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Permit 547 - 551 Pelican Key (vault) 7 w.krr tftratr of (�rru�rttnr� CITY OF �rpttr#mpn# of �nilding �n,��rrrti�an This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No Group Type Construction �''k' Fire District.'` 1 Owner of Building t"-'1 + a _ Address Building Address q' By'---- Building Official Date: POST IN A CONIS►ICUOUS PLACE A. BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA -- CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Building Permit Number: + �` 4 Address: ,t,,'5r�yX10 ` ' } Legal Description : 4�� { Improvements to the above described property have been completed in accordance with the terms of the permit nd is. certified to be ready for occupancy as Lowest Floor Elevation: ---------- required as built Sales Tax Certificate: ------tesu-----bmitte------d----- da ' BEFORE ISSUING CERTIFICATE OF OCCUPANCY,-THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: '' BY: Fire Chief Public Works Planning Director _ _����-- -- b�1'`�d'• -__ - -_-` �/" Building Inspector _- �'�_- SYSTEM 4•MODULAR EXPLODED DRAWING s ' I ROOF RIDGE CLASS SLLAZIbIG CAP CN4255IA-Mr, RI 2 P A'8 RIDGE ROOF MU LEDGER A•4MX8 RIDGE M M WITH GLAZING Gp ANGLESp pIp E ADO—ON CABLE RK45889 p8 ING BAR A' OR EAVH ENS p8 �,@,� Ste• 110 !CN 041 )It SOLIDP ANEL 11 (cur FROM 4 X a SHEET) EA1�TRIM MOUNTING WTTH �J ♦ SLIDING WALL AR881 f WINDOW l6 a •1 . SAVE TOP do EAVE B TQZQ_ Cl IA•pscn su7E81 O H—CHANN SQL SILL NEL FRONT S \\ // AGLASS • OTR NSOM SOLID ALUMINUM PANELS CLASS TRANSOM • MS1LL .7 ELECTRIC J WINOOW TRANSOM NEL • �. / A 4 H—CN ELECTRIC A •111 H—CHANNEL (2 AT EACH 90' ORN SLIDING A•SCT CORNER) DOOR A •117 y DOWN S T KM 17, SEE DRAWING 4M-991991 Q o FOUR SEASONS 3 SYSTEM 4 MODULAR EXPLODED VIEW o No. Q-01 PAGE 1 3 OOM GATE: 10/24/97 OF a 2�{6ASE1MLl CONrFMILW:L CONSTRUCTION I 3/9' NOTE: 45' ANGLE ON 3/8-sT n FWD"WR a' CORNER OF ' SIM 12-O.C. BASEWALL SLL IS NOT REQUIREDEtEcrRlc-N >e e FOR A 2 x 4 BASEWALL. — 2■6 9ASEWAL is x 1P TEKB R CONSTRUCTIONMID aasEn �o DOOR 2 1 4' ��"'`` �•er.Y t; �,�•�i:a.t..• n f. C FRONT WALL , s/r 4 1/2•TO SOF QAZM W TAIL Room=OPFla1C-6 1/6• -77 2: CahomoNAL ICTXN NOTE: 45' ANGLE ON CORNER OF BASEWALL l�t IS NOT REQUIRED FOR A 2,x 4 BASEWALL.', 2 t{BASEWALL 2 4- cofivoolk pN CDSED SLL 9=SLL 4r FAqM1 ALOW LC 7 16' SLLa DOORSUDW 's,rsiti q:fi. A 11 1 J,4 1�1 V. I an�A{6 I J L 3/8- 7/r 3/3•srm FASTETIERS rrM 2 1/16• s DOort-So 1/2' 4 1/2•TO of CAA27N0 ew 'MASHERS. 12'O.C. 6•DOOR 7 . 1 3/a' aASE III"OPO"FOR 5 Fr.DOOR-67 5/16- 8ASE WU W044 FOR 6 Fr.DOOR-79 3/16- FRONT WALL' O FOUR SEASONS SYSTEM 4 MODULAR WITH SLIDING DOOR AT CORNER o ►� +�—� PACE SUNROOMS 2 x 6 BASEWALL MODIFICATION OATS 9-25-96 OF 1 OPEN SDC OF CORNER TOWARD FRONT WALL 90 CORNER A I OPER SDE OF CORNER TOWARD FRONT WILL CUT TOPBLE SAW ANGLE OF GABLE AS ROOF SLOPE TO SAME H-cww+as SAS �NOIf 1 1/g vE BOTTOM g�pF EASE TOP CRITTER ASSY I/ti' SLOT I 4• A' (3 PQ 1 1/ t fR LL 90' CORNER A•7 '7 H-CHANNEL • 1 GABLE q A ROOF U'S(2351 FaV�,R OIlfTER ASSY A•,3TGA H-CHANNEL ® ROOF SAVE k GL 42M GUTTER BAR ASS( H-CHAHN .1 2'TIX 00 a ' SAVE BOTTOM O H-CHANNEL O 1 EACH SIDE OF BAR WHERE APPLICABLE FRONT WALL 1L5L9�FaJ CAP v Op6�5�pE PRO% A•48C PRO 1 �pF pEp H-CIUFwET SAVE ENO-W. . AC;u ' Gum �0 SILL C'81101 END PLATE 14LLATED GLASS PANEL (BY OTHERS) WALL BAR SILL ® GABLE ADD-ON 90' CORNER SAVE FLASHM pun L H-CHANNEL SAVE TOP GUTTER ASSY O CALILX ALL SEAMS H-CHANNEL COO ENDGPLTE P8I�i5�pE (BY OTHERS) RQ N I FG OU O 1p 90' CORNER SILL o FOUR SEASONS SYSTEM 4 MODULAR M. No. 4A1-14 PAGE 1 ME =_UMROOMS EAVE AT GABLE END EXPLODED VIEW DATE. 10/24/97 OF I A=6W86 u,VtEM trvo caw c•at to ON C.L. OF BARS CAP (BETWEEN GLASS PANELS) A= C SILL FLASHING 1/4" WEEP HOLE A•4FL AT£OF GLAZING _ BARS #8 x 1/2" TEK 7=150 GLAZING BAR CLIP ANGLE A=SCB5 A=5LE A=SR—AC SILL/RIDGE TRIM A=5ST5 10 x 1 1/4" H=2026 CN11_4 #8 x 1/2" TEK DRILL 1/4" 7=150 WEEP HOLES AT EACH BAR I I GUTTER 74GB EAVE TOP 7ET 1 5/8' TO CENTER BEAUTY CAP OF PIVOT POINT A*46C 5/8' TO CENTER All, OF PNOT POINT EAVE BOTTOM FEB 5/8 ;#8 x 1/2" TEK REF 7 .150 c Lo u 3 g z 3 c�� z W � p co . Cl i co 0 C 4J co S D: O � N N , J W a Y CLOSED SILL Y A=7CS 0 N I UNIT WIDTH---� UNIT WIDTH---{ o FOUR SEASONS SYSTEM 4 MODULAR STRAIGHT EAVE EEATMC10�24,' -t S ODMS FRONT WALL SECTION ` 3/8' OLk STSEI. FASTENERS WffH EXISTING STRUCTURE I. WASHERS 12' O.C. TYPE AND / EMBEDMENT INTO DUSTING STRUCTURE TO BE EVALUATED SEPARATELY CLOSED SILL A•7CS OR A* XS DEPENDING ON UNIT SIZE TRANSITION H-CHANNEL A'7HH SLIDING WINDOW H-CHANNEL A7*111 2 1/4" �-�- WITH 3/4"-� A A SHIM SPACE SLIDING / OF GLAZING BAR WINDOW L E #8 x 1/2" TEK E FILL PANEL A7*150 N o KA •�., ,;. UT FROM TYP. D 3 s r:rr 4' x 8' SHEET � ~ ELECTRIC-H & COVER W do A* GT A is L c L •i�'1'1JSL i'.X:i:. PLAN VIEW EXISTING STRUCTURE SLIDING DOOR CLOSED SILL A*7CS 07T H-CHANNEL TWO H-CHANNELS A7*111 A7*111 H-CHANNEL SLIDING SLIDING A7*111 WINDOW I WINDOW '�Y—' 47 I I 1 1/2- fOF GLAZING BAR FRONT WALL FRONT WALL I 90' CORNER MIN PACE�-- FILL PANEL NO SHIM 7K78*A960OF GLAZING BAR 2F UNIT LENGTH �---4 1/2" o FOUR SEASONS SYSTEM 4 MODULAR M. W. Q-16 PAGE 1 SUNROOMS FRONT & GABLE WALL SECTION DATE a-2s—ss DF ------------ 8 3/8' BEAUTY CAP #10-24 x 1 1/2" PP MS NS GLAZIN© A*4BC HN2004 A* GABLE ADD-ON CUPS BoTroM IN ADO ON INSULATED A*3TG1 GLASS _ I 7*120-003F CAULKING (3' LONG CUPS) 0 ' NJ 4 1/8 REF GLAZING BAR A*5CB5 A*SLBS 74GB(SEE PLAN ' VIEW BELOW) CUSTOM GLASS TRANSOM NOTE: TO HAVE GLASS TRANSOMS ABOYE WINDOWS REQUIRES CUSTOM TRAPEZOID THESE SCREWS ARE LOCATED TRANSOMS! CAL AT VERTIH-CHANNELS PLAN VIEW SLIDING WINDOW 0 BEAM CENTER UNE a SOUD PANEL BELOW (AVAILABLE IN CUT SIZES) 3/8' DIA. STEEL FASTENERS WITH I FRONT GUTTER WASHERS 12* O.C. TYPE AND EMBEDMENT INTO EXISTING ti;�,{^.,•r;��''!�i�:; y STRUCTURE TO BE EVALUATED SEPARATELY TOP Or GUTTER VIEW PART USED AS A SPLICE IN OUTSIDE OF (�---- UNIT LENGTH GUTTER AT CORNERS o FOUR SEASONS SYSTEM 4 MODULAR STRAIGHT EAVE On. No. 4M-18 PACE I 3i1NROOMS GABLE END GUTTERS OATS 12/17/97 IOF 1 4 3/dIU END OF RIDGE do ` w � EAVE / GUTTER ASSY AT EAVE #10-24 x 1 1/2" 3/4" GLAZINGBEAUTY CAP PP M NS A*48C HN 004 * _N GABLE ADD-ON INSULATED A'3TGA GLASS >r��'«v. ;• SOLID PA NEL ''``'^`��•: ABOVE I `ti' f.'`J/�•f�tl�v�,'.f( 'y' (CUT FROM r.�-:"; �,.yY•.> •.a+l•c•''r• 4 x 8 SHEET) I .,,•,Y,,r_ ,�,;;�.,- �r,• GLAZING BAR � ` � :.{c-+,-c>•�;;-,��' A*SCBS �':fY'r�'t:`�u.\i •ti•,�.�.�'a r A*SCBS i:is�:•r}•11R:';'�.�ice..�} l CUSTOM ' GLASS 41 TRANSOM NOTE: TO HAVE GLASS TRANSOMS ABOVE 1• WINDOWS REQUIRES j_END OF RIDGE LEDGER CUSTOM TRAPEZOID u TRANSOMSI �l 7/16' , -•END OF EAVE BOTTOM z S SLIDING WINDOW SLIDING r � 80 5/8" #8 x 1/2" TEK WINDOW 7*150 GLASS KICK SOLID PANEL BELOW PANEL (AVAILABLE IN 4;'`"`k:��t:•.r• tri-i^'+ N CUT SIZES) �;,� ;,ri.w�;'s:'•�;%-„::`'; CLOSED 'SILL D �• ��hh , �• ' —� 3/8” IA STEEL ..'•`�=' ;:,?,a :r.�f, A*7CS FASTENERS WITH EXISTING n• WASHERS 12" O.c. STRUCTURE TYPE AND EMBEDMENT ;,.;?,;:..f r ;ti,L•..•, ?r*• x INTO EXISTING C isi:ti.�'''•"» 't' • STRUCTURE TO BE �: "•�';:' ;-,t`•.,''4,e N EVALUATED SEPARATELY 4 1/2- �"----UNIT LENGTH �•-------UNIT LENGTH FOUR SEASOMS-1 I SYSTEM 4 MODULAR STRAIGHT SAVE DWG. NO. Q-17 PAGE 1 SUNROOMS IGABLE WALL SECTION DATE: 10-27-97 OF 10-24 x 3/6' S HN2011 ,S���I�CORD MUNTIN CAP UNDER A•408 CROSS MUNTIN INSULATED GLAZING TAPSS HK1009 cm 4 NTiN ..�.. '�� A•4MTH GLAZINGA � Rig INSE4 MUNTIN WEEP SLOT M4 10-24 x 3/8' N't PP MS N GLAZING BAR Qf HN2011 A•5C85 FA fx TOP VIEW ANT t MUNTIN H-SETTING BLOCK M4MX6 HK10 6 GLAZING CAP GLAZING TAPE 1 A04GCB HK1 INSULATEt A* GLASS A• MUNTIN 10-24 x 3/8' IA04UM ppm 10-24 x 3/4' PP MS NS HN GLAZING CORD RUNS L CROSS MUNTIN MUNTIN INSERT M R•4MI GLAZING A• 85 i RIGHT SIDE VIEW y FRONT VIEW NOTE: THIS SYSTEM USES THE SAME MUNTIN MODULES AS SYSTEM 4 CLT & SLT SUNROOMS. THE MOLDED SHEAR BLOCKS PACKED IN THESE BOXES ARE NOT REQUIRED! o FOUR SEASONS SYSTEM 4 MODULAR OWG. NO. 4M-19 PAGE 1 SUNROOMS CROSS MUNTIN DETAILS DATE. 10-27-97 of ®ENGINEERING & STRUCTURAL LOADING INFORMATION O ' FOR SYSTEM 4 MODULAR STRAIGHT EAVE (1/2 in 12 TO 2 in 12 ROOF PITCH) 5005 VETERANS MEMORIAL HWY. HOLBROOK N.Y. 11741 EFFECTIVE DATE 1-99 ROOF BASIC ROOF BASIC ROOM GLAZING BAR RAFTER LIVE WIND VELOCITY ROOM GLAZING BAR RAFTER LIVE WIND VELOCITY MODEL O.C.SPACING TYPE LOAD (mph) PRESSURE MODEL O.C.SPACING TYPE LOAD (mph) PRESSURE s s s S'M-6DH 2'-6 5/8" 5LB3 150 135 47 S'M-15DH 2'-6 5/8" 5LB3 20 80 16 5114 -05/8" n.. •;:'5LB3" . .130::.rs 12b 4,40'C 3-05/8 ::.' 5LB3; #'15 80' 16 S'M-7DH 2'-6 5/8" 5LB3 1 105 130 43 2'-6 5/8" 5CB5 68 80 16 `3 d5/8 i5C63 + t.p 90!}':.'., 125 a `40',-,+,, Yid3-05/8 ;:5CB5 . 1 a57 80 16 _ S'M-9DH 2'-6 5/8" 5LB3 70 110 31 S'M-16DH 2'-6 5/8" 5LB3 15 75 14 5L'B3 c. ;;'30518".,,.,': >:. LB3. ;r `r::'10 3..`. p 75 14 1 s.. .:80., 28 5 S'M-10DH 2'-6 5/8" 5LB3 55 110 31 2'-6 5/8" 5CB5 60 75 14 :`t30518 t �''5LWi 11 ."6r 45::a,> 105 ?;,iK2@ +;is a::305J6. ;:::5CB5 R:,�48 '76,v, 14 : 7M-i t DH 2'-6 5/8" 51-83 40 110 31 S'M-17DH 2'-6 5/8" 5LB5 25 70 13 :,.3-05f8 ;: ,:SL83 a1r ' 35 `s i'1(35%14,1.;4' .,, .X28 „+- 305/8":",.'.` bLBS 1,'Ii';-,20 "' `.70 13 2'-6 5/8" 5LB5 70 110 31 2'-6 5/8" 5CB5 52 70 13 3-0&8" _ .5CB5 58 C:. 1 D5° ;28 30 5/8".- 5CB5 :43 70 13 S'M-12DH 2'-6 5/8" 5LB3 30 105 28 S'M-180H 2'-6 5/8" 5LB5 20 70 13 3.05/8" 5LB3 25 -,' 100,,61 :. 26 ,, 3-0 5/8" 5LB5. i'115 70 -i: 13 2'-6 5/8" SLB5 56 105 28 Z-6 5/8" 5CB5 46 70 13 3-05/8" 5LB5.< .47' L _700moi- 26 3-06/8" 5CB5 .'.,37: 70 13 7M-13DH Z-6-5/8" 5LB3 25 90 21 S'M.19DH 2'-6 5/8" 5LB5 15 65 11 3-0 518" 5LB3: 20: 90' ,21 3-0 618 9. 5LB5 -10 65 11 2'-65/8" 5LB5 48 90 21 2'-8 5/8" 5CB5 41 65 1 t 3-0 518" 5LB5 1 40 90 21 - 30 5/8" 5CB5 34 65 11 NOTE: WIND SPEEDS ARE BASED ON WORST CASE EXPOSURE D. FOR EXPOSURE C ADD 10 mph TO SUPPLIED VALUES. -LOADS IN CHART ARE FOR'SWM"MODELS WITH WINDOWS OR'SDM'MODELS WITH ALL DOORS. PROVIDED THAT DOORS LOCATED IN THE FRONT WALL ARE INSTALLED WITH REQUIRED POST OR POST AND HEADER KITS. 'as � � 'r.E N{.,,r[ �B:''Itl i'G"°r+ i:"CE e�:�i JI,.•�ST'..Cy j,P.:11F1'...C�. �(, G/ moo.,Dees ���'ij [III T 1[I Y D ':`�'J o� "'•¢ � �,e `�. : nlii�o"w.' �cerEREo 231 I (+o io2ss - Iiu"E I [xax[u � 1 •t�.esus aiW ---,{{,, smrE"oE�"F r Ya,e - CT�_W.pYA J f'.... Oar �!T'C[N(E�/�W ��(AWI.r:� F'•;?ORIO'' �/y r"'(,rttF`� •,���:. '+RACE �?a u�a""a JJ�ph'r,i t�J�1 'hgNA�•;� mw".:� «+wMM 9FN ESS ;l�r,,. ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA ILLINOIS QPO(E93ro rs TTTl sliirr,iiii� ��O1 l0UIJ4 oI ,, ", y..��',C.w� l".r.".+ar.E..r�wa c(n �J� ��� �r 0 � t! � •6Y s�E iR-/` �noi t� ,r..,s•"."Y•+ nr +'U.. R(' n�` ;t,IeeroNAA• %'���` �J'`.� ,. � . ! •° s E"��� °�R:on.L:+i0 ���0 spas Jai fie`Y',`S A awA "a„ �/�n°inu(I��o oq rn0.ao 4o.r ,•.rB,,;�°,� w,...".zz E r 0a KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI r,meetpa (uv;, .. a+�ric"r QF,1tCE F/s `tih WOI +e..�.°,'o Ni-+. �'b �,.r�r. fr i��a�r yd 'i.P[[ N� �' It'd _'W 'S,p r .a � SS Y i'• •'•',a �l"�� AWirf MCC uwtfNCE � UWRENCE � � sr- i � `°' •rw a •1 l .r IJJ2rrE 4eeT Ii "• J" � 1110( rE a•` I `?s r"„r of ,, m//. CIVIL 'hp�"GINS°n,eP � '� !'9��t'INtt��� •iii`:^.'•�+° �T°r• °'oNAl t• '9aLt(••� N.ME Mnuoap�•` '�Offs971)� Aw((ErW f'�'f F15c�' MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA OHIO ,oar, PEO PRO f E,k y EHC!qJf •:�p�d CAOp�if•., 'V, NOTES. EN4 WEE\ 1) 5LB3=3-LITE BAR,5LB5=5'LITE BAR,5CB5=5'HEAVY BAR 2) ALUMINUM ALLOY FOR GLAZING BARS IS 6005-T5. „ 1.95 hNN �f`exl fr 4LC0 ••WfNCF.fEs:' .✓ --"CE(lE CA ' 3) DEAD LOAD OF ROOF SYSTEM IS 7 PSF OKLAHOMA ORE�CN PENNSYLVANIA PUERTO RICO' SOUTH CAROLINA SOUTH DAKOTA EucE.gsct'E *,iEoilj +ls ,erw .�icu*xy., .giE>.y� es'A 4) ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFY THAT j ��y+ t\ �y �y`+ THESE ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER i �iEii+`'cy"s c'.e.'.4... �,.,Qy� .cuac 9' 3k5 ,�s J �A�1}, MY DIRECT SUPERVISION AND THAT I AM A REGISTERED PROF SSIONAL ENGINEER HE STa TES SHOWN. V:t O/Td's'::'f 1'FaC E 4.-' t l rHoru r.''rV �J�,n"EM�'.J� '^'[r"•c.TYn'Q/�. TENNESSEE TEXAS UTAH VIRGINIA WASHINGTON WEST VIRGINIA 5)THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ao ors`r �E+'moE IS ANY NEW CONSTRUCTION. THE CONNECTIONS TO THE EXISTING ai':ANPEMCF'tia r'' e+n of y, AND/OR ANY NEW CONSTRUCTION MUST BE ANALYZED ACCORDING nsc"u f 3 a TO CONDITIONS SPECIFIC TO EACH JOB,BY OTHERS. 6)WIND SPEEDS ARE BASED ON EXPOSURE D BASIC VELOCITY WISCONSIN WYOMING PRESSURES. FILE:ROFENG23.CDR 58 i `r v// m 0 rro D m E Q N n p a ca rTl JT f W �--- f LL N `0 I nv �-a 1 b � f � f i � I 0�2� � N P�-(0 `O Qvo U``'O NOS 8 10 Q�Gv� Mvst a' � $ X62 S �5'0�Q'c>"�°et°°S4QQ"��' \ j�o��'p° 6°1p1 cl;% at � lya s to cetr.� �g $ ,,��' tiooe � Sro $e S to x 0o to bu ock 11�`l G �ti Bti CO �11C'' has Qe it �titi GS p�SR ��V5 cart°o 04 tV;5 4et�'�p tZG vo$ 9 sv v x S�a aebtta G�assk eab`J 9Z 1 4 cb ate 4att S4� � tS R P+� tvbv"% be Qc e�cea• Oma° 91 Laos�' 4ti A� atefl9,tnv0 r4st be+cbet c°o 1otoose ° to .0t 0 ort+ �c ea � ccotait4t9bpet , P' goEfsa vQ oflt 01 g� oR GONtvkPG� Qgfi 0`Ef` NJM FO pN�� J5 JN`g�NG EGl�`GP� EP PI fvt AMW SEAN �Q,r.tee BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. ► ,ted Square Footage SSS 4 @ $ '�� er sq ft = 3rage/Shed 407 @ $ 00per sq ft - $ /]"3 6 , 60 3rport @ $ per sq ft - $ arches @ $ per sq ft - $ 'ck @ $ Per sq ft - $ ' Itio @ $ per sq ft - $ TOTAL VALUATION $ )tal/3a$)u9tsU Data 1st $,��QC��, 00 36, mainder Valuation @ $ c;L60 per thousand or portion thereof �O TOTAL BUILDING FEE $ �oa* + k FILING FEE $ �`�, 02,5' FIREPLACE @15. 00 $ co TOTAL BUILDING PERMIT ------------------------------------------------------------------------------ JMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ CT. TE2iPORARY $ ELECTRICAL PERMIT $ PER METER SIZE $ ACCOUNT NUMBER JER IMPACT FEE $ f-ER CONNECTION $ (@10. 00 per fixture unit) 'ROVED BY: �L19(e, � TOTAL BUILDING/PLAN FILING FEE $ �(�• 60 TOTAL WATER METER CHARGE $ 00 ai p�Q• Z� TOTAL SEWER IMPACT FEES $ D O �j TOTAL WATER CONNECTION CHARGE $ 767. UO MISCELLANEOUS CHARGES $ i S-CGRAND TOTAL DUE: $ 1p �, �� k��; PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS, `3 CLOSETS BATH TUBS —� FLOOR DRAINS ' WASHING MACHINE ! WATER HEATERS ' DISPOSALS LAVATORY URINALS TT OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, IS BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (4 UNITS) _ WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED OUNITS) (8 UNITS) BATHTUB (W/OR W/O OVERHEAD SHOWER STALL, DOMESTIC SHOWER (2 UNITS) ) (2UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) t TOTAL FIXTURE UNITS @ $10..,00. EACH ,ry,2 °� AD.Od = 0 70. 100 PLUMBINGPE ELECTRIC PERMIT � _ BUILDING PENT WORKSHEET TEMPORARY ELECT. S_o f t / 3515 @ per sq o0 _�•�ted Squ re Footage Loo mer sq ft a $ o��d $ O arage Shed per sq ft s $ arport mer sq ft $ orches per sq ft = $ eck @ $ per sq ft - $ atio $ TOTAL VALUATION j 3-d is ----dr- ,,tal Valuation Data _/0 ��7" @ $ ;2.UUper thousand �mainder Valuation or portion thereof TOTAL BUILDING FEE $ ' $ as + k FILING FEE FIREPLACE <lO @15 .00 $ 0 a , I I i I i I I i I i I i I CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner •x/39 jkV,444XQr C"Ar-tt- 15.�'11��..�/��7i�_Addrese���,Tic � c �/ 0�� Architect I �GLy��Zl`c--_Address _phonec?Sl� 5/s: Contractor ��Y //iv�.fJincp T „� 7Ey �`-���1� � Address •� -r- ==-- FF.s� �agr ----ziP ? 3_Phone_? t_ Contractor's License number�� �-�1 ----expiration o S�_SC2y. Lot__2_L__Block or Section Subdivision ---'"----- __Zonin Street between --------------and-----------------side Type Construction ----------- _No. Unite ------------- ----------No. Fireplaces Purpose of Building---------------------------Est. Valuation s3 Utility Method - Water ------------- Sewer -------------- Dimensions - Building--------------Lot Sz. Piere _ _ Sz. Sills ---Greate----Size Footings____-_ ------------ -- ------ - Greatest Span Sills ----- Sz. Ceiling ______ ---------- Joists ___Distance on Centers____ --------------- Sz. Floor Joists Greatest Span_______ _ Distance on __ __-_-_-_-- Centers _Greatest Span Sz. Rafters _________Distance on Centers _ P _------ Greatest Span Method of Heating...........Solid or Filled Ground ____Roof ------ ---------- Flood Zone______-If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner -��y__ �j -�----� � ,-� ���G� �— Date Signature Signature Co ractor_ v t Date Page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone: -- Required Lowest Floor Elevation: If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the b flood elevation established for that zone. ase No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date _.Applicant 's Signature_ ---------------------------------------------------- Department Use Required Lowest Floor Elevation ____________ As Built Lowest Floor Elevation _ - Survey Filed with Building Depart_ment____________ 8ui]�ding Department Representative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner 1S �� O7-i X39 aCEcua�.4,c�r 7d..ctc- Addresszip4z-kjLphane_?y7 Architect I�, LGy��Zl�-_-Address /�fT �- ,�' �_sCfJ.X�� zip�i. o_phone.ZSl.1� ys: E Contractor �"el�.G�.tlJ =__Address _ a •7E9 Contractor's License number p t'�£�`----zip&�l3_phone ZUX4Z.3.5GX-F-/-----expiration _ - Lot .2f- Block or Section _Subdivision _ --- ---'"---- Zoning Street _between ------------ --------------and.................side _ ____ ----- Type Construction -------No. Units - __________No. Fireplaces ----------- Purpose of Building_____----- _________________Est. Valuation s Utility Method - Water____ _________ Sewer Dimensions - Building_ Sz- PiersDimensions -------------Lot-------------Size Footings______ ------------ Greatest Span Sills ----- Sz. Ceiling Joists_________ --------- Distance on Centers--------- ------8n------- Sz. Floor Joists Greatest Sp Distance on Centers_________ ------- Sz. Rafters ---- Greatest Span Distance on Centers --------- Greatest Span Method of Heating...........Solid or Filled Ground ___________Roof Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. r Signature Owner 2 - ���- 1�__� Signature Cont actor page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone: - - Required Lowest Floor Elevations If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey in on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plane and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other lave or ordinances effecting the proposed development. Dates_ { _. -,/ Applicant's Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation ----------------- ____________---- Survey Filed with Building Department Bui;d'ing Department Representative page 3 bit ,, N.7/87 FLORIDA DEPARTMENT OF REVENUE CERTIFICATION OF PAYMENT OF FLORIDA USE TAX hereby affirm that I am aware of the provisions of Florida law which imposes a 5ercet ta Of goods and services purchased outside of Florida; that it is the obligation of the purchaser to remit the tax to the Florida Department of Revenue if it was not collected by the seller; and that I have r x on the use in Florida applicable Florida use tax to the Department of Revenue in the month(s)of emitted or will remit any t9 Typeoflicense� / t 131 Type of Business ctivities �' I7J License Number- nn ci rte/ ' 14J Issuin g Auth ity 161 Name I51 Date.of lssuanc- /Q , Address City,State,Zip _ Sales Tax Number Telephone Number= _ ,Zq 2- y� a gnatureofApplicant Da e Issut g' uthority i Signature of Govern c t Official CITY OF ATLANTIC BEACH No. 5915 FLORIDA • October 22 19 87 NAME Reyhani.Inc. ' ADDRESS 439 Selva Lakes Circle ?600.00 TL CITY Atlantic Beach 26tt0.00C1(T0 ©652 IA 10/23/87 £G 0652 IA 10/223/87 Water Impact Fee #40-34993700 $530.00 10001 Sewer Impact Fee #41-343-5200 $2 070.00 $2,600.00 Lots 91 & 92 Unit II Selva Lab" 547-551 Pelican Key i ACCOUNT # a � SERVICE ADD i I NAME DEPARTMENT OF SUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT TOB PERMIT Na.. 2 , THIS PERMITMUST BE POSTED ON JOB Date Octeber 22 jValuation$ 19 87 J Fee$ 108.00 This permit not valid until above fee has be-` subject to revocation fora paid to City Treasurer,and is I violation of applicable provisions of law. IThis is to certify that Fx FAIR PL t rjt9-0C T j has permission to 9213 40 Classification_ Owned by R( _Zone Lot �'O �i+�5 -------.�__�� l 91 $ 92 House No. Block Unit Ir According Sel�rB 1 P 1 scan Lakes to approved ..plans which are � part of this permit j = NOTICE—ALL CONCRETE I AND FOOTINGS FORMS SPECTED MUST BIN- BEFOR � E POURING.. PERMIT VOID SIX MONTHS �♦ AFTER DATE-----► � OF ISSUE 0 Building material, rubbish and debris 1must be this work must not be placed in public space and e cleared up and hauled away by either con- tr or row if f FOR OFFICE USE ONLY NUMB IT �` t Building official, ER DATE PLUMBING CONTRACto I ELECTRICAL SEWER WATER a \/ CITY OF ATLANTIC BEACH ; APPLICATION FOR PLUMBING PERMIT 249-2395 JOB LOCATION PLUMBING CONTRACTOR F. W. FAIR PLUS%BING COiiPAIN,Y J LICENSE NUMBERS6,P145 State RF0037503 OVNER R.G.M. BUILDING CONTRACTOR_g-c nn TYPE OF BUILDING DUPT_.Fx 2 SINKS _2__S HOWERS 8 LAVATORY _WATER HEATERS 2 BATH TUBS _DISHWASHERS URINALS _DISPOSALS 6 CLOSETS _WASHING MACHINE FLOOR DRAINS OTHER _TOTAL FIXTURE COUNT X$3, 50 + $10. 00 DATE / / TOTAL AIIOUrdT $108 . 00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE , 4 DEPARTMENT OF BUILDING ��� CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 2 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 5100 T i 51,0111CKT j Date October 22 19 87 !L 7 0 1 A t l/i 7/F3 Valuation$ Fee$ 52.Q09212! 1? ! R i !00C/ This permit not valid until above fee has been paid to City Treasurer,and is ! ! subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State Heat/Air MHAR-78- has permission to 1 lXX instal heat/air Classification New Rea idant ial Zone PUD Owned by RGM Proverties Lot 91 9 92 Block Unit II S/D Selva Lakes House No. 547-SS1 Pelican Ley According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —♦ �---♦ O Building material, rubbish and debris 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- /ttrrcaccttoT,-jr ow fi ' A� � ff Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRA R. PLUMBING ELECTRICAL SEWER WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT Applicant to complete all items in sections I, II, III, and IV. �. =ATION Street Address: �j OF Intersecting Streets: Between ���G t �Q And �MINcC.i:. BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good:.practice listed therein. Name of Mechanical Contractors Contractor (Print) -" Master Name of Property Owner �G? Signature of Owner Signature of or Aysthorised Agent ? Architect or Engineer Ill. 404EML IN ON A, Type of Mating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON X Electric THIS BUILDING OR SITE? YE<> ❑ Sae—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT jQ Other Specify IV. 1►1ECNANICAL'ICUIPMINT TO /E INSTALLED NATURE OF WORK' (Provide Complete list of components on back of this fore) � Residential or ❑ Commercial Most ❑ Space ❑ Recessed X Central 0 Fkaor New Building Air Conditioning,. ❑ Room X Control it ❑ Existing Building X'Duct System: Meterial b Thick ❑ Replacement of existing system Maximum capacity ������, New installation(No system previously MsEsttled) Q Refrigerofion ❑ Extension or add-on to existing system C) Cooling tower: Capacity g.p.m. ❑ Other - Specify Q Fire sprinklers: Number of Ma�t- C3 Elevator ❑`Maelift ❑ Esrwtstor�_.,.__(number) THIS SPACE POR Ot1111NC1 NSE ONLY C3 Gasoline pumps (number) (Roomed) 10: Tam (number) Remarks C] LPG contaiseK (number) C) Unfired pressure vessel Q Milnes Permit Approved by Date Q Other. - Specify Permit Fee Pirr ALL EQUIPMENT AIR CONDMOMNG AND REFRIGERATION EQUIPMENT Number Unite Dercrlption Modol Number SGtnulae u ler cavad('1�btMjy -; Olt— I` t1 �^ CITY OF ,�a ;4r� 6ea4-74W Office of Bullding Official Date (� REQUEST FOR INSPECTION Time Received A.M PM., Permit No. C7, / / Job Address �istrict No. owner's Name BUILDING Locality Framing CONCRETE Contractor Re RootingFooting ELECID TRICAL �- Slab Rough wiring Q PLUMBING Lintel IDTemp Pole Rough MECHANICAL _ FinalID Top out Air.Cond. Tues. READY FOR INSPE�iON Sewer 0 g Heating ion Made wed. Fire Place 0 �- Thurs.InsPeCtor A.M. Friday Pre Fab PM. -- PM. Final Inspection❑ Certificate of occuPancy Date CITY OF Office of Building REQUEST F 9 Official Dare ' OR INSPECTION Time ReceivedA. P N Pm. No. 9 Job Address District No. Owner' Name s BUILDING � / Locality Framing t r CONCRETE Contractor Re Roofing Footing ELECTRICAL Slab � / Lintel ❑ Rough Wiring [ PLU ING Ej Temp Pole Rough MECHANICq Final ToP Out L Air.Cond.& Mon. }, READY Sewer C Heating Ins Ue ��'/ I• FOR INSPECTION Fire Placa pection Made Wed._ �) Thurs. Pre Fab Inspector Friday A.M. Y A.M. -- P.M. Final Inspection❑ Certificate of Occupancy w Date CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— �� Z—/ - 19-2--7 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WI H THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. A�lzl ' Jr ELECTRICAL FIRM: MASTER ELECT i NAME /2 S,"y? ����` �S ADDRESS: ��� �/�C4 ^� ���'N RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: / lza Z 4- RES. RES. APT. ( 1 COMM.( 1 PUBLIC( 1 INDUS.1 1 NEW(A/ OLD( 1 REW.( 1 ADDITION I ) TRAILER (( I TEMP.( ) SIGNS ( 1 SO.FT. SERVICE: NEW(V) INCREASE( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS S D COPPER ALUM. SINITCH OR BREAKER SD AMPS PH 3 W 2-7-DVOLTS O EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•SO AMPS. 31-100A S. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- IMPORTANT ATE:IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDAOCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: - MASTER ELECTRICIAN NAME JeS/M.(_T f ti/jeS ADDRESS: -5151 lle)el cG-� lee.., RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: / L�Z� 141 RES.1 V APT. ( 1 COMMA 1 PUBLIC( 1 INDUS.1 1 NEW fw OLD( 1 REW.1 1 ADDITION( ) TRAILER ( ) TEMP.1 1 SIGNS ( ) SO.FT. SERVICE: NEW(Vl� INCREASE 1 1 REPAIR ( 1 FEE CONDUCTOR SIZE Z f> AMPS /SD COPPER I ALUM. ✓ S. 0 SWITCH OR BREAKER SAMPS PH 3 ,;UOVOLL RACEWAY EXIST.SERV.SIZE AMPS PH I W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. I OVER APPLIANCES I I I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT p.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS ADDRESS ------- ----------- CONTRACTOR------------------------------------------------------- OWNER ---•----CONTRACTOR------------------------------------------------------- OWNER ------------------------------------------------ BUILDING--__-____ MECHANICAL________ PLUMBING------- ELECTRICAL------- ___-__ELECTRICAL_-__-__ TEMP POLE--------- MISC-__-____-__ ELECTRICIAN___________________________ DATE FAILED DATE PASSED E TEMP POLE JA__________ - ----------- ----------- FOOTING ROUGH PLUMBING ----------- ----------- SLAB FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ----------- ----------- ROUGH ELECTRIC ----------- ----------- FINAL ELECTRIC ----------- ----------- FINAL BUILDING ELEVATION SUBMITTED ----------- ----------- CERTIFICATE OF OCCUPANCY ----------- ----------- DATE ORDERED 4001, DATE ISSUED CITY OF >*ectatic Pette - �yua'a 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 March 11, 1988 i Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and: are satisfactory: Permit #5732----591 Selva Lakes Circle Permit #5733----595 Selva lakes Circle Permit #5486----623 Selva Lakes Circle Permit #5487----627 Selva Lakes Circle Permit #5813----547 Pelican Key Permit #5814----551 Pelican Key Permits issued to Adkins Electric Company, Sincerely, Rene' Angers Community Development Director RA/tb cc: file i CITY OF 4&4rtcC t�eacli- 7 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received _P.M. District No. Standard S S/— r z'"`'C,!$� ;with the Job Address ssi Locality _ Name s &/� 1 Contractor ' t-e BUILDING CONCRETE ELECTRICAL P UMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. hurs. m Inspection Made — Inspector (3 cy 7777--Final Inspection Certificate of Occupancy Date BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : 94Lu g7 Building Contractor: Building Permit Number: c -�r Address: Legal Description : Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation : required as built n/a Sales Tax Certificate: --- ------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY, THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED:" BY: Fire Chief --------------- --/^-/----------- --------- Public Works CU/ --------------- - ------------- �� {--- Planning Director Building Inspector -4,7 CITY OF 4&4a&. 0.4e4CA-9V&U*k& Office of Building Official / REQUEST FOR INSPECTION DatePermit No. Time District No. Received P.M. Job ress Locality Owner's w Name ' Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ He Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ � Pre Fab READY FOR INSPE Mon. Tues. Wed. Thur.. Friday P.M. t inspection MadeAgL '� P.M. Inspector Final Certificate of Occu a Date CITY OF 4&a^A'c BeccA-l,l w-da Office of Building Official REQUEST FOR INSPECTION , -2 Date y _91Permit No. Time A.M. Received P.M. District No. J94 Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating tel ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday A.M. ..._ Inspection Made 2 P. Inspector Final lnspectlo Certificate of Occupancy v� Date MAP SHOWING SURVEY OF : LOT 92 ' 5ELVA LAKES UPIIT TWD 541 PEL144W K6•() aaoordlnq to plot rsCordsd In Plot Book 43 , Pape 11- 118 g of the current public records of °"v4 - Counly�Florida. Exominotlon of Flood Hazard Boundary wap, Conumnity No.. Izoo,"9 I Panel - 00,01n I dated 4.17-89 , Indicatsrt that the property shown and descrlbed hereon lies within o Zona X area. Pio -5E-c . 1-7 , T•z•s, V-29 •E00 00 ¢ Sc Ty 0 8. 9 li J 5)7jr) 4eeOD �� I�a°4�1 SSd�h �JSGdoZj� ti� w a O ,�� o•or . y I.ori, �RgNE lrre) 6�9 N eESUI 54� Lo-r �i I ti ^ a0 Lo'T q 2.• 3 0 N -� e.e 'Xi 4� r'v' V N e ' In � .ke V) /Tit 01, ro' vc 'CN' 20.8-, • \ 0 24.03 .1 .. A' Zl co' e+5o.o0 PELICAN KE`r' ( Cul. • OE' SAC, i n1'� ����� //CITY OF ��JJ �� ����__ f / 4&4^ IC /3�-O;k4i �s v Office of Building Official f(� REQUEST FOR INSPECTION / 7 T Date Permit No. 1 Time M. Received PM J Address Loc i�✓) Owner's Name C Contractor BUILDING CONCRETE ELECTRICAL 1 PLUMBING �CHANIC�AL Framing ❑ Roug uing ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Fi al. ❑ Q Seeweer, ❑ Fire Place ❑ 1FIIV �" Pre Fab RE Y 10CD Mon. Tues. Wed. Thurs. Friday-P.M. i A.M. Inspection de � �v P.M. IFinal Inspection EJnspector Certificate of Occupancy ❑ Date RECEIVED APR 3 2000 . CITY OF ATLANTIC BEACH City of Atlantic Beach PERMIT APPLICATION RLQ'MODEL, ADDITIONS, Mil =l-AT76W MOVING, DEMOLITIONS Owner(s) : TicoAS t F ^Nr,- M cal.►TF-E Job Address: Z54--1 aL4_4&,4� Phone: Lot # 92. Block or Un.i't # 2 Subdivision: Contractor: T7_-1 R.--mCp�ST9^1w6 UAB !:'aG , _State License # 0_6rG 054 1(03 AddresTs: GJ1131-5 S'c,)oSeAg,4 9' 2 Phone No: City State T=L- Zip Code 322Gq Describe work to be done: (f-r L'O'SS e:,'Jc_., V(2.E r'r r-4,L. SC'kQqh1 Present use of building: 5�+��Es— �O•MS�7. r`--4Valuation of Proposed Construction: * ( SyOJ%& Proposed use: ��� `jGj l,ryLjjZ¢s2� \\,fs this an addition? q- If yes, what are the dimensions of the added ('Nspace: ft. X ft. Will the added area be heated and cool4d?_ N w electrical (or increase) ? A49W cv%'U" A New plumbing fixtures?-22Z.) New fireplace? NJ New Heat/AC? 00 SUBMIT T11REE (COMdEERCIAL) TWO (RESIDENTIAL) C0I4PLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMdENCEMENT, AND OWNER/CONTRACTOR A.E711RAVIT, IF OWNER IS CONTRACTOR. , M• M G C,.-_ 2-�L-1 (CM Signature OWNER i ' ►CGhr' Date: '74-1/40 Signature CONTRACTOR: Date: 3�2-,�av AS TO OWNER: Sworn to and subscribed before me this .21 day of Mar'cIN 2000. DEBRA WHITE 1��C. n NOTARY PUBLIC-FLORIDA Ot Jhk9L. Lt�� MY COMMISSION#CC 755496 NOTARY-PUBLIC AS TO CONTRACTOR: WIRMS.06J29a= Sworn to and subscribed before me thisC�01 day of Marc-In ,2000. DEBRA WHITE dct WrARYPUBLIC-FLORIDA NOTARY PUBLIC My COMMISSION M CC 755W EXPIRES:46tA4= - C4TY OF AT LAN 114- DEPARTMENT r4-DEPARTMENT OF BUILDING � 247-587 __e �...nr_ GAX' —_�_— B00 SEMINOLE ROAD-ATLANTIC BEACH,�L 32233' r,� eci a�lF®R(NATION - LyM a ave ;Address: 547PELICAN KEY 32233 PERIIAI_T $F- R�A'Tl®N_" ATLANTIC BEACH, Book: 43 I —`Number: 198 URE Range: n: erm,t a SCREEN CLOSURE � Township, Sectio permlt,Typ Lot(s)-92 Block= 2 Class of Work: REMODEL SELVA LINKSIDE Proposed Use: SINGLE FAMILY ; Subdivision- proposed Feet: Paroei Number: -i - --- -pV1►NER INFOf M� DNA ELAINE Est.value; 00 � NICEiyTEE, 15,000 r--Name ` Improv. Cost: 4/14/2000 � Address: 547 PELICAN KEY ` Date Issued: 127.50 ATLANTIC BEACH' FL 32233 Total Fees: 127.50phone: Amount Paid: - Date Paid: _--411412000,_ _ - __ APPLIC�N FEES _ _ __ - 127.50 11Vork ®esc:_C7LASS ENCLOSURE%SCREEN ENCLOSvE -- _ C_O_NTRACTOR S -- —1 pERiNIT FIRST GOAST RAINGUAR0, INC_ — ; + i } � I I I i f I I !'F®OTING FINAL BUILDING COVER UP J I s NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION Bty1LUtiNC�t,�ATERtiAL,RUBejsH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ''FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMEN'TS' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB.IECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. - - _ Date® 4l18l�o Dl Receipt- =59553 ATLANTIC BEACH BILDING D T. CHECKS 219 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address -4 Date q t L( - ob Heated Sauare Footage (d per sq ft = Garage./Shed $ per sq ft = S _ Carport/Porch sq ft = $ Deck $ per sq ft = $ Patio per sq ft = 8, TOTAL VALUATION : $ 06 /bT 000 1500 Total V 1ation 1st $ Z04 -70-00 Remaining Value $5:- per thousand or portion thereof TOTAL BUILDING FEE + 1 " Filing Fee 4 Z4 2­�V Fireplaces @ $15 , 00 $ BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE WATER METER/TAP $ CAPITAL IMPROVEMENT SEWER TAP $ RADON (HRS) . 0050 SECTION H PAVING .-( $-- HYDRAULIC SHARES CROSS CONNECTION $ SURCHARGE . 0050 OTHER $ GRAND TOTAL DUE $ /-?-7. ADDITIONAL PERMITS OR FEES : Mechanical Plumbina Electric/New Electric/Temp : Swimmingpool Septic Tank We I I Sign— Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : laclt 2�OOOOA6516 00 5 my fURN age: 6 NOTICE OF COMMENCEMENT Page: 8677 PHONE # filed a Recorded 04/18/00 11:35:57 API HENRY Y COOK CLERK CIRCUIT COURT STATE OFF ORIDA DUVAL COUNTY TRUST FUND $ 1.00 COUNTY OF � RECORDING $ 5.00 �D The UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with OJ Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. Cn CL 1. Legal description of property (and address if avaitabte)'. LOT qZ �vL\ 54'7 ucae. — A-TLAWT�C, 13; u0 322.33 ka o+ o G:K�iJ R,�aM �c�uR� 2. General description of improvements: e�;r ASS $ 0 3. Owner information: a. Name and address: d1✓�P'S b. Interest in property: �fee simple or other c, Name and address of ee simple title holder if other than own r 3�2 3-3 �� a Inc �a51 5 Sunbeam Rd Jacksonville FL 32257 r ar - d 4, �? d Contractor(name and address): First Coast Rainau 5. Surety: a. Name and address: none. b. Amount of bond: $ -' 6 Lender or person making a loan for the construction of the improvements(name and address): ons within the State of Florida designated by Owner u pond add es� tices or other documents may be served as 7. Pers 7, Florida Statutes(name provided by Section 713.13(1)(a) 8. In addition to himself,Owner designates the following person to receive a cagy of the lienor's notice as provided in Se�;tiori 713.31(1)(b) Florida Statutes. (Fill in at Owner's option).: Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different 9. date is specified): � C gn-e�r-7 Sworn to and subscribed before me this day of Notary Public DEBRA WHI'L'E MARY PUBLIC-FLORIDA My COMMISSION#CC 755196 WULES:06r2 aou CITY OF 4&� p ictal Office of Buildi 9 PECTION ' REQUEST FOR C . /9 9 Permit No. Date Time P. ' Received 417 Locality /f Job Address !////L'/' G Contractor MECHANICAL Owner's pLUMBING Name ELECTRICAL ❑ Air Cond. & CONCRETE ough ❑ Heating ❑ Rough Wiring n TOP Out Footing Temp Pole ❑ Fire Place Br . g � Slab n ❑ Sewer Pre Fab Final Re Roofing ❑ Lintel Insulation READY FOR INSPECTION P.M. Thurs. Friday Wed. es. A.M. Mon. - 9 ® P.M. Final Inspection ❑ Inspection Made Certificate of Occupancy ❑ Inspector Date CITY OF ATLANTIC BEACH, FLORIDA 1 Approv"by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: ` IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. (?a y )-'7` - �O 7 h (AJITYJ tl-kel-41111z ELECTRI AL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME—MA. - A(L-lit ADDRESS Y7 � C''' l��- . --RFD—BOX— BLDG. RFDBOXBLDG.SIZE BETWEEN: RES.( 1 APT. ( ) comm. ( 1 PUBLIC I 1 INDUS. ( 1 NEW( ) OLD ( 1 REW. ( ) ADDITION (�) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS ( NO.7�) SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES - BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS Al MISCELLANEOUS -LZ 101110le �L t-4 f To AAieeno1=00. 1 lRlr%en enn v nveo CM V CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) : To//2 �e Address: <5,T/l �(-.(,y ',�/,� �Phone: Lot n Block or Unit n Subdivision: Contractor: OVERHEAD DOOR CbMPANY. OF JACKSONVILLE State License I 591881676 OCCUPATIONAL TYPE 1 Address: 6884 PHILIPS PKWY DR. N. Phone No: 268-1627 C; tv JACKSONVILLE State FL Z;n Code 32256 Describe work to be done: '.(! nn Present use of buildina: 10fr oo �Ialuation o� Prop osed Construct on ` Proposed use: Is this an addition? If yes, ;ahat .are the dimensions of the added space: ft . X ft. Will the added area be heated and cooled? .le electrical (or increase) New plumbing fixtures? New fireolace? NIew Heat/AC? SUBMIT T:= (COI-fl�=CZAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, E=GY CODE £OR2v_S, NOTICE OF COMB =1ENT, AND OW=1CONTRACTOR AFFIDAVIT, ,IF OWNER IS CONTRACTOR. Sicr.ature CfiN:.R: �' �\C.� Date: Signature CONT? .CTs r— "7/Gets �i2e Date: Sworn to and subscribed before me this u''� „� day of ,v �µrk s C Ward 804432 ARY PUELIC;o, F pre",nupnMZ_0 ,. AT LARGE CITY OF ATLANTIC BEACH — DEPARTMENT OF BUILDING �G 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-582 -F : 24 -5877 i _PERMIT iNFOR_M_ATiON _ __ LOCATION INFORMATION Pmit erNumber: 20193 -t--Ad-dress: 547 PELICAN KEY Permit Type: GARAGE DOOR i ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 43 I Proposed Use: SINGLE FAMILY i Lot(s):92 Block: 2 Section: Square Feet: Subdivision: SELVA LINKSIDE Est.Value: Parcel Number: - — — — Improv. Cost: 925.00 _ _ _OWNER—._ INFORMATION--— Date Issued: 6/09/2000 —Name: MCENTEE, THOMAS AND ELAINE i Total Fees: 25.00 Address: 547 PELICAN KEY Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Work REPLACE GARAGE DOOR WITH N Phone: (000)000-0000 Date aid: 6/09/2.000 1 - - - -- - — NEW STE-EL DOOR CONTRACTOR(S) — _ _ _ APPLICATION FEES 1_0VLRHEAb­DOOR COMPANY OF JAX PERMIT 25.00 i � I +I I I i --- — — — —_- Inspections R _ It!NAL BUILDING _ equired _ --- -- — -- --- — — i f I NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOU _ RS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. f � i i I PATLANTIC BEACH BUILDING DEPT. CITY OF ATLANTIC BEACH -- j MECHANICAL PERMIT 800 SEMINOLE ROAD-ATL-ANTIC BEACH,RL 32233-TEL: 247-5826-FAk 247-5877 r___ --PERM-IT INFOI7MATIOIV -- _ LOCATION_INFORMATION _ Permit Number: 20675 r Address. 551 PELICAN KEY Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 j Class of Work: ALTERATION Township: Range: Book: i Proposed Use: SINGLE FAMILY Lot(s): Block: Section: I Square Feet: i Subdivision: SELVA LAKES i i Est.Value: i Parcel Number: Improv. Cost: ,OWNER INFORMATION Date Issued: 9125/2000 name: GRANACHER, ROBERT L. Total Fees: 37.00 Address: 551 PELICAN KEY ! j Amount Paid: 37.00 ATLANTIC BEACH, FL 32233 Wok Dec: REPLACE AIR HANDLER AND CONDENSER5/2000 QOQ)Q00-0000 e. CONTRACTORS APPLICATION FEES ELDER HEATING AND AIR — - --- - - PERMIT - _ _ _ 37.00 - I 1 i i i i I I J I I � FINAL - _ Infections Required j 4 NOTICE— INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION io j BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 'FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION �4 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I $37.SIS 1 I Date: 9/25/@0 01 Receipt: 190'i1E59 -- ___ _..._- CHECKS A TIG @EAC BUILDING D T. 001000®3221000 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH Alt-ANTIC nag",FLORIDA Sees# APPLICATION FOR MECHANICAL PERMIT OALL-IN NUMBER IMPORTANT--Applicont to complete oll items in sections I, 11, Ill, and IV. I' f i s �+CK.J1�'lf,�N SIr1a1 Addnm �� N • OF fetart/dlnq SH1Htt Oalwu" And BUILDING Srb.dl.ftt�n Il. IDENTIFICATION—•To be completed by all applicants. In e:arNldonflee of perrnll qh+a for doing %ha.w4 to 441C464 N th■ 46"1 rfetaene.f.r1 A1fab7 agree Ie perform.■Id-wk le■ceordonea with tAe Offe4d pion$ Ind ep■eilkoll0nt ■h1r)w ore a p.d %41001 *Ad f. aocorda-4. with the Crfy of Jaelren.lpo eefdfe.■nloa and rtondlrda 6196".prletka IL11d Healon memo 1f meabaalaal Gakadwf C44Hnter 1"11 eEL1j� 1161-9T�s/G t�DUGl�t/ Moiler N.twa nl ftetneeM Qwpor use""pfOwner sty.2m .f w/AsIbatN.� .A,4Mf q r AMhiN11 .f bglbgf 6111"fwfx 131 Is t)TNIR CawAT11wCTION •%titre Ay TNI% sult,AlNa ow�ITCT MV Q Ger—C3. ll 13 N1hre1 D Caewef Utlflty ^� Qp If TXR- Q1V9 NUA EEA OF CONSTVWCTION 13 PXRMIT 13 0"m--'mfr 'IV. Ubmm4mmu IpYlfmwT To Is fm"ALLM NATUR4 OF WORK IF, -W esahplefe 11of ad ompommoh ee bed of thin"I flesldanllNl or 0 Comtttarglsl H/81 Q i/se+ 0 Itseaood X Offfml Q flee. O New■wilding nlr CrwddLnprgt 13 Jim= Gated X Editing Hyllaind Q lAr fyderal Mss r X Aw*eMnMt of existing iptsm itirrrwwN.CMj/aGPy 1.1.11, � y'rrr lif:xirj: :. d r„mention or adtion to existing ryslom L) Rarfftpr "" O other—specify C7 Cear>ro thDR1f1 Gpaelfy .._ ..r q.p.1r► - E7 & awn (3 tdaaAfl Q swie--.,.r. Ieerrir 1 THIS NACe,hOE Of f=Va oMLY CI.Gsaralre r:- ---{nrrrMrtJ {fta+lfoedl Q. Took INNO%Ld I arae.ria Q LPG am hms ItNrrrllarl Q finrow pt.na r.V"ww 4 &sows hrwrR Mptar+d b,t-- on .,..� Malt A"RfrlixillrlK]i1hl'L' ALR COMM" AND l&MMMATIM EQUff=ft' lr>ortsbar V»Jbh �.e�ptfera ?Rote(.%tT%tm>+r a[NauOtefu..� (T114111)" , 7TWrIfalfarU>.ftt ;Teeaefptlefs >I[�ellflleiftxrr 1tielgrsttlelaTon! � �s ` L N Y�tttltlf Aw Moo IRZe d ca pradb z'sW tJRWd Tftma a< � A t tWE D1nMWR M txaln T Igl>strhot>Isrt ole. i'- /CITY OF tq&w& Q - Office of Building official REQUEST FOR INSPECTION �— )-9--6 0 Permit No. Date Time A ' Received M' i oc it Job Addr ss Owner' n Contractor Job CONCRETE ELECTRICAL PLUMBING ECFTARTCAt`. BUILDING ��NrR—nd. & l Framing 11Footing ❑ Rough Wiring ❑ Rough Re Roofing 171 Slab ❑ Temp Pole CI Top Out ❑ Fire Place ❑ Insulation ❑ Lintel ❑ Final ❑ Sewer Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. > — .. P. Inspection Made Final Inspectio Inspector er i ica e o ccupancy ❑ Date FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential 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 60OC-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 Form 60OB-97 or 600A-97. PROJECT NAME: E' - =L% BUILDER: AND ADDRESS: PL--ZJ4"y 4J4_11 PERMITTING CLIMATE OFFICE: ZONE: 1 2 ❑3 OWNER: PERMIT JURISDICTION JURISDICTIONNO.: -�� 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 when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building) Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. L� 5. Predominant eave overhang (ft.) 5. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. ft. sq. ft. b. Tint, film or solar screen 6b. sq. ft. _a�0 sq. ft. 7. Percentage of glass to floor area 7. % 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= 3 lin, ft. _ b. Wood, raised (R-value) 8b. R= sq. ft. c. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= _ sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= �-��q. ft. 2. Wood frame (Insulation R-value) 9b-2 R= '' S� �q. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= sq. ft. b. Single assembly (Insulation R-value) 10b. R= %ad sq. ft. 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: IcZoo�-'I UNtT SEER/EER: (� 12. Heating system*: (Types:heat pump,elec.strip,natural gas, L.P.gas, 12. Type: 4- or'I gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: (d 13. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. tj S/> 14. Hot water system: 14. Type: N/A (Types: elec.,natural gas,other, existing,none) EF: _ * Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with F rid nergyode. ,�� P with the Florida Energy Code. Before construction is completed,this building will be PREPARED 8Y: DATE: -3 'L�­ inspected for compliance in accordance with Section 553.908,F.S. I hereby certify that I l ,g in co liance w th the Florida Energy Code. B ILDING OFFICIAL: OWNER AGENT: DATE: ATE: Revised 1998 DEPARTMENT OF PUBLIC WORKS Building and Zoning Inspection Division a 41C,kSNV�oQD HOMEOWNER ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted. Type A: An enclosure with glass windows, insulated walls, with or without heat/air conditioning is considered an addition by the code. This type enclosure has certain structural requirements, requires footings and has certain electrical requirements. Type B: A screen enclosure or an enclosure with vinyl windows, is not considered an addition, and has different structural and electrical requirements. If you are installing a Type B enclosure, it may be difficult to later retrofit to Type A. M, c ,rte have read the above, and am aware I am installing a Type (homeowner) A Y— B (check one) enclosure. VIV\ . M T Signator IQL�I.Xc (homeowner) (Date) 31a-71,00 (Notary) ate) DEBRA WHrM My Commission Expires: NOMY PUBLIC-PLORM MY COWISSION#CC MW 1 :06129I300Z "U'*1°" AREA CODE 904 /.630.1100 1220 E. BAY STREET/JACKSONVILLE, FLORIDA 32202-3401 MAP SHOWING SURVEY OF SLOT 92 . 5ELVA LAKES UN1T TWD (54'1 PEL144W KE •O according to plot recorded In Plot Book 4.5 , Page 11- 11- of the current public record* of puVAL Counly,Florlda. Examinotlon of Flood Hazard Boundary Kap, Commalty No. Izco-12 , Panel cool r-> , doted 4.1a-89 , Ind[Calst that the property shown and described hereon lies within a Zone area. P10 5Ec 1-7 , T•z-s, 12•Z9 •E �,`o P S• 3 79 ---�_...-____ ._,, qk t� tea•r•p 011 S AIC 3•Y3 � ,� t1�S a `� I�aa�d SSd�``� G+�' t 2.? cA ,i O.ot . i t0 j•STY (TrE� 6 �aqM "' co4ulNg E 2jj� N (Z�G� q w�a 8.1 ¢Es. 4 547 LoT 9 I o 6 i' a LOT q'3 2 4 to N� J 1t 18.p J • • �pNc , Y I (Tie ,6 m u < I�. �d rem • �` P O r T P' 7.e Fyp y e PL 74.03 .1 .. A' Zl.00' e&so.00 PELIGAN ICES ( e UL • OE' SAL CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 247-5826 2 7-5833 INSPECTION PHONE 04-00027477 Date 1/12/04 Application Number � � 547 PELICAN KEY Property Address RE-ROOF Tenant nbr, name . • ' . . ROOF Application description . ' ' TO BE UPDATED Property Zoning 3800 Application valuation Contractor Owner - - - - - ---------------------- WHITE' S ROOFING CO. MCENTEE, ELAINE 181 PRINDLE DRIVE EAST 547 PELICAN KEY JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 220-5546 ----- ---- Permit • ROOF PERMIT Additional desc plan Check Fee . 00 Permit Fee 85 . 00 3800 Valuation Issue Date Charged Paid -- Credited Fee summary -- --Due--- ----------------- e- ------- . 00 - ------------ 85 . 00 85 , 00 . 00 . 00 Permit Fee Total 00 .00 Plan Check Total 00 85 . 00 . 00 . 00 Grand Total 85 . 00 CF_AND MUST BE CLEARED BUILDING MATERIAL,RUBBISH AND�E�BrRACFOR OR OWNER FAILURE TO CO PLACED LYY WITH I FIE CbNSTRiJCI ON LIEN LAW CAN IJP AND HAULED AWAY BY EITHER TWICE RESULT IN THE H ARE PART O THIS PERMITRAND SINU87ECT TO REVOCAFOR TION FOR VIOLATIING O N OFIAPPLICABLE PROVISIONSI F PRO D PLAN WHICH �� rI # PI TTI.nTNGr OFFICIAL ;a,�f�. � CITY OF ATLANTIC BEACH �r , BUILDING / ZONING DEPARTMENT L. Higgins l S� S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 �. (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # _C11- '-'Q-///`7`1 Property Address: 6 F t Applicant: 4:1" c L , Project: A'C`C' f This permit application has been: Approved f F-1 Reviewed and the following items need attention: 30 3!5. (�50 S C '1 tic 3 e.�"D Ls t Please re-submit your application when these items have been completed. Reviewed By: 1 t-, " L— Date: 1 - 7 -0 Rug 25 03 10: 24a Information Systems 247-5845 P. 1 A • CIT'Y OF ATLANTIC BEACH ROOFING PERMIT APPLICATION e Date: Job Address: 1 Owner of Property: 1 Address: '"q -) ,� n Telephone: Contractor. n, State License Number: Contractor's Address: Telephone: - D Fax: Scope of Work: 60 Deck Slope: 1 n 2:12 Less than 2:12 Valuation of work: Product Name(Exa er ine): Manufacturer(Example:GAF): . ASTM Designation(s): ✓ Required Inspections: S thingF'nal Signature of Owner: C Date: 1, J�.20u Signature of Contractor; Date: - ------rte AS TO OWNER- '7 '1 Sworn to and subscribed before me this_ day of C-N-0 0 p' ` State of Florida,County of Duval Notary's Signature: Personally known ©© Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: ( 14 Personally known APPROVED Produced identification CITY OF ATLANTIC BEACH Type of identification produced BUILDING OFFICE 800 Seninoie Road •Atlantic Beach,Florida 32233-5445 JAN 0 1 4 Page 1 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.cLationtic-beach.n.us By: Revised=I10 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Book 11566 page 33 Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the follows Information is stated in this NOTICE OF COMMENCEMENT. Le al descriptionf property Bing improved: � Address of property being improved: ah rt r.J i G,teneral d scri tion of improvements: S d .0 Owner G. Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor L Address s. Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commen`ement(the expiration date is one(1)year from the date of recording unless a different date is specified): THtS SPACEkOR RECORDER'S USE ONLY OW E,R-�"� /,- fDSigned: ^^w Date: / Before me this _day of RIJv in the t,,2:e x40005572 County al,State of Flo ,has p na p ared Pa - 33 6 704f;, Filed 8 Recorded 01107/2004 1141'27 AI Notary Pu is at Large,State of Flo'da,Co my o Duval CLRF`CIRCUIT COURT My commission expires: a 5.00 Personally Known_ ( �� ori , DUUAL COUNTY � z RECORDING 1,00 Produced Identifications,�i�+n TRUST FUND P s a p N �` co� ,Q CITY OF ATLANTIC BEACH s j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 fµ v Air Application Number . . . . . 05-00030437 Date 5/31/05 Property Address . . . . . . 551 PELICAN KEY Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 Owner Contractor ------------------------ ------------------------ NICHOLS,M.C. WHITES ROOFING COMPANY INC 551 PELICAN KEY 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 78 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78 . 00 78 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 78 . 00 78 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BU G CODES. jr BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address J`—S 1 �CUC-(JNU kG `5HeaDate / 0`5- Heated ted Square Footage @$ l'" per sq ft= $ h Garage/Shed $ per sq ft= $ Carport/Porch _--- �J- Per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ a0 3S $ 35 Total Valuation 1' $ ooa 3ACO $ ao Remaining Value $5.7per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ S� ZONING: + '/Z Filing Fee $ 3 FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ trR . WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ o� GRAND TOTAL DUE: $ 'Q CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT ° F,99, ti 800 Seminole Road ^ •` Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: I CD . Project: T\IL This permit application has been: Approved r7 Reviewed and the following items need attention: Please re-submit your application ourapplication when these items have been completed./ Reviewed By: Date: Date Contractor Notified: MAY J CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Q Date: rjcl a f6 C S Job Address: `' 1 `� ry cuvti 3223;- 43 -/4 Owner of Property: \jyN \\0.1 Address: V) I Telephone: 5' 4 Z D`; �- State License Number: c ��;Contractor: L 0 t r] Contractor's Address: �` PAL t� Telephone: Fax: Scope of Work: r^ Deck Slope: G eater than 2:12 Less than 2:12 Valuation of work: Product Name(Example: Timberline): V� Manufacturer(Example: GAF) /$ ASTM Designation(s): ��— Required Inspections: Sheathing and Final Signature of Owner: 1,Akz�� Date: 4 2VQ r5 Signature of Contractor: f Date: I� AS TO'OWNER: Sworn to and subscribed before me this / day of / f 20 State of Florida,County of Duval � Notary's S' ature: 7 (-2 / Personally known ;� ENzabtlh A.Moon My Corrwni»ion DD329327 El Produced identification 4 bK 22 1008 Type of identification produced AS TO CONTRACTOR: / Sworn to and subscribed before me this day of_ % ,20 � State of Florida,County of Duval Notary's Signature: Personally known ERtab$MA.VM�n Produced identification W Conan Uien DD329327 Type of identification produced " Expkusmear 22,2008 800 Seminole Read Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 y x w � NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 'L]k;a 2 0 J'A 0 I Address of property being improved: 32 2 3 L' 3 74 General description of improvements: * -� Owner: ��CJ�.t� 1, Lp C�A Address: �SA T:,� u 1J 13331 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: 17A :^ Address: '� ` �x �° `'1 Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No:_ Cor..#200519'.;707, OR E�K 2512 Page 575, NUmber Paaes. 1 Name and address of any person making a loan for the construction of th -ilFa a Recorded 0E�r26i20,m at 03 56 PM, JIM FULLER CLERK CIRCUIT COURT DU'VAL COUNTY Name: RECORDING 510.00 Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: (� Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER XSigned: U t Date: Before me me thisof o�da i t County of Duval,St y e Of Florida,has personally appeared Notary Public at Large,State of F r' a,C unto of Duval My commission expires: j5 Personally Known: or .Produced Identification: w A -.I-- W C.onwrAso 0n 00329327 �►u e!j Exom SepWmber 22.2008 "ROM SPALACE POOLS FAX NO. :9982022 Jul. 11 2008 03:35PM P4 MAP SHOWING BOUNDARY SURVEY OF THE SOUTHERLY 10 FEET OF LOT 1 AND THE NORTHERLY 40 FEET OF LOT 2 BLOCK 187, ACCORDING TO THE PLAT OF SECTEOE IRHEQIQ� " ATL-'AhETWw MACH AS RECORDED IN PLAT BOOK18 , OAGE(S) 34 OF THE CURRENT PUBLICG RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: WILLIAM K. WIL�TT.SON, CHAD B. WL'LTISON, N ,TEWART TITLE GUARANTY COMPANY. II COUNTRIWTDE TIOME 'LOANS, "FN(, AND WATSON & OSBORNE TITLE SERVICER, TNG. RESERVED EASEMENT ��xs'a '�►rf 10 C%J _ SAC., VE- *r PLAZA 50 RIGHT-OF-WAY) ZD er aRaW mwc/ BS-&f-Ia N 1(�1- ,�.L.s. ,7295 APFROXAVAI•E JT P OF DANK 0.8' fi 1,9' � 1 THE NORTHERLY 60' OF LOT 1 h••��°1r 4I. A/d7t:lq.JC. n1�/VN•A.� ••L.,I+.�FI/N6" '° raam',a.01t'o✓K s+.vE. jam' /,R) d 9 � -A 50C..S)R, .. .r �.,. }01.81' TSM) r: I46 �, A,5488 a 10 :,d PAD THF, SOUTIiERLY 10.OF LAT 1 yl 0— _.23.8.— -^' =29.7' —CpV DComo. I-SrORY FRAMEJPESfOE1VCE , � }� Na 1071 w 1 THE NORTHERLY 40' OF LOT 2 co V11) funs 1t:n FLOOR L CONC. 4.5' ELEVATION 12.0' { J 6.3' t 13.v �6 'a' TQC C•' • per' ti• IV P �, }/2'REBA., ♦�.c /l J AL OC.SUR THE SOUTHERLY 1AF LOT 2 AS..iOC.SUR. L.l7.5487f 0.3. !. wD.2• m Z LOT i roRP. F 2J aVF r O R s 1.ANGUS ARE SHOMN FOR THIS SURVEY.PAN (/) �a 2.SIRIICTURE NO,10I�1 SUM HEREON LIES IATHIN FLOOD ZONF._X AS BEST FV DEIEAWIBD FROM IAA.IAA.FLOM MAP" EL W!,_._1 0ATE0 tXL-1W. A 330CIATED 3URVEYOR3 INC. 3T►OS IS A SURFACE supVEr oNLr.'THE EXTENT of UNOEROROIlA10'FODTINOS, =) L LAND & ENGINEERING SURVEYS4PES PIAND UTMfiEB F ANY,NOT 0MRRONED. 0 uj LMlISDICTIONAL ANO ENVIRONMENTALLY SENSITIVE AREAS IF ANY. NOT 9s+NG BA-Aj�..y6 0*4M�W440 LDGIED BY THIN 9NIVEY JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY WAS BASED ON LML DESCRIPTIONS FURNISHED AND THE 904-771-0488 PUBLIC RECM WAE NOT SEARCHED BY THIS 91MVIDW FOR EA9BOIS,VU. COVENANTS 00 RESMICIMNS THAT MAY AFFECT THIS PARCEL V �u 9 a.UNLESB 0 STATED ALL IRON PIPES FOUND HAVE NO IDENTIFlG110N. ��pp �+�'� O S y 7.NOT YALO) IOU_T 1}1E SOOO4A AND THE ORIGINAL RAISED Si�IL OF �a� Iii• z_ CERTIFICATE OF AUTHORIZATION NO. L8 0005408 wn�na�AN MAPPM +iii HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY N►YIIWIATIONO 0 DIRECT'SUPERVISION AND MEETS THE MINIMUM TECHNICAL 10 -SET IRON PIPE OR REAR P.C.-pow of CURVE w4l)-COVERED � ,' 1" STANDARDS FO LAND $Uf?VEYING PURSUANT TO CFIAF+TEFL "ASSMSU� OR L.B.5488 P.T.'"Pdws of TAIIO[NtY CI CIDRD • FOUND IRON PIN OR PIPE(1P) RR.C. POINT OF RL'VIRaC OURYE 61017-6. ADM STRATTON ME., FOM!CONCRETE MONUMENT(".) P. C. d PONE Of CDMPDUND cU1iVE BY: CROSS CUT oR nRILL HOLE C CENTER UNE B T-RIWlf OF WAY .RECORD (M) MEASURED CONC.-CONCRUK 6yr.T.BUILDING TIE 0 Z CHARLES B. HATCHER FLORIDA CE FWE O. Jy71 R .. L :ARC L A1C �AIR CDNdTM1FtER (E,T.) � SAVE TIE O CHARLES L. STARUNO FLORIDA CERTIFFO. 4579 O.Ra.�O TCW RECORD m WATER METER �&a UTILITY POLE Uj RAYMOND I. SCHAEFER FLORIDA CERTIFIO. 6132 O.ILV.-• RECORD VOLUME 1P.Em -FOOL EQUIPMENT - w GUY ANCHOR P.R.M, ENI ^O U.--OYER+SAD UTILITIES JOB NO.= 1T►L"l :"4, . = DATE 42A:216W 9 R L xW Ir ISO &llr an I SMLE: 1' 20 DRAFTER,_a7.LM F A 0•-0 1 i i JUL i t ._....._ Propeft Oft _........ .,._...... e�•IL • 1 00 to 1 N W • r W SR01ft • 'fit O � • ao o a a 7 d.o 1n- a s • � LU ft� LU 3 i:- p0 cr iL Ic �I•MtrtAAA _ • 1 N i • uj CL •: .y •........�.wl.w.•• c// . ..__....._-......_.._..._.._..__...__....... _........................._.-•--------- ------------ t .. ... n soo QCL 0 i W xameLuq M N r -W CDC 0 ci Sd Wd9E:£0 B00Z tL •inr Z20Z866: 'ON Xdd S'100d 30U-Tdd: W08A L=1zj: City of Atlantic Beach APPLICATION NUMBER i (To be assigned by the Building Department.) Building Department 69_ 9�8 r 800 Seminole Road ' Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 lg- E-mail: building-dept@coab.us Date routed: t/ City web-site: httpl/www.coab.us APPLICATION REVIEW AND TRACKING FORM C iw ired ND �enttvYo Property Address: Bld -Mam f Al Die- CZ 8�Zoning n Applicant: � Public Works Public Utilities Project' I Public Safety Fire Services Receipt Other Agency Review or Permit Required Review or Dateof Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: Approved. [-]Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: -/0-0 k PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH08-' dee SEMINOLE ROAADD.AATLANTIC BEACH,FL_ 32 OFF,=talg)U Aa,U6 NKS autLC T@CO DUVAL COUNTY BUILDING PERMIT APPLICATION Atlantic He ch 8L 32233 ' DEMOLmON Rm"WrW NEW eLMLDING I ❑ADDITION ❑CONVERTING USE LOT BLOCK SUS OMSION Q ALTERATION O ACCESSORY Int-Dra. 0 YES MIA RlFlow 17 REPAIR O POOL f SPA b R 27.COMPANY NAME: ,&t:0#tPANY NAME:, p ,, fV 2a ucF.Nsrds NAME: ,8.NAME; 1ORIOA CEN N0 ATE FLO AUC NO.: 7. ATE 10.ADDRESS, ' 3 11 � 28,ADORE65: .AOOREss: , ` 4sy t2.FAX NO: OFFICa PHONE: 2a.FAX O.: 27.OFFICE PHONE: 28.FAX NO.: 11. IC>I�FIOIVry 11 L Z C _, I` .7 / �s O 28,CELL PHONE: N@ 12.CELL PHO21. P 6��/ ,� 30.GRIL.ADDRESS. I4.EMAIL ADDREaB: 22.EMAIL ADDRESS. NAME- 99.NAMH: M.NAME 38.ADORE65: 34.ADDRESS: ApPiloation is hereby made tD obtain at pffmk to do the v+oAt and installations as indicated. 1 rertlty ttt2d no work or inatmlatiort has d and that all work wn be performed to meet the standards of all laws r"Wagn9 construction in this Commenced Prior to the issuance of a pawn months,Or if contraction or work is suspended Or Julisdiatlon. This permit becomes nWl and void if work is not commenced vnced six(n ds must be sewmd for abandoned for a period of six(6)months et any time after work is txtrnment�d. I understand that separate pew Eleotrieal Wo Plumbl 8i ha,Wells,Pools Fumt+ces,Bolles.Heaters Tanks, Air or win be don e in�aianca with all applicable Oeavical AFFIDAVIT-i c>ettiry �all foreyoin9 informatlOn la eceurate and that ab work ding or any laws regtdating construDtion and ZOning.I will not OCCUPY Or u N►a edon issued by the lm o I�I.ss required by law- *** evy until all inspefXtOns aro Rneted and prior to olatalnklg a certi6oate of O=PWM pl WARNING TO OWNER: *** RESULT YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT NOTICE OF IN YOUR MAY PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP COMMENCEMENT MUST BE RECORDED AND POSTED ON CONSULT WITH YOUR HE FIRST INSPECTION.IF YOU INTEND OBTAIN R CORDING YOUR NOTICE OF COMMENCEMENT. LENDER OR AN ATTORNEY BEFORE pate: iN signed: !o"0 fhn 2091 In the county of Before me this l day app ```� G��,V+,. $�� Btfore me Duval,State Ot Florida.hes �. al ON .• '�. Duval. ally a �' ���,�G ••, �i�� re,m ars jj� hodn b hirnSelf 1 hatBeM end afflnne that 811 etatDlbenta, •� hell •{kyr that all slatoms�►and decleretloltg we true and aowraW. _ kljfi and poau?0" �i _ • = _..� County of Notary Public at Lerpa,State d JL NT' �" ❑Panonally Known ��� '7!�%:� C3 0 Produrad Id 0 Notary Signa Notary Ic COAS FORM SLOW:REVISED:I118!2007 ", ter, atnnn (IVgn3AO v0ZLOM06 %d3 9Z:0T BOOZ/ST/LO FROM :PALACE POOLS FAX NO. :9982022 Jul. 11 2008 03:35PM P4 1I MAP SHOWING BOUNDARY SURVEY THE SOUTHERLY 10 FEET OF LOT 1 AND THE NORTHERLY 40 FEE BLOCK 187, ACCORDING TO THE, PLAT OF 3ECTEON "N" ATLANTIC TIC AS RECORDED IN PLAT BOOK 18 , PAGE(S) • 34 0 PUBLIG RECORDS OF DUVAL COUNTY, FLORIDA. o CERTIFIED TO: WILLIAM K. WJLTTSON, CHAD IS. WILTI.SON, N STEWART TTTLR GUARANTY COMPANY. R COUNTRYWIDE TIOME LOANS, TNG. AND WATSON & OSBORNE TITLE SERVICES, TNE, RESERVED EASEMENT 'OPEN NT-0141MAr" . � in SAC-. VEST PLAZA 50' RIGHT—OF—WAY) QED BY a?"WE/ 65-d4-117 • e.c.s. .7295 APPROXIMATE' TOP OF BANK D.5' a THE NORTHERLY 60' OF LOT 1 iMe rase�c w Lm va7t:ta..c. n�.vau.4 , "t.AI,Ss`Is1" �a40'-Mam'aw"t "e. 102, R �+�, 112"k6RAR �_ ipf,Rf' • ll -:''. •�Mc;.F+a.v6r�A!` 'a• M) � •�U_A,548B �. d PAD TME, 5OUT11ERLY-10' OF LAT 1 `— — 9�-_654m 23.8'— r —20.7' - 2•POVID . 9.9' CONC.C. 1-STORY FRAME NQ fO7'JTHE NORTHERLY 40' OF LOT 2 C•) v aCOVU FTNISWI) FLOORCONC• ELEVATION .+ 120',19.9' 36.3' + 410.7' , 13.4• 1/2REBAR ,3 IAL.B.54AAX THE SOUTHERLY 10'bOF LOT 2 • 04W� ! (02.09•.1 x-..... i '10D 9 I;ORP. ' EfJA�%M/ cnNAMEML SOBO p J S 1.ANGLES ARE SHOWN FOR Twig SURVEY. 2.STRUCTURE No.Wj SHOWN HEREON LIES WITHIN FLOOD TONE.x AS BEST ASSOCIATED �URVEYOR.1 INC. DEIENMINED FROM F.E.M.A.ROOD YAP%pANEL N11 1 DAIED�!L-114E, n 3.THIS IS A SURFACE SURVEY ONLY-'THE EXHI NT OF UNDER,('ROUND'FODTINOS, }pc LAND ✓k ENOINEERINO SURVEYS PIPES AND UIRITIES.IF ANY,NOT DETERMINED. _ 4.UURISDICl10NAL AND/OR fNNRONNENTA{.LY SENSITIVE AREAS IF ANY, NOT1" r DS�G B,[:dXtLtir�B LOCATED BY THIS Y. 3 JACKSONVILLE, FLORIDA 32210 S.T1415 SURVEY WAS BASED ON LWA6 OEBCRIPTION5 FURNISHED AND THE iu 9= 904-771-6468 PUBLIC RECORDS WERE NOT 9EARMk1ED BY THIS SURVEYOR FOR EASE, ENTS, 117M COP t COVENANTS O11 RESTRICTIONS THAT MAY AFFECT THIS PARCEL O S 6.UNLESS OTHES"�MSE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFlCATION. r` V CERTIFICATE OF AUTHORIZATION NO. 1.8 0005466 7,NOT UVALEMkN%&OUT THE SIONAnW AND 7HE ORIGINAL RAISED SF_4L OF A �uiMFk J7ty�,� SURVEYOR LVID MAPPFA „�,�, :j4+••• :.f itk7a�e$itiiF I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEIIIIIIIIIINDIAIIIIIIIIIIIIIIIVIATIONG � """°' """ "�""'e✓a+cxz DIRECT'SUPERVISION AND MEMS THE MINIMUM TECHNICAL 0 r§a IRON PIPE OR REBAR P.C.-POINT OF CURVE WV'O »MUE '""r*" ""�*n^+' �►+ x .,xnzY'�4a.X1.1 STANDARDS FOB LAND SURVEYING PURSUANT TO CHAPTER, "ASSOC.SURVVr OR LB.5468 P.T.-POINT OF UNOENCY Ctrl 61G17-6. ADM STRATTON F. • FOUND IRON PIN ON PIPE(IP) P.R.C. -PONT OF NLVERSE.CURVE FOUND CONCRETE MONUMENT C.Y.) P. .C. -POINT OF COPOUND URVE BY: cRtffis cur DR ORILL rfOL� C�I C�N1ER LME R/W-R1OiT OF WA -RECORD (M) MEASURED CON0.m CONCRETE B.T.- 9UILDIND TI 3111 CHARLES B. HATCHER FLORIDA CE F NO. Jy71 R -RADIUS L - ARC LENGTH A C .NR CONDITION (E.T.j EAVE TI O 1 CHARLES L. STARLING FLORIDA CE F1 NO. 4579 O.RB.-OFFICIAL RECORD BOOK � -WATER METER �,r UTl7IY RAYMOND .I. SCHAEFER FLORIDA CERTIF TE N0. 6132 O.R.V.-OFFIC RECORD VOLUME P,EO. -POOL EQUIPMENT Jpe NO.7- 6,2,23-."A. 1. P.R.M.- HENT -O.U.--OVER iR:AD UTrim[S 1 t — DATE Z ,2LiAS B.R•L-B F R R f1 1f70N LINEg X--X CMNFk.� E FE CE N SOALE: 1' -'20' DRAFTER T.stae _ JE.A . 7RAE¢FaRMER Nt PAA D a wn�D FEE,CEe�FN.- •�"`' • , 01011AW.17­17700% 1R , i jUL i i _.. ..__..._.._. ................ .._...._........ properly Ins. ... -- -•-•-•---- ......_. i IL � g • . Ili • � N r- W r � W r y fi1 6ROfn. � • � � d 0 m N 10 s m c I w I 1 � o IE a 7 R.0 In. i 3 S r : r O co CL dA aONMAAA CIS- V rr..rrrrrr.uj.---.• to o p a � j .. ILE COPY y � 0 Go W pS 0 $ O W cn m O CD i 40 N � Sd Wd9£:£0 8002 TT 'I of ZZ02866: 'ON XUJ S-100d 30"d: W08J 'is z CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000928 Date 7/17/08 Property Address . . . . . . 551 PELICAN KEY Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1300 ---------------------------------------------------------------------------- Application desc GARAGE DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NICHOLS OVERHEAD DOOR CO. OF JAX 551 PELICAN KEY 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1300 Expiration Date . . 1/13/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. fifen�ynaP�ty3f ' Overhead Door CompanyR E C E I V E D of Jacksonville, Inc. CITY OF ATLANTIC BEAC 6884 PHILLIPS PARKWAY DRIVE NORTH J 81-)ILUIPaC F 70yl!n;G JACKSONVILLE, FL 32256JUL 2008 FRANK KEELING PHONE 904-268-1627 k:. �:!•= a SALES FAX 904-268-7204 s BY., City ot'Atlanne Bcach - 800 Seminole Road • Atlantic Bcach,Florida 32233-5445 ' Phone: (904)247.5800 • FAX(904)247-5345 •htty://ww-%v/ci.a ntic-beach.tl.us l'ER 11T, PPLICATION FOR R.EFLACENMLI'T OF NVINDOWS,SKYLIGHTS AND C A.R.ACE DOORS OF WiCLE-FA.N LY OR TWO-FAb1IL-C'(DLrPLEX) CONSTRUCTION Date ` Q Address where work is to be performed Applicant A�99 , Address,1W 1. - it t R%r/ )"t P&rti 4png-?3 y Legul.Description: Block:Numbcr Lot Number�Q�_ Zoning pistrict Contractor �f�i�� 8�� � State License Number S( " 3 fll�i Address 1. �=l�T✓ dti Phone "20 V ZZ-%6" // Z7 City state /CL Zip 32Zc5� Fac Describe Proposed Use and Work to be Done L Prvwnt Use of Land or building(s)' Valuation of Proposed Construction Building Date: Mean Roof Height (h) Building width Building Leriath (ft) AA Wini�LVidt _--& _(ft) Measuremeat from corner of building to window (ft 4 s s D FOR CODE COMPLIANCE 'wiadow Elcv.From Grade CITY OF ATLANTIC BEACH �R• '�1'1ll�fiXb'+MNYhRY'•-R•pry�q,�ypa �i an � SEE PERMITS FOR ADDITIONAL .j REQUIREMENTS AND CONDITIONS. °i FILE COP LEVIEWEDBY: DAVE: l0 b f I, �h�'�'}Wt'JY.W..MY.4^1teKORcti-'H-1'.v...Y.!'fMan'YTJ."'R'9lAA:.Y. In addition to the Building Data the following intorination is required: - Manuracturc s Test Report - Tnatall:ition Procedures - Window Description/T'ypc - Garage Door Description/'fype - Skylights Description/Type - Elevation View of Window Locations I HEREBY CERTIFY THAT ALL 1NFOR NATION PROVIDED WITH THIS APPLICATION IS COR.RECT. \ Sigii'aturc of Owner C �„ Date ! I HEREBY CERT['FY THAT 1 HAVE READ AND EXAMrNF,D THIS APPLICATION AND KNOW M THE SAE TO AE TRUE AND CORRECT. ALL PROVISIONS OF TME LAWS AND ORDINANCE GOVEELNING THIS TYPE OF WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NCrr 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 COItiS'I'RUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERS'T'AND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFO R-NIATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OF: SHALL BE PROVIDED AS REQUIRED. Signature of Con Date Address and contact information of Person to receive all correspondence regarding this-application (Please Print) Name 2, /�J,C�L✓�iS Mailing Address Phone 9g�3' FAX E-mail Sworn and Subscribed Before me this Day of State of Florida. County of Duval ��►�uuiuuur�r /� LAWS 'ajry's Signature G A -� .•��SSIONfXp� i� As to Owner: 3 �02 :�cowQ�8, p o Pe6onal ly knowfi ®sem (7'] o aced identification *: 5g6439 ;�pf ofidcrttirication produced � OJ. •.hioughls�,•° F �� A, to Contractor r���I Itt00 Personally known Produced identification Type of identification produced /� y v cu n mo om c A xo cc) z ///� o 'O' �— I x� n n � y p n ol1 z 1.9 Ln O x W z mLD n y co 1 D £�r ` l D coO ® ® r, o sin \I ° o ° o IT J moNo F o a m12 a z A o r I O O O p wo N 1 A a L W P> x cl) -,j " �_ o m oA c O _ > m C, - z m x OU ? 0 ' o O � W o m r - p tr m u o zCD co �rn u O m rn U m o oco X1> J 00 D 00 O = x O mi o L c� x m io: r In O a Z o ° a� �u oot zFT. 8 N o 4 1 cil J 3Rs ;g pg LL1 ."200 ° 00 >K. p � 0 8 o S m x oo ozxxxR q$�m N A ao x - mnx O O r O � mA - x z� � Nin §p C O O —70�� r r ;F o li n"s I l�J A 7] yi Z O N ^£^ :U o In!nL_o.�'`n.�J_ VI VFMHII.HH k�v� — O (n Ln = O O /. N � � m x Ln : Oo 8 7 $ Eo z O N ®�E W ID o �' mho ➢UOy O O O; ? i o_ o o zg� oZy m "az � � n L� HN2 Iv �� X66 I co Cl) O - o co xQ4 0 � Y 5P$ in co L oc D cu t 0 D � � V e >x I m2�i iF A `m 1n w W N� Ot mPlmm� n a Zv t�u�mnC n N i Ann4t� - lz co zicgo `! Z pct �F, -1 0. mzZ zUF�zm c���A�`- o >o 0 -m" _ AO �c 3m�='x mo >, p�m'D"iw� m o0 m "10.10— F n m OS F ��mCtoV1 o A oAo�m ylnN n i 2OO W o UN n e om _ - o in't o O mi ~f F C A 2 D N i = t nom S A z n O W W o o m n z _?m v1 Dig O> - n� Ws .3 mn ' O vV Q D a m n o Z£ n N Q o m g 3 p o r:, nIZZOD IanC V�VP POO tn A m� yj 9� n�0 9i VU NN A � D 11 mI I I m0 c. pI m m anAayAO ➢mao �$Os�Sm o OCUOFOA ,. NOo m�x OO W mQJ I JxoSm O N U m 1 w2nzD9_ 1I 11 I 1 II Imp poO Pom vxmmm_ mmQ ________ _______o m OEM MNoNcC-x- �f S5 v O iyy �v D A -� zF�3A ~_$ Z m gE n z \ A m µµ441i•µµaN m (sl O tl moB _ oZ, J m 7E 'fig A t g IM y�9 p Rn�oo - a n m1 A Z �mi0 ti Fob mm Q 0 0 0 Z$.i oa Non.nno N - 9a o �NoF r T e -nva o D � g C7 � tfw amoral siru;o�? • Overhead Door Company Engineering Services 1900 Crown-Drive Farmers Branch,Texas 75234 Telephone: (972) 869-16136 Fax:(972) 869-1671 ODC Jacksonville 6884 Phillips Parkway Crive North Jacksonville, Florida 32256 1904)268-1627 July 15`, 2003 To*Vhom It May Concern: The following Overhead Door Corporation residential windload doors have been designed and tested in accordance with the Florda Building Code and their respective windload pressures comply with the Florida Building Code for Exposure C, 120 mph. 408950 Windload, 180/280/38.1,37/55.5 psf,9'-0"max } 409886 Windload; 180!281/381,31/46.5 psf, 16'-0"max=Max Roof Height 15 feet 409341 Windload,180/280/381,37155.5 psf,Post 16'-0"max ,.. 409888 Windload, 1801281/381,31/46.5 psf,18'-0"max-Max Roof Height 15 feet 409337 W indload,180/2801381,37/55.5 psf,Post,18'-0"max 408951 Windload,390,37155.5 psf,9'-0"max 409892 W indlogl; 6c PSf;,'�:�6:-1�'.max-eU�RR f—Heigh#:15 feet, 410026 Windload, it,6 . • r: , . �U.: ax '09893 '1 it dlf 3k,31T4e.*.5V9 1: x'wof Height 15 feet :09432 W indload,390,35,1/52.7 psf,Post,1 B'-0"max 409977 Windload,1901490,37155,5 psf,Post,10'-0"max __aw•409960 W indload,190/490,37155.5 psf,Post,16'-0"max ,...� 409978 Windload,1901490,37155.5 psf,Post, 18'-0"max Sincerely, Concur, y Mickey Womack LeRoy Krupke, P.E. ; Project Engineer ate of Florida Overhead Door Corporation Registered–St , ,.,, JORADDRF.SS H TYPE WORD' PROPERTY OWNER �1'l� ��; .� v� � HONE y /- 3 S�4 CONTRACTOR TELEPHONE PERMITNUMBERDATE .MPECTIONS.• FOO??2vG SLAB TIE BEAM LINTEL NAILNG sMTm?VG FRA A d M VGICOVER UP S q f; D 1MSULATION FLVAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERi+MV / 9 91 EVSPEC77ONS ROUGE /o a :5-A AV FINAL MECHANICAL LVSPECTIONS ROUGH FINAL_ 5'-mss- �� PLUMB NG PEBAdM INSPECTIONS ROUGD/UNDER SLAB TOPOUT WATER/SEWER FINAL of.gg - NOTES: PLUMBING PERMIT _ BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT, �-- . e Footage ';I39S @ $ �� per sq ft a $ 3 zl--17-0 .,ed 00 @ $ per sq ft - $ a70d. 00 rt @ $ per sq ft = $ ' marches @ $ per sq ft $ a eCk @ $ ver sq ft = $ atio @ $ per sq ft = $ TOTAL VALUATION $ " . $ /o?� 3tal Valuation Data1st $ sof -0 . �mainder Valuation @ $ 02 UQper thousand or portion thereof TOTAL BUILDING FEE $ SD + k FILING FEE $ zS FIREPLACE @15 . 00 $ 60 TOTAL BUILDING PERMIT $ o;:�3 .UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TE2•1PORARY $ ELECTRICAL PERMIT $ TER METER SIZE $ ACCOUNT NUMBER WER IMPACT FEE $ "TER CONNECTION $ (@10. 00 per fixture unit) PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ p?3 TOTAL WATER METER CHARGE $ ?5-00 TOTAL SE14ER IMPACT FEES $-J��• OO TOTAL WATER CONNECTION CHARGE $---C26-0 . 00 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ lal�7 �S� JOG- PLUNBING WORKSHEET S INKS / -- L_ SHOWERS / DISHWASHERS --__ CLOSETS _ BATH TUBS FLOOR DRAINS . WASHING MACHINE WATER HEATERS _ DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE 'UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EH UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLYE CHARGE FIXTURE FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, GE IS HEREBY BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY, AND LAVATORY (1 UNIT) BATH TUB OR SHOWER STALL (6 UNITS) SERVICE SINK TRAP STAND (3 UNITS) DRINKING FOUNTAIN (31 UNIT) URINAL: WALL LIP FLOOR DRAIN Cl UNIT) (4 UNITS) URINAL, PEDESTAL, SYPHON — WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPE (4UNITS) (8 UNITS) RATED BATHTUB (W/OR W/0 OVERHEAD _ TT__ SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) r BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) i DISHWASHER C2 UNITS) KITCHEN SINK (z UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS /� @ $10. 00. EACH- * �lo @•/O.ab CITY OF d 7 ,r&C Ve d- Office Of Building Official Data� �EQUEST FOR INSPECTION � ,� TimePermit No. � Received A.M. ` P District No. Job Address Owner's Locality Name BUILDING Contractor CONCRET Framing 1:1ELECTRICAL PLUMBING MECHANICAL Re Roofing ❑ Slab ng Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Lintel ElF neP Pole O Top Out 11 Heating Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Thurs. Friday A.M. Inspection Made — 7 M P.M. Inspector sr C, Final Inspection❑ Certificate of Occupancy Date w.krrttftratr of (Orrupaury CITY OF 004Ih& DOA• Ro" Wpartmpnt of Building Jnaprrtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No. Group Type Construction Fire District _ Owner of Building _ Address Building Address_ Locality By:—----- Building Official Date: POST IN A CONSPICUOUS PLACS