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Permit 463 Palmwood Lane (vault) 'fry f S� CITY OF ATLANTIC BEACH r 4 ` r PLAN REVIEW SHEET Routed to: .Makows i -47401319'," r Building Department Public Works & Public Utilities Departments ^�^a► - - `� 800 Seminole Road 1200 Sandpiper Lane : Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 • oerr (904) 247 (904)247 - 5834 _ (904) 247 - 5845 Fax (904) 247 - 5843 Fax iek Publi c Safety PLAN REVIEW COMMENTS Permit Application # 66 -- 3i/ L/ 9-- Propert Address Mr pthuotq, L .1, Applicant: 'iiuec / uteK Project: \S rain This pe application has been: Approved as noted by the &Department. Final application approva/02_ o e from the Building Department. Kr Reviewed and the following items need attention: 0 falA1 -5 A/tY69 re, /7 /eAf 4) S Ovik, A i 7 She , cl /verb 1 0 ,4f, ✓ 43 foe 4....i.- i /.✓,9,✓5 , 4-j. (,Ic —S o z- i)o4W_s , f 3zo j7 /9 rxe o// & Ct' _1"r•.S 7/�e./47idfli s�- A -7 L A '5 . r°. APuei ) yw, CM OF AI Likt lit. BUILDING 0010 OCT 1h 6........ 006 i 3y; i „,„,....--. . 0 i fil° Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the corre department may delay your permit from being issued. / Reviewed By: Date: /Q /x/70( Date Contractor Notified: A it yp..,O & , 3/010 i CITY OF ATLANTIC BEACH ' , f 840 SEMINOLE ROAD 1 S .' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 06- 00034047 Date 10/16/06 Property Address 463 PALMWOOD LN Application type description RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 44229 Application desc sunroom Owner Contractor HUNTER, FRANK PATTERSON HOME IMPROVEMENTS 463 PALMWOOD LANE 6967 PHILIPS HIGHWAY ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 296 -0045 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 255.00 Plan Check Fee . . 127.50 Issue Date . . . Valuation . . . . 44229 Expiration Date . 4/14/07 Fee summary Charged Paid Credited Due Permit Fee Total 255.00 255.00 .00 .00 Plan Check Total 127.50 127.50 .00 .00 Grand Total 382.50 382.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • ,i ) CITY OF ATLANTIC BEACH a BUILDING PERMIT APPLICATION ~ (Alterations & Additions) Date: 13- ^ot Job Address: - (.3 A rr t`i - C - 1 G. r( 1 G • 3 Z233 Owner of Property: an Ceywe K Address: 4L PaIhn are_ Telephone: q()4- a4 Le- 3(Q03 Legal Description: Block Number: ) Lot Number: Vl Zoning District: Contractor: PGtlk ,kSon Horn e ) m pro \.)e rev ht State License Number: 0.--i5C - 051 c Contractor Address: WI (Q1 Phi I j es � V J a t CSUn v 11-e , , 1" t_ . 322-1U Telephone: O4— 2/LP 2/LP 12160 Fax: ()4-- ` '?LP - CQ21 D Describe proposed use and work to be done: zic, X „ 7 — reify) 0 SUM-0DM - , 9tc�M .,v o4' Present use of land or building(s): 5 I /7 c `]rid I R E s Valuation of proposed construction: 4 4 4 ad What are the dimensions of the added space: /�, Ce, feet x a 7 feet Will the added area be heated and cooled? /p New electrical or increase in service? f',5 Add plumbing fixtures? 4/0 Add fireplace? ,C/ t ) Add heating/air conditioning? , fJO it v/ V Is approval of Homeowner's Association or other private entity required? A/© If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the origina impervious area or the removal of any trees? O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board; which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 M In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owned: )( ,) Date: / z'' 04 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: j2..24z..., vim' V / Date: p J / / Cl /9 /db Address and contact information of person to receive all correspondence regarding this application (please print). Name: g 1 /9• Ma ar - rtrgrie,HE12 Mailing Address: Co 9 6, 7 P///L ips #W +/ l c.:.rsc 4: tJr / C FL . 3a.*,j (o Telephone: `fib's) a. ? 6, -. . 7d ? CD Fax: 4 SIC, -- (b 7 0 E -Mail: AS TO OWNER: .ate Sworn to and subscribed before me this r1 day of 0 ck 6. � c---- , 2O 0 (.c . State of Florida, County of Duval NOTARY PUBLIC - STATE OF FLORIDA Notary's Signature: E_ ( -- Q--- - - (-)\-/ V C _ Elizabeth A. Nichols Commission # DD53615 i 0 Personally known Expires: APR. 03, 2010 E2 Produced identification /'� )) Bonded Thru Atlantic Bonding Co., Inc. Type of identification produced j C 0 e✓'S L� 1c. 42,5 `k AS TO CONTRACTOR: \r-. ' n Sworn to and subscribed before me this Z �, day of Vt LA b`)' - 204 State of Florida, County of Duval NOTARY PUBLIC -STATE OF FLORIDA Notary's Signature: /J Elizabeth A. Nichols Commission # DD536157 []personall known Expires: APR. 03, 2010 ❑ Produced identification Bonded Thu Atlantic Bonding Co., Inc. Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 • - • . . .... . TitODUCT APPROVAL INFORMATION SHEET FOR , rii/N77C- 8E4 c-ii FLORIDA . , Name- C_771A/ / C • #C - i - E/ 2 - Project . Permit # Project Address: r‘.3 P091/4 woe o .k/Tive" .9 ijf F'L .33 ..,. . : As required by Florida Statute 553-842 and Florida Administrative Code 9B-72, please provide the information add product approval number(s) for the building components listed below as applicable to the building construction project for . • the permit number listed above. You•should contact your product supplier if you do .not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at www.floridabuilding.org. 0 , • .. . - ; '. Structural Components Manufacturer Product Limitation of Use State # Local # Description . • . • 1. Wood Connector/anchor - . • . 2. Truss Plate • 3. Engineered Lumber . : • .• 4. Railing • -%. 5. Coolers- Freezers. • • • 6. Concrete Mixtures . 0 . • : . • • . . , . . .,. 7. Material • 8. Insulation Forms • . . . . • • : '. ' 9. Plastics . . • , ; ; • 10.. Deck-roof . ; . • •Teruo Roof Panel . FL3857 • '• . - •- • ' ' ... . 'lSunrooras,Inc . [1. Wall - . • • • Temo Wall Panel • FL3521 . •• .. • Sunrooms,Inc. 2. Sheds .. . •• . • . . H • .3. Other ." • • -- . : • , .4.. Skylights 0 OOV• . ,. . 1. Skylights • . .: ' • . . . 2. Other • , 0 • • • : • . • . : The products listed betow did not demonstrate product approval at plan review. I understand at the time of inspection of . : • these products, the following infonitation must be available to the inspector on the jobsite; 1) copy of the product approval, 2) the performance characteristics which the product was approved, 3) the perfonnancecharacteristics which the product was tested and certified to comply with, 4) copy of applicable manufacturers installation requirements. Further, I understand these products may have to be removed if approval cannot be demonstrated during inspection. 0 - : •.: . . . Authorized Project Agent: Rex A, Patterson ‘, 6 ce (Contractor or Design Professional) (Print Name) • (Signature) DA • • . Company Name: , Patterson Home Mailing Address:. 6967 Philips Highway city: Jacksonville state: Florida 0 Zip Code: 32216 . Telephone Number: (904) 296-0045 , Fax Number: (904) 296-6270 Cell Phone Number: ( ) E-mail Address: . . - • • . • • • . - .,.._ . • . , . , , , . ' FLORID ^ VERGY EFFICIENCY CODE FOR BUILC '; CONSTRUCTION FORM 600C -97 hesidential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions, Renovations & Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C -97 for additions of 600 square feet or less, site- installed components 01 manufactured hones, and renovations to single and multifamily residences. Altemative methods are provided for additions by use of Form 6008 -97 or 600A -97. PROJECT NAME: rtilNil; . _1mNIGtf ku BUILDER: Po9f7CR5ov 410A E - � - AND ADDRESS: Ala FAL,i,% Mee LA/ PERMITTING CLIMATE L._ /1,1140.1 EC */ .p.... 32233 OFFICE: ZONE: 1 2 03 2 OWNER: r , , I f::, rmu i ce f iv,te 1 x'1,1_' PERMRNO. j 1 1 1 JURISDICTION NO.: ,l G Fin gel SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and,6o -3 apply only to the components of the addition, not to the existing building. Space heating. cooling, and water heating equipment efficiency levels must be met only . - equipment Is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces -m conditioned spaces must meet the prescribed minimum Insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the - ssessed value of the budding). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTUR ■ HOMES AND BUILDINGS. Only site- installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. Please - rint CK 1. Renovation, Addition, New System or Manufactured- Hattie -- " -- -1: 2. Single family detached or Multifamily ed 2. 3. If Multifamily -No. of units cove - - by this submission , 4. Conditioned floor area (sq. 4 5. Predominant eave overh g (ft.) 5. Ir' ) 6. Glass area and type:' Pane Double Pane a. Clear glass 6a. sq. ft. sq. ft. b. Tint, film or so : r screen • •. sq. ft. sq. ft. 7. Percentage of • ass to floor area 7. % 8. Floor type an • insulation: a. Slab- on -g- -de (R -valu 8a. R= lin. ft. b. Wood, r- sad (R -value 8b. R= sq. ft. c. Wood, c•mmon (R -vale 8 R= sq. ft- d. Concre -, raised (R -v ue) R= sq. ft. e. Concre e, common (R -valu 8e. R= sq. ft. 9. Wall type . nd insulation: a. Exterio : 1. Mason (Insulation R- value) 9a -1 R= sq. ft. 2. Wood fr. me (Insulation R- value) 9a -2 R= sq. ft. b. Adjacent: 1. Masonry (I - ulation R- value) 9b -1 R= sq. ft. 2. Wood frame - ulation R -v. e) 9b -2 R= sq. ft. c. Marriage Walls of v • _ . Yes /No) 9c 10. Ceiling type and insulati • : a. Under attic (Insulates R- value) 10a. R= sq. ft. b. Single assembly sulation R- value) 10b. R= sq. ft. 11. Cooling system* (Types: cent = , room unit, package terminal A.C., gas, existing, none) 11. Type: SEER/EER: • 12. Heating s stem *: (Types: heat pump, elec. strip, natural gas, L.P. gas, 12. Type: gas h.p., r. •m or PTAC, existing, none) HSPF /COP /AFUE: 13. Air Di :tribution System *: a. :ackflow damper or single package systems* (Yes /No) 13a. b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. 14. Hot water system: 14. Type: (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site installed components. I hereby certif that the plans and spe ' ications c d by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compiia.. i fi: Florida En / • eI with the Florida Energy Code. Before construction is completed, this building will be PREPA +� I' • DATE: inspected for compliance in accordance with Section 553.908, F.S. I here. t -t t ' building is in compliance with the Florida Energy od . BUILDING OFFICIAL• OWNER AGENT; DATE: DATE: Form # 1632 - 1 - n r1 m c", m D --1 z, Z 9L /L S 9L /L 5 ] 5 1 5 � SS [ ] cri u D 90 LT J C m U) U4 C_ K D () z \ 0 m Fri r- o CO D N) c m > (n co co o ( 1 D o C p m D r" coy * Z z 04 V cn o m 0 x. N Na s 1....) - w , , e) rn (f) M > li ft 7 1 U) a 3:3 Fri °mom F-1 D o frl — a cn r z > 0 m r. m Qp 13-. D zi z n crl m %Aiii. rn I ' SWING [ ] 44.5 L 55 LII ri ri 3c 6 1 /2 6 1/2 6 1 /2 DDDDy� p V�Cp� _a 88 S C O O r*1 A 00 00 I - 11�1 0) Illk 4 „, >>.0,.... v_00..., 00 0 c '� N. /40 P i <<m< cm al / / , '4 LED CONFIRMATION: 09/21 /06 IGN . ON 09/27/ • • G) c D N - 9 - - A x) rrn - 11 Z D � - RI Z o N �� Z � P1 m l co rn r -U) a (n U) 1 1 =a Zm r �' _I 11 to o I — . 4 ;4 N � Z 11 =11 o o ° I I _ 0 C : , . W D r ?3 N C) rn o c cn N D0 �� m • F C') m 0 DD - rn 0 m y m D W p a o r - 0 O rn zmv cn _i S r I z • 0 D? c o > oM v > O r D v z I ' F Iso 1 o5 cn v 40 - a.-1 m 1 1 o PR 0 0 N gUI C OI NG rt C/A OCT .12 20 06 SY: j#91k/A ,A f A / ALED ON 09/27/06 DEALER: PATTRSON 06W13414 PH. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMW00D LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE: 09/27/06 SCALE: NONE FAX: (586) 286 -5409 LIC # PE- 0040456 ,i g 8 1 i A 3ap 0 qq T 7 n O D m m 1:N,... 1111111111111111 4 cn�CAry z : U) C / 4 ' 4 M co m rn 4k/ 44 . .4 s 4a R%" kLa�� •Axeace '"Rgw rnena �� a ae.¢o-rv+ee a .+,a�. g W W CA CA - TI — LT1 CD CD n r z R ' CO . r. r. . X , ' , .a a) O'' P 1 CCCCr m e R4x , .n. zzzz as., N Z7 z ��C�,R�a m i 0000 m «�, z ``P .2 O O 0 0 rr gen," 11 M CAS "� D / n ' /n� ) ) ` " ` i � __I O 0 / / V / - y''A15o 44" t �R L "ARy. 4 'f' Ir — O Z mmrn rm 0 aaR Y, f _n E44 r � -R KKKKZ 1 . e ,„ ,� Ra' K 0 ' I 33 Y C O O Q - - - -I Z O ' , pa R � < I o u) 7� ' A ,,, „„=I� z (i r (n a.R,r, ,, „, ) o "r F9 '$,,,,,,4.0,1,,,,,,,, = � a ' •' �.ama per T. ,,-z LI 1 i ''" ,,,, , ) ' 1.' ''' 97,, ,,,„,., 2 ' Z .\Y' - a 1 m emw._ 1 Cn �` C , � q t mei0a Y�, Br � 3 '4 1 �1�V r 11, V G Off /C � C x t) r pi 12 a �1 ?Opu 1 h P a E / WERE REQUIRED IiESE ''1 T 4Lq IIC. moms THE 9 F ; COVER SHEET T 9Min' AND SEMED SY A PRDFE$7SIU�1 . x m P , ; F l ���Q (1 �G ENQN OlY NI O R N EIAL 91p1ATAE a OF TESE P ACES PIFA7E VOID �F MIMED AFTER $ I H A IFD NET STAMP OR Ni :. x. , REM 10 DE NE ES ON PACE DECEMBER 31, 2006 i a O 70400 HALL ROAD • CUHTON TOWNSHIP • MICHIGAN MI-2M —flan i_RVn_M4_AVRR CAW 51y1-11R-1 SICMATWF. FTR ,.,.. AI s Y NIIIDO WFp •••- t lorlaa buliaing Lucie Online , • . Page 1 of 2 �`,' , i ,1 . v , ., ` . . as ;�" ',4„ ' s , - v 73 T _ ..� c WhtiSR E`A P FA 4KtiAes BCIS Home Log In Hot Topics Submit Surcharge Stats & Facts ' Publications FBC Staff B t Product Approval k USER: Public User Community • W 'faIrs Product Approval Menu > Product or Application Search > Application List ▪ Search Criteria `1 - ' • Code Version 2004 F ,gym° L# ALL 40 � ) Application Type ALL Product Manufacturer TEMO � , Cate Category g y ALL Subcategory ALL A pplication Status ALL Compliance Method ; t"7 y ALL F, Search Results - Applications _ __._.._..._..____.._.____.__ I FL# IlType IlManufacturer IlVali FL3521- Revision TEMO Sunrooms, Inc. Arct R1 Category: Structural Components Test History Subcategory: Other (71; FL3857- Revision TEMO Sunrooms, Inc. Arcr R1 Category: Structural Components Test History Subcategory: Other (71; FL5505 New TEMO Sunrooms, Inc. Arct Category: Structural Components Test Subcategory: Other (71; FL6391. - Editorial TEMO Sunrooms, Inc. Arct R1 Change Category: Structural Components Test History Subcategory: Structural Wall (71; FL7082 New TEMO Sunrooms, Inc. Allei Category: Exterior Doors P.E. Subcategory: Exterior Door Assembly Products (71; Introduced as a Result of New Technology FL7.086 New TEMO Sunrooms, Inc. Allel Category: Roofing P.E. Subcate y 1681tEShingles (71; BUILDING OFFICE OCT 12 D Jministration Department of Community Affairs B„ 1: ° �fcA {( Code Online Codes an tandards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 © 2000- 2005 State of Florida. All rights reserved. Copyright and Disci• http:// www. floridabuilding .org /pr /pr_app_lst.aspx 10/13/06 mersommommomminok .11P SIR. ,ITIVG BOUNDARY RVEY OF LOT - ! BLOCK /° .. ,_,. AS SHOWN ON MAP OF S VA ,( /,4 R /i(/A J.V /7" ivo. 6 AS P•coPnrD IN PLAT BOOK_ 44 _ PACE'S ?r. •,-if1_ Of '7-IE' PUBLIC RECORDS OF OU-VAL COI.It,' Pi ORIDA R nf•rr•o FOR .a yrc e A.y Arch[[ ~x . ...di rx ua, , r. _,i5p. rr Ye 4- 44/4', 4, a / 4,e//.( •• • •-• --- L E j•(v ni 'r t.a 4 y 63 pAt.4f uc 0 L./ , � r �, e ,� fi -a At' 7 c:, 13FWc..ld ,� L . 3 33 • 0,2� _VmpERcric SuR/r/!c&' /iize>9 '=• 9..,>< , c4 6 G L : / t �j - 7 - 0.7 - 44 L.o _ s 7 30 5i i=T . H us s`S� � a: KocAi . y$ 4 S Q r r / /.1 il.. OKtvCw1 /wnti: / /Q3n5c;7fr . / , 3S8t s r=r© I 1 - �, ,� - i 3 7, {.fir L•c SC? F z 4 al d t ±, T.t' .\ , 1 � F • tiv c .,..,..- -- aye. 5 roxY ..,,,:‘.: \ \``,1 - - C)1 : - - - -; - -- 2 7 . " ---- r..= . ' ' : -...... 23 ti M 1 ' S ?do City of l tianiic ' ;,irr; T (T�, Planning arid Zoning �.epartrAent • /eg . • - This' apnrnvel,verifie iance with applicable 39'. zonnill iid.i,,, n and other local land .., tint regulations, but does not constitute � Q. /c '/• p rov y 1,f oi jtf ; gsop ance of permits. Compliance yid t1 Code and all other applicable f local, State and Federal permitting requirements must be verified by signature of the City of Atlantic p ,10 r. „ Beach Building Q)ial riot to the suance of a Approved By: Date: /O li eve o pmen fa !AUD UNLESS EutiCtSSEU Kf7H SEAL t 7NE UNDERSIGNED. _ L�E�aR /N. CS �I .�► • _..... W_ ---- .• .............W«, .,,.,..,,., . _ .._., '�iCis" . • .-_._ Jive AS SNflYrN ' HEREBY Ot •R fl/ 7W AT THE - .c v r SHOW HEf?EON 1s iN Yt-IE SPECIAL fj. 00D HAZARD ZONE __ _ x� , ON [1.000 IN:Tuff/INCf RA 7E MAP .cn/ FQ/7 ,t %c4, 'tee .5 .sHOKIr �•�A�'. FLORIDA. [LORIDA DAM) (1.11 ,99 t 1 \ CITY OF ATLANTIC BEACH `` a PLAN REVIEW SHEET Ro , �• •• �� Building Department Public Works & Public Utilities Departments ' '�- -i' i 800 Seminole Road 1200 Sandpiper Lane . t a Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904) 247-5800 (904) 247-5834 . n ak (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application # t'r It -- `ail(` 1 -1 — Property Address (ct 7) 7 t rnji -, f- -� G(. L -- Applicant: ' t Olt' t' 1,/, //a Project: 'S it / 7(/ L This permit application has been: 6, Approved as noted by the i k) " Department. Final application approval must come from the Building Department. 0 Reviewed and the following items need attention: 6/ I lie X 51 GP ,k tw ee cdifind ' `t7e i ts 4-- /4 S ,° c ? • ,, Sf ,r '419•x✓ Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from bein . issued. / , Reviewed By: "40 :A Date: 4:27i. Date Contractor Notified: , ,, C C T 1 1 2006 ;�arY ' 2006 CITY OF ATLANTIC BEACH ; a .1 � ; BUILDING PERMIT APPLICATION (Alterations lterations & Additions) � ff Date: Z9 -o Job Address: L 3 A _• • �. _ r. 3 Z Owner of Property: 0Y \ Ce `�v ►� /' Address: 4LQ3 P( l+enwOy t. cme_ Telephone: a�'4— a �k1,Q -36203 Legal Description: Block Number: I ir Lot Number: 1 Zoning District: Contractor: PaC,Iccon ficAry lrn Qr-o veryl.P - S State License Number: C 051009, Contractor Address: L ?C LQ1 Phi PhO I ()S hik) y J a CkU1) vl V1-e / ft. 3 2 2 J U Telephone: 6 104--- MU - 2_ D Fax: 9 - 2aLO - (QZ1 D Describe proposed use and work to be done: /16., X 7 — Tern 0 SW'1 VD/Ay) - ALca„M L,v 04? Present use of land or building(s): Rf S i /7 E'.t/ 77 1- Valuation of proposed construction: 4 '44, 4 l dZ What are the dimensions of the added space: /,5, ( feet x A7 feet Will the added area be heated and cooled? 4/0 New electrical or increase in service? "; 5 Add plumbing fixtures? .4/0 Add fireplace? ,(j t Add heating/air conditioning? , 4}o Is approval of •Homeowner's Association or other private entity required? If If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the origina impervious area or the removal of any trees? O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. WNO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. c STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 - Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owne : Date: b 1 Z'' 04 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 federal, state or Local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required: Signature of Contractor: __� (5L--' 5,..t1.9----4_41N"-- V / Date: $ 9. Vo 6, Address and contact information of person to receive all correspondence regarding this application (please print). Name: g I c. D /9• Mrst=A/eocl-!crz Mailing Address: (9 9 40 7 Pf4/L/F)s gW y i AGr5c •v tl/ t-G a P?-- 3 .A& /(0 Telephone:96 g) a. y 6, —7,1 ? O Fax: .mil ,rd -- ( 7 0 E -Mail: AS TO OWNER: k■ Sworn to and subscribed before me this c: ` day of 0 LA. �� 5 , 20 D CC . State of Florida, County of Duval NOTARY PUBLIC -STATE OF FLORIDA Notary's Signature: �� (� �/ V ��Q____ Elizabeth A. Nichols Commission # DD53615 7 ❑ Personally known Expires: APR. 03, 2010 �' Produced identification /� II Bonded Thru Atlantic Bonding Co., Inc. Type of identification produced Uc/ /' l J 2✓'rj L� / c 4. , ■s'2 AS TO CONTRACTOR: St- \c" . In Sworn to and subscribed before me this Z c- day of V`f v+ �, , 20Q ( . State of Florida, County of Duval ( � NOTARY PUBLIC - STATE OF FLORIDA Notary's Signature: ��C�'\ In /J C f.._) Elizabeth A. Nichols Commission # DD53615 7 ❑1ersonally known Expires: APR. 03, 2010 ❑ Produced identification Bonded Th! Atlantic Bonding Co., Inc. Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 MAP Stk ,VING BOUNDARY x'... RVEY OF LOT /6, BLOCK .. . / ..,,.. AS SHOWN ON MAP OF 5-ez VA 44,4g MY,A axi A10. CP • - " A 5 RECOPOrt) IN PLA r DOOK _ .S# ._ PACtS 1 • :.:/. 3 ...... Of rHt PUBLIC RECORDS OF DUVAL COLIN r y t'l ORM A F217FIET) FOR: ‘,/ .441/d e . ' Af. li 07,1716 ,LEA_ d rx , 4. 1 0 R 7. / . 1 rl 7:1' , , , y,s:.,, 4 OA- e ti,/,0,4(c.sTor,.4 ___. --- .. .....__ ja ,E; 3 4 '.1 6:3 p,.94,44 t..t."2 PO IA filet/IA/Tic. i31.5-9c-t4 ri- 3 -.•---- .33 . - . ,..0.,,..,.., ..77 SuRrne.6" 4ReN , ' 6 ? 71-_,TiL 4.07 -,..., i7,3c) 5Q FT / . . t i ou se: i , 5 o , L.; rocA ...--- ,21 34 SQ Fr i 88 p OgiliCO-Ptiurati Nc. .7 - ...• i 0 9 0 50 r r 1/1 .4,,, ..., .. i/ --n to c ,----., , 4rr /I I 7 03 s r t 6 ' . 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DEALER: PATTRSON 06W13414 I PR. ( ' ) • TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMWOOD LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE:09 /07/06 I SCALE:. FAX: (586) 286 -5409 LIC # PE- 0040456 m r P1 D •, - R rn \\ 4 .. ,. \ I Z Z --I O :.1V/:',.: 0 C D m \ O O D X :�r _ > 0 L -• :..._. V N :.?..:;-..;;:l: \ // D CA • // — I o Cn — // I SVI OD - °cmovovovmmi- // =o D C) s ° o im m 73�ZC-0 y -.aAr- D '9n1 C %UD Z1O ; C 2 ;p m W :U N D C r W > m z m IGN 1 ' ■D SEALED F'2 �' m ON 09 27/06 DEALER: PATTRSON 06W13414 H. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMWOOD LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE: 09/27/06 I SCALE: NONE FAX: (586) 286 -5409 LIC # PE - 0040456 m_ 7.1 1 4. ®•Pr -_73 > 1 0 1 C) Z 0 0_ 0 m _I --I 'n 4 r - x 7 O W Z D g C r*I .o� � I - C7 r 0 —I cn cn ()I>) rn m = ITIDDDcn cD K Z Z Z Z T� 0000 O V) w cn V) 70 -I -I -I -I O O O O MOONIM "S MOONIM "S'41 MOONW■ SS Z Z Z Z ' II II r*Immm ( 1 Iv) X c) N O z A z — O P m N Z I .4 0 Z 1 0 Z I - D 0 U %s N V' N 0 mo I>> I — ©' O Z -_ o r o 5 m I 0 zm 0 0 c U v� D D° 1 z z — ¢— I I U H CI z 0 I 2 I - 0mZOCn 1 I _ r ` II m i A 6 S o„ I SWING DOOR 44.5" WINDOW 55" WINDOW nZ -< L ZCnZWD m m C m D r dX 0 S W O Z Z D /26 /� O r 2 - - N � I oA �` r, d eli r SIGNED AND SEALED e, •! II ... DEALER: PATTRSON 06W13414 I PH. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMWOOD LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE:09 /27/06 I SCALE: NONE FAX: (586) 286 -5409 LIC # PE- 0040456 c,c .p. D M P r 73 rm o O D (n f ` 2 Z Dm ml A4t M D (n 1_> (i.) cn + 11 #1I, , m --I 1$ Zm . .r M m `�' Z m \ � O II -.. C +'. II =11 Go r' 0 — I _� I r O 0 O �Z . n n1 0 M CO O O JJ • - 0 n D C-0 m0 Z0 y Z fri - 0 0 W 0 ® 13$ v) 2 rn '' � O o J 0 f Z 0 1 D� 7) c) v m 0 0m _ r v n I+ rn CO: N m J v 2 X C -1 N Z m O N I ArAl i "Vr/ ' / S . II • II . DEALER: PATTRSON 06 W1 341 4 1 PH. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMW00D LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE: /27/06 I SCALE: NONE FAX: (586) 286 -5409 LIC # PE- 0040456 ODrn 0 ) CC-I - I -D -'1 V z r D O \I- D 0 --11 DNC(r) Li 1 - D 0 mD \z XD 0 - - =0- 0 =� ., \ OD o- X D N Z Z . O , Z < 0 0 > C"Ir - NnF zD �0 n O� - I oz Ro \ C xi z =0 N D w C V n , F r i M m n --1 xi O fTl -2 _ 4 - 4- =1 ou L :=4 it > r o p C V 0 GO GO 0 zi I:C3 -1 P1 X z 0 > I / 1 1, I i l IGNED AN• SEALED •► '9 27 06 DEALER: PATTRSON 06W13414 I PH. ( ) TEMO SUNROOMS, INC. ROBERT A. WALZ, PE HUNTER, FRANK 20400 HALL RD 20400 HALL RD 463 PALMWOOD LN CLINTON TWP, MI 48038 CLINTON TWP, MI 48038 JACKSONVILLE, FL 32233 PHONE: (586) 286 -0410 (877) 218 -8366 X287 DRAWN BY: MICHAEL RANG DATE:09 /27/06 I SCALE: 1/4 " =1' FAX: (586) 286 -5409 LIC # PE- 0040456 Doc # 2006353900, OR BK 13572 Page 211, Number Pages: 1, Filed & Recorded 10/10/2006 at 01:00 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of Florida County of: 1� V b. The undersigned hereby informs all concerned that improvements will be made To certain real property, and in accordance with section 713 -13 of the Florida Statutes (Revised 10- 1 -96), the following information is stated: Legal Description of Property: LOT 1 n Cle- 10 S21 \\Ct YYIa v l no U n t C r SC General Description of Improvements: SUNROOM Owner Name: (Printed) J a Y) 1 C-e_ 1t n+C, r Address: 4l0?) ':1\m \L ( 'Roach, 7 )22.33 Owner's Interest in Property: FEE SIMPLE Fee Simple Title Holder (If other than owner) Name: (Printed) Address: Contractor (Printed) - Patterson Home Improvements - Rex A Patterson Address: 6967 Philips Highway, Jacksonville, FL 32216 t\ Telephone: 904) 296 -0045 Fax: 1904) 296 -6270 Surety (if any) (Printed): Amount of Bond $ Address: Telephone: ( ) Fax: ( ) Person or Lender making a ban for construction of improvements: Name (Printed): Address: Telephone:( ) Fax( ) Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Statutes: Name: Address: Telephone:( ) Fax( ) In addition to himself, Owner designated the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1/(b), Fbrida Statutes (Fill in at Owner's option). Name: (Printed) Address: Telephone: ( ) Fax: ( ) Expiration date of the NOC is one year from the recording date unless otherwise stated ..41/11 13 - - C)L • ner gnature -- Date Signed Janl� C!1 �v�Y� v Du \Joi Florida Owner Name (Printed) In County Named Of State State of Florida County of: r L �/'� LA, J ,, fi —�_' The foregoing instrument was acknowledged before L ✓ " Notary Public / Me this 2t Day of 1`1 �< T J 2006 Z n� k I\ / c C� I J By Q ti w^ rQ ^ who Is personalty Name of Notary, typed or printed) Known to me or who has produced Commission Number. " tn'RLIC -STATE OF FLORID A. 5 L1 `� �" �'-� as identification. Commission Expires: � .'� - nD53(3611S 57 J ' IA 1.010 PRODUCT APPROVAL INFORMATION SHT'ET FOR tiTa1I ric- 8E96 4 FLORIDA Project Name: I.I / / G E f t 1 i U'V T i (— Permit # Project Address: . 3 9 41-Al o / t r'A- ,v . ,F* f' ,Ci 3a>2 33 As required by Florida Statute 553 -842 and Florida Administrative Code 9B -72, please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for . the permit number listed above. You should contact your product supplier if you do not know the product approval riurnber for any of the applicable listed products. Information regarding statewide product approval . may be obtained at www.floridabuilding.org. • '. Structural Components Manufacturer Product Limitation of Use State # Local # Description 1. Wood Connector /anchor 2. Truss Plate 3. Engineered Lumber . : • 4. Railing 0 • . • 5. Coolers- Freezers . • 6. Concrete Mixtures 7. Material 8. Insulation Forms 9. Plastics 1.0.. Deck -roof Temo Roof Panel . ; - . . . . FL3857 • ' Sunrooms,Inc. � ; 11.. Wall Temo Wall Panel FL3521 . . Sunrooms,Inc. : t 2. Sheds 3. Other . Skylights 1. Skylights . 2. Other t The products listed below did not demonstrate product approval at plan review. I understand at the time of inspection of these .products, the following information must be available to the inspector on the jobsite; 1) copy of the product approval, 2) the performance characteristics which the product was approved, 3) the .performance characteristics which the product was tested and certified to comply with, 4) copy of applicable manufacturers installation requirements. Further, I understand these products may have to be removed if approval cannot be demonstrated during inspection. • Authorized Project Agent :. Rex A..Patterson , r- ,, (Contractor or Design Professional) (Print Name) (Signature) - DAT • • Company Name: - Patterson Home Improvements Mailing Address 6967 Philips Highway city: Jacksonville state: Florida zip code: 32216 0 Telephone Number: (904) 296 -0045 Fax Number: (904) 296.6270 Cell Phone Number: ( ) E -mail Address: 0 Florida Building Code Online . t'h�.rAFiTT._YF'+Ir ilr + a� .v b, . •. T1.. i +y - •"' ,. . . it - ' �.n u' +i * Y t: s.�:- 3 j yv; M - ti ^ ` I r , 7 '} 7 i lal�r'� ';� a� �l Mt��r+IF r +, ,, 7 ,� r. �"§ ' • cy s, ,t. . CPTIttrt14 MY • • ,• ,, . - .„, ' •• aft' 1 c •',, , ..••:, . '-*'• — ••■ iige 4, 11 t/N w '- . , ', z :v. ''‘'.1',`' ',- - 1- 6ii t'i NAViE,aVl)('� ii 1 � y w i r 1 r ,r ti ... ;�' Qverview Product Search Or anIzation Product 7 11 111 al Search .Ieaflon ' ' _- 1Y+sl4�T�1f Y(f �4 (T�"I P9 �"a3 U ser: Public User - Not Associated with Organization - 0 "' • t r 11f Ur i , c;itr:I Need Help ? { 1 • °. i PI ..,2 Produc • • TEMO Sunrooms Inc. . ' y4 ' t E P'r+ 7 . Manufacturer: . i,, . i t F i., . . . Category: (ALL) • ;., .. tw Subcategory: • ! 'L t K Y I 11 1f 0,1 Application /Seq #: ., ,m �� _ m . (### or ###. #) .J` ` t'` Application Status: (ALL) �''n, : • A-r.'" IBY.alu tioft: • (ALL) Method:.. ; +`i r- Order b : IT h t , r i „4• y ( ) Manufacturer 0 Category 0 Subcategory "\' 0 App / Seq # 0 Status,' Evaluation Method , r ; : .. . ,„ ' , ri t Organization Search ' . To edit an application that is NOT YET APPROVED, log in, search for the r ! � { �, Application /Seq #anti click on the link under "category” • ` - u ..= 1 1! - N „ Revising APPROVED (only) Applications: Log in and click the "Revise Approved 1 • Application" button. P j i' ; (rt N .... Search ,,--1 k },uhr . r € ` ~' Page: • 1.9.1:2] Page 1 /1 PP/ Manufacturer Category Subcategory Validation Status a ;• 1.1.,,,- U i # EntrtyNalidator 1 +ttttralrrr ^�� FL3521 TEMO Structural Architectural . T ' • Testing, • Sunrooms, Inc. Comnponents Approved • (717) 764 -7700 Architectural FL3857 TEMO Structural Testing, Inc Sunrooms, Inc. Components Oth Approved (717) 764 -7700 • • htt p:// www. floridabuilding .org/pr /pr_srch.asp . 1/3/2005 FLORID VERGY EFFICIENCY CODE FOR BUILC ■ CONSTRUCTION FORM 600C -97 hesidential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions, Renovations & Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-97 for additions of 600 square feet or less. site- installed components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Fonn 6008 -97 or 600A -97. PROJECT NAME: FtAme. ♦ JMNIC- i4u-r BUILDER: j l i ?$ )di' r- I0 .A4E Z` 2ovc -, Air - AND ADDRESS: 4b,3 PpLi,„wecb /,n1 PERMITTING CLIMATE _ j- e. ECW Ft, • ,5z,z33 OFFICE: ZONE: 1 2 ❑ 3 OWNER: c-RA Mt,c) iril v r c Flu M re...-0,.., ' PERMIT NO.i ( 1 1 1 1 JURISDICTION NO.: gi c. noon SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and,6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only equipment Is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces m conditioned spaces must meet the prescribed minimum Insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the ssessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTUR HOMES AND BUILDINGS. Orly site- installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. Please riot CK 1. Renovation, Addition, New System or Manufactu ed a `,„, 2. Single family detached or Multifamily ed 2. N 3. If Multifamily -No. of units cove -- • by this submission --I.. 4. Conditioned floor area (sq. 4. \ 5. Predominant eave overh g (ft.) 5 . 6. Glass area and type: • gle Pane Double Pane a. Clear glass 6a. sq. ft. sq. ft. b. Tint, film or so : r screen • •. i sq. ft. sq. ft. 7. Percentage of • ass to floor area 7 . % 8. Floor type an • insulation: .� 1 a. Slab- on -g - -de (R -vale 8a. R= lin. ft. b. Wood, r. sed (R -value 8b. R= sq. ft. c. Wood, c • mmon (R -vale 8C R= sq. ft. d. Concre -, raised (R -v ue) R= sq. ft. e. Concre.e, common (R -valu 8e. R= sq. ft. 9. Wall type End insulation: a. Exterio : 1. Mason (Insulation R- value) 9a -1 R= sq. ft. 2. Wood fr. me (Insulation R- value) 9a -2 R= sq. ft. b. Adjacent: 1. Masonry (I -ulation R- value) 9b -1 R= sq. ft. 2. Wood frame • ulation R -v. e) 9b -2 R= sq. ft. c. Marriage Walls of t 1 _ - . Yes /No) 9c 10. Ceiling type and insulati • : a. Under attic (Insulati. R- value) 10a. R= sq. ft. b. Single assembly sulation R- value) 10b. R= sq. ft. 11. Cooling system* (Types: cent , room unit, package terminal A.C., gas, existing, none) 11. Type: SEER/EER: • 12. Heating s stem *: (Types: heat pump, elec. strip; natural gas, L.P. gas, 12. Type: gas h.p., r• •m or PTAC, existing, none) HSPF /COP /AFUE: 13. Air Di tribution System *: a. oackflow damper or single package systems* (Yes /No) 13a. b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. 14. Hot water system: 14. Type: (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site installed components. I hereby certif that the plans and spe ' ications c. = • d by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compiia , ' - Florida En = . • • e I � � � � 1 { = with the Flonda Energy Code. Before construction is completed. this budding will be PREPA. , r� IF-4. ,_ "- L l 1 1 r •.r.% . DATE: �L inspected for compliance in accordance with Section 553.908, F.S. I here. t •t t ' building is in compliance with the Florida Energy od . BUILDING OFFICIAL OWNER AGENT: DATE: DATE: -1 Form # 1837 • 2 CITY OF ATLANTIC BEACH J i `i BUILDING PERMIT APPLICATION l ((Alterations & Additions) . Date: Job Address: 4(.3 -- P4tAkvabp I r t . , TLAt tT1 G - H 3 2233 Owner of Property: Jan 1 C e Y1 /i Address: 4LQ3 ROVn Woc T ape_ Telephone: aB4- -d4LQ- 3 Legal Description r' : Block Number: � Lot Number: Zoning District: Contractor: pa ' VQy tioNme m \VD \)tryle.,hts State License Number: MC 0570 Contractor Address: Leg LQ1 P h 1 I I es \/ J a asv) ‘a-e , f- 3 2 L 1 U Telephone: 6 1D4 -- MCP - D Fax: -- 2a1.0 -- Lo 0 Describe proposed use and work to be done: /3y., X 7 - Teen 0 S kr vrx vn - j2Lvi'i I-L, o4' Present use of land or building(s): RE 51 Pew T% 1 Valuation of proposed construction: 444 i d,Gl What are the dimensions of the added space: /.5, C feet x 7 feet Will the added area be heated and cooled? yp New electrical or increase in service? t 5 Add plumbing fixtures? A/0 Add fireplace? ,,j,/ f) Add heating/air conditioning? Nd }'{vg C.D Is approval of Homeowner's Association or other private entity required? WO If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the origina impervious area or the removal of any trees? O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [(NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and p oper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owne • : iJ ^ Date: 0 l l04 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: r Cam' ' 1'�`..- Date: 9/9, V d 6> Address and contact information of person to receive all correspondence regarding this application (please print). Name: t 1 c fj a R D /9• M R /SC'A1 e A �. l-[ f+ r2) Mailing Address: (., 9 ( 0 7 O f / L / p 5 gw 1v / -k C-() i nt I a iL , 3 &A/ 6 Telephone: `6 y6 1 y+ 7 5'C Fax: 41 `l – (' Z 7 0 E -Mail: AS TO OWNER: k■r. n Sworn to and subscribed before me this c: `/ day of l"t N '3 , 20 D . State of Florida, County of Duval NOTARY PUBLIC -STATE OF FLORIDA Notary's Signature: ES` '-- - 0 - Elizabeth A. Nich0lS ❑ personally known Commission # DD53615 i Expires: APR. 03, 2010 E2 Produced identification n Bonded. Thru Atlantic Bonding Co., Inc. Type of identification produced J i < v e.�5 L i c `Q ''•.S AS TO CONTRACTOR: Sworn to and subscribed before me this - Z el" day of 14 LA �..- S , 20Q ( State of Florida, County of Duval 9 � 1 !e • ea. f J (�/ NOTARY PUBLIC -STATE OF FLORIDA Notary's Signature: Elizabeth A. Nichols Commission # DD536157 D- ersonally known Expires: APR. 03, 2010 ❑ Produced identification Bonded Thu Atlantic Bonding Co., Inc. Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 6 1 i CITY OF ATLANTIC BEACH `` . 4 PLAN REVIEW SHEET Rout • o: Building Department Public Works & Public Utilities Departments ,.........-, or r� 0; t5 a 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 _ arp - - (904) 247 -5800 (904) 247 -5834 " . (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application # iti . -- . i i. 1/7--- M � i Property Address r' ) (i.H 14i LL__. _ Applicant: _ I t (` C i f I Project: 6 ii- j I This perm' application has been: Approved as noted by the � Department. Final application approval must co from the Building Department. ❑ Reviewed and the following items need attention: 0 9 Please re- submit 2 -co! ,1 all revisions. Please re- submit your revisions to the Departiaent requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. 1 Reviewed By: Date: /D ' / /'D Date Contractor Notified: A , -S -•,=\-1". ,,„ ,::,' CITY OF ATLANTIC BEACH '.:> 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ,...) ....., INSPECTION PHONE LINE 247-5826 Application Number 06-00034285 Date 11/17/06 Property Address 463 PALMWOOD LN Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 200 amps/240 volt Owner Contractor HUNTER, FRANK NATIONWIDE ELECTRIC 463 PALMWOOD LANE 5627-1 VERNA BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 695-1588 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . • 105.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/16/07 Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ' CITY OF ATLANTIC BEACH "�` s ELECTRICAL PERMIT APPLICATION a.. a, $SS�+Vaa� Date: Property Address: W3 T / r 1' ,/, _,•'"1c �, ) Owner: ICa 1/L-t/'J1 7Z Telephone #:'t N,63 Contractor „TCQny I'f�- -) 5 -C'S Telephone #: /o95-/r7 1 ' Contractor Address: 5p9q ' ('rn /QVr' s lay 37,:2c;6' 1 Fax #: 1,9, 4/39 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. If other construction Building: Building Type: CI Trailer conuc is Trailer Service: I g done str tion ❑ New Residence 0 Temp. ❑ New Or site, list the building Old ❑ Commercial ❑ Signs ❑ Increase permit number: ❑ Re - wire ' Addition Sq. Ft. ❑ Repair Conductor Size: AMPS: COPPER ❑ ALUMINUM ®V' RACE Switch or Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS , 0 PH 1 W VOLTa'4( WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED _ OPEN — Receptacles CONCEALED OPEN 0 30 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign j /� Miscellaneous V '(, -Q p4- i -I �-lc5�) ( ) of (,, -) ► tches 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Li 96 /. , • CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): iM'cie / 7 -7 Ip 1( XiG/44/ ° D L ' 1 ) r , 7- f 6 ° 7 Address: • / / Phone: Lot # Block or Unit #, Subdivision Contractor: `��,9 - y'�-- - Address: Phone: State License No. Describe work to be done: , � / Materials to be used: '''"!;:. Signature OWNER:' ( Date: Signature CONTRACTOR: X867 I DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERTIIT "INFORMATION _. - _ - - -_ LOCATION INFORM %TI0N E Permit Number: 5867 Address: 463 PALNWOOD LANE P.r *it Type: RE-ROOF " ` ATLANTXC BEACH, FLORIDA 32233 Clans cad Work It NEW LEGAL DESCRIPTION Conetr. 'Types " WOOD FRAME Lot: Bloc : Section: Pr op*a d Use: SINGLE FA,101ILY Township: RNC: 0 Heellirnge: 1 Code: 0 Subdivision: EAo-tieeted Value': *0. 00 i *prov . Costa *0.00 Teel fryi.poit : * .50 j Aeou f ..m *2. 50 O � 9/.10/92 Wort ®�, � ..r ! . $11 $•- AR. DIMENSIONAL FIBERGLASS SHINGLE ... .._ • NATION - »« . "; - :q� "_ . � APPLICATION FEES ____ . h . A ., f' PERMIT *22.50 Add ee W. 001) LANE MAT R "IMPACT FEE rr 0.00 CH, FLORIDA 2 FEE 3 0t3 RADON GAS --H. R. S. *0.00 } . . »..:... " 0' ° . �NPONN*T - RADON OAS ;. 5%. ': - A-, � ' w " � � ` _ #t0. 00 lie fi R " PXNO C NY WATER TAP *0. Q0 ti s.�,T "Ilr, .W., . 9EWE TAP 0.00 SWI AN , FL. 32259 HYDRAULIC SHARE *0.00 TyFe: 7 RE- INSPECT FEE M.. 00 e SEC. H IMPACT FEE *0.09 NOTES: t NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE E " BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED, IN PUBLIC "SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ' "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." v�II.tI IT I DTT: 091 IM SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU13.) , . " t REVOCAT R VIOLATION OF-APPLICABLE" PROVISIONS OF LAW. w ,‘ ; .0 " • ATLANTIC BEACH BUILDING DEPARTMENT By:" e ti CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): Address: A - 34.<33 Lot # Block or Unit # Subdivision Contractor: ?0.∎_ nI G Address: a,8o r 7,e . lix r' • Phone: ���. aa� State License No. r2c�3ras y Describe work to be done: n.rc.vCl L r i e>tR «.4ss so , Materials to be used: Signature OWNER: 'M Dat-: Signature CONTRACTOR; Illiprole Age r FOR OFFICE USE / ONLY Date r // 7.9 � / a Permit #' ° 4o I Fee $. -- i + --- CITY OF : ATLANTIC BEACH Valuation $.- _- yf. FLORIDA "`J House # ` 6 f� . APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub- contractors be submitted to this office so that licenses can be verified. �7 Date 7, 19 1.-Q/7 Owner.-- ,•-- A. �i.A4.IAl2CP/ 7 $ Z S. a Address .. - .'`�.242 /CeS. Telephone No..ZZ -2 /,.5= Architect Address. / Telephone No. Contractor Builder.....a1.t1... ...... �1 /!C.€1r7 d d.Sf Address.fs'S3 Z -9s t�! 44 CS ! 7�, _ Telepho No.7� 41 - 24 4. / 4— Lot No._ Block No AJ Sub Division Zone 4 4!4?c2c/4zVe Street Side Between / / and Sts. Valuation $.. t Fe For what purpose will building be used s, en g�/ szf Type of construction G ..c1 obee.. V Dimensions of Building__,.. , .t a 60 Dimensions of Lot r ' _./.. Size of Footings .0,20 ' Size of Piers ---~ Size of Sills ------ Greatest Sill Span in ft Type Roof e23S' ,-.)/2/479 s How will Building be Heated R. 1:.�' fl Will Building be on Solid or Filled Ground? SOL: `/ Size of Ceiling Joists_., : _ , Distance on Centers 2 4' , Greatest Span 3 2 " Size of Floor Joists ---- , Distance on Centers , Greatest Span " Size of Rafters s >.; , Distance on Centers r , Greatest Span i, - / d " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall Q be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and /or lintel. Z 17 � } Z 3. When steel is in place and ready to pour beam. ''i I 'a 4. When framing is completed. Q 2� f �" p 5. When rough plumbing is completed, and ready to cover up. W h W 6. When septic tank drain field or sewer is laid but before it is covered. A M A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. WV' FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o tlantic ea Signature of Builder - - i I ?L. -.. t - darz✓ Address.. Z -/7 a 4'/.J 9M. (.. Signature of Owner �C1 , .. �.cYxt.� Address A ...i' �., 4. Or C RECEIVED CITY OF ATLANTIC EEACH PERMIT AZ-"PLICATION R IODEL, ADDITIONS, OR AL _ITTERATT g 5 1998 MOVITG, D IOLITIONS City of Atlantic Beach Building and Zoning owner ( : L.� eL{ ` 5 / J i » - ss : N 3 4L , ,n.i)oop Z► Pk- 2 iy d .6 °I CO' - 7 )5‘ s Lcc , / Block .._ Ur...: / d b.di•r s ior. :le..,6 4' ~'`''!¢ a-4-C i +�1 Cor. :rac:cr: feLF .,:a :e License * A/19 Address: A/ _ hcce Nc : ___ /1// .=cacti e 2escrLte work = c c e done: 529/ ta -.,- �i , p ; r: ' .4 c 4/ . ,PX'‘ y _ . ,614 / Z ,' ra_a__ -' _- Cc_°ed C..ns�_.:cz .. _ o: J 1 .,.. :s -..:s an acd___c... _= Yes, wna: are _ne ti ens:..._ of _ne added = pace: _. X r+__ z.... accec ar =a oe ..____c a..d =c' New a _. (O _.. -r°'se) New _'.:. -ab;^C fix -==? New fireplace? N _o =C_ SUBMIT =ET (CCI Z_� (-RESILEVT L) CC..MP_.1,„. Z...S CI PL:�VS, D3CLULIVG SZ ^"' PLAN, SURVEZ, �`Tl's- -""''a.' „ Ayr 'CT1 NE:-Z /CCNT ACrCR AFFIDAVIT, _IDAV_I , I OWN E2 IS CCN^RACTCR . AO .._,`:a :..r°_ OWNER: _ FI" / _ _ _, .:a:_. / /-5--- Ye Sj_gnao=e CONTRACTOR: Uace : Swcr.. :o and sL c$f � g re me :his 'S day Of rl �"(,14L/L , _9 0 AP'7 \\Mar \ '1 V ' 1 /.,'" NOTARY : RY PUBLIC STATE OF , LOR:OA LARGE ,., , Vi i / / � PU M. C. HUTTO / a° p i a '6 COMMISSION # CC 573702 y ^` 47 EXPIRES SEP 28, 2000 4 40F0' BONDED THRU ATLANTIC BONDING CO., INC. J 4, 44 . 0 1 1 1 CITY O F • • • � &az! - ��vuc ‘;1 HEMIVOLL ROAD " — - -- ATLANTIC BEACH. FLORIDA ii - ) � TT H(� LE V "1 �‘!ILtI 4,- .i.�ulJ `i NCOJI ,�:I'. :�il)11 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCENSED CONTRACTORS. You HAVE APPLIED FORA PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU. AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR E` /EN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. You MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. fT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND 9Y COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND UKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER .$2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES: OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX ANC /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-225(I ). AN "OCCUPATIONAL LICENSE" 15 NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA. "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. P OWNER /BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS ` ' `DAY 0 • � (, y1, � 19 1 � .?/- NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ' 2.)s*"13 0 ARE EMPHASIZED BY THE BUILDING C�vtv pL M. C. HUTTO DEPARTMENT. • ) COMMISS # CC 573702 11� EXPIRE ION SEP 28, 2000 '� 1 `� ^� B ONDED THRU 14 0F ‘-` ATLANTIC BONDING CO.. INC. Sep -15 -98 06:34A P.01 _ __ o • • • C*7 - i�1�1�1�1�1'i'ii5'' i - I 1 1 {Il; : 4 ' Ka' O' R. 4 , {1{111{11 o, _� �! -11---.--- � 1 i'i 'i __ _ i e a ' 1 1 1 1 9 1 1 ( 1., y , 0 t@ M O � 11111111{t'i �'� 1 __ � ? ��j 11111111111,5 1 ti;,ti IMON1111•11■111 I 1 I ICI Y i t i 4 :I 1 t4 1 • g. INNEMME■• ' 1111111 {''' "'' �- ;'I1i11,;�ti4':' I� 1 N III! ....' {,1�1,1�1�11 % 0 u h _ ( O to l� u -4 6 V ° O 4 0 P 11111■■ ogisi s■ '1 M ��� 8 11,1111 11111111 IiI!HI!IIHIIII z i , t4 iiiiiliiaaaassalld a F‘ It 4, ......, ti v. u N p i 7 lur _ 11111111111111111111111111111111 I i � � I IIII1HI •rzZ. 1 11111111 1 1 a. io . / 4 x -- "-'r-..-- g 1 R i f tel .., t c; 4 8 1 04E is zi it NO 4 - r 3 .• 4 Sp• .'E 4 .9../ 6 ., O tn tci J -ta N . , ,,,E,d-'0 co v,' �� y ,..7..c, 3 1g p AI t'l 11.° NO ONE S TORY 2 /.0' - ..% - ..% M N NO. �Z�' 463 r a- N 0 `n 32.4' • 254 a a " V P 0: P M S 7 t9e 03 ,O„ / e 9 f r : 119.2 S59 ° /8' /o "W chord= f13.92' ?4 t. ' � " A P.4I4114/DOD .e/w YR,P/ES LANE' +�`k�,�,' 4`G , lo ( V /JED: 5 -G -9/ NOT VAUD UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON R /k/ LINE AS SHOWN I HEREBY CERTIFY THAT THE DoT' SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE X ON FLOOD INSURANCE RATE MAP 000/ FOR AT[A.vT/C —AS SHOWN BEACf/ FLOR /DA, DATFD a'i7-89 TRI —STATE LAND SURVEYORS, INC. 8411 BAYMEADOWS WAY SUITE #2, JACKSONt.4LLE, FLORIDA 32256 (904) 731 -7235 LEGEND I HEREBY CERTIFY THAT THE ABOVE' LANDS WERE SURVEYED UNDER MY • CONC. ~"N RESPONS /BILE SUPERVISION AND DIRECTION, THAT THERE ARE NO IRON ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN (suT will CAR if LS +r++) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY �� x �� THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION O IRON COR . (FOUND) 472.027, FLORIDA STATUTES. a ba. rnnec , ,r • USE THIS FORM FOR ESTIMATES ONLY IRRIt `� i �' ATION i METER Betsy P. Hunter 5/8" X 3/4" 463 Palmwood Ln. • • (Also check feasibility of providing water in the "Triangle ". • DESCRIPTION QTY.. MATERIALS LABOR TOTAL 6X3/4" SADDLE 1 13 25 3/4" CURB STOP 1 8 00 3/4" CORP STOP • 1 8 00 • 3/4" POLY TUBING 20' 14 40 METER 3/4" 1 85 00 • METER ENDS 3/4" 2 3 00 CONCRETE BOX & LID 1 12 00 3/4" MALE POLY ADAPTERS 2 6 40 STIR TOTAL S150 05 15 On _ TCyTAL MATERIAL $165 05 _ • 4 MEN -HAND DIG $24.51/HR FOR 5 HR $122 55 30% 0 -Ti_ (T.ARM) 36_72 TOTAL LABOR COST $159 32 • • • MATERIALS LABOR TOTAL -. TOTAL $165 (05 $159 �32 $324 37 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 100. 00 2 TRUCKS (20.00HR FOR X00 TOTAL COST $424. 37 5 HRS) TOTAL SELLING PRICE LESS TOTAL COST • GROSS PROFIT • LESS OvCRHCAO COST •. OF SELLING PRICE TOTAL . NET PROFIT • i il 8 V I' i m y S a R O D H m N q ,. _ Un 4 , CAN z +_ I 4 m co i. m T t ry, r n '"'....:,S,.. Li ::wnS:.aW ks�,Yxy. y .�, b N LA Cpl CA W m — 07 O) 0) 0) ° 't` e a N N N N �1 ,� ,, p O U1 U7 U1 AJ X a41. it+W sp ? U) O O � d N N Z U) k � { k ` l.l" l u� y , e 3 ' ' A. 0000 z � � m 0000 rn ^ ° n - K K K K � ,Y a sn., - �° ,, y . , 1 1��� n U)L U)U)rn ,P. p,% F D -< -< -< --< < , ,key I $' i �. 4 > --1 U) U) U) U) Yl., � 0 0 — 1— I— I—I-�i ''''' L 4$ r— -_I z P. rnmmmO "f pm ° °, Mr 0 / ^'f an 9' 1 p Y a � I V) 7 F ° -4, „„ o, T O N I-- U) i � „ ¢,sm, a,,, Z - 0� m -�t rY'NN 1 lJ z It, 1. ` 2 Y fi' 1 g .,,n 4"4., A,r U] "NN -,,,,„ k r 10 LAN r' 4,6,0 0 *...2 Z `°er r -► 1 2 20 a rt o rn 8 y: SR --1 ill w vo g h REQUIRE THERE 1 P E COVER SHEET T ema �� sots wo n aPaarEmaxu Nc luwrealsrxe rn tacr�x oxlr AR aalARa sGNAlUl1 n um ACROSS 11E VOID IF SUBMITTED AFTER g AN 111E PADS 11FAE gp 77 � A Se STRIP OR µ d pFS�n m ne xmts a vAOI DECEMBER 31, 2006 0 20400 HALL ROAD • CUNTON TOWNSHIP • MICHIGAN FOR ANY ADgAdIN. SERRATION 581 - 7M1 - (11111 1 -nnn- W -orw GAY 5M- 11R —171, 9tlLTii. ,.,-ucs.-.r w..-. w...— fl . 6' -8 MIN. I m ,..'z o 6' -8" MIN. $ m 1�T� a o (7 3` m _o o � o 1 Co' Ac n v x z s. r.' el I IVVIIIIII P (72 1.111 E r-� O FF4j . I r m ©I E r��r $ ���� ��� F•, - ----1 i 111 p Q Q Il C o Co �+ P 14 l� ��g DD N 0 1 2r R "4 a ka ir I" II . % E tWa. : 6 1 ' 'R �. a Vic , O * �= p ' - C. E • o < r n§ , 8` = 1 -n se LI� a� �re ���1��d �� -- 0 ° I:�� w �' > i !mu e N,,,,,„ ' ,,,,r ; z DOOR I Ga)♦�' 0 a; at�A >c Z r P8 I J 1 ›.- o m QE P a Sr °p a r S2 1 0 9,. , m a ,' P F 1 1 f m rri < a m G. ., r 3 b l 1 n z _ AT e 11 + 2 a " I O P I R ..1 % 4,� R. . , t - STANDARD BOM RR 4 "9 d gw »a � STAND BOTTOM PANEL 1 �k s 1 F 4 .." OR11 O NAL , M AX'Mlf OPTIONAL 96' MAXIMUM G ,,, DING GLA 1 f '� �,µr"V , SLIDING GLASS DOOR y $ 9 A � � bn , � 4 .0.9 CkAn Y 4 }r li 1 , 91F�PkiRpgs�g b \ �, \ AV En o "v1 t ,, FS : I n m ° OPTIONAL RIDGE BEAM v ti ° i y a: m °ca a o ,� o 0I'h S Ll �i 0 m *AI. Q N e I. A,a11C 4 ID r5 LiFFi, ri gli .. . 71 2 Ail Q , Z 8 ' 18° MAX. �Y' z 18" MAX POSSIBLE -` ° ___,�� PANEL PROJECTION ROOF PROJECTION ♦... .. ' p » FLOOR PLA MERE REQUIRED E1Aa THESE PUNS HAW MON 1, INC Mena RE REPORTS T �� SPED AND SEALED BY A PROFESSK0I8. IS1ED ACROSS 7XE 18P OF RE u o _ 1 ELEVATIONS 8c je0 ��C- ENGINEER ONLY AN o SIGNATURE SE P REM 1° VOID IF SUBMITTED AFTER i 20400 HALL ROAD cuNTON TOWNSHIP • MICHIGAN 48038 • 8 A RED re SAL OR Ax E1 fl E N076 dl PACE HESS FIR DECEMBER 31, 2006 PI ROOF PLAN RR u, DE vunrn aF 1NA ANY A� INFORMATION sae - see -0410 • 1- Boo -sa 4 -11368 FAX 5138 -228-1703 gam., CONCERNING MESE REPORTS , • it 4 • . ❖..:.,:... ...:♦ ; 1 .. �z �d :JOiiiOi i •.• ii � � g ° is ; e > :iiiii: :!• i: •a�N M gy y ��.. q :ts , 3. c \ �.� r n .Z7 a rn :.'ti. � -: ;.. `\ \ z ° o Tat$ o ' t {: • 11 o o ,• ♦•••• ♦•••`♦ ♦•• ♦ ♦♦• ♦❖ _ I � Via F ... n F r ,,; ce ff t::::::::::::::::::::: '71 111 i .i iiii Oii♦.10 -I L 1a wo-o-o: o > i;�s:_ 'r g �'1 0 11 Fri OW to! 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PNFASE REFER IR VOID IF SUBMITTED AF1ER OI VIM RED VET STAL, OR AN EMBOSSED DIE NOTES ON PAGE 41E52 FOR DECEMBER 31, 2006 ' of ATTACHMENT DETAILS 20400 HALL ROAD • " CLINTON TO'NISFVP • • MICHIGAN 45038 SEAL MCATE DE YALDITY OF T ADOI11ONAL 355- 255 -0410 1- 500- 344 -5355 FAX 588 -224 -17413 SIGNATURE m5 e,.a„"." m m m C in Cn 7 .• j c p c p p - 1 x D1 x C ��sv� p .c m cpa a � a o o a 3 °' (1) o ° ""� o c ° m FD *ooa 1 y = v = C O n o I _ O g � A ( (0 g g v co O c O 1 _N -L O .-t --7 W C CO OO( N 0 NNN OD V O 0) c c co N 0 3 – A � �� al O C SU ria IIIM n p N co p (D O■ o C _ x o, M O om O .. CO o K a -* ° Q v c ci) ..--. > 7 (D r1� .-. C CO 9 a A 03 o. �N�_.N , O Op al N j N0 NU 10 Q 1 CA co W A O� V/ . nom, (- p FT 2. 3 7 x 71----11-1 W 7 N Q N m j a C F F T Xi ^ p C C '� � (D 3 T S 0) K 7 `N ' \ C I *to co N co A I r 1 Ni ° ° O N N ,,,,Niiii, m w 111 ! is ` n MERE ROM 1NDSE PUNS NA1E BEEN IMO. IND MNRNNS 11E REPORTS T. g . .625 SUNROOM Temc• SIM AND SUED BY A PBOEFwONN. L,S1ED RIE color pia, TEFER m DORM ONLY Ni CRIONAL SIGNATURE Y171D If SUBMITTED AFTER N ' 1 WIND CALCULATIONS 20400 HALL ROAD • CLJNTON TOMNSHIP • MICHIGAN 48038 SEAL 100 1 1NAT1 ' 1NE NOTES ON '� A PASS HE52 POR DECEMBER 31, 2006 588 -288 -0410 1 -800- 344 -8788 FAX 5n -228 OUI -1703 SIUBE _.__ CONCERNING 1NE:SE REPORTS.