Permit Addition Family Room 1921 Selva Marina Dr 2012 � S lry
N � CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
Li n ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Jf3 E )
Application Number 12- 00000367 Date 5/01/12
Property Address 1921 SELVA MARINA DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 12000
Application desc
ADDITION
Owner Contractor
WARFLE, DAYTON F JR GAMEL CONSTRUCTION CO., INC.
1921 SELVA MARINA DR 1223 TRAILWOOD DRIVE
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH FL 32266
(904) 241 -7009
- -- Structure Information 000 000 ROOM ADDITION FAMILY ROOM
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . LORE ELECTRICAL CONTRACTORS
Permit Fee . . . 62.20 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/28/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and containter cannot be placed on City right -of -way.
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 62.20 62.20 .00 .00
PERMIT IS IS ailettiAtiBegLkV 1 lCktaoRRDANCE WITH MLQQITY OF ATLANTIO EACH ORDINANGI OAND THE FLORID 0
BUILDING CODES.
i 'r ` - r�J�J1'/ J �
�re
,=� CITY OF ATLANTIC BEACH
rd
r s1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 12- 00000367 Date 5/01/12
Other Fee Total 4.00 4.00 .00 .00
Grand Total 66.20 66.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 772 / -cC / I // - /c 6 7
/j�� /� V? � . / V M PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2 clo VOLTS / PHASE
VALUE OF WORK $ / Y'Oa
NEW SERVICE ❑ Overhead ❑ Underground n1 Underground up Pole
❑Residential (Main) Service
❑ 0 -100 amps 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
Commercial (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 ❑ 200amps ❑ amps ❑ CT Service amps
ADDITIONS, REMODELS REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: i 0- 30amps 31- I00amps 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 ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company / _/zE �� c �l O ffice Ph ne ,3 -- H 373-&f p Y `—� /9� `'�h 7‘ ZT � � Fax
Co. Address: 2 7& /Y' 4 SGO� 19iUd . City AO .elre4. State (Zi ? 40
/ / 6 P�
License Holder (Print): / di Z4 = _ Ar ate Certification/Registration # &/3a 13d ?6
Notarized Signal `."��,- - - -- -• ' , - . - - ������� /
� • t HIRLEY' G RAF • T' 1
iii ,ti AdvCOMMIFISI 17, '
. o,` EXPIRES 're'
, d ; ubscribed befor: me t A .: y of , 20
' nr
' Bonded Thru Notary public Underwriters =---. _ • _ . _ _ _ Notary Public ��, ,�'
, �, �'r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
= ATLANTIC BEACH, FL 32233
\.' INSPECTION PHONE LINE 247 -5814
-013
Application Number 12- 00000367 Date 5/01/12
Property Address 1921 SELVA MARINA DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 12000
Application desc
ADDITION
Owner Contractor
WARFLE, DAYTON F JR GAMEL CONSTRUCTION CO., INC.
1921 SELVA MARINA DR 1223 TRAILWOOD DRIVE
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH FL 32266
(904) 241 -7009
- -- Structure Information 000 000 ROOM ADDITION FAMILY ROOM
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Sub Contractor . . ENVIRONMENTAL A/C SERVICES,INC
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/28/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and containter cannot be placed on City right -of -way.
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
PERMIT ISalarove le v' fitcrttmaRDANcE WITH ArIII?.QITY OF ATLANTIQ EACH ORDINANGA°AND THE FLORIDk
BUILDING CODES.
' t> CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 12- 00000367 Date 5/01/12
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .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
Ph (904) 247-5826 Fax (904) 247 -5845
JOB ADDRESS: 1 ) I S-e I UGL V 1 4 (N& Or NI PERMIT # id' — 36 7
PROJECT VALUE $ Sad ARI #
REQUIRED
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 300 REQUIRED
REPLACEMENT 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
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators /Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to vio l tot a provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name CAJ4 r fi - e / -e Phone Number
Mechanical Company En t(b CK CCY-c 1 o Office Phoned 79 - v Fax a7 r-eZz45-
Co. Address: /i (O C (fC f ic& 0k / City T4 ( State F_- Zip ?2cC
License Holder (Print): / _,i U/"wz A: S `r State Certification/Registration # (geOS`7 " "?
Notarized Signature of License Holder ' A '
h; , sAuramPaisai sub 4 ribed before,me this • day of _2 20
�� ;. MY COMMISSION DD 957760
o Bonded ` I ' a � ary P ..�
e CITY OF ATLANTIC BEACH
N 11
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
�� '�, ` INSPECTION PHONE LINE 247 -5814
X011 SP
Application Number . . . . 12- 00000367 Date 4/05/12
Property Address 1921 SELVA MARINA DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 12000
Application desc
ADDITION
Owner Contractor
WARFLE, DAYTON F JR GAMEL CONSTRUCTION CO., INC.
1921 SELVA MARINA DR 1223 TRAILWOOD DRIVE
ATLANTIC BEACH FL 322334519 NEPTUNE BEACH FL 32266
(904) 241 -7009
- -- Structure Information 000 000 ROOM ADDITION FAMILY ROOM
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit RESIDENTIAL ADDITION
Additional desc . FAMILY ROOM ADDITION
Permit Fee . . . 110.00 Plan Check Fee . . 55.00
Issue Date . . . Valuation . . . . 12000
Expiration Date . 10/02/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and containter cannot be placed on City right -of -way.
Other Fees STATE DCA SURCHARGE 2.00
ENG REV BLDG MOD OR ROW 25.00
STATE DBPR SURCHARGE 2.00
UTIL REV MODIF OR ROW 25.00
Fee summary Charged Paid Credited Due (1
PERMIT ISPA ttI4D VAPY 17Y Wrrl- PACLiPCITY OF A 7�1;ARTI n BEACH ORDINANCES (1 AND THE FLORIDA °
BUILDING CODES.
th BUILDING PERMIT APPLICATION
1 U CITY OF ATLANTIC BEACH
''
Mqk 800 Seminole Road, Atlantic Beach, FL 32233 a
� 1 c O PY, tk
2012 Office (904) 247 -5826 Fax (904) 247 -5845 - - :..,. -
S
Job Address: 11tt�"z 0 a)wk Permit Number: id 3 6 7
Legal Description for 27 SFLVg M,A2iNA- 0,Jj i `d C Parcel # l 7 Zd 2-0 , O 89c,
Floor Area of Sq.Ft. r Sq.Ft
Valuation of Work $ / 2 1 060 — Proposed Work heated /cooled 3S4- non - heated /cooled O
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial In - ident•.
If an existing structure, is a fire sprinkler system installed? (Circle one): • es CVO N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: Roo ,4-b irtDA)
Property Owner Information:
Name: b, '> tJ F. tc/1i--,e < e ‘-r/e Address: /9-t/ , 5? ///4 ii./a..-j ( ;; /),
City R17 -4-,Jr tc- 2ea e - k State F 4 - Z i p 3 a 3 Phone 9.0 y 37 0 83 0
E -Mail or Fax # (Optional) ,war -(' /e 4 f4.foval , com
Contractor Information:
Company Name: M el T1We - T Jil» o. 7#' -L-- Qualifying Agent: I`7k L° 674$4, et- 4
Address: ) 2 -2-3 77k./kit—u A2 City A) e1OT i-J-Ig. 0 '-/ State V-- Zip 32 2 G
Office Phone - 2.-`it I -7009 Job Site/ Contact Number $ t, - 04 `f l• Fax # 2 }L( 7007
State Certification/Registration # d 6 e-v2 t.. - i0-
Architect Name & Phone # N /A-
Engineer's Name & Phone # /4 1.'`S1(3 C: it - LI6i eez -i.- j •ti'c . S$4 - 2 /
Fee Simple Title Holder Name and Address GJAytFL.E , 1 9 2- / ,S / b4- AA A-TL. €544 3»
Bonding Company Name and Address /V /4-
Mortgage Lender Name and Address N1 A.
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this 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 for a period of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Healers,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
. COMMENCEMENT.
I hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be conzplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
�
/
Signature of Owner i1 J(. r/ _ . , A..i Signature of Contractor e
Print Name ,T7 c P A) Li Print Name '/J /' L• �ei- if-
Sworn told subscribed before me S . . • • subscri • - • , -for- me
this -Day of Meiic..k , 20 is Da . / , 20
SYPHON T. PUTNASYPHON j.�,,j ._AM ! _—
Notary Public ak Notary Public, State of Florida Nota j : it, ►°
Commission# DD9 98148 ? M . ��` ■•Nt)D 957760
My comm. expires July 20, 2014 *+•'•'.t!` ° gonded ru4 t a uo, 01 0 ed 01.26.10
BUILDING PERMIT APPLICATION
� z L l W 1111 CITY OF ATLANTIC BEACH
�l M A , / 800 Seminole Road Atlantic Beach, FL 32233
20 /2 Office (904) 247 -5826 Fax (904) 247 -5845
__
Address: i
Job Address: it � _ � U kalw� -�-. 7-± Permit Number:
Legal Description Lo7' 27 5ELVA /i/krzi,(JA- t ",0 i i `0 C- Parcel # / 72-010 ..., page.
rho Floor Area of Sq.Ft. - Sq.Ft
Valuation of Work $ / 2, oe'o ` Proposed Work heated /cooled 3 rL non - heated /cooled G
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial II: - identi.
installed?
If an existing structure, is a fire sprinkler system nstalled? (Circle one): ' es N • N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: R o 0 / - t A f i t DA)
Property Owner Information:
Name: b,3'f T Y J F. AI < e \Tic Address: /2.i/ ,5;.;//./4 s'L/cr%r r.,;,.. !.'A
City gi J r t c tea c A State fiZi - Phone 90 N 37.; - D i'3 C
E -Mail or Fax # (Optional) 1-f,1 a r-1' /e 4 /41,vc2' . G,/,i
Contractor Information:
Company Name: &Mw'L et !' , ." » e., . -QA- (.... Qualifying Agent: 1f, L- 6A---frt. el_ q
Address: 1 1 .23 IAA S t-,. e)i1 x�/L City Ne /iTO L-- i3 -/- State / -t Zip 3 2 Z 6
Office Phone '2 - 7D0'j Job Site/ Contact Number $ Liss --- 04 't % Fax # Z y-I 7oc 7
State Certification/Registration # e° l,3 c: v2- c., z-4)`7
Architect Name & Phone # NM--
Engineer's Name & Phone # j J. - S/3 c.: 26 1= !11hh,,, - z : -, .t ` S8c 2
Fee Simple Title Holder Name and Address 1, A t- 4-1- 19 L/ 5' ei..i%A 1't4 b4. Al ,4TI-- S4 -W 3
Bonding Company Name and Address /u /i4
Mortgage Lender Name and Address i.. A.
Application is hereby made to obtain a permit to do the work and installations as indicated 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this 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 for aperiod of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Eledrica! Work, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
. COMMENCEMENT.
1 hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
Signature of Owner I , i/./, / OA i . �.� Si of Contractor
Print Name Dd( ' t' A /ti Print Name —
f'y -Y /4- L• C �1' n
Sworn to subscribed before me Syvorn n subscri, -for- me
this ' 7 -Day of /vl a t c. ti , 20 Z- (fliis _ Da / , 20 po A, , ! ���-
T PH N T. PUTNAM . _ �.� w PirMI I!' ►..�'�'1 i —
Notary Public � ~ Notary Public, State of Florida Nota. ; . i0 0 'N.0 0957 760 • Comm DD99 8148 :"
`i F "R'' •„ EXPI • , ' Feb ary 14, 2014
My comm. expires July 20, 2014 a ' Bond • i ru Ne • 'ublic UnderR %1 ed 01.26.10
tn City of Atlantic Beach APPLICATION NUMBER
j r Building Department (To be assigned by the Building Department.)
800 Seminole Road _ , /, -
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 - Fax (904) 247 -5845
-. - ill v E -mail: building- dept @coab.us Date routed: Arr j Z
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / / °� Jf/Ii
lam fi Department review required Yes No
c_Building_.,
Applicant: 7/ ,/) 3 //(G( ( O ( Plannin g & Zon g
free drnirtls`trator
�7 - ?- r
Project: '.G., ks)
Public_Utilities
Public Safety
Fire Services
: d• 1 �:s�. ace s .3 5.^e : 41 .a : is ;';;' kept Slgnatttt� '.�"s r > � " c cT+, W
. s �" 63 a 3, .4
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:
APP CATION STATUS
Reviewing Department First Review: A pproved. DDenied.
(Circle one.) Comments:
B -DING-,
& ZONI = - ( I--
Reviewed by: r Date: 4 -L
ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
Selva Marina Drive
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FORMS,..a+».�.x �a t wr ..
FLORIDA BUILDING CODE, ENERGY CONSERVATION
1 FORM 402.2010 Residential Building Thermal Envelops Approach ALL CUMATE ZONES
C Scope: Compliance with Section 402 of the Florida Building Code, Energy Conservation, shall be demonstrated by the use of Form 402 for single- and multiple- family residences of three
1 stories or less in height, additions to existing residential bu renovations to existing residential buildings, new heating cooling and water heating systems in existing buildings, as
applicable.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4028 of this
form. If a budding does not comply with this method or Altemate Form 402, it may still comply under Section 405 of the Flonda Building Code, Energy Conservation.
1 PROJECT NAME: WQf -(�e AUdl4i0 BUILDER: v ^r`.LL•
I AND ADDRESS: ic( 21 Siva Ma.trt via, PERMITTING
1 l4+�LL✓1i1L ac.h OFFICE: A -h a.r L 1 E. Be.a -c-k
OWNER: UVa.r c., J PERMIT NO.: JURISDICTION NO.: 2 t I ' 0 D
General Instructions:
1. New construction which incorporates any of the following features cannot comply using this method: glass areas in excess of 20 punt of conditioned floor area, electric resistance
heat and air handlers located in attics. Additions 5 000 sq-11., renovations and equipment ehangeoub may comply by this method with emotions given.
I 2. Fill in all the applicable spaces of the "To Be Installed" column on Table 402A with the Information requested. Ml To Be Installed" values must be equal to or more efficient than the
required levels
3. Complete page 1 based on the "To Be Installed" column Information.
4. Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items.
5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1 The owner or owners agent must also sign and date the form.
Please Print CK
1. New construction, addition, or existing building 1. A ea O 11 • `
( 2. Single- family detached or multiple -family attached 2. 1 4 e - a r1N 11 0
3. If multiple- family -No, of units covered by this submission 3.
4. Is this a worst case? (yes/no) 4. N r-)
5. Conditioned floor area (sq. ft.) S. BS LO -
6. Glass type and area:
a. U factor i ea.
b. SHGC * Ad IL LS' C1 8b.
c. Glass area J 8e' 5 3 ' S - !MIA.
7. Percentage of glass to floor area 7 CI , %
8. Floor type, area or perimeter, and insulation:
a. Slab -on -grade (R- value) 8e. R= 0 30 Iln.ft. _
j b. Wood, raised (R- value) 8b, R = sq. f .
EE c. Wood, common (R- value) 8c. R. sq. ft.
d. Concrete, raised (R- value) 8d. R e sq. ft. -
e. Concrete, common (R- value) 8e. R = sq. ft. -
9. Wall type, area and Insulation:
a. Exterior: I. Masonry (Insulation R- value) 9a-1, R= sq. ft.
2. Wood frame (Insulation R- value) 9a•2. R= 1 r -4 0 a -
b. Adjacent: 1. Masonry (Insulation R- value) 9b•1. Re sq. ft. -
j 2. Wood frame (insulation R value) 9b-2. R= sq. ft. -
10. Ceiling type, area and Insulation:
a. Under attic (Insulation R- value) 10a. R. 3 sq. ft. 3 5t0
b. Single assembly (insulation R - value) 10b, R e sq. ft. -
11. Air distribution system: Duct Insulation, location, On
a. Duct location, insulation 11a. R = LO A f 4 - -
i b. AHU location 11 b.
c. Qn, Test report attached (c 0.03; yes /no) 11 c.Teet report attached? Yes No
I 12. Cooling system: y � ! } I
a. Type 12a. Type: -
b. Efficiency 12b. SEER/EER:
13. Heating system: 13e. Type: t - t E n 043 -
a TYPe 13b. HSPF/COP /AFUE:
b. Efficiency
14. HVAC sizing calculation: attached 14. Yes No
15. Hot water system: �X i -}�
15a. Type: -
b. E'lx 15b. EF:
b. Efficiency
I hereby certify that the plans and specifieatons covered by the calculation are In compliance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida
Energy Code. Energy Code. Before construction Is completed, this building will be inspected for compliance In
/ `` accordance with Section 553.903, F.S.
PREPARED BY: 1 t _ .+ = . 1 hhSDATE: 3' 2 4' IL
V. • CODE OFFICIAL: fi
I hereby certify that thi .. . is Inc. , lance ' the .. . Energy Code - _ 4 1 2 - - 2
OWNER AGENTI i DATE 1 2i -- Za DATE:
i
C.4 2010 FLORIDA BUILDING CODE - ENERGY CONSERVATION
)
4 Project Summary
Date: 3/26/12
wrightsoft Entire House By: M. Ellis
Energy Design Systems, Inc.
Pro Information
For: Waffle Addition
1921 Selva Marina Dr N, Atlantic Beach, FL
Notes: Front door faces West. Existing HVAC unit to service the new addition.
Desi • n Information
Weather: Jacksonville, Intl AP, FL, US
Winter Design Conditions Summer Design Conditions
Outside db 32 °F Outside db 94 °F
Inside db 74 °F Inside db 74 °F
Design TD 42 °F Design TD 20 °F
Daily range M
Relative humidity 50 °A)
Moisture difference 51 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 4443 Btuh Structure 1576 Btuh
Ducts 225 Btuh Ducts 310 Btuh
Central vent (35 cfm) 1607 Btuh Central vent (35 cfm) 765 Btuh
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 6275 Btuh Use manufacturer's data n
Rate /swing multiplier 0.99
Infiltration Equipment sensible load 2625 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 0 Structure 528 Btuh
Ducts 84 Btuh
Heating Cooling Central vent (35 cfm) 1210 Btuh
Area (ft 356 356 Equipment latent load 1821 Btuh
Volume (ft 2848 2848
Air changes /hour 0.61 0.32 Equipment total load 4446 Btuh
Equiv. AVF (cfm) 29 15
Heating Equipment Summary Cooling Equipment Summary
Make Make
Trade Trade
Model Cond
Coil
Efficiency 0 HSPF Efficiency 0 EER
Heating input Sensible cooling 0 Btuh
Heating output 0 Btuh @ 47 °F Latent cooling 0 Btuh
Temperature rise 0 °F Total cooling 0 Btuh
Actual air flow 81 cfm Actual air flow 81 cfm
Air flow factor 0.017 cfm /Btuh Air flow factor 0.043 cfm /Btuh
Static pressure 0.00 in H2O Static pressure 0.00 in H2O
Space thermostat Load sensible heat ratio 0.59
Bold italic values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
+. -41-- wrightsaft Right -Suite Residential 6.0.119 RSR29784 2012- Mar -26 16:21:42
ACCK E: \EDS \Current \Residential Manual J\EAC, Warlle Addition, 1921 Selva Marina Dr N, All Bch.rrp Cal Page 1
, S.a�y; it, City of Atlantic Beach APPLICATION NUMBER
! i Building Department (To be assigned by the Building Department.)
"IITIry 800 Seminole Road C7? - & "
z . Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 ®/
"._o;i )rte E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / / / J ± I/4-' �r, ? department review required Yes No
(Building_]
Applicant: �/) _//�(,� d 'v L g
Planning & Zon
Fr ee mtrttStrator
Project: f - / - 7'
ern ►ig.NLQrk
C Put?lic Utilities`
Public Safety
Fire Services
,... : . �;
.:, Dept Signature -. : Z
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District T
Army Corps of Engineers
Division of Hotels and Restaurants
a
Division of Alcoholic Beverages and Tobacco �i�
Other: ■
APPLICATION STATUS ; 5
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewe• •y: _ -- - Date: - 24'2.
TREE,ADMtN. Second Review: Approved as revised. ['Denied.
P �r KS Comments:
P BLI S' FETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
SeIva Marina Drive
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b. m „„, ,,, , 4N DAVE MOSBY Room addition to the
WARFLE RESIDENCE �.14 1
T. 200
Residential Dens 1921 8elva Marina Drive N. „ ° .=.11 °"'�..
—
, l:Z Atlantic Beach, Florida
R ECEIVED
( tICI-34"----- )
as =��'r� , City of Atlantic Beach I _ APPLt�CfION NUMBER
ri * Building Department (To be assigned by the Building Department.)
? . 800 Seminole Road
APR Q 2 2012
y "z: Atlantic Beach, Florida 32233 -544
Phone (904) 247 -5826 • Fax (904 X584 __
E -mail: buildin de t coab.us — Date routed: ____?Allr/ 7
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /l'' / �� ka 7 ? r/ ? Department review required Yes No
f i (Bu iIdinglj
Applicant: mTh � (c) /) 5 /(G< ( v (Planning & Zonr
wee 7dtritnIStrator
Project: //-� /- em (?ubiig, Work
s�
C ELb(ic Utilities
Public Safety
Fire Services
z" maxi OlOa s i 1
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 ( I A vv (�(' v l
Reviewing Department First Review: /.:Approved. ❑Denied. U
(Circle one.) Comments: ��/
BUILDING i(
e
PLANNING & ZONING Reviewed by: Date: 4/) L
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
7" BUILDING PERMIT APPLICATION
: ri --, , I t-, it ( CITY OF ATLANTIC BEACH
i A r 800 Seminole Road, Atlantic Beach, FL 32233
! 2012 Office (904) 247 -5826 Fax (904) 247 -5845
i
l'. --
t ' f1 Permit Number:
Job Address: Y�.�r..:::, � '�a�'� -
Legal Description ter 2 7 3 tlf/Z t'N / i !0 C Parcel # / 7 Zu 2.0 -- 0
Floor Area of Sq.F't. � e Sq.Ft
Valuation of Work $ / 2, ()op _ Proposed Work heated /cooled j - 4 . - non heated /cooled Ci
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structures) (circle one): Commercial identi
If an existing structure, is a fire sprinkler system installed? (Circle one): es N N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: R 0 CM t -64 a i t oiN
Property Owner Information:
Name: /�A3'f70J f . Lti tK <c e fK Address: /9 ,,/ , 2 //'4 s/Wa-j 6,-,;.; 4.,
City d- -A-di t c iota e A State r, 3-(1%,:-. x Phone 90 N 37,..; U 73 0
E - Mail or Fax # (Optional) (/��ar -f' /e 4 /1474 pi Ce)/t%
Contractor Information: _
Company Name: &M C 'L 4),- oe: T. ` d
` ,' '- mi - • Qualifying Agent: l`l -'i`- L.- e 1,... 4
Address: i 2 . 7 - 3 - T - / k A ; L-V c A / L City N P f'T) L- 0.:-/+ State F- Zip 3 2-4— 4
Office Phone - Z-Y- t - 7c01 Job Site/ Contact Number $ L S' O q `f Fax # Z y"l - oc_ 2
State Certification/Registration # e /3 t 2t.... 2-- t-- 7
Architect Name & Phone # A -WI-
Engineer's Name & Phone # /-J +- >i.4/3 cj/C 6: Aj6 -i.t- et-74;11 'j° p 7 e S6 c 2- "t`°/
Fee Simple Title Holder Name and Address l. -"A-tz - c-t. / y L/ H ,T 4 b4-- Al' / k -1
Bonding Company Name and Address /4j14-
Mortgage Lender Name and Address /),, A -
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this 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 for a _period of six (6) months at any lime after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, W ells, Pools, Furnaces, Boilers, Heaters.
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
. COMMENCEMENT.
I hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal. state, or local law regulating construction or the performance of construction.
.....-- e Signature of Owner it ,144, ' NA i , ,..11`
.. Signature of Contractor
j� 'i t
Print Name '✓ P a1 /L Print Name r7 -Af-' Z-z. C e
Sworn to 1d subscribed before me S,w rn : n. subscris - • e - for- me
this -1 7 - Day of M a ack , 20 4.'h is Da a / , 20 IIP 4 3 .111111. .
.r✓'.r' _ _ T PH N T. PUTNAM ? :� �I
Notary Public k ' Notary Public, State of Florida Nota j , • ; ►t
• .; . M gi; µ !. ,N ; oo g 577fO
Com D0998148
iii, i on ' t " ' �, EXPI Feb ary 14 2014
My comm. expires July 20, 2014 � P Bonded ruNe ub�icunder ed 01.26.10
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1921 SELVA MARINA DR Atlantic Beach FL 32233
0101
Building Type SOH - SFR 1 STORY
Year Built 1981
Type Gross Area Heated Area
Base Area 2031 2031
Fin Screened Porch 184 0
Finished Garage 529 0
Finished Open Porch 30 0
Total 2774 2031
Front 85.00
Depth 145.00
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IUARFLE RESIDENCE e
i s Residential Designs„��,��
Iffii Solve Marina Drive N. , ...= ,,.., o „
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16°16"""°' Deel �$ WARFLE RESIDENCE - i
5 •=� ,L 9 1921 Galva Marine Drive N. =12.....
—
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�sv City of Atlantic Beach APPLICATION NUMBER
� - W Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233 -5445 L'? & .
Phone (904) 247 -5826 - Fax (904) 247 - 5845/ Z
v_i �� E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / / J ± / v& ? r ? -
D - �rtment review required Ye No
. / Buil. ng�
Applicant:
9fro„,/8,,,,ruc- 1, A Planning & Zon
triturator
Project: 4L-D-D-2 1 e) (FuNiciagrk
is Utilities)
Public Safety
Fire Services
Review fee r Dept Signature _U4 1•4;g
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ['Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: t2"7 : Date: 9 - 3" /2
TREE ADMIN. Second Review: [1]Approved as revised. ❑De ied.
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
DO NOT WRITE BELOW - OFFICE USE ONLY
Applicable Codes: 2007 Florida Building Code w/ 2009 Revisions
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials /Date: /1. y -
Development Size pp
Habitable Space 3 5 6 S. F. Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group P-es � I.
Type of Construction (3
Number of Stories /
PV
Zoning District 0
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone iv 4
Conditions /Comments:
Salve' Marina Drive
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WARFLE RESIDENCE 1
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1921 Belve Krim Drive N. ,
" � , "°' ,._ 'I V ° ; . `l° ,. ; °' Atlantic Beach, Florida
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I A CITY OF ATLANTIC BEACH
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j 800 SEMINOLE ROAD
c ? , = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 12- 00000367 Date 4/05/12
Plan Check Total 55.00 55.00 .00 .00
Other Fee Total 54.00 54.00 .00 .00
Grand Total 219.00 219.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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FORMS
TABLE 402A
t BUILDING COMPONENT j PERFORMANCE CRITERIA' INSTALLED VALUES:
U- Factor <0.85 U•Fador =
Windows (sae Note 2): SHGC 0,30 SHOO = �° `
% of CFA <=20% %of CFA . 4,y Fu G a i- {
SkYllghteF�dor < 0.75 4 J \ J JJ
Doors: Exterior door Li-Factor Factor < 0.65 U•Factor .
No requirement .---
Floore: Slab-on-grade R•Value =
t Over unconditioned spaces (see Note 3) i R•13
Wells- Ext. and Adl. (see Note 3): Frame R-13 R -Value = 13
Mass (see Note 3) R•Value =
Interior of wall: R•7.8
Exterior of wall: R4 R -Value it
R.90 R -Value = 3 0 Test re o
Ceilings
ecta (sea Notes 3 & 4) Reflectance =
n Reflectance 0.25 Yes/No
7
I Air distribution system (sea Note 4)
Ductwork & sir handling unit: Test
Location: report
i Unconditioned apace Not allowed Test
Conditional space R.velue z 8 R -Value = IO
Ye o
Duct R•value
Air leakage On Qn 5 0.03 : On =
I Air conditioning systems (see N ote 5) SEER = 13.0 SEER .
0 Heating system ,
SEER =13.0 SEER =
Heat Pump (see Note 5) 09 HSPF . 7.7 HSPF = c .X--% s r�
Heating:
1
3 AFUE 78% 1 AFUE .
' Gas furnace ON furnace AFUE 78% AFUE _
p Electric resistance: Not allowed (see Note 5)
Water heating system (storage type) 40 gal: EF = 0.92 Gallons .
Electric (see Note 6): EF . F /
50 gal: EF = 0.90 `^ �"} " _1J
} Gas fired (see Note 7). 40 gal: EF . 0.50 Gallons =
9 ! 50 gel: EF.0.58 EF`
yyyt 1 Other (describe):
(1) Each component present in the As Proposed home must meet or exceed each of the applicable performance criteria In order to comply with this code using this method;
otherwise Section 405 compliance must be used.
1 (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U•Factor and the maximum SHGC (solar Heat Gain Coefficient) crteria
1 and have a maximum total window area equal to or less than 20% of the conditioned floor area (CFA); otherwise Section 405 must be used for compliance.
d Exception: Additions of 600 square feet (56 m or less may have a maximum glass to CFA o150 percent.
J (3) R- values are for insulation materiel only as applied in accordance with manufacturers' installation Instructions. For mass walls, the "interior of wall" requirement must be
I met except if at least 50% of the R-6 insulation required for the "exterior of wall' is installed exterior of, or Integral to, the wall.
(4) Ducts & AHU installed substantially leak free per Section 403.2.2.1. Test by Class 1 BERS rater required.
Exception: Ducts Installed onto an existing air distribution system as part of an addition or renovation; duct must be R-6 installed per Sec. 503.2.7.2.
i (5) For all conventional units with capacities greater than 30,000 Btu/hr. For other
Honor types of
quipm s e e T b e g s 0 3.2ma 1 ins ) telled in existing buildings.
Exception: The prohibition on electric resistance heat does not apply tF
(6) For other electric storage volumes, minimum EF = 0.97 - (0.00132 x volume).
'1 (7) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 x volume).
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1 TABLE 4029 MANDATORY REQUIREMENTS - - - CHECK
i e 402.4 COMPONENTS SECTION I REQUIREMENTS
To be caulked, geake ed, weetherstripped or otherwisee sealed. Recessed lighting IC-rated as meeting ASTM E
i Air leakag 283. Windows and doors . 0.30 ckn/aq.ft. Testing or casual inspection required. Fireplaces: gasksted doors &
i outdoor combustion air.
•, Cellinged nee walls 405.2.1 R -19 space permitting. L V
I Programmable thermostat 403.1.1 Where brad -air furnace Is primary system. programmable thermostat is required.
Alf distribution system 403.2 Ducts In atria or on roofs Insulated to R-8: other duds 14•8. Ducts tested to Q, • 0.03 by a Class 1 BERS rater.
Heat trap required for vertical pipe risers. Comply with efficiencies in Tabbinsulated 4.3.2, Provide switch o clearly
manual
Water heaters 403.4 malted circuit breaker electriC) or shutoff (gas). Circulating system pipes
i OFF switch. s
Spas and heated pools must have vapor-retardant covers or e liquid Cover or other means proven to reduce heat
Swlmmtng pool & spas 403.9 loss except N 70% of heat from site-recovered energy. Off/timer switch required. Gas heaters minimum thermal
I efficiency • 78% (82% after 4/16/13). Heat pump pool heaters minimum COP. 4.0.
Sizing calculation perlomed & attached. Minimum efficiencies per Tobias 503.2.3. Equipment efficiency verification
Cooling/ heating equipment 403.6 required. Special occasion cooling o k or apeClly requires separate system or variable capacity system. `
( —
i , Lighting equipment 404.1 At least 50% of permanently installed'lphtlng fixtures shall be high-efficacy lamps.
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i 2010 FLORIDA BUILDING CODE — ENERGY CONSERVATION
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