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Permit Addition 1090 Carnation 2012 !�y d J`1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000025 Date 2/22/12 Property Address 1090 CARNATION ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc KITCHEN AND BEDROOM REMODEL Owner Contractor MCEVOY KEVIN P & UNDINE A EASTERN SHORES CONSTRUCTION 1090 CARNATION STREET 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545 -7878 - -- Structure Information 000 000 ADD KITCHEN AND BEDROOM UPSTAIRS Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE AE Permit PLUMBING PERMIT Additional desc . INSTALL 2 FIXTURES Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/20/12 Special Notes and Comments AE FLOOD ZONE *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. PI?Rmt - Tr IS APPROVED ONLY' IN ATCORD'ANCE TVT H UL - CITY OF ATLANTIC BEACHORD1NrANCES AND - THE - FLORIDA BUILDINGt( E : Fees STATE PLBG DCA SURCHARGE 2.00 „� .` CITY OF ATLANTIC BEACH j s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 ' INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 12- 00000025 Date 2/22/12 Other Fees STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: j, O `Pi e,i9 ✓vi AI--; o w �� PERMIT # L " 0 0 0 E S— NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs 1 Urinal Kitchen Sink 1 Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _ Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well * * ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name I''•t C t U b•1 Qf: cl e.\ T Phone Number Plumbing Company-1,D fr ? Li-,,1/4 ;a/NI . Xn c. Office PhoneS' r w / Fa CLti -- -1R(5 - 8 Co. Address: Lk \A a L, LON,s ) rL City - TAY State fiL Zip 3a2' A License Holder (Print):? . AVs ' S ©�,9 State Certification/Registration # Notarized '�� �.+ + r• r; Cdr l . p.... r . ..I MY COMMISSION # EE 05734 "") ...%-.:os EXPIRES: May 21, 208worh and subscribed before n this day of - 20 �- PF fld; Bonded Thru Notary Public Und? .intei:: 1 ignaiure of Notary Public 1 r s, \� CITY OF ATLANTIC BEACH 4.4 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 J1 '� Application Number 12- 00000025 Date 2/13/12 Property Address 1090 CARNATION ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc KITCHEN AND BEDROOM REMODEL Owner Contractor MCEVOY KEVIN P & UNDINE A EASTERN SHORES CONSTRUCTION 1090 CARNATION STREET 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545 -7878 - -- Structure Information 000 000 ADD KITCHEN AND BEDROOM UPSTAIRS Construction Type . . . . . TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE AE Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . E F LEA ELECTRICAL CONT INC Permit Fee . . . 68.20 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/11/12 Special Notes and Comments AE FLOOD ZONE *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247-5834) for Erosion and Sediment PERMIT Is tt Otj' b NLE I ( f 6 A'A. N A;I E���ACES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 „, y INSPECTION PHONE LINE 247 -5814 Js3 Page 2 Application Number 12- 00000025 Date 2/13/12 Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 68.20 68.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 72.20 72.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5$26 Fax (904) 247 -5845 r � / �/ ( , et-2-7( �� . 7i "� -� PERMIT # S JOB ADDRESS: ✓ ` JEA INFORMATION REQUIRED ON ALL PERMITS AMPS / s e . / / , l / j VOLTS / S 4 PHASE VALUE OF WORK $ NEW SERVICE ❑ Overhead n Underground Ph Underground up Pole ❑ Residential (Main) Service 0 -100 amps '-1101- 150amps 1151 200amps ❑ amps # of Meters h Commercial (Main) Service 0 -100 amps ❑ 101 150amps ❑ 151- 200amps C" amps CT Service amps Conductor Type Size [ 1 Multi- Family (Main) Service ❑ 0 -100 amps ❑ 101- 150amps 1151- 200amps amps # of Unit Meters 'Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑, CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 01100 amps L ] 150amps L]200amps J amps P CT Service amps ADDITIONS, REMODE, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: £ 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: /Q OTHER ELECTRICAL PROJECTS ❑ Swimming Pool Cl Sign ❑ Smoke Detectors Qty ❑ Transformers KVA [' Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑Replace Burnt /Damaged Meter Can ❑Safety Inspection ❑Panel Change ' OH to UG ❑ Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. m Property Owners Name (1 V- u / ! _ ` 4 Phone Number 2f 7r (%i Electrical Company , L � ' � tea, (C if// . Office Phone 355-18E Fax 365 Co. Address: ,3` ' City State Zip 32r License Holder (Print): lG: 6. State Certification/Registration # f2 l,560 NvtariebliikpliediYORPLicenie Holder ¢g, i u s o, ph/p Comm# DD0813540 O � ; Expires 8/19/2012 Sworn and subscribed before me this 13 , �' day of 1'� fl+ r r 20 /Z gu Florida Notary Assn., Inc Signature of Notary Public Z/65. A_ ' ri ey l IA CITY OF ATLANTIC BEACH sl 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ti a,a, INSPECTION PHONE LINE 247 -5814 Wi t) 1> Application Number 12- 00000025 Date 2/10/12 Property Address 1090 CARNATION ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc KITCHEN AND BEDROOM REMODEL Owner Contractor MCEVOY KEVIN P & UNDINE A EASTERN SHORES CONSTRUCTION 1090 CARNATION STREET 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545 -7878 - -- Structure Information 000 000 ADDITION Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . . . 150.00 Plan Check Fee . . 75.00 Issue Date . . . Valuation . . . . 20000 Expiration Date . 8/08/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to start of construction. PERMIT IA tAlARRIVF@VORLY IN ACCORDANCE WITH ALL •CITISCTIIT7 .AR B ga4C-A CES AND THE FLORIaA; 25 BUILDING CODES. ? ; CITY OF ATLANTIC BEACH r) I 800 SEMINOLE ROAD J „ . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number . . . . . 12- 00000025 Date 2/10/12 Other Fees DEV REVIEW- SINGLE & 2 -FAM 50.00 STATE DBPR SURCHARGE 2.25 UTIL REV PRE APP >3 HRS 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total 75.00 75.00 .00 .00 Other Fee Total 79.50 79.50 .00 .00 Grand Total 304.50 304.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1 0 9 0 (A r,n L ¢A 9-r c - Permit Number: /, - 00a S' Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ ZO bo ° Proposed Work heated /cooled d cif 5- non - heated /cooled Class of Work (circle one): New • dditio Alteration Repair Move Demolition pool /spa window /door Use of existing/proposed structures) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval orm 7 Describe in detail the type of work to be performed: t� - / � 4 CaZAk_ .� rocOA^ � 1 Name: Xc yr 4) 4•,4 //A✓t / " Address: /0 7 a CAIN IOAJ ST City 472.AA/ric 16Qch' fate FL- --Zip 32 233 Phone 7O - a V7- 742,6 E -Mail or Fax # (Optional) Contractor Information: ` !] i Company Name: eC$1-Gy- n S a r h Cia- r. j1-- Qualifying Agent: lot 1' l.I. ''\ V Address: to 1 y '1 v4 '- Sid i S. i k VI City '16'1e.0-k' `' iii State Ft Zip T Z a 3 3 Office Phone 1 O1- f - 141 i Job Site/ Contact Number -s i -w Fax # State Certification/Registration # Cr 5C`t7 55., 'i 3 3 Architect Narne & Phone # -t, t t vd `"u' e i uy -- (.0--`i C. '1 (.- Engineer's Name & Phone # 34-11-1 4'/V4o ii' ej i &.9 - ^` ", '101 1 `a "". `` "°'" . P " "`' , Fee Simple Title Holder Name and Address _ _,._ Bonding Company Name and Address r Mortgage Lender Narne and Address FILE copy Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no w .. . ' 'b' • to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating constructio ' ' : iehi es null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Plumb Signs, Wells, Pools, Furnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BE ORIERECORDING YOUR NOTICE OF I hereby certify that 1 have read and examined this a plication and know the scone to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. .,...(.,_ � � ���r _..• Signature of Cghtract I ,� Print Name let"Y) vo Print Name 1 � lam^ '^4' — Sworn to and subscribe before me 1 Z 1 s 40 orgt t ' D suubscr !.. .efore me 20 f��` this Al Day of JA n �{,a.. 20 g:- - — IF _ (� / / [ � j) { t)tr 11 i rn ti J , ( ir" a PC. i U,6 . ' A " �n e ! 1 ` Not i' ' . „ DEBORAH AMANDA WHIT E p� Nu 1 C , Notary Public 1 Arm += MY COMMISSION # EE 057349 } 1 nl R� P � ' 1...1, EXPIRES: bonded E May 21, 2015 IR el sed 01.26.10 0, YI 0 0 ". z s g • — . - Az a' - .-r. N 2 . --. AD O O • n • • . • T C cn R. . AD • 6 O d a O Pt O O '8 O -s> d G u',.._ 8 a 00 e t CD N O rd C co S' Nil •Ad n 11/ 2 O 'LS • f-' fc G ' O M. O 5. C r+ 3 c Q. d uo m O n O H III ;11 R: ?:. i!. i 1 b �� 1 1 1 et n : I UQ P ()().' i l L , CAD � O ,.,..= ,,...,0 Oh tli .P W N O 00 - Q\ (' '.-P• W N .- + O . . . O\ to -P W N b N n 7 v 4 Cd Q C n y n �. n c4 C K _ V1 O p " ct p , z, p 0 O O E' p G. O O - 8 caD p O �7 Q': q fQ �' _ ` � C ` via y G, 0 ' 0 o < 2 � cr 2 n o AD CD 4 et I z "� W o —c. a A, - d y F o gs 1 .. . Ag O O cn A 4 r W et oh to J ea 0 et fa cA -, W N O Oo J a\ Cn W N O J C\ u, ,. W N -- eD �-: U" 0. n c O ,-.1- O .- Uq 7,, O r- i . T- O O O N n H ,, �, ! 0 0 N 5' • cn Q Q n , • i O A� O = " H v = rn et 0 CL eD V) CD C 0 Uj CM n O .. C C I* tt _P = A oi b C. O i C ^r n M. p C E 4. 4 O C O M w e 1 - '-'\\( ? CO. (.4 ' gt t• O et l AD CD CD n o o 4 0 V o'- Z. n 'FD-' `s . 5 o p . a . , c- o. m 2 i N � .'7', ... o As 0. N . CrJ 0 p ( i4 p 0 `' , ^ • p a 0. z ,_,r-t .9, co CL. o ° O 5 CA (/) c) � l i T i CD O r* c 2:1 O c r _ ' CD 0 P o CD AD CA S co ' O 0 O c co Cil 1/414 trq g. > 0 0 0 "`� c CD *1 ' o p IV n r S — a �. C ri c , y 0 A t... g AO r 1 ,-,, co a., r Pa la o V a (� N ,° c E a 0 c- p. `CZ C7 co CD f) n p 0 44 e 4 c".. 1 r T.....N% CD N O •t CD , r i 9 5' ...'7: p G OL1 1 n n O C ..r' y p O CA 0 5 Cwt Po •• 0 = N CD MAP SHOWING BOUNDARY SURVEY OF LOT 1 AND THE NORTH 15 FEET OF LOT 2, BLOCK 174, SECTION "H" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 18, PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: KEVIN McEVOY & UNDINE McEVOY PFG LOANS, INC PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA FIRST AMERICAN TITLE INSURANCE COMPANY APPROXIMATE BLOCK 1 7 3 TOP CF BANK OF 30'± DRAINAGE D(TCH 85.00' (DEED) �_._, 22 N 00'06'05" W ( 85.08' (MEASURED) --* 35.00' (DEED) "3872' ` (DEED) ` -- — - X0.00' (PLAT) y 1.2' ,h 2.5'J LOT 2 j LOT 1 BLOCK 174 BLOCK 174 • L.,.1 ( /, _ e • o N . et 1= Q PAVERS Q 1- Q w w¢ 1 v v • ae • • v n.0' • O I - SCREENES ' b b N b CO _PATIO I d M F Y G1 O CV , 24. _ I .F w N Q < ° O 14.0'~ P 73' O0 N. Q a. s EQUIPMENT El —` _0.82 I , PADS - o i I '4 TWO STORY N - - -3 - - -- I POSTED #1090 r 2✓ w B 3 i ! 1.2 .../ w b b o 2421 I 0' 12. M ENTRY o I b l in d o) ch co Z I —, m.r ze.e Tn APPROXWATEY /' L Of `.. // ORAINFIEI.D • Tn I To VI • 35.00' (DEED) ---- • 15.00' (D ; .70.00' ( • x72 S 00'12'13" E 84.91' EASURED) C TVA' 85.00' EED) t' 6� zo !� CARNATION STREET M 4.1 '� J , / J � `' .1-� f" (50' R IGH T OF NAY) /"' �/ a I 2r4 (r +— LEGEND: - STAAMPED-PSM/6146 PC PL - . PONT POINT fF eUN 4i y [ /� �/ ♦y� ,w f� • - Mule VT IRON WIPE OF TANfENC Y C � )'\ J ^ ,Qi� N{/ Y` " �_� (,, NO TOE TIRCATxON PRC - PONT OF REVERSE VACURTAIL/RE J C (UNLESS OTHERWISE NOTED) CURTAIL/RE MIS' El- 4 -M4- CONCRETE M0AAENT PCC - PONT OF CORM0RRIO A/C - AIR 00I0I1IG # CURVANRE —8— - FENCE Q - CONCRETE r Ray Thompson REVISIONS ' SURVEYING, Inc. DATE DESCRIPTION Going the DISTANCE for Yoof 8\Cad- ReatN\828 S GA2,Pe"b V. RN" 8706JPy 4613 Philips Highway, Suite 210 Jacksonville, Florida 32207 p (Phone) 904- 448 -5125 (Fax) 904-448 -5178 JOB # 16193 I DATE OF FIELD SURVEY: 5 -22 -2009 I SCALE: 1" = 20' NOTES: CERTIFICATE 1: BEARMGS ARE BASED ON THE ASSUMED BEARING OF -- N- KtgaQ' -L-- I HEREBY CERTIFY THAT THIS 9JRVEY WAS MADE UNDER MY RESPONSIVE CHARGE ALONG THE SOUTHERLY BOUNDARY LAC CF SUBJECT PARCEL AND NESTS THE i1NHIMI)Y TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA 2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FL000 ZONE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 81017 - 6, FLORIDA �StIADED. X - AS SHOWN ON THE NATIONAL FL000 INSURANCE MAP, ADNRN919411 E COOP, PURSUANT TO SECTION 472.072, FLORIDA STATUTES. DATED: APRIL 17, 1989, COMMUNTIY PANEL NUMBER: 120075 _0001 n . 3: THIS SURVEY REFLECTS ALL EASEMENTS & RIGHT OF WAY AS PER RECORDED PLAT & /CR TITLE COMMITMENT IF SUPPED. UNLESS OTHERWSE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. RAYMOND THOMPSON 41 THIS SURVEY 15 N0r VALID WHOA' AN AUTHENTICATED ELECTRONIC SIGNATURE REGISTERED SURVEYOR AND MAPPER / 8146 STATE OF FLORIDA AND AUTHENTICATED ELECTRONIC SEAL. UCENSE BUSINESS No. 7469 LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS APPENDIX 13 -D ( Effective March 1, 2009 : FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1100B-08 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Residential, or Subchapter 13 -6 of the Florida Building Code, Budding, may be demonstrated by the use of Form 1100B for single -and multiple - family residences of three stories or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating, cooling, and water heating systems in existing buildings, and site -added components of manufactured homes and manufactured buildings. To comply, a building must meet or exceed all of the energy efficiency requirements on Table 11B-1 and all applicable mandatory requirements summarized in Table 118-2 of this form. If a building does not comply with this method, it may �still comply under Method A of Chapter 11 orSubchapter 113 -6 of the applicable code. , PROJECT NAME i {� L 11 .s _..... . BUILDER ...._ '/(� -^t r . � 1_'��'X/�� :. ._._....� �Ft.. !1 AND ADDRESS: 1 0 ° 1 0 1 fi i- ' PERMITTING A,� r FL 31 ;OFFICE: OWNER: 40 ( � ' PERMITNO life © IQI I I... -1 JURISDICTION NO.: , 1. New construction including additions which inJJrporate any of the following features cannot comply using this method: skylights or othernonvertical roof glass, glass areas in excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes to Table 118-1 on page 2). 2. Fill in at the applicable spaces of the "To Be Installed" column on "Table 11B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the "To Be Installed" column information. 4. Read "Minimum Requirements for All Packages ", Table 11B-2 and check each box to indicate your intent to comply with all applicable items. 5. Read, sign arid date the "Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form. ^� __ __Please Print CK 1. New construction, addition, or existing building 1. A5>9- t 0 2. Single- family detached or multiple - family attached 2. 504 6-f -6- 3. If multiple - family -No. of units covered by this submission 3. 4. Is this a worst case? (yes /no) 4 0 5. Conditioned floor area (sq. ft.) 5 6. Glass type and area: a. U- factor 6a, eS b. SHGC 6b. c. Glass area 6c. - - "�#� sq. ft. 7. Percentage of glass to floor area 7. oho 8. Floor type, area or perimeter, and insulation: l- a. Slab-on-grade (R-value) 8a. R = 0 lin.ft. h. Wood, raised (R- value) 8b. R= sq.ft. c. Wood, common (R- value) 8c. R. sq. ft. d. Concrete, raised (R- value) 8d. R= sq.ft. c. Concrete, common (R- value.) 8e. R = - __ sq.ft. 9. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R.- value) 9a - _ sq.ft. 2. 2. Wood frame (Insulation R- value) 90 - R. y 3 15S sq.ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b - R= sq.ft. 2. Wood frame (Insulation R- value) 9b R = _ _ sq.ft. 10. Ceiling type, area and insulation: a. Under attic (insulation R- value) 10a. R= - 9i! sq.ft.. & b. Single assembly (Insulation R- value) 10b. R= sq.ft. 11. Air distribution system: Duct insulation, location 11a. R= ( C., Test report required if duct in unconditioned space 1 ib.Test report attached? Yes "52 12. Cooling system: 12a. Type: _ ('lopes: central. room unit, package terminal .A.C., gas, none) 12c. Capacity: . 12 SE chy: : 4 $ {� :). 13. Heating system: 13a. Type: _1 j { - F c, pt p (Types: heat pump, elec. strip, nat. gas, LP gas h.p., room or PTAC, none) 13b. HSPF /COP /AFUE: {{ $QF 13c. Capacity: 44-1 1 14. Programmable thermostat installed on HVAC systems: 14. Yes / 5:2) 15. Hot water system: 15a. Type: (S 11,. G _ (Types: elec., nat. gas. LP -gas, solar, heat rec., ded. heat pump, other, none) 15b. EF: hereby certify that the plans and specifications covered by the calculation are in compliance with I Review of plans and specifications covered by this calculation indicates compliance With the Florida the Florida Energy Code. Energy Code. Before construction is completed. this building wit he inspected for compliance in h „ _� ,. � accordance with Section 553.908. F.S. PREPARED 9V: Y�`C a.�J DATE: 1: ( ,,/ / `'1 ' BUILDING OFFICIAL I hereby certify that this building is in compliance with the Florida Energy Code. ' J OWNER AGENT' -- - _ DATE DATE: - - - - -- / - /0 1 _ 2007 2007 FLORIDA BUILDING CODE - BUILDING 1 -D.23 APPENDIX 13 -D * TABLE 11B-1 _ MINIMUM REQUIREMENTS (See Nate 1) All Climate Zones BUILDING COMPONENT i PERFORMANCE CRITERIA - - -- i- - - -- __ INSTALLED V ! U- Factor = 0.65 U- Factor = . F7 I Windows (see Note 2): 1 SHGC = 0.35 ' � SHGC = 3 j ° '° of CFA <: = 16% % of CFA = { /V Exterior door type :Wood or insulated i Walls - Ext. and Adj. (see Note 3): Frame Mass (see Note 3) ' R -13 R- Value = r 7 j • Interior of wall: R -fi : • Exterior of wall: R -4 R -Value = I - -- - R -Value = Electric resistance heat (See Note 10) ! Not allowed • Ceilings (see Notes 3 & 4) 1 R =30 R -Value = -3 CS Floors: Slab -an -grade I No requirement • Over uncondmonedspaces (see Note 3 ) R - 1 3 1 -Value - • • Hot water systems (storage type) • - _ - -- -- - - - - -- Electric (see Note 5): 40 gal: EF = 0.92 Gallons = p � i Gas fired (see Note 6): 50 gal: EF = 0.90 EF = I l 5.11 ik Cr 40 gal: EF = 0.59 Gallons = 50 gal: EF = 0 58 _ EF Air conditioning systems (see Note 7) _ _ _ . _ _ _ _ SEER = 13.0 SEER = " Heat pump systems (see Note 8) 1 SEER = 13.0 SEER = t _-- - - - - -- —.. . HSPF = 7 7 HSPF _ C�' Gas furnaces 1 AFUE = 78% AFUE = • Oil furnaces i AFUE = B% AFUE 'p P • rogrammable thermostat (see Note 101 Must be installed on all HVAC, systems. Installed? Yes Ductwork: (see Note 9) _ - - - - - -- - • Location: Unconditioned space' R -6, TESTED Unconditioned space ' • • Conditioned space NA = Unvented attic assembly per R806.4 with insulation at the roof plane R -4.2 Test report: Test report: ' Conditioned space • • • R -Value = • (No test report required) Air Handler location: - -- - - - - -- Unconditioned attic' or garage ! Requires test report Location: I Conditioned space or Test report: • U • nvented attic assembly per R806.4 with insulation at the roof plane j No duct test required (1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; oth- erwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum 0-Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16% of the conditioned floor area (CFA), otherwise Method A must be used for compliance, Exceptions: 1. Ad- ditions of 600 square feet (56 m`) or less may have maximum glass to CFA of 50 percent. 2. Renovations with new windows under? 2 foot overhang whose lower edge does not extend further than 8 feet from the overhang may have tinted glazing or double -pane clear glazing. Replacement skylights installed in renovations shall he double paned or single paned with a diffuser. (3) R- Values are for insulation r material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall" requirement (R -6) must be met except if at least 50% of the R -4 insulation value required for the "exterior of wall" is installed exterior of, or integral to, the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 * volume). (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 * volume). (7) For all conventional units with capacities greater than 30.000 Btu /hr. For Srnall -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btuihr see Table 13- 607.AB.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the Florida Building Code, Residential (8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13- 607.AB.3.2B of the Florida Building Code, Building, or Table N1107.A8.3.2B of the Florida Building Code, Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. wc.) across the entire air distribution system, including the manufacturer's air handler enclosure. Exception: New or replacement ducts installed onto an existing air distribution system as part of an addition or renovation. Such ducts shall either be insulated to R -6 or be installed in conditioned space. 10) The prohibition on electric resistance heat and the requirement for programmable thermostats do not apply to additions, renovations, and new heating systems installed in existing buildings. TABLE 11B -2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks N1106.AB.1.2 To be caulked, gasketed, weather- stripped or otherwise sealed. y/ Exterior Windows & Doors N1106 AB.t.1 Max .3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Sole & Top Plates _ I . _ N1 . 106 AB 1.2.1 Sole plates and penetrations through Lighting top pl . ✓ ates of exterior walls must be sealed Recessed Li _......._._ _......__._ .._.._.. � _._. q q N1106.AB.1.2.4 Type IC rated no penetrations (two alternatives allowed). Multistory Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. f Exhaust Fans N1106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral 0' A exhaust ductwork. Water Heaters N1112.A0.3 Comply with efficiency requirements in Table N1112.AB.3 Switch or clearly marked circuit breaker electric or cutoff is / A __... (gas) must be provided External or built-in heat trap required for vertical pipe risers. fi Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas pp,N e^y Swimming Pools & Spas 511112.AB.2.3.4 spa & pool heaters rnust have minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum 4 t ':. COP of 4.0. _ Hot Water Pipes N1112.AB Insulation is re uired for hot water cirrulatin s stems (including recovery u . Shower Duct Construction, y equipment ,j Y ( 9 heat rec nits). n and ducts fittings, s mechanical than 2 5 gallons perm shall at BO psig; .i...1 ) Ni 110.AB ad installed in accordance with the criteria and plenum chambers shall be mechanically attached, sealed, insulated /( • Insulation & Installation un N1112 AB 2.4 Water flow must be restricted no m an d l Section chambers s Ducts m attics must attached, insulated to a minimum of �I HVAC Corbels -- - N1107.A0.2 Separate readily ages ble manual or automatic thermostat for each system. 13-D.24 2007 FLORIDA BUILDING CODE — BUILDING 4 wr Project Summary Job: Downstairs Date: Dec 12, 2011 By: Donovan Heat & Air 315 6th Ave S, Jacksonville Beach, FL 32250 Phone: 904 - 241 -3785 Fax 904 - 241 -3745 Email: aaron©donovanac.com Web: www.DonovanAC.com Pro Information For: McEvoy Residence 1090 Carnation St, Atlantic Beach, FL 32233 Phone: 545 -7878 Notes: Desi • n Information Weather: Jacksonville Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 39 °F Outside db 92 °F Inside db 70 °F Inside db 75 °F Design TD 31 °F Design TD 17 °F Daily range L Relative humidity 50 % Moisture difference 58 gr /lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 14402 Btuh Structure 15262 Btuh Ducts 2223 Btuh Ducts 2859 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment Toad 16625 Btuh Use manufacturer's data n Rate/swing multiplier 0.97 Infiltration Equipment sensible load 17577 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 1452 Btuh Ducts 544 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft') 1043 1043 Equipment latent load 1997 Btuh Volume (ft 9388 9388 Air changes /hour 0.39 0.20 Equipment total load 19574 Btuh Equiv. AVF (cfm) 61 31 Req. total capacity at 0.70 SHR 2.1 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 806 cfm Actual air flow 806 cfm Air flow factor 0.048 cfm /Btuh Air flow factor 0.044 cfm /Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.90 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2011- Dec -12 15:11:41 14- w rig htsoft" Right - Suite® Universal 8.0.24 RSU05995 Page 1 ACCA Project2.rup Calc = MJ8 Front Door faces: E 4 wrightsoft® Component Constructions Job: Downstairs Date: Dec 12, 2011 By: Donovan Heat & Air 315 6th Ave S, Jacksonville Beach, FL 32250 Phone: 904 - 241 -3785 Fax 904 - 241 -3745 Email: aaron @donovanac.com Web: www.DonovanAC.com Pro Information For: McEvoy Residence 1090 Carnation St, Atlantic Beach, FL 32233 Phone: 545 -7878 Design Conditions Location: Indoor: Heating Cooling Jacksonville Mayport Naval, FL, US Indoor temperature ( °F) 70 75 Elevation: 16 ft Design TD ( °F) 31 17 Latitude: 30 °N Relative humidity ( %) 50 50 Outdoor: Heating Cooling Moisture difference (gr /Ib) 26.7 58.2 Dry bulb ( °F) 39 92 Infiltration: Daily range ( °F) - 15 (L ) Method Simplified Wet bulb ( °F) - 78 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Area U -value Insul R Htg HTM Loss Clg HTM Gain ft' Bluh/t1"-°F ft'- °F/Btuh Btuh/ir Btuh Btuh/fr Btuh Walls 12C -Osw: Frm wall, vnl ext, 1/2" wood shth, r -13 cav ins, 1/2" n 105 0.091 13.0 2.82 296 2.35 247 gypsum board int fish, 2 "x4" wood frm s 105 0.091 13.0 2.82 296 2.35 247 w 127 0.091 13.0 2.82 357 2.35 298 all 337 0.091 13.0 2.82 949 2.35 792 Partitions (none) Windows 1D -c2ov: 2 glazing, clr outr, air gas, vnl frm mat, clr innr, 1/4" gap, n ..8tF \' 0.570 0 17.7 530 14.9 447 1/4" thk; 50% roller shades, white; 50% outdoor insect screen; 2 s 30 0.570 0 17.7 530 14.9 447 ft overhang (5 ft window ht, 1 ft sep.) w 6 0.570 0 17.7 530 37.9 1138 all ..904 0.570 0 17.7 1590 22.6 2031 1D- c2ovd: 2 glazing, clr outr, air gas, vnl frm mat, clr innr, 1/4" w ,S44.13 0.570 0 17.7 1131 59.9 3836 gap, 1/4" thk; 2 ft overhang (8 ft window ht, 1 ft sep.) Doors (none) Ceilings 16B -30ad: Attic ceiling, asphalt shingles roof mat, r -30 ceil ins, 368 0.032 30.0 0.99 365 1.74 639 1/2" gypsum board int fnsh Floors 22A -tpm: Bg floor, heavy dry or light damp soil, on grade depth, 55 1.180 0 36.6 1994 0 0 tile flr fnsh 2011 - Dec -12 15:21:07 ,+ wrightsoft'° Right - Suite® Universal 8.0.24 RSU05995 Project2.rup Calc = MJ8 Front Door faces: E Page 1 1e, AIN Level 1 A dition 90A 11 Existing _ L Garage Job #: Donovan Heat & Air Scale: 1 : 86 Performed for: McEvoy Residence page 1 1090 Camation St 315 6th Av e S Right- Suite® Universal Atlantic Beach, FL 32233 Jacksonville Beach, FL 32250 8.0.24 RSU05995 Phone: r �8�8 Phone: 904 - 241 -3785 Fax 904 - 241 -3745 2011 -DeO12 1812:23 www.DonovanAC.com aaron @donovanac.com Project2.rup Doc # 2012011845, OR BK 15826 Page 571, Number Pages: 1, Recorded 01/19/2012 at 08:20 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): logo (-fv„ch G'y -r.wb I W{ 1o"-1't, Gtl.. l ' C 7L137 2. General Description of improvements: ' / V- I f C--t�: ft ,)-- c Crt <A b r o w. 3. a) Name and Address: . x- 11 ,v/m/F /,t o O • p b) Interest in property: otilN6r '' - 2 c) Name and address of simple titleholder (if other than owner): 4 4.a) Contractor Information: Name and Address: COGS 1'uM S L , A" Lc NI 1. . 10 1 S All c✓4 ; t, g 14 ,I. 1 a lik ; L b) Phone Number: q 6y , St,) S - 741 t . Surety Information: n c raA a) Name and Address: b) Phone Number: c) Amount of Bond: $ 6. Lender Information: a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself /herself, Owner designates a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.of to receive a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this 2 day of J Y Qn/4a,y , 20 rz -7 . r R7THY M HANC;pC OTARY UBLIC, STATE OF FLORIDA F `1., ': ‘',,fr C is i D 810324 Print Name k o A. 1- r E 1 1 c moe 29, 2 012 CQ'�. '"'" I' Known ❑ Identification/Type: Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. —___,-- a Revised 10/1/2009 „ _ City of Atlantic Beach APPLICATION NUMBER \.. Building Department (To be assigned by the Building Department.) 7- 800 Seminole Road —` Atlantic Beach, Florida 32233 -5445 12 — OOZ5 \ Phone (904) 247 -5826 • Fax (904) 247 -5845 o;;lE%- E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us ��� L APPLICATION REVIEW AND TRACKING FORM Property Address: /096 g6 6/6/4,74 Department review required i ly No i (Building Applicant: h_ ' Air - • _ sd..01 pt Zo / -- ' . ••'nistrator Project: X f/n �Grco 74 Tl6A - ublic Wors �' 4 ' ublic Utilitie -..' - -ey Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. (Denied. (Circle one.) Comments: 67„,_ c ult s . BUILDING PLANNING & ZONING Reviewed by: Date: TREE TREE ADMIN. Second Review: QApproved as revised. nD ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 -r C ity of Atlantic Beach Building Department APPLICATION NUMBER t ----- '' ' \ S 800 Seminole Road (To be assigned by the Building Department.) J �'• Atlantic Beach, Florida 32233 -5445 12- QQZ Phone (904) 247 5826 • Fax (904) 247 5845 � �;;„_ v E -mail: b building -dept coa.us °� Date routed: 6th z City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f Q VQ &Lj4.14'6Y) S 7-- Department review required Yes No I Buildi Applicant: ?_*-----/ _ v, 1/ Ornieyrikel-ia fanning &Zo • -- ' - a l . nistrator Project: 11 f m ?i - 1 roc,s - dAI - ublic Work 4 ' ublic Utilitie - - ey Fire Services Review fee $ 3)• Q() Dept Signature ____60 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: . ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZO G oI /11 Reviewed by: Date: /2LZJ TREE ADMIN. Second Review• (Approved as revised. ❑Denied . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. (Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach � - -� 2 . �., _� ' - .� ,A APPLICATION NUMBER Building Department 800 Seminole Road JAN (To be assigned by the Building Department.) Atlantic Beach, Florida 32233 -544 0 9 20i - a� Phone (904) 247 -5826 • Fax (90• LZ9 p @ -de t c oab.us t� Y V-5845 Z E -mail: buildin Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `D ''D &Lel/A:A Sr De artment review required Yes q No Buildi Applicant: h v� *Laps ' fanning & Zonag � -- ' , a 'nistrator Project: A / L / A!. -k 0 � _ -� 0 'ublic Worjs " ubIic Utilitie e Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. Ki Denied. (Circle one.) Comments: - BUILDING J � PLANNING & ZONING F Reviewed by: Date. l 2- TREE ADMIN. Second Review: Approved as revised. pp nDenied. PUBLIC WORKS Comments: P Y)z. Q:)4c'ej PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:/ � Date: Z FIRE SERVICES Third Review: (Approved as revised. [Denie.. Comments: Reviewed by: Date: Revised 05/14/09 ; f--- sL A ,v ;. City of Atlantic Beach ` APPLICATION NUMBER -"N Department J 800 Seminole Road JAN 20i2 (To be assigned by the Building Department.) \,_,--' ` !" Atlantic Beach, Florida 32233 -544. - /2. — OO25 \ \ Phone (904) 247 -5826 • Fax (90•1' :584� � �;;��� E -mail building- dept @coab.us Date routed: City web -site: http: / /www.coab.us �/� Z- APPLICATION REVIEW AND TRACKING FORM Property Address: /0 g0 gAZA//4.14'tirj - Department review required Yes No Buildi Applicant: pp _ �, � /��,1 a arming & Zo -- • - •.'nistrator Project: X i&nirooist 4A-A aw -ublic Wor. 4 " ublic Utilitie -ley Fire Services Review fee $ i Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING j / � 1 �� Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. =� W C. mments: =c tale" PUBLIC SAF Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [Denied. Comments: Reviewed by: Date: Revised 05/14/09 DO NOT WRITE BELOW - OFFICE USE ONLY Applicable Codes: 2007 Florida Building Code w1 2009 Revisions Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials /Date: /2 Development Size Habitable Space Non - Habitable Impervious area Miscellaneous Information Occupancy Group *p s Type of Construction`s 3 Number of Stories Zoning District is S - 2 Max. Occupancy Load Fire Sprinklers Required Flood Zone )S Conditions /Comments: F'6 fp a p S /a c Aa�� 7/ At S /o I f© a /4 r'oi t Jel t,1'f� CITY OF ATLANTIC BEACH ;., 0 800 SEMINOLE ROAD j 7 x , ATLANTIC BEACH, FL 32233 m INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000025 Date 3/12/12 Property Address 1090 CARNATION ST Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc KITCHEN ADDITION AND BATH REMODEL Owner Contractor MCEVOY KEVIN P & UNDINE A EASTERN SHORES CONSTRUCTION 1090 CARNATION STREET 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545 -7878 - -- Structure Information 000 000 ADD KITCHEN AND BEDROOM UPSTAIRS Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE AE Permit MECHANICAL HVAC PERMIT Additional desc . INSTALL NEW 2 TON WITH DUCT Sub Contractor . DONOVAN HEATING & AIR Permit Fee . . . 111.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/08/12 Special Notes and Comments AE FLOOD ZONE *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247 -5834) for Erosion and Sediment Control Inspection prior to the start of construction. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Contact Public Works (247-5834) for Erosion and p Sediment PERMIT IS`A9PIrOV ONGY G v l NPE iNV-1 ,t-t,7 elTY MPAfi ff NI7C' - BE INANCES AND THE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH 0 800 SEMINOLE ROAD j 7 -7x: ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 ���� )` Page 2 Application Number 12- 00000025 Date 3/12/12 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 111.00 111.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 115.00 115.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 ( )-. )}--5 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: \ l 7 O O C G r cjt- n Si-. PERMIT # , <��' PROJECT VALUE $ "7000- NEW AIR CONDITIONING & H1 tTING SYSTEM INSTALLATION Air Conditioning: Unit Quantity _ Tons Per Unit Heat: Unit Quantity _ BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # 3(09%437 Air Conditioning: Unit Quantity \ Tons Per Unit a REQUIRED Heat: Unit Quantity 1 BTU's Per Unit d 4 (No Seer Rating i 3 �b Duct Systems: Total CFM i REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 10 C L VO y )6.e 0 Phone Number qo ,N7- %)6 Mechanical Company Donovan Heat & Air Office Phone241 -3785 Fax241 -3745 Co. Address: 315 6 ave s. City JAX BEACH State FL Zip 32250 License Holder (Print): WILLIAM D QN . State Certification/Registration# cac039761 Notarized Signature of License Holder G , .....- vL. OTEN Sworn and subscribed before me this ar day of F bractiiy 20 ANN M. WO O., . `j9 jY Notary Public, State of Florida Signature of Notary Public Oa My Comm. exp. Jan. 28, 2013 Comm. No. DD 855678 a"Uaa.i CERTIFIED TM www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3698437 Date: 3/12/2012 Product: Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number: 25HBC324(A,W) * *30 Indoor Unit Model Number: FX4DN(B,F)031 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: BASE 13 PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 23000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 13.50 Heating Capacity(Btuh) @ 47 F: 22600 Region IV HSPF Rating (Heating): 8.00 Heating Capacity(Btuh) @ 17 F: 13800 * Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION s Lim The information for the model cited on this certificate can be verified atwww.ahridirectory.org, Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on Arta ow - ' and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129760433488808914 Arnenuoir GACO WESTERN Insulation Certificate Date installation completed 322 /AV. Building address /1' 4Q &1i?-N,47 57. City /State /Zip 47 /+/77C. A290/7 1 , • Application Contractor (company name) / /�� „ g0 _4'117 Address 1935 /ST72,/6U77DA/ City/State /Zip 3niOt^ FG . 33Z5Zp Phone OV oTto $ - S8 g Areas Insulated Exterior stud wall Average thickness R -Value Ceiling Average thickness r j . R -Value ZO Roof deck Average thickness R -Value Crawl space /basement Average thickness R -Value Additional areas insulated qi C - 2 /3 I (print name) &grit—. Y1WS77)/./ as an independent contractor, certify that the GacoWestern insulation installed on this project was applied in accordance with the GacoWestern recommendations and specifications as stated on the product data sheet and the GacoWestern Application Specifications in the amount as indicated on this certification. (signed) Date 312 i / z— GacoWestern Aged R -Yalne that Dimensional Limber 1" 2" 3" 4" 5" 6" 7" 8" 9" 3.5" 5.5" 7.25" 6aco6ree. 4.2 8 12 16 20 24 28 32 36 14 22 29 GacoRreStop 3.7 7 11 15 19 22 26 30 33 13 20 27 183N 6.4 13 20 27 33 40 47 53 60 23 37 48 184' 6.1 13 20 27 34 40 47 54 60 24 37 49 193 6.2 13 20 27 34 41 47 54 61 24 37 49 'Media Nil mowed 1Friies GaaoWaIIFoam SPRAY POLYURETHANE FOAM mSULAnon www.gacowalltbam.com j 800.456.42 26 EVALUATION REPORT IMMO Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 DIVISION: 07- THERMAL AND MOISTURE The insulation material is for use in wall cavities, PROTECTION floor /ceiling assemblies, or attics and crawl spaces Section: 07 21 00 Thermal Insulation when installed in accordance with Section 4.0. Under the IRC, the product may be used as air - impermeable REPORT HOLDER: material when installed in accordance with Section 3.4 Gaco Western, LLC 1245 Chapman drive PO Box 646 The products comply with the above- mentioned Waukesha, WI 53186 codes as described in this report. This report is 262- 542 -8072 based on the 2009 ICC Codes listed above except as www.gacowaflfoam.com noted below: • Application with a Prescriptive Thermal EVALUATION SUBJECT: Barrier: See Section 4.3.1, except the GacoFireSto 5500 approved thermal barrier must be installed p in accordance with Section R314.4 of the 1.0 EVALUATION SCOPE 2006 IRC. 1.1 Compliance with the following codes • Application with a Prescriptive Ignition Barrier: See Section 4.4.1, except attics • 2009 International Building Code®(IBC} must be vented in accordance with Section • 2009 International Residential Code® (IRC) 1203.2 of the 2006 IBC and crawl space ventilation must be in accordance with IBC • 2009 International Energy Conservation Code Section 1203.3 of the 2006 or IRC R408, as • 2006 International Residential Code® (IRC) applicable. Additionally, an ignition barrier • 2006 International Building Code ® (IBC) must be installed in accordance with Sections • 2006 International Energy Conservation Code R314.5.3 or R314.5.4 of the 2006 IRC, as (IECC) applicable. • 2003 International Building Code® (IBC) • 2003 International Residential Code® (IRC) • Application without a Prescriptive Ignition • 2003 International Energy Conservation Code Barrier. See Section 4.4.2, except attics (IECC) must be vented in accordance with Section 1203.2 of the 2006 or Section R806 of the 1.2 Evaluated in accordance with IRC, and crawl space ventilation must be in accordance with Section 1203.3 of 2006 IBC • ICC -ES AC377 Acceptance Criteria for or IRC Section R408, as applicable. Spray - Applied Foam Plastic Insulation (approved October 2010) • Protection Against Termites: See Section 5.6, except use of the insulation in areas 1.3 Property evaluated where the probability of termite infestation is "very heavy" must be in accordance with • Surface - buming characteristics Physical Section R320.5 of the 2006 IRC. properties • Thermal Resistance • Jobsite Certification and Labeling: See • Attic and crawl space installation Section 5.7, except jobsite certification and • Air permeability labeling must comply with Sections 102.1.1 and 102.1.11, as applicable, of the 2006 2.0 USES IECC Page 1 of 5 Copyright 0 2011 by International Association of Plumbing and Mechanical Officials. All rights reserved. Printed in the United States of America. No part of this publication may be reproduced, stored in an electronic retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. Ph: 1- 877- 4IESRPT • Fax: 909.472.4171 • Web: r,vw �r ,i es c�rc E; t tract • EVALUATION REPORT it AW Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 3.0 DESCRIPTION DC 315 intumescent coating is a water -based coating manufactured by IFTI, Paint to Protect, and is supplied 3.1 Materials in 5- gallon (19L) pails and 55- gallon (208L) drums. The coating material has a shelf life of 24 months GacoFireStop 5500 spray - applied foam insulation is when stored in factory- sealed containers at semi- rigid, low- density, polyurethane foam plastic that temperatures between 41 °F (5 °C) to 95 °F (35 °C). is installed as a component of floor /ceiling and wall assemblies. The insulation is a two- component spray 4.0 DESIGN AND INSTALLATION foam plastic with a nominal in -place density of 0.55 pcf (9 kg /m3). The insulation is produced in the field by 4.1 General combining a polymeric isocyanate (A component) with a polymeric resin (B component). The insulation liquid GacoFireStop 5500 spray - applied foam insulation components are supplied in 55- gallon (208 L) drums must be installed in accordance with the and must be stored at temperatures between 50 °F manufacturers published installation instructions and (10 °C) and 90 °F (32 °C). GacoFireStop 5500 has a this report. A copy of the manufacturer's published shelf life of six months when stored in factory - sealed installation instructions must be available at all times containers at these temperatures. on the jobsite during installation. 3.2 Surface- burning Characteristics 4.2 Application The insulation, at a maximum thickness of 4.0 inches The GacoFireStop 5500 insulation is spray - applied on (10t6 mm) and a nominal density of 0.55 pcf (9 the jobsite using a volumetric positive displacement kg/m3), has a flame - spread index of 25 or less and a pumps as identified in the Gaco Westem application smoke - developed index of 450 or less when tested in manual. The insulation must be applied when the accordance with ASTM E 84. Thicknesses of up to ambient temperature is greater than 32 °F (0 °C). The 11% inches (286 mm) for wall cavities and 16 inches insulation must not be used in areas that have a (406 mm) for ceiling cavities are recognized based on maximum in- service temperature greater than 200 °F room comer fire testing in accordance with NFPA (93 °C). The foam plastic must not be used inside 286, when covered with a minimum IA inch thick (12.7 electrical outlet or junction boxes. The foam plastic mm) gypsum board or equivalent thermal barrier must not be sprayed onto a substrate that is wet, or complying with and installed in accordance with the covered with frost or ice, loose scales, rust, oil, or applicable code. grease. The insulation must be protected from the weather during and after application. The insulation 3.3 Thermal Resistance, R-values may be applied to the maximum thickness in a single pass. Where insulation is used as an air - impermeable The foam insulation has a thermal resistance (R- insulation, such as in unvented attic assemblies under value) at a mean temperature of 75 ° F (24 ° C) as IRC Section R806.4, the insulation must be installed shown in Table 1, based on testing in accordance with at a minimum thickness of 3.5 inches (89 mm). ASTM C 518. 4.3 Thermal Barrier 3.4 Air Permeability 4.3.1 Application with a Prescriptive Thermal GacoFireStop 5500 spray - applied polyurethane foam Barrier: GacoFireStop 5500 spray foam insulation insulation, at a minimum thickness of 3.5 inches (89 separated from the interior of the building by an mm), is considered air - impermeable insulation in approved thermal barrier of 1 /2 inch -thick (12.7 mm) accordance with Section R806.4 of the IRC, based on gypsum wallboard or an equivalent 15- minute thermal testing in accordance with ASTM E 283. barrier complying with IBC Section 2603.4 or IRC Section R316.4 except where insulation is in an attic 3.5 DC 315 Intumescent Coating or crawl space as described in Section 4.4. Page2of5 EVALUATION REPORT i �«A Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 4.3.2 Application without a Prescriptive Thermal b. There are no interconnected attic or crawl Barrier: GacoFireStop 5500 spray foam insulation may space areas. be spray - applied to the underside of the roof sheathing c. Air in the attic or crawl space is not and /or rafters. floor members and walls as described in circulated to other parts of the building. this section. The thickness of the foam plastic applied to d. Under -floor (crawl space) ventilation is the underside of the roof sheathing and rafters, or floors provided when required by IBC Section 1203.3 must not exceed 11_ inches (292 mm).The thickness of or IRC Section R408.1, as applicable. the spray foam insulation applied to vertical wall e. Attic ventilation is provided when required by surfaces and between and over the attic joists must not IBC Section 1203.2 or IRC Section R806, exceed 7_ inches (190 mm). except when air - impermeable insulation is permitted in unvented attics in accordance with The exposed surfaces of the foam plastic must be Section R806.4 of the IRC. covered with DC 315 coating at a total minimum film f. Combustion air is provided in accordance thickness of 22 wet mils. The coating must be applied with IMC (International Mechanical Code®) over the GacoFireStop 5500 spray foam insulation in Section 701. accordance with the coating manufacturer's instructions and this report. Surfaces to be coated must be dry, GacoFireStop 5500 applied as described above, can clean, and free of dirt, loose debris and other be shaven or trimmed to stud or rafter depth, or left fully substances that could interfere with adhesion of the untrimmed or unshaven. coating. The coating is applied with low- pressure airless spray equipment. 4.4.2.2 Application without an Intumescent Coating: The ignition barrier required by IBC Section 4.4 Attics and Crawl Spaces 2603.4.1.6 or !RC Section R316.5.3 and R316.5.4 may be omitted for the following applications. 4.4.1 Application with a Prescriptive Ignition Barrier: GacoFireStop 5500 can be shaven or trimmed to stud When GacoFireStop 5500 spray foam insulation is or rafter depth, or left fully untrimmed or unshaven. The installed within attics or crawl spaces where entry is insulation must be separated from the interior of the made only for service of utilities, an ignition barrier building by an approved thermal barrier. must be installed in accordance with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or R316.5.4, as In attics, GacoFireStop 5500 foam insulation may be applicable. The ignition barrier must be consistent with spray - applied to the underside of the roof sheathing the requirements for the type of construction required and rafters, between and over the joists on attic by the applicable code. GacoFireStop 5500 spray- floors, and to walls. The thickness of the foam plastic applied foam insulation as described in this section applied to roof sheeting and rafters surfaces must not may be installed in unvented attics in accordance with exceed 11'% inches (286 mm) and applied to walls IRC Section R806.4 and may be shaved or trimmed to (vertical surfaces) and between and over the joists in any degree or left unshaven or untrimmed. attic floors must not exceed 9% inches (235 mm). The foam plastic insulation described in this Section may 4.4.2 Application without a Prescriptive Ignition be installed in unvented conditioned attics in Barrier: accordance with IRC Section R806.4 when foam plastic is applied at a thickness of 3.5 inches (88.9 4.4.2.1 General: Gaco FireStop 5500 spray - applied mm) or greater. foam insulation may be installed in attics and crawl spaces, without a prescriptive ignition barrier as In crawlspaces, GacoFireStop 5500 foam insulation described in IBC Section 2603.4.1.6 and IRC may be spray - applied to the underside of floors above Sections R316.5.3 and R316.5.4, in accordance with crawlspaces and walls. The thickness of the foam Section 4.4.2.2 when all of the following conditions plastic applied to in floors over crawlspaces must not apply: exceed 11% inches (286 mm) and applied to walls a. Entry to the attic or crawl space is only to (vertical surfaces) must not exceed 9% inches (235 service utilities, and no storage is permitted. mm). Page 3 of 5 EVALUATION REPORT Report Number: 0233 Issued: 08/2011 Expires: 08/2012 Revised: 09/07/2012 5.0 CONDITIONS OF USE 6.0 EVIDENCE SUBMITTED GacoFireStop 5500 spray foam insulation described 6.1 Data in accordance with the ICC -ES Acceptance in this report complies with, or is a suitable altemative Criteria for Spray - applied Foam Plastic Insulation to what is specified in, those codes listed in Section (AC377), dated Feb 2011, including reports of tests in 1.0 of this report, subject to the following accordance with Appendix X. conditions: 6.2 Reports of air leakage testing in accordance with 5.1 The products must be installed in accordance with ASTM E 283. the manufacturers published installations instructions, this evaluation report and the applicable code. If 7.0 IDENTIFICATION there are any conflicts between the manufacturer's published installation instructions Components of the spray foam insulation are and this report, this report governs. identified with the manufacturer's name Gaco Westem, LLC, address and telephone number; the 5.2 The insulation must be separated from the product name (GacoFireStop 5500) use instructions; interior of the building by a approved 15- minute the flame - spread and smoke - developed indices; the thermal barrier, except when installation is as lot number; the evaluation report number (0233); and described in Sections 4.4.1 through 4.4.2.4. the name of the inspection agency (Intertek Testing Services NA, Inc.). 5.3 The insulation must not exceed the thicknesses noted in Sections 3.2, 4.2, 4.3, and 4.4. 5.4 The insulation must be protected from exposure to weather during and after application. I A o M0 5.5 The insulation must be applied by contractors certified by Gaco Westem, LLC. TM 5.6 Use of the insulation in areas where the IAPMO #0233 probability of termite infestation is "very heavy" must be in accordance with IRC Section R318.4 or IBC Section 2603.8. �4 5.7 The insulation is produced in Waukesha, Wisconsin, under a quality control program with Director of Evaluation Services inspections by Intertek Testing Services NA, Inc. (AA -690). Page 4 of 5 EVALUATION REPORT j t Report Number: 0233 issued: 0812011 Expires: 08/2012 Revised: 09/07/2012 TABLE 1- THERMAL RESISTANCE (R- VALUES) ctillisttt Air 'WA n.c A 44.4. �s13 Li4st JJ 411 41 .ld 414E 4st »ice L7 -94 -34 is! J 4 c!� J44 J4,444 cicr ij114 For SI: 1 inch = 25.4 mm, 1 OF.ftz.h/Btu = 0.176 110°K.m2AN. 'R- values are calculated based on tested K- values at 1- and 3.5 -inch thicknesses all other thickness' are calculated. Page 5 of 5