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Permit Addition 1632 W Park Terr 2012 . " CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002565 Date 9/26/11 Property Address 1632 W PARK TER Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 57000 Application desc INTERIOR RENOVATION KITCHEN BATH ROOF LINE Owner Contractor AYCOCK DKB ENTERPRISES INC. 1632 PARK TERRACE WEST P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5885 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 308.00 Plan Check Fee . . 154.00 Issue Date . . . Valuation . . . . 57000 Expiration Date . 3/24/12 Special Notes and Comments * Truss plans shows new roof trusses to be installed in the areas designated as "rebuilding of existing rooms" an page Al, those rooms are presently glass and extruded aluminum framed sun rooms on slabs and are open to the existing home, but since the 1971 to present day, there was no permits pulled for these 2 rooms to added. I am assumming these roomw will be demoed to accomadate the pre- fabricated truss system. The Department will need engineering on the construction of the new wall system rebuild and also verifying that the slabs are load bearing compliant for the rebuild. * * Need engineering on the "NEW FRONT ENTRY" to show details from the foundation up to the point of attaching the roof truss system or hand framing for the roof /ceiling. * *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS PERMIT IS ffITIJ3NL CI51FUO N + YTI I fl' NIOATTIENgfiggg'AalkcaRig8E55 AND THE FLORIDA BUILDING CODES. 0 - ,!? CITY OF ATLANTIC BEACH ` > 800 SEMINOLE ROAD J tcl ,,, ., : ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002565 Date 9/26/11 Other Fees STATE DCA SURCHARGE 9.24 STATE DBPR SURCHARGE 4.62 Fee summary Charged Paid Credited Due Permit Fee Total 308.00 308.00 .00 .00 Plan Check Total 154.00 154.00 .00 .00 Other Fee Total 13.86 13.86 .00 .00 Grand Total 475.86 475.86 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. % CITY OF ATLANTIC BEACH . � 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002565 Date 9/26/11 Property Address 1632 W PARK TER Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 57000 Application desc INTERIOR RENOVATION KITCHEN BATH ROOF LINE Owner Contractor AYCOCK DKB ENTERPRISES INC. 1632 PARK TERRACE WEST P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5885 Permit ELECTRICAL PERMIT Additional desc . CHANGE OUT ALL WIRING Sub Contractor . KNIGHT ELECTRIC LLC Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/24/12 Special Notes and Comments * Truss plans shows new roof trusses to be installed in the areas designated as "rebuilding of existing rooms" an page Al, those rooms are presently glass and extruded aluminum framed sun rooms on slabs and are open to the existing home, but since the 1971 to present day, there was no permits pulled for these 2 rooms to added. I am assumming these roomw will be demoed to accomadate the pre- fabricated truss system. The Department will need engineering on the construction of the new wall system rebuild and also verifying that the slabs are load bearing compliant for the rebuild. * * Need engineering on the "NEW FRONT ENTRY" to show details from the foundation up to the point of attaching the roof truss system or hand framing for the roof /ceiling. * *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED PERMIT IS MiligOVEI5C61CREIRStaikabffeE KalliAalg CQ S . TLTAI*DiPilW.WCH ORDINANCES AND THE FLORIDA BUILDING CODES. :'S CITY OF ATLANTIC BEACH r� 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 .. INSPECTION PHONE LINE 247 -5814 r 0 Page 2 Application Number 11- 00002565 Date 9/26/11 Special Notes and Comments *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 it ?i E Ph� 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: J 2 6 6 t PERMIT # � ' 5 JEA INFORMATION REQUIRED ON ALL PERMITS '7iL?Z) AMPS 2 VOLTS / PHASE VALUE OF WORK $ NEW SERVICE ❑ Overhead n Underground D Underground up Pole ❑Residential (Main) Service ❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters LCommercial (Main) Service ❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT Service amps Conductor Type Size ❑ Multi- Family (Main) Service ❑0 -100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑ Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps ❑200 amp s ❑ amps CI CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0 -3 Damps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty LI Transformers KVA ❑ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG Other: t/ / 8 Q c7 clwj2 Gi.� �. �irti✓� I Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name rf Phone Number Electrical Company `�.Wis a cL (l.L Office Phone Fax Co. Address: ,1O t/ - /w>` 5 City JA if c to State Zip ?22 License Holder (Print): Strut, /61/?"1141 State Certification/Registration # LW( 3i✓f 25 Not r' ;ir_ MY COMMISSION # EE 057344 9 �. older o , ''��� r` ` - DEBORAH MMISSI N#EE057 Sworn and subscribed before e t 's - of / 20 41 l( ,• !aP� Bonded h Notay Underwriters 21, 2015 �7 Signature of Notary Public �'/ , ewfr CITY OF ATLANTIC BEACH 11 . 1 800 SEMINOLE ROAD 4 : = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 art Application Number 11- 00002565 Date 9/26/11 Property Address 1632 W PARK TER Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 57000 Application desc INTERIOR RENOVATION KITCHEN BATH ROOF LINE Owner Contractor AYCOCK DKB ENTERPRISES INC. 1632 PARK TERRACE WEST P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5885 Permit ELECTRICAL PERMIT Additional desc . CHANGE OUT ALL WIRING Sub Contractor . KNIGHT ELECTRIC LLC Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/24/12 Special Notes and Comments * Truss plans shows new roof trusses to be installed in the areas designated as "rebuilding of existing rooms" an page Al, those rooms are presently glass and extruded aluminum framed sun rooms on slabs and are open to the existing home, but since the 1971 to present day, there was no permits pulled for these 2 rooms to added. I am assumming these roomw will be demoed to accomadate the pre- fabricated truss system. The Department will need engineering on the construction of the new wall system rebuild and also verifying that the slabs are load bearing compliant for the * rebuild. * Need engineering on the "NEW FRONT ENTRY" to show details from the foundation up to the point of attaching the roof truss system or hand framing for the roof /ceiling. * *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED PERMIT 1S * A0 O4WrARE AC miAwE iixtukRi 6etiv RI ITLj MVPWRCH ORDINANCES AND THE FLORIDA BUILDING CODES. , A l CITY OF ATLANTIC BEACH 4 ) 800 SEMINOLE ROAD � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Page 2 Application Number 11- 00002565 Date 9/26/11 Special Notes and Comments *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . • tO - .' ,••+) ?;•• • 1— 0-. 0 0 P 9 I : N :-' til Fp Z.. 0 2 Um. 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II . a _ ,, 111 1 POOL � ' i `... .. .._...1: ) cONST.t BY OWNER ` i ba'B 5 . crM i 11::1) 1 ,�l�11jJ F fi'17Y6' % is . DOOR / 1 ., Tar'11 _. „ c t TT • P i_: . w . _ � L L_ :: _ + 9LID1 6LAB0 I a RIGN H {A T E:� 1 � \` II _ .1 i i V )__,;.37 ' '(a , .� � _ /d�•�.l •o"s- C 'OOOR ; t\ / rr „ EXTSR T ` ' J JYa iiT • ETC . i ' I I � _ � • t 3'•e 61 _._. - i 1 -�^! • • .. 'li _ . . - , - .. ' .. •8 IM1IO" 4 " i � �� • ' ♦ <' I \ • DININ] \ '� - / �, / EDROOM• VPM ,� ,... . � r : � \\ B R FAMLY 0 , . -•.' � / ` 4 ZDI �� )ezTC r Plt , _ 1 ' j IGNT IN ' OM FO Y E $ 11 II i I i I h 4 - ' ,3. ) • '0.,: 5 - -- tee` �� II 0.; ,.I CL S �.G �.. ) It iY O � _.._� / % r > N \ ' FLOOR PLAN II Y Ifi' -O . OVER HE DOOR l V =CAL{ N ". 1' -O" N i U v • II N GARAGE . g" r° 0 0 . _.. D.2'-Q= tom _.._.., 4%32, , P__ . .._`.— W.I. k1 ell11111151 X111 ■► N NR -� s . � — — �t cAP cr42 �� � CJ42 CJ, 0. : . CAI I 1 I 1 I I I I en _ fill ►_ mi._ � o i � it 4 yam imm A Ma 1111 Q q gal p . ■ N/ I „.„:. WI Pkg. 2'P4 Y CONY FRAM I 24 . OC CJ3 CJ4 r !r RB 66 R10 CJ38 ■ CJ3B a ass CJ99 CJIO d 3 3 3 3 -8'b' � ' 41' =o JOB: 16WS MB 61 8 LOC: 1632 VEST PARK TERRACE PLAN AYCOCK r DESIGNER: RICHARD TNGLEY n . I PITCHk 85A2 J 0 � , 3 h-b 01F1A1JCx 14' 1 ~ r � 3 3 ! - WND CODE 120 HP Ewe C CLOSED U l? • TRUSS PLATES ARE A PLATES cv ` • 4) 4 P k A ALL TRUSS 0 1 1 6 : . . c J _ APPROVAL • 1999-3 X ET 2 ",1 �, cr42 u EtesINEER of RECOIL O 01 U- . n o i ■III: /1 1 11-- li a il ' 60Q � .no cn U tir ALL BEAM AND TRUSS Tl 0:5) � '' . � $ a A AND 512E HEADERS, COLUMNS AND `e CAPS 111-ERE NECESSARY. TRUSS FABRICATOR ,n e e WILL NOT BE RE5F 45IBLE FOR !Ai r REPAIRS RESULTING FROM A TRUSS OR t o ql III PERM ND INADEQUATELY SUPPORTED. 9 42 i cts o� iii bili UNLE55 NOTED OTHEf�U15 FOLLOWS IE b kV u g§ O c APPLICATION PART • APPROVAL. • ,(n� O�� i ( 94 U1 �rr� -�f�1 1-PLY TRUSS +#1516 FLI0655 2-FLY TRUSS 1-0U52$2 FL11W688 it 1 ilimpliiiiil 7 1111P C2I I s a 6 a 11111111111111111111 11111111111111111111 1 '1 11111 1 Q. I (1� 1 ii 0 1 I II D7 „A. 0 of Q3, u y1 i k Fp& Q4 2 -PLYI 7 ', 9 �c o O 9 ■'. CJ42 {- ire Ir ' _ x__ in ;is,. P ! 3 3 3 3! ' II 1- Al 0 4 Plt E II i 1 1 2 1 I I *1 ? . . ut 04 it ITW Building Components Group, Inc. 1950 Marley Drive Haines City, FL 33844 L' Florida Engineering Certificate of Authorization Number: 0 278 Cia olo • .„••■ k Florida Certificate of Product Approval # FL 1999 ♦ q _ a i _ Page 1 of 1 Document ID: lUES235-Z0625165455 '1 0 T. ` Truss Fabricator: Lumber Unlimited * i '* ' Joblden 16905 -(DKB ENTERPRISES )1632 WEST PARK TERRACE -- ATLANTIC B ACH;iFL „`1G �•- ►r�''E R SES ft Truss Count: 44 'Q 4 • it • ' Model Coder Florida Building Code 2007 and 2009 Supplement Zej Truss Criteria: FBC2007Res /TPI- 2002(STD) �"'' •'• Engineering Software: Alpine Software,Version 10.02. 'kr� y S'/ StructuralEngineerofRecord: The identity of the structural FOR did not exist as of 0 Address: the seal date per section 61G15- 31.003(5a) of the FAC Minimum Design Loads: Roof 37.0 PSF Q 1.25 Duration Floor - N/A Wind - 120 MPH ASCE 7-05 -Closed Notes: 1. Determination as to the suitability of these truss components for the Douglas Fleming structure is the responsibility of the building designer /engineer of TrussDesignEngineer- record, as defined in ANSI /TPI 1 2. The drawing date shown on this index sheet must match the date shown 1950 Marley Drive on the individual truss component drawing.. Haines City, FL 33844 3. The loads indicated on all referenced girder trusses are consistent with the truss layout provided by Lumber Unlimited for the above referenced job identification. Loads applied by non-truss elements and basic load parameters are to be reviewed and approved by the FOR /building designer. 4. As shown on attached drawings; the drawing, number is preceded by: HCUSR235 Details: R•f 1- cri.tion train. to e # Ref Description Drawina4 Date 1 33648--Al 2-PLY 11237226 08/25/11 37 33684--HJ37 11237223 08/25/11 2 33649--A2 11237183 08/25/11 38 33685- -H338 11237224 08/25/11 3 33650 - -A3 11237184 08/25/11 39 33686--CJ38 11237207 08/25/11 4 33651--A4 11237185 08/25/11 40 '33687- -CJ39 11237208 08/25/11 5 33652--A5 2 -PLY 11237212 08/25/11 41 33688 - -CJ40 11237209 08/25/11 6 33653--B6 2-PLY 11237213 08/25/11 42 33689 --CJ41 11237210 08/25/11 7 33654- -B7 11237186 08/25/11 43 33690--CJ42 11237225 08/25/11 8 33655--88 11237187 08/25/11 44 33691--CJ43< 11237211 08/25/11 9 33656- -B9 11237188 08/25/11 10 33657- -810 11237214 08/25/11 11 33658--C11' 11237189 08/25/11 12 33659 --C12 11237190 08/25/11 13 33660 - -C13 11237191 08/25/11 14 33661 - -C14 11237192 08/25/11 15 33662--015 11237193 08/25/11 16 33663- -C16 11237194 08/25/11 17 33664- -C17 11237215 08/25/11 18 33665- -C18 11237195 08/25/11 19 33666- -C19 11237196 08/25/11 20 33667 - -C20 11237197 08/25/11 21 33668--C21 11237198 08/25/11 22 33669 - -C22 11237199 08/25/11 23 33670- -C23 11237200 08/25/11 24 33671 --C24 2-PLY 11237216 08/25/11 25 33672--D25 11237217 08/25/11 26 33673 - -D26 11237201 08/25/11 27 33674- -D27 11237202 08/25/11 28 33675 - -D28 11237218 08/25/11 29 33676--E29 11237219 08/25/11 30 33677--E30 11237203 08/25/11 31 33678--E31 11237220 08/25/11 -0 32 33679--EJ32 11237204 08/25/11 33 33680- -EJ33 11237205 08/25/11 X34 33681- -EJ34 11237206 08/25/11 Y z CO N LO z •■ N O �1 VD ,-. ^ N w CO \ M \ CO LX) ti r— Ln - - N .r LL LC) M N 9) 1, C 9) \ 0 10 N ■ CO M \ CO 0 (/) v . 3 L C) O N m CO I- w 11 C') N 'D U 0 N CC rH x O 0 Q1 CC U 10 0. = Z W W Z L 4-> O U LL F- 3 O O W O • V) W < CC V W CC CC o 0 CC O 0 = N LL 0 II J C,O £ 0 0 U_ LL LL L.L a z V V) V) N V) V) O L F- CL CL d. 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I- '� - c.� u U C.) oo c.> v T 3 CT u L ' m LO a+' v r-i -mmmmm c 0o 0. ..•' F- m N 3 Q H J d Flpr 13 2012 10:31 DKB Enterprises Inc. . 90 4 - 221 -2790 p. 1 Amy E- Y PoR'ER AGREEMENT & RELEASE voti0004, CITY OF ATLANTIC BEACH 1 111w ‘11■4111112.1111rmarim.....111111sylomm Electric power is request now under the conditions and terms of this fully executed Agreement & Release Job Address: Permit No /J . 51 �.. Service Type (Circle One): Overhead Underground We the undersigned 0- : 1 Contractor Lund Electrician, understand and agree: 1. 'Early Pswwer" is sly for our construction convenience, it is required iv Cedes and does Bai substitute for final p I ; peotipns or the Cep (CertiP e o Oceupancy at must be issued before occupancy, and as such is at the ion of the Sodding Official. 2. The City of Atlant' . Beach will make a pe ial inspection prior to the early power energizing. All rough inspections must ha prior Approval, including meter base connections. 3. Occupancy or use the new cons i uction before a formal C/O constitutes fraisdulent use of the early e!bc ric service. • h action is expressly prohibited and penalized by The City of Atlantic Beach Ordes. A viol v on otti this Agrsement shall result in a request for prompt removal of electric service after a twenty -four ur notice. 4. "Early wer" role authority i th II Electrician ':or the Contractor and must not occur before: a. Equipment, • vices Mixtures are installed (r blanked o) .safely. b. Panel is co .late with akisrs an4 oover, and (labeling required at final inspection). c. • Service co etion and grounding is con fete. d. The elecb•i • stern has safel e assed for gh electrical check. Meter can ently me twith eat f Temporary ^ ntini ers isp y ermanent numbers are required for C /O). S. This fully compl form is to be suibm1tted to the Building Department by hand, mail or fax. 6. Future such Age • ears will not b s accepted from those who violate any one of the above items. C:ONTRt1CTOtt / .rL .�.. - L�1� DATE OW/3/Pal— PRINT NAME c & /1-61) :h :�L d 4 ELECTRICIAN DATE fi rr P1ONT NAME , t� 800 Sominole (toad, Atlantic peach FL 32233 Phone; • • . )247.5 A ax: (904)247.384$ http:I /www.coab.us revised 01 30 09 r i- -- 4 �� CITY OF ATLANTIC BEACH ,..t ; . , 800 SEMINOLE ROAD _,, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 4- ""013 J Application Number 12- 00000131 Date 2/08/12 Property Address 1632 W PARK TER Application type description RESIDENTIAL ADDITION Property Zoning TO BE UPDATED Application valuation . . . 5000 Application desc rear porch addition Owner Contractor AYCOCK DKB ENTERPRISES INC. 1632 PARK TERRACE WEST P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5885 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit RESIDENTIAL ADDITION Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . 37.50 Issue Date . . . Valuation . . . . 5000 Expiration Date . 8/06/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Other Fees STATE DCA SURCHARGE 2.00 ENG REV PRE APP > 3 HRS 25.00 STATE DBPR SURCHARGE 2.00 UTIL REV PRE APP >3 HRS 25.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Other Fee Total 54.00 54.00 .00 .00 Grand Total 166.50 166.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 1 ' 1 800 Seminole Road, Atlantic Beach, FL 32233 5 ; Office (904) 247 -5826 Fax (904) 247 -5845 ; l i , i ce - ,-- Job Address: j 7 2 (/ > �`t/ k I- -1c /z • Permit 1�u aber. Legal Description Parcel # Floor Area of Sq.Ft. S4,1 Ft Valuation of Work $ 000 , Proposed Work heated /cooled no heated /cooled 1.3C', Class of Work (circle one): New Alteration Repair Move Demol l pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Resident al ' I i ' If an existing structure, is a fire sprinkler system installed? (Circle on `tes N , A, Florida Prod uct Approval # ,--'' For multiple products use product approval form /ecin c ie.)/, / 000 , ,v ( 40,7 - Describe in detail the type of work to be performed: -, �� { a � C ' T - • ! sp./ • 6 .t .S. F Ai C - '— et cti 1 ea c H - —5 - Fp ul JS " Property Owner Information: .? k Name:', joy CUCk i uTrq- J• 1"`Ie ' If Address: 16 3.2 ti...) /"'/'/r %ifs City r97014IT c gut StateeZi& 23 Phone /22_8 - 1-12.S11 d+'''' . - E -Mail or Fax # (Optional) �� y Contractor Information: Company Name: c+ (6 fznl � Rp 't✓$ ?-S -FAA - Qualifying Agent: ' 1 - � /J if:4 .474 el Address: /-'O, Jg p j c . 3 Z t/J City i MA) l t/ , State/cc` , Zip32.2 33 O f f i c e Phonevy— a yc -, r i Job Site / Contact Number riilaiV =-- .- • -._ _ =----- --- - - --I. State Certification/Registration # e - /1? r 11 e J+t i I D4 / 511 i , i r < . ■ , , : , u Architect Name & Phone # f .,,, W _ I - - Engineer's Name & Phone # r I, , :. rr. 4►w1.4" ' '"• Fee Simple Title Holder Name and Address 1 -i. .�t,.1.�,.it Bonding Company Name and Address r '" '444,44waigem Mortgage Lender Name and Address 1 : • / 4.1" e a .. « .. _a,- . .. 1 riAM Application is hereby made to obtain a permit to do the work and installations as indicated I certi that no w. • :instatiatron as • .r to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating constructio in tlt jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned] or eriod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Si us, Ils, Pools, Furnaces, Boilers, Healers, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECO ', NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIC F 1R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN 11‘' , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF . COMMENCEMENT. 1 hereby certify that I have read and examined this opplication and know the same to be true and correct. All prof is of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presum o give authority to violate or cancel the provisions of any other federal, state, or local ftw regulating construction or the performance of construction. Signature of Owner C /vim lei" Signature of Contractor { „ /L -( t,.. r-- 4 i / Print Name > 4? -> o/c P rint Name , � C.,f'" ? /: - /e' !` " A 4 4 -- '' Sworn to and subscribed before me Swo }. to and s bsc ibed b.fbre me this 1 Day of ' / , 20 (2 this J D ay of yii . ___/L.L! 20 / ' . A ...ifiitierervArf Noiary Public or 1 ,,,�Y.... ry ; blic ""'""'_ ;�'��" - AMANDA C. GIDEONS a r 4 • 0 NNA I CRENSHAW =; �� �' = Notary Public - State of Florida S4. F ` M poltn lit KEE .q19 _ 4 My Comm. Expires Jul 19, 2014 -- ��, ,] (407) 398 -0' 5 i XPIRE9 May 13, 2015 � Commission • EE 10061 wean'' ��� .��, � . FloridaNOtaryService. co � vo • i Prepared By: - r - - F E ___ i _____ ,,,,..._, L.," ‘.,_ ... Q thn" ... X tp Gu IP.*aeo f i - 1.' .. .. ..,,L LAND SURVEYORS G � 9y9y9y ! 4 ( 1 r /,f ill '; ' i PROPERTY ADDRESS: 1632 PARK TERRACE W. ATLANTIC BEACH, Florida 32233 SURVEY NUMBER: FL1106.2215 FIELD WORK DATE: 7/5/2011 REVISION DATE(S): (rev.0 7/5/2011) Viz FL 1106.2215 BOUNDARY SURVEY PALMWOOD LANE (PAW) DUVAL COUNTY TABLE: 5/8" PIP ' L I 5 I 1°56'50" E 662.9 1 ' (P) c BLK. • ) ' 5 1 I °59'39" E 663.01' (M) .< f // 30., LOT 17 I /2' Mr BLK 6 NO ID ti A . ' Ii i ''' .- 5.1 M ...,.^I 15 ,r /V ' } „ FENCE 0.7' 5 ■ • w 1 f ' ' n 1 ' ,,. " `-`z 0.5' E F^,. o (S \ / / \ Sri .n: • 59.6 a" ..:::',7!....,,i,..":,2 j: 1 W • 3 V•i:.. l 'w 1,': . i` 7: V 40 • . ., 1 . N 0. d '..' • •G n / � \\ k L�� l d/ qq � . . • S 4 N 3 w . 1 /. 'i _ ,.. v a BLK. 6 � ' r: a •, : , cv ''.,:.7:I...-4:,i'... 55 ' l. , � ri ...- • m Z • • e �, In Z tt ' ' , w A' y y .,: 52. Nc I /2' PIP 1. f f i S NO ID `t 155.34 (P) . .r VI 5°03 1 „ w 1 ca ' .: 5 78 ° p 3 10 P% gg 1/2" FIP LOT 19 ' / � E m Q r 1 )71 4/ / 1 NO ID PENCE 0.2' W BLK G 0 one r�T�- PEP 1►� G 1n 1 1 , 40 rTh 8B Iii274 . NOTES: I ' 1 ch of 5" 1 '''' hereon described SETBACK INFORMATION 5I1OWN ON PLAT, NOT VERIFIED pope* has . . .und6 '" • • . , "to the best of P ENCEOWNER5111PNOTDETERMINED 1S ahue:�• 1�:.. ': ofa survey fir .; "w, ,'r��°,�c' ";4,'; set ,fxdhbya>e desar>bed in Chapter 5,1-17 of dhe �dmin� ode. 4 g 4 40 0 20 40 .,P immow Mew Nimmimm ft% 1 4 V 0 s Uxva GRAPHIC SCALE (hi Feet) KEITH A STEPHENSON 1 inch = 40' ft. Id,,,_, P 1 stale of Fbride Prahwbnal Surveyor end Mapper ri n Uceentio.6521 Use ofT Fs Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. N 1 othing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. >� r City of Atlantic Beach APPLICATION NUMBER Building Department REC PAVED (To be assigned by the Building Department.) 800 Seminole Road /v? O/‘ Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 2 7- 584EiEB 0 1 2012 0' E -mail: building- dept @coab.us Date routed: / c/� City web -site: htt //www.coab.us tY p By . £ 3 �_ _ _H -- I APPLICATION REVIEW AND TRACKING FORM Property Address: / 4 32 - tt) 7 i2 4 7 D.:.• • ent review re. uired Yes No r uiidi • Applicant: ' P annin• & • •:.iL• _- � /�— - r- - Administrator Project: f 6-r ,2011 ) < «__; Public Safety Fire Services _- R7y� bv„'* ae i A p w= , ra t , ' t 2L: p�- __ „ ' x tvlµ e is i, ' yt�•s��` 'k � > Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E A pproved. ['Denied. (Circle one.) Comments: i( � _ /e / / /r BUILDING PLANNING & ZONING Reviewed by: Date:1/ 2// - TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 07/27/10 i �i 1 - ��: City of Atlantic Beach � ' �' 'AOPUCATION NUMBER - Building Department (To ba'asalgned by the Building Department.) Lo 800 Seminole Road FEB 0 1 2092 l f r� Atlantic Beach, Florida 5445 Phone (904) 247 -582 Fax (904) 845 �b.al> C E -mail: building -dept acoab.ucoab.us Date outed: / /� City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING F ORM Property Address: // 32- tt) �Ci /2 4 /2 Department review required Yes No wilding_' Planning & zora a Applicant: �k - /6 ( f � .e Administ _ razor � ' �� � Project: J( � ' � � � � Tree / ' 7 , >� ubuc WQIIC � f�� � y / S_ Pub ic Utilit Public Safety Fire Services OR ' , fL Wit. < §1a .L ® ' *" . ..° . ,,:, 40),,,t; `` i . "w.. v Review or Receipt Other Agency Review or Permit Required pate of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco ! i I Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: il THE - �4 MIN. Second Review: QApproved as revised. ❑Denied. P I: ii • " KS / mments: s � PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: j II Reviewed by: Date: I'. 1 Revised 07/27/10 1 , .a,�/ City of Atlantic Beach APPLICATION NUMBER 411440 Building Department (To ba!asIsi)ned by the Building / Departtment.) ss -.' 800 Seminole Road ° G , / / j , Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 - 5845 x E -mail: buildin dept @coab.us Date outed: / 1 7 City web -site: http: //www.coab.us 1 APPLICATION REVIEW AND TRACKING ORM Property Address: /( . 2- �� J Ck - f l Depa rtment'�evielw required Yey No uilding:..) g Zoi j Applicant: j) Tree Administ' Plannin &. :or Project: c_ f x= e ; // ,- : �,D-7 h l 7"1 .TAblic- Wo,1ki ublic l!!.tilities Public Safety Fire Services ltik r t I a .�n°�" n t qi w E r r3t Z viz 2 IA Review or Receipt Other Agency Review or Permit Required ate of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E proved. ['Denied. (Circle one.) Comments: BUILDING C PLANNING & ZONING Reviewed by: d• Date: .:::2 2- TREE ADMIN. Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: 1 Reviewed by: Date: Revised 07/27/10 1 1 n City of Atlantic Beach APPLICATION NUMBER - o Building Department (To bsllassigned by the Building Department.) 800 Seminole Road '} � I j ,,, r Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • • Fax (904) 247 -5845 Dnis) E -mail: building- dept @coab.us Date'�o�ted: C �� City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING ORM 1 Property Address: /4 ' 2 - l / �- / / Department rview required Yes No - uilding. �/ nng Zo. Applicant: ,�/� - - � � _ _._ Pl ani & fre Administrator I Project: k - /-) AL r y2 �' It 77 1- e r1 u blic \Nark _?.0 N�Urilities5 Public Safety Fire Services :Kc tkfi�,'� t ► is' ,,;'".r r Yxjt $-w ! e c, > sV 4, •• j .. 1 Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection I Florida Dept. of Transportation a St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING 'LANNING & ZONING Reviewed by: O a2 /2O`? f v Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: I Reviewed by: , Date: i 11 Revised 07/27/10 Prepared By: ( n 2, w "a � O E -, .,._ f7n ZM ,__ ,....„,_ _ v ..M.r tut amp S !*`.. ' LAND SURVEYORS i I 1 01 0 r .,.. ,4'l 11i(!!111 01 1 JO/ ∎ti,l ___ u.- __,.- .. : lir 4 � PROPERTY ADDRESS: 1632 PARK TERRACE W. ATLANTIC BEACH, Florida 32233 SURVEY NUMBER: FL1106.2215 FIELD WORK DATE: 7/5/2011 REVISION DATE(S): (rev .0 7/5/2011) FL 11061215 BOUNDARY SURVEY PRLMWOOD LANE (RAN) DUVAL COUNTY TABLE: 5/5' PIP NO ID , L I 5 I 1 °56'50" E 6623 I' (P) m 6LK, COR. t"3.( 6 5 I I °59'39" E 663.0 I' (M) 4, { 3o•'a l LOT 17 1/2' PIP S BLK 6 NO ID 7 t .0 5'17 1 88 1 ( M) � " `` ' "% 14 78 , � ":� . .. q 1 9, a FENCE 0.7' 5 it a w ` ,' . 1 L v / '',,.)\ 'f � i � 1 /2 PIP gE .. .4 a' • , . 3 �: ° tP ��. •'. • NO ID aR ?. W ., la w y .. .\\,, . 59.8 -„. f - ` - - • 22. ' r t. k ,n p y s z < — > Iii / 7'`, ; '. �• +; s f .= is ...;,;,''..41,1‘.14-, t 'F:4 . a ' h r • V X N » 1 O 0 ,,,, ?c, , O°� 4\ �1Or% N ' R .r r 4 r , -ti P , BLK 6 ; ..� • :i to �i:: 55•I �' ` , • t , tat t ` ' t '' , 4 ' 2 i ' o 1 21?). g2.4 X �o d. , A �� NC I/ 2' PIP '/ = / i ,. -� 0 NO ID Z j 0 "1 06 ` M ) 6 r ' ` /� W 185. 8°03 W 18 ' ' , , 5 7 1 O 6 R • Tt? PI / LOT 19 ,f � 1 /2° FIP 1� NO ID /SE in 1 � Al FENCE 0.2'W BLK6 oneI -i 5- PEP 1 pe•f/ , " % 7g), Itu , I pi ta4 S I hereby c®rbfy r 4 of .5 ' . ` : #''' hereon described SE INFORMATION SHOWN ON PLAT, NOT VERIFIED 4. property has and ny ./, , to the bast ofmy FENCE OWNERSHIP NOT DETERMINED bail/ASKO is a true , t. •-• , • ': , •s ofa IA 0 f,� the survey that , k,,,, - Fhrida Board ' ' ''.' .+• l ' , . t, „ y , T. Chapter yl, set forth b y - . desaibedin 5J-17 of he , - • dmin oda. a 40 0 20 40 riAnuuA s rraat� qt l IMMININ MIME 11•111111111111111111111 S `nt`E1 GRAPHIC SCALE (In Feet) KEITH A STEPHENSON 1 inch = 40' ft. N O_ �r'' Sloe of %Ida ProkMlalal Surveyor and Mawr limn No. 6521 Used ThIs Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.;, CO r 41/ 61 4 to) to‘vo EALECTION5O0 vim Spray Foam Insulation DEMILEC Technical Data Sheet (t.giA) t.t_C;. Semi - Rigid, Spray - Applied Polyurethane Foam SEALECTION" 500 is a two- component, open - celled, spray-applied, semi -rigid polyurethane foam system. This product is a fully water -blown foam system with a very low in -place density. SEALECTION" 500 meets the off gassing requirements of CGSB 51.23 -92 for new residential construction. SEALECTION" 500 has been approved by the EcoLogo (formerly Environmental Choice) Program of Canada and is listed as a Certified Green Product. SEALECTION" 500 complies with the intent of the International Code Council's residential and commercial building codes for spray polyurethane foam plastic insulation. SEALECTION® 500 is approved for use as USDA Incidental Food Contact material. Physical Properties Method Description ASTM D 1622 Densi Value ty (core) _ 0.45 - 0.5 lb /ft ASTM C 518 Thermal Resistance 2 days @ 76 ° F, per inch — - (R- value) Thermal Resistance 90 days @ 76 ° F, per inch 3.81 ft 2 F /BTU ASTM E 283 Air Leakage (Air Impermeable IAW 2006 IRC Requirements) 3.81 ft 2 F /BTU 3.5" @ 75 Pa (25 mph wind) 0.001 L /s•m 5.5" @ 75 Pa (25 mph wind) 10" © 75 Pa (25 mph wind) 0.001 L/s•m N Sustained Wind Load for 60 minutes @ 1000 Pa (90 mph wind) No D Damage mage Gust Wind Load Test @ 3000 Pa (160 mph wind) No ASTM E 2178 Air Permeance if Building Materials No Damage 3.5" @ 25Pa 3.5" @ 50 Pa 0.001 L /s•m 3.5 " @75 Pa 0.001L /s•mz 3.5" @ 100 Pa 0.002 L /s•m 3.5" @ 150 Pa 0.003 L /s•m 3.5" @ 300 Pa 0.004 L /s•m _.. 0.008 L/s•m ASTM E 96 Water Vapor Transmission (Class 111 Vapor Retarder at normal installed thicknesses) 3.5" 5.5" 6.6 Perms 7" 4.2 Perms 10" 3.3 Perms 2.3 Perms ASTM D 1621 Compressive Strength ASTM D 1623 Tensile Strength -- 0.7 psi ASTM E 413 Sound Transmission Class (STC) 5.6 Ibs /in ASTM C423 Noise Reduction Coefficient (NRC) 49 -51* CGSB 51.23 -92 Off Gassing Tests (VOC Emissions) 75 ASTM D 2863 Oxygen Index Pass (No toxic vapors) 22% ASTM D 1929 Ignition Properties (Spontaneous - ignition temperature) 1040 °F (560 °C) ASTM E 84 Surface Burning Characteristics, 6" thick • Flame spread Index Class 21 • Smoke Developed 216 ASTM E 119 Wall Assembly Test (non- loadbearing) — *based on specific wall design. Pass 1 hour* DEMILEC (USA) LLC® • 2925 Galleria Drive • Arlington, TX 76011 (817) 640 -4900 phone • 1.877.DEMILEC (336 -4532) toll -free • (817) 633 -2100 fax www.DemilecUSA.com • Info@DemilecUSA.com SEALECTION ® 500 Technical Data Sheet Rev. 03/14/2011 Page 1 1 • '*LECTION® 500 Spray Foam Insulation Technical Data Sheet Liquid Components Properties Property Isocyanate A 500 Color __ Resin B 500 Color it Brown Transparent Clear y @ 77 °F 180 -220 cps Specific Gravity 1.22 –1.25 150-300 cps Shelf life* 1.09 –1.11 Mixing ratio (volume) 1 year 1 year * See MSDS for more information. 100 100 Processing Parameters Imperial units Metric units Type of machine Graco® Reactor E -30 with Fusion gun and 02 Mixing Chamber Components A & B temperature 130 °F Hose temperature 54.5 °C 130 °F Ambient temperature 70 °F Thickness per pass — 21 °C Substrate Full thickness of application Plaster board 54.5 °C Reactivity Profile Cream time (s) Gel time (s) Tack free time s 1 -2 3 -4 6 7 End of rise (s) — 6 -7 Recommended Processing Conditions Primary heater Value Hose temperature 130 °F Mixing pressure 130 °F Substrate & Ambient temperature 1000 psi Curing temperature >23 °F >23 °F General Information: It is recommended that the foam is covered with an approved thermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside. This product should not be used when the continuous service temperature of the substrate is outside the range of -60 9 F ( -519C) to 176 2F (80 2 C). SEALECTION r 500 ENERGY STAR i tit ,,.-° Spray Foam Insulation PARTNER L c c ° 4 S°B6 Disclaimer: The information herein is to assist customers in determining whether our products are suitable for their applications. We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. Nothing herein shall constitute a warranty, express or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent infringement. All patent rights are reserved. The foam product is combustible and must be covered by an approved thermal barrier. Protect from direct flame and sparks contact. The exclusive remedy for all proven claims is replacement of our materials. DEMILEC (USA) LLC ® • 2925 Galleria Drive • Arlington, TX 76011 (817) 640 -4900 phone • 1.877.DEMILEC (336 -4532) toll -free • (817) 633 -2100 fax www.DemilecUSA.com • Info @DemilecuSA.com SEALECTION ®500 Technical Data Sheet Rev. 03/14/2011 Page 1 2 larrim \ ; CITY OF ATLANTIC BEACH ilik '.3 i s) 800 SEMINOLE ROAD ,� � ATLANTIC BEACH, FL 32233 �` INSPECTION PHONE LINE 247 -5814 n ,t- Application Number 12- 00000161 Date 2/08/12 Property Address 1632 W PARK TER Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 cu 1 ahu Owner Contractor AYCOCK CLASS A HEATING AND AC, INC 1632 PARK TERRACE WEST 1578 SCOTTRIDGE LANE ATLANTIC BEACH FL 32233 ST JOHNS FL 32259 Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . 99.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/06/12 Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 103.00 103.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 P h 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 1 (� ) a), FQ(K efrrzce i 1 lit PERMIT # „ ` is 6 th .1- 15D 33 PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARl # 1 4 3$ 5(75 Air Conditioning: Unit Quantity 1 Tons Per Unit 3 REQUIRED Heat: Unit Quantity i BTU's Per Unit ItX Seer Rating t$ Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other stat or local law regulation construction or the performance of construction. j f Property Owners Name n C I� �l�- ne- C _Phone Number r ) 1 -g' CO 51 Mechanical Company ClaSS A 1 txh h t Jr CUidi cee hone '9 0 u' ' )) SgFax ? 3 t -L ( o O L I ri C_ L g City t ff)fl S Stat F - Zip Co. Address: ( � � � 7 • Y P License Holder (Print): I- A r D , . State Ce ' ice n/Registration # COI V4 Notarized Signature of License Holder i Sworn and subscribed before me this 6 day of 4, tip/ 20 .. N BRIAN N. CORSON �_ . ., ' : Commission # EE 034110 Signature of Notary Public - r i 'I Expires October 12, 2014 g y a+ "' '"; Boded Toro Troy Fon Insurance 800.385 '7019 r This combination qualifies fora Federal Energy ,A: CERTIFIED,. Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 4385650 Date: 2/8/2012 Product: Split System: Heat Pump with Remote Outdoor Unit- Air - Source Outdoor Unit Model Number: 4TWX6036E1 Indoor Unit Model Number: *AM7A0C42H31 Manufacturer: TRANE Trade /Brand name: XL16I WEATHERTRON Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 37400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 18.00 Heating Capacity(Btuh) @ 47 F: 32400 Region IV HSPF Rating (Heating): 9.50 Heating Capacity(Btuh) @ 17 F: 21200 * Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION Pk The information for the model cited on this certificate can be verified at www.ahridirectory.org, �� Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on Aria $U t ' and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129731924957949520