D1621 Customer Isotec Method No. ASTM 01621-94 Page No. 2 of 2 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except infull without the approval of the Physical Measurements Laboratory. Senior Anaiyst i I i i i I I I I I I I Rpr 13 04 02: 38p DRLE LEDBETTER 404-982-0857 p. e HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road West Deptford,NJ 08066-1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Apparent Density of Rigid Foam Requested By Abl-saleh,T Report Date 06/12/2001Log No. 01-0473 Material Rigid Foam Submit Date 06/01/2004��tl eport No. 01-0473DE02 Customer Isotec Method No. DE020697age No. Apparent Density Sample 1D (pcf) 7590-010-A 1.71 1.76 1.85 Mean 1.77 Std Dev 0.07 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Measurements Laboratory. "SeniorAnalyst r i Apr 13 04 02: 38p DALE LEDBETTER 404-982-0857 P• 9 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 286 Mantua Grove Road ' . West Deptford,NJ 0806@-1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Cell Content Requested By Abi-saleh,T Report Date 0611112001 Log No. 01'4473 Material Rigid Foam Submit Date 06/0112001 Report No. 0144.73D6226 Customer Isotec Method No. ASTM D6226-98 Page No. 1 O 1 Open Celt Sample to N 7590-010-A 11.18 9.91 11.25 Mean 10.78 Std Dev o.76 Analvsrs Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Measurements Laboratory. Senior Analys Apr 13 04 02: 38P DALE LEDBETTER 404-982-0857 P. 10 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division amr- 286 Mantua Grove Road West Deptford,NJ 08066.1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Shear Properties of Rigid Foam Requested By Abi-saleh,T Report Date 06/91/2001 Log No. 01-0473 Material Rigid Foam Submit Date 06101/2001 Report No. 01.04730273 Customer Isotec Method No. ASTM C273-94 Page No. 1.of 1 Test Break Stress Modulus Break Specimen Sample ID Direction (psi) (PSI) Type Type 7590-010-A 20 Bond Core 19 Bond Core 16 Bond Core 13 Bond Care 22 Bond Core Mean 18 Std Dev 3 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Measurements Laboratory. 1:4 Senior Analyst Rpr 13 04 02: 38p DRLE LEDBETTER 404-982-0857 p. 11 HUNTSMAN Polyurethanes Physical Measurements Lab West Deptford Division 288 Mantua Grove Road soaemm o West Deptford,NJ 08066-1732 Mechanical Field of Testing Certificate No.:290.02 PHYSICAL MEASUREMENTS REPORT Rigid Foam Tensile Requested By Abi-saieh,T Report Date 06/12/2001 Log No. 01-0473 Material Rigid Foam Submit Date 06/0112001 Report No. 01-0473D1623 Customer Isotec Method No. ASTM 1)1623-78(1895) Page No. 1 of 1 Break Stress Type of Test Sample ID (psi) Break Mode 7590-010-A 36 Foam Core 24 Foam Core 32 Foam Core 25 Foam Core 25 Foam Core Mean 28 Std Dev 6 Analyst's Notes None. The test results reported herein relate only to the samples tested.This test report shall not be reproduced except in full without the approval of the Physical Measurements Laboratory, Senior Analyst. „? j r,"� Beaches Electrical Service Inc. 214 Cokesbuxy Ct. i Green Cove Springs, Fl 32043 1904) 629-3182 ER-0013172 Building Official 6121103 City of Atlantic Beach, Ft. This letter is to request temporary power for the property located at 672 Ocean Blvd., for testing and conditioning the space only and no one will occupy the building. We acknowledge by our signature that we will be responsible for anything that may occur due to the energizing of the electrical service prior to the completion of the job and the final inspection and that the City of Atlantic Beach shall be held harmless. Master Electrician (printed name) Sig r ROVED State Of �'� �✓�� CITYAPPOF ATLANTIC BEACH ]BUILDING OFFICE The County ofI)Uvoj JUN 2 2 2004 Sworn to and subscribed before me This 2A day of 20�_ Personally know-n--,t.ZID Notary Public State of Florid My Commission Expires - :SWCHLUETER..�JENNIFER:.: MY COMMISS21301EXPIRES: 0Bonded Thru Notawfirerrs THERMAL CONTRACTORS "The Energy Experts„ 819 E.Warm Street Phone: (912)2$3-2758 Wayaoss,GA 31501 Websfw. www.Thermal-Contractor's.com To whom it may concern: The following information is provided in accordance with florida Building Code paragraph 104.4.3,Insulation Certification Card. 1. Insulation Manufacourer's Name: PROFOAM Corporation 2171 Cheshire Bridge Rd. Atlanta,Ga. 30324 2.Insulation Type: Polyurethane spray foam insulation 3.R-Value R-Value 7 per inch 4.Thickness installed 3 inches 5.Location of installation: ceilings&walls (1 22 —'762-Ocean Blvd. L--- Atlantic Beach,Fl 6. Insulation checked: Insulation monitored during installation.Cathedral ceiling encapsulates living area. Attic area is conditioned space. No ventilation necessary. 7.Installation Contractor: Thermal Contractors 819 E. Waring St. Waycross,Ga. 31501 8. to Installation: Ap ' 09,2004 JENNIFER SCHWETER MY COMMISSION#DD 121301 �./�/ :P EXPIRES:May 27,2006 �� (�—d 7 k''• o?�' Banded mN Notary Public uridemrilers MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 17 AS SHOWN ON MAP OF ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEVENTH STREET � _ _ - - - - - - _ — FOUND 1/2' � IRON PIPE I NO ID I ivI SCALE: 1" = 20' of LOT 6Ln �. 0 REFERENCE CORNER SET %2; I FOUND 1 ( IRON P IRON PDI E �tE04.00 VEST�� 0.2' 8' PRIVACY FENCE -� 1,15.00, 0.1' 0.2' 0.1' FENCE 4' WOOD FENCE ON UNE 90'00'00' 9700'00" ✓" x .'•.;......';"....'..'.'.'.'.'. '.'.'.'.'..'.'.'.'.'.'.'.'..' .'. 1.4 3 ry LOT 5 � 18.4' ::...::.':':::::4.'. .'......:::....... u- ....... .. ... p 2 STORY R=.oiit.: :•:•:•:•...•:....:•:•:•:•:,:: O O O `✓ CONCRETE BLOCK a U 0x .. � & FRAME RESIDENCE #672 N . . . .. . . v) oc F. . LLJ6.3' o JQJ unuTv ROOM Do 13.8' \ x 90,00'00' _04 42.0 9(700'00"F U 0.2' o o Q 1 1 5.00' FOUND 1/2-FOUND 1/2" IRON PPE IRON PIPE NO lI NO ID II I LEGEND: I El = CONCRETE LOT 4 f --E-- - OVERHEAD ELECTRIC UNES ----X— — FENCE G E N E R A L N 0 T E S 1.) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE ABSTRACT. 2.) UNDERGROUND IMPROVEMENTS SUCH AS FOUNDATIONS AND UTILITIES WERE NOT LOCATED 3.) PROPERTY HEREON LIES IN FLOOD ZONE "X" AS SCALED FROM FLOOD INSURANCE RATE MAP 120075 0001 . D, DATED 4/17/89. n, - nCERTIFIED TO: ( I I � �� for accurate rojirster of carbon copies, fees may be separated alone shove fold. Staple • completed ebeets tep,•thev on eojinal prder. � Proposed Construction �' • DESCRIPTION OF MATERIALS neo. . _ ❑ Under Construction (To be inserted by FHA w VA) Property address � _ � Mortgagor or Sponsor _._-_... ,tian,r) lAddr�.al Contractor or Builder ---d$ak .13. 3805 H3r[J4i' rf Ufa - INSTRUCTIONS 1. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically dtsc,Aled. of copies, etc., see the instructions applicable to the FHA Application for 4. Include no alternates, "or equal" phroses, or contradictory items. (Con. Mortgage Insurance or VA Request for Determination of Reasonable Value, as the case may be. sideration of a request for acceptance of substitute materials ore meet 2. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.) on the drawings, by marking an X in each appropriate check-bort and entering S. Include signatures required of the and of this form. the information called for in each space. If space is inadequate, enter "See e. The construction shall be completed in compliance with the related mist." and describe under item 27 or on on,attached sheet, drawings and specifications, at amended during processing. The specif,cancns 1. Work not specifically described or shown will not ba cont,dered unless include this Description of Materials and the opphcoblc Minimum Cons'ruct,on required, when the minimum acceptable 'will be assumed. Work eeeseding Requitements. 1. EXCAVATION: J Bearing soil, type ---grad- ---- --------- ----- -- ---------- ---- ------ r' ------------------- ---------- -------- — 1 L FOUNDATIONS: Footings: Concrete mix ---------��J� �'t _ Reinforcing "5- R"8' ._ -- ------- Foundation - . .Foundation wall: Material -- ------lZQA0_ _e_te__.B1eck_---,..- Rumfurcing Interior foundation wall: Material----- ---__--- _ _ _ _ -. Party foundation wall Columns: Material and size ... - _--_ _--. Piers: Material and reinforcing Girders: Material and sista .__------------- Sills`. Material Basement entrance areaway __. _ _ Window areaways Waterproofing- _ ._ _ Footing drains `1 Termite protection _-- Basementless space: Gr•ounrlt'cover - _ ._... 111sulatton -. - __.. Foun,!ation vents Special foundations ----- ----- 3. CHIMNEYS: ��pp Material -------------- ----------- --------- --- Prefabricated (make and size) -----. ---- [ ,ri--arc° "st�u -_.--- Flue lining: Material . Heater flue size _ Fireplace flue size Vents (material and size) : Gas or oil heater .___ _ _ _.-__. _ Water heater e. FIREPLACES: Type: ' Solid fuel; ❑ gas-burning; Q circulator (make and size) --------.__.------- Ash dump and clean-out-------- --__--- Fireplace: Facing --- ---------------- lining - -------------- -; hearth _.-------- ----------- .- ; mantel ----------- ----__ ...... -------- -------------------- ----- ---- ------------------- ------------------ ------•-------- ------------------- --------__------- ------------ -------- S. EXTERIOR WALLS: Wood frame: Grade and species `< .. ..__. ---------- ❑ Corner bracing.g• Buildin g paper or felt 1� Sheathing ..-------_------ ____ ; thi-kness ; width ------ ❑ solid; Q spaced . ----- o. c.; ❑ diagonal; ._----_. ------- Sidi,ig ___._.Sidi,ig -----------_---_- ----- grade _.., type size __--.--- exposure "; fastening. Shingles ----------------------- grade type - - --; size -----------;exposure -•__. ..... fastening _. Stucco --------------------- ; thickness - -------- Lath ..----- ---------__------- --- --- -------------; weight _. - Ib. Masonry veneer ----------------- - - --------- -------- Sills ----- ------------ .. _ . Lintels ---------- Masonry: -----Masonry: Facing ---------------------- ; backup -.--- __-- --- thickness -........... ... Bonding ---- - - ------ Door sills _ --------•---_...... Window sills ------ - -------- Lintels _.---------------- Interior - --_-----_Interior surfaces: Dampproofin 1 cats o ___. ___ __ ______ ___ __ ____ ._ ; furring ----------------- __ -. .. Exterior painting: Material j Q i -- - ------ --------------- --- - -------------..------ _; number of costa.. Gable wall construction: ❑ Sarliq'as main walls; L' other - -------------- ----------------- ---------------------------------i------- -- -• ------- ---------------------i--•---- -------------------------- ------------------------------------- _ ----------------------------------- -- - -- i.. flO.pR FRAMING:adspecies Joists: Wood, e and a p -2--X. ,S_YP other _-- -- ..-- bridging ----_- --- anchors Concrete slab: Q Basement floor; ❑ first floor; Q ground supported; 7 self-supporting; mix ------ ; thickness reinforcing ------ --- ------- ---- ...; insulation _- __ . _ membrane - _ -Fill under slab: (Material _.-------- ---; thickness .- -_. - -------------------------•-------------------- ---------------------- - -•-----------•---- _------- --------------------- ---------- 7. SUIFLOORING: (Describe underflooring for special floors ender item 21.) Material: Grade and eJsecies ... .. 1 X & I V2 -- --- ------- .-- size --. ..-_-- . ; type ._-- -------.-_------ Laid: ❑ First floor; ❑ second floor; ❑ attic ________________ sq. ft.; 2 diagonal; ❑ right angles. _ -------- .. _ - -------- ------------- -- ------ ---- ---- _. -- - ------------ I. FINISH FLOORING: (Wood only. DesFribe other finish flooring under item 21.) idMAnntt J o as .' ( sus Srri.na Tstrr.KNFr.a WlDTit JJt.00. PArrK First floor. r A �.----------------- SR 4 -3/4'� � 4 � �l2 ' Second floor- 24 =- s`J33@ bi$ 8C v£3rAter------- Attic floor. An. ft. _ ... 1 DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: n w Stud:;: \Food, grade and species . .Q . _ Size and spacing - L x '4 16 - ---- -- ------ - Other ----------------------- - 10. CEILi"3 FRAMING: P -- Other - Bridging Joists: \':cod, grade ands ecies ' --- . 11. ROOF FRAMING: Rafters: Mood,grade and species #2. YP _..______-__ - Roof trusses (see detail) : Grade and species --------------------____-___ 12. ROOFING: Sheathing: Grade and species -------- size 2.X_ S; type _ "(3_41_. _; [solid; (] spaced _..__.."o,c. Roofing . ---Axiglc It. `+J►j'1LTl-l.ea . ; fir::.le _ ------ -- thic-kncss 2-P0 ; size --------- fattening ---- Stain or paint ------- ----- ___.__. _ . . - - - L;n,1,I lay - -•--_-_ Built-up roofing --------------• _ ..__._ -_------ ; n..I,Iber cf plies surfacing motorial --------- --- --- --------- Flashing: _ _ .- Flashing: Material ----------- I,_-___---•--. ---------------------------------_ gage or weight 21 . ___ ; ❑ gravel stops; ❑ snow guards 17. GUTTERS AND DOWNSPOUTS; G Gutters: Material___-qg-- ------------------------ gage or weight -_-- .._; size-. 4__---_ _-; shape__Da_—.--•-----------•-----_---- Downspouts: Material ---G`------------------------ gage or we kht ....2g-._; size_-_-C_-- __; shape __qv.................. number ----_-___-- Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; [] dry well. o Splash blocks: Material and size -__-___-____________________ 11. LATH AND PLASTER: Lath [.J walls, ❑ceilings: Material ------------ ; weight or thickness --------------- Plaster: Coats...._....: finish _______________________� Dry-wall 8 walls, ] ceilings: Material _ t t ----- thicknes&i finish - 3M40th joint treatment _.Q-0ats ---- --------•-------- ---- 15. DECORATING: (Point, wallpaper,etc.) Rooms WALL FINISH MATERIAL ANIS Arr:ll'Alli�N CEIL.INc FINISH MATERIAL. AND APTUCATION Kitchen--- ---- --------- -----2---CJ:. ta._Jima"1711103.---2111011>>121--- --------------- --------------------------------------------- - - Bath-- ------------ ----- - --*-- --- - ____,Bedxo mu - � s_ emL ------------- --------------------- --------- --------------------------------------- ---------------------- - -- - - - -- - ---- — _ _ -- ----------------------------------------- - - - 16. INTERIOR DOORS AAO TRIM: Doors: Type ----------1;all,------.�''a.l-.4..21' _ _; material -------------------- ------------------------------__; thickness ------------- x Door trim: Type _____-G------_--------; material _Fir_------------ Base: Type__A13 lM911te; material __gj._T_ -------; size-------- Finish: Doors -------Shelf ,-I.a--A---V1r11xS1:1----------------- ------; trim Other trim (i'e-m, hype and location)------------------------------- ------ ---------- ----- - - - -- - - ------------------------------------------------------------------------------------- 17. WINDOWS: Windows: Type make --------------------------- ----- material ---Ahs ----------------------; sash thickness ------._------ Glass: Grade__________________________ _ ❑ sash weights; ❑ balances, type _ _. ._---------------------------; head flashing - -__-- _ Trim: Type---------------------------.--; material --------------------- -- --------- - Paint ------- -------------------------'-------: number coats —..._ Weatherstripping: T --------------------------------- ------ material ------------ - --------- _- Sturm sash, number .-------- Screens: ❑ Full; ❑ half; type _____________________________ __________; number screen cloth material _.._._ _ Basement windows: Type ___----------_-----------; material ---- ---------------_---- ❑ screens, number _ ____ Storm sash, number _-_-_---_ Specialwindows ----- ---------• ---------------__ ------ -- -------- '- ------------- -------- ----- ----- ------ -------- -------.. .------- ----------- ---------------------------------------------------------------------- ------ ---- ---------------------- --------- --------- -------------------------------------------- 11. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: Material -_lfl________________ ; width 36-------; thicknesa__l ". Frame: Material---V----------;thickness_l " __. ; width _`�_'-'�______-.;thickness..I ___-__; thicknesA " Other entrance doors: Material ___ ____________ �". Frame: Material__IT Head flashingG Weatherstripping: $POg26 • saddles Alun• --------•------- ------------------ ------ - PPing: Type---------------------------------------� Screen doors: Thickness 1 ____"; number .._ .._ ; screen cloth material__ -:_______ Storm doors: Thickness____._.."; number Combination storm and screen doors: Thickness __._..__ number -------.; screen cloth material Shutters: ❑ Hinged; I5 fixed. Railings ------------------------------------------------------ Louvers ----------------------- - _ _ _____- _- --_ number coats __- _ _ __ _ Z+ Exterior millwork: Grade and species ______C_�p_._._ ___ .__ _____-___ Paint ___ ee�__&__0 11 � ------------------------------------------------------------ ------ ---------- ----------•---------------------------------- ---------------- --- -- ----- -- - ------ 19. CABINETS AND INTERIOR DETAIL: Hitchen cabinets, wall units: Material ___'3.u1---------------------------------_______________; lineal feet of shelves ------; shelf width _..._ >o3a Bormtea Base units: Material ------------- ; counter top ; edging --------------------- --------------- Baek and end splash ....-- -----r l� _____ Finish of cabinets ------------------------------------------_--- ------; number coats Medicine cabinets: Make ------------L-M-$an__._ ------; model -- ---------- Other cabinets and built-in furniture ------------------------------------------------- - - ---- -.. -------- ---- - ------------ -- ---- --- 20. STAIRS: I TREADS I RISER.? STRI NOS HAN FRAIL BALL STERS STAIR _...- n Material Thickness I Material Thickness Material Size Material Size btateal Size Basement Main---- --------------- - -------- ----------- --' -----,- -- ----- -- --- ----------- - ------- - Attic - Disappearing: Make and model number ------------- ----- -- ----------- ----------------------------------------- --- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----------- 2 I . ~ ~ . uv. SPECIAL FuOOm$ AND WAINSCOT: ^ LOCATION 14ATIRIAL,COLOR.BoRDEn, CAP,Sam. GAO9. Frc. RRIGHT HEIGHT T Tus "XIGHT AT SHOWS& --'4LB f---- ---'- m --'-'---- . ----- ------�� ' number ------ Bathroom �zrmm,iou/ Recessed; material number mtmwhvd; momsi | ` -------------------------------------- -------------------------------- __'---__- ----------------------- ------------------------- -----__--__----_- 2L PLUMBING: ' -__tory_. ' � -------------------------------- _____ ;A 6,rtai, rod "El Door 4P Curtain rod Water supply, 3 Public; Ocommunity, system; OIndividual (private) system. � Sewage disposal: ;g Public; O community system; O individual (private) system. �� *Showand de8ctibe individual� system in complete detail in ^*vuruudrawings and opwviftemt/°n,o,vordinn to requirements. House drain (inside); f§Cast iron; C3 tile; Ovthmr--_-----' House sewer (outside): O Cast iron; Ll tile, Oother----_- _--- nvw*or piping: �� QuJv*nize� omel' O copper tubing; Ovth°c _- -------------------------------------------------- Sill cocks, nomho, _'AL_-- . - f&� �� ` Dumeodcwater heater: Type ----_'r---------_-'; m _--'-'----_---_-_-----------------__--- � recovery --------------------- gnh. xoo~ rise. 8xvrmme tank: Material -----4-1-----------------------------------------/ capacity -5-2 ------gallons. � Gas service: OUtility company; Oliq. pet. gas; Oother-------------- -------------------------- Gas piping: O Cooking; O house heating. Footing drains connected to: O Q*pzo wcwc,; O sanitary sewer; O dry well. Sump Pump . - ----------------------------------------------- | ----------'---------------------------------------------------------------------------------------------------------- 13. '-----13. HamYNm; / [] Bot wuter. O Steam. O Vupor. O One-pipe system. O Two-pipe system. O Radiators. O Convectors. O Baseboard radiation. Make and model -----__'-----_------'-'-----'_'_-'-'_____ B^dmmtnooel: O Floor; []wall; C] ceiling. Panel coil: Material----------- ----- ------------------------------- '---_-_---' ------_ OCircvlator OReturn pump. Make and model ------- --------------------- --- ---- -- ------------------------'/ capacity ---- - xpm. 0mk,: Make and model '---------'_----__--__------------- Output ------ ----------- Btub ; net rating -- ---- a*m. � ------------- ---------------- ---------------------------------------'��--------- --- -------------------- Warm air: O Gravity. A Forced. Type,forotem--'Jgi1l-_'.�ir ed_ -------------------------------------------------- _-_---- ------- -- Dur material: Dunn\y -----�9----------; return -G!---- --------- luuu\uuv^ -----G"s,%, thickness -��' O Outside air intake. Furnace: Make and model ----------------- _- ----------------- ----------- ------ Input -_- ---------- oua.; output - ---------- nxuh. ------------------------------------------------------------- ----- -------------------------- _ 1. _ __ �-- ------------------'- ------------'------��_ � [] Space heater; O floor furnace; O wall heater. Input ---------------------- Btoh ; output ---------- ---- _ atub ; number units _- --'- Mukemode ------------------- ----------------------_-------------------------------------- ------------------------------------------------------------ ---------------- --------------+------------------------------------------ ' ------------ ------------------------------------------------------------ -------------------- Controls: Make and types -------------------- ------------------------- -- -------------------- ----------------------------------------- ------------------------- ------------------------------------------------------------------------- ------ ----------------------- ---- ------ --- -------------------------- Fuel: _--_--'----Fne ' O Coal; O oil; [I gas; [] Eq. pet. gas; O electric; O other ---------------------------------- st^,uo~ capacity --- .---_--_ _--___------'-----_-_---_----'_-__- - ' _ ------- ----------------- -�� .-_�'-^-----_-_----_- Firinuequipment furnished separately: O Gas burner,conversion type. 8t"ker: O Hopper feed; O bin fer1 Oil burner: O Pressure atomizing; Ovaporizing -------------------- .... ------------------------------- ----------- ------- ----_'-_ Mnkomudmode -------- ------------------ ---------- ----- -------------------- ------' Control----------------------------------------- ........ __ _--'-'----------_'-_--'-_'_'-----------____-----.--_ '--'-�---_--------' - ------- Electric heating system: Type ------'--_------------- -------- Input -----' watts; x{ ------------ ndu/; output ------- Bmh. -_''-- _'--'--------__'_________----------_-_----' Ventilating equipment: Attic fan,make and model------------------- --------- ------------------ ---------------- -----; capacity --------------------. ,fm Kitchen exhaust fan, make and model _ X11t6m---------------------------------- ------------- ------------- ------ �! 0tb,rkcuunm. venulaung,vrcmdi"g equipment ------------ ------ ---- ---------- ------------------------------------------- ----------- ----- _____ '----------------'-----------'---'---'-- ----------------- ------------------------------------------------ ---- - -------'-- � 24. mum*Tmc WIRING: Service: O Overhead; O underground. Panel: 0Q Fuse bon; O circuit-breaker -------------------------------- --- Number circuits--------- Wiring: O Conduit; Oarmored cable; Ononmetallic ,uhh; O knob and mh*; O other --- --------------------- ---- - -------- Special __Sn, imJ outlets: O Range; O water heater; [] other ---' -�--. ----- ------------_--_-__-.� ODmnbdLJFDCbmeu Push-button locations ---- ----_---.� --' --------_---_.--'__-__-_-____----' ' � -----'-----7--'--------'--------- -' -' --------'-------'---------'---'------__-_- 2L LIGHTING p,oTUmmS' � ' Total ^umu°, or fixtures ------------ Tmu| ux^wunrr for fixtures, txni,^| mstaUum"n. Nontypical bmtu||utuw ,------------ _---- ------ _- ------ - . DESCRIPTkON OF MATERIALS � DESCRIPTION OF MATERIALS !L. INSULATION: LOCATION 'i'11ltti�t:Yy MArrRIAL, 'TYrL AND MET110D Or INSTALLATION VAP1.R 11ARRItR Roof_- -- --------------- - - ---- - -- - - - --------- ------- Ceiling- -- -- Ceiling - 4 a Rock Wool - - - � ------ Wall---- -- 2n Rack .0.91 ----------- - --- - - --- ------ Floor — — - =— --- - -- - -- --------- - ------ - 27. MISCELLANEOUS: '--.�-- - (Describe any main dwi ing mat,rials, eyuiprnent, or constnictiun items not sbown elsewhere) : ___. ----------- ---- - -------- _ - .- ------ HARDWARE: (Make, material,and fnish) c�l,iaiie 3r equal. - draes with Alum, Finis) ----------------------- ------ - - - SPECIAL EQUIPMENT: (State materia/ or make end model) Venetian blinds -----_ -_ ----- ----- - -_ _`._ _._- _ \uinher Automatic washer RoU;hi_tLS ..... . . - Kitchen ran e ------- IVtitE�q@-_K--8---- -- --------- - - Clothes 111,11 Rju,,,?hing ................ bleat ing#ouse Range-_& uven (�th1•r Dishwasher $$ l fieri tJL}19£ Garbage disposal unit Tea inghGuim PORCHES: See Plane - - - - - -- TERRACES: Soo Plans ----- - GARAGES: As per Plans---- -------------- Lans--- - -- - - - -- --------------- WALKS AND DRIVEWAYS: t Drivew•a.-: Width _.. _- - Base material .__�`��+r6;tt�icl.r,1•ss _�". Surfacing material - --------______. ._- ; thickness Front wa!k: Width Alar I ial _ - thlcl.ne;s _ Service walls: NV;dth .- __ Materia) Steps: lI•sf. Ila[ Brick --- .; treads risers Cl;-,. walls -- ----- OTHER ONSITE IMPROVEMENTS: (Speri/u all exterior onsite improvements not described elsewhere, inrludiTLg items such as unusual grading, drainage structures, vc;ltu.✓.y u'�tl.`:, jv�1r, r l;,' n r�. urrd (u-cr.,.sory ctructuit...) --------------------------------------------------------------------------- - -- ------- - -------------------------------- LANDSCAPING, -----•------------------ LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil -_--_____-_-" thick: [3 Front yard; r] side yards; ❑ rear yard to _ _ _. feet behind main building. Lawns: (seeded, sodded, or sprigged) side yards A Front yard ___$pri"!g4t' _R r�. � � � Ou rear yard --------------- - - Planting: [] as specified and shown on drawings; Elas follows: $75.00 3nrub AlloiVLil2CQ --------- ___. -- Shade trees, deciduous, ---------- caliper. _.- - . Evergreen trees, to - ----- B& B. : Low flowering trees, deciduous, _._ .'to_._.-...__.' Evergreen shrubs, to B& B. -- .-_-.- High-growing shrubs, deciduous, _ 'to _. Vines, 2-year . Medium-growing shrubs, deriduuus, to _ _ _- ---- Low-kmwing shrubs, dcei,luous, t', - TDrNTIFICATION.---This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of aT,11Gcation, D— ----••--- ------------ ---------------------------------------- Signature Jack & 'male a Signature ------------------------------------------ , CITY OF ATLANTIC BEACH s} FENCE PERMIT APPLICATION ,t a' Date: 12-4 lot( Job Address: Ccern Owner's Name: ti ►gyp_ ,j— � Address: (.1 1 2 Phone: Legal Description: Block Number: t l Lot Number: Zoning District: Fence Contractor: 7arLPC>04 ►^c. ��c�.P� Address: ` l J Phone: City: 6(4c c 1 C -�ca Cyt State: _Zip: 4 223 j_Fax: IUI14 1 11 Type of fence and materials to be used: w.4, Valuation Of Fence: RInterior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? UQ If yes,1 i l l).q �•�3 PM Wulf Tree Protection: 10. Applicant certifies that no trees will be removed for the instal '%j j N G F% ❑YES. Removal of Protected Trees will be required for this fence. REQUIRED. Tree Removal Permits to be reviewed by the I CQ PDMS Q� OCC - LIG. meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide ail information as amooriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: zJ 1/LI'l [ ,t�LC Mailing Address: &7A V C PC^ RM /1 Ugft'WC- J1" hi— Phone: Fax: E-Mail: q - b«- 2"-7 (,, t) 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Page I Revised 3/04/04 I hereby certify that all' o ation p ed with this applic 'on' rr ct. Signature of Own ____Pate: L- I hereby certify that av read and examined this applicair tion and know the same to be true and correct. All provisions of the laws and ordinances governing this a of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information beingtrue and correct and that the plans anlipporting data have been or shall be provided as required. ASignature of Contractor: 451 . / Date: 1,112 AS TO OWNER: Sworn to and subscribed before me this day of 6�V�►' �`-�� ,20 r7`� State of Florida,County of Duval �V Notary's.$ignature: E?/Personally known BARBARA A. HAMILTON Notary Public, State of Florida ❑ Produced Identification My comm. exp. June 1, 2007 Type of Identification Produced Comm. No. t)0 213399 AS TO CONTRACTOR: Sworn to and subscribed before me this_ day of P. .20 State of Florida,County of Duval Notary's Signature: 2ersonallyknown BARBARA A. HAMILTON Notary Public, State of Florida ❑ Produced Identification My comm. exp. June 1, 2007 Comm. Noa DO 213399 Type of Identification Produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 ID gpARTMENT OF SUIWIN4 CITY OF ATLANTIC BEACH upealloo xNM'MPWATWON w!YF.MrW wM Mwi P11111 t N b8 3 s Addre :ls: 672 eft UOULR'V'A,RD ATS `" OI�ACH, TLORIDA 3223 e rmi t T 'vo t WELL Lot: �r »lcs�t: ectir�r : op ustl ed �3s�** UT IIT T x a T ` I1ing Code. t3 Subdivision, d Value: $0 .00 Itaprov.. Cos i E4 .00 k Totil e s : $10.00 j vil , i 64 FOR RRIGATI PURPO E 1 I Ow - ' f77biJI;EVARI3 . WATER IMPACT P'E4 .( 1 fi 0,LORIDA �24 �,"9 lPA FSE $0 Q ` � � I ikGf TO 00 T RA OW, O 1R`.R.S �r}� }y :L 1 Oil ."r. �RFiL+DO LTCFI 4�,V.V � Y RAU C SHARE 0.00 1 Typew "l A m N � OV ` . IR c � k : IMPACT FSE Spy 0 t- a NG►fllrt �-- ALL CONC.RETS FO1iNf$AND FOOTINGS MUSTAEiNSP�CTEI�tBEFQRE t�OURINt3 4 FWERMIT VOID SIX MONTHS AFTER DATE OF<158UI ILDING MA'T AIAL;RUBBISH AND DEORIS`fRCM THIS 11�(QRK MUST Nf)T BE PtACEb?1N PUBLIC SPACE,AND MUST BE EARED UP AI HAVLE0 AWfAY.BY EJTH,ER C©NTRACTOI OR OWNER, If WITH THE MCHl �+15' N .AM/ AN.RESULT IN FA��.UR l�r��, c��rPL. .. „ PSR PA�rrN Tvc it t��E ��rtS. t3ED ACC©I �3FNO TO APPROVED PLANS-WHICH ARE PART QF THIS.PERMIT �BIJ.BJfC��,� ATfok FOR LATICN;C3F"AP!PLICA$L 0',LAW. I LANTIG BEACH I UILDING DEPARTMENT I r f I � , 3 ur + FEE $1 00 APPLICATION POR MU PE£dMIT CITY OF ASIC tEA l PROPERTY MIER Name: Phare �L t1.� Zip.3 Z Z � Address c ��7..��.s�G�� _ APPLICANT, IF OTIEER THAN OWNER Name: Day Phone_ Address,, .jos Address or Location: 7Z OGLy Legal Descriptian:T Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic 'Beach Code, and who plans to use water from the pern7itted well for drinking purposes, must first obtain a bacteriological test report from.the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach, A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: i I agree to comply with regulations stated herein: Signature -`7� `�' Date FOR OFFICE USE ONLY Date-----• .......19 1P.1 CITY OF ATLANTIC BEACH Permit #.". -•---.Fee$........................ -----------__.............. Valuation FLORIDA House #...4679....A"K....M&MI- ................. .................................................- APPLICATION FOR BUILDING PERMIT ............................................................................ .................................................................I......... 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........................---------------------_ ------......... 19------------ Owner..... 9------------ Owner......00� -VRO� ............. ........... _AA.44---------- .........Address-0/0.._410�40)5_wem�elephone No.z;v---2f zlo':3 Architect------------------------------------------------_--.........................................Address.............................-------------- .....Telephone No..............-------------.. 1AA00 ge 4W. or Contractor Builder%/_,0T_JC/_h......4&----- ......Address_'&4k5.0_.-**4W4W- 1----Telephone ne No. Lot No. A'rDivision....-I X-A, ------Zone---------- . .--------------------h..--------....Block No---------1.7--------------Sub ---------------------------------------------------- A4il --------Street_4AV_01F.0S_r._..Side Between------ ------------••---•--•-------.------------------- ---------------------.- -----------7 ...... 4!�7-1�_arl,444e---- 0 Q r Va u . Va uafi-on 0--------For what purpose will building be used-..-,"X--------------------Type of construction., all 6 " !i�14.... Dimensions of Building._. A?-----Dimensions of Lot.-Joe.....X--- ..........-,Size of Footing se^O- Size of Piers_.-----------_----- Sills-----------......... ......Greatest Sill Span in ft------------------------Type Roof---------------------------- ..._. How oof---_---------------------- How will Building be Heated?---------------------------------------------------------------Will Building be on Solid or Filled Ground?---....-.....-.-_--------_-------- Size ,of Ceiling Joists.--•------------------__------.......... Distance on Centers__......_........_----------_----.-, Greatest Span---------_------------------------------- Size of Floor Joists_-----------__------_----------------------Distance on Centers.-......--- -------------------------------- Greatest Span------------------------------------------- it Size of Rafters----------_-------- ...... Distance on Centers.... ...... ........................... Greatest Span.-------•--...... .................. to This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. a 4. When framing is completed. H 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit 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 tia * Beach. Signature of Builder . .........0....... . .......... 44................ Address . ..... ... ..... . Ig"Oof ....._ Signatureof Own ............................................................................... Addre .................................................................................................. f,yLyr1c� 3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 } �r INSPECTION PHONE LINE 2.47-5826 Application Number . . . . . 04-00029326 Date 12/13/04 Property Address . . . . . . 672 OCEAN BLVD Tenant nbr, name . . . . . . 516" WOOD FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor ---- ------- -- - ---- - --- -- ----- -------------- -- - - - FLETCHER, JOHN & KRIS TARPON LANDSCAPE & DESIGN INC 672 OCEAN BOULEVARD 371 4TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 242-8080 (904) 710-9070 ------- ---- -------- ----- - - ----- -------- --- ------ ------- --------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 PERWr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLAN'T'IC BEACH ORDINANCES AND THE FLORIDA BUILDING% ES. BUILDING OFFICIAL JS CITY OF ATLANTIC BEACH D.Ford st BUILDING/ZONING DEPARTMENT s Dceis rr 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# 04 . lq n 6 Property Address: Q71 Opf; N ply h. Applicant: fi� � 1.A1jDGC NVL '�, b1E51 C7N INC. Project: 5 6►I wppO f tN CE This it application has been: Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by: � � Date: rJ CITY OF ATLANTIC BEACH S 800 SENIINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �r ti 1 INSPECTION EMAIL REQUEST: Building-dent(?a,c� oahus Application Number . . . . . 07-00001621 Date 12/05/07 Property Address . . . . . . 672 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . TO BE UPDATED Application valuation . . . . 10600 --------------------------------------------------------------------------- Application desc INSTALL 2 GLASS WALLS --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLETCHER, JOHN OWNER 672 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 85 .00 Plan Check Fee 42 .50 Issue Date . . . . Valuation . . . 10600 Expiration Date . . 6/02/08 ---------------------------------------------------------------------------- Special Notes and Comments WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 .00 Plan Check Total 42 .50 42 . 50 . 00 . 00 Grand Total 127 . 50 127 . 50 . 00 . 00 PERMIT IS APPROVED-ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODE& NOTICE OF COMMENCEMENT (PREPARE W DUPLICATE) Permit No. Tax Folio No. ! 1�� State of FL ORID J0 County of /I Vic To whom it may concern: The Lndersigned 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. rlegal description of property being improved: &&IL Address of property being improved: Laml, 615t General description of improvements: Owner D Address �G�Q Owner's interest in site of the improvement Fee Simple Titleholder(it other than owner) Name Address Contractor (_ 9' AXXOG d's y��11 Address D�r g-rLEY R0A'b tJ v, Phone No. 2&1R— '7R 3 -_ Fax No. Surety(if any) Address Amount of bond a , h Phone No. Fax No. Name and address of any person malting a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Uenor's Notice as provided in Section 713.06(2)(b). Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1) year from the date of recording unless a different date is specified): THIS SPACE-FOR RECORDER'S USE ONLY OWN "TOk'K Fl e_+C1�.eio- �� n.t. //9-0 ',7 Ys 'Jl fCITY OF ATLANTIC BEACH PERMIT BUILDING/ ZONING DEPARTMENT APPLICATION# 000 Seminole Road Atlantic Beach,Florida 32233 �� I (904)247-5800 (904)247-5845 Fax vv ww.coab.us APPLICATION TRACKING FORM REQUI DEPT: l( Id PLANNING k�rope Address: � C� L1 t 1 1// I Y Z Y 4 BUILDING f Y N PUBLIC WORKS Applicant: �ff PB PUBLIC UTILITIES Pr®jecte ADW L� Y N FIRE DEPT. Y Nj PUBLIC SAFETY L APPROVAL U p REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w IU, Y N D.E.P HUFSTETLER Q= a Y N S.J.R.W.Md CARPER L Lu rj� Y iN ARMY CORPS of ENG CARPER C Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA APIEWED BY: IN' AL: D T : xor ® ® 1ST REV 4 UJ r 1 I gym; + ��ecord�d N 0 C u�n p � c� � PLANNING ® 2ND REV BUILDING_ PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV ithiq faa-m to the BWIdine Department once you have entered y+'a r comments into the AS401 CITY OF ATLANTIC BEACH 08 //" �y5�'•, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 [� t OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 \ BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY , JOB ADDRESS . Z:VALUAT70IN OF,W.ORK ,,,,: ,,r ,, , 3:Sq.,PT:UNDER ROOFS dnV antic Beach, FL 32233 ' :LEGAL DESCRIPTION:i'. ,:,ia. . •. . B:.CLASS;O . ORK;{ a, , .,-3 ° .,. " 6.USEOFSTRUCTURE.' . ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL =DESCRIPTJON OF WOFkK,,7 - ,.�. - „a% ALTERATION 13 ACCESSORY BLDG. 8.FIRE SPRINKLER 'r ❑REPAIR 11 POOL/SPA ❑YES 13 N/A ` ❑MOVE ❑OTHER ❑NO PROPERTY O CONTRACTOR. 425, 'ARCHITECT/Ot�: , J L , 15 PAY AME: 3.COMPANY NAME: 1 .NA E: .LICENSEE NAME: '10.ADDRESS: 17 AT F O DA(ICE 0 STATE OF FLORIDA LICENSE NO.: a—t � 0 ff 0K �Y� 1B. D RE � � 26.ADDRESS: 11.O FICE PH E: 12.FAX NO.: ICHQ_Ny 20 /�L�l 27,OFFICE PHONE: 28.FAX NO.: YL 13,CELL PHONE: 21.CELL PHONE: l/ ,✓1 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 1 FEE SIMPLE TITLE HOLDER g BONDING COMPANY ' r �,' °I MORTGAGE LENDER ,4� (IFOTNERTHAN'OINNER} .. L.. _ ��+, I, :,"i... d„� ..d r„ ,'..��a,>' ,,,t,'Vi=n , y 31.NAME: 33.NAME: 35.NAME: 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE, RECORDING YOUR NOTICE OF COMMENCEMENT r r w �DOWNER or AGENT f s { t u n x ,, ,CONTRAGTORrH , S r ,, s <, i „,: *'Qf gest,Panref of Attorney or Agency;l'ette�Required} t',�I' j "ir p '(qu'alifier Onl * z k r Signed: Signed: Date: Before me this of i e county of Before me this in a county of Duval,State of lorida ally d Duval,State of orid h ly ,red — a 4 0 W 11 e& - herin by himself/ e nd declarations are herin by himself/herself sta ents and declarations are true and accurate s a true and accurate. • ca • Notary Public at Large,State of —County f Notary Public at Largq�te 13 Personally Known ❑Personally Known Vv ❑Produced Identifl t' 0 ❑Produced Identification- Notary Signature: Notary Signature: COAB FORM BLDG01:REVISED:11/6/2007 SrV`jr' � BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH `� J `.. � 800 Seminole Road Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: ea A Perinit Number: Legal Description h4,,(,c er &Ale 1_�zo_?�._ � f'z Valuation of Work(Replacement Cost)5 o� • Class of Work((Circle one): New Addition roti Repair • Use of existingiproposed structures) (Circle one): 6 tnmercial Reside i • If an existing structure, is a fine sprinkler system installed? (Circle one): es N/A • Is approval of homeowner's association or other private entity required?(Circle one : Yes Describe in detail the type of work to be performed: 1 41U& le Property Owner Information // Name: 01 D 4-l`v i�1- r 4e_ Address: l� DG�d�v 0 d City c StaieEZip_ a hone Contractor Information: __11 Name of Com any: U+1 i ►ti 15��05�i'ex Quali g Agent: C7 � t ��- Address: DA City m State Zip Office Phone Via— Job Site/Co tact Number — � State Certification/Registration# G /} /��/ Office Fax#_ Architect Name& Phone # Engineer's Name& Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of apermit and that all work will be erformed to meet the standards of all laws regulating construction to thisjurisdietion: hisperrnit becomes null and voidN�ork is not commenced within six(6� months, or if construction or work is suspended or abandoned for a period of six ((6) months at any time after work cs commenced I understand that separate permits must be secured for Electrical F{rork, Plumbing,Signs, eUs,Pools, Furnaces,Boilers, IfeateTs, 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 WITI-I YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. iherebv certi fy 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 of work will be complied with whether specified herein or not. The granting of a permit noes not presume to give out orit; to violate or cancel the provisions o,£riny of fed , sta , or local tau, regulating construction ort performance of construe 'on. Signature of Property Owner Signature of Con cto . Swori4p and subsc d befor Sworg to and subscri a before me rias 'Day of this�Day of Not Public: �3' Notary Public: E �\ JOANN BUTLER 'lir Mir COMMISSION N BUTLER ss oo asesw REVISED 0 3.05.07 � co oN n oo ssee�o Res:ON st.aoio ''''+'«y,,,/ eMRFs M.y a�.pow '�� May MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 17, AS SHOWN ON MAP OF PLAT No. 1, SUBDIVISION 'A " A TLANTIC BEA CH AS RECORDED IN PLAT BOOK 5 PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLA. CERTIFIED T0: JOHN L. & KRISTIN L. FLETCHER/ MERRILL LYNCH CREDIT CORPORATION/ GIBRALTAR TITLE SERVICES/ OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY S E V E N T ty tl ICc a Planning and Zonmg partme t (40' RI HT—OF—WAY) it+.apprauaf xerHles oucrpnd with applicable zoning, subdivision andr focal tend development regulations, bnot constitute approval for the issuance ofs. Compliance with Florida Building Code and all ether applicable local, State and Federal permlttirfg requirements C must be verified by signature of th City of Atlantic )6L' /U �� ,.,�'` Beach Building Official prior to th� is uonce of a Building Permit. i '�► adJ't,t,. + Approved By:-Community eve o seen rector •�"'� C�LI / L 0 T 6 U-1 ZZ1 Z• (� k° 6' WOOD FENCE 4' WOOD FENCE` M 0.3 ZE14CE N84'23'00"E 115.00' ° Q LJ (Wj 4'CHAINLINK FOUNp 1/2" ~ Q cp ENCE u) 3'X3' CONC. A.C. PADS QDa , In ZO.O I,P. NO CAP = 0.. d Y 75,0' Q � b w LJ y 1,- 0 2 STORY BRI�CICR O _! p w WOOD SIDING a DRIVE WAY U m to 0 RESIDENCE x(672 `" � D � z a J U -� 0 w s.o' W p F! IJ- 0 Q0 24.0' 0 � Q O PA CK COV. OENTRYICK 20.0' Z �Q. CC c 127' o O W In 16.3' 0 0 14.2' 0 Z !n Z 27' 3.7 PAVER BRICK SIDE WALK 1 Q J ?,.f7 _ S84'23'00"W 115.00, 29'4 FOUND I.P. NO CAP CAP W `amu L Z It o o T WOOD FENCE V zz 1 0 0. 1 M $ '44 1 O 0 L 0 T 4 ` 3 BENCHMARK: F.F.E. OF RESIDENCE ON LOT 4, ELEVATION ELEVATIONS SHOWN THUS (14.90). AND REFER TO N.G.V.D. 1929. " BEARINGS BASED ON THE EASTERLY LINE OF ATLANTIC BEACH TERRACE AS FOUND3ION:0 —3; 9—27-04 (FIELD) BEING NORTH 05'37'00" WEST FOUNOATtON:03-2959-2;1—n—04(FIELD) THERE MAY BE ADDITIONAL EASEMENTS ANO/OR RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED MAP SHOWING BOUNDARY SURVEY, OF LOT 5, BLOCK 17, AS SHOWN ON MAP OF PLAT No. 1,ANTIC 'A " AS RECORDED IN PLAT BOOK 5 TAcE 9 or THE 1 L,C URR ENT EA PUBLIC LI RECORDS OF DUVAL COUNTY.. FLA. CERTIFIED TO. JOHN L. & KRISTIN L. FLETCHER/ MERRILL LYNCH CREDIT CORPORATION/ GIBRALTAR TITLE SERVICES/ OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY S E V E N T ty ti Ica0 Planning and Zoning Wepartment (40' RKHT—OF—WAY ___..._...__.. _ -Thi�riges Comp with applteabte toning, subdivision and oth r local land development regulations, but doe not constitute approval for the issuance of perm s. Compliance with Florida Building Code and aM ppiker applicable ` local, State and Federal permitttrig requirements must be verified by signature of th City of Atlantic Beach Building Official prior to tzaviiA, � uance of a s V Building Permit. Approved By, Comm un ty e o oen rector L 0 T 6 Date! " *0$ 3 I W (� 6' WOOD FENCE 4' WOOD FENCE [� U o- M 0...3 0"NE N84'2300"E 115.00' OA- 1 ' o- Q N0 4'CHAINLINK � 3'X3' CONC, A.C. PADS aD� In � FOUND CAP Q to -FENCE Iri V7 20,0 I.P. NO CAP U0- Y to 75.0' �.tJ �A r. Q O W he � N 2 STORY PAVER O 3 BRICK J M O O O w WOOD SIDING DRIVE WAY m J 90 U O RESIDENCE x/672 w � � o ¢ a W W3 e.0' O ~ J :;;:210*0' ' 0 Q m 0 PA R U5 RICK COV. TRYBRICK z Q: . A A to w to 16.3' Q o 14.2' 0 z m0 — vz 2' 3.7' P=SRICXE WALK r Q JA A- c7i �p N< -�-_— 29.4'FOUND 1/2 AP w C0 2 S8402300„w 115.00' I.P. Na CAP v t 00 7' WOOD FENCE O - I L 0 T 4 � 3 BENCHMARK. F.F.E. OF RESIDENCE ON LOT 4, ELEVATION (114.96). ELEVATIONS SHOWN THUS (14.90), AND REFER TO N.G.V.D. 1929. rl I BEARINGS BASED ON THE EASTERLY LINE OF ATLANTIC BEACH TERRACE AS FINAL:03-2959-3: 10-27-04 (FIELD) BEING NORTH 05'37'00” WEST FOUNDATION:03-2959-2;1-i-04(FIELD) THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS ON THIS COUNTY. UNDERGROUND ENCROACHMENTS NOT LOCATED PRODUCT APPROVAL INFORMATION SHEET Project Name: JOIN t CHRIS FLETCNER TWO WALLS UNDER GLASSROON Permit# Project Address: 672 OCEAN BLVD., ATLANTIC BEACH, FLORIDA 32233 (DUVAL COUNTY) As required by Florida Statute 553.842 and Florida Administrative Code 913-72,please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approyal may be obtained at: tit°xNv% 1oridabuildin .or y. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4. Roll up 5. Automatic 6. Other B.WINDOWS - 1. Single hung 2. Horizontal slider 3. Casement SIMONTON WINDOWS 5500 SERIES FL107-R1 VINYL CASEMENT 4. Double hung 5. Fixed SIMONTON WINDOWS 5500 SERIES FL5177.1 VINYL FIXED 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL I.Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 1 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1. Asphalt shingles 2. Underlayments 3. Roofing fasteners 4.Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other i i i Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E.SHUTTERS 1. Accordion 2. Bahama. 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F.STRUCTURAL COMPONENTS 1.Wood connector/anchor 2.Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G.SKYLIGHTS 1. Skylight 2. Other DEPARTMENT OF BUILDING-- CITY OF ATLANTIC BEACH,FLORIDAPERMIT NO. 1 • t��cY PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB// 7L i • Date 10-15 /1`g$5 ' q I in 10/ 14/m 1000 ii Valuation$ HECHANI AT. Fee$ 16 00 I This permit not valid until above fee has been paid to City Treasurer,and is fsubject to revocation for violation of applicable provisions of law. I This is to certify that N&L BEAnNG I&OAR CSaiIDTT (1 U I t1 has permission to bbl OLAU Classificati z J MSILEUMt, Zone Owns by F. DRE'M Lot, "t Block S/D House Nb. 41 672 _� BOUIEVARD According to approved plans which ar'd part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 0 4 01 0 Building material, rubbish and debris -4 from this work must not be placed in public space, and must be cleared up an4 hauled away by either con- r e7owner/17 . Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR I PL MBING I I ELECTRICAL SEWER WATER n MECHANICAL PERMIT APPLICATION Jurisdiction of ' 4pplicant to complete numbered spaces only. M JDs A00114 1:311& -I / SOT NO. SLA 111 ACT LLLAL CJ![[ ATTACHED !N[[71 OWN[ MA4L AOD#Li3 —� LIP PHON[ _ _/ 2)P1� 5 �zrirG� 22 2 _ a Zq7 CONT# C10# MAIL ADUNLS! PMON[ LICENSE NO. ar n A CNI .7 OI1'0t51GVA0t CL ADD#L5; PMON[ LICENSE NO. 4 [NGINLEPI MAIL ADO#Ess PHONE LICEN![ NO. LLNO[N — MAIL ADDRESS e#AMCM Uet 8 Class of work: &'—N'EW 17 ADDITION ❑ALTERATION ❑ REPAIR 9 Describe work: " Type of Fuel Oil ❑ Net.Gas ❑ LPG. ❑ PERMIT FEES SPECIAL CONDITIONS: No. Type of Equipment Fee Air Cond. Units -H.P.Ea. t -_ Refrigeration Units-H.P.Ea. Boilers- H.P. Ea. r Y Gas Fired A.C.Units-Tonnage Ea. - Forced Air Systems--B.T.U. M Ea. APPLICATION ACCEPTED BV PLAINS CHECKED BV APPHUVEU ON IJSLIANCE By Gravity Systems—B.T.U. M Ea. Floor Furnaces-B.T.U. M Wall Heaters-B.T.U. M NOTICE Unit Heaters B.T.U. M THIS PERMIT BECOMES' NULL AND VOID IF WORK OR CON- Evaporative Coolers STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 6 Clothes Dryers MONTHS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR — ABANDONED FOR A PERIOD OF 1 YEAR AT ANY TIME AFTER Ventilation Fen _ WORK IS COMMENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS - APPLICATION AND KNOW THE SAME TO BE T RUL AND CORRECT. Air Handling Unit- C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS - - ---J TYPE OF WORK WILL BEE COMPLIED WITH WHE [HER SPECIFIED Incinerator l HEREIN-. OR NOT, TH£ '.GRANTING OF A PERMIT DOES NOT _ PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIStON5 OF ANY OTHER STATE OR LOCAL LAW REGULATING - CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGMA TUN( OI CON TIIAC•011 011 AU 7r.0#12E0 AGENT IOATEI PERMIT !S -— SIGMA TU PL'OP OW _011 Ir OWNk,11 all,,Dr. —"-" (L,ATCI TOTAL FEE i WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .i r DEPARTMENT OF BUILDING FOR ©F1r'ICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date��191/11/ Permit # ee 8 /I-,<— , Application for Permit for Valuation Miscellaneous Alterations,` HOUSE and Repairs` F DESCRI (Stat if to repair', alter, add to or move building, erect awnings, k signs, gtc. Bui lding on: Lot No. Blk Nth. 6ub.Div. ' Acldres -- — Valuation $ BUILDINGS AND OCCUPANCY Buildi Use Residential or Business' 'what Plimbing work to be done?_ Size of Present Bldg. Size' of Extension;,, , Lot S'iz No. of tories now after alteredterial of roof t Material" of Present Building ' _material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH ' � OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline' Pum P Type or Model Name and Address of Manufacturer In connctian herewitI h, application is also made t® installx gal. capacity tank ts) made by of mta Under r Above) `mound. (Nor Above) (Name Of Manufacturer) + ir..c..s> of building. For JI ns� "outsider Oame of PUchiserT r" k JRNISH DR WING. SHOWINGENTIRE LAYOUT ON REVERSE 'SIDE OF -..... THIS BLANK SIGNS Size ! Classification (State whether ground, roof wa pro ec ng, anner) Y Materia of construction I1lumion ed? _..Type of illumination a e QHether Lamps or eon Will sign be over public property?�� SUSIT DRAWI -5MING CO STRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL 'INFORMATION BELOW -- (For ` anvas avenin s g Provide dimensioned drawing on everse side) �; IM.FORT NOTICE: In c, nsideration of permit given for doing the work as described in thea ove statement, we hereby. agree to Perform said work in faecordan a with the attached plans and specifications, which' are 'a •,, part her of, and in accordance with the building regulations of the ;city ofAtlantic Beach. (Southern Standard Building Code) . 'S gnatur! ;of Builder er 7 ` ''Addres Phone No. cS vim'.