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Permit 1165 Ocean Blvd (vault) CITY OF ATLANTIC BEACH 711 800 SEMINOLE ROAD sa J a °:` . ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . WWI'87 Date 8/02/05 Property Address . . . . . Tenant nbr, name . . . . . . WIRE FOR ROOM ADDITION Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----- ------------------- ------------------------ PARDUE, DANIEL CAPRI INDUSTRIES 1165 OCEAN BLVD. 138 N. ONE DR. , SUITE B ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095 (904) 810-0899 -- -------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD CODES. BUILDING OFFICIAL Cita of Atlantic Beach Bu 904-247-5845 P• 1 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION \ �Crir>r'{ Date: ps` Property Address: , OCn�Lzr� / t/t� ��rrtN f re�Ch Owner: - Ila—t/, e J r T ar,,,4z P_ Telephone#: 97x1 Contractor: �c.�.�r,' G�✓Dv�'fr �S Telephone#: i5FyS`'-�/'�°� Contractor Address: j 3P ,Vor11 X;'-, s�fe i? Fax #: Ey-d'/C" ' qK Contractor Signature: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in I accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards 24 good practice listed therein. i Building: uilding Type: ❑ Trailer Service: If other construction is New Residence ❑ Temp. ❑ New being done on this building Old Commercial ❑ Signs Increase Pe site,list the building g Permit number. ❑ Re-wire Addition Sq. Ft. Repair Conductor Size: s7 ANIPS:gaC COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & MY. 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 077FjOVER 1 H.P. PHS UNDER600 V O VER600V Transformers NO. KVA NO. KVA No.Neon_Trans£ Ea. Sign Miscellaneousga✓t� r- 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• httn://www.ei.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027322 Date 12/02/03 Property Address . . . . . . 1165 OCEAN BLVD Tenant nbr, name . . . . . . NEW 2 FIXTURES, BATH Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- - --- -- - ----- - -- -- - - - - -- - -- - ---- - --- - - - - - - G.A.H.O.A. P . INC. CANADAY PLUMBING 1165 OCEAN BLVD. RT 1 BOX 1230 ZZ ATLANTIC BEACH FL 32233 ST. GEORGE GA 31646 (904) 249-1729 ------------------ -- - ----- ------- ----------------- - - ------------ - -- --------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- -- --- ----- ---------- --- --- -- - - Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 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 PERMITD S CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH s' PLUMBING PERMIT APPLICATION 1 � V Date: 21z-126 0 3 Property Address: /a ®�`�ar�11(tom #'� i c , /�/ , Owner: o. , /`. Telephone#: 2 y9" /r q Contractor: adav PGV Telephone#: 3`�,3 Contractor Address: Lfe / /JQx J23 C7 S�- C� � �q 'Fax#:9/2"g --21 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, b New list the building permit number: ❑ Re-Pipe Number of Fixtures: IBath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 q o: Total Fixtures: X$7.00 + $35.00= l 800 Seminole Road-Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845- http:/twww.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027316 Date 3/29/04 Property Address . . . . . . 1165 OCEAN BLVD Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 Owner Contractor --- --------------- ---- -- ------ ------- ----------- G.A.H.O.A. P . INC. CHATHAM ROOFING CO 1165 OCEAN BLVD. 3536 UNIVERSITY BLVD N #161 ATLANTIC BEACH FL 32233 JACKSONVILLE FL (904) 249-1779 JACKSONVILLE FL 32277 (904) 343-5053 -------- ------------------ -------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 136 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2400 Fee summary Charged Paid Credited Due ----------------- ----- ----- ---------- ---------- ---------- Permit Fee Total 136 . 00 136 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 136 . 00 136 . 00 . 00 . 00 s Y• 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. )OW. C - BUILDING OFFICIAL CTTY OF ATLANTIC BEA.CE PERMIT ..CALCUL.ATION SHEET „ Address CAPA� L ' Date Heated Square Footage @ $ aer sq ft ..= $ Garage/Shed f go@ $ user .sq ft = .$ $ �, e r .s q ft .= S Ca.rp�rt/r�rch - , Deck ( S per sq ft = S .Patio � $ ner : sc ft = $ TOTAL VALUATION : S Total Valuation Ist $ /OOI Remal nirig Value $S per thousand : or portion thereof TOTAL BUILDING FEE s + ..1/2 Filing .. Fee F.irep Ia.ces . @. $15 ,0G. $. •BUILDING . PERRIT FEE WATER IMPLACT :FEE $ SEWER :IMPACT FEE $ WATER METER/TAP $ CAPITAL .IMPROVEMENT. $ SEWER .TAP . $ RADON (HRS) . 0050: $ SECTION H PAVING ( ) $ HYDRAUL.IC .SHARES $ CROSS CONNECTION.. $ ( ) SURCHARGE . 0050 . $ OTHER .$ GRAND .TOTAL DQE $ ' ADDITIONAL PERMITS OR .FEES :,Mechani•cal Plumbing Electric/New Electric/Tamp ;SwimmirngPool Septic Tank Well Sign Finish Floor Elevation Surve; ; .Other CALCULATIONS and/or NOTES : Cc: CITY OF ATLANTIC BEACH o BUILDING / ZONING DEPARTMENT L. Higgins r i=' 800 Seminole Road J3 Atlantic Beach,Florida 32233 k` { (904)247-5800 S3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: J t t; 5 C" ' r cx f, El v Applicant: (^'h 4li ctrn zo F-(n c, Project: This permit application has been: l Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: fl Date: 1,2 A ` S w� CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICA'T'ION ,��6�. rM Date: j/' 3/- v 1 Job Address: 116s— OG Owner of Property: 6,A 11 f? A. E Address: 19ob / ';to -n€. 6t4A C 117,17 Telephone: - JOY- :2 y 4•127-f Contractor: C hap, no - cc, State License Number: rz C co,v c,-5 Contractor's Address: 3 5' /S/ W�G E 2.2 7 Telephone: 3 4l?- 5—US-3 Fax: Scope of Work: aou-f oye/ -1p1 rac —/. "k-11, 4( Deck Slope: 4///.z Greater than 2:12 ,/ Less than 2:12 Valuation of work: �2 yvb. oC� Product Name(Example: Timberline):S e r 4a�n t P o(_ (CTD) — CT an AR Manufacturer (Example: GAF): Cer i ct i n Red, CCTW ASTM Designation(s): y 6a p3c)13 T4pe i D3 I Lp I wi"d 0S5y,)e yj Required Inspections: Sheathing d Final t e` Signature of Owner: ' Date: Signature of Contractor: Date: AS TO OWNER: S+ Sworn to and subscribed before me this � day of 20—(23 State of Florida,County of Duval Notary's Signature: clb Jodi Krause M'Dom issionDD134919 1Personally known Expires July 17 2006 ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 3i day of be C2��'Q/ ,200.3. State of Florida,County of Duval Notary's Signature: q,�, Jodi Krause 40 My C.om,Ms m DD134919 Personally known #.Qwpp, Expires July 17 2006 ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 CITY OF ATLANTIC BEACH .� 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030538 Date 6/16/05 Property Address . . . . . . 1165 OCEAN BLVD Tenant nbr, name . . . . . . ENCLOSE SCREEN PORCH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2040 Owner Contractor - -- -------- ---- -- -- ----- -- - ---- ----------------- PARDUE, DANIEL OWNER 1165 OCEAN BLVD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------ -- -------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 2040 Fee summary Charged Paid Credited Due -- - ------- -- ----- - - -------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ft BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: BUILDING /ZONING DEPARTMENT 2 800 Seminole Road S. Doerr ` Atlantic Beach,Florida 32233 (904)247-5800 „ (904)247-5845 Fax www.coab.us JUS _ � a PLAN REVIEW COMMENTS Permit Application # OS — 3C S E3 t. Property Address: l l CoS �-gip Applicant: Project: av—c-t4- This permit application has been: EP Approved Revi nd the wi items need attention: CJJQ1LtCJ1 dUtFOe4S VA-L -1,o�-t7 Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: Y I PER ASTM-El 300 & FBC CHAPTER 24, THE CORRECT GLASS 1 THICKNESSAND TYPEBASED Oil WIDTH, HEIGHT, ASPECT RATIO vil DESIGN PRESSURE HAS BEEN INSTALLED IN THIS UNIT. GLASS HAS PREVALENT CHARACTERISTICS SUCH AS BUBBLES, C, SLIGHT DISCOLORATIONS, BLURS AND HAIRLINE SCRATCHES. W un THESE ARE TO BE EXPECTED AS THEY ARE INHERENT QUALITIES N THAT MEET OR EXCEED ASTM-C1036. N X FIXED LIGHT GLAZING KINCO LTD. 1/8" ANNEALED CLEAR MANUFACTURER OF ALUMINUM WINDOWS AND DOORS 5/16" AIR SPACE 1/8" ANNEALED CLEAR Jacksonville Branch Jacksonville, FL 32209 VENT LIGHT GLAZING 904-355-1476 1/8" ANNEALED CLEAR 904-353-0689 5/16" AIR SPACE www.kincowindows.com 1/8" ANNEALED CLEAR WARNING: DESIGN PRESSURE DO NOT PRESSURE WASH WINDOWS. (AS LIMITED BY ALL COMPONENTS) DO NOT USE ANY PETROLEUM- BASED PRODUCTS. 0 + 45 . 0 ■ 1 3X42358-001-000 JX42358 RW5HPXOSL4050WHANDSBCL RW5 4050 SL F WH DSB CL AN XO DP +45.0 / -45.0 PSF j ,SUN APPROVED CITY BUBEACH ILDING CFFICE JUN 1 2005 By: HE= 47 .250 S1= 47 .250 SS= 0.000 CR= 58.437 ST= 55.562 SB= 55.562 SR= 29. 187 JA= 60.000 CP= 24.281 GT= 22.250 X 58. 187 GB= 22.250 X 55.375 �— SZ= 48.000 X 60. 000 GL= 3. OMM 05/25/2005 12:27:36 JAPROD SEQ, 135 KWCUF T , CITY OF ATLANTIC BEACH S JUN i 0 200b BUILDING PERMIT APPLICATION w (Alterations &Additions) Date: Job Address: 32�Z 3 Owner of Property: -d,,P st ALr► i i _ a r d vP Address: Onea ki 6 Y f AE �3 Telephone: 'W-\— 5q ff, 'C11�1 Legal Descrip Block Number: r3!Lot Number: Zoning District: wyc�1 Contractor: (�(,l r►'�( ice;P 1 ��t ��r U? State License Number: ly -- Contractor Address: Telephone: Fax: ] Describe proposed use and work to be done: En cj /5 i n C f P �'�� h h r r r i,VlrnJCrci Present use of land or building(s): 14 wee�-u Valuation roposed construction: _ What are the tmensions o e added space: _feet x aQ_' feet Will the added area be heated and cooled? New electrical or increase in service? >< Add plumbing fixtures? Add fireplace? Add hea-- lItinglair conditioning? Is approval of Homeowner's Association or other private entity required? 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 addition of 5% or more to the original impervious area or the removal of any trees? �O. Applicant certifies that no change in site grade, impervious area 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. O. 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 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 8/04 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 all info i n prod d with htthis ap tion is correct. Signature of owner: Date: Q 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 authdrity 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. Signature of Contractor: Date: Address and icontact information of persont to receive all correspondence regarding this application(please print). Name: Mailing Address: 0 c U 1jy i A 7 IN 34,Z j 3 Telephone: lULt 5-11 13 ) Fax: X 3 4 3& E-Mail: d pA rd vP & A4e_r. Cav!, AS TO OWNER: Sworn to and subscribed before me this l0 day of //' ,20 PIS. 01 State of Florida,County of Duval Notary's Signature: DONNA H.LOW * s. Notary Public,State of Flotlde ®''Personally known My comm,expires July 14,2005 El Produced identification �;� �t No nn n93593 Type of identification produced e, AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification 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 3 Revised 8/04 ' CITY OF ATLANTIC BEACH � sa> OWNER/BUILDER AFFIDAVIT Date: � / Job Address: l ocea n IV, CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT rr FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI°LOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. OOJA�4z PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE MEt �' 2001 DONNA N.LOW ;. NotaryPublic,State of Florida Y PUBLIC t My comm.expires July-142QQ5 MY COMMISSION EXPIRES: PHRA�i AAt1330VE. Subject Photo Page Borrower Client Daniel and Sabrina Pardue Property Address 1165 Ocean Boulevard City Atlantic Beach County Duval State FL. Zip Code 32233-5739 Lender First Alliance Bank A � Subject Front 1165 Ocean Boulevard Sales Price 485,000 fi-uc.m Gross Living Area 2,215 Total Rooms 8 Total Bedrooms 4 Total Bathrooms 4.0 Location Average View Residential Site Typical Quality Coquina/Avg. Age 24 A/10 E Subject Rear Imin 8 Subject Street b- 3� Form PICPIX.SR—NOTAL for Windows"appraisal software by a la mode,inc.—1-800-ALAMODE MAP SHOWING BOUNDARY SURVEY OF LOT 4, BLOCK 43, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 6, PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: DANIEL G. PARDUE IV AND SABRINA G. PARDUE FIRST ALLIANCE BANK COMMONWEALTH LAND TITLE INSURANCE m� BUSCHMAN, AHERN, PERSONS & BANKSTON LOT 10 BLOCK 43 LOT 11 50.00' (PLAT) LOT 9 BLOCK 43 S 00.09'12" E BLOCK 43 FOUNDNO IDENTIFICATIONPE 1.3• 49.94' (MEASURED) 15' FOUNO IDENTIFICAATIONPE -X X X X- 0.7 0.9' 0.8' 0.7' LOT 5 LOT 4 LOT 3 BLOCK 43 BLOCK 43 BLOCK 43 0.3' p o.a• � W IX SCREENED LAJ71-0 WOOD DECK 12 F Q 7.3' 6.7;n WOOD DECK COVERED BY w Q w 16 2ND STORY OVERHANG Q 1-- LLJJ v 28.5' 7.4' Q v o O 17 O O N 0.7' ; (0 O d U-) Cq CN D.6' c N o Ln W n TWO STORY o e MASONRY a 3 pro) POSTED # 1165 O • O LO O O f— O • W C0 O LtJ N 1.7' tT r } 13.7' Z 15.2' = 7.4' COVERED w O CONCRETE u Lj a LtJ o o. 'n. �'• N .. "N t MASONRY WALL 100.00' (PLAT) ' CORNER OF INTERSECTION FOUND 1/2 IRON PIPEAt oo•Op>'�r�" E FOUND 1/2' IRON PIPE N NO IDENTIFICATION v L NO IDENTIFICATION 50.02' (MEASURED) LEGEND: 50.00' (PLAT) R = RADIUS —X— = FENCE OCEAN BOULEVARD V1 L = LENGTH O = CONCRETE (50.0' RIGHT OF WAY) o z NOTES: ASSUMED N 90'00'00" W REVISIONS 1. BEARINGS ARE BASED ON THE __-_______ BEARING OF _______________ ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _—_—X----, AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989• COMMUNITY NUMBER 120075, PANEL 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 22762 1 DATE OF FIELD SURVEY: 12-04-03 DATE OF ISSUE: 12-05-03 SCALE: 1" = 20' CERTIFICATE 2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY.WAS MADE UNDER MY RESPONSIBLE CHARGE fmce m Jacksonville. Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5989 BOARD OF PROFESSIONAL-SURVEYORS AND,MAPPERS IN CHAPTER 61C17-6. FLORIDA (Fox) 904-389-6175 ADMINISTRATIVE CODE, ANT TO SECTION F ORIDA 111111VA Will RK CHARLES K. McINTOSH LICENSED BUSINESS N 6702 REGISTERED SURVEYOR AND MAPPER H. 5502 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS O SUBDIVISIONS a { � t — — fj/ff 4o 9 t s i o _ fr r { 1 r' Materials and Price Specifications est price/unit #units total Kinco Windows 4 x 8 sliders 133.08 5.0 665.40 2x4x8 (windows rough opening) 2.69 6.0 16.14 Trim (windows) 1x4x12 3.59 10.0 35.90 Caulk 4.97 2.0 9.94 floor 15/32'x4x8 10.53 12.0 126.36 2x4x12 (floor joists) 4.79 15.0 71.85 gypsum 1/2x4x8 (3 side walls, 1/2 ceiling) 11.44 9.0 102.96 insulation 23"x94" (75sf) 37.82 10.0 378.20 hardiplank 7.25x12 4.59 24.0 110.16 Lowe's house wrap 103.00 1.0 103.00 srews/roof nails 13.00 3.0 39.00 mud pan 4.29 1.0 4.29 great stuff 5.63 1.0 5.63 Paint(olympic premium) 18.98 2.0 37.96 Extend Air Duct (labor+ material) 200.00 1906.79 tax 133_48 ------ -._ _ 2040.27_ Lowe's and Home Depot materials **wiring and connection for interior lamps/fans by licensed electrician at no charge to me • Imp MANUFACTURER OF ALUMINUM WINDOWS AND DOORS 0 112 FLANGE 5245 OLD KINGS ROAD P.O.BOX 6429 JACKSONVILLE,FLORIDA 32236 PHONE 904/355-1476 • EXCEEDS F.H.A. 1-7/8 FRAME DEPTH MINIMUM,PROPERTY STANDARDS °-1 wnU U➢b�' KM,1W - �.1W f1 NIrM.ylbiriwpy0ur...yyyy Ml.r.i °�.. IIIIiIWMII IIIIIWI IIIII.III Ill�ill .IIIIii�M • FIN SEAL POLY PILE S WEATHER TRIPPING H • TUBULAR INTERLOCK • CAM LATCH • REMOVABLE VENTS • WEEPS WITH COVERS • BRONZE ROLLER (WHEELS)WITH S.S. AXLES of SNAP-IN GLAZING BEAD=-_ • 112 SCREEN FLANGE SECTION (For Masonry Construction) RW-4 RW-4- SINGLE GLAZE RW-5- INSULATED RW-5 RW-5 RW-4 RW-5 RW - 1/2 FLANGE HORIZONTAL WINDOW SIZE CHART POPULAR HORIZONTAL ROLLING WINDOW VIEWED FROM OUTSIDE OUTSIDE GLASS GLASS XO/OX AVAILABLE WINDOW FLANGE SIZE SIZE SCREEN UPON REQUEST NO. SIZE FIXED VENT SIZE 2121 25"x 25" 10-1/4"x 22-3/16" 10-1/4"x 19-3/8" 11-11/16"x 22-1/4" 2131 25"x 37" 10-1/4"x 34-3/16" 10-1/4"x 31-3/8" 11-11/16"x 34-1/4" 2141 25"x 49" 10-1/4"x 46-3/16" 10-1/4"x 43-3/8" 11-11/16"x 46-1/4" 2151 25"x 61" 10-1/4"x 58-3/16" 10-1/4"x 55-3/8" 11-11/16"x 58-1/4" 3121 37"x 25" 16-1/4"x 22-3/16" 16-1/4"x 19-3/8" 17-11/16"x 22-1/4" 3131 37"x 37" 16-1/4"x 34-3/16" 16-1/4"x 31-3/8" 17-11/16"x 34-1/4" 3141 37"x 49" 16-1/4"x 46-3/16" 16-1/4"x 43-3/8" 17-11/16"x 46-1/4" 3151 37"x 61" 16-1/4"x 58-3/16" 16-1/4"x 55-3/8" 17-11/16"x 58-1/4" 4121 49"x 25" 22-1/4"x 22-3/16" 22-1/4"x 19-3/8" 23-11/16"x 22-1/4" ED 4131 49"x 37" 22-1/4"x 34-3/16" 22-1/4"x 31-3/8" 23-11/16"x 34-1/4" 41 49"x 49" 22-1/4"x 46-3/16" 22-1/4"x 43-3/8" 23-11/16"x 46-1/4" 151 49"x 61" 22-1/4"x 58-3/16" 22-1/4"x 55-3/8" 23-11/16"x 58-1/4" 5121 61"x 25" 28-1/4"x 22-3/16" 28-1/4"x 19-3/8" 29-11/16"x 22-1/4" 5131 61"x 37" 28-1/4"x 34-3/16" 28-1/4"x 31-3/8" 29-11/16"x 34-1/4" 5141 61"x 49" 28-1/4"x 46-3/16" 28-1/4"x 43-3/8" 29-11/16"x 46-1/4" 5151 61"x 61" 28-1/4"x 58-3/16" 28-1/4"x 55-3/8" 29-11/16"x 58-1/4" 6121 73"x 25" 34-1/4"x 22-3/16" 34-1/4"x 19-3/8" 35-11 J16"x 22-1/4" 6131 73"x 37" 34-1/4"x 34-3/16" 34-1/4"x 31-3/8" 35-11/16"x 34-1/4" ~ 6141 73"x 49" 34-1/4"x 46-3/16" 34-1/4"x 43-3/8" 35-11/16"x 46-1/4" 6151 73"x 61" 34-1/4"x 58-3/16" 34-1/4"x 55-3/8" 35-11/16"x 58-1/4" THREE PANEL PICTURE WINDOW VIEWED FROM OUTSIDE OUTSIDE GLASS GLASS XOX WINDOW FLANGE SIZE SIZE SCREEN NO. SIZE FIXED VENT SIZE 6121-C 73"x 25" 33-1/2"x 22-3/16" 16-1/4"x 19-3/8" 17-11/16"x 22-1/4" 6131-C 73"x 37" 33-1/2"x 34-3/16" 16-1/4"x 31-3/8" 17-11/16"x 34-1/4" '-' 6141-C 73"x 49" 33-1/2"x 46-3/16" 16-1/4"x 43-3/8" 17-11/16"x 46-1/4" 6151-C 73"x 61" 33-1/2"x 58-3/16" 16-1/4"x 55-3/8" 17-11/16"x 58-1/4" 7121-C 85"x 25" 39-1/2"x 22-3/16" 19-1/4"x 19-3/8" 20-11/16"x 22-1/4" 7131-C 85"x 37" 39-1/2"x 34-3/16" 19-1/4"x 31-3/8" 20-11/16"x 34-1/4" 7141-C 85"x 49" 39-1/2"x 46-3/16" 19-1/4"x 43-3/8" 20-11/16"x 46-1/4" 7151-C 85"x 61" 39-1/2"x 58-3/16" 19-1/4"x 55-3/8" 20-11/16"x 58-1/4" 8121-C 97"x 25" 45-1/2"x 22-3/16" 22-1/4"x 19-3/8" 23-11/16"x 22-1/4" 8131-C 97"x 37" 45-1/2"x 34-3/16" 22-1/4"x 31-3/8" 23-11/16"x 34-1/4" —' `— 8141-C 97"x 49" 45-1/2"x 46-3/16" 22-1/4"x 43-3/8" 23-11/16"x 46-1/4" 8151-C 97"x 61" 45-1/2"x 58-3/16" 22-1/4"x 55-3/8" 23-11/16"x 58-1/4" 9121-C 109"x 25" 51-1/2"x 22-3/16" 25-1/4"x 19-3/8" 26-11/16"x 22-1/4" 9131-C 109"x 37" 51-1/2"x 34-3/16" 25-1/4"x 31-3/8" 26-11/16"x 34-1/4" 9141-C 109"x 49" 51-1/2"x 46-3/16" 25-1/4"x 43-3/8" 26-11/16"x 46-1/4" 9151-C 109"x 61" 51-1/2"x 58-3/16" 25-1/4"x 55-3/8" 26-11/16"x 58-1/4" SPECIFICATIONS: GENERAL: FURNISH KINCO,LTD."HORIZONTAL ROLLING TYPE"ALUMINUM WINDOWS IN ALL OPENINGS WHERE SHOWN ON PLANS OR AS CALLED FOR IN THESE SPECIFICATIONS. SCOPE: (A)WORK INCLUDED:ALUMINUM WINDOWS OF THE TYPES AND SIZES SHOWN IN THE PLANS OR AS CALLED FOR IN THIS SPECIFICATION SHALL BE MANUFACTURED BY KINCO,LTD.,JACKSONVILLE,FL TO CONFORM WITH ALL REQUIREMENTS OF HS-C35/C55 AAM"WWDA 101/I.S.2.97 SPECIFICATIONS. MATERIALS: (A)WINDOW FRAMES AND SASH MEMBERS SHALL t3h Ex I HMO 6063T6ALUMINUM ALLOW. SS THAN 1-7/8,SASH MEMBERS NOT LESS THAN 3/4"IN DEPTH. (B)THE PERIMETER OF THE SASH SHALL BE WEATHERSTRIPPED WITH FIN SEAL POLY PILE. (C)EACH SASH SHALL BE EQUIPPED WITH(1)ONE CAM LATCH. (D)SASH SHALL BE REMOVABLE FOR CLEANING. FINISH: AVAILABLE IN BRONZE,WHITE OR CREAM. GLAZING: (A)RW4 SHALL BE FACTORY GLAZED WITH S.S.B.,D.S.B.OR 3/16"GLASS AS SPECIFIED RW5 SHALL BE FACTORY GLAZED WITH 17/32"INSULATED GLASS USING S.S.B.OR D.S.B.AS SPECIFIED. (B)WINDOW UNITS SHALL HAVE EXTERIOR GLAZING BEAD. SCREENS: PROVIDE KINCO,LTD.SCREENS WHERE INDICATED. Note:All Windows and Doors are Unique and Made to Order. 7-2001 MAP SHOWING SUkVEY OF LOT 4 , BLOCK 43, ATLANTIC BEACH AS AECORDM IN PLAT BOOK 6 PAGE 1 OF TfIE �(JRRETIT' PUBLIC REX".ORDS OF DUVAL. , FLORIDA. Lor// , aa' c DT/0 t"�ry LpT ! /94q/ N 50-0-w� fEn►CE vet ,rfND. l/2 /P FW47.I/e/.A-1 df r x1 I s, Lor S 1 �J cors 1p ' Jr os $ 'oe) a' o1 !sroRY OLK N RAJ. /10} Il Mo 8R LAS PER PLA r. $'#VM PA/Y. O r PEN" ti IiEMCE 1� T� g /P FNo, ! "1P ! o r , PAkvv OCEAN S��ltlL�'�i�f�C W. 1 S I HERtRY _ CERTIFY THAT THE PROPERTY SHOWN 'HEREON "LIES IN FLOOD ZONE "C" AS S1kOWN ON THE FLOOD HAZARD BOUNDARY MAP `.FOR THE :CITY' 01F ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TSD WILLIAM L. AND MARY M. HATCHER, ROBERT,L. & CR'I'RUDE McNiCIT, IIIA TTCLE INSURANCE COMPANY OF MINNESOTA THAT I HAVE SURVEYED THE LANDS',AS SHOWN IN THE ADOVE CAPTION AND THAI' THIS MAP� IS A TRUE AND CORRECT REPRESENi'ATION OF ,THAT SURVEY AND THAT THE SURVEY REPRESENTED HERIZNMEETS THE MINM M STANDARD � PI-V31 El" ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LANs TIME ASSOCIATION. a ' • f i � ly i 3 THIS SURVEY NOT VALID UNLESS SEALED W;TH AN EMBOSSED SEAL OQNN W. 80ATWRK3HT, L.S: OR SURVEYOR SIGNED HEREON RECHECKL, �utr Id,its FLORIDA, REG. AND SURVEYOR No, 295 SCALE: = l BOATWRIGHT LAND SURVEYOF�S.'INC. DAT f��T r B5 DRAWN BY:.._TL. 1301 PENMAN ROAD SUITE' D SHEET OF F.B. i;.., f.,...,..,....,.._. JACKSONVILLE BEACH,,FL HIDA 241--8650 j■ - i y a " �`•�� W t�� ti's ��'�"�.�ir. ~-��2s�i✓!�� , ',Qty.t.Y� - r�•a�, :•,�r�w.�+�.� `��ar •' ch t' hci ph�es Lk aP 1: ,!q . FOR OFFICE USE ONLY Date___,(.____---;_., _....19b _ cr-a 47 Permit #. .. .....Fee$--- _--_4,r.^ TOWN OF /ATLANTIC BEACH U � � Valuation $--..-, ._ __d___-- r FLORIDA House #---------------------------..............-------- APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic ' Beach and all rules and regulations of the Building Department of ,the Town 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 Town 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 j �---------- --------------------------- Owner -- ---- --Owner .` a' ;_ t Address •� ---------- . ----- -------------- .--- -. _-----Telephone No._.r._ .. ------- Architect --------- '' ----------- - - Address J: — --------------- Telephone No. - Contractor Builder..,:_.. '-- --__--_:_•--_ J-- Address.... --- ---------- Telephone No...--- ------------ LM No.-%a- -------------------------------------Block `--------------.-Sub Division--A-////.. jl' ---------------J - - Zone--..------------- ------/ ----!_; t:---------------------Street "---.- --- Side Between---- --------and.--------f - Sts. Valuation $_._ ,__ s' --------.For what purpose will building be used._ y_` �_ ! ✓....Type of construction./ Dimensions of Building- /e) �._. -_Dimensions of Lot �_ ___. __.�rr.%...............Size of Footings__ -------- Size .---Size of Piers---------------------------------_-Size of Sills------.-----------..------------Greatest Sill Span in ft.---.-------------.--------Type Roof----- ------------------------- How -----------------•-- How - will Building be Heated?_- =:! __.- /f/l ____-__._.Will Building be on Solid or Filled Ground? -.:;r -- -- -- --------- -------------- Size of Ceiling Joists----'---� G.---:------------------------ Distance on Centers------------`-,--------.-----------......... Greatest Span---- °`- " Size of Floor Joists....-----------------------------------------Distance on Centers._-----_. -------------------------------- Greatest Span-.------.-.---------------------- ._-._.- " Z y' ti f, �-' f . c -� Size of Rafters.-_. __ .-- . ----.._-_-__-, Distance on Centers__---- --.._.-, Greatest Span-_ .-_ -___ 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. W 2. When steel is in place and ready to pour columns and/or lintel. z -------- - Z 3. When steel is in place and ready to pour beam. "� 1 � a 4. When framing is completed. p t f 1 0 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. q l L7 q 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. X. 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 Town of Atlantic Beach. Signature of Builder ,_ .__l �,' � _ Address --------------- -- ----_ _------- -._-- - Signature of Owner' - y ------------------- Address ' ` �l r ` 1 �' - ," .._ �l. CITY OF 4&tk'C Aeacli-A;Ao+sric�a Office of Building Official REQUEST FOR INSPECTION Date �� r6 Permit No. Time ! A.M. Received pip. District No. j��oS C�CQcr� /y Job Address Locality Owner'sl� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ As Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Inspection Made ? M. Inspector Final Inspection❑ Certiticate of Occupancy Date CITY OF 4&4otic 13ea h-0;& Office of Building Official REQUEST FOR INSPECTION - r Rate � Permit No. Time A.M. Received P District No. Job Address Locality Owner's NameContractor ,CV`� BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Y•�'/ Fire Place Cl Pre Fab R FOR INSPECTION A.M. Mon. Tues. ed. " I Y Thurs. Friday P.M. Inspection Made P. , Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date_ t_ —� -- Permit No. Time A.M. Received _ P.M. x/- Job Address Locality Owner's Name — ___Contractor r �- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing D Footing L; Rough Wiring C] Rough Air Cond. & Re Roofing Slab C; Temp Pole 1_1 Top Out /// Heating Insulation C Lintel Cl Final Sewer r_ Fire Place C Pre Fab READYIN - _ SPECTION ,. . �� , A.M. Mon. Tues + `Thurs Friday 6" C" A.M. Inspection Made lns f ` _ i_-_,_---- Fina! Inspection p<cto _ --G - Certificate of Occupancy CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 82 NICOLE LANE Owner: WALLACE, EARL AND PEGGY ATLANTIC BEACH, FL 32233 1165 OCEAN BOULEVARD ATLANTIC BEACH, FL 32233 Construction Type: WOOD FRAME Use Classification: SINGLE FAMILY Permit Number: 17894 Date: 3/09/2001 DON C. FORD, C.B.O. Post in a conspicuous space CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247.5877 PERMIT INI`Q t1111ATIONN LOCA MA'f N .: I Permit Number: 22258 + Address: 1165 OCEAN BOULEVARD i Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: TIE)N Date Issued: 6/29/2001 Name: BILL HATCHER Total Fees: 47.00 Address: 1165 OCEAN BOULEVARD Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/29/2001 Phone: (904)223-3585 Work Desc: HVAC Ci ,ITTC3RtS} _. �. Tr A�'"PL,tCATfGAf P :S HUXHAM HEATING &AIR PERMIT " 47.00 . ^ NOTICL- SP C' t 1 T 8E REQUESTED AT LEAST 24 HOURS PRIOR'TC3''€ pECTION BUILDING MATERIAL, RUBBISI tl4DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND H D AWAY BY EITHER CONTRACTOR OR O "FAILURE TO COMPI..Y WITH TOE CONSTRUCTION LIEN LAW RESULTIN THE PROPERTY OWNER PAYING.TW&rrfOR BUILDING IMPRO.1"ENTS" ISSUED ACCORDING TO APPROVE PLAN WHt ,AT t3F I P� SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLt AROV I�'3NS tVRL L AE. ' Wt LZ _2 3,11 f 1 - " $47.1114 AT TIC BO#CH BUILbiNd DEPT. WP9/u h Receipt: 116%441 WCKS N1UfIM 1i01 -- BUILDING AND ZONING INSPECTION DIVISIq E: D CITY OF ATLANTIC BEACH ATLANTIC REACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT JYW2 NqN�Wrl IMPORTANT Applicant 1'o complete all iters I in sections 1, 11, 111, an0i'W.011 Atlantic Beni Street ailldhis and Zemilig LOCATION OF Intersecting Streets: Betw;en And BUILDING 11. IDENTIFICATION -- To [)C' Completed by all applicanis re In consideration of perinif given for domrj Ifie work As des,,6ked in the Al)—e we hereby 6(4'Pe to p0r(orre Said work in accordance with the attached plans and specifications which are A part hereof and in accordance with Ike. CIfy of Jackmiv;lln ordinances and standards of good practice listed therein. Name of Mochan;c al tontr-dcfoes � cv4c_c. s, ContractorPrint► Name of 41 Property Owner e,-_ Signature of Sigmeture of Owner or Authorized Agen Architect or Engineer -- — Ill. GENERA( INRMATION A, Type o D. IS OT"ER CONSTRUCTION BEING DONE ON Eiocfnc TRIS BUILDING OR 5ITE7 0 Goo—C1 L? ❑ Net%vbl � Central Utility IF YES, GIVE NUMBER OF CON5TRUC710H CT;oil PERMIT 0 04tr — Specify IV, MECHANICAL EQUIPMENT TO DE INSTAIL!" NATURE Or- WORI( '(1<l;49 Complete list of components on back of this form) fit'Sidenti.a I Of Commercial Heat 0 Space EI ftocossod � Central 0 Floor Now Building Air Conditioning: 0 Room Ff- Control Existing Building 0 Duct' System: Material ____ floplacernont Of existing system Maximum capacity Now installation(No SYSIOM previously Installed) C1 Refrigeration Extension or add-on to existing system C1 Cooling tower: CapacityLJ Other Specht' bFire tprinlil": Number of Ll EN,vatut (:] manlift 0 THIS SIFACE FOR OFFICE USE ONLY 0 Gasoline pumps —(number) [3 Tonlit _(nMbor) Remarks 0 LPG containers.---(numbor) Unfirod pressure 4tsq'l -T ❑ Boilers r o Permit Appro4od by—.-- Dole — 0 O"tor — Specify Permit Foo LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Ca Salty Approving N.umber valts D"ciiiPWmi, Model Number Manufacturer (yons) AgVney HEATING FURNACES., BOILERS, FIREPLACES Capacity Approving Number'Unit# 1>eascription WOO Number Momufacturor (UM) AVMCY TANKS I LAN now Many NotrijuLl Capgcity Type Uquid Name Of scriAl Apj;ving and Dimausions Coritlistned Manufacturer No. ney CITY OF /*&atic Fault - 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Hovember 12, 1987 RE: Building Permit #8114 - Addition to 1165 Ocean Boulevard To Whom It May Concern: This is to advise that the above-referenced project has not been finalled and is still under construction. Sin re;y, Rene ngers Community Development Director cc:file PSfh j 224, RTMENT OF BUILDING, CITY OF ATLANTIC BEACH 'PERAIT, INFOikATION ------- - LOCATION INFORMATION P4 ritit Numb4r n '13224 Address: 1165 OCEAN BOULEVARD t=Pe�`rmit ' `" � a-PL te,INO ATLANTIC` BEACH, FLORIDA :32233 `Cl ass of Wci.�1c:ALTERAT'I'OI _-- LWAL D.ESC'RIPT ON arstrw T1► C3I� P` KWOR�E B1ack: Lot k TviPt E? reape se tJ e;�INaLE FAMILY Se�ctieaix: 41 Subd: Rig: 4 Dwel lin, s 0 Subdivasiow.ATLANTIC BEACH ;~ Est. Va. 01.00 0 t�Prav T'ota1 ire $ 25 .00 25. .Ar6ount it � 00 F Bate y r4/1.997 WOrk De I100,'MACH INE - APPLICATION, FEES ARID F`LOR I D2 3 22,3 3 on 3 J g r 4 C FORMAT I ON - t A#dr. 13 7 B BLUE wf .v *4# W.yyinmlF iwe R ,: Lic CFCO2 Epp ! pIl��' �� 17. P is NOTICE.—ALL CONCiIETE FO1 MS AND FOOTINGS MUST BE I ISI Ct D BEFORE 00 14a, a 'k PERMIT VOID SIX MONTHS AFTER DATE,OP ISSUE W;ILDING MATE AL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE P�ACEQ IN RUBLIC SPAGE,AIVQ MUST BE C EARED UP AN .HAULED AWAY BY EITHER CONTRACTOR OR OWNER ' Fl►lLt1RE T'{# COMPL WITH THE MECHANICS' �.IEN W CAN �iE��.'t" IN -H PRO RTY a�t�,�R PAYING TWICEFOR BUlLt G IM MENT ,�* I 9 UI Q ACCORD NG TO APPROVtD PLANS WHICH ARE PART OF THIS PERMtT ANp SUSJeCT'TO;1 Vq 4T f! I LATION OFA ICABLE PROVISIONS OF LAW. AT> ANTIC BEACH BUILDING DEPARTMENT 1183221 Y'I f fl CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : 1165 Oc64--► K W4 . ,OWNER OF PROPERTY:- 6 ,ll d.4rc KFS PLUMBING CONTRACTOR Q G Pl,uM4NG Gd CONTRACTOR' S ADDRESS: 13 9 g 7 6 E4 c'14 8 6✓o. STATE LICENSE NUMBER: c.=c6 2.2f 13 TELEPHONE: ,123 -2525 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORYI WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 .00 2 5 aO 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 DFpARTMENT OF HUILDIN10 3 CITY OF ATLANTIC BEACH >F t i PERM I I� I PORMAfi I ON - - w. LOCA ION p 'OAT I.QN A ` p", mit numb` rt 1347"3 Addres I1 5 OC AI BC��lLEVARI� " emit TT �';I�'LNCE A�LAt T"IC BEACH,, FLORII?A $22" - - - CA OE I " I k" _: �.:------1 ' > Of woijk s NIS' -&t cock: - Lot'! Tvp , Const r TTe:NOt `HAMN asc.ti.,cr Sud" Hui r `. propos+ U01 SING LE"�PAXTLY Dw 1 in+ :a: 0 Subdivisi0ol:�TIi4 'I'I� 0"»3t w Val qac .00 � gr+au . Co t .t Q Total : �s I fiIC t>ult f 10.0 O j Ag LIC)LTION FRES - ION PERM I T L 10.0 6 N 400154 I Ater w ye�� fia P ��*> t "ar Ed" PLO IDA P hitt i 'Fs .rq r." WM k&ES: I ttt " Ii NOTICE �-^�ALLCONCRET9,*bRM9 AND FOOTINGS MUST J .1N�i�+�CTE1�8�F�11��POURING p 11 PERMIT VOID SIC MONTHS AFTER©ATE OF ISSUE` llJtlDING MATEIAL,RUBSISHAND D98RIS FROM THIS WOR► MAST NOT Be PLACED IN PUBLIC SPACE,A1dD IMUS?BE LEARED UP AND HAULED AWAY SY"EITHER'+CONTRACTOR OR OWNER �FAILI TO GC�I�.P wlt WITH THE MECHA{�11 ' 1.t 1r1 LAZA CAr I F ESULT IN SHE PRt3I ERTY t iNHER PAYING TWICE FOR BUILDING IMPAOVEMENT ,�' SUED ALCOR !NG TO APPROVEDPLANS WHICH ARE PART OF THIS' PERMIT ANID SUBJECT TO 9E�IOCATIC�N"FOR `IOLATION OF PPLICABL�E PROVISIONS OF1 AW. I . . A LANTIC BEACF:BUILDI fl ART. ENT IE�y: APPLICATION FOR FENCE PERMIT Owners Name Phone Job Address��(�, i f��i V D �-- Lot Block and/or Unit # Subdivision Contractor if different from owner -fir KC-4 r,-L UA/-4-4 C a Y -7 C' -Z& y Valuation of fence $ S3Z .`'t' Corner or nterior tot Type of Construction D Show location and height of fence as well as location of street(s). RE%r.%Ci V CU LIAR 61997 City of Atlantic Beach Building and Zoning 7 Owner Signatures Date Contractor Signature Date y � w RECEIVED P MSR! 61997 City of Atlantic Beach Buildn% rand Zoning �f z + i '/ l _ru A { 5 l } i 4 P «y { i 1 i y it t Zi t r t T... t � y 3 CITY OF ATLANTIC BEACH No, 3633 FLORIDA 1/27/87 19 NAME Hatcher ADDRESS 1165 Ocean Boulevard CITY Atlantic Beach, FL 32233 WATEP, IMPACT FEE #40-343-3700 60.00 per adendum to Permit ;8114 submitted 1/26/87 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF /*6utic Ve4i - 57& 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 12, 1987 RE: Building Permit *8114 - Addition to 1165 Ocean Boulevard To Whom It May Concern: This is to advise that the above-referenced project has not been finalled and is still under construction. Sin re y, Rene' ngers 7 Community Development Director cc:file CITY OF ATLANTIC BEACH, FLORIDA 5a� APDrowdby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 14 A6 19. IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. t €LECTRICAL FIRM: MASTER ELECtRICIAN SIGNATURE JOURNEYMAN NAM ADDRESS:f(� �il*J� RFD BOX ,"BLDG.SIZE BETWEEN: RES.f`''1 APT. ( ) COMM.( 1 PUBLIC( 1 INDUS.1 1 NEW( 1 OLD IST REW.1 i :ADDITION( 1 TRAILER ( i TEMP.1 1 SIGNS 1 1 SO.FT. SERVICE: NEW( 1 INCREASE (.'I REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER f I ALUM. ✓ SWITCH OR BR AKER ,V AMPS PH W VOLT RACEWAY =EXIST.SERV.j1ZE J, IJ AMPS PH W VOLT RACEWAY -FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL , RECEPTACLES, CONCEALED OPEN TOTAL 0.30 APAPS._ 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, I OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONIN COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT I. o 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I M.P. VOLTAGE PHS MISCELLANE US �- TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TR NSF. NO. VA. IMA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES , f 1 i ;; CITY OF 4&4m4c /3mc4-i4wa a Office of Building Official REQUEST FOR INSPECTION Date �' Permlt No. `cc.,,1 :1- Time A.M. Received P,M. District No. 47, Owner's Job Address Locality f. � C�' Name Contractor � ; BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring Rough ❑ Air,Cond.A ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon Tues. Wed. Thurs. Friday P.M. 1 /) 44, Inspection Made / J RMS Inspector �- f ' Final Inspection❑ Certiticate of Occupancy �� Date DEPARTMENT OF BUILDING 114 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date November 5 , 19 86 Valuation$ 33, 784.75 Fee$ 159. 75 r i 9.75 T This permit not valid until above fee has been paid to City Treasurer,and is 5 9.75CKT subject to revocation for violation of applicable provisions of IaW. ';�.lw'3 1 4 1M This is to certify that A GEORGE OLSEN LAND D « _ CGCO08841 non il has permission to build ADMTION AS PER PLANS Classification RESIDENTIAL Zone Owned by HATCHER Lot 4 Block 43 s/D A House No. 1165 OCEAN BOULEV'A'RD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —�► �—� O Building material,rubbish and debris -zI from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or�ner. lding official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Address ,� i o c PC Q cEy eu ac_ y ; ?heated Square Footageft Garage/Shed '`__.. @ $ per sq _ @ $ per sq ft = $ Cazpo Por41S @ $ per sq ft = $ , Deck : @ $ persgft = $ Patio @ $ der sq ft = $ TOTAL VALUATION: 43 5 Total uats.on 1st f der Valuation SVer thousand or p tion thereof --------------------------------------------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES RE + k Filing Fee $ Mechanical ✓ ' 1 Fireplaces @ 15.00 l s- Plumb ✓ BUn-DHnG�FEE Electric/New ✓ ---------------------------------------- ------- Electric/Temp -- Septic Tank BUILDING PERMIT $ /-�,, Well WATER METER aiARGE $ Swhming Pool SEWER IMPACT FEE $ WATER IMPACT FEE Sign ';; $ Water Connection MISCELLANEOUS $ Sewer Connection $ f Water Meter $ Elevation Certificate GRAND TOTAL DUE $ 31 ------------------------------------------------- ---- --- ----------------------- --- CALCULATIONS and/or N(7II'S ry 1 u' ui } CITY OF'ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner M rZ 469-5 . kA Tc_ AEfZ_ Address 4 T(j STj-Z A_T_t Ac ti( Phone Architect Address Phone ContractorE, 0 L-s&j L4 , address ? t 3 '[d 24 VF_ S Phone Z -=S`' Contractors License/Certification Numbers Expiration.Date Jy ry E 3 Property Address [ to G C_CA j p,L V A i L Zoning Lot # Blcok or Unit Subdivision iii c q Valuation of Construction $ Type of Construction o(24Crz-00�EL �r�r "dAj Describe Work to be Performed Materials to be Used Present Use of Building ,a �v �, 7� L Proposed Use of Building Flood Zone ` Dimensions of New Area: HEATED GARAGE OR STORAGE ' CARPORT OR PORCH - L{{> rECK PATIO us NO NLKBER Will there be an increase in number .of units? X ',Will there be a decrease in number of units? K Any additional plumbing fixtures? _ • Any&new fireplaces? _'' t SUBMIT TWO COMPEER SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date Signature CONTRACTORc L 'z--...: Date PLUMBING WORKSHEET SINKS SHOWERS DISII14ASHERS CLOSETS BATH TUBS D FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY V URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO TRE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTUI. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH 'TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) `✓ DRINKING FOUNTAIN (1I UNIT) ® URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. . . . y URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS$' TANK-OPERATED ($ UNITS) (4U-NITS) p� SHOWER STALL, DOMESTIC V ' BATHTUB (W/OR W/O OVERHEAD �- (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY O' BIDGET (3 UNITS) (2 UNITS) DISM•.ASHER (.2 UNITS) y KITCHEN SINK (2 UNITS) KITCHEN SINK/1•;ASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR" EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ ___SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8> TUB OR SHOWER STALL (6) WATER CLOSET VALVE ___WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) ___URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) __FLOOR DRAIN ( 1) SHOWER STALL DOMESTIC (2) ___LAUNDRY TRAY (2) LAVATORY ( 1 ) ____COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) ----POT, SCULLERY SINK (4) _ ___DISHWASHER (2) ____WASH SINK EACH SET OF FAUCETS (2) ____KITCHEN SINK (2) _ ___DENTAL LAVATORY ( 1) KITCHEN SINK WITH WASTE GRINDER (3) _ __DENTAL UNIT OR CUSPIDOR ( 1) BIDGET (3) ___URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) ____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _ __DRINKING FOUNTAIN ( 1/2) ____LAVATORY, BARBER/BEAUTY SHOP (2) __LAVATORY, SURGEONS (2) SURGEONS SINK (3) _URINAL STALL, WASUOUT(4) O TOTAL FIXTURE UNITS___ ___ @ 910. 00 EACH JOB INFORMATION / ��, ` APPRC4 CITY .,f NOV 2 `5 1986 Qy l : Poe ti 7 E h s � y zc J 4 1 .J � t t„) ZZ ry LA a ! �� • ,��,is APPROVED CITY 0.F ATLAN F;C MACH BUILDING OFFICE 2 5 lQ86 �y A � h 1✓��5�,c�� 4!°�5� ox �y 3 r tot g..4cA a4 F i CA— ,L �( w LAIC Xo CITY OF ATLANTIC BEACH, FLORIDA r� x PPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: eA2,u2 /a 19all IMPORTANT NOTICE: t IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN"ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ECTRICAL FI M• L F 1 N SIGNMRE JOURNEYMAN { { NAMES- � ADDRESS: �l�,p`i �.�:�I�£i..,l��f �//7t� RFD BOX OLDO.SIZE BETWEEN: RiEt. APT.I I COMM.( I ' PUBLIC( I INDUS.( I NEW( I OLk REW.'( I ADDITION ( I TRAILER ( I TEMP.( I SIGNS ( ! SQ.fT- F' SERVICE: .I NEW( I INCREASE( I REPAi FEE OR SI AMPS COPPER I ALUM. } TCH OR BREAKER PH W VOLT RAC W Y IST.SERF.St AIS 1' PH ' W XO VOLT , CEWAY 47, T ,m 3 '-77 r lEOERS `SIZE NO. SIZE X110. SIZE` w GHTING OUTL TS CONCEALED OPEN TOTAL ECEPTACLES CONCEALED OPEN TOTAL �; 0.30 AMPS.< 31.1ti0'AMPS. �wrrcHE . tICANDESCENT tLUORESCENT&&M.V. ` F�13tED 0.100 AMPS, I OVER APPL.IANCEs BELL TRANSF. ORH.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT f: 0-1 9.1 OYES MOTORS H.P. VOLTAGE PHS. NO. i 1.P.. VOLTAGE; PHS SC LLANE RANSFORME c`` UNDER OW V. OVER 600 V. NO. KVA I IND. lKVA FL •NEON TRAN F. NO. VA. M0.. MOTOR SIZE SWITCH ASHE EACH SIGN% FORWARDED B p® a` TOTAL FEES ort. CITY OF Office of Building Official C;? REQUEST FOR INSPECTION Date Permit No. Time A.M. Rece/ived P.M. District No. Job Addr ss Locality Owner's n NameContractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring Rough ❑ Air,Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. —Wed. Thurs. Friday—P.M. Inspection Made / Inspector Final Inspection❑ Certiticate of Occupancy Date DEPARTMENT OF BUILDING 4077 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 6/20 19 79 Valuation$J6.50 00 Fee $ 5 C3(1 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Victor Ronan E has permission to build_ eIIc-100J" existing Carport and adding off street parking. . t 9 6"Ll TL Classification pefti..e} Owned by Victor Rnman t �i=01 Lot _Block S/D House No 1165 OcanB1Vd. According to approved plans which are part of this permit y NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 70 ♦�� ► 0 Building material, rubbish and debris Z from this work must not he placed in public space, and must be cleared up and hauled away by either contractor or owner. Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING P ELECTRICAL C SEWER WATER atM FOR OFFICE USE ONLY Date.........................._---------19 Permit #-'1 .: ...........Fee ........................ CITY OF ATLANTIC BEACH *- Valuation $._. _,'.�_--v�.................................. FLORIDA House APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. _ Date .9 •. ...� �........-••---.........•............0 19- rr 7), --- -••----- ... ..........`. ----TelephonOwner1 ------�-�{! N-•--••---••--- _Address 717Architect_.._.._ ------ Address, .......••-•• .................................. ..._........._...-`� . Contractor Builder..__Gc/ / -••--� :.. :............ Address.... .........Telephone No._._... ...........------ Lo o._...= �._ Block No. '' = -----Sub Division �� "%! _4.. - - ---•-- •----Zon --- _- 1 t - Y`J--- �4 - -...._ 1 e � 1--....... ------.Street•------------- an .__._... - ............ . Valuation what purpose will building be used_... ._ :. _F Type of construction.............................. . Dimensions of Building _ __--------- __________ Dimensions of Lot - r�. _ '. .........................Size of Footings � - - Size of Piers-��_ + z??a------size of Sills--_ `":'...Greatest Sill Span in ft...........................Type Roofr�.Q!' ' .. ........... How will Building be Heated?, ��'�.__ U`C AJC-.`.............Will Building be on Solid or Filled GroundT__s'E. .....1_`.!.;/%JS-. Size of CeilingJoists--.e'V� __..----. t?OV4t � ..----.-.---, Distance on Centers-----....�tJ---•_-•--••.....::.:.......... Greatest Span..._....:��z.--......._........ " Size of Floor Joists._�� '��..-•-.- •--•-------,Distance on Centers...._..f'�..`..' `.�............_..... Greatest Span_....._._ . `................. " Size of Rafters .--... .!' s -------------- Distance on Centers...:'�...: :.....t:=_".='` _-__-, Greatest Span..... �+-�."'' .... " This rectangle is to represent the lot. Locate the building or buildings in the A P P R O VSE D right position. Give distance in feet from CITY OF AT .4tdTlC DEA,CII all lot-lines and existing buildings. BUILD e OFFICE �. 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. W 2. When steel is in place and ready to pour columna a a 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. q q 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 of Atlantic Beach. Signature of Builder --81�� Address--••• >'=---••---- --- ...--- .Signature of Owner.. tT'"t--.-- '—* ............................................................... Address- tJ .. ..,v-r�. .j DEPARTMENT OF BUILDING I - Cly'OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4997 PERMIT TO BUILD I THIS PERMIT MUST BE POSTED ON JOB Date APRIL 6 19 82 Valuation$ 3.000.00 Fee$ 19.50 I This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Victor Roman l 1165 Ocean Blvd Atlantic Beach, Florida has permission to build Caz=rt as per plans submitted I Classification SINGLE FAMILY Zone RA iOwned by Victor Roman Lot 4 Block 43 S/D "Alf House No. 1165 Ocean Blvd- According d_According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --� --� O Building mrubb's#an r Zi from this ust be in public space, and must be arA9 up and hau tAway blyAeitlW tractor or owner. I t70t1 GLEN A. EDWARDE —building ffi�ct FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER _.. I PLUMBING i ELECTRICAL SEWER WATER I FOR OFFICE USE ONLY Date-----------........................19 -•---- Permit *........................Fee$.............. CITY OF ATLANTIC BEACH Valuation $------------•---•................. - �.... FLORIDA House #----........ 9---- APPLICATION FOR BUILDING PERMIT _............... . . _�_ ........................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date......................................................................... 19....--•••--- Owner_._�I-C p._1 .-----.---• -Q-M-/-/`� Address-..., ./...G..1 _._B�°j ^1 / ...Telephone Noel-". �fI Architect-------------------------------------------------------------------------•--•-----------------Address,....-.....................................................Telephone No..........-- -•-•-------- Contractor Builder---4-.w....N-AL'-�------------------------------•---------Address............. ----------------------.Telephone No.----S-4�° -��---- ,/ l/ /f LotNo-----------------------�---------------------Block No.......... Division....---- ------------------•-----•------------------------------------------Zone---------------- ----------------------------------------------------------- $--3-----•------`---•o� ---For what purpose -,11 building Between-- -------------------------------------------------and........-------.......................................Sts. ------------------------------------------Street---------- 9�0 0 0 "' gua�� . . e of construction...._...!-��'/.�^''"l.___.___.._ . ... ,,pp (' ui��ldm be used-_L�i9-_�.�9-R.._.___.__..-..T Dimensions of Building ---.t-a�.a�lAhimensif4s of Lot_.................--------............_--__-Type of Footings Size of Piers---------------_-----------------Size of Sills----.-------------------------Greatest Sill Span in ft.......--_-.-..............Type Roof...................................... 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............................................ „ Size of Rafters...... X. ---------------, Distance on Centers........ ....12. --------------------, Greatest Span..............!-.6..._.................. " This rectangle is to represent the lot. *_ �Al, Locate the building or buildings in the ,fight position. Give distance in feet from co CITYUlot-lines and existing buildings. BREAR LOT LINE Two copies of plans and specifications shallAPPROVE Dbe submitted with application. CITY OF ATL;RTIC BEACH Inspections required. BUILDING O F•F I C E 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lin a APR 6 19Q` a 3. When steel is in place and ready to pour beam. V 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. W W A A 7. Electrical inspection by City of Jacksonville. /n r~n 8. Final inspection. U ill 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 A•-tlantic Beach. Signature of Builder--_- ......•••-- . ............. .. Address..� I.! .... t( Signature of Owner----- - -•--- Address../ �s'---� .. ....... ��. _ �yN r � •^"" L► �_��,wry r. A pp C1 j a t t r � VVI, M „ - 1 4v WINTER POINT MULTIPLIERS 9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 1 2 3 ORIEN• QVERHANQ RATIO TATION 0.0 0.18- 0.27- 1 0.36- 0.47- 1 0.58 0.71- 1 0.84- 1 1.19- 1.73 2.74.. 5.67. .17 0 0.35 0 0.57 0 0.83 1 1.72 2.75.66 UD SINGLEPANE GLASS N 1.0 1.08 1.12 1,16 1.20 1.24 1.27 1.31 1.38 1.45 1.51 1.57 NE/NW 1.0 1.13 1.20 1.26 1.33 1.39 1.45 1.50 1.63 1.74 1.84 1.93 Etw 1. 1 -1. -1.73 1 -3.31 -4. -4.64 SEJSw 1. .77 . 9 - .21 - .4 - .7 1. .9 .74 .46 9 .1 - .24 - .67 LE PANE 1.0 1.13 1.19 1.25 1.31 1.37 142 1 1.58 1.69 1.79 1.88 NE/NW 1.0 1.23 1.35 1.46 1.58 1. 1. 1.87 2.09 2.28 2A6 1 EM 1.0 .77 .2 .1 - .24 - .5 -1.29 -1.56 SE1SW 1. .90 .82 .72 .61 .51 .40 .2 .0 - .1 - .40 1. .94 .87 .7 7 .5 .4 .27 - .2 OVERHANG RATIO = L/H T-'i-L H L H a1 - H 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK FACE 811ICK LOG INTERIOR NM.1 EXT.1 R-VALUE 0 FR W R R T 12. INCH VAL E EXT R-V L E XT EX 7-10.9 4.2 R-VALUE EXT - 69 11. 10.4 11. 11. 11 -18.9 4 7-10.9 ,4 4.4 .1 4 1 2. 11 -12.9 .7 7 4.2 4. 1.4 7&Up 21 1 -1 . 3.4 7-10.9 4.6 3.5 4.0 3.3 3.1 R-VALUE BLOCK 8 INCH 19-25.9 2.2 2.2 11 -18.9 3.0 2.6 2.8 2.2 22 0-2.9 7.9 R-VALE EX 26&U2 1.5 1 1.5 19-26.9 1.9 1.7 1. .7 •2. STEE 26& 'I.J 1.2 1. 3-6.9 2. R•V 1 7 - 6.9 15.1 13.1 7-10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM) 11-12.9 5.7 5.2 UNDIES ATTIC SINGLEA EMBLY CO RETE DECK ROOF 13-18. 4. R-VALE WP A R-VALUE WPMABARRIERj65 CEILIN TYPE 19-25.9 4. 4.4 19.21. 5 6.9 6.5 PPED EXPOSED & 2.7 22-25.9 1.7 7- 8.9 4.3 9 3.3 26-29.9 1.4 9-10.9 3.4 0-37.9 1.2 11 .1 .9 2.9 338&U 13-1 .9 2.6 1 -2 . 2.0 9D DOOR WINTER POINT MULTIPLIERS(WPM) U 1REDIT T PLI R F ATTIC RAD DOOR TYPE EXT ADJ 9F FLOOR WINTER POINT MULTIPLIERS(WPM) WOOD 15.4 13.3 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE See 903.2(s)) INSULATED 16.8 14,5 R-VALUE WPM R-VALUE WPM R-VALUE WPM .8 0-2.9 9.9 0- 6.9 8.3 3-4. -4.9 5.1 7-10.9 3. 5 .9 7.6 .9 3.6 11 -18.9 2 7&Up 7.0 F 7&Uv 2.9 19&U 1.4 9G INFILTRATION WINTER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(DM) INFILTRATION PRACTICE R-VALUE With Retum W/O Return WPM Air Du Air Duct (See Table 9P) 4.2-4.9 1.14 1.10 PRACTICE#1 10.9 5.0-6.6 1.12 PRACTICE a 2 6.7&Up 1.09 1. PRACTICE a 3 4.1 DUCTS IN CONDITIONED SPACE 1.00 1.00 _5- SUMMER POINT MULTIPLIERS 9B SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES / 2 3 ORIEN• OVERHAI IG RATIO TATION 0.0 0.18- 0.27- 0.36• 0.47• 0158- 0.71• 0.84• 1.19- 1.73- 2.74- 5.67- 17 .1 1.72 2.73 5.66 U2 0 f 7 .7 1.0 1 .71 7 .4 7 EfW 1. 47 1 SEISW -1.0 2 . 4 2 27 7 OVERHANG RATIO = L/H T_�L � H LAIT H a� H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK FACE BRICK LOG INTEWOR R-VALUE WOOD FR 4 6 INC T 7-10.9 .6 R-VALUE EXT 1.1 1.7 2.2 1.7 11 -18.9 .4 1. -1 3. 4. 1. .7 1 3-6.9 1.0 11 -12.9 .7 5 f. .7 .4 2 .1 7 13-16.9 1. 7-10,9 .7 .2 R.VALUE 13LOCK 8 INCH 1 1 .4 .4 1 1.0 1 STEEL 1 7-9.9 0. 6. 7. 2.8 7 1 .5 1.3 9E CEILING SUMMER POINT MULTIPLIERS(SPM) 1 1 . 1. Y CON T 18.9 .V EI I TYPE 2.2 0.819-21.9 - 6.9 5. R-VA UE DROPPED EXPOSED -2&0 7- 8.9 3.9 10-13.9 3.2 3.5 26-29.9 -10.9 3.1 14-2 .9 2.2 2.4 7. 11 - 2. 2.6 21 &UD 1. f. 1 1 1. 90 DOOR SUMMER POINT MULTIPLIERS(SPM) &Uo1.2 CREDIT MULTIPLIER FOR ATTIC RADIKANT BARRIER = .65 DOOR TYPE EXT ADJ 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) WOOD 7.7 2.9 SLAB-ON.GRADE RAISED RAISED WOOD CO RTE (See 903.2(x)) INSULATED 8.5 3.1 R. R-VALUE PM RWALUE SPM -1 4. -4. -1. 7-10. -1. -1.3 11 -18.9 -1.0 7 7 -1. 19 9G INFILTRATION SUMMER POINT MULTIPLIERS ON DUCT MULTIPLIERS(DM) INFtLTRATIO PN RACTICE SPM R-VALUE With Return W/O Return Air Duct Air Dugj (See Table 912) 4.2-4.9 1.14 1.10 PRACTICE#1 10.2 5.0-6.6 1.12 PRACTICE#2 8. 6.7&Up 1.09 1.06 PRACTICE#3 5.2 DUCTS IN CONDITIONED SPACE 1.00 1.00 -3- WINTER CALCULATIONS CLIMATE ZONES 1 2 3 BASE SINGLE DOUBLE AS-BUILT GLASS BASE GLASS x OR x WOF OR AREA x WPM = WINTER OR AREA WPM WPM I9B� = GLASS POINTS EAR TINT" R TINT•' WIN.PT . « N 7. N 2 13.8 13.6 7. 8.1 �4 NE 4. N 10.7 10.5 4.6 6.0 - .22 - 3.8 - 3. - 5.7 SE -22.7 SE -18.1 -17.5 -22.7 -17.3 Z 8.4 S -2 -240 -2 . -22.3 - W -22.7 SW -18.1 -17.5 -22.7 -17.3 W $. - 9.2 `" W tP - 3.8 - 3.6 - 5.7 NW 4.6 NW 10.7 10.5 4.6 6.0 H' -28.4 H' -67.6 -59.1 7.7 -45.0 5 c� COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15 - FLOOR + GLASS = ADJ. x GLASS = GLASS GLASS R AR FACTOR, BT TAL B WP U T TAL .1 O 1•0 �-1IS Z. %!31 '731 BASE WIN.PT. AS-BUILT COMPONENTBASE WIN. COMPONENT AREA x = WINTER AREA x MOLT. - WINTER DESCRIPTION PT.MOLT. POINTS DESCRIPTION 9C THRU 9G POINTS EXTERIOR 2.2 7 g 3 2 a ADJACENT 3. 3 12 [EXTERIOR 1 1 15.4 g ADJACENT 1 13. 0 UNDER ATTIC 12 0 ,Z . w OR SINGLE 1.2 v ASSEMBLY 1.2 SLAB 1 8 RAISED .96 ii FOR SLAB ON GRADE USE PERIMETER LENGTH ALOG CONDITIONED FLOOR IN PLACE OF AREA. 1 INFILTRATION 7.4 ` USE FLOOR AREA OF CONDITIONED SPACE, TOTAL COMPONENT BASE WINTER POINTS Tbt, 5511 DNOT T WINTER POINTSD TOTAL BASE TOTAL AS-BUILT I AS43UILT I AS-BUILT AS-BUILT HEATING BASE HSM x BASE = HEATING AS-BUILT x DM x HSM x HCM = HEATING SYSTEM WIN. PTS. POINTS IN.PTS. 9 91 Mill POINTS .59 BASE BASE BASE TOTAL AS-BUILT AS-BUILT I AS-BUILT TOTAL COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS o (From P.2) I I (From P.2 Enter on P.1 From P.21 From P. (Enter on P.1 5u z3, ,H S-;I9.T 1 43's3"k4 SS44,8 `-rkooc® t`1534,Z " H = Horizontal Glass(Skylights) "' For Shading Coefficient less than 0.83.,see sec.903.2(a).Tint Multipliers may be used for glass with solar screens,film,or tint. 4- 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TYP HEATING YSTE M TIPLIERS Heat Pump P 2.5-2.69 .7-2.89 pdaN 1 3.1 • .29 3.3-3.49 3.5•3.69 3.7 H .5 .4 .42 .40 .38 Strip 1 Other Fuels H Table for CreditM Iti li T P UnitsH r 2. - .4 = r P 2.49. Minimums:Central Units 2.5 COP. PTHP&Room Units 2.2 COP. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEMYPE HEATING SYSTEM Multizone M Qn Natural Gas AFUE .60-,64 .65-.69 .70- 74 .7 -. 8 -.89 UP H .4 hr Fuels Where more than one credit is claimed,multiply HCM's together.Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency. 9K COOLING SYSTEM MULTIPLIERS(CSM) -ringEM TYPE C"U111 SEER 7.8- 8.0• 8.5- 9.0- 9.5- 10.0- 10.5• 11.0- 11.5 12.0- Central Units 1 4 11.4 11 44 .4 1 30 .2 T UnitM f R 7. -7.7 = .4 r ER's>7.7 ,,a multipliers Minimums:Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTU/H 7.5 EER,and over 13,000 BTUIH 7.0 EER. SEER means Seasonal Energy Efficiency Ratio. EER means Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) SYSTEMTYPE Coiling Fns IN CREDIT MULTIPLIERS M n .86 1 CCM .90 Ventilation r Whole House-fan(Credit r Where more than one credit is claimed multiply CCM's together.Enter product on page 2. 9M HOT WATER MULTIPLIERS(HWM) SYSTEMTYE TWT Electric EF .80-.81 .82-.83 4-. 9 1 -.93 Resistance HWM 418313984 1 78 3560 0 Natural Gas60-.61EF 49 HWM 2259 2169 2QB5 2008 1936 18701807 1749 Other Fuels HWM 3494 3354 3225 3105 2995 1 2T95 2705 Water heaters must comply with prescriptive measures of Table 9A.EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) Y T H T R DIT Solar Water Heater F 1 4 .6 .7 .8 .9 1. HWCA .5 .4 .2 1 .1 Heat Recovery Unit Wi h Air-conditioner Heat Pump W Dedicated Heat Pump F A HWM must be used in conjunction with all HWCM.See Table 9M. SF means Solar Fraction. EF means Energy Factor. 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(f)) PRACTICECOMPONENTS REQUIREWNTS FOR EACH EBACTICE CHECK #1 -COMPLY WITH ALL INFILTRATIONV TABLE 9A. COMPLYPRACTICE#2 WITH PRACTICE#f AND THE FOLLOWING: Exterior Walls and Floors netrations sealed,Infiltration r' r installed. Ie Rlate/floor ioint caulkedr sealed. Exterior Walls i in -Penetrations, ints and cracks on interisurface caulked, I n k Ductwork Ductwork in unconditionedI • F'reolaces -Eaulaped-with outside combustionr flue damers. Exhaust Fans_ Eguipped witht' vi s see 903.2(o. Combustion Appliances Provided with outside combustion air. PRACTICE #1 AND#2 AND THE FOLLOWING: IMeriorW Is.. -Igallittanetrationsr interior II r gasketed. ftmed Lightsfr I t from ventilated Ductwork -AlAxtwork-located in conditionW Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust by-products to outside.Stoves see 903. . -6- SUMMER CALCULATIONS CLIMATE ZONES 1 2 3 GLASS BASE BASE GLASS SINGLE OR DOUBLE AS-BUILT OR x = SUMMER OR x PM SPM x SOF = GLAD ti AREA SPM POINTS AREA TINT*• R TINT"" (99) SLN.PTS. N 38.3 9 14t.2- N 40.7 41.5 3 . 34.9 N 57.7 NE 61.5 61.65 . 51.0 E 79.7 1 ot V2. S E 24 84.9 83.9 68.9 SE 79.1 S 85.4 84. 7 68.8 tf 66.2 Vass (0 S 'Z-d 73.2 72.7 Q6.23 58.2 4 W 79.1 SW 85.4 84.3 791., 68.8 W 7 .7 5 W Ue 84.9 83.9 6 .9 SKI9 NW 57.7 NW 61.5 61.6 57.7 51.0 If 66.2 290.2 250.1 267.0 195.3 `7Z3 COND. TOTAL BASE BASE ADJUSTED AS-BUILT .15x FLOOR + GLASS = ADJ. x GLASS = GLASS GLASS AREA AREA FACTOR I SUBTOTALE SP SUBTOTAL .1 `7S 13 -7ZX(6 S 1 BASE SUM.PT. AS-BUILT :COMPONENT AREA x OLT. BASE SUM. = SUMMER COMPONENT AREA x M _ .SUMMER DESCRIPTION PT.MOLT. POINTS DESCRIPTION 9C THRUULT 9G POINTS EXTERIOR .9 3 a ADJACENT .7 3 1 � 7ADXTERI R 7 ENT 2.9 t E UNDER ATTIC S G.I c, OR SINGLE .6 A EMB Y 1 � ¢ -SLAB 1 -37.0 g RAISED - 3.99 '?S J FRSLAB-ON-GRADE USE PERIMETJR LENGTHA NG CONDITIONED FLOOR IN PLACE OF AREA. FIT ATI -7 p q- E FLO AREA OF CONDITIONED SPACE. TOTALT P RP Z TOTAL BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS43UILT COOLING BASE CSM x BASE = COOLING AS-BUILT x DM x CSM x CCM = COOLING SYSTEM I SUM*PT -POINTS.Z PT 9 9 9L POINTS .46 1129.5 '14l1Z..7s{,Z , 01f i 3Co. NUMBER BASE BASE AS-BUILT NUMBER AS-BUILT AS-BUILT AS-BUILT HOT OF x = HOT WATER HOT WATER OF x HWM x HWCM = HOT WATER WATER BEDROOMS HWM POINT Y 9M 9N p INTS SYSTEM Z 3803 ASO ' ?(pC{� " H = Horizontal Glass(Skylights) For Shading Coefficient less than 0.83,see sec.903.2(a).Tint Multipliers may be used for glass with solar screens,film,or tint. -2- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZON S FORM 900-A-86 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301-8244. PROJECT NAME V4 At 51 PERMITTING OFFICE: AND ADDRESS: CIRCLE CLIMATE ZONE: 1 2 BUILDER: G4aK1XPF1 OCISIraj PERMIT NO.: OWNER: JURISDICTION NO.: DETACHED CHECK IF WORST IF MULTIFAMILY, GLASS AREA AND TYPE ❑ NEW XADD. CASE CALCULATION: ❑ NUMBER OF UNITS: 771 CLEAR TINT,FILM,SOLAR SCREEN CONDITIONED CEILING INSULATION ATTACHED FLOOR AREA UNDER ATTIC SGL.ASSEMBLY c� SGL SGL ❑ NEW ❑ ADD. , R =[[R..g I R =01.❑ LL_1_!_�R DBL IL M DBL NET WALL AREA AND INSULATION TJ CBS R= FRAME R= STEEL STUD R= LOG R= ❑.❑ m m DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCOND. SPACE CENTRAL ❑ NONE ❑ ELECTRIC STRIP tRr HEAT PUMP ELECTRIC ❑ SOLAR R = 0 N, 9 ®.� ❑ ROOM ❑ NATURAL GAS ❑ ROOM/PTHP ❑ NATURAL GAS ❑ HEAT RECOVERY IN COND. ❑ PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS ❑ DED. HEAT PUMP SPACE R SEER/EER = ®.W COP/AFUE _ ©.M EF = .LSJ SF/EF = ❑. [E.11 NUMBER OF BEDROOMS = INFILTRATION _Tfl141 _ -T (o () 9 .11 X 100 = . PRACTICE USED � � S 3 ��I `I El #1 El #2 El #3 TOTAL AS-BUILT POINTS TOTAL.BASE POINTS CALCULATED E.P.I CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F.S.,I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for compliance in accordance with Section 553.908 F.S. /� OWNER/AGENT: "� BUILDING OFFICIAL: DATE: 6-4-K-0 DATE: PRESCRIPT9A j exceeded CHECKCOMPONENTS SECTION REQUIREMENTS I .1 MAXIMUM R LINEAR FOOT OF OPERABLEH CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SO.FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE, ADJACENT D PANEL,INSULATED, R Y. EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. CRACKS MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF A T BE PROVIDED. AN EXTERNAL OR BUILTANEAT MUST BE PROVIDED. SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST &SPAS HAVE A PUMP TIMER. GASPA&POOL HEATERS T HAVE MINIMUM THERMAL EFFICIENCY F 75010. HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT LOSS SHALL PIPES I BE LIMITED TO 17.5 BTU R FOOT E. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTEDTO NO MORE THAN 3 GALLONS PER MINUTE AT 20 TO 80 PIG, HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTS IN T T TI N I R- N T E V 19, VA NTR PA R I A R A T R T H 904.9 MINIMUMR- -1- } tt'et enaMr ergssMer.r eerier e.,ro. nesse . osis M jismstiod&less she"fold. atq{a ssaMSMo eire+b l�ltaN is'WIWI�I f/tMs� ry� 7 Proposed Comhuction "SCRIPI'TION Of MATERIALS No. .... . ......... ❑ Under Construetioll (to be Inserted►r FHA or VA) ; a Property address ._..`�_1 .. .. ?`s -...... Cir .l ri. NL_. 9 .1. .---- Stats r ; Mortgagor or Sponsor ' �-•4 t.'Q t Name) Y I Addre Contractor or Builder Cot 4CK40AV-ILLE 6WA 1 �1.02104 INSTRUCT1011: t 1. For ojditionol information on ho- this fern[ is to be wbwitted, nsn►6er srsinkiew rgsirweents ceanet be considered unless �ecifieolly elesctibed. of copies, Oc., see the inetrve mos epplical►b to the FHA Application forx, Icon- Mortgage Insurance or VA Request for Determination of Rwsamobk Ywlue, 4• hulede M alternates, "or equal" phrvaK or seotradictory items. Icon- Mwelorerfion of estenos[ fat acceotooes of oti6w uts materials or equipment the cols[stay be. 2. Describe all trateriok and oquiomemt to be used, whether at not shower a"t Ibasby peeelmd.d7 on the droviny4 by morins ors X in each opprolsriek cheai•boe and entering i. WWo signatures required at the aid of tha form. #6 information called for in each speae. If spas+ is iaadeggete, enter "See L The eonsfrustion fhatl be completed im sam { p plionee with the related t mise." and describe under, item 27 or on oe attached sheet. drawings old ystilleations, n amended during processing. The specifications 3. Work trot speceAMplilr described or skaters will stet be considered unless include this Daseripsisn of Materials and the opplieebtr Minimum Cons'ructioa required, a len the minimum acceptable win he Gasses W. Work exceeding ReWtusmsntL _ ...__�._..�_-.... - - - �- -_� -• �--��..- ..._. __.- -.-�.-.-...a:._.._...�.-..�_.-i � ...moi • I. EXCAVATION: Bearing soil, type .•..•...014(36TV?10260...:--CSA.T4...._... .>........... .. . ..•....... .-----• ----- •----...----:..__ _ .......... L FOUNDATION$: S Footings: Concrete mix ..-rZ Soo # Reinforcint ._. .._...............•-- ------ =---- - -- Foundation wall: Material _-- Reinforcing Interior foundation wall: Material ?L"r1C .:...... ..... ...... Party foundation wall .__ _ _ _ -------------------- ._.:_ . .. .... Columns: Material and s.ze - __. ..... -- _... Piers: Material and reinforcing ------ Girders: : .--_Girders: Material and sizes .. - .. ---_----- --------- - -- ---------- Sills: Material ---- ----- __... Basement entrance areaway ._ . -_. ..-- Window areaways . - Waterproofing-.---.. p- - . ..... J. -. Footing drains _ Termite protection ...3o i�.. �c 1 iaC+f� ._t._.)-TF�S�'L� fl lb l�iti_ . ..- ... _ __ Basementless space: Ground cover ._ -_.. ---------- Insulation ---------- ---------- Foundatimt vents - _ --_.-- Special foundations _. ----- ----- -- - --•-- ;j --- - --- _ ._ - -- ---------- --- _. CHIMNEYS Mattvial .,-------------------------- .------_----- Prefabricated (snake and size) �3 �A _ Z1C .i -----------------•- ------ Flue lining: Material _ Heater flue size• _,� � _.. ....... Fireplace flue size------------ - _._:.- ; Vents (material and size) : Gas or oil heater __.--- - Water heater _-- __ - -:.-- -_-- ' 4. FIREPLACES: Type: p Solid fuel; ❑ gas-burning; ❑circulator ("take and size) ----------------------------_-- Ash dump and clean-out-------_--_._ ---------- Fireplace: Facing ----------------------_---; lining ------------------- hearth -----------------------_--; mantel ..--------------------------•---------- a ; ------------------------------ E. EXTERIOR WALLS: Wood frame: Grade and species . ?T:. ....._ fi r_..... ......... Corner bracing. Building paper or felt _ _r?._. he�» ....... y Sheathing -.. _ ; thirknesa ; width ..: -.___; ❑'solid;❑ spaced - -_---__" o. c.; ❑ diagonal; .................. Sidii,gOb I adN .?LT tylw T- 1 L. siie 516------ exposure . .- .. fastening CAM4! Shingles-- ----------------- ; grade ---- ; type _...; size --------------- exposure- -----'; fastening----------- -• i Lath _ .- --- ; weight Stucco ._..------------------------._ ; thickness . . ----... _--- -----•-•---------------------•--•-- -------__- --------------- lb. Masonryveneer --------------_--- ----:------ -------- -- Sills ..................... ..... Lintels --------- ----- .................. Masonry. FacingQRt,.._.J6A.V-.._; backup .._. . _-_.- --- thickness _._,, __. Bonding-------------•------_-------- -------- ........... Door sills-. !;:Pft4CI !.._.. . Windowsills 9, Pz_fh�N.T)._ Lintels --_----- -------------------- Interior ---- _-. .. _---.Interior surfaces: Dampproofing, . . coats of ........................................; furring 1?.J'_379.lC' ._ .. ; Exterior painting: MaterialWTlee ------------------------------ ------------------------------ number of coats ..- Gable wall construction:*-Same as main walls; ❑ other ----_.__ ----------- ---------._-- --- ------------_---- ----------------- ------ _- +. lh�-------- `--------------------------------------- -------- ---- -- --- -------------------- L , --- ---- � Joists- Wood,grade and species ---------: ,atter :_ ..y-: �, .._.; '> -------------; anchors _- --- first floor; ground supported; 0 eelf•siipporting; mix _ --- CSO p' Concrete slab: ❑ Basement floor; C] ,� __ _... __.�i_� ;thickness reinforcing . _ Xk?. _I!C�,l.�Q_...-.._-; insulation ...... _ - ------ . . .......... membrane Fill under slab: Material ---------PJAT•...---------_-•--._.._.._;thickness .....45 -- - -------- ---------------------- --------- ------------ ... ---- -----------------------------------•-----•------------------------------------•-------------- a 7. SURfILOOKING: (Describe mnderflooriog for special Mean model iftm 21.) Material: Grade and species ..._- ------ ----- ---- ------..........; size-------------- --; type .---------------------- Laid: ❑ First floor; ❑ second fteor; ❑attic --- -------------- sq. ft.; ❑ diagonal; ❑ right angles. -.- -..---- --- -.--------------.--_-.. ------------- --------------- - ..... • ... ----------•---- --------------- -• . •--••-•... ------------------•--------- i It. FINISH FLOORING: (Wood only. Describe other Faislm Aowiog ender items 21.) LocATlom Rooms (R%t,g Smcice Tmic KT,sna Wivtm otim. rAraa � FI„IeN Firstfloor,. - ------------- ----• --------- ---------- ...... --------- 1 --•- -•----- ------------------------- Second - -------------- Second floor. - --• ......... ------ ---------------- Attic floor_ inn.ft. _ i DESCRIPTION OF MATERIALS j DESCRIMON Of MATERIALS 1 2i. INSULATION: LOCATION TAfIth\ESR MATeRIAL.TYPS ANY METHOD or INerALLATION - VA" BARRIER Roof-._.. - --- -----•------•-•---•------- Ceiling 1Y1 �.4 _ ..... -1-ag-FE CR . ._ ,. .._.�._3.. - ....... -- Wail__.. -------- --••-------••---- ------•---------- - ._ ------------------------- Floor. I ------- _-•- -- -•Floor. •----- -- l -_ --- -•--------- --- - -----•---- ---- ----------------- . --- -----_------. •_--_.----- ......................... ----••-__..... ................ ------------------ . 27. MISCELLANEOUS: _ (Describe any main dwelling "arterials,equipment, or construction items not shown elsewhere): - .. - - ---_•----------------•------------ _ .. ------------------ ----------------- -- - -- - i -----•------------ ----------------- ---------••------. .. HARDWARE: (hake, nWeriel,and 6Rith) �•' � .r.}�w rQtrh.�h ., i�i..Ct,�J�t•?CEr ------------------------------------------ ------ ------- - ----------------------------------- SPECIAL EQUIPMENT: (Slate waterial or make and model) Venetian blinds ---------- /--- ----- ----------•-------- A Inber . .. -_. Automatic washer --------- _-------•------- - - Kitchen range �Y_ L_ <__. tS1hT.~��. -- ......... Clothes drier Re#e+gosatar t Z SC'--�-=- 1 �- t t?A►.1 C .' Dishwasher ------- --------- ____________ ________....... _....._ A Garbage disposal unit -..............----•--.................... .. ►ORCHES: ---------------------------- ------------•-----. ----. ---------•- ........ ...... . ... . ----- --------------------------------------------------- ............ -------•-•----- •-•- ------------------------- ...... ............... ------ ---•--•-----------•------------•-------------- TERRACES: ------------------------------------ ---. .- ---••- 1 •---•-----•- ------------------------------------ ----.....•-•• ....... GARAGES: l' . ..............-.................--------- —---------- -----------.. .. __. . _. =---------- —. ---------- — _ ----- --------------------------------------------------- ---•................. -- . .-- ••-- ---.._ ..... .......... ---------------------------------- ---------------------------------- -- --- WALKS AND 021V Aa S: Driveway: Width "____ Base material -_------------; thickness __._". Surfacing material __�� "? �' thickness " Front walk: Width ._ _... Mat,a•ial 1. ._-._____ _.; thickness _. ". Servicewulk: Width...... Material . . __ ; thici.I,i.s Steps: blateriul _ _ _ -- --------- treads "; risers Ch«l. wails ------------ ---------------------------------•----------•---•-•------------•-•----•.............._........ .... .- - ----------------------------- -- ....... OTHER ONSITE IMPROVEMENTS: (Sperifp all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, r<<u,t.i.ey a+.c!!?, f(„er, rail ups, and accessory structures.) .__. ........FOX -1 w?Rl�r� - ---- a _ LANDSCA►INS. ►LANTINS. AND PHUSH sIIADIM Topsoil -------------- thick: ❑ Frost yard; ❑ side yards; ❑ rear yard to _._._-.__._.. feet behind main building. Lawns: seeded, sodde4, or spriD9ed.) ;Front yard SPdr SoCOEQ ( ode yards-. _ ± --_;gear yard _ Planting: ❑ as specified and shown on drawings; ❑as follows: Shade trees, deciduous. -_...2___" 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, deciduous, . / 'oto Z4- ----------- Low-growing shrubs, deciduous,. lDCNTIF:CATION.—This exhibit shall be identillied by the:signature of the builder, or sponsor, and/or the Proposed mortgagor if the latter Is known at the time of application. Date _-----•------------------_- ------------_........._......------_-----------•--- Signature -------------------------------------------------------------- --------Signature --------------------------- ----- ----•-,--------_---- 4 J ( 21, SPECIAL FLOORS AND WAM$Mt LocArion YATaMAL,f9 Boaosa oxes.GAus.2". TwweGts SAW t.11ro too~ Kitchen._.. G12�4 , P2 t�csf- f�+t51. T 'r l l.0 '1 t o l �C`SP•�Cr. , Bath S- G2; „t -, t�sUcsdiIAT :� 1'...... . _ Mt-! _ '"C�i. -------- — v , ---------- - - zQ --- _ LOCATION MAMMAL.1001,0k 8011111h.CAT.WO.GAos.EW. kiwonT -HpOHT AT Tus I�HEIGHT AT SHOntIa LYS------- --- --------------------------- — -p----- --_-_--�-• --- -- 7 --- :T-- ---- --,-- - Bathroom accessories: Recessed; material .er__. _ 4_�-�..______r; number ;attached; materia 4 ----- - - ------------ ----------------- -- f --��l-�--- --r number,+'� .___ -.-------------------------------------- 22. PLUMBING: FutTum Numan LOCATION YAat WWII FIXTvwa 1Di NTIPICAt10N No. site Co1Aa 1 k 1Z�►�. - -A M ��TL9►., I 2 I 2 4- tom.?N,l Sink - - ---- --_._ -- - ... - - ----- X -------- j3_ c Ze -�•-- _ 4T S '. _--- --- - _.. _'_ �L ?�G ------------------- Lavatory f ---- ----------------- Water closet_------- ----•�---._- .:-- - - -------•--- --- - - Bath tub -- -- `1 ----- ---- - - -- ---------- - - -- - - - Shower over tub' I -1 1j ....9 - Stall shower**.--.. ------- -------------------------------------------- Laundry trays---- ---------•------------------- ------- ----•- ---------4 - 2c�a� t r.2 1"e ----- ttlp�-- �� -------- 1 � �11 ►7,p�s•_:._ "+� 4 `" �``'?------ -- T 1 •------------------------ --------- ------------ --------------------------------------- _._.._. I, ,� 5 -- - --- -- ----------- • Curtain rod ••❑ Door Curtain rod Water supply: ,Public; ❑ community system; ❑ Individual (private) system. Sewage disposal:*Public; ❑ community system; ❑ individual (.private) system. *Show and describe individual system in complete detail in separate drawings and specifications acoonfing to requirements. House drain (inside):'Cast iron; ❑ tile; ❑ other......_--------- House sewer (outside); ❑ Cast iron;%tile; ❑ other ---------- Water _---_. __Water piping:It Galvanized steel; ❑ copper tubing; ❑ other _- .-------------- ______r_____-__-___-_-_-_--____-____ Sill cocks, number ---- Domestic _-Domestic water heaters Type -_Av1?---- - T -k4_._; make and model ---- __._ __�� -.-.----- __-__- recovery _____?�.__. gph. 100' rise. Storage tank: Material ___C T L- _t____'�i ? ____..._..;capacity._._`.� ..gallons. Gas service: L) Utility company; ❑ liq. pet.gas; ❑other----------- ----------- -------- Gas piping: ❑ Cooking; ❑ house besting. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump -- - ------------------------------ --- ---------- ----- ------------ 21 HEATING: ' ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model __-------------------------------- Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material_. ----_.------..-:...._.-_--.--------------. -- ._.__----.__ Q Circulator. ❑ Return pump. Make and model --------- _ _.__----__._ _ .. -----.--------- --------------- capacity -. gpm. Boiler: Make and model -------------------------------------------_- ----- Output ------------------ Btuh.; net rating ------- .. Btuh. Warm sir: ❑ Gravity. ❑ Forced. Type of system _______________ Duct material: Supply.___-.-•______________ return --------._._--------- Insulation -__ - thickness -- ---- ❑ Outside air intake, Furnace: Make and model ---------------- _.___..___...-----..-------•---.--___- Input .-----------------._ Btuh.; output - ----_. - 13tuh.' ----- ---------------------- -------•--------- --- . ..---- .. ---------------•- - _. ------- --. -- -- -- - ---- - (] Space heater; ❑ Roor furnace; wall heater. Input _________ ___________ Btuh.; output _ [� ' _ Btuh.; number units Make,model ...... _ t4----------- & -0-C? .�,3 `.a _.. - -------------------------------- ........ - --- ------ ---- - Controls: Make and types j4 !L� }4 --?,---- ----------------------- -- ----- -•------------------------------ ---- - Fuel: ❑ Coal; oil; ❑ gas; ❑ liq. pet. gas; [I electric; ❑ other -----._..____ .__ -. _ , storage capacity - 5_$_ F ti. Firing equipment furnished separately: ❑ Gas burner,conversion type. Stoker: ❑ Hopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; ❑ vaporizing _._-_____•-_-_-_- Make and model ----_--------- -------- ---•--- - ------- Controb----------------------------------------------- Electric heating system: Type ------------------------------------------ Input .-------.--- watts; (ct ------- --.- volts; output -----. ._.-.- Btuh. ---------- ------ -- •--- Ventilating equipment: Attic fan, make and model ----- ------------- -------------- x capacity cfcn. Kitchen exhaust fan,make and model ' _�A Other heating, ventilating,or cooling equipment __._ �_ .N .Tc'".! r1-� ^c>G�:i----I-A _ 1 h l ��! _ A. - 24. ELECTRIC WIRING: Service:V Overhead; El underground. Panel: Fuse box; ❑ circuit-breaker ----------------------------------.- Number circuits _ Wiring: ❑ Conduit; ❑ armored cable; Knonmetallic cable; ❑ knob and tube; ❑ other ------ ._ -_.__ _ _. _ .,- Special outlets:XRange;'.water heater;X other ---- .. �.y - _ -_- ---- _. Door belt. ❑ Chimes. Push-button locations ........ 2S. LIGHTING FIXTURES: ...a Total number of fixtures __. ------ ------ Total allowance for fixtures, typical installation, _ .__�-p--__--`.--__ Nontypical installation __. ...... _._ DESCRIPTION OF MATERIALS S Si., DESCRIPTION OF' MATERIAL= 2C INSULATION: 1A)CATIOM T111cKNred MATRIUAI.T'T►e ANY METHOD Or INeTAL1ATION VAhn1 I3ARR1eR Roof-.-_._ Ceiling--- -----.._._ wa.11-••• . ---• .......... ...................... .• - - ............. Floor. .-- ............. _.. ... . . ... ....... .... . .•-•--••--- ••-•-- . ....--_.....••-••...•-• M. 17. MISCELLANEOUS: — ---_.___•__...,. (Describe any main dwelling/ materials, equipment,or construction items not shown elsewhere) ...... ---•---•-•-- ----------------- --------------------------------------------------- . • -- ------------------------------•-------•--._...._ .......... ---------------------------------•-----------.._.._ ....... ... •-•- - -•- - ` � --•----------- HARDWAREs (Make, enolerisl,end F.W) �,• rt"+k :. r -Q!.�.LI.. G r"1 C2 .G l TC ` (�. d c' �LL.CLA J&NC`_ -----------------------•--------- ---- ------- ......... . -------- ------ ---•------- _... — ------ ------------------•- ------ SPECIAL EQUIPMENT: (State material or make and model) Venetian blinds -- - K ,nber . .....__ Automatic washer Hitchen range ©y ?J. . ':---�tSJ_1 T.a!�- ---.------------- Clothes dril r 2 !0 � Li4G+.?AR.LC. •..... Other Dishwasher ------ . ..... Garbage disposal unit ----•-- ---.----- ----------- -------- -- - - ----- ------------- ------... ....... PORCHES: —-------------------- -------------------------------••--••------------•------ ------ -----•- --------------------- ------------------------------------------------ - .._ . •- ----•••--• ------•---.. - ---•-•------------•-------------------------- TERRACES: ---- - - ----------------------------- ----------------- -------- ---------- ---------------------•------.. _..•--- ------ ------------------------------ -----------------,------------------------------------•- "RAOES: _ . ---- WALKS AND DRIVEWA�TSI Driveway: Width "___. Base material ________________ thickness ._._". Surfacing material ._ ?!''� '. . thickness 4" ----- Front walk: Width Mat.t•ial _ -_.; thickness Service walk: Width...... Material Steps: Dlaterial _ - .__ - _- - ---- ---_; treads - "; risers --- Ch<<k walls . ........... ----- ...... -•--•--- -------------------• . ... . . _.. --- ------------- ------- OTHER ONSITE IMPROVEMENTS: (Spceifp all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, rr ui,.•k/ uatl: Rater, ruilmys, and accessory structures.) i .. �^ ---• ----- ---- --- ------------•------------------------------------------------- --------- ---------- ---- -- --------- . ---------------_-- -- -- ------ ! LANDSCAPIPM PLANTINi, AND PNifSN iRADINOt Topsoil -------------- thick: ❑ Front yard; [Q side yards; 0 rear yard to _.------------- feet behind main building. Lawns: (seeded, sodded, or sprigged.)XFront yard SQa `' OSPAside yards-_. .Q1i1 .....; rear'yard . ---. ---- •--- Planting: ❑ as specified and shown on drawings; ❑as follows: _--�_._.. Shade trees,deciduous, ------ caliper. ------------ Evergreen tress, -' to. ............B& B. Low flowering trees, deciduous, -.--.---.-..'to............ Evergreen shrubs, ...... to..._...._....B&B. High-growing shrubs, deciduous, -------- -__--to............. ..-_. Vies, 2-year ._-- ......._- .- .----_- -- Medium-growing shrubs, deciduous, . /.1--Qto .y --- ------- Low-growing shrubs, deciduous, IDCNTIFICATION.—This exhibit shall be identiR*d by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of at,pl cation- Data ................................ _.-........._......_........................ Y Signature ------•---------------•------------------=---=- - •-,- ----------------- Mer saeero a Iaslrur of earyie ego rarer am b. ted git"I .bora(0141. stepia Proposed Canilrvofimf 99)'"ESCRIPTION OF MATERIALS Her. ... 0 Under Constrodioa (Te be Inserted by rHA or VA) .__. City Property addren . ..OZA........ state 3 Mortgagor or sponsor ---.i�.h A a-14--,5^✓Z Z _ .,�Arc 1L"5u I Name) I Add l`�1V f t. . 4 ---Q S 4-O!f>l. 1 Y rep 4 Contractor or Builder _. ' �Sr .-��-�sNST2��T«t.� ' a I .�I�C.ICSct+iV-tLl.� �bC1�4 l �-a �d��► 4Names+ 4Ada,r l �NSTRucT�ow: 1. For additional information on how this form is to be w4him ted, mumbo( +A;eirtwn► tesirirewsah ceawot be considered unless tpecifreslly described. of copies, etc« see the instructions applicable to the FHA Applicatiao for « Mortgage Insurance or VA Request for Determinatiom of Rearsombfe Value, 4. rficiatoclusea request 'or equal gAof ov, w eeotrsrdictols items, (Gan- et the esus may be. side+otioa of a request far eucptoaes ai subNituh (naferio(s of equipment "1 2. Describe sill eateriah and equipment to be used, whether of not drown a Hereby pssclud�dl dot on the drawings,ky marling on X in each epprepriak ohscl-bas end entering E. WWI* signetores required of the old of Ihis fermi. the information colic( for in each space. If speoe is inadequate, enter "lies L The eamstrustion flap be completed is saapNonce with the related I mise." and describe under item 27 at on on offeched sheaf. drawiM s and amended during proesuing, The spscifcatiom p 1. Work not specifloeliy described at dawn will not be considered unless include this Deseriptien of Materiels end the applicebl-Minimum cons ruction required, when the minimum occepfobls will be seserlasit Volt e■esediag Requirements 1. EXCAVATION: t L� s Bearing soil:, type ------_L)__ __��3_TV Ake .............. ................._...................... ............ -•.. .... ......... - .. -------------- ._,•------__.._.... -•---•-------------- ....................... ............. -- a ` L FOUNDATIONS: g Footings; Concrete mix .-_2�-� ---__-00 I--S:�_'__-__------------- Reinforcing-_-•- -. .�- ---- Foundation wall: Material ....... Reinforcing..........-: -----...._ . ,___________________________ Interior foundation wall: Material ----- a_N ...... .. ..... Party foundation wall ._ .__ _ _ Columns:Material and s,ze .... ..... ....... -.:•.. Piers: Material and reinforcing. Girders: Material and si::cs __ ._ ............. ..:. ......_ . ._-.__ Sills: Material _.. _.... ...... _ Basement entrance areaway _ Window areaways _ Waterproofing -._-__ Footing drains . _--- - ------- Termite protection _3v l ol,a'PN S7_WT9_ C?QAir. . ...... _ Basementless space: Ground cover .. ------ Insulation ------- ---------- .- _- Foundatim, vents - Special foundations -- ---- ------ --- _ .- - -- -. ............... - _ - - --- - .......... y X. CHIMNEYS: Material . ----------------------- ---------_ .•----•-------------------- Prefabricated (make and size) _tL?_ _---VI bG .J'?r---------------------------- Flue lining: Material Heater flue size CC" Fireplace flue size Vents (material andsize): Gasoroil heater_ _.._ .,_.-..-----__....... .........-- -- -_ __ Water heater --------- _ __. ---_--,_-.--- _---- ------- -- ------I 4. FIREPLACES: Type: ❑ Solid fuel; ❑ gas-burning; ❑circulator (make and sise) ---------------------------=-- Ash dump and clean-out-_-_•_--------_---.----- Fireplace: Facing --- ------------- - lining __-------------- ----- _;hearth -------------•--- mantel ----------- ----------------------- i i. EXTERIOR WALLS: + g. 't'1" -,-,__p�1+� _-_ Corner bracing. Building paper or felt_�.4?___ l~i- ------- Wyod frame: Grade and species ...____-.__ Sheathing thirkness ; .width ---- -------; ❑'solidi/; ❑ spaced -------- ----• o. c.; ❑ diagonal; ____-__ . Sidiog C-xT, ; tuts T,A L ; site 5.(.P.�_..._.;exposure . . _... ; fastening . i Shingles .- -------------- grade --- type _.__ ._-.; size ,-------- -.;exposure..•_--•- i fastening --- Stucco ------------------------------- ; thickness ... . ... .... Lath ------------------------------; weight --------------- Ib. Masonryveneer ------------------ - -- ----------- -------, Sills ------------------ -- ----- --- Lintel -----•------ ---------------- Masonry: Facing backup backup .......... thickness __., __..". Bonding_______ __------------------------------------------- Door ___________ ____•- -----._.----- Door sills 5;rPP.-44 Window sills Lintels.---- t------------ - ---- Interior surfaces: Dampproofing, ... eoats of ..... ...........•------__----______ ; furring 1YZ---- 5TA i?F14C-t_ Exterior painting: Material _ L_&T15X � .t T---------------------------------------- -------- -------__..; number of coats t Gable wall construction)k-same as main walls; [] other ,-----------•-------•------------------------------•------------------ ---•--- ----- -------•-----••-- ------------------•-••--- - --------••-------------------- ----------- -- 6. FLOOR FRAMING: Joists: Wood, grade and species ---- -_--_- -- -. ; other ----- - --- bridging anchors __.. . Concrete stub: (] Basement floor; ❑ flint Haar;`, ground supported; [] self-supporting; mix _. thickness _ reinforcing . .�PX 4?- _ o,/� , insulation .__, ....... __ .. membrane � M{ -I.-___,��.�? Fill under sorb: Material __-------P.I_ T- --. --_; thickness ----45---" 7. SUIPLOORING: (Describe eaderAooring for special Aeon wader item 21.) Material: Grade and species .._._. -----------; else-----------------;t Laid: ❑ First floor; ❑ second ftbor; ❑ attic __-----------_____ ser• ft.; ❑ diagonal; ❑ right angles. .-_.-__-. __ _. 1L FINISH FLOORING: (Wood only. Describe other friish flooring wader item(21.) 1AN'ATInN Pains GN%D% SPECIES TN/(,x% "" WIDTH DIM). PAPER � ('goo First floor---- -------------------- ... ---. ------ I Second floor. i------ - ---- --------- -------•- _ ...,. -----• - ---- ---- -------- --- --- ----_..--------- -- ---------- Attic floor. an. ft. 1 DESCRIPTION OF MATERIAC,S DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studz: Wood, grade and species -------- Size and spacing -._�.��_-�j.i_SQ__-.._ Other -------------------------------- ------------ 10. CEILiN3 FRAMING: Joists: 1:'cod, grade and species ... j•-- ----• Other - ------ --------•------- Bridging ------ ------------------- --------- --------- _.. ------------- - ---------------------- •------- 11. ROOF FRAMING: Rafters: Mood,grade and species -________________ Roof trusses (isee detail): Grade and species ---------------------------- -------------------------------•_____._.---__-_...-.____--_--_--_.._-__._I_-_.__.-_-._-__._._._.._..-----------------_------.__•--_-----...-.-.----------------------------------- 12. ROOFING: II�/ Sheathing: Grade and species __. -_ __ _'�_� t �` tt ---- ------------- ---._; clic -_-.-__-.-; type9 _..---.._;solid; ❑ spaced _.._.."o.P_ Roofing ...... _ .- grade . _ ; N(,,�:ht or thickness .........; size ------- fastening ----------------- — Stain or paint --- -- - --- -- _ Lnd.-Hay — -- -- --- ------- 1—-- - ----- Built-up roofing --•- __-._ .. .............. n r.11r,r cf lilies surfacing material Flashing: Material ------------- ..... .. .._.. ------------------.; gage or weight ----- .__._.;112�gravel stops; ❑ snow guards 1t. GUTTERS AND DOWNSPOUTS: Gutters: Material----------------------------------------gage or weight--------_.-_;size---------------- shape------------.------ Downspouts: Material ----------------_--- gage or we'ght ------------ size------ -------- shape......._------------------ number---------- Downspouts connected to: ❑ Storm sewer; ❑ unitary sewer; ❑ dry well. ❑ Splash blocks: Material and size-------------------•---------- 14. LATH AND PLASTER: J -2. !r Lath� .walls,`�ccilings: Material _-'_-__'______.•._; weight or thickness--------- ._ Plaster: Coats_.._.._.;finish _.-�-- ---------------- Dry-wall ❑ walls, ❑ ceilings: Material,----------------_ __ ..; thickness ______; finish .__ ----------- .. joint treatment------------------ ---------- -------------------•--- --- 1si DECORATING: (Paint, wallpaper.etc.) Rooms WALL FINISH MAMMAL AVD Arft rfATluN CEiuNc FINISH MATERIAL AND ArrLICATION Kitchen-------- ---•----- ---------------------------------------PQi.1IEt2 `t, 2 CC h.T � --�I- �� li ,r Bath.,4 - - ----- ------------------------------------- �- ' L la n n l-.l rpt : -1 y e.fZ----------- --------------- ------- -------- --------------------- •----------- ---- ----------------•------------------------- I.---------------------- ------------------------------ -- -- lk INTERIOR DOORS AND TRIM: Doors: Type ---- -----r �" M---------------_----------•- . material -----<_ _S.!�'� ; thickness Door trim: Type _'.5T4�.G_4t--------; material ----------- Base: Type -�?-�a4`r- -- material _.F-L. L.--------; size-_----- - Finish: Doom ---4`_1Z.... _ T_ _ 13.---------------------; trim ---------------- - - _ ------------------------------- Other trim (i'em, type and location)--------•-----------------------------•- --------- ------------------ - ---------------•------------------------------------------------- ------•-•------------------------------------------------------------------------- 1T. WINDOWS: CT ,( Windows: T ° �w_-r ; make L"C,0----- --- ----- material ...5t_ -�` -'----- ---------; sash thickness Glass: Grade..... [I_. ?.______�.; [Isash weights; C] balances, type . _. ._ ---__----------------------- head flashing _ _.._ _____.__•--__--_ Trim: Type------------------------------; material -------•- ---------- -------- Paint --------------------- ------ - number coats Weatherstripping: Type .-------- material _- -.--- -------------------- --- StornRash.��ber ------- Screens: "*Full; [I half; type -•_ti-� ±._ � i.�-_____ ______________ number ------.__; screen cloth material _-__ _.____----- Basement windows: Type -_---------------------; material ------------------ ------- ❑ screens, number ------- -; ❑ Storm sash,number -__.---_- Specialwindows ----------------------•-------r------------- ---_-_------ ------ ------------ ------------- ------------- 1E. ENTRANCES AND EXTERIOR DETAIL: 3/ Main entrance door: Material _. -:__ 4c_`__.;width_"_'._"____;thickness._1q ". Frame: Material__LUZ_____._;thickness " Other entrance doors: Material -----`.___,____ ; width_ '-__--;thickness.IA4',. Frame: Material-_F:�_!L____ thickness S " ---- --- Read flashing ----------------------------------------------Weatherstripping: Type--SL'ltlx._.__51Utgt.; saddles-u_��_' Screen doors: Thickness ......... number -------- ;screen cloth material..................... Storm doors: Thickness number Combination storm and screen doors: Thickness_.._"; number .......; screen cloth material ----------- ----- ----------- -------------- ----------- 'Shutters: ❑ Hinged; ❑ fixed. Railings ----------------------------------------------------- Louvers --------------------— Exterior millwork: Grade and species ------------------ ......... ---------------- Paint . — --L. __.__.___._._._____._._..; number coats---- _._ ------------- 1ta.•CAEINETS AND INTERIOR DETAIL: ': -e--wt 91-60-4s, Hitchen cabinets, wall units: Material 4!V a�`' ......—, lineal feet of shelve .; shelf width Oc7D counter top ----Fl:2}WA C4•------ edging __.?h,e4AS4------------ Base units: Material ----Y_J---_---.•_-------•-------------- --- Back and end splash ... FCR- Cc---____.-__.- Finish of cabinets _-------; number coats Medicine cabinets:Make ..__{- r'`j ; model -- - -- ------ ------------- -----•- 11.`� ,a .._.._.. - _ Other cabinets and built-in furnitur0 H. STAIRS: 1 TREAw Riot" Sruxw HANDRAIL BALUSTEIM STAID ------ Materisi Thickness Material Thickness Material also Material ( Site Material Size Basement.,............... ------ --- -----• --------------- -------------- .......-------- --------- ---- ------- Main------- f_.. -------•-- --- . I •----- Attie------ 1---------•--- - ------------ ............... I 1- -••---••... --------• ----- I...-----------..- Disappearing: Make and model number -------------------••--•------------•---•--------•--------------- -----------•-- ------------- - ` r J