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Permit 1490 Ocean Blvd (vault) Ct7Y OF ATLAN71C BEACH RCOFING PERM17 APPLICATICN JOB LCCATICN: [4QQ OCear� , 11 OWNER CF PROPERTY: (`? f-�' t'ttYIFI i CONTRACTOR.- w,C Irl p/r CCNTRACTCR'S ADDRESS: S i ATE L1CFENSE NUMBER: TELERHCNE. DESCRIBE WCRK TO 6E PERF0RMED:9e',,YYrlQ , i'l�+ VALUATION CF PRCFCScO CONSTRUCTtCN ��J MATERIALS TC BE USED: Qr-PeLL � � r r SIGNATURE OF CWNER: —A SIGNA T URE OF CONTRACTOR: CLS 0 ��>' x" c � SWORN TO AND SU6SCR18E0'BE=CRE ME THIS AY CF 1d r NOTARY PUBLIC zM:° Patricia Amonette Liability Insurance Supplied MY COMMISSION M CC&Ml EXPIREF • .; 1+ON9l9 TMIpI Auat'I'AQN RAIN INNNgwngE,n+c: MW Workers Ccmpenszvcn Insuranca Supp.tied Ccntractor License Infcrmaton Supplied Occupaticnal License Information Supplied CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-6877 PERMIT INFORMATION LOCATION INFORMATION" Permit Number: 17773 Address: 1490 OCEAN BOULEVARD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): 6 Block: 5 Section: 0 Square Feet: Subdivision: MANDALAY Est. Value: Parcel Number: "Improv. Cost: 1,500.00 OWNER INFORMATION " J Date Issued: 2/09/1999 Name: ROBERT D. & JEANNINE FINDLEY Total Fees: 25.00 Address: 1490 OCEAN BOULEVARD j Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/08/1999 Phone: (904)249-2057 Work Desc: REROOF CONTEdACTOR S APPLICATION FEES PROPERTY OWNER PERMIT 25.00 I Ij I it Ij I Inspections Required ed I f i ! NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION j 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 I j 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. I t I $25.0914 bv._ Date: 2/89/99 81 Receipt: 8832344 A NTIC BEACH BUILDING DEPT. 881888 4743 83221888 R CCITY OF you SLyIINO I,F IZ(1�vI) _ vTL,vXTIC I>r:ACHt :;"2:;:;-5 41,, CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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 IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE, EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 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 WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER GADDRESS TELEPHONE �j�' SWORN TO AND SUBSCRIBED BEFORE ME THIS ! OF I -'• NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING P 'ht Patricia Anlonatta DEPARTMENT. =, My COMMMe,IQ,,,N,��III W$N$1 EVIRES ftW27.r000 +' I at*M r44 TROP FAM INSURANCE,INC. 7460 011PAATUSNT OF 8t1 L*1NQ CITY OF ATLANTIC BEACH F'ORMATIQN rNFORMATION it N r 46CI ddross: 1491 OCEAN BOULEVARD T p ` BttILL IINC ATLA1WTIC I BEACH, FLORIDA 32233 gt H REPLAT PERMIT ------_71- LEC ,DLSCRIPTION ----------- FRAME, C p4 W0OD Lot : Bloc' � section. P toted 0-iFAT S►/OECD Tc�wa�iahi P: RNIB. Ci we Code C Subdiv si:o : mated V'a l e, rn�pa Co .Oct' Total Feet : B ,0-O L"+at 163 I� :s " ' 14Ut32 TION �. � APPLICATION FEES �a E F I NDL>�� . I fi $ :04 'd Cx 3LEVAf�IC W"ATER IMPACT 0E3 t FL"tR13A 3PACS E 00 .00, ° l ° . - gq. o A tAS-N R a S. MI "A " O�".,� ;_� RATION GABS t? I R 0 CAPITA TAL IMPROVE. d O 0 O 00 H'L A L IC SHARE So" ; . ti Tve CROS S CONNECT ON �4 } EC.H IMPACT FEE `NOTICE-ALL CONCRETE FQ8,#AS AND FOOTINGS MUNO Y PERMIT VOID SIX MONTHS 'AFTER GATE OF ISSUE' i> SUS DING�AATEfIlAL,,RUBSIS'HirAND,DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE,AND MUT BE AF#E?D UP AND AU 'tr)AWAIT BY EITHER CONTRACTOR'Ofd OWNk 'i yVfiTH THE MECHANIC ' LIENLAW CAN RESULT 1N . 000# * WNERP YING TW,,IoE F i": #:1i1.,Q►1 1 r l P .t31/E..ME ITS." i �CRRfN fi0 A#F LOVED' LAN WHICH ARE PART OF THIS PERMIT pialD SUBJECT TO E A ON;FOR s O q#,APPLICABLE PROVISIONS OF.IAW. Q A AA ITI EAGH BUILa G EJ.EPARTIyIENT " City of Atlantic Bob, 1 l '090ARTMENT OF"BUIL,DING ' CITY OF ATLANTIC 1BOA614 f I LOCATION INFQkMAT "NU ION,-ill eassz # 3O;EAI91 BOULEVARD P rr fiyPe"., ELECTRO.,CATS - ATLANTI BERCH', FLORIDA 32233 -- .. . _T rAzt : USS :SINGLE FAMILY, h Ia:. RNA ' $ (Ibii . �Co s €} " xA tc?ul« q $21.00 � k A L TQC APPLI'CA'�IC?N FEES { . _.... ,.P E" 1D OtILEARI} ATE PACT P E MOO .. n 41140p,e- Z FLORIDA- RAI �+roL .E. D. Q .� , ..:. C RADON- CAS - a , 003 EUOT C INCT, TAI? A O}_.�,03 ` �: SEWER, TAF 1-1-1- R 'LA 'I', 13 L 2'23 } � f HRALLI � FR .4CI 't' p�: CPImAL I1I?RCtFE. S -H' IMPACT FE j uYA.Whd:x' �Ww„ +*+Nyye��.H r�"+e✓�au•.wrvxi"�WPn�venRa mow+== `�. 1 NOWT S: i t „ y f i t T t ` NOTICE -At.L CONCRETE IF .AMS AND FOOTINGS MUST SE INSPEt:TEo BEFORE P�OURINt'i . � PERMIT VOID SIX MONTHS AFTER RATS"OF ISSUE � 1 DFtVCa 1uIATEP?i�tl,RUBBISH AND DEBFIIS.FRC�M THIS WORK MUST NOT BE PLACED IN'PUBLIC SPACE,AND MUST BE CLARD lP' INDHAULED AWAY BEITHER CONTRACTOR OR OWNER ," C APL' Vlll'TI4# 'Ft `MECMAI ICS' LIEN LAW CAIS RVSUL' 1�1 � 3ET�fIl'1 'A'( IG "�11E FtiL ►IG III�CPFfl�/E1ltTi. ' ,. �AeiR47 tYR ' ��t1 81'� CORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND $UBJECCTT TOS Rte, R III I N QFAPPLICABLE;P�ROVISJONS OiP LAW. ATLAI�ITII EACH J3 O.'i DEPARTMEfi " ; !t}361 S a.�^ 'Y � w. i `k"7- k •�. v�`ix3ti?s».F,.1tK�M✓h�v a.¢r.�E .tka`:+ a, 4&4#d4-0 11��� AACITY OF Office of Building Official f REQUEST FOR INSPECTION �i Date / �3 Permit No. Time A.M. ReceivedC/.�� m P.M. 4 V eo_,U,&X� Job Address Locality Owner's Contractor --A BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. D Wed. Thurs. Friday P.M. �y �j A.M. Inspection Made ��7� J P.M. Inspector final Inspection EJ Certificate of Occupancy❑ Date /n/di'4_ nnCITY OF Yg � 13P4cA-0;&u-d4 Office of Building Official �� L REQUEST FOR INSPECTION �, __� Date � Permit No. � T Time 4 Received / PM. _��t Job Address r, 4cality Owner's Contractor BUILDING CONCRET CTRI PLUMBING MECHANICAL Framing Footing ❑ Rough Winng Rough 11Air Cond. & r]Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel p Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made � PM. 2 d Inspector < _ Final spection ❑ Certifica e of Occupancy❑ Date CITY OF 4&6a 4-c BeacA-4;kimda Office of Building Official REQUEST FOR INSPECTION ` Date / Permit No. Time V A.M. Received M. Distri o. /y �6 J7bAcess Locality Owner's Nam Contractor BUILDIN N ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footl Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Ste Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab Y FOR INSPECTION A.M. Mon. Tues. Wed. Thurs, Friday P.M. — A.M. Inspection Made Inspector ..rte — Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ f` Z 7 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. V �aL4 &/Z 9'LE`CYRICXL FIRM: MASTER ` ELECTICN IGN E jQu ADDRESS-- NAMEC / 2 C�96 /` RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES _ APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( 1 REW. l 1 AODITIONS�4TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W 7 OLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS -!S;- I CONCEALED OPEN TOTAL RECEPTACLES /D 1 CONCEALED OPEN TOTAL 0.80 AMPS, 91.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 5,932 ©EPARTMENT OF BUILDiNG CITY OF ATLANTIC BEACH - _ PER I'1X ,ORNATI -------- LOCATION , INF€]NM, T2Q 1 >re t N Ube t 5932 Addreast . 490! OCEAN BOULEVARD ATLANTIC` BEACH. FLORIDA 32233 > of 'Work ALTERATION - _..� ., ��,- � LE�3AL t�ESCRIP�' dN . � _.:-----, C 0str. ;Tye t WOOD FRAME Lcat� � BI k t 59 soctiorw t� �a *d Upes SING,L. FANIL T, Toitnewhi p a RNt3c Q L ngt t ! Cadyt © {},s © ubdiviadr cat;<t MANDALAY Iapray. Coati ,. Tot*i� at Aeou,» a $247,50 1c►; ic 'Br+ TItO PATIO AND ADD DECK �'O l�ECr�►AiD STORY PER PLANS APPLICATION FEES -- NtILiL�AI WATER INPACT, FEEt3.Q c1Z, RA # N GAS-H R.Sr $0.00 0 FORMAT t�Ai�L3N GAS - 5% *0-kv rV.♦r it+.�' Eft WATER TAP * Oo HYDRAULIC SHARE GO.QCT Typ+ea s 1 RE-� 11'3P CT FEE � t SEC. AIMPAC" PRE 0006 . � .a 01 4 t NOTlCIIr, -A�Li.CONCRE;"I l ,FClR1YiS►ANO FOOTI G1S MUS'�''SE.it+f$PEC�TII t1 BEFORE POURING PERMIT VxJ## SIX MONTHS AFT€R'DATE OF#SS' BU .DING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PAJOLIC SPACE,AND MUST BE CLAREQ UP ANQ`HA#JLEQ AWAY BY IrITHER CONTRACTOR OR OWNER � ILUi ` `fir ,COMM Y 1 TW THg MECHAN ' LIV LA'1N 1N 1 1 L7" IN TSE`PRt PE "'�'Y OW N: R<< ►AYINO TWICE FOR RUII.© t IMPROVEMENT 1st PN TIMEt ACC=C}Fttlil TO APPRGII/ED PLANS wHICW ARE PART OF THIS,PERMIT AN.. GT TOR >38 ON,FUR TION QF AFRI IGABL€PR.�}�itS ONS GAF LAW. �. $.d#4 ATLANTIC BEACH BUlLOING t3t*PARTMENT ByF4 44 7 77 w AJlil�::'J_�._• t/ �_ L_J C_ r � (`*4.✓ "^. �/` Y��C' •IJ�� �+� ;'�if / �1.,.��. 4 1�_ Heated Square Footage yj @ $ 6-3 0 CC per sq ft = $ � Garage/Shed --- @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck s V @ $ _per Patio @ $ per sq ft = $ TOTAL VALUATION: $ 30) Total Valuation 1st $ l o o n q, 5G 4 /��-C7 $ ��" O Remainder Valuation per EEZU—sand or r portion thereof -------------------------------------------- Total Building'Fee16, ADDMONAL PE MTS and/or FEES WIRED � + k Filing Fee ,lechanical Q Fireplaces @ 15.00 Pluahing ; BUILDIM'PERMIT FEE Electric/New i L-------------------------------- --- --------- Electric/Tamp Septic Tank BUILDING PERMIT $ -a -7 So Well WATEI. IR METER CHAF� E $ � S=.•rimTdng Pool SEWER IMPACr FEE $ k-- 6 Sign WATER IMPACT FEE $ --- U -- Water Ccxmection MISCELT ANE OUS Sewer Cornnection /G1 "4 0 $ � :Dater Meter $ Elevation Certificate GRAND TOTAL DUE $ �-t_77 - c? ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES i CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner k 3- Address : -----------Phone: '-z 7,) ,4 Q Lot #--L--- Block or Unit Subdivision: A,,L, ------ Contractor : Describe work to be done: -------------------------------------------------------------------- Present use of building :_V`11�`\a_�................................. Valuation of-Proposed-Construction: v�-'-�?--------------------------- Proposed use: __ _\�,� -------------------------------------------- Is this an addition? If yes, what are the dimensions of the added space: _- ____-ft. X Will the added area i.-A be heated and cooled?i 0 ,t_ New electrical (or increase) ? New plumbing fixtures? ]'�'--) New fireplace??-) ) New Heat/AC?_ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. SiqriaLure OWNER Signature Date:Nj�g NO N1NG OFF 1992 3 as i i'a , Al a P� q 1 44,FIre iv = U ' i t t i s , 1 . -- f s w i i i 9 r r I � { r � c i - � t i _ # E 5 � oF�,cE �C 8V 1N I y I i 1 Aid �o�•�s �� LT /o -- f/'� +__-�•� -- Imo' ; �.. c'�. � .;Z1 J J � ! ! ! 1 . �!I 1 xz ^� ;1 c -151 1 s.. C kk [ , t C/ A pp wx g OFAt�g0 V N t ' o,NGf C�Be b 1 r l 0 , 000 Ole fooes cnygAp e�o°Nr 4Tc'gNTic E O 1992 r l • • • • • 0 0 0 0 0 0 0 0 0 0 0 FLA. 1097 LAWSwA40*MCO Post" ► Fs 713.13 IV ON uxi�rr Of 0aMMrnjrr1"nt r11t►Alli I,1 OUINW7i1 %a Whom it r>nclu= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. r Description of property................ ....! ............. :? .u.. ... ...,..`�.. ?.....»... ask .x::..� cM.1. .tea...«....».....««.«.««......... ..................»......................................»............................».....................................................».............................«..«...\........«..«.....»..««»......... ..........................................».............................................................................................................................. «...._............ «.....1...«..»... »... General description of improvement:•.•«. •�:. � . .. 7�..a« �..,..l.:aT.�........�L�.�. a.. ...»..».««»...«.««...»..«..«..« ............................................................................................................................................».».»........................... ........«..»....». «..........« Owner.... ....... �..... ...... ,.. ..s.x,..l: .>�........................... Address....A...[ S�..... «4 c:. 1.. ..�1..5 .».....«.....................»...«.....».«,....»»»....».............._........»..«........».....»»._........... Owner's interest in site of the improvemeN..... ..4.. .,.,�.a. ?..�: ....»............«.................»...............«»......««....»...»».. ........ Fee Simple Title holder (if other than owner) Name.........:. !.:... .......................................................................................................................................»........»...........,.«.....«..«............. Address,.......«......................................................................................................................«........................».....»...»..........»..»............. ._........«........ Contactor..... ..a� S......«.»»............................................... ..................................................«...»»..........».............«.....»............... Address........................... .............................................._.......«.............................«........................... .....«...»..«......».«.............«..»..................«...» Surety (if any).....1.�?.�A�.........................».......................................................................................................»...........»..»..».... ..............» Address.....................»«.....................................»..............................»..........................................AmCpW of bond i........................... Name of perw within the State of naves designated by owner upon whom notices or other doasnwnts my be served tu ............��.:�..............«............................»................................................................ .....»«.................._._...�»...._......«»..... Addres&...............................................................................................................................................................................................................«.... I n addition to himself,owner designates the following persori to receive a copy of the Lienoes Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name............1...\-A...................................»......................................................................«................................_.»............... ...».»............. Address....................................................................................................._........ _.. .................. ........... ..... ...... .......«.......».............. TNts .►Ara Pat n19CONS t•6 UZZ ewer 1 r FLORIDA ENERGY EFFICIENCY CODE FOFiM A00-C-91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10—Residential Prescriptive Compliance Method Climate Zon ,s AND RENOVATIONS Department Of Community Affairs NORTH 1 43; Compliance with Section 10 of the Florida Energy Efficiency Code maybe demonstrated by use of Form 100OC-91 for additions of 600 square feet or less, and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1000A-91 or 900A-91. PROJECT NAME: '4- axe . BUILDER:�1.' �_" ,_z_" — =-' -- ------AND ADDRESS: yj V , s t �' PERMITT NG _ CLIMATE - �----- _ C� I�_�1 OFFICE.�"t'I.t1lJ l l f j-3[-/IC N ZONE: 1 2 __ 3 OWNER: — -- PERMIT _ c , �1=�J JURISDICTION NO.: No.: 1 1= NEW CONSTRUCTION CONDITIONED ,< < SQ NEW GLASS AREA AND TYPE If Multifamily,number of rr i __ y' FLOOR AREA L. �-- FT. Clear Tint,Film,Solar Screen units covered by -- --- _-- ADDITION PREDOMINANT Single- SO.Single- ( SQ. this submittal: EAVE OVERHANG ( pane = FT. pane L_t__ FT, MULTIFAMILY ATTACHED LENGTH --L._�•l`�1FT. .-_ ---- — - SINGLE-FAMILY DETACHED PORCH OVERHANG? r� paneDoub �FT. Double SQ. LENGTH � l� FT. pane o FT. pane ���FT. FOR ADDITIONS ONLY WALL TYPE AND INSULATION - CEILING TYPE AND _ FLOOR TYPE AND INSULATION WOOD FRAM_E MASONRYINSULATION --WOOD MASONRY EXTERIOR: EXTERIOR U_NDER ATTK RAISED: m RAISED: El Ll PERCENTAGE R= � R= _ --- _,__- R-- L-__L__1.� R= OF GLASS ADJACENT: ( -� ADJACENT.(-1=1[-1 SINGLE - COMMON. COMMON:TO FLOOR: % R= u R= l J ) ASSEMBLY: R= I .C� R= �•�] R= -]a COMMON: COMMON: - --= - --- ---- — - R= ID] R= �T l�l COMMON: R= , + („ SLAB-ON-GRADE: RADE: O ]()-E DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM 1� n Unconditioned Central Electric Strip t� Heat []Electric ❑Solar Space t'`•J � � Room PumpNatural Gas Other El Natural Gas ❑Heat Recovery R-ME] PTAC ❑ Fuels ❑ her Fuels Dedicated Heat Pump om UniUPTHP m 1 In Conditioned No New System None No New System EF= LTJ S No New System ----- ------- SF/EF=.__�J.� ._�___ I�—�,�� [�None R=I MS SEER/EER=®•® COP/HSPF/AFUE=� .� NUMBER OF BEDROOMS= IImebycertifythattheplansandspecificationscoveredbythecalculationareincompliancewith Review of plans and specifications covered by this calculation indicates the Florida Energy Code, t compliance with the Florida)56frgy Code. $ore coni ciio is completed,this I 1 '7/ t butiding will be inspected f r cd�npliance in ccordance rth ction 553.908,F.S. PREPARED BY: .. )�& I - �/-.I- ;__ DATE: { - I CJS BUILDING OFFICIAL: I hereby certify that this building is In compliants with the Florida Energy Code. OWNER AGENT: LJl7K t U DATE -_ l 1 DATE:_..--- TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION _ --_ REQUIREMENTS_ CHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack(includes sliding glass doom _ Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors_only,_ Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. _ Sole&T Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls_&raised wood floors. hiterlor Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior wails must be sealed. Flirviplaces 903.2 Fireplaces must have flue dampers.glass doors and outside combustion air intakes. Extoust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion - devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, HseUnO except for direct vent appliances. Waw Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. -------r -- ------ --------- ----- -- - - -- Swimming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a ` Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. �..` Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, /. piping heat loss shall be limited to a maximum of 17.5 BT_UH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG._ HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione Insullathm&installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. - Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. 1. 1 - CLIMATE ZONES 12 3 TABLE 100.40,rescriptive Requirements far Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrele R-7 1991 1992 Wood frame, 2' x a' R-n - -- O Central A/C SEER= 9.0 10.0 SEER = a Wood Irame.2' x 6' R+,9 G' O 3 Common,Wood Irame' R-!! _ v Room unit or PTAC EER = 8.5 8.5 EER - _ Common.Masonry' R 3 O - z Electric Resistance ANY U) Under arc R;t0 _- ___-_ w Heat Pump HSPF= 6.4 6.8 HSPF = ri S ngie assemoiy R-19 - _`# --- = Room unit or PTHP COP = 2.6 2.7 HSPF! Common Wood frame* R-ft T - v HSPF=6.1 6.1 COP Q Gas,natural or propane AFUE=.70 .78 AFUE = Slab-on grade No Minimum 0 Raised wood R-t9 Fuel Oil AFUE=.76 .78 AFUE _ o o Rased concrete R-7 " Common.Wood frame' R-n _ H Electric Resistance EF = .88 EF = In unconditioned space 1991 1992 3 Gas,natural or propane EF = .54 EF R-4.2 R-6 0 In conditioned space No Minimum ' = Fuel Oil EF = .54 EF 'Common co,nooienis a,e fhose which separate two cond�tioned wng units,o a rnudifamly bwiding TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY(Renovations see 3 below) Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient Maximum Installed See below. % % = ')3 GLASS TYPE, OVERHANG,AND SHADING COEFFICIENT(TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 30% UP TO 40% UP TO 50% Double Single Double Single Double Single _Double OH-SC OH-SC OH- SC Ott -SC OH-SC OH-SC OH-SC 1' - 1.0 0' - 90 2' - 1.0 1' - 90 NOT 2' - .90 NOT 3'- 90 0' - 86 V - 86 0' - 70 ALLOWED 1' - .70 ALLOWED 2'-.70 0' - 65 0' - .50 11-50 .50 0'-.40 Shading coefficients(SC)may be obtained from the manufacturer of the glass.Typical shading coefficients are:single-paned clear 11 ti SC = 1.0,double-paned clear SC =- .90,and single-paned tint SC = .86. Form 1 OOOC may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES.Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form.The prescriptive requirements in Tables 10A,10B and 10C apply only to the components of the addition not to the exisling building.Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels RENOVATIONS. Residential buildings undergoing renovations costing more than 30%of the assessed value of the building must comply with the Energy Code using this form.The prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1 On the left side of Table 10B in the column titled"INSULATION INSTALLED',Indicate the R-value of the insulation being added to each component.On the right side of Table 106 indicate the efficiency levels of the equipment being installed in,the column titled'EFFICIENCY INSTALLED" All R-values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding column for that component.Components and equipment neither being added nor renovated may be left blank. 2 ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass panels in doors which are more than b3 of the area of the door.Double the area of all non-vertical roof glass and add it to the previous total.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 1 00to get the percent Find the largest glass percentage under which your calculated percentage falls on Table 1OC.For example,29%glass would qualify for the"Up to 301a"column.Prescriptives are given by the type of glass(Single or Do,,ble pane)and the overhang(OH)paired with a shading coefficient(SC)Any pair within the selected"Up To category is acceptable.For a given glass type and overhang,the maximum shading coefficient allowed is specified.Indicate the category into which the percentage falls in the box atthe top titled Maximum% = ".In the next column titled Installed ,indicate the calculated percentage of glass in the addition.Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 1 OC All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3 RENOVATIONS ONLY.Only glass areas which are being replaced as part of the renovations need to meet the following requirements.Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meet this criteria must be either single-pane tinted,double-pane clear,or double-pane tinted. 4 Complete the information requested on the top half of page 1. 5. Read"Minimum Requirements for Small Additions and Renovations.Table IOA on page 1,and check to indicate your intention to comply with all applicable items. 6 Read,sign and date the"Owner/Agent"certification statement on page 1. 2 OWNER BUILDER PERMIT AFFIDAVIT Stute of Florida f City of Atlantic Beach > r BEFORE HE,,. th undersigned authority, personally spNvarwd -_..__-_, who upon first being duly sword,, deposes anct says: E C ___, and the legal owner of t'he following property s Subdivision Block AKA _ I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489. 100. Florida law requires that I .have been provided with thin following DISCLOSURE STATEMENTt b28CLOSURE STATEMENT ,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 th* owner of your property, to ,act alit 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 825,000.00 or less. The building most be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to 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. 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. Further, affiant sayeth not. Pro`�ty Own*r �Y Sworn� to and subscribed before me this l4 _ __qday A p PP,R O-V ED C B ULD NG IC BEACH EP 2 1992 • i i r i P rl I P a ter; p C e ........,�............_tiff _.r'✓ i !„ff t I r' t i { IJ d3S ' 1 s ��l��dId h110 e, _$ r �ol o�3 r WQ R GN�O GeV`'O`N k C t i t 1 j � 1 } i Al 1992 f s _ t CON I(`►�J� HCl � J v i --- - - - - D - >: __-______. _ ___---___-_ ___• 1, 67- 2 . � I I i t foo; �r•�1 i ., � � ,'� Irl i h a .s, Y R T j Y KI Y l412c, �. .. A s }s�rl 4 4 a , y : y _ . a R� .aRa *JD R�lg�+ ,#-: � �t` -�+ .f �1'.. •�.s� � �..: ! r :. �,Nr i f t,�:. � ems•; 1 is c• ` .� •` �V��/(alP Ik _ �.+ � ''^ f fes, �' r," � " }. k I DEPARTMENT OF BUILDING ,I 73 VCITY OF ATLANTIC REACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JANUARY 11 19 83 Valuation$ � '>`�96•SO Fee$ 118.50 ( loot il T 'I This permit not valid until above fee has been paid to City Treasurer,and is 1 1��bOCK T subject to revocation for violation of applicable provisions of law. This is to certify that BOB F'INDLEY X773 06,13CAC �' 1490 OCEAN BOULEVARD, ATLANTIC BEACH, F �1bA has permission to build R0011 ADDITION AS PER PLANS SUBMITTED, Classification SINGLE FMz'aLY Zone RS-2 Owned by BOB F'INDLEY Lot h Block 59 S/D D1ANDWAY I House No. 1490 OCEAN BOULEVARD 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 —D 4 � O Building material,rubbish and debris Zi from this work must not be placed in public space, and must be cleared upiatuled away by either con- tra 7 ner� I Building Official FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL 3815 SEWER WATER I I /� i',lt I�Itii : : -- 6C Sg /YIACA� ,577-3 LOT _ i�l ' I"�G: ^.f ( P ,� I CAL: _ EJ.. - . Lf.C.1RICAL: - Room Abb Tions _ BUILDING //PERMIT WORKSHEET HEATED SQUARE FOOTAGE: — /to @ $ yds^ — per sq. ft. GARAGE (PRIVATE/SHED) : _ @ $ _—_ per sq. ft. = $ _ CARPORT: @ $ per sq. ft. = $ PORCHES: — @ $ — _-- per sq. ft. _ $------ -- --- DECK: - — @ $ -- q -- per sq. ft. = $---�— --Q PATIO: ��_ @ $ I �v per sq. ft. = TOTAL VALUATION: PERMIT_FEES TOTALAL�ON DATA 1st OD. o c REMAIER V_ALmUAT thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . .$ 79, 60— PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ —s� o_ TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $._ ------------------------------------------------------------------------------------------------- PLUMBING PERMIT FEE: $ 0 p/UA9B%,U T MECHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECTRICAL TEMPORARY: $ WATER METER SIZE: Al FEE: $ ^ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: W $ WATER CONNECTION CHARGE: FIXTURE UNITS _-�T @ $10.00 PER UNIT: $ — ----- ACCOUNT NO. : CITY I N G OIC BEACH t�I APPROVED BY: BUILDING OFFICE TOTAL BUILDING/PLAN FILING FEES: $ - �yO.v TOTAL WATER METER CHARGE: $ JA, �, ` TOTAL WATER CONNECTION CHARGE: $ TOTAL SEi•:ER CONNECTION CHARGE: $ GRAND TOTAL DUE: $- FOR OFFICE USE ONLY Date...................................19 ...... CITY OF ATLANTIC BEACH Permit #........................Fee$........................ Valuation $---••................................................ 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 aII 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... �...... Address `1 3 l u c-- �. `f •-- Telephone �, Architect ...................................................................Address----- •-----•-•-----......--•........................Telephone No.-----....., ......-- ---- . . l -- ................ .. _. . _ . ��C rAraetor Builder_-. -•--•--•-- ---------------•--•--Address........ r....------...------------.........._...._..Telephone No.....--- ---------_----- LotNo..........------•----- ---------_-_....Block No......� (l.. ------.----SubD �------------•----------•-----.--------.-.------Zone----..._...-----• t _e.c ...._�Zl.u.A.-•--------------------Street 1..� 7�` -'Side Between.. - ._/. ----------------_------------•----and.....J.:�..��-----.....-----•---...............Sts. Valuation $A-?442- -_----_.-_--..For what purpose will building be used�,r:�tz...=.4,�,.! �t�,..Type of construction..:.f Dimensions of Building__._r�.:._ .w .7_..............Dimensions of Lot..,9...'. /. --..-__ }�, 1, ._._..:Size of Footings.��� ) Size of Piers........t1/11_--------_--Size of Sills...•..... - - ------•---Greatest Sill Span in ft...........................Type How will Building be Heated?_.1�.`.► .I O.t?--..._l ti ---------------------Will Building be on Solid or Filled Ground?..... ................... Size of Ceiling Joists...... .°� ...... .......... Distance on Centers...... 4.��..._.. .......... Greatest Span-- .�..... ........... I. Size of Floor Joists.......�_.X_L_zz2........................ Distance on Centers.. 0...... .p ----------------•--..., Greatest Span----/...u:----....._....._.....--•-•-•--... Size of Rafters..:. .k..14......�..r1."..- -------., Distance on Centers _.. ---------------- Greatest Span..-2_.)......--- „ 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 —< I be submitted with application. Z• , Q Inspections required. 1. When steel is in place and ready to pour footing. -- 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 3 g t s.'/'` a 4. When framing is completed. o 5. When rough plumbing is completed,and ready to cover up. .7 6. When septic tank drain field or sewer is laid but before it is covered. W r J 7. Electrical inspection by City of Jacksonville. to 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 ofAtlantic Bea Signature of Builder.._...................... Address.._I. Signature of Owner.....1��.�....i.0 ...................... ------------ Address...._ �'i.0... C.r.� �.k._�.�.u.�........... CITY OF 4TL ;' IC f': % CH 71 6 OC E Al t`!N A T L A f 4 T I C NEACH, Fl Gp I DA AD1)ENDUM 10 �BLJ I I D I NG PLAN Building Location: ' I,I The attached plan for the alove building is approved subject to meeting the following app? ; cable construction reouirerents : a. Footings shall be continuous monolithic concrete under exterior t•.-alts , reinforced with two 5/8" defo[-rTJe-d reinforcing rods for one-story buildings and three 5/8" deforr;,ed reinforcing rods for two-story buiIdinos- Reinforcing rods shall be placed in the lo.-ver one-third of the foot ] nos , properly placed and fastened on rietal cables with wire. Footines shall be six inches wider on each side tF.an the ,.:all above, shall be at least eight inches thiel: and shall rest on firm soil at least t,:elve inches below undisturbed soil . b. In hollow masonry unit construction , each unit cell shall be reinforced v:ith at least on No. 4 bar at all conrners , poured and ; am,ped with concrete; such rein- forcing shall be properly tied into the footing and s;andral beam. c. All +•:ood truss rafters (roof construction) shall be securely fastened to the exterior walls i-:ith approved hurricane �- ncJhors or clips. d. Construction of nearby one-family d •:elIings , ti:hich are duplicates or intensely similar, shall be avoided. Such similarity considers the external conficurat ion ,:nd ar:r;ea;once ( i - e. , roof , outer ::a 1 1 r.at er i a 1 s , window size and des i on, and other like ci.aracteristics) of structures. In accord with the oregoing, similar &nd shall be at least 50D feet apart if any one similar &.-ell ing is -visi-ble from any other similar d,•:el ling. e. The final connection bets•:een the house plumbing drain and the se':er=service connection (at the property line) rust be inspected by the City before being covered. City Manager undersigned hereby certifies that he has read the above and understands that this endurr. takes precedence over any contrary details to the plans and specifications and ees to comply with the intent of this addendum. CQ4. , r o ct�0::n e r ----- ----- Date -- -- -- ---- 1 \x . w L_ ___'` -�., � � :h af-'-•rte•.- • �� i i _>f�� i:".J�_J• i � � i :1.� 1 ,_�..-�,_........_ ..,. s y a j1• I d i f i 11t z� t a • S. 4 ,_ n N iw 4 _c 1 { t i i � h 10.94' ..r...._. x y ,i� .... «J r V � AANPA,4A M, 155- f oc>,z., ` L "o( r APPROVED r -.G Q,.TY F.i •i;;iC �?UIL[Ji OFF CU 4 k R < IP ' _. P 2 Li !� H .Y t j l ale � N n PPROVaD . r,TL'NTQC BEACH r 1LOING OFMCM j s P -Y _ y Rf-jViL� NG OFizi0$ s v i r i 11414 �I `1 t : f i t : 3 � r I { 1 milk- No- INi �sTYr�?RC' Jin ` ' N . e � { ,-.., e rt 0 I(! mom ' 4 4 z _ >"C 1 C _ 4 0 CITY OF ATLANTIC BEACH, FLORIDA ApP.o APPLICATION FOR ELECTRICAL PERT 3" December 1 383 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 1i1PORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWINWE 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. v� FCree . LE TRt IAECTRICAL ContractorsNAME Bob Lindley ADDRESS: 1490 Ocean Boulevard RFD BOXY_ $COLI.SIZE BETWEEN: RES.O(1 All. ! 1 COMM-( I PUBLIC 1 INDUS;I 1 NEW( I OLD( 1 REW.I 1 I° ADDITION (X) TRAILER ( ) TEMP.( 1 SIGNS ( 1 SQ. FT. SERVICE: ` NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE UCTOR SIE AMPS; COPPER I ALUM. TCM OR BR ,KER AMPS. PH W VOLT RACEWAY s` IST.SERV.SIE 200` AMPS 1 PH 3 W 230 VOLT Eg RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE tIGHTING 0 ETS 14 CONCEALED OPEN 14 TOTAL ECEPTACLES 21 CONCEALED OPEN 21 TOTAL 0.80 AMP&, 91.100 AMPS. SWITCHES f 16 NCANDESCEN ;PLUORESCENTI&M.V. PIXEL? E 0.100 AMPS, OYER °,APPLIANCES i BELL TRANSF. IR H.P.RATING H.P. RATING DITt04#tING- COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT q 0" OVER RS: H.P. VOLTAGE _ PHS NO. I H.P. VOLTAGE PHS ISCELLANEO'$ I J__ TRANSFORMERS: UNDER 600 V. OVER M V. CITY OF ATLANTIC BEACH INSPEC'T'IONS BUILDING PERMIT N0. ELECTRICAL PERMIT NO. _ PLUMBING PERMIT NO. MECHANICAL PERMIT NO. JOB ADDRESS �Q C' ��?L � ) _—_ j�( CONTRACTOR OWNER____ — called in ins e ted approve-cdisaproved reinspected JEA FOUNDATION — FOOTING SLAB PLL.MBING (R) TOP OUT A004-WER TEMP POLE _— ELECTRICAL (R) ELECTRICAL (F) FRAMING --- PLUMBING (F) LINTEL/BEAM COLUMN — STEEL _ --- --- - SHOOT GRADES LOT CLEARING FINAL INSPECTION a / CITY OF , fQ tt iC BeacA-4%wda Office of Building Official REQUEST FOR INSPECTION Date 1 r t! Permit No. Time i T� ,A.AA� Received J / P nt>l District No. Job Address Lo a i4y Owner's Name Contractor t i BUILDING ( CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. nn// Wed. Thurs. Friday P.M. '�C/" ko A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date -� CITY OF ,t I-V 4d4#d4.c Be=4-ala Office of Building Official \ REQUEST FOR INSPECTION Date Permit No. TimeReceived lF A.M. District No. ddress lily Owner's CAG'EA/V &il''A+ Name Contracted BUILDING CONCRETEELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring Rough ❑ Air,Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed, Thurs. Friday P.M. A.M. Inspection Made `j � '� P.M. Inspector Final Inspection❑ f Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Aap►o"I APPLICATION FOR ELECTRICAL PERMIT 5/27/86 TI;'!THE CHIEF ELECTRICAL INSPECTOR: DATE: 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`ACCCRDANCE ITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCE R & R Electric Co. ELI ECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Robert Findley ADDRESS: 1490 Ocean Blvd, RFD BOK I WOO.SIZE BETWEEN: RES.(4 APT.: ( ! COMM.( ! PUBLIC( ) INDUS.( 1 NEW( ! OLD(x) REW.1 ! ADDITION I ) ' TRAILER I 1 TEMP.( ! SIGNS ( ) SO. FT. SERVICE: j NEW( 1 INCREASE( 1 REPAIR (' 1 FEE DUCiOR SIZ AMPS COPPER f I ALUM. TCH OR BREAKER AMPS PH W VOLT RACEWAY .XIST.SERV.SIZE /JrQ AMPS PH 3 W 4WOLT RACEWAY FEEDERS N SIZE NO. SIZE NO. SIZE L!,GHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. 4 WITCHES r I NDESCENT FLUORESCENT&M.V. FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING # NDITIONlNG COMP.MOTOR OTHER MOTORS AMPS CEI.HEAT: KW-HEAT , 0-1 OVER TORS :P. v+t :TAGE PHS NO. t H.fi. VOLTAGE ELLANEOUS TRANSFORMERS: UNDER 600'V. OVER 600 V. CITY OF 4&4414C Bels- � Office of Building Official (01/ REQUEST FOR INSPECTION Date � !V-9 Permit No. Time 1 A. Received District No, Y 9'O / rt t_� Job Address I�j ] locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air,Cond.& ❑ Re Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPV� � A.M. Mon. Tues. / ed. Thur Friday P.M. Inspection Made Inspector �' Final inspection H Certificate of Occupancy Date -J BUILDING AND ZONING INSPECTION DIVISION z° , Z CITY OF ATLANTIC BEACH, FLORIDA + * U. _ ELECTRICAL PERMIT 4 Date 6 Fee E 20-00 Permit No, 49" 0 0 Location 14" 000ft KV4. m a Between and _ Q This is to certify that ° (Electrical Contractor) (Master Electrician) has permission to instoll Electrical Construction as described herein in W accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the LU application, drawings and specifications which are made a part of this 3 Y permit. t a for ji. i I M CL & Type of work:'' 1194 Ain "t4J11,/a:4 r II+Ifai,es lug p SERVICE: pj$,ot. SWW, Sb# 1 Wit, .$w,0 i1S123$ Vo � Q Feeders: X Outlets: u - Receptacles: us Switches: t^ Incandescent: Fluorescent: Appliances: Air Conditioning: " Motors: Transformers: Signa: _ Miscellaneous: IF N6 WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PEOi D, PERMIT _ Electrical inspection supernsaP" BECOMES VOID: LWILDING AND ZONING INSPECTION DIVISION � CITY OF ATLANTIC BEACH, FLORIDA 1Al EL T,Rl t A L PERMIT Date Fee$ Permit No, Y� , Location Between and elt This is to cektify that (Electrical Contractor) Master Elect r has permission to install Electrical Construction as described q, in accordance with the provisions of the Electrical Coyle and r cations of the City of 5,Jocksonville, and subject to the information shown on the t , application, drawings and specifications which are made,a part of this 3 "for -`hype of Mrcrk• D SERVICE: • wCyt . 4 Fe*dors* " R u $m. ptaciea: Swiles• lrp� letf• I�u . ming: .;..,. ; Transfor#yiers: Miscellaneous- � F t±C3 WOPK IS DONE U DSR 41S PERJ�E�T �: 0G 4N SIX ��;. ISSUED BY ON11 f COMESt CITY OF A&Ift-C hak- P-66i" Office of Building Official REQUEST FOR INSPECTION1! DatePermit No. 7 Time _T A.M. Race' p, District No. �l � f11L�--„ r —� Job Address L �llliity, � Owner's N� Contra r_ BUILDING PLASTERING PLUMBING HEATING Foundation.......0 Wire..................❑ Rough wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring... F-rai�.. El...............❑ Final...............13Framing............❑ Scratch..............❑ Fixtures......... Sewers............... Water Heater..C1Final................. 0 Brown...............❑ Moto;&............❑ Gas...................❑ Finish................❑ [!.lc G2(�. Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A.M, Mon. Tues. Wed. Thurs. Fri. y IrA71, Inspection Made /2--/Cf -110: Inspector Az 8-1.2 CITY OF oftlev& &OA• �1 0 Office of Building Official / REQUEST FOR INSPECTION Date 9 Permit No. Time .CJ'G_ Received Pv. District No. Job Address Locality Owner's �1 Contractor i1LDING PLASTER G ELECTRICAL PLUMBING HEATING Fou a ....... Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............ElChimney.........,, Lath..................❑ Finish Wiring. F nal................. ❑ Final...............❑ Framing............0 Scratch..............❑ Fixtures..........0 Sewers...............❑ Water Hester..❑ Final.................❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION Mon. Tues. Wed. Thurs. Fri. M. Inspection Made- Inspector 8-1.2 CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Time A.M. Received PV. District No. Job Address Locality Namne.s ' f Contractor V UILDINGPLASTERING ELECTRICAL PLUM— BIN HEATING io Foundatn....... Wire..................❑ Rough Wiring.❑ Rough...............0 Rough............0 Chimney...........0 .Lath..................❑ Finish Wiring. Fines................. ❑ Final...............❑ Framing............944' Scratch..............0 Fixtures..........Q Sewers...............❑ Water Heater..❑ Final................. 0 Brown...............0 motors.............❑ Gas...................0 Finish................0 Cesspool...........0 Wallboard ........0 READY FOR INSPECTION AM Mon. Tues. Wed. Thurs. IFri� Inspection Made f 1?e5 '11A Irapector iB-1.4 ;� y4, 7 INSPECTION RECORD r� JOB ADDRESS CONTRACTOR OWNER „� TYPE DATE Rk,MAVXS INSPECTOR FOUNDATION SLAB PLUMBING (R) SEUMR TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) PLUMBIlTG (F) FRAMING ELECTRICAL (F) OTHER w FINAL I DEPARTMENT OF BUILDING 4080 � O S O � F CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 't PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 6.121 1929-- Valuation$ 1400-00 Fee $ 5.00 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 Bob Findley has permission to build to enclose existing Porch adding a fireplace and o gable roof Classification aQidgtial Zone Owned by-- Bob Findley Lot { Block 59 SSD Mandalay House No- 1490 OC-an Blvd- According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 4 -4 ► O Building material, rubbish and debris Z from this work const not be placed in � public apace, and mast be cleared up and hauled away by either contractor or owner. Bill. M. Davis • a TL ! Bnildi° `L /y' 4 i I fit f+[«,�17 i FOR OFFICE PERMIT EFJirk USE ONLY NUMBER DATE CONTRA R _ PLUMBING IiU� ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date----------(it. 07`--------19 If Permit #..Y49A9....Fee ...... CITY OF ATLANTIC BEACH Valuation $---Is r-Q,•Q --------------------- FLORIDA House #­11.9L9•..ejC&4X.).A6eA'L APPLICATION FOR BUILDING PERMIT ............................................................................ 0 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-ti --------------Telephone No.��.4.q Owner....•k -- ------------------ Address. ..j ............ Architect.................................................-.............................................Address..........................................................Telephone No----------------------------- Contractor Builder. /--`X/a���/���������/� ---------------------------------------------Address...........................................................Telephone No................------------ Lot No.....L -/-Or-`--- -------------------------------------------Block No-5-1....................-.Sub Division...AAA-WA!!;r-t�..X...................... ---•-----------•----Zone------------- ----- -------------------Zone------------- ......... --------------------------------------Street_----------------------Side Between._.l.1.A�--4 - S4. ------ ......­­.............................and-----15..........................................St s. Valuation $..__-__-..._----------------For what purpose will building be .........Type of construction_.�Gct^'�t................ Dimensions of Building..--_---...-- ------- X Id-5, Size ----------------Dimensions of Lot... ............................................ of Footings--------- ........ Size of Piers.� ..--.-.Size of Sills-._-.-----------------------Greatest Sill Span in ft--------------------------Typ e Roof__6.Killf...................... How will Building be Heated?.__ .......______._.....-_.....Will Building be on Solid or Filled Ground? ...................... Size of Ceiling ....................... Distance on Centers-----------/-/............................ Greatest Span......-.../... Size of Floor ---------------- Distance on Centers.......... ......... ................... Greatest Span............................................ Size of Rafters-------- ----------_---------_- Greatest Span........................................... .......---------------- Distance on Centers.. ..... .1.4- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from q-- �. all lot-lines and existing buildings. REAR LOT LINE Two copies of plan laonds=peecifications shaW be submitted with application. Inspections required. A P P R_4 111111C E 0 CITY MF BEACH 1. When steel is in place and ready to our foating. BUI L OFFICE 2. When steel is in place and ready to pour columns and/or lin Z Z 3. When steel is in place and ready to pour beam. �1 H 4. When framing is completed. 5. When rough plumbing is completed,-and ready to cove P. 6. When septic tank drain field or sewer is laid but 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. Signatureof Builder................................................................................ Address.------------------------------------------------------------------------------------------------- Signatureof Owner..---•-.-------•----•---•.................................................. Address.................................................................................................... FOR OFFICE USE ONLY Date------------------------------------19 Permit #........................Fee$........................ CITY OF ATLANTIC BEACH Valuation $_ FLORIDAHouse #----------------------------------------------------------- .---------•---------------------•-•--...------•------•-------------------.. 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. 2 c� 11 i Date............................---------------------5......3Q....... 19.9..1..... Ihoe NoJ.'�:�_��� .�.Owner... .4.Q 1!d Architect.----------•--------_----•------------------ ----------------------------.....---------Address,...........................................................Telephone No-_--_-_---------_------ ContractorBuilder-----------------------------------------------------------------------------Address............................................................Telephone No---------•-•--- ----- LotNo.........IGG k_----------------------------------Block No..t-�---_---•------Sub ..----------------------------------------Zone-----------•---- ti, . ......................--------------------------------------Street------------------------'Side Between....... `� f --------------------------and.........�-�-•---5. .......................Sts. Valuation $-----------------------------.._For what purpose will building be used---41 w:1*. .._ ------.Type of construction... T!�.!9�................;. Dimensions of Building----------------------------------------Dimensions of Lot---- ..X ,2.5"----------------------------Size of Footings..°-.--------................_.-•- Size of Piers.4_(_kA1.nr,_!----------------Size of Sills.------......_--- .........Greatest Sill Span in ft...........................Type Roof...(zw6_e............. How will Building be Heated? .. .......................Will Building be on Solid or Filled Ground?._..S_'1_U_d.................... Size of Ceiling Joist s.._-;)_X ------------_.._.., Distance on Centers_... ----------------- Greatest Span------./..5-..--- _ka n.'�kk Je Size of Floor -•---,Distance on Centers.....-... .....---------------------------, Greatest Span-.----.-----..---_--_---.--............. „ i, e � Size of Rafters------------`'--x--------------------------- Distance on Centers..... ...........................,/ 11 Greatest e � •-•-•---•-•-------••-- » 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 N 2. When steel is in place and ready to pour columns and/or lintel. Z x 3. When steel is in place and ready to pour beam. ' `I 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. A 7. Electrical inspection by City of Jacksonville. m U 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. Signatureof Builder............................................................................... Address.............................---•--•-----------------------•---•------------•------- •-•-- Signatureof Owner---------------------- ......................................................._ Address--------------------------------------------------------------------------------------------------- i W* � 1 Y I s & S ,,yys F 1 g tee► � . .;� .� r v i _...... __'__, ...�........,......�,..... V. _. -.... . .. ......«..... ..._._..,amu. .� APPROVED CITY OF AT IC BEACH F3U1'LD OFFICE oorw G 19 B i A PWa 4 ------------ s l 33 F /a f ' �p r . s 1 7 ii I V 1 _ s l Ab .F A p� I x " `w i i R i . —. , f P- i a AMOK f a � .97 V ........ _.........+.:.e*.nom..,.....•.. l yLi VED '�C SEAC�i FFICE 197 I By 1 �I I t sr,rt FLORIDA MODEL_ ENERGY EFFICIENCY CODE FORM 902 FOR BUILDING CONSTRUCTION •' BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 Z 3 Of PROJECT NAME '' JURISDICTION — AND ADDRESS 1 k}(:�U 0 Zip` _4 ZONE BUILDER - PERMIT NO. OWNERJURISDICTION NO. v`late= STAT ISTI ES IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE Fl RENOVATION COVERED BY THIS CALCULATION-* CLEAR TINT OR FILM IV ADDITION (SEPARATE CALCULATIONS REQUIRED ®SGL[] Cl I I kGL[] MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 :]DBL[] BL� GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS ' =I[ FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY I all R= �----i .F-1 R ='[] COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE Q STRIP GAS 1:3 NONE RESISTANCE SOLAR UNITARY OIL SOLAR F1 HEAT RECOVERY M GAS EER-SEER = HEAT PUMP: COP = ❑,❑ m DED. HEAT PUMP: COP = OTHER: 10.OTHER: MAX. E.P.I. ALLOWED (from 9A)= CALCULATED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* Q CERTIFIED BY: DATE FORM COMPLETION DATE (owner/agent) I CHECKED BY: lbuildina official) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. Grp FLORIDA MODEL ENERGY EFFICIENCY CODE FORM 902 FOR BUILDING CONSTRUCTION o o - BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES *aoo,.,••6 GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 PROJECT NAME JURISDICTION- AND ADDRESS i (�`�r,, ZIP ' ZONE BUILI PERMIT NO. OWNER JURISDICTION NO. S T A T I S T I C S IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED ®SGL GL� MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 L I I I IDBLa I I I IT�131_[]l GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION r CBS R-_ FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY I 1 —7 M-11 I I I=I= I I I I I I R= =.0 R= =.[]. COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE ❑ STRIP M GAS Fl NONE RESISTANCE SOLAR UNITARY � OIL F SOLAR = HEAT RECOVERY H GAS EER-SEER = Cn,❑ El HEAT PUMP: COP = ❑ E] =OED. HEAT PUMP: COP T71 OTHER: ;'r llntt Loc-�l IL_=OTHER., MAX. E.P.I. ALLOWED (from 9APEz:zj.= CALCULATED E.P.L. CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* El CERTIFIED BY: DATE FORM COMPLETION DATE (owner/a ent) I CHECKED BY: (bui►din official THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901 1101- 1301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300ABOVE BASE E P 1 120 115 110 105 1 100 95 90 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 1F MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED E.P.I. ALLOWED --- *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKSN O THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED S ED IN TABLE 96. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THET T S A ISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING L NG D EPARTMENT. 77 INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903. WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 90 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 RESIDENTIAL CALCULATION FORM 902 CLIMATE ZONES P COMPONENT WINTER GROSS SUMMER G,'ROSS WINTER I SUMMER AREA x WPM = POINTS AREA x SID = PAINTS CONCRETE R 4-5.9 15 6 9.9 J R6 & UP 31 9. 2 J Q FRAME < ? `> *�(� 7.8 y c 3 2 OR R19-25.9 4,91 5 .6 BRICK R26 & UP VENEER 3.6 4 .2 COMMON -7.8 2 . 5 247.7 3 6.4 lx INSULATED 2355 14.5 OSTORM DOOR 124.4 29 0 G COMMON 61 ..9 4,5 < ': 'E 5.0 5. 5 UNDER R22-29.9 4,1 5 ATTIC R30 & UP 3.3 3. 7 _Z R 6-7.9 14,2 14,9 J R 8-9.9 W 10.9 11 SINGLE R10-1 1.9 U ASSEMBLY R12-18 9 9.2 9 6.7 7 .0 NO ATTIC 5.0 55 Lt-COMMON __j-----4.8- -1 .5 R 0-6.9 15.5 4 w R 7-10.9 6 2 .1 $ WOOD 5.6 1 .8 w R19 & UP 4. 1 .3 cc 0 oor- R 0-2.9 19.4 6. Jo R 3-5.9 1 3. 7 LL.Z R 6-10.9 9.3 2. D CONCRETE s< >'�> <' `'' 6222 > R19 & UP 4,4 16 0 COMMON 4.8 1 .5 EDGE INSULATION PERIMETER WPM R 3-5.9 9 NZ PERIMETER R 6 & UP 0 46.4 2 FORM 902 CLIMATE ZONL 9 F WINTER OVERHANG FACTOR (WOF) 9 F fSuMER OVERHANG FACTOR (SUJ-) i FEET N NE E SE S SW W NW FEET N NE E SE S SW i NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.890.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.750.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0. 72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.680.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.660.77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP z.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTI_M HSM) ELECTRIC STRIP HEAT 1OtI NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) "9H I COOLING SYSTEM MULTIPLIER (CSM) ESER/ 6.8-6.9 7.0-7.4 7.5-7.919.0-8. : 8.5-8.919.0-9.419.5-9.9 10.0-10A 105-10.911.0-11.9 12.0-1 ELEC. CSM 1.00 0.93 1 0.87 1 0.81 0.76 1 0.72 1 0.68 0.65 1 0.62 1 0.59 0.54 GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.5910.60-0.64 0.65-0.69 0.70 & UP CSM 1 1.50 1 1.25 1 1.20 1.09 1 1.00 0.92 1 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413=ARI RATED COOLING OUTPUT IN BTUH = TOTAL WATTS CONSUMED 9) HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP 12.6 HRU (A/C) WATER HEATER ELECTRIC BACKUP 6.7 GAS BACKUP 13.9 HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 '(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 HOT WATER ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 o Z o GAS BACKUP 11.4 12.8 '14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 cs a *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM a 100 OVERALL SOLAR FRACTION 4 i ii 23 I l AREA SGL DBL WOF GWP OR AREA SINGLE DOUBLE SOF GSP 9F CLR TIN CLR TIN I 9F N.._ 157.4 124.8 __ N 146 123 120 _101 _N E157.4 1 20.q i NE - - 221 186 9 E - --------------157.4 1 E 289 242 251 _ SE. _ 57.4 1 SE---------25-1-_ 9 226 189 - = S 157.4 120.8 S 190 1 0 160 134 _ A SW _ 1 120.8 - SW 261 _21_9_ 226 18 W _ 1574 120.8 W 289 242 251 209 _ NW _ 7.4 120.8 NW 221 186 190 159 �= H 79.3 H 489 408 432 360 J c J V f C - 2 C - G Qti A aK tr H = HORIZONTAL GLASS (SKYLIGHTS). 1 Ei <1: 9�`13 >I*El4R 14t ;: IE:I l':::1:i. s:.: .:».:<: •. :;:: ' • :.'<: :::::'s:'<<!:: : �g;,:::::.:::::::.:.�:::::::: 1: .:�1���;,A�'Y�E14....::::..:;:; FOR SC LESS THAN 0.83 SEE SEC. 902.2d TOTAL GROSS WINTER POINTS TOTAL GROSS SUMMER POINTS R = 3.5 1.15 R = 3.5 1.15 R = 5.0 1.12 R = 5.0 1.12 p� R = 6.7 1.09 R = 6.7 1.09 ' . .$PfiC1 7.0 0 p Ui 1.0 0 HSM FROM 913 x CSM FROM 9H x DIVIDE BY DIVIDE BY FLOOR AREAWINTER POINTS FLOOR AREA SUMMER POINT CALCULATE E. P. I. WINTER POINTS SUMMER POINTS HOT WTR PTS CREDIT POINTS PENALTY POINTS + 7 (91) (90 + (9D)+ (9E); FEWER TOTAL POINTS ARE ENCOURAGED FOR MAXIMJM ENERGY SAVINGS 9C I DESIGN CREDIT POINTS (CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND SPACE (max 5 CPI 11 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8 CROSS VENTILATION 11 CP per room) I WHOLE HOUSE FAN (min.1.5 cfm/s.f.) 5 WOOD STOVE 9E I DESIGN PENALTY POINTS FIREPLACE with outside combustion air 2 WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 40% 5 9C TOTAL (not to exceed 12 points) FIREPLACE W/ INSIDE COMBUSTION AIR 5 3