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91 Ocean Breeze Drive Permits(vault) ADDRESS '7 BUILDING PERMIT NUMBER INSPECTIONS: FOOTING --2 -5'_-9 UNDER SLAB PLUMBING 9 SLAB FRAMING COVER-UP � INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT INSPECTIONS ROUGH �- 9 F I NAL MECHANICAL PERMIT # 3o3 PLUMBING PERMIT # NOTES : PREPARED 9/10/03, 8:06:37 INSPECTION TICKET PAGE 11 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/10/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 91 OCEAN BREEZE DR SUBDIV: TENANT, NBR: INSTALL ONE FIXTURE CONTRACTOR CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419 OWNER ZUSCHLAG, SANDY & JEFF PHONE (904) 249-0690 PARCEL 168908-8205- - APPL NUMBER: 03-00026831 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------- ------------------------------------------------------- 42 01 9/10/03 LJH PL ROUG TIME: 08:00 SHOWE INSTALL (LARRY, DIDN'T KNOW IF THIS WAS ROUGH OR nI F AL -------------------------------------- COMMENTS AND NOTES -------------------------------------- �s �S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026831 Date 9/09/03 Property Address . . . . . . 91 OCEAN BREEZE DR Tenant nbr, name . . . . . . INSTALL ONE FIXTURE Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- ZUSCHLAG, SANDY & JEFF CHRISTY FIRST COAST PLUMBING P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 249-0690 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue. Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT M THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 4&4a& jj// //CITY O//F nn old ` Office of Building Officia REQUEST FOR INSPEC ION Date p —�� l Permit No. / O Time A.M. Received PM Job Address Loc ty Owner's Name Contractor U CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection M —� Inspector Fi al Inspectio /� 2 (�h.� rtifi at o ccupancy ❑ ate f ✓ l CITY OF ��i°urtc'c �eac! - �Pvu'da 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX (904) 247-5805 SUNCOM 852-5800 August 4, 1998 Schnorr Home Improvements 6928 Phillips Parkway Drive North Jacksonville, FL 32256 Re: Required Inspections for Construction In the City of Atlantic Beach Dear Sir: Please be notified that a review of our records reveals that no inspections have been performed at the following addresses: #16621 1562 Linkside Drive Roy Taylor #16485 1586 Linkside Drive Verne Ubanski #14122 405 Snapping Turtle Court East Williams #13400 1563 Linkside Drive Douglas Hatch #13399 1830 Sevilla Boulevard #101 Tom Vogel #12942 1435 Linkside Drive Jack Robbins #12032 91 Ocean Breeze Drive Tom Theofan #12717 1601 Linkside Drive Roger Austin,Jr. Please review your records and advise whether the work was performed by your company and schedule the appropriate inspection to close out the files. Please call me at (904) 247-5826 if you have any questions regarding this matter. Sincerely, 2. ) e"' C _ Don C. Ford Building Official DCFlpah cc: Homeowner CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 804 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL-. 247-5626-FAX-. 247-5M PERMIT INFORMATION _ LOCATION INFORMATION FrPmerrnit ber: 20947 Address: 91 OCEAN BREEZE DRIVE ype: FENCE ATLANTICBEACH, FLORIDA 32233 Work: NEW Township: 0 Range: 0 Book. Proposed Use: Lot(s): 1 Block: Section:0 Square Feet: Subdi—sion: OCEAN BREEZE Est Value: Parcel Number: _ Improv. Cost: 150.00 OWNER INFORMATION Date Issued: 11/08/2000 Name: PAUL S. AND ANNE M. THEOFAN Total Fees: 10.00 Address: 4336 CHARTER POINT BOULEVARD Amount Paid: 10.00 JACKSONVILLE, FLORIDA 32211 Date Paid: 11/08/2000 Phone: (904)744-6809 Work Desc: ERECT FENCE PER PLANS - - _ CONTRACTOR _ APPLICATION FEES PROPERTY OWNER - PERMIT 10.00 wired _ NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. —- _ $10.80 A ATLANTIC BEACH UILD! EPT. Date: 11/09,00 01 Receipt: 0809528 CHECKS 2031 ' k CITY OF ATLANTIC BEACH APPLICATION FOR FENCE PERMIT Owners 11'�r/Z /`�✓+IN� 77 e) ` 4.--1 Phone Address ✓ - Lot Block and/or Unit# Subdivision_ OCf Contractor if Different From Owner 00 Valuation of Fence$ l J� Corner or Interior Lot r " V Type of Construction N0 o b 5 flAE0" 60yt ►N x r%�° L G Attach Survey Showing location and height of fence as well as locatio`n� treet(s). Owners Signature z b a Contractors Signa,t re noovAL H bro r- © w nl r- o c . Wt*;2 5✓fft, : �T, C--LZVF-R AWAVAL ; PSR384 1 12032 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -- -- ------- LOCATION INFORMATION ----- ermit Number : 12032 ddress : 91 OCEAN BREEZE DRIVE Permit Type: SCREEN ENCLOSURE ATLANTIC BEACH , FLORIDA 322` 'lass of Work :ALTERATION --------- LEGAL DESCRIPTION ----- constr . Type:WOOD FRAME Block : Lot : 1 TWA' Proposed Use: Section: 0 Subd: O Rncx: Dwellings : 1 Subdivision:OCEAN BREEZE Est . Value : 0 . 00 improv . Cost : 550 . 00 Total � e�` 25 .00 00 1 i t. '" t' «.+gra Tw. ► i,. . .. i:i .. "-TER Exi.151 U QUVEREU -52 -5 � � .a u e ; - _ e ION _-. �____ APPLICATION FEE: M PERMIT tRNE §� A � MKaM. THEO": DINT BOULEVAv 7ILr 1"LORIDA 32111 lone (� 4 - --- C(iiTR R I" -FORMAT I it - 5 tr 6928 PHS PS PARKWAY DRIVE N . e 44-�U- '0N FL 32256-1576 L '. Exp , / NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT Ab&$U A-C if) REWP*Aj jb4R VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 1874 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERRIT CCAWULATION SHEET Address (` f +k1J A- f. Date SA Heated Square Footage @ $ per sq ft =. $ Garage/Shed �@ $ per sq ft = $ Carport/Porch �� @ $ per sq ft = $ Deck@ $ per sq ft $t�— �4 Patio \�J� p� _@ $ per sq ft = $ V TOTAL VALUATION : S C ���•ey Total Valuation 1st $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ CS BUILDING PERMIT FEE $ WATER IMPACT FEE $" SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ ,`- SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) is HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finiph Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Qwner(s) : PO u I `The n Address : q p)re�, )r Phone: - 470--..00 Lot #..,_.,�._ Block or Unit # � Subdivision: nCeaD- Contractor: S��C `'r State License Address ; (94�, t ►",�-�(�. JJyPhone Na: �a ' ,�1�, — Describe work to be done: -� � i�, }�)� ender � Ilbhllo _( c)LVu1-( --.. .� Present use of building: Valuation of Proposed Construction: ) Proposed use■ 9c' t'.f i�•■1 I ■ Is this an addition,? rv�0 . If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled?IN I New electrical (or increase)? New plumbing fixtures? New fire lace? ANew Heat AC? SUBMIT TRW= COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR, Signature OWNER: Date; JC Signature CONTRACTOR; J�66 _"�4;Z�Iv��a te: License supplied: Liability Insurance: ti� � A : 307996 Worker's Compensation Insurances 't��l�l r,^�, V1..1 i,ylt6•' , ng 4.41 i TIHH AII3 H 9 H1H WHSST:60 56, OT AUW STRUCTURES WITH WOOD AND ALUMINUM FRAMING AND COMPONENTS JIB x 1" WOOD SCREWS w/ 5/6" WASHERS (3) PER PANEL ALUMINUM COVER (SEE CONNECTION TO HOST STRUCTURE) D 00 1� HURRICANE ANCHORS AND ALTERNATE STUDS TOP AND BOTTOM 2" x 4" TOP PLATE PRESSURE TREATED PINE (2) INTERNAL L'S OR RECEIVING CHANNEL 2"x4" STUDS (2) 1/4" DIAMETER BOLTS EACH ANGLE SHEATHING: 1/2" PLYWOOD OR STRUCTURAL GRADE T`IiERMAL PLY w/ SIDING (4) #10 x 1-1/2" S.M.S. EACH ANGLE 1/4"x3" BOLTS OR T-BOLTS INTO CONCRETE SLAB AT 24" O.C. W/ 1/8" x 1-1/2" WASHERS ALUMINUM BEAM FRAMING N INTO CORNER OF WOOD FRAMED UTILITY SHED DETAIL PRESSURE TREATED 2"x4" � o _ 7 4 1/4" x 2" LAG BOLT (2) PER POST 1" x 2" TOP AND BOTTOM PLATE SCREW 2'-0" O.C. POST 2" x 2" x 0.044" EXTR. APP AT ANTICEBEACH PE x ST TO SCREWS T. MIN. ('�Y .OF PER POST TOP AND BOT.. BUPLDING OFFICE JUN 0 3 96 1/4" MASONRY ANCHOR 2/ INTO SCREENTROOM (2) ATEPOST AND 2'--0" D.C. ALUMINUM SCR UNDER WOOD FRAME PORCH LAWRENCE E. BENNETT, P.E. CIVIL ENGINEER&DEVELOPMENT CONSULTANT R O.BOX 4368 SOUTH DAYTONA, FL 32121 PHONE 1 (904)767.4774 FAX#1 (904)767-6556 m COPYRIGHT, 1996 7 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E.BENNETT, PE. Yli NI IP5� ,'' ' CoNagy N! a fid,��ttia �4� PSR3844 09804 99 00''x., 00004+)(M �0,.) DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -------- LOCATION INFORMATION -------- Permit Number - 9804 Address : 91 OCEAN BREEZE DRIVE Permit Type ! UTILITIES ATLANTIC BEACH , FLORIDA 3225 lass of Work: NEW ---------- LEGAL DESCRIPTION -------- - Constr . Type: WOOD FRAME Lot , Block * Section: Proposed Use : SINGLE FAMILY Township: RNG* 0 D�,,ellings : I Code- 0 Subdivision ; OCEAN BREEZE Estimated Value : M00 Improv . Cost : $0 ,00 Total F-ees ! S620 .00 Amount, P*i(� $620 OWNER INFORMATION ---- APPLICATION FEES PAUL THEEOPAN PERMIT $25 .00 91 OCEAN BREEZE DRIVE. WATER IMPACT FEE $0 .00 ATLANTIC BEACH FT,ORIDA SEWER IMPACT FEE $0 .00 - (9,041739 442-" WATER METER/TAP 8560 .OQ RADON GAS-H.R . S. $0 .00 --- ---- CONTRACTOR INFORMATION RADON CAB 5% $0 .00 MTT [ r T T Ir 7 CAPITAL IMPROVE, $0 .00 SEWER TAP 50 .00 CROSS CONNECTION 535 . 00 SEC H IMPACT FEE SO .00 CONST. SURCHARGE 50 . 00 c!'HAFtr,/ATL . BCH SO .00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Oak)00000 AXK000 .()0 14 3/09/95 01 Rept.- 0037035 2 By: P CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCAT ION:. L�+// ���eZ� oz - OWNER OF PROPERTY: / Lv BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: TELEPHONE NUMBER: C�crr�� ICEN SE NO: TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BB IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION OR Ir Date: q/9/o .3 Job Address: 9� O C-ral) breGz-e— Ad, Owner of Property: .5611J��1 � �'� ,�usch �� Telephone: cPV 9 w D6 y'O Plumbing Contractor. &iTS �irs6mS� PIL 64 JnC, Contractor's Address: P. 0 /Yox Sd Vq(a 4�0, Telephone: ;t y 7—Vq1 f Fax: State License Number: C r Co S"to q,?7 How many of the following fixtures(re-piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals O4 Sl -S`'Pw'C Closets Washing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 = (Minimum Permit Fee:W.00) Signature of Contractor: ,, Pull Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904)247-5826 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845- http://w ww.cLadantic-beach.fl.ns Arv:c.vi I/tQ/!12 CITY OF i 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SHOO FAX(904)247-5805 .orb► NOTICE TO: Water Department FROM: Building Department DATE: / S` Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed: Permit Number Address Sincere y, 1 r Building Department f 1 ( attftratt of Orritivanq Y (situ of Atlantic N=4 — Nlnriba Department of Nuilbtng Inspection This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following, Use Classification Sig.,je Family Resi,tlence Bldg.Permit No. 783" Group ,f T u ttt a Type Construction Fire District t L'fit?`• Beach Owner of Building Eau? & Anne T%le ofO. Address 91 Ocean Breeze DrIxe Buiidin�,Address 1 �}c.ean Breeze Dr-Locality AtLantGc }reagh, F1 32233 1 {,/ By: D(i,yr � u . Y Building Official ��` Date: ell, POST IN A CONSPICUOUS PLACE i 3 on j i CITY OF VqMUILC ze a Office of Building Official REQUEST FOR INSPECTION Date 7.3--�i� sem--�" _ Permit No. _-_--- ,9, _------ Time / U A.M. Received ` P.M. Job Address Locality Owner's //yy Name �— - - -- S Contractor ------------- ------- UILD CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring i Rough Air Cond. & Re R Slab Temp Pole Top Out Heating nsulafion ][ Lintel iFinal Sever Fire Place ' \ Pre Fab READY FOR INSPECTION Mori. Tues. Wed7hurs. Friday A.M. Inspection Made __. _P.M Final Inspection Certificate,of Occupancy DpIc V'J•'J�+�Aw^�''lzzdl k Officf_ of Building Official RECCES s FOR INSPECTION G Date _ � �_�__ Permit No. _ Time — A.M. Received •/ % !/ __�_�____RM. Job Address Locality Owner's Narne --- -----—----------- — Contractor 11 _.a BUILDING CONCRETE ELECTRICAL ;PL I, MECHANICAL Framing Footing Rough Wiring C Roug L=� Air Gond. & ❑ Re Roofing Slab Temp Pole Top Out LI LIHeating Insulation = Lintel Final 1 r Fire Place Pre Fab READY FOR INSPECTION A.M. Rion. lues. Wed. Thurs. Friday —P.M. A.M. I Inspection Certificate of Occupancy i Date _---- --- !� C # CITY OF Office of Building Official r REQUEST FOR INSPECTION Date. Permit No. Time A.M. Received �� r1' P.M. Job Address Locality Owner's Name _Contractor 6�r,,��n ��Ar-j— BUILDING CONCRETE LERGT IC PLUMBING MECHANICAL Framing C Footing ❑ Rough Wiring G Rough ❑ Air Cond. & Re Roofing G Slab ❑ Temp Pole G Top Out ❑ Heating Insulation ❑ Lintel E7 Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION F Mon. Tues. Wed. ur Friday I Inspection Made y Inspector Final Inspection G Certificate of Occupancy I i Date V f J c�- CITY OF cpe Office of Building Official ;79 A o REQUEST FOR INSPECTION a 3 m 7 P Date — 1 Permit No. Time 10! Received _ P.M. Job Add ss s r��cality _ Owner's lz:=7G C Contractor Com -- Name _ — UI>+DING NCRETE �C_ MBI�,�Ar CHANICAL Framing ❑ Footing 17 Rough Wiring RoughCom Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Insulation ❑ Lintel C Final Sewer Fire Place Pre Fab READY FOR INSPECTION F Mon. Tues. Wed. Thurs. Friday —_f C'4 I nspection Made off ` �� P./ Inspectio Inspector— - eFVNCcate of Occup ae DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE: AND ARE SATISFACTORY: -- _ -- 5- -_----- .-------------------- -77 /G/ b ---------------------- Enclosed are the blue copies of the permits. ERELY, BUILDING INSPECTION DIVISION cc:FILE OftiCC 0E Rttild'sng Official REQUEST FOR INSPECTION o �3 date--- - -- — Permit No. -- - Time _ Received _____ P.M, Job Address cality Owner's /�, NameContractor --- -- - BUILDING CON ETE ELECTRICAL PLUMBING MECHANICAL Framing Fo Rough Wiring Rough ❑ Air Cond. & C Re Roofing Slab - Temp Pole i Top Out ❑ Heating sulation C' Lintel Final Sewer I. Fire Place Pre Fab READY FOR INSPECTION A.M. 4on. T 5. Wed. Thurs. Friday_1 RM. Ir ,pecUcr Roads r Final Inspection R ��(� rtificate of Occupancy 1, TRANSMITTAL DOCUMENT FOR JEA DATE: /6 . e-, _ �;,l The following permits have passed "rough" inspection: Permit No. Address �d g� �C ,� Xxlcat�a�ac } scx�fxax�pc. Please update your records accordingly. Thank y , I LD N 64 CITY OF ATLANTIC BEACH /vcb -R0:,ER','Y DESCPIPTION CITY OF &cad- A 8041 SE.N11\01 F ROU) ------Blcck 4--------Section 1C IF 11,1111 ION F(904)247-;XR0 iut)div:� ion DC-6AO P>9 e 2 4 1994 JAX(9041 241-5M'c —Building and Zoning fa,t Dr-,�CRIPTION OF WORK )r AddrL If-in n FLOOD_HAZARD ,1t;L)d _One: Ore -------------- .0 Complete page 3. 13rief Description: Claus of Work: (New/Remodel/Addition) -- ONING INFORMATION Type of STtJ Gem Constr uct ion:--Fe-+1t4 ----------- O'ling Proposed .1strict: Use: 'lue --------- ----- Estimated va xceptiona or Materials:--------------------------- ariances Granted Solid or Filled Grounds Roo-f. ------------- OWNER INFORMATION Method of Property Ovners_.P6UL -7—tjC00=,AjfJ Phones -7q q -------------- Mailing 3S� Address 15 - - Zip-. -------- - ---------------- CONTRACTOR INFORMATION Contractor:------19 Phone: Hailing Address: ------------------------------- ------------------------------------------------ Zip:---------------- I Expiration License Number:------------------------------------------ Datet I HEREBY CERTIFY THAT I NAVE READ AND EXAMINVO Till,' APPLICATION AND K1/OV THE SAME TO VE AND CORRECT. ALL PROVISIONS Or THE LAWS AND OROXHANCES GOVERNING THIS TYPE OF vDgC i! COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOE'; N,)T GIVE AUTHORITY TO VIOLATE OR CANCEL THP PROVISIONS OF ANY FEDERAL, STATE OH LGt-.AL REGULATIONS, onDrUANCrg. OR LAWS XH.ANY HAMNER, IfICLUDIfin THE. G0VFRf4IHn OF rrii!;M,!TIC!, PEAFORMAHC9 OF CONSTRUCTION Of THE PROJECT. I Ullt)Cllf;TMID T1fAT TIM Ifi�'AJANCE OF Tf.l'; f CONTIHOE11T UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT TI(E OLAH,; A041) DATA HAVE DEElt OR SHALL BE PROVIDED AS REQUIRED. Owner Signature Date Contructor Signature ----Date— CITY OF ATLANTIC BEACH, FLORIDAF- Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 5- , 19 q y 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, WIIICFI ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. i lin. atClec--(i k- C • ELECTRICAL FIRM: y-�_ [ MASTER ELECnTR SIGNA RE NAME ga U� 1 xf 0 ` C"' ADDRESS: QC-CG' grf e Z e 1\U r RFD BOX BLDG.SIZE BETWEEN: RES.I IIZAPT.1 1 COMM.1 1 PUBLIC 1 1 INDUS.1 I NEW 1 OLD( 1 REW.( 1 ADDITION 1 ) TRAILER( I TEMP.( 1 SIGNS ( ) SO.FT. SERVICE: NEW(A INCREASE( 1 REPAIR( 1 FEE CONDUCTOR SIZE �"�' 0 AMPS aO,0 COPPER ALUM. SWITCH OR BREAKER QO AMPS PH_ -3w2 W OVOLI c. C- RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE ]NO. SIZE ,-NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES __ CONCEALED OPEN TOTAL 0.30 AMPS, �J1.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT Be M.V. FIXED 0. 0 AMPS. OVER _ APPLIANCES _ BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PNS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE I SWITCH FLASHER EACH SIGN "- FORWARDED TOTAL FEES �� � )iA Q a CITY OF Office of Building Official / REQUEST FOR INSPECTION Date Permit No. �Time / Receive !v �.M�J Job Address Locality } Owner's Name Contractor cz — B611,(�1NtsT -' ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C7 Footing ; Rough Wiring Rough Air Cond. & O Re Roofing Slab Fi Temp Pole l Top Out F; Heating Insulation ❑ Lintel F, Final 1 . Sewer Fire Place Ell Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday-- P.M `l - ' -A-- Inspection Made _ M. _ �_ Final Inspection Inspector_ Certificate of Occupancy C 1. Date _ Office of Building Official REQUEST FOR INSPECTION t _ Permit No. Tim ,(� p A.M. Job Address Locality Owner's Name, _ Contractor l BUILDING NCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing l Rough Wiring L Rough Ci Air Cond. & Re Roofing SlabTemp Pole Top Out i:; Heating Insulation Lintel Final Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION �10 Tues. Wed, "-Z�D A.M. Inspection Made _ P.M. 'nsp?ctol Final Inspection I i Certificate of Occupancy I ! NOT 1 OF ADDITIONS or CORRECTIONS D • NOT REMOVE !08 ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted f' k v Cel !-2k:5 vA�1 Q ( ' 2 if 7"12 4 V S L: / 3 r M� 0� rr 2 (n S JAJ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, loth, earth or other material, until the proper inspector hos had ample time to ya�prove the installation. y �Y2_4, After additions.or corrections have been made, call Building Department for an inspection. Field Inspectors are in the office from to Monday through Friday. PLUMBING ELEC BLc B-a PRESS HARD-USE BALI POINT PEN 11��� CITY OF A/�& f 4ftLLG A -0M f Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time / r A.M. O Received ! P.M. Job 7drejs i cality Owner's (// ,� ., / Name _ __ 0 Contractor BUILDING CONeRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footingt ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab eK Temp Pole Top Out ❑ Heating Insulation ❑ Lintel ❑ Final I❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. J 9 /Wed. Thur ? Friday 1 A.M. tion Made / P.M. r Final Inspection ❑ Certificate of Occupancy❑ Date _ n /ACITY OF 4& IS //I- Office of Building Official REQUEST FOR INSPECTION `r`y Dater~ L /V Permit No. Time Received /, T?M. Job Addres o lily % A Owner's j// ��/-y' Name Cda ctor "� BUILDING CO C TE ELECTRICAL PLUMBING �MECHANICA Framing ❑ F g ❑ Rough Wiring i-i Rough Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole F1, Top Out ❑ Heating Insulation ❑ Lintel CI Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. T rs. Friday P.M. C/ _ ©p C A.M. Inspection Made ` ( _ Inspector_ — ------- Final Inspection ❑ Certificate of Occupancy C? Date _ 3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH f PURI �hT�'C? ION I', FORMATI ON RitTTtb Ad l GEIY 8 DRIVE_ � it Type: 'MECHANICAL -0 EW ATLANTIC EACH:. . FLORI DA3: .. N �.. CA 'IESCRIPTI`13N_ _ .`, T*, « " t1O FRANC btY; 8t; se tta la - ' c w . ubd ren. CO4t BREEZE 00 if ' at °I ow " "o f t .}rt MFtW Fw.w.Mf�i A TAPPL ` .fv N l F ' 7 r, �D Dt� �., NPA F - 4 91 Tao- 'AF; .0 .' , � F.ADC1 , -�-, $0 .0( :,SEWER, TAP . &FTT y tk.D{ . : 3 9 pw 4,a� F a 1 7,f �7, s, e t E S { i l I. � t � r. NOTICE' . ►Lk C+DNCRETS f=t�AMB AND FOOTINGS MUST SIE INSPECTED BI PORE POUR#NG ' i I„ PERMIT'VOID SIX MO IVTNS AFTER CRATE C+F ISSUE Stl�DI@JCa MATERI, L,AUHBtSH AND't3E8RIS"FROM THIS WORK MUST 1 4T ti E,PLACED IN PUBLIC SPACE;AND MU;�T BE i ✓ .,UP AND AULED AUVAY.E' rEITHER CONTRACTOR DA OWN R' ' . lRE T OVOMPLY WITH C THE MECHAN .IEN 'L►W TAN RESULT IN P' f N °"i'W Cl Ft3 Ula M t FM VT 1S�I D ACCORQIN T©.APPROVE ;PLANS W#iICH ARE PART 4F THIS PERMIT AND SUBJECT tt3 REVCCATI„ xtiOltTI0I3F ApLE FIQVISIt?Ng f3F LAW, � C;BEACH SULDING DEPARTMENT `torl C�� Aaio voi?i4 w � Trt�l P� X77«Q£► BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division IL IDENTIFICATION —To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of Property Owner Signature of OwnerC \ Signature of or Authorised Agent Architect or Engineer III. NERAL INFORMATI N A. Type of hating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON urElectric THIS BUILDING OR SITE? XE� ❑ Ges—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT Q Other— Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on Lack of this form) 0— Residential or ❑ Commercial Q• Haat ❑ Spece ❑ Recessed O Central O Floor ❑ New Building Q Air Conditioning: ❑ Room ❑ Central ❑ Existing Building Q/Duct System: Melotia Thick n ❑ Replacement of existing system Maximum Npr' r�` 14S a 30�� c.f.m. ❑ Now Installation(No system previously installed) Q Refrigeration ❑ Extension or add-on to existing system ❑ Other -- Specify ❑ Cooling tower: Capacity g.p.m. C) Fire sprinklers: Number of heads_ ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Cl;Gudine pumps_ (number) (R000lved) 0: Tanks -(number) Remarks Q LP6 contain eK (number) 0 Unfired prsnwn vessM QPermit Approved by Dares (� OMNr' Specify Permit fee LIIBT ALL EQUIPMENT AIA CONDITIONING AND REFRIGERATION EQUIPMENT CayactApp Number Vnits DercdpUon !Model Number manufacturer ( boa)) ��11 _Jp P14 y ot4 Or dJ'g/4°�/ G� CITY OF y►, ys �s �4 � iC B -oda 1/ Office of Building Official REQUEST FOR INSPECTION DatePermit No. _ Time A.M Received _ — — —P.M. Job Address Locality Owner's Name --- -y-' 'Contractor 's !,/���-L!-- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footin Rough Wiring 1"1 Rough Ci Air Cond. & ❑ Re Roofing ❑ S a C Temp Pole C Top Out ❑ Heating Insulation ❑ Lintel D Final ❑ Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION Lndy�)---RM. A.M. Mon. Tues. Wed. Inspection Made --- Inspector �� L .O i" ___ Final Inspection ❑ Certificate of Occupancy ❑ Date _ kR 381 79 f DEPARTMENTOf BUIWIN G CITY OF ATLAIN'f#O BEACH_ � I PERMIT INFORMATIONrt w w rt rt rt-- LOCATION INFORMATION � t Numbe 7975'. Address-' 91 OCEA,N ''OREE E DRIVE i 'e tit TypePLUMBING ATLANTIO, BEACH,. FLORIDA 32233 I I "s$ of ork., I4EW " _.._.._ .�_.... LEf;;AL DESCR I PTI4N 'Clohbtr. Typo WOOD" FRSE Lot ; 8 .! Sedan: P ioposed Ut . SIR LE FAMILY Townihip: NN0: v 'l inq I Oc de: Subdivislow OCEANBREEZE mated Va ue• ? .413 ' Tota 578.,.00 �I oun 44 1 BIO IN NEN S I NOLE PAMILY 'VESIDENare , TIC �� � :. _ APP0 OAT I ON PEES rt.. ' PERMIT 718 e" 04 op . • WATER 1KkT R/TAP $0 .` 0 DON LA& N.Nx S,:" It FOL# 0N �� 3 % te' ry Sa 0t�V AV - APIT . o . 103 ; " OOD AENUE �UTH�C' SEWER TAP Ca ��q #?t? f }'..hSS r FLORIDAC W "k .J 4 6 v.`J H D i.t. fir, '�+7 is'S °sem, F e: CROSS BGTONType_. 4 $o a O. . CONOT. SURCHARGE f7 � TS: " 1 { t i I' 1 {{ NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTIDtEORE WOU11VfNt PERMIT VOID SIX,MONTHS AFTER DATE OF ISSUE BiIILDI V0 MATERIAL,RUBBISH AND DEBRIS FROM THIS-WORK MUST NOTSE PLAC9'Cx..IN PUBLIC SPACE,AND MU TSE j :CLEAREb UP ANa RULED AWAY,SY EITHER CONTRACTOR bR OWNER k ii # � I va 4 r LURE 70 CCIMPLY.tiViTH THE MECHANICS LIEN LAIN "CAN RES IN a TSE.I RQI�E 'I'Y t 'NER PAYING TWICE F©R BUILOl141Gi IIWPR�i/EMEN T ." F7 'V� r$:UEI3 k ;CORD G TO APPROVE t7 PLANS WHICH ARE PART OF 'THIS Pi RMIT AND SCJBJECT�`O REVC)CA�#ON !*QR." 3hOLA N OF AP ICABLE;PROY#SIC?N8OF LAW. i AaT#.# t'T ` .EACH St DING DSFAE##T11 ENf � 'rt 3tQ�1�+4 4i a I ','IiTY OF ATLANTIC BEACH APPI_. ATION FOR PLUMBING PERMIT JOB LOCA'F I ON e. eater PLUMBING CONTRACTOR LICENSE NUMBERS C,4_C"o 203 0WN ER --- �� --f-- - BUILDING CONTRACTOR TYPE OF BUILDING �G (� _SINKS l SHOWERS 4 LAVATORY Z- MATER HEATERS BATH TUBS �Z -DISHWASHERS URINALS DISPOSALS CLOSETS _ Z WASHING MACHINE x FLOOR DRAINS OTHER ie TOTAL FIXTURE - COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE, CITY OF t„y�ryry` Office of Building Official YY REQUEST FOR INSPECTION Date_,. O°`/2 J / _. Permit No. zo Time &M Received X_ P.M. J b Address Locality Owner's Name _ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing I. Footing D Rough Wiring ❑ Rough �l Air Cond. & ❑ Re Roofing C Slab C' em o e Top Out U Heating Insulation ❑ Lintel Cf Final Ci Sewer Fire Place D Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. Friday_ P,M. �C/ C A.M. Inspection Made �� P.M. Inspector__ _ Final Inspection Certificate of Occupancy F! /�� Date 1 DATE: S-� PRE-SERVICE DIVISION JACKSUNVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY : '74/ ? _ 4-�---�,�- -- - - ---------�--\_____ ------------------------------------------------- ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SIN Y, BUILDING INSPECTION DIVISION cc:FILE ,t, CITY OF N® 1 1 2 8 0 ATLANTIC BEACH FLORIDA Iq NAME i' ADDRESS CITY r When Signed, Dated and Numbered, This Becomes arep@wd"I F81e;idbipt Received &nf/24/94 10 Receipt: 0033210 MAKE CHECKS PAYABLE TO Total payc., '.: CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH, FLORIDA Approval b 1 � Y APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 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. 1 ELECTRICAL FIRM:Un4j // ER ELECT[RIAN SIGWATURE NAME G e flt'411 ADDRESS: Ql f)eecJn ti XCCUX-'I�VYi RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES.d APT.( 1 COMM.1 1 PUBLIC( 1 INDUS. ( 1 NEW( 1 OLD( 1 REW.( 1 ADDITION ( ! TRAILER ( 1 TEMP.( vi SIGNS ( 1 S0.FT. SERVICE: NEW 1 ') INCREASE ( 1 REPAIR 1 1 FEE CONDUCTOR SIZE AMPS �e J COPPER f ALUM. SWITCH OR BREAKER, le: AMPS PH VOLT dab k , RACEWAY EXIST.SERV.SIZE . ° AMPS PH W ,_ VOLT RACEWAY FEEDERS NO. SIZE NO. 312E NO. LIGHTING OUTLETS CONCEALED _.. OPEN TOTAL, _...<_.. RECEPTACLES µ CONCEALED +! OPEN .,. _ .._. TOTAL 0.30 AMM'!!. e E 91.100 AMPS. e SWITCHES INCANDESCENT FLUORESCENT-81 M.V. _ ._ .. . .,. FIXED N 0-100AMPS-1 o tR APPLIANCES ,. ._n BELL.TRANSF. AIR, H.P.RATING H.P. RATING ' . . �_...._. .. .,. _. -. CONDITION(Nd',",'` dGMP.MOTOR OTHER MOTORg�`, ' ►MPS CEIL HEAT: KW-HEAT r f .0.1 .x, r.. OVER. d ., MOTORS H.P. VOLTAGE PHS NO. 1 N•P• .. VOLTAdt . PHS �_ ....:.... _ MISCELL NEOUS s TRANSFOR(NERS. _ UNDER 600 V. OVER 600 V. _, 7839, Si, CITY O ATLAN. S A H ,, kF i P � . '�8 3 Addr ss- d AN itR E IRIVR DING, Lot, I C, 's-EAiCH, FLORIDA �322113 WOOD FRAME, � Trot ; � 9 B� c�� CtIon" = 'R ' a "�"' � ' «t11hi � d { , ` z. t, • Cade' t 3a a r� l a< OCEAN ARRE E ; � l 4CII b a• , - v- 1 A I OTI ON ''FEES, ft " } '' T SHCA IT` Aq4 71101K FEE. t ORF? R Ap .0 RA) OAS H .R, , I{3RAT CS ; �.,I PR V ? 1ER TAP- 1:0 y i HYDRAULIC RHARE. 1p. 3 CR" CONfiTEC'T I QN Type: . 4"43d P A I t) i. FEB 1,994 �. City of Atlantic Bct, NQTIC Ail COWCRETI»fORMS.AND F©OTIN 0S MUST-,0E,INSF��C��De���'�E Poole #N•m 77 `77 PERMIT UQID SIX MONTHS AFTER WIt OF ISSUE UILa1NG MATE IAS.,RUBBISH AND DE01AIS FROM THIS WORK MUST NOTSe.PLACED IN PUBLIC SPACE.AND UST 6E 1.E0ED UP AN HAULED AWAY oy EITHER C©NTRAOOR©R OWNE�1 �F"AIL, 9 Tt� C } tP! Y WIT THE MECHANICS! LtE� LA CA l RESU T N it � #.�' i ' itF So D ACCOR INCd TO APPROVED PLRNS WHICH ARE PART OETHIS P f Mfi ANb SUI JI=CT TC? A8VOCAfft it'FOR ' : ON t3f,Al s1.#CA1LE PiQlfitl>t5 001AW., ALAN ACH , UILDINC DEI�Ak TM,E 4T 4[6 § ly afk'k tN' CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF C) SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATE (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4)q VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) 3 FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) Z. LAVATORY (1) �{ l COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) 2-- WASH SINK EACH SET OF FAUCETS (2) _KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE J DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) / SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) �1 JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ �W' V JOB INFORMATION ;7 � uepartment of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Whole Building Performance Method A NORTH 1 2 3 PROJECT NAME: T' EoFAtJ PLS!6MEt3C-F- BUILDER: AND ADDRESS: CI& iWl;/7 CLIMA N v� �FFICME IN !VrC •�`• ZONE:TE 102030 OWNER: hp-, �AJt.. S. `CV15e�FA� PERIMT NO.1 I I I8' JURISDICTION NO.:12-16 1 111 0 Please type CK 1. New construction or addition 1. 2. Single family detached or Multifamily attached 2. 1. If Multifamily-No.of units covered by this submission 3. A. If Multifamily,is this a worst case(yes/no) 4. L Conditioned floor area(sq.ft.) 5. Z-15`1 sq.ft. 1. Predominant eave overhang (ft.) 6. ft. F. Porch overhang length(ft.) 7. ft. 1. Glass type and area: Single Pane Double Pane a. Clear glass Sa. 5"e-% sq.ft. sq.ft. b. Tint,film or solar screen 8b. sq. ft. sq.ft. 1. Floor type and insulation: a. Slab on grade(R-value+perimeter) 9a. R= o 1-1 I. ft. b. Wood, raised(R-value+sq.ft.) 9b. R= sq. ft. c. Concrete, raised(R-value) 9c. R= sq. ft. 10. Net Wall type,area and Insulation: a. Exterior: 1. Concrete block(insulation R-value) 10a-1 Ro sq:ft. 2. Wood frame(Insulation R•value) 100-2 Ru ick ?-(alas sq.ft. 3. Steel frame(insulation R-value) 10a-3 R= sq. ft. 4. Log(insulation R-value) 10a-4 R: sq.ft. b. Adjacent: 1. Concrete block(Insulation R-value) 10b-1 R= sq.ft. 2. Wood frame(Insulation R-value) 1bb-2 R= % 1 °1 sq. ft. 3. Steel frame(insulation R-value) 10b-3 R= sq. ft. 4. Log (Insulation R-value) 10b-4 R= sq.ft. 11. Ceiling type,area and insulation: a. Under attic(Insulation R-value) 11a. R= 3 o W SS H sq. ft. b. Single assembly(Insulation R-value) 11b. R= sq.ft. 12. Air distribution system: a. Ducts(Insulation+Location) 12a. R= 6•oy,.�colJy (e•na d) b. Air Handler( Insulation+Location) 12b. R= , Got31 (-WA-d.) 13. Cooling system: 13a. Type: .-Ea'�E�-•��t (Types:central-split,central-single pkg.,room unit.PTAC.,none) 13b. SEER/EtW#C*P: 110.0e 13c. Capacity: ti "r'•N 3 Toa 14. Heating system: 14a. Type: VSAT P 3r (types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTHC,none) 14b. HSPF/GGPWUE: '!L?> •d� 15. Hot water system: 14c. Capacity: ti%"10.0-r36H13'r­ (Types:elec.,natural gas,solar,L.P.gas,none) 15a. Type: S t-S C- 16. Hot Water Credits: 15b. EF: o'Bc1 a. Heat Recovery(HR) 16a. b. Dedicated Heat Pump(DHP) 16b. 17. Infiltration practice: 1,2 or 3 17. 18. HVAC Credits(Type in Letter.designation:CF-Ceitng Fan,CV-Cross vent, 18. GIF r1 Z. HF-Whale house fan,RB-Attic radiant baffler,MZ"zona) -- 19. EPI(must not exceed 100 points)_ 19. 9 6.19 a.Total As-Built points EPI T„�,�,�,,,,,d,,,. 19a. sral 40 - ti� b.Total Base points = TOWS pwft x 100 19b. 5'$S 62• �/ I h•r•by wmy ri•t M+• Ona VWNiMLt . by*'- u•in ONNAUNG wqh to R•Ww of p1 m.M q ellim om cwm d by Nrs ctilad•ti•n t cwpuanc•vmh Fiwia•En•yy Cod•. / 1 ft Florid•Enww Cod• f9Nomb corgi' MMd Iktir�'M�.gtp�cisd FREFAREO ey: � DATE: t�''•3C• 7 lot e•rnokwo in•ee W--M� ► 633. F I h•r•ey c•niy Nr•1 g r,i+ h tori EnsW Cods. dtlp ONNi OFFipAL Z:77 OWNER AGENT: _ ((„+�!l- DATE:/� HATE /✓ L S Department of Community Affairs SN : 6052 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH PROJECT NAME: THEOFAN RESIDENCE ; BUILDER: AND ADDRESS : ; PERMITTING ; CLIMATE 1OFFICE: Duval CountvIZONE: 11_1 21_1 31/1 OWNER: Mr. Paul S . Theofan ; PERMIT NO. ; JURISDICTION NO. 261100 CK 1 . New construction or addition 1 . New Construction 2. Single family detached or Multifamily attached 2 . Single-Family 3. If Multifamily-No. of units 3 . 0 4 . If Multifamily, is this a worst case (yes/no) 4 . 5. Conditioned floor area (sq. ft . ) 5. 3754 .00 6 . Predominant eave overhang (ft . ) 6 . 0 . 00 7 . Porch overhang length (ft . ) 7 . 0 . 00 8 . Glass area and type: Single Pane Double Pane a . Clear Glass 8a . 583 . Osgft O .00sgft b. Tint , film or solar screen 8b. O . Osgft 32. 00sgft 9. Floor type and insulation: a. Slab on grade (R-value , perimeter) 9a.R= 0 .00 , 170 . 00 ft 10 .Net Wall type area and insulation: a. Exterior: 2 . Wood frame (Insulation R-value) 10a-2 R=19 . 00 , 2688 .00sgft a. Adjacent : 2 . Wood frame (Insulation R-value) 10a-2 R=11 . 00 , 190. 00sgft 13-Ceiling type area and insulation: a. Under attic (Insulation R-value) lla.R=30 . 00 , 1834 . 00sgft 12.Air distribution systems a. Ducts (Insulation + Location) 12a . R= 6 . 00 uncond 13 .Cooling system 13 . Type: Central A/C SEER: 10 .00 14 .Heating System: 14 . Type : Heat Pump HSPF: 6. 80 15.Hot water system: 15. Type: Electric EF: 0 . 89 16.Hot Water Credits: (HR-Heat Recovery, 16 . DHP-Dedicated Heat Pump) 17 . Infiltration practice : 1 , 2 or 3 17 . 2 18 .HVAC Credits (CF-Ceiling Fan, CV-Cross vent , 18 . CF MZ HF-Whole house fan, RB-Attic radiant barrier , MZ-Multizone) 19 .EPI (must not exceed 100 points) 19 . 96 . 99 a . Total As-Built points 19a . 56797 . 43 b. Total Base points 19b. 58562 . 11 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I Hereby certify that the plans and 1 Review of the plans and specifications specifications covered by this calcu- 1 covered by this calculation indicates lation are in compliance with the 1 compliance with the Florida Energy Florida Energy- Code . 1 Code. Before construction is completed 1 this building will be inspected for PREPAE2ED BY: 1 compliance in accordance with Section DATE: - 30 - q3 1 553 . 908 F. S . 1 I hereby certify that this building is 1 in compliance with the Florida Energy 1 Code. 1 1 OWNER/AGENT: 1 BUILDING OFFICIAL: j DATE: t DATE: - c SUMMER CALCULATIONS _-= BASE ___ ; __= AS-BUILT GLASS---------------- ORIEN AREA x BSPM = POINTS 1 TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- N 188 . 00 65. 8 12370. 4 1 SGL CLR N 188 . 0 40 .7 1 . 00 7651 .6 E 162. 00 65. 8 10659 . 6 1 SGL CLR E 162 .0 84 . 9 1 . 00 13753 . 8 S 67 . 00 65. 8 4408 . 6 1 SGL CLR S 67 .0 73 . 2 1 . 00 4904 . 4 SW 15. 00 65. 8 987 . 0 1 SGL CLR SW 15 . 0 85. 4 1 . 00 1281 .0 W 168 .00 65 . 8 11054 . 4 1 SGL CLR W 136 . 0 84 . 9 1 . 00 11546 . 4 DBL . 65 W 32. 0 69. 4 1 . 00 2220. 8 NW 15. 00 65 . 8 987 . 0 1 SGL CLR NW 15. 0 61 . 5 1 . 00 922 . 5 ------------------------------------------------------------------------------- . 15 x COND. FLOOR / TOTAL GLASS = ADJ . x GLASS = ADJ GLASS I GLASS AREA AREA FACTOR POINTS POINTS 1 POINTS ------------------------------------------------------------------------------- .15 3 ,754 .00 615. 00 .916 40 , 467 . 00 37 , 051 . 98 1 42, 280 . 50 - - - --------------------------- NON GLASS------------ 1 AREA x BSPM = POINTS ; TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- 1 Ext 2688 . 0 . 9 2419 . 2 1 Ext Wood Frame 19 .0 2688 . 0 . 90 2419 .2 Adj 190 . 0 .7 133 .0 1 Adj Wood Frame 11 . 0 190 .0 .70 133 .0 DOORS---------------- Adj 20 .0 2. 4 48 . 0 1 Adj Wood 20 . 0 2. 40 48. 0 CEILINGS------------- UA 3754 . 0 . 6 2252. 4 1 Under Attic 30 . 0 1834 .0 .60 1100 . 4 FLOORS--------------- 1 Slb 170 . 0 -37 . 0 -6290 . 0 1 Slab-on-Grade . 0 170 . 0 -41 . 20 -7004 .0 INFILTRATION--------- 3754 .0 8 . 0 30032 . 0 1 Practice #2 3754 . 0 8 . 00 30032 . 0 TOTAL SUMMER POINTS 1 65, 646 . 58 1 69 , 009 . 10 TOTAL x SYSTEM = COOLING 1 TOTAL x CAP x-DUCT x SYSTEM x CREDIT-=-COOLING SUM PTS MULT POINTS 1 COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 65, 646 . 58 . 37 24 , 289. 23 1 69, 009. 10 1 . 00 1 . 100 . 340 . 817 21 , 086 .28 WINTER CALCULATIONS BASE _-_ ; -_= AS-BUILT =_- - - GLASS---------------- ORIEN AREA x BWPM = POINTS 1 TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 188 . 00 -10. 6 -1992. 8 1 SGL CLR N 188 . 0 13 . 8 1 .00 2594 . 4 E 162 . 00 -10 .6 -1717 . 2 1 SGL CLR E 162 . 0 -3 . 8 1 . 00 -615.6 S 67 . 00 -10 . 6 -710 . 2 1 SGL CLR S 67 . 0 -24 .0 1 .00 -1608 .0 SW 15. 00 -10 . 6 -159 . 0 1 SGL CLR SW 15. 0 -18 . 1 1 .00 -271 . 5 W 168 .00 -10 .6 -1780 . 8 1 SGL CLR W 136 . 0 -3 . 8 1 . 00 -516 . 8 1 DBL . 65 W 32. 0 -6 . 1 1 . 00 -195. 2 NW 15. 00 -10 .6 -159 . 0 1 SGL CLR NW 15. 0 10.7 1 . 00 160 . 5 ------------------------------------------------------------------------------- . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS ; GLASS AREA AREA FACTOR POINTS POINTS ; POINTS ------------------------------------------------------------------------------- .15 3 , 754 . 00 615.00 .916 -6 , 519 .00 -5 , 968 . 86 1 -452 .20 ---------------------------- NON GLASS------------ _ AREA x BWPM = POINTS 1 TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- I Ext 2688 .0 2. 2 5913 . 6 1 Ext Wood Frame 19 . 0 2688 . 0 2 . 20 5913 .6 Adj 190 . 0 3 . 6 684 . 0 1 Adj Wood Frame 11 . 0 190. 0 3 .60 684.0 DOORS--------------- I Adj 20 . 0 11 . 5 230 . 0 1 Adj Wood 20 . 0 11 . 50 230. 0 CEILINGS------------- 1 UA 3754 . 0 1 . 2 4504 . 8 1 Under Attic 30 .0 1834 .0 1 . 20 2200. 8 FLOORS--------------- Slb 170 .0 8 . 9 1513 . 0 1 Slab-on-Grade . 0 170 . 0 18 . 80 3196.0 INFILTRATION--------- I 3754 . 0 7 . 4 27779. 6 1 Practice #2 3754 . 0 7 . 40 27779 .6 TOTAL WINTER POINTS 34 , 656 . 14 1 39 , 551 . 80 TOTAL x SYSTEM - HEATING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS 1 COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 34 , 656 . 14 . 55 19, 060. 88 1 39 , 551 . 80 1 .00 1 .100 . 500 . 950 20 , 665.82 WATER HEATING BASE ___ ; __= AS-BUILT NUM OF x MULT = TOTAL I TANK VOLUME EF TANK x MULT x CREDIT = TOTAL BEDRMS I RATIO MULT ------------------------------------------------------------------------------- 4 3803. 0 15, 212 .00 I 80 . 89 1 . 000 3761 . 3 1 .00 15, 045. 33 ************************ ******************************************************* SUMMARY BASE __= I =_= AS-BUILT COOLING HEATING HOT WATER TOTAL I COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS I POINTS + POINTS + POINTS = POINTS ------------------------------------------------------------------------------- 24289 . 2 19060 . 9 15212. 0 58 , 562 . 11 1 21086 . 3 20665 . 8 15045 . 3 56, 797 . 43 ------------------------------------------------------------------------------- * EPI = 96 . 99 ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for EPI= 97 . 0 DCA Form 600A-93 or Form 600B-93 0 10 20 30 40 50 60 70 80 90 100 --------------------------------------X-- { The maximum allowable EPI is 100 . The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency SINGL CLR DBL TINT WINDOWS . . . . . . . . . . . . . . . . . . . . . Single Clear 1X-------------------- 1 INSULATION. . . . . . . . . . . . . . . . . . R-10 R-30 Ceiling R-Value. . . . . . . . . 30 . 0 1 --------------------X1 R-0 R-7 Wall R-Value . . . . . . . . . 18 . 5 1 --------------------X1 R-0 R-19 Floor R-Value . . . . . . . . . 0 . 0 1X-------------------- 1 AIR CONDITIONER. . . . . . . . . . . . . 10 .0 SEER 17 .0 SEER/EER. . . . . . . . 10 . 0 1X-------------------- : 9 .7 EER 16 .0 HEATING SYSTEM. . . . . . . . . . . . . . 6 . 8 HSPF 12 .0 Electric COP/HSPF. . . . . . . . 6 . 8 1X-------------------- 1 0 .78 AFUE 0 .90 Gas AFUE. . 0 . 00 { --------------------- { WATER HEATER. . . . . . . . . . . . . . . . 0 . 88 0 .96 Electric EF. . . . . . . . . . . . . . 0. 89 1 --X------------------ 1 0 . 54 0 .90 Gas EF. . 0 . 00 1 --------------------- { 0 .40 0 . 80 Solar EF. . . . . . . . . ; --------------------- { OTHER FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I certify that these energy saving features required for the Florida Energy Code have been installed in this house . Builder Address : Signature : Date: City/Zip Florida Energy code g Construction - 1993 Florida Department of Community Affairs FL-EPL CARD93 MA NvA I.. "J'' C- C,Q .-AA 7 o NS 10-29-93 60601903. 15 SUMMARY REPORT -------------- Prepared For: Prepared Bv: Billy M Arzie , Architect Yorgos Gaitantzis 770 East Coast Drive Turknett Engineers Atlantic Beach , FL 32233 Job Name: THEOFAN RESIDENCE DESIGN CONDITIONS for Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 96 29 75 70 Wet Bulb 77 62 Daily Range 19 Daily Swing 3 .0 Latitude 30 Elevation 24 Safety Factor (%) 0 Latent Factor W 28 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Family Room 9 , 434 132 9 , 365 473 Living Room 7 , 416 104 6 , 497 328 Dining Room 2 , 834 40 3 , 427 173 Brkfst .& Pantry 4 , 877 68 8 , 681 438 Bedroom 1 2 , 290 32 2 , 573 130 Foyer & Hall 5, 171 72 4 , 925 249 1st F1 . Bath 0 0 406 21 Sitting Room 3 , 377 47 3, 350 169 Master Bedroom 6 , 058 85 5, 383 272 Bedroom 2 2 , 734 38 4 , 611 233 Bedroom 3 3 , 807 53 5, 146 260 2nd F1 . Hall 4 , 634 65 5 , 353 270 Dress . & Bath 140 2 770 39 Laundry 111 2 736 37 ------ ------- ------- ------- 52, 883 740 61 , 223 3, 092 HEATING DELTA T 65. 0 COOLING DELTA T 18 .0 NnTF : * ** Calculated Airflow is based upon load requirements . 1 �� 10-29-93 60601903 . 15 DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Billy M Arzie , Architect Yorgos Gaitantzis 770 East Coast Drive Turknett Engineers Atlantic Beach , FL 32233 Job Name: THEOFAN RESIDENCE EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ . TOTAL --------------------------------------------------------------------------- AREA ; 188 ; 671 1621 136 ; 151 151 01 5831 COOLING 1 4 , 5571 2, 1601 9 , 2731 7 ,7851 6191 739 ; 01 25, 1321 HEATING 1 6 , 7181 2, 3941 5 ,7891 4 , 8591 536 ; 5361 01 20 , 8311 --------------------------------------------------------------------------- BELOW WALLS NORTH SOUTH EAST WEST NE/NW SE/SW GRADE TOTAL --------------------------------------------------------------------------- AREA 1 5521 4151 8231 8151 351 801 01 2, 7201 COOLING 1 5981 450 ; 8921 8831 381 871 01 2 , 9481 HEATING 1 9971 7501 1 , 4861 1 , 4721 63 ; 1441 01 4 , 9131 --------------------------------------------------------------------------- DOORS NORTH SOUTH EAST WEST NE/NW SE/SW TOTAL --------------------------------------------------------------------------- AREA I 01 01 01 01 01 01 1 01 COOLING I 01 01 01 01 01 01 1 01 HEATING 1 01 01 01 OI OI 01 1 01 --------------------------------------------------------------------------- FLOOR AREA COOLING HEATING --------------------------------------------------------------------------- 3754 1 0 1 5, 247 --------------------------------------------------------------------------- CEILING AREA COOLING HEATING --------------------------------------------------------------------------- 3754 1 2 , 572 1 2, 344 --------------------------------------------------------------------------- MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 900 Latent Load 17 , 142 Lights & Appl . Load 16 , 553 Latent Safety Btuh 0 Ventilation Load 0 Duct Heat Gain 9 ,775 Infiltration Load 3 , 343 Sensible Safety Btuh 0 TOTAL SENSIBLE LOAD 61 , 223 TOTAL LATENT LOAD 17 , 142 Summer ACH 0 . 20 Temp. Swing Mult . 1 .00 *** Total Cooling Load 78 , 365 BTUH Or 6 . 53 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 13 , 054 Ventilation Load 0 Duct Heat Loss 6 , 494 Safety Btuh 0 Winter ACH 0. 00 *** Total Heating Load 52 , 883 BTUH *** 2�Z r SOF SURETY 6. NAME/ADDRESS OF LENDER _ Peoples First Financial Savings & Loan 14333-104 Beach Blvd. Jacksonville Beach, FL 32250 /1 AMOUNT OF BOND $ N A -- 7. Person(s) within the State of Florida designated by Owner upon whom notices or other documents may be served as ,provided by Section 713.13(1)(a)(7), Florida Statutes are shown below: !7 A __ -- __ -- _- 7-NAME/ADDRESS NAME AL,DHESS I Paul. S. Theofan Baron L. Bartlett, P.A. 4336 Charter Point Blvd. 910-A Third Street Jacksonville, FL 32211 Neptune Beach, FL 32266 B. NAME/ADDRESS OF PERSON TO RECEIVE COPY OF LIENOR'S NOTICE 18. In addition to himself, Owner designates the person whose Peoples First Financial Savings S Loan name and address appear in the box at the right to receive a 14333-104 Beach Blvd. copy of the Lienor's Notice as provided in Section 713.13(1)(b), Jacksonville Beach, FL 32250 Florida Statutes. i 9. Expiration of date of Notice of Commencement (the 9. EXPIRATION DATE ,expiration date is 1 year from the date of recording unless a December 1, 1994 different date is specified) is shown in box at right. Signature of Owner x L S. THEOFA j NOTARIZATION NNA M. THEOFAN The foregoing notice was acknowledged before me this " 4th State of FLORIDA day of February, 1994 by ss. PAUL S. THEOFAN and A THEOFP.:v Coufiity of DUVAL xR � '�. Notary Public's dt, CAROL P. HUTTO Signature X \ }� 3 ' Notary Public's Name: SOL P. HUTTO CC;;223 Q For the County of: DUVAL State of: FLORIDA My Commission Expires: M iP'1 rE RETURN-TOi DRAFTED BY: CAROL P. HUTTO BARON L. BARTLETT, P.A. ADDRESS,CITY,STATE 910-A Third Street Baron L. Bartlett, P.A. Neptune Beach, FL 32266 910-A Third Street Neptune Beach, FL 32266 77ICE OF COMMENCEMENT :opy+pnt I VA Gfeat Lakes Business Forms,Inc "fA 7197 13012;-LA.P FLCRfDA HERMSY CERTIFY LSAT THIS IS A '1ND CORRECT COP'S OF THE P CAROt. ._ vtt{ �TTOFw(sua CA>R P41 — 1 X11 Ju ; ?.• acv, Li:122aa2 , (Space Above Thin Lino for Recording Data) TAX FOLIO NO. 168088205 'ERMIT NO. NOTICE OF COMMENCEMENT tate of Florida ,ounty of DUVAL "HE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with ;hapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Street address, if available) 9t Ocean Breeze Drive A lantic Beach, FL 32233 LEGAL DESCRIPTION OF PROPERTY Lot One (1) , REVISED PLAT OF OCEAN BREEZE, according to plat thereof as recorded in Plat Book 46, Pages 51 and 51A, of the current public records of Duval County, Florida. GENERAL DESCRIPTION OF IMPROVEMENT Single Farm ly Dwelling 14AME ADDRESS OF OWNER 3 M. OWNER'S IN ER ST IN PROPERTY Paul S. Theofan and Anna M. Theofan Fee Simple 4336 Charter Point Blvd. Jacksonville, FL 32211 tdArnE ACDFESS OF FEE SIMPLE TITLEHOLDER(It other than owner) 4. NAME/ADDRESS OF CONTRACTOR Paul S. Theofan 4316 Charter Point Blvd. Jacksonville; FL 32211 pynght I M,Great Lakes Business Forms.Inc. (:rc tl I�kex Ruallnne Fen1r:.Inc t07(gpt21•LAP FLORIDA To(hd"Call I A(IfF,5..'M-93Wh Fg,X,0,1 �701q 1131 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address QCti' �Z Date Heated Square Footage 3 �SY @ $ 7C),C`per sq ft = $_ -230 Garage/Shed @ $ / Q per sq ft = $ CarporCPmorgj� jY 2--@ $ -Per sq f t = $ . 79`f Deck F-Z @ $ per sq ft = $ �, �3 0 Patio U @ $ C� Per sq ft = S TOTAL VALUATION: $t� '7S q6 6 Total Valuation 1st $/40,0 ", 1 /75j3 6-o " Remaining Value $3. per thousand or portion thereof TOTAL BUILDING FEE S &-6 + 1/2 Filing Fee $ Ov ( /) Fireplaces @ $15.00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ ego.00 SEWER IMPACT FEE $_ as ,S-O._c WATER METER/TAP $ VD CAPITAL IMPROVEMENT $ :zS: OC SEWER TAP $� -v — (1960) RADON (HRS) .0045 $ .3 0 946) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ a,5;0C� (/446) SURCHARGE .0050 $ 9-80 OTHER $ GRAND TOTAL DUE $ ��/ O ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: P.A. JOB WILLIAM T. MATHIS & ASSOC. SHCQT PJO. OF _._ r ��/ T M t ti UAT P. 0. BOX;914 ,nLcuLnrEo 8Y]Nu PONTE VEDPA BEACH, FLORIDA 32082 CHECKED By °Aj`' SCALE c 5 .... . ........t...• 5 1....�.• #.................... .t .. .. .• .. _ ... . ......_...... ...i-...... _. . . ... _..........Q.S................... ......... .� ....... •.., ..... .. ..» w ..••.... ..........,.__.._�,.,. . ..,............_..........•................_. ......_ _ . . ..,........ . ......._.. .. . ... ._; t...... .... ...... ...... ..... -._ �... . �. 3 a .9.. ..... .4.4 »L. ....... ............ .. ... ......,.•.... ..,..._,. , ....... ...... .�..... ..... . ....... .... ._..... ...................... .. ..... ...... ..... ...... ... _ M. �_...•....... ,_._..�.•...µ ,.........,. _.. .. .. - ». ,.,.. ....... ...... ............ ` .. ... . _. .. l.. ray'. .... ; 5 ..... .. ... ..... ..... �s . -1 7 ..... ..... .... ........... ............. _._..».... _..._.,.......... ........................_........... .........._.,� . ..... .,•., .._ j. t.0 t e. ..... �. ...... ..... ...... ...... ..... ..... _ Y.�..'..�. _ ,. .. • ..� 1...f. ..... .. ..._ .•. ... .......•........•. .., ........ .... . ....•-a...: :... ( a�.?.. K .3:. .... �. .. ., _.¢ .,..� .t »Q..�: •...... ............. .•.._..... .. »�...._.»_ _....._ ..... .............. ..... ............._.........•................... ...... ...... ...... ... .... ....... ..... ... ... . 4 '� ... ..... . .•- . .. _. �. !. •...... ......................._..•.....•.....,...W . ........... ................ ............_.. .. . ...... ..... ...........•....»•.....,.., .........,...».........,_».................. _. w _. . . .....•......... ..» .. ._._.... _......_ ... .1.. . .•P......................................... ». ......... �........ f ...• .�. . ...,.. ..... 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P.A. o"nsrpvo' P- 0, 8nX.p1* C^�«vL^rc»n` "^rc powrc vcop» BEACH, FLORIDA 32082 �~ �� o"sn'soo, nwr SCALE one-so.,i5am EA 4 ----------------- 144 s4 Le 4sal 114, -U41l 154 ws gt AZ ixio ' ►n1�.. ioFl�.r� � E?�..►SaNc .... _._ _....;. WILLIAM T.'MATHIS & ASS 00- P.A. r _.. ......:__......._._......... .. �� OALOUIN01)t3Y.X.`r_�(.L./,4W1 ► • �I. TR t S P. 0. box 914 PONTE `,EDflA�.BEACHI FLORIDA 32082 oHF010.0 lv___._. ante ..... n, .„„ ««,. .... i .4...... m «.. ... ► ...... �....... ««, 7 .. .... ..... .... .... ..... ...... ,.... .......... ...., ..... « .. .... ..., .. .... ...... ... ...L.., .y..., ..�............. «. ... .......�... .... ..�... �........ 7►� f i� t �.....,.... r �. ...._...�VR ....... ...... ... ..... i L...._ 4. i TABLE 1206.11 VELOCITY PRESSURE q IN POUNDS PER SQUARE FOOT ««« Pasteet Mile Wind Vbloclty in Miles per hour(from flgure 1206,1 80 , 90 100 110 •1120 130 16 1.0.3 13.4 1.7.0, 21.0 •25.4 301.2 35.5 "" 18 1.0,6' 13.7 17.321.4 26.$ 30.8 38.2 " °a 17 10.7 13.9 ,17,8 21.8 28.$ 31.3 38.8 f , = 18 10.8 14,2 17.9 22.1 ' 2P,8 31.9 37.4 1110. 14.4 18.2 22.5 27.2 32.4 38.0 ,..« 20 11,2 14.6 18.6, 22:8 27.8 32.8 38.6 +^ ^^��^ ^•«« •� � 2 11.6 1510 19,0 23.4 28.3 33.7 38.8 ••'�"'•'«•••'•" 24 11,8 15.4 19.6 24.0 29.1 34.6 40.6 26 12.0 1.5.7 19.9 24.6 29,7 36.4 41.5 28 12.3 18,1 20,3 25,1 30 36.1 42.4 30 12.6 16.4 20.7 26.6 3 36.9 43.3 ;...;...,„.......«.; 36 13,1 . 17,1 21.7 28.832.4 38.6 46.2 40 13.8 17.8 22.5 27.8 33.6 40.0 47.0 :•««; «« - 46 • i 4.1 18.4 23,3 28.7 34.8 41.4 48.6 60 14.6 19.0 24,0 29.6 36.8 42.7 50.1 66 14,9 19.6 24.7 30.4 38.8 43.8 61.4 60 16.3 20.0 26.3 31.2 37,9 44.9 52.7 y' +' q pal=0.00256 V'(HJ30)V' f V m Fastest mile wind velocity in miles per hour determined from f=igure 1206.1 ak'. «....... • *H Meati height of the roof or 15 feet whichever is greater. The eave height may be substittited for the mean roof height H if the Inptination of the, roof is not more than'100. A single value of q to Nsed for the entire building. .. ...... ............_. w �.. . ..�.._...........�......_�. . .« ....«.«. ' « r . «... �............{............. _�......... ..... :. ...... ..... ...... ..... ..... ..... ..... ...... ...... t 'M.«.„.. .....• ...... ...... ...... .... ............ ... .......T........y.•.w.". "w« ' 1 f`� .• ..�.. ' ..�.. t1�`m:Y + -@i{t r+(.Y.,:5 yft:YsaK,:�xN.xtvwe .rs•,,.... ,. ... J; Ar^1. or �..._. WILLIAM T. MATHIS & ASSOC , 111iG15'(IdO,.......,._...._„_... .. .a._.___--._...�._.. _- .a_ r,ALCULATED QY�..1._Wb�ri_._..—s-- _..� OA ��. a. Box `nTrz. 1. « � PONTE VEf.RA' BEACH, FLORIDA 32082 CHECKED tiY_—_.--- _ DATE_._--------✓---- isc�».��tet. ��---�--•— � T- -7 ..... ..... ......................... ...... .a.. :r..l.,a.. ..... ... ...... ..... .,.. ,..., «... .,•.., «., ,.,,. ,. ,. ...�..,. ,... E •*P1...uNG. .� . .. ...... ........�............�... ...i.. ........�......^, .,......�.............:........._..m ..�_.�.._: .. 1. ...�. .....' ..... .A�.1- .. _. '.. LA « ... .. .. .. m.. „... .�.. 1. ► ..... _. "`”-��., ...... .. ...... ...., .... ..,,.. ....,• ,...,... :..�....«_ �.Ti+I• ..... .,.........�. ,..... �..._.. �...,..... ... a„ O .... ...I.... .� .... .. .��...,...� � . ...... .... . .......�:..... � .... 111 _._ ....... � ...... ....«�.«....,.... .. ... 4 �' ../� ......._.. ......... ... ,. ........_...._......................„.�. ...z.�,' ..... �..7 04 , �............ ._...............................« ..... ._. ... ,.. _ .. .� �.. ... ....... .. ._............. ........ __ _.. ...........................«.......... _... „ „.«. , ...__. ... ..... , ........ . ... _ , . ....... �... .. ..... .. .:�_.._..._....«. ..,....._.._...M.._.,. .«._.«.._ ........... , ........l.... .,. .. .. .... ...... ;..«....... :_......................._......... .......................... _. _. ._.. .. .... .„ w I...........j...........j.....,...�...........�.... «....«,.....'.................. ............... .«...... ,.....•.. .. �........ �.. ....•.....«....................................�............i.........................l..........«.{............�......... . r 1 ­5+-M I JOB— vviLLIA.M T. MATHIS & ASSOC. P.A. SHEET No,__. OF 0. BOX 914 CALCULATED BY IONTE VEDRA BEACH, FLORIDA 32082 CHECKED By DATE SCALE tz2a%11:r UOT: 4 -=. . .. ...... ... . ............... --SPA.]0 �_... ...... .... ... ......... ....................... N 4-4 -TTO P 4-2,14 C12- sq_" eL, ............................................. -ri es TRU IS'S S'0 PIP,9*T GAGE— F.L.SrMSYKAP 91 C'. C_� 14 re r,1 x, Lo t_1 AND Ak MIRICANE H3 "NEW:2'A,,'tj.#0:rafter for Trusses and Rafters re.,M Pending Designed to provide wind and seismic ties for trusses and rafters. 11 1 This versatile line is also used for general tie purposes, strongback Uattachments, and as all-purpose tie-where ono.mamber orosse�o Ali other. H3 ties are packed with equal quantity of rights and lefts. TrTable 41 FASTENER SCHEDULE MAY. LOAD$ NO. SAM To Plates To Made ROOF UPLIFT To Rafter . . H, 18 ga, 4.8d 4 -8d 0520 It 5-8d 3" H2 Is ga. 5-8d' 6 1 H2.5 18 ga. 5-8d 4 to 6-8d 4 to 6-8 $70 18 4-8d 305 D H 3 ga. �/H2�5 APPROVED—See Research Recommendation No.1211 of the H2 international conference of Bulldino officials (Uniform Building Code) Hi has the same lateral value as the 41vin d01,11 Wiis- ....................... ....................... ............. .........................................I.......I--.................................. ...... ................ .......... ............... IDESIqNCQ�STALi CONSTRUCTiON RhQU'IREMINT M—ME STA TIE I'D V FOR 10 k0t'"M-INIJ LbA 6S ....... ............ ............. 1. ........ ... ........................ • .............. ..... ....... .............. .. ... ...... .......... ..........4 ................................................................. .......... ....... ......... 'S -ILLIAM .-T....&ATHI ......................... S .......... EAL FLA'. REG;. NO. 0157i ......................... ........................ .................. ....... ........ A'. ...... ........... . ......... ............... I.......... ......................... .......... ....... ...... JOB__Lt+c.L1 —�L/��,_ ESS c�Dyt�LC.� WILLIAM T. MATHIS & ASSOC. P.A. • SHEET No. or 0. doX 91:............ ........ .. D� 4 CALCULATED aV�M� ,• A1 F�T DATE '91NIT8 VEDRA'.BEACH, FLORIDA 32082 CHECKEE�D}}Dv_.__.._.._____..__......_._-._. DATE ii T T 00 'TRUSS HOLD DOWN STRAP (SANIBEL) HD 2-2X 9" HD2X�'i _ • 18 ga. Hot Dipped Galvanized Steel f • Provides additional or increased resistance to(wind uplift required by Coastal Building Zone Code. • A fast, economical tie to secure rafters and trusses to wall l studs, top plates and concrete tie beams. • Dade County Approved i FASTENINGS IN WOOD(i) _HD 2X 2x's 10-116d 1271 lbs. ►y. HD 2-2X Double 2x's--T8-16d7 1304 lbs. FASTENINGS IN CONCRETE", HD 2X 2x's 8 NK or�D6271 lbs. _ HD 2_2X Double 2x's B-NK or 543 lbs. (1) The number of nalis In the table above may be reduced lot lower loading 20" j conditions In accordance with the National Design Specifications, Table 8.8C. (2) Concrete Fastener Capacities are based on HILTI fastening systems power actuated fasteners. Capacities for other systems-manulacturers may vary. i The number of fasteners required may be reduced In accordance with the fastener manufacturers recommendations lot lower loading applications. i rc p: -- C011Crllt Tit♦BMIR L. � f S.r'Y Stud Well Wood Application Concrete Applketion Note.Truss Hangers are not Shown for clarity. ". i _ I i S r I i I t J � _ _ _ _ ■ rrrr■ _. rrrr■ ■ .. ■ . ,. �.. ,.■ -, ... i•'�MC�■�■■■err■ rr ■ rr■ ■ ri ■ ■ r ■ ■■ ■ _ ■ - r■r .. cirri■ rr:. ■ . ■: ■t�!■■!�■■■'.!�'■�•'i •�� rrrr■ r■ rrrrrr■r■ ■ ■rte■ 'nor W.R- d Mix=rrrr ■■ _ ■■■ ■■�■■■ ■rrrrrr rrrr■ ■rrrr■■ ■rrrr ■ ■ rrrr rrrr■■■ rrrr■■ ■ ■ ■■■ ■■■■■■■■ rrrr■ ■ ■r r rrr rrrrrr■■ r � ■ ■ ■ ■ ■■■■■■■■ ■ ■ ■ ■■ ■ ■■■■■■■■■■ rrrr ■�_ �■� ■■ ■■�■■■■■■■■ ■r■■ rr rrrr rrr■r ■r■ ■ ■■■ ■■■■■■■■ ■ rr ■rrrr■■■■ rrrr■-�-�s,'ri%� � ■■n■■s■■■ rrrr■ ■■� . ■ ■ ■rrrr ■r■■■■■®■■■■■■■■■ rrrr ARCHITECT/ENGINEERS CERTIFICATION COASTAL CONSTRUCTION CODE FOR ALL MAJOR STRUCTURE TO BE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORI A APPLICANT' S NAME _P140L. -DAE OFA4 1 PHONE NO.2gi- YOJ DAT9 OWNER NAME:-_?F}LL TH EoFAn/ R.E. TAX NO. : TYPE OF PROJECT: ( )New Home ( )Residential Addition ( )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( )Other 911 STREET ADRESS: f ) We •claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two family only ( } Pier, Dock, etc. ( ) Other (Specify) I also certify that no structure listed above may be remodeled or converted to a non-exempt use without being upgraded to fully comply with the ordinance. Signed: Date: ---------------------------------------------------------------- CERTIFICATION This certifies that the plans and specifications submitted and sealed by the undersigned meet all criteria set forth by the City of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of the Coastal construction Code, but meet all the other requirements of the City of Atlantic Beach Building Code. ( V� The structure including foundation, frame, roof decking, exterior walls and floors has been designed for wind loads of 110 mph, with all design complying with.--the 19q_tapter 12 , standard Building Code. S ----------------------------------------------------------------- ( 4/ Windows, doors and all other, exterior devices comply with the 110 mph wind load. ------------------------------------------------------------------ (\/4 The structure is located outside the area affected by wave forces, OR ( ) The structure is capable of withstanding wave forces resulting trom a wave crest height of feet above MSL including uplift forces. -----------------------------------------------------------------•- ( ) The structure is located in FIA Zone A and the foundation design has considered possible exposure to water and erosion . OR (� The structure is located in FIA Zone X and the found#tion will not be exposed to hydrodynamic, hydrostatic loads' or water scour, OR ( ) Foundation design has been completed with floor "!elevation above the specified Stillwater elevation, and to resist wave, hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads. Erosion computations for the foundation design have taken into account the projected 30-year erosion losses from a inn tees,- 1 OW11ER BUILDER PERMIT AFrIDAVIT I:` Stbte ut Florida ) � ' City of Atluntie Boact,, ) I BEFORE NE, the und&rsigned ,authority, peraonally bppv&rwd --------- wha upon lir.dt boing duly &worn, depoeew and' 1ssayss C, c- T-j4'►V _........_� and the 10 961 owner of the tollawin� propertysl a Subdivision ,C` � +r �Z.« Block --- Lots ' -_--- AHA • - I am applying for w building permit pursuant .o the Owner Builder exemption pet forth in Florida Statute, Section 489. 107. Florida lav requires that I �have been providwd with ttha tollowiny DISCLOSURE STATEMENT: DISCLOSURE STATEMENT 'State lav requires' conatruction ' t6 be done by lic&nsed contractors, You; have applied for a permit under an exemption to that law, The exemption allow& you, as the owner of your property# tc ,act ask your own contractor even though you do notjhave a license. You must s:uperviee the conatruction� , youraelf. You may build or improve w one - or two family rouidene& or a farm outbuilding. You may �ssimo' build or imprc,ve a commercial building at • comV ot,;425,000. 00' or leans. The building muss! be for your ume and occupancy. it may not be built for sale or leaWe. If you sell or 1&ah& *ore than one building you have built yourself within one year atter the construction is complete, the law will presume that you built it for sale or lean&, which in 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 licensee required by state law and by county or municipal licensing ordinances. I h&r&by acknowledge that 1 have 'read the above DISCLOSURE STATEMENT and that .2 comply with all the requirements for the issuance of an Owner-Builder permit, Further, affiant xeyeth not. ' � o.w+ r4w.•w.rr.. �rrrrr Property Owner Sworn- to and subscribed before me this �y Of ..........,.► 19..E un v orra► r�r- �' '_r...R .. a`�>p��"Y••. �''1. '°OFFICIAL QF:AI M