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Permit Remodel Bath 5210 Antares Ct 2012 ✓ , � �� CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD 0 ° ,, , ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 sJ13% Application Number 12- 00000541 Date 5/07/12 Property Address 5210 ANTARES CT Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 CU 1 AHU Owner Contractor NAVAL CONTINUING CARE DAVID GRAY HEATING AND AIR INC RETIREMENT FOUNDATION, INC 6491 POWERS AVENUE 1 FLEET LANDING BLVD JACKSONVILLE FL 32217 ATLANTIC BEACH FL 322334599 (904) 724 -7211 Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . 99.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . . 11/03/12 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 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: (2 /a avl T6 ( 1 CeiA ll t in v74 ,„ 6 -eack,rC PERMIT # c1 =IRe4 Cc, t' ; K 5 ) 3za_i? PROJECT VALUE $ `3 ,Smc., 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 Unit Quantity ARI # Air Conditioning: Q y �-- Tons Per Unit S REQUIRED Heat: Unit Quantity BTU's Per Unit 3 5 - , aov Seer Rating /3 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 ALL OTHER GAS PIPING Elevators /Escalators Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: (e c4 - (-4 ii ); ,k, 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 ( it e -I ` `/,‘ ; � ``� Phone Number 2 4'G r ?Po() Mechanical Company b AJ , CiYc 7 He - 1-; , y A; , - +- c .Office Phone -zcl -a-z v Fax ?t-`( -59z t; Co. Address: 6g 91 eGw err lam/ e�„A. City , � c �S a h� i � c Cit 1 e State Pc Zip Su t - r License H lt� �(i t); 1--� -e. �— T Q r-L c, State Certification/Registration # e i� o S 7 /Sic Notary ' • / *tense Holder Ares : � �� =. : My Comm. Expires = Sworn and subscribed before me this Y ay of / , day t . 20 � January 10, 2014 : = A �/ N N o. DD 950913 >►` • / Signature of Notary Public ,,f4-t,y.),(1.) t � wrightsoft Right J® Mobile Report Job: Entire House Date: 5/4/2012 By: Onlel Perez David Gray Heating & Air, Inc 6491 Powers Ave., Jacksonville, FL 32217 Phone: 904- 724 -7211 Fax: 904 - 724 -5925 Email: operez @davidgrayonline.com Pro'ect Information For: Fleet Landing, David Gray Heating & Air, Inc. 1 Fleet Landing Blvd. # 5210, Atlantic Beach, FL 32233 Email: operez @davidgrayonline.com Desi • n Conditions Location: Indoor: Heating Cooling Jacksonville /Craig, FL, US Indoor temperature ( °F) 70 75 Elevation: 43 ft Design TD ( °F) 35 16 Latitude: 30 °N Relative humidity ( %) 30 50 Outdoor: Heating Cooling Moisture difference (gr /Ib) 8.4 52.8 Drybulb ( °F) 35 91 Infiltration: Daily range ( °F) - 17 (M ) Method Simplified Wet bulb ( °F) 77 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 0 • Component Btuh/ft Btuh % of load Walls 3.0 3522 13.1 Glazing 31.1 4204 15.6 VoIa pfilbaim Doors 13.5 425 1.6 Ceilings 2.8 3784 14.1 Ga irg Floors 8.5 11491 42.7 Infiltration 2.6 3463 12.9 Ducts 0 0 Gfar Piping , Ro Humidification 0 0 ailirg Ventilation 0 0 Adjustments 0 Total 26888 100.0 Coolin • Component Btuh/ftz Btuh % of load Walls 2.1 2473 10.2 �, Glazing 48.4 6537 26.9 V\134 hemp.' / rtiltraticn Doors 11.4 360 1.5 Ceilings 5.9 7961 32.8 Floors 3.1 4251 17.5 Floors Infiltration 0.6 834 3.4 aaijrlg_ __, Ducts 0 0 Ventilation 0 0 Internal gains 1890 7.8 Blower Adjustments 0 0 Cttler Total 24306 100.0 Ceilings Latent Cooling Load = 2270 Btuh Overall U -value = 0.167 Btuh /ft? °F Data entries checked. Wright:sof't' Right-Suite® U niversal 2012 12.0.04 Right J® Mobile 2012- May- 0413:06:10 J4C , C:\ WINDOW \TEMP\wstmp \ - 61c1- 4510- a63f- 8aba7065d1c5.rup Calc = MJ8 Front Door faces: N Page 1 4 wrightsoft° Project Summary Job: Entire House Date: 5/4/2012 By: Oniel Perez David Gray Heating & Air, Inc 6491 Powers Ave., Jacksonville, FL 32217 Phone: 904- 724 -7211 Fax: 904- 724 -5925 Email: opereztdavidgrayonline.com Pro'ect Information For: Fleet Landing, David Gray Heating & Air, Inc. 1 Fleet Landing Blvd. # 5210, Atlantic Beach, FL 32233 Email: operez @davidgrayonline.com Notes: Desi • n Information Weather: Jacksonville /Craig, FL, US Winter Design Conditions Summer Design Conditions Outside db Outside db Inside db 70 °F 70 °F °F Outside Design TD 35 °F Design T D 1 6 °F D TD 16 °F Daily range Relative humidity 50 % Moisture difference 53 gr /Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 26888 Btuh Structure 24306 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower Piping 0 Btuh 0 Btuh Equipment Toad 26888 Btuh Use manufacturer's data Rate /swing multiplier 1.00y Infiltration Equipment sensible Toad 24306 Btuh Method Simplified Latent Cooling E Construction quality Average g quipment Load Sizing Fireplaces 0 Structure 2270 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft) 1350 1350 Equipment latent Toad 2270 Btuh Volume (ft) 12150 12150 Air changes /hour 0.45 0.23 Equipment total load 26576 Btuh Equiv. AVF (cfm) 91 47 Req. total capacity at 0.70 SHR 2.9 ton Heating Equipment Summary Cooling Equipment Summary Make Goodman Make Goodman Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 0 HSPF Efficiency 13 SEER 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 1107 cfm Actual air flow 1107 cfm Air flow factor 0.041 cfm /Btuh Air flow factor 0.046 cfm /Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.91 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ' wrightsoft Right- Suite® Universal 2012 12.0.04 Right J® Mobile 2012-May-04 - r CIND OWS\ TEMP \wstmp \ -61c1- 4510- a63f- 8aba7065d1c5.rup Calc = MJ8 Front Door faces: N Page 1 : \W wrighttsoft Right -J® Worksheet Job: Entire House Date: 5/4/2012 David Gray Heating & Air, Inc BY Oniel Perez 6491 Powers Ave., Jacksonville, FL 32217 Phone: 904- 724 -7211 Fax: 904- 724 -5925 Email: operez @davidgrayonline.com 1 Room name 2 Exposed wall Entire House First Floor 3 Room height 150.0 ft 150.0 ft 9.0 9. n 4 Room dimensions d 9.0 n heat/cool 5 Room area 30.0 x 45.0 ft 1350.0 ft , 1350,0 ft' 1 r Ty Construction U -value Or HTM Area 1 number (Bt uh /ft - ° F) I (Bt uh /ft') I or perimeter (ft) (Btuh) I o ea perimeter (ft) I Load (Btuh) I Heat I Cool I Gross I N /P /S Heat I Cool I Gross I N /P /S I Heat I Cool 6 Vi/ 128 -2sw 0.086 n 2.98 2.09 405 364 1084 761 405 364 1084 761 . L. 1A -c1ow 0.900 n 31.14 27.95 41 0 1272 1141 41 0 1272 1141 12B-2sw 0.086 e 2.98 2.09 270 212 630 443 270 212 630 443 1A -c1ow 0.900 e 31.14 76.06 27 0 830 2028 27 0 830 2028 1 I.J6 11D0 0.390 e 13.49 11.43 32 32 425 360 32 3 12B -2sw 2 425 360 0.088 s 2.98 2.09 405 364 1084 781: 405 364 1084 761 1 1A -c1ow 0.900 s 31.14 32.80 41 0 1272 1339 41 0 1272 1339 12B-2sw 0.086 w 2.98 2.09 270 243 724 509 270 243 724 509 1A -c1ow 0.900 w 31.14 76.06 27 0 830 2028 27 0 830 2028 C 18A -11a1 0.081 - 2.80 5.90 1350 1350 3784 7961 1350 1350 3784 7961 F 20P -2t 0.246 - 8.51 3.15 1350 1350 11491 4251 1350 1350 11491 4251 6 c) AED excursion 1 1 0 0 Envelope loss /9ain 234251 21582 234251 21582 1 12 a) Infiltration b) Room ventilation 3463 8 0 3463 o 834 0 13 Internal gains: Occupants 230 3 690 3 Appliances /other 1200 690 1200 Subtotal (lines 6 to 13) 26888 24306 26888 24306 Less external load Less transfer 0 0 0 0 Redistribution 0 0 0 0 0 0 14 Subtotal 26886 24306 0 0 15 Duct loads 0% 0% 0 0 -0% 0% 28888 24306 o I iortarel ed (cfm) I I I 26688 1107 1 243061107 1 I I 26888 1107 1 243 1107 08 1 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrightsoft' Right - Suite® Universal 2012 12.0.04 Right J® Mobile 2012-May-04 13:06:10 C:WM NDOWS\ TEMP \wstmp \ -61c1- 4510- a63f- 8aba7065d1c5.rup Calc = MJ8 Front Door faces: N Page 1 AL wrightsoft Component Constructions Job: Entire House Date: Oniel P By: Oniel Perez David Gray Heating & Air, Inc 6491 Powers Ave., Jacksonville, FL 32217 Phone: 904- 724 -7211 Fax: 904- 724 -5925 Email: operez@davidgrayonline.com Pro - ect Information For: Fleet Landing, David Gray Heating & Air, Inc. 1 Fleet Landing Blvd. # 5210, Atlantic Beach, FL 32233 Email: operez @davidgrayonline.com Design Conditions Location: Indoor: Heating Cooling Jacksonville /Craig, FL, US Indoor temperature ( °F) 70 75 Elevation: 43 ft Design TD ( °F) 35 16 Latitude: 30 °N Relative humidity ( %) 30 50 Outdoor: Heating Cooling Moisture difference (gr /Ib) 8.4 52.8 Dry bulb ( °F) 35 91 Infiltration: Daily range ( °F) - 17 (M ) Method Simplified Wietbulb( °F) - 77 Construction quality Average Wind speed (mph) 15.0 7.5 Fireplaces 0 Construction descriptions Or Arne U -value s hh/ff - °F fN Inul °F /Btuh R Htg Btuh HTM Loss Bt Cl Btuh/ft' HTM Gain Bt Walls 12B -2sw: Frm wall, vnl ext, r -11 cav ins, 1/2" gypsum board int n 364 0.086 13.0 2.98 1084 2.09 761 fnsh, r -2 ext bd ins, 2 "x4" wood frm e 212 0.086 13.0 2.98 630 2.09 443 s 364 0.086 13.0 2.98 1084 2.09 761 w 243 0.086 13.0 2.98 724 2.09 509 all 1184 0.086 13.0 2.98 3522 2.09 2473 Partitions (none) Windows 1A -c1 ow: 1 glazing, clr glz, wd frm mat, 1/8" thk n 41 0.900 0 31.1 1272 28.0 1141 e 27 0.900 0 31.1 830 76.1 2028 s 41 0.900 0 31.1 1272 32.8 1339 w 27 0.900 0 31.1 830 76.1 2028 all 135 0.900 0 31.1 4204 48.4 6537 Doors 11 DO: Door, wd sc type e 32 0.390 0 13.5 425 11.4 360 Ceilings 16A -11 al: Attic ceiling, asphalt shingles roof mat, r -11 cell ins, 1/2" 1350 0.081 11.0 2.80 3784 5.90 7961 gypsum board int fnsh Floors 20P -2t: Fir floor, wd flr, 1" thkns, tile flr fnsh, r -2 ext ins, amb ovr 1350 0.246 2.0 8.51 11491 3.15 4251 • 1NPt I �11C.Si' r11 2012- May -04 13:06:11 g Right - Suite® Universal 2012 12.0.04 Right J® Mobile Page 1 C: \WNDOWS\ TEMP \wstmp \ -61c1- 4510- a63f- 8aba7065d1c5.rup CaIc =MJ8 Front Door faces: N 4 wrightsafts AED Assessment Job: Date: 5/4/2012 Entire House By: Oniel Perez David Gray Heating & Air, Inc 6491 Powers Ave., Jacksonville, FL 32217 Phone: 904- 7247211 Fax: 904 - 724 -5925 Email: operez@davidgrayonline.com Project Information For: Fleet Landing, David Gray Heating & Air, Inc. 1 Fleet Landing Blvd. # 5210, Atlantic Beach, FL 32233 Email: operez ©davidgrayonline.com Design Conditions Location: Indoor: Heating Cooling Jacksonville /Craig, FL, US Indoor temperature ( °F) 70 75 Elevation: 43 ft Design TD ( °F) 35 16 Latitude: 30 °N Relative humidity ( %) 30 50 Outdoor: Heating Cooling Moisture difference (gr /Ib) 8.4 52.8 Drybulb( °F) 35 91 Infiltration: Daily range ( °F) - 17 (M ) Wet bulb ( °F) - 77 Wind speed (mph) 15.0 7.5 Test for Adequate Exposure Diversity Hourly Glazing Load 9,00&- 8,00E 7, 00 — 5,00E - 4, 00 — 3,000- 2,00E- 1,00C— 0 1 1 1 1 1 1 1 1 1 I 1 1 8 9 10 11 12 13 14 15 16 17 18 19 20 Hour of Day / Hourly / Aerage / PIED limit Maximum hourly glazing load exceeds average by 19.0 %. House has adequate exposure diversity (AED), based on AED limit of 30 %. AED excursion: 0 Btuh ■w wrI htsoft' j�}c� � Rig ht-Su ite® Universal 2012 12.0.04 Right J® Mobile 2012- May - 0413:06:11 Page 1 eth C: \WINDOWS\ TEMP \wstmp \96256afb -61c1- 4510- a63f- 8aba7065d1c5.rup Calc =MJ8 Front Door faces: N qlallte t' ' 1 CITY OF AT LANTIC BEACH CH r 800 SEMINOLE ROAD V' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 ~ J13 1)'N Application Number 12- 00000527 Date 5/04/12 Property Address 5210 ANTARES CT Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPIPE 13 FIXTURES Owner Contractor NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC RETIREMENT FOUNDATION, INC 11828 NEW KINGS RD STE 209 1 FLEET LANDING BLVD JACKSONVILLE FL 32219 ATLANTIC BEACH FL 322334599 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 146.00 Plan Check Fee . . .00 Issue Date . . . 5/03/12 Valuation . . . . 0 Expiration Date . 10/30/12 Other Fees STATE PLBG DCA SURCHARGE 2.19 STATE PLBG DBPR SURCHARGE 2.19 Fee summary Charged Paid Credited Due Permit Fee Total 146.00 146.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.38 4.38 .00 .00 Grand Total 150.38 150.38 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: SC.2 I 0 Fte 14 n r ` ] l [ U PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer ( Shower Dishwasher I Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet A Hose Bibs Urinal Kitchen Sink I Vacuum Breakers a Laundry Tray Water Connected Appliances Lavatory 3 Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires se — ts of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well * * ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authors to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 1 Phone Number � Plumbing Company A/ fey f e`,Or'.3 Z '--- Office Phone YR 1-7 /-5 Fax:3g9 -e� �-2 Co. Address: ` f � �� ft e`,8,)-3 4 p (l City - 317A-(<... - 317A-(<... State Zip 2.0 9 License Holder (Print): Cam; iu , j '` 4 ` 4 11 .?e Certification/Registration # (f O.5 t f Notarized Signature of License Holder_ rism 'ry i !! \ :::e:: y of /,� a 20 /Z 4 .tu ic IP C ' ` \z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD a �� v, y . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000513 Date 5/01/12 Property Address 5210 ANTARES CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2400 Application desc remodel bath/ reconfigure pass thru Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 6771 SHINDLER DR 1 FLEET LANDING BLVD JACKSONVILLE FL 32222 ATLANTIC BEACH FL 322334599 (904) 838 -9179 - -- Structure Information 000 000 REMODEL BATHS Occupancy Type RESIDENTIAL Permit ELECTRICAL PERMIT Additional desc . INSTALL 6 FIXTUES Sub Contractor . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . 58.60 Plan Check Fee . . .00 Issue Date Valuation . . . . 0 Expiration Date . . 10/28/12 Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 58.60 58.60 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 62.60 62.60 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION Crry of ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 /f Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: .------) / L) _ AI L 7-- PERMIT ## / 2-5- i 3 NEW SERVICE El Overhead ❑ Underground ❑ Underground up Pole . ❑Residential (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters ❑Commercial (Main) Service 00 amps 0101- 150amps 0151- 200amps ❑ amps OCT Service amr 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 0200amps ❑ amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: i 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: i OTHER ELECTRICAL PROJECTS ❑ Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 00H to UG Other: " 2- iZczt. ,—s S- c Tcr 3 1Q- 1 ,; s -ALL Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby this application and know the same to be true and correct All ()flaws and ordinances y certify that I haw ed or not. The provisions governing this work will be complied with whether specified permit does not give authority to violate the provisions of any other stale or local law regulation construction or the performance of construction. _ . j� Property Owners Name 1Z t.L 7 — `A" '`. / ci Phone Number 21 9/0 0 Electrical Company / 5,4T , - , =' s /< / c= L i7a-- C - Office Phone Z4 447 3/ Fax 449 8°1 7 Co. Address: 95 5 Cit _. 3 State ��-4 Zip' License Holder (Prima): 5 e.. brety A rai State Certification/Registration #/ / e °L 31 ''7 Notarized Signature of License Holder .`.,, L---- Y 'V'''ary Public State of Florida Sworn - "• scribed before me this i 0 day of Re 2Q $ � d '�; Tiff Au :cam., o M Commission OD801149 Signature of Notary Public - '� ' " 'por Expires 06/26/2012 J , j CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 JJ3- c � Application Number 12- 00000513 Date 5/01/12 Property Address 5210 ANTARES CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2400 Application desc remodel bath/ reconfigure pass thru Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 6771 SHINDLER DR 1 FLEET LANDING BLVD JACKSONVILLE FL 32222 ATLANTIC BEACH FL 322334599 (904) 838 -9179 - -- Structure Information 000 000 REMODEL BATHS Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 65.00 Plan Check Fee .00 Issue Date Valuation 2400 Expiration Date . . 10/28/12 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 69.00 69.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: .521 Avl- /,v'PS C-f. Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. S F't Valuation of Work $ 2 Proposed Work heated /cooled n heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial a - siden '. If an existing structure, is a fire sprinkler system installed? (Circle one): • es No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: rec o4Q • (6 s5 ,, € Sun floor►. , re,,,., o d e / (Z4 L 404 -040 , ,Alves, wA 4(boaid , -h /e Property Owner Information: Name: NCCRF Address: One Fleet Landing Blvd. City Atlantic Beach State FL Zip 32233 Phone 904 - 246 -9900 xt.150 E -Mail or Fax # (Optional) Contractor Information: Company Name: North River Builders Qualifying Agent: Joshua M. Hogan Address: 6771 Shindler Drive City Jacksonville State FL Zip 32222 Office Phone 904 - 838 -9179 Job Site/ Contact Number 904 - 838 -9179 Fax # 904 - 838 -9179 State Certification/Registration # CGC 1518918 Architect Name & Phone # / Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address 't Mortgage Lender Name and Address 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 of six 6) months at any time after work is commenced. I understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby cert 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 ofwork 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 - �t -;...11, Signature of Contracto Print Name Joshua Hatfield 11, Print Name Joshua M. ogan Sworn to and subscribed before me Sworn to and subscribed before me this / Day of AA , 201L this Day of /f i , 2012– .r ►L ' �' '----/ �-. oary Puic - - -- ` s�Tr - ._- — �� 2 ;, , ELIZA& TH TESKE No r •' M" ,r, LIZA; TH TESKE �.�,,pr na ' 1 `to Notary Public - State of Florida r � ' ,� = Notary Public - State of Florida My Comm. Expires Apr 5, 2013 N• , '' : •- My Comm. Expires Apl vL s 01.26.10 '•;� Commission DD 867829 '?''"� `�'� Commission # DC 867829 � �� OF 7% , �� E Of ft. ,, """ "' Bonded Through National Notary Assn. " " "', Bonded Through National Wary Assn.