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Permit 208 - 210 Poinsettia St (vault)' 4 f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 2 7-5826 Application Number . . . . . 05-00030993 Dat 8/17/05 Property Address . . . . . . 210 POINSETTIA ST Tenant nbr, name . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2800 Owner Contractor ------------------------ -------------------- --- METZGER, BRIAN SKYLINE ROOFING, INC. 210 POINSETTIA STREET ALAPAKI KAULIA ATLANTIC BEACH FL 32233 7839 PRAVER DR.W. JACKSONVILLE FL 32217 (904) 338-6833 --------------- ------------------- -------------- ------------ --- ------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2800 Fee summary Charged Paid Credited Due --------------- -- ---------- ---------- ---------- --- ------ Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERMITAPPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUIL ODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET' Address 7— Date Heated Square Footage @ per sq ft= $ L ' Garage/ Shed @$ per sq ft= $ Carport/Porch @ per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ Total Valuation V, $ i C)" O Remaining Value $� per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + V2 Filing Fee $ FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ G WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METERITAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ ov Cc: CITY OF ATLANTIC BEACH r �s BUILDING / ZONING DEPARTME, TT °. L. Hi ins 800 Seminole Roaderr 1� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: Project: This permit application has been: ZApproved Veviewed and the following items need attention: Please re-submit your application when these items have been completed. / Reviewed By: / lk Date: b� Date Contractor Notified: PAGE I AP 4 PERMIT# Cost$ Check# #2eceapt# ROOFING PERMIT APPLICATION THE 2001 EDITION OF THE FLORIDA BUILL)INIG CODE IS Iti EFFECT Property Identification N•=ber: lv 10 - Z5_ZgE - ALT - 3 -�12 Subdivision 1500- �5u(,3 Physical Address(Project Site)-."20 a1 Nv 'ft .,,ity: eq7mi vTrc- f. n C—r-( State: L Zip Code: 322 33 Spe c Directions to Site: 1 aa��IN J L Al`'TTG. ,l J C'(v B Owner's Name(Please Print)_3 t�c+-�I N—� / -z&� Phone:Day &q_ ) 03 - 706,$ Alternate: A) 20-349 Owner's Address: 75 t.'ity: State:- Zip Code: Contractor's Name(Please Print) -5L(_V4v6 COF�rlvv r J& Date �✓` Contractor's Business Address: 783 I CV___ City: _5-&4(c lls' State: ' Zip Code: State Certification or Registration Phone# } _ Mobile/Beeper( ) Fax# �SQ Residential Structure Non-Residential New Construction Ile-Roo��air/ oriel Type of Residence: Single Family Multi-Family Mobile Home ComrUeLI.4aU (3ther TOTAL EXTERIOR SQ.FT.: CONSTRUC ON VALUE DESCRIPTION OF WORK(IN DE'TA�I,): � RE-ROOFING PURPOSES ONi LY OWNER'S AFFIDAVIT: I CERTIFY THAT ALL THE FORGOING INFORMATION IS ACCURATE AND THAT LLL WORK W71LL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONIIi t 3. WARNINIG TO OWNER:Your failqr.e.#®record a Notice of Commencement may resait in you paying twice for improvements to your property. If you intend to obtain financing,consultwith your leader or an attorney before recording your notice of commencement. V)ZA llk_�� -q11-111e.rl -- PIZOPERTY OWNER Nr RiNTED) _ P S URFs� DA. BEFORE ME, M Lma, I:>cr— 'PERSONALLY APPEARED ON THIS DAY OF 20 S AND IS PERSONALLY KNOWN TO ME OR HAS PRESENTED � L AS O DID(DID NOT)TE AN OATH. E.E.VAULIA NOTARY PUBLIC NANIE (PRIl+=) C SIGNATURE DTE wOct7,2� #F DD 360M2 baarfrd Nallor►d AMn, CONTRACTOR'S AFFIDAVIT: i CERTIFY THAT ALL THE FORGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL A;4:R WS REGULATING CONSTRUCTION ZOO G. ./��,��- i oS CONTRACTOR NAME (PRINTED) SIGNATURE DA CL L i G PERSONALLY APPEARED ON THIS DAY /S OF 20 AND IS C`riALI,Y i i€31 1`I IC-OR H� AS ME= Ai 7 -10 IDID;'QT)- T ,,1 OATH. ShMW [ ay ° L FWM lAa "2 Y� 1-^ r �S /� `� _.. :' �1 /� Gconxn ui n Doo M �`%?UHLiC I ia.x t1 4Tr is_off° E March 18,20M Doc # 2005301953, OR BK 12688 Page 1157, Number Pages: 1, Filed & Recorded 08/`16/2005 at 12:03 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. State of Florida County of 1�w4l— } The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in thi NOTICE OF COMMENCEMENT. Legal description gf property(Include Stree Address,if available) O-16 /6 25 21?,,-r'E 5 t2 3 N/2 emir's g 2fd Po.r-m,5r /}- S �,►ua r� General description of Improvements A ob Owner SANGf7 Z&e- Address Z Owner's Interest in site of the Improvement Fee Simple Title holder(if other than owner) iv Name LAI Address Contractor G G. Address ? ty2 ok w, 222-17 Surety 1-114 Address Amount of bond$ Any person m king a loan for the construction of the Improvements: Name 4 Address Person within the State of Florida designated by owner upon whom notices or other documents m y be served as prov'ded by Section 713.13(1)(a)7,Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified) i atu f er Printed Name of Owner I Notary Ru a Stamp Seal 1 1 have relied upon the following identification of the giant 1 =25Qwvnhoon#DD3~ f.KA" -Skft of fIDIWo Swom to andsub 'bed before me this 7 day of�20 060iwt�cf7' Notary Signature OW MMl A7— 1:161M L Printed Name BEA . res!..�L`J j•�� CITY800 SEMATLANTIC ROAD CH ATLANTIC BEACH,FLORIDA 32233-� 45 St TELEPHONE:(904)247-5800 1 FAX:(904)247-5805 SUNCOM:852-5800 ►1 r http://ci.atlantic-beach.fl.us { I October 20, 2000 Mr. Rob Vannoy Bank of America Neptune Beach, Fl 32266 Re: Steve and Cindy Mullen 209 Poinsettia Street Atlantic Beach, FL 32233 Dear Sir: Trepraperty knaysn as 209 Poinsettia Street is considered by the Atlantic each Building Official to be in Flood Zone "X" according to the Flood Insurance Rate Map as of April 17, 1989 - Community Panel Number 120075-0001-D. This map has not been updated by FEMA since April 14, 1989. Sincerely, v `---- .. Dort C. Ford, C.B.O. Building Official DCF/pah cc: Steve &Cindy Mullen City Manager CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j SW SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-6626-FAX 2475877 :PERI-#1T 1NF: RIII TI L ATION iNFOR1V ff i6N Permit Number: 21570 Address: 210 Poinsettia Street TREE REMOVAL Atlantic Beach, FI 32233 k; Permit Type: Township: Rangy: Class of Work: REMOVAL "on: Proposed Use: DUPLEX Subdivision: Saka�k: Square Feet: ir Est.Value: Parcel Number: Improv. Cost: OVAIIVER INFO MA N Date Issued: 3/07/2001 Name: Sandra Harding Total Fees: Address: 210 Poinsettia Street Atlantic Beach Amount Paid: ' FI 32333 Date Paid: Phone: 904 247-2$58 Work Desc: 1:5 19" Pine Tree to mitt ate with 9.5 inches on site ,r PROPERTY OWNER i I In ns 894&W- TREE BOARD COMPLIANCE I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,) HAULED AWAY BY EITHER CONTRACTOR OR OWNERC�IN PU !C SPACE,AND MUST BE CLEARED UP AND "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. r' t ATLANTIC EACH BUILDING D I CITY OF ATLANTIC BEACH I DEPARTMENT OF BUILDING 808 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-6826-FAX: 247,5877 PER 111T rNF R TI LO ATION NFORMABON Permit Number: 21570 Address: 210 Poinsettia Street Permit Type: TREE REMOVAL Atlantic Beach, FI 32233 Class of Work: REMOVAL Township: Range: k: Proposed Use: DUPLEX Lot(s): Block: "on: Square Feet: Subdivision: Saitair Est.Value: Parcel Number: Improv. Cost: O R INF+DRMATION Date issued: 3/07/2001 Name: Sandra Harding Total Fees: Address: 210 Poinsettia Street Amount Paid: Atlantic Beach, FI 32333 Date Paid- Phone: 904 247-2858 Work Desc: Remove 19" Pine Tree to mitiate with 9.5 inches on site S777777 PROPERTY OWNER I I I I Ins _tiGrrIr�ed TREE BOARD COMPLIANCE NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INS CTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUB IC 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. C I ATLANTIC EACH BUILDING D 7,Jt,:, - t j CITE' OF ATLANTIC BEACH TREE REMOVAL APPLICATION i All applications must be submitted with seven(7) copies and received by 5 PM on the Fa'dadav tern (1 U) clays prior to the scheduled meeting in order to be placed on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED�S WILL NOT BE PROCESSED. 1 � OA,,l SJ- 11a S4 . Zy�j-LAS APPLICANT NAME JADDRESS TELEPHONE j ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: �✓yA k4-et d 14—i 0,q i 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES NO ❑ NO� SURE 5. PROPERTY ZONING: RESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER DIAMETER TIGATION INTERIOR EXTERIOR 9 .'4 c A4 S Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately d Itermine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. p E ------------------------- i I ** See attached diagram for determination of interior and exterior zones. I� 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inches or more d) Tree species and sizes. e) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on-site for mitigation must be marked with brackets' g) Location, size and species of any proposed new replacement trees marked with a circle "O". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. S. ON-SITE REQUIREMENTS: a) All trees identified for removal MUST be marked on-site by RED flag�ing, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging, paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot i 9. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED S TES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. 1 - CI Applicant s ig re Date C) Owner's Signature Date i CITY USE ONLY: I Tree Conservation Board Chairperson Date i t a r3 50. ►3: .. Y � k F-f /s•o. ° W r .10 2t•mac , 0 50.0 ' PO A;S E T 7- SA G 7- A?/R �5v,8,r-W Vl IOA-1 R ' ' CITY OF ATLANTIC BEACH 1MEE REMOVAL APPLICATION -- I All applications must be submitted with seven (71 copies and received by 5 PM on the 1"ridav to i Li V) days prior to the scheduled me etm in order to be placed on the agenda, *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED S ES WILL NOT BE PROCESSED. I � b APPLICANT NAME ADDRESS TELEPHONE i ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: —P�a)VYA k64 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES / No ❑ NOT SURE 5. PROPERTY ZONING: fl RESIDENTIAL ❑ COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER DIAMETER INTERIOR EXTERIOR MITIGATION QrC!ulp QI'1 'S, i i Diameter at Breast Height(D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi-trunked reel is determined by adding together the diameter of each trunk as measured immediately above he forks. I I ** See attached diagram for determination of interior and exterior zones. 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inches or more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on-site for mitigation must be marked with brackets 'l ]". g) Location,size and species of any proposed new replacement trees marked with a circle "O". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: a) All trees identified for removal MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging,paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot 9. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SATES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. Applicant's ig e Date C) Owner's Signature Date CITY USE ONLY: I Tree Conserv ti` Board Chairperson Date fib' So. r3c .. _ ._ ____ -•-- _ Cgl­_ free Removal IkpdftO -MONO" ;%22.440 id ►� t y9 7AF 0 ' In G� 0 N 1 f �oi.�VSE T7- 7-pvv7- 40 Vle-2 le-2 Co '41, i Book 9936 Page 1158' -5 MIN. RETURN PHONE#` '� Doc# 22001075174 Book: 9936 Pa e: 115x9 Filed & Recorded NOTICE OF COMMENCEMENT 04/04/2001 10:03:01 AM JIM FULLER CLERK CIRCUIT COURT DUUAL COUNTY TO WHOM IT MAY CONCERN: TRUST FUND '', 1.00 RECORDING $ 5,00 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, the following information is stated in this NOTICE OF COMMENCEMENT., Description of Property ;P I 0 I l ri��+41 Gs� fee+ 1Ua',4iC. General Description of Improvements 9M w1 ocau-t�`0V, Owner r Address: a1 rC 3 Z Owners interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address 12 Contractor Address V 6 Surety (if any) Address Amount of Bond $ i Name of person within the State of Florida designated by owner upon whom notices 'Lor other 1 documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option. X Name Address: OwnerK IL . m ��'` t :....✓" Sworn to and subscribed before me this (0 day of ; , rLjL -'Q 2101 f'? Atlantic Beach "U N. JENNIFER J.SCOTT NOa - UbIIC Building and Zoning ij "*..N MY COMMISSION#CC 893554 :aEXPIRES:December 8,2003 Bonded I hru Notary Public Underwriters CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING If 800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 I PLUMBING PERMIT PERMIT INF p#�MAT#QN LO TIt�N#NF1')RMATION Permit Number: 21709 Address: 210 Poinsettia Street Permit Type: PLUMBING Atlantic Beach, FI 32233 Township: Range: Book: Class of Work: NEW Lot(s): Block: Section: Proposed Use: DUPLEX Subdivision: Saltair Square Feet: Parcel Number: Est. Value: - OWNER ON Improv. Cost: Name: Sandra Harding Date Issued: 4/03/2001 Total Fees: 29.00 Address: 210 Poinsettia Street Amount Paid: 29.00 Atlantic Beach, Fl 32333 Date Paid: 4!03/2001 _ ____ _Phone; -_(904)247-2858 -- Work Desc: New Fixtures — A FEES. CONTRACTOR S w, PERMIT ; 29.00 STEEG PLUMBING i . I i FINAL NOTICE- INSPECTIONS K40ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO_IN$PECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED;UPAN© HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN ESULT 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. i I i i — Date: 4/83/81 01 �eceiot: 0046554 ATLANTIC REACH BUILDING DEPT. CHECKS 3732 J � f }'- 1 f•Y�yy9 +t,1�' f+' , OF ATLANTIC B , EACH_, P � APPLICAl'ION FOR PLUMCING PERMIT 4 TION ` All,�P f PROPERTY s i TELEPHONE N0. ;� � PLU ANG CONTRACTOR.,' Fey �'ii , 9'CONT, CTOR' S ADDRCSS t � , ltTA k. ,LICENSE NUMBER:11,1' TELEPHONE : I�` f HOW MANY 07, THE FOLLOWING FIXTURES INSTALLED ra `+a SINKS a. SHOWERS of r ' r ' LAVATORY_ ,' r „' WATER HEATERS 4, BATH TUBS, DISHWASHERS URINALS DISPOSALS �� � ` ` i6z^�t CLOSETS WASHING MAL}i:1PJ!✓ yet iNi FLOOR ' D SHOWER PANS ';, r r� *,,. ' SEWER �•. `� WATER ���•. gal P , a;, REP I PE OTHER � TOTAL ,FIXT:URES x $3 , 50 + $ 15 , 60 ,:,MINIMUM PERMIT FEE $25 . 00 ' 1gT R OF OWNER. ftp,;., > � SIGN,'TORE OF CONTRACTOR: G p --------------------------------------------` _ INSTALLATION OF� PLUMBING AND!t''IXTURES MUST BE IN ACCORDANCE WIT1-1 THEINOST. RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE , ,ter CAYi k:OAX, AHEAD TO S,OIEDULE INSPECTIONS ( 909 ) 297-5826 s�F,Sti SEW; CONN1rCTI0NS "BE CALLED INTO PUBLIC WORKS FOR INSPECTTON lti k S �P s7X�1 ori i�.Y E0ai h4 F fi r. p 4 r eg�„9". CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 I P RMITFORMATION LOCATION INFORMATION~µ _� Permit Number: 21672 Address: 210 Poinsettia Street Permit Type: BUILDING Atlantic Beach, FI 32233 .Class of Work: ADDITION Township: Range: Book: Proposed Use: DUPLEX Lot(s): Block: Section: Square Feet: Subdivision: Saltair Est. Value: Parcel Number: Improv. Cost: 21,000.00 OWNER INFORMATION ATION Date Issued: 3/27/2001 Name: Sandra Harding i Total Fees: 293.00 Address: 210 Poinsettia Street Amount Paid: 293.00 Atlantic Beach, FI 32333 Date Paid: 3/27/2001 ^__j Phone: (904)247-2858 Work Desc: Room Addition with Bath _. CC? tRACT R ► AW :ICATION FEES FISETTE CONSTRUCTION & REMODELIN PERMIT 173.00 WATER IMPACT FEE 120.00 V i FRA fN TOP OUT COVER UP ' i FINAL I I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS 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 i "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 F i $173.8014 AT NTIC BEACH BUILDING DEPTH Dote: 3/27!61 el 'Receipt: 8645545 CIECKS -E------- 2217-J — —---- 66168663221888 i CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ((0 1,00 S F 77 Date 3 _ 7 ( ^© Heated Square Footage 9:3 Z @ $ per sq ft = $ Garage/Shed jjhP @ $ per sq ft = $ Carport/Porch ( ` @ $ per sq ft = $ Deck @ $ per sq ft = S Patio @ $ per sq ft = $ TOTAL VALUATION: $ ;k 10 d 0 Total Valuation 1st $ 16c, 6 '96 CCU -/ 1, $ baa Remaining a Value per thousand per thereof TOTAL BUILDING FEE $_ / + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ f ' 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 3 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other i CALCULATIONS and/or NOTES: i MAR ' 4 2001 City Of Atlantic tic beach ' aninjng CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MO G, DEMCLITIONS Owner(s) Job Address:�PQI✓I S4.—Phone:– Lot 4, Phone:Lot # _ Block or Unit # Subdivision: t Contractor: lf �j��- State License Address : '� P,�..( i �p C4 . Phone No: ag�- _�-` j- 0 4,Ob. City yl j (o_ State 15tQ, , _ ____ ____ _Zip Code i t / jj /� Describe work to be done: l O W ka- Present use of building: i `` IA Valuation of Proposed Construction: � 000. 0 L-) Proposed use: j,/6C)✓1 Is this an addition? If yes, what are the dimensions of the added space: _ft. X ft. Will the added area be heated and cooled?–\je_"_ New electrical (o increas ),? New plumbing fixtures?Nfe-S New fireplacNew Heat/AC? I'Vo SUpmzT T R= (COwg�iCZAL) TWO SZDENTIAL) CCWLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, Come .F RHS, NOTICE OF AND OWMMICONTRACTOR AFYInAVIT, IF OWNER ZS CONTRACTOR. rn Signature OWNER: Date: ol l U Signature CONTRACTOR: 1 Date: 80- V5gi �(AS TO OWNER: z �!}WS Sworn to and subscribed before me this �, day of F�(7G ✓ l j 2000. #CCBIT 11nLIC AS TO cem '.v7 �NOY 104e, PATRICIA DELA ni Public U a Sworn t Wflao� ire me day , 200 . EXPIRES:Apr 13,2004 1-BW-3-NOTARY FL NoUuy Service&Bonding,Inc. NOTARY PUBLIC FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2U3 Small Additions.Renovations 3 Building Systems Department of Community Affairs • Comoiiare;:m;to:.:c�:i CSaoter 6 of the Fionca Energy Efficiency Code may be demonstrated by the use of Form 6000-n7 for additions cr F^souare feet or less.site-ns;aeec:.-moonenIS Of manurz :reo nc-es.ano renovaucns to since and multifamily residences. Alternative methods are orovided for additions by use of Form 6003-?7 or 600A-97 PROJECT NAME:; K BUILDER: AND ADDRE-S: f' PERMITTINQ ICLIMATE - c tC OFFICE: � ZONE: 1 C 2 3 OWNER: PERMIT N0.1 I I I f lJURISDICTIDN NO.:2 i SMALL.-4CCI7C Na 77 E:<ISTING RESICEP;CcS(600 square feet or:ess or conditioned areal. Prescr:otive requirements m Tae:es 6C-1..6C-2 and 60ac:rry only to the comoonerts of the aoc::icn.not to the existing owlding. Space heating,cooling,and water heating equipment efficiency levers must:e met only wihen eauirment is installed spec:ficaiiy n serve:n=acenion or is Deing installed in conjunction with the addition construction. Components separating unconditioned spaces front coneitionea spaces must meet the:rescnoec m!mmum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 1-0111,of the assessed value of the ouilding). Prescnctive requu !rents m Taxies 6C-1 and EG2 apply only to the components and equipment being renovated or replaced. MANUFAC"URED HOMES AND BUILCINGS.Only site- installed comconents anc`eatures are covered by this conn.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation. Addition, New System or Manufactured Home 1. O;�1,�� 2. Single family detached or Multifamily attached 2. S P 3. If Multifamiiy-No. of units covered by this submission 3. 4. Conditioned floor area (sq.ft.) 4. 3 5. Predominant eave overhang(ft.) 5. 6. Glass area and type: Single Pane Double:;Pane a. Clear class 6a. sq.ft. `sq.ft. b. Tint, film or solar screen 6b. sq.ft. sq.ft. 7. Percentage of glass to floor area 7. B % 8. Floor type and insulati, a. Slab-an-crade (R-v�TiJej 8a. A= y 4 lin.ft. b. Wocd. -aised (R-value) 8b. R= sq.ft. c. Wocc. common (R-value) 8c. R= sq.ft. d. ConCr8Te, 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= I C sq.ft. b. Adjacent: 1. Masonry(insulation R-value) 9b-1 R_ sq.ft. 2. Wood frame (insulation R-value) 9b-2 R= sq.ft. c. Marriage Walls of Multiple Units*(Yes/No) 9c 10. Ceiling type and insulation: a. Under attic(Insulation R-value) --- 10a. R= y 7 sq.ft. b. Single assembly (Insulation R-value) 10b. R= sq.ft. 11. Cooling system* (Types:central, room unit,package terminal A.C.,gas,existing,none) 11. Type: r X f S'jl i S SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: gas h.p.,room or PTAC,existing,none) HSPFICOP/AFUE: 13. Air Distribution System*: a. Backflow 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:alec.,natural gas,other,existing,none) EF: *Pertains to manutamured homes with site installed components. I hereoy cemry mai a clans and specs tions covered by the calculation are in Review of plans and specifitationscovered bythis tfonmmcatescotnaiance compliance win mw-Fo0ca_Eneerrg ode 1, with the Flonda Energy Code.Betore�nicbon is ae .this txufangY44 be PREPARED 9Y: �- '"✓W �+^/�' DATE inspected for commands i a rOatlCB wdh seCbon ^.J. I hereby cerlry that:nis cuucing Is in compliance with theFlanda Energy Coos. BUILDING oFuaAL OWNER AGENT: DATE DATE 1 I MAP SHOWING BOUNDARY SURVEY OF THE NORTH 1/2 OF LOT 548, PLAT OF SECTION NO. 3, SALTAIR, AS RECORDED IN PLAT BOOK 10, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,"JpQA. CERTIFIED T0: ROBERT AND SANDRA HARDING 3 STEWRART TIITLT. U R HEAANTY CP APANY ,j 14 ty GN MORTGAGEa�f t/ant�C ng ana Zo h LOT 536 N 54'30'35" E �'1A N25.00'53'1500")EOpgl�O 25.60 (MEASURED) �� tiT/ FOUND 1/2" IRON PIPE FOUND 1/2' IRON E QAC STAMPED "LB 1704" 0.1' 1 3' 0.3' =IOENTIFICATIW A/C(CdC 25.00' [TIE,ME] �•,j r SOUTH 1/2 NORTH 1/2 LOT 548 LOT 548 7E01.010 CONDInONER P'•,U 5.6' N N 5.9' 7.8' W � I 0 UJ x W LOT 549 i ° ¢ I a 4 LOT 547 � r LJJ o � Iz ow NJ Z 3 t7 0• . s F-> 1Q� � - o_ I � cn Q o M 0 o QOI ��� �o arTigA °�' I� 1-- `^° o Q 0 yv¢1o9�0L 14.1 c 9.7' 7.8' a��rC cti 3 w LLJ o' 0 0 .tr .-o op .d M cr) o 0Lo Z z (n (/! 50.0' 25.00'iv FOUND 1/2" IRON PIPE FOUND 1/2" IRON PIPE STAMPED "PLS 2624- S 55'11'53" I11/ STAMPED "LB 1704" 24.97' (MEASURED) S 54'30'35' W 25.00' (PLAT) POINSETTIA STREET (50.0' RIGHT OF WAY) NOTES: ACCEPTED BY: LEGEND: R = RADIUS —x— = FENCE THE NORTH 1/2 OF LO'( 548, PLA f OF SECT!ON NO. 3, SALTAIR, AS RECORDED IN FLAT Csi?:?K 10, PACE '.6, OF 7KE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORiEA. CERTIFIED TO: ROBERT AND SANDRA HARDING STENART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. ON MORTGAGE LOT 536 iJ 54'30'35" E 25.00 (PLAT) # N 53*15'00" E 25.60' (MEASURED) l FOUND 1 2' IPO-N PIPE FLaNO 1,2`IRC1N PPE / ^0.1' 0.3' NO IOENTIFiCA11CI: STAMPED 'la 1704" 25.00' r 0.0' 0.0' L&16E S(JUTH 1/2 NORTH 1,/2 -0T 548 ;�•;�-�- ;---_ . '" 71�' LEC-)F—W ' 14,0 'f _1.r iil I LOT 549 f^- a!� r x j^ LOT 547 L LL d + Q cp� 0 W Wy� � > c> CJ r- I '- hG Q 3 i of h d , a a 0) Lae dQ I 1 g V).30. 4Y 9.7' 7.8' j all. Lu w .4 n ,t U) M n z fn rn FOUND 1/2' IRON PIPE FOUND 1/2' !RON PIPE STAMPED 'PLS 2624' S 55 f1'53* W STAMPED `LEt '704' 24.97' (MEASURED) i (r , ,, _ S 54'30'35" W 25.00' (PLAT) a a dors CALT- POINSETTIA STREET (54.0' RIGHT OF WAY) NOTES; LEGEND: - R = RADIUS — x = FENCE - LENGTH CITE( OF ATLANTIC BEACH FACSIMIL$ TRAUSD2ISSIOII TO FOLLOV TO 0/ �/V(o y FAX#• FROM• o cJ F-O IZ CJ , #PAGES• DATE. (TO FOLLOW) MESSAGE: s ell M1 a 1 i "TP 1 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING I 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 -Fax: 247-5877 ELECTRICAL PERMIT PE1�MiIT tNI=ORNiATION' LOCATION tNFORMATtON d Address: 210 Poinsettia Street Permit Number: 21819 Atlantic Beach, FI 32233 Permit Type: ELECTRICAL Township: Range: Book: Class of Work: ADDITION Lot(s): Block: Section: Proposed Use: DUPLEX Subdivision: Saltair Square Feet: Parcel Number: _ Est. Value: OWNER INFORMATION _ Improv. Cost: Name: Sandra Harding Date Issued: 4/23/2001 I Total Fees: 25.00 Address: 210 Poinsettia Street Amount Paid: 25.00 Atlantic Beach, FI 32333 247-2858 Date Paid: 4/23/2001 �._ _-—_—. --Phone: (904)-- � Work Desc: MISC. WIRING FOR,RQ-Qom►ADDITIQN.— CONTRAC OR I.ICATION FEES _ 25.00 BIVINS ELECTRIC CO. PERMIT,, F , 1� _ FINAL i r � w 1 NOTICE- INSPECTIONS ST BE REQUESTED AT LEAST 24 HOURS PRIOR TQ.INSPECTION BUILDING MATERIAL, RUBBISH AND=DEBRIS FROM THIS WORK MUSTRNOT*PLACED IN�'UBLIC SPACE,AND MUST BE CLEARED UP AND HAULED 1�WAY.BY EITHER CONTRACT _ "FAILURE TO COMPLY WISH C, NST + " E ' - R FULT IN THE PROPERTY OWNER PAYINGWIGS FORS BU -Tt.D rl IAIP 9VEI�IENT --` ISSUED ACCORDING TO APPROVED PLANS-WHiCti ARS PART O 'IS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF i i � l Late.. v. l.tvL.1 ATLANTIC EACH BUILDING DEPT. NECHC CITY OF ATLANTIC BEACH, FLORIDA A ww.vdbv APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _ r/ NMPORTANT NOTICE: I CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE B AGREE TO PERFORM SAID WOR ORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, RICH RE A PART HEREOF,AND IN' CORQAN E WITH THE E TRICAL REGULATION DES AND CITY ' ATLA IC BEACH 7Ztr 0� ECTRICAL FIRM: mAfth ELECTRiCIAIIGNATURF NAMES — AD M:. 02Io _ .'�kk D'" RFD BOX BLDG.SIZE BETWEEN: RESAPT.( ) COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ) OLD REW. ADDITION('I/ TRAILER ( ) TEMP.( ) SIGNS ( ) SO.FT, SERVICE: NEW( ) INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM.( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE d AMPS PH 3W o�yOVOLT 47? / RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS I CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. ]t•f00 AMPS. SW ITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVen APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-i OVEII MOTORS H.P. VOLTAGE PHS N0. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TAANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EAC34 SIGN FORWARDED S TOTAL FEES w M td i 0 F•f �S',o j 61 i �I 7t'8i� O -10 N i�1,• r . i1 Sa•o' PC7��vSt6 TTS G, o 7 6-4 8 L�vvt7L Cd�t'�A• Tyo� •,8 �• �2i9�,��c,E G :, we :�J CITY OF44241 'Zo y /3,;C44_&7 4 e of Building Official ,7 REQUEST FOR INSPECTION_ _-- - Permit No. Date A pA,� Time Received Z KbAd�dress Locality 1 /•S$Q-1 e Owner's �a� f�'n ____Con actor ��11 MEC�IANICA Name ELECTRICA PLUMBIN CONCRETE T Rough ❑ r ond. & BUILDING C Rough Wiring Cl Top Out E, Heating Footing Temp Pole ❑ Fire Place Framing Slab ❑ Sewer in Lintel Pre Fab Roofing ❑ Final Insulation A.M READY FOR INSPECTIO =Friday Wed. u s. Mon. r A. Inspection Made Final Inspection ❑ Certificate of Occupancy ij Inspector Date Pws4v _5a)1-nho6 CITY OF Offf g��ng Off��� Udiicial Date REQUice of FOR INSPE Time S �' Received ( ON P.M, Permit No. / p Job Addre s Owner's i ,f��� _.� Name -- BU IN `itY in CONCRETE Contr ofing C] actor Insulation ❑ Footing ELE !� Slab ❑ �RICAL }C L7Li�� n Lintel C remugh P PoWel firing R LUIIgBING —� m ❑ on Final ❑ ough MECH Top out ❑ ANACAL ✓� Tue READY p ❑ Sewer ❑ Air Cond. &, s. OR'NSP ❑ Heating InsPection Made ECTION Fire Place Wed. pre Fab ❑ Inspector s Friday PM. )/ e Final Inspection Certificate of Occupancy❑ _ Date �`�i5-��'i C/TY : OF Time l O'fj�. �p� Recei�ea j/ RFQUFsr f a-��hl,� FOq 9 OffiCie/ ple Nawner's , ob AaareS f r f /10 v Frarnin /hG r� .�7.. C t °Q I Ins a°o9 9 CD on � FOoti eC tit°n Ute AE-k C.ntractor .Py O Ro�eh A/C,q� i l O Tem Hsps°ti°n LIS. Fjna p 'Ing n9 � PtU t nsOeQtor Mane RFgOY FO D Top Ro49 Mejh� eq R/hSpec)-/Oh Sewer AMcoh'gh/Cq yeatin na B Thurs. P ire P/a re Fab ce Fr CeF,nai fnS ic pe rtifction a Date te of � Occ4pa y a CITY OF QeacA_0;/ _ Office of Building Official REQUEST FOR INSPECTION Date Time Received A.MPermit No. . J� �P.M. Owner's Locality Name BUILDING —Contractor CONCRETE ELECTRICAL LUMBING Framing Re Roofing 0 Footing ❑ Rough MECHANICAL Insulation Slab 9 Wiring ❑ ❑ Lintel n Temp Pole ❑ Top Out ❑ Air Cond.!& ❑ Final ❑ Sewer ❑ Heating ❑ Fire Place, ❑ Mon. READY FOR INSPECTION Pre Fab Tues. ^ Wed' jV.� A.M. ___^Thurs. Friday P M. Inspection Made M. Inspector � 6191 n Final Inspection [j, Certificate of Occupancy❑ \TT ! Date r CITY OF Yq&.#s�`ic Beacfs-0;&w-44O l j� Office of Building Official REQUEST FOR INSPECTIO 1 A 1-76 Date � � V � � '7 Time �[ %� Permit NZ l� Cc� Received 7" `' M. Job Address L i Owner's` ? - Contractor ! � UILDIN CONCRET! CE Rl q} PLUMBIN Framing MECHANICAL Re Roofing F7 Slab ng ❑ mng F- Rough Cl Air Cond. & C Insulation C Temp Pole ❑ Top Out Lintel Heating �' ❑ Sewer ❑ Fir Place ❑ `7 OtL READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. Thurs. Friday PM Inspection Made A.M. � 4- I Inspector P.M. '"'� Final Inspection u Certificate of Occupancy 1 Date CITY OF ATLANTIC BEACH, FLORIDA ; t' R.ov"b„ APPLICATION FOR ELECTRICAL PERMIT z kt 4� TO THE CHIEF ELECTRICAL INSPECTOR: DATE; 19-F-3 �1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE LOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND IFICATIONS, WHICH ARE A PART HEREOF,AND 4N'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, COD AND CITY OF ATLANTIC BEACH ORDINANCES. W11-glo le ae &.*Ar44w— aA� �e 411"4ala� ir a CTRICA FIRM, / R L I i NAME � r'Gy i f f `k �-JS S7-eY ADDR ESS: 0-t ' r -Al S..► A 1 R FD' y� BOX BLDG.SIZE r BETWEEN: RIES.( 1 APT.( ! COMM.( I PUBLIC I 1 INDUS.( 1 NEWC )) OLD 1 ADDITION i 1 TRAILER ( ! TEMP.IK' SIGNS ! 1 SSD.FT. SERVICE: NEW( i INCREASE( 1 REPAIR 1 ! CONDUCTOR SIZE AMPS 4;,0 COPPER ALUM. T OR BREAKER 4V AMPS l. PH 3 W � VOLT �.'' RACEWAY � 8 IST.$ERV.SIZE AMPS PH W VOLTI VOLTRA SWAY 131�ERS _N®:_ SIZE 'NO. Size NO. 3tZf LIGHTING OUTLETSCONCEALED OPEN TOTAL RECEPTACLES : " CONCEALED OPEN TOTAL . 0.90 AMPS. 1 91,100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FiXEC� 0.100 AMPS, OVca APPLIANCES ' BELL TRANSF. AIR H.P.RATING H.P.RATING �J :- CONDITIONING COMP.MOTOR OTHER MOTORS AMPSIcEILMEAT: KW-HEAT i 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS a TRAIUSFARMFRS: UNnER RMV- nVFR Ann V CITY OF ATLANTIC BEACH, FLORIDA rov" APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: `f 19G IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE LLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN.ACCORDANCE WITH-THE ATTACHED PLANS AND ECIFICATIONS, WHICH ARE A PART,I EREOF, ANND XACCORDANCE WITH THE ELECTRICAL REGULATIONS, CO AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: #kSTER 1LECTRICIALY NAME s 9 :C k ADDRESS: 02: �.. RFD ; BOX BLDG.SIZE BETWEEN: `f RES.t--OK APT.( 1 COMM.( # PUBLIC( 1 INDUS.( 1 NEW(✓/ OLD 1 ! IIW. ., ADDITION( # TRAILER ( 1 TEMP.( 1 SIGNS ( ) SO.FT. ,SE d•�© SERVICE: NEW t-'r INCREASE( # REPAIR CONDUCTOR SIZE AMPS COPPER I I ALUM.00 SINITCH OR BREAKERAMPS l PH w VOLT t RACEWAY s, IST.SERV.SIZE ,AMPS PH W VOLTRACEWAY 'a_ *t'. SIZE WCl. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-SO AMPS. 81.100 AMPS. SWITCHES INCANDESCENT J FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES' BELL TRANSF. AIR W.P.RATING H.P.RATING V CONDITIONING: COMP.MOTOR OTHER MOTORS AMPS EWHEAT: KW-HEAT IF 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 'I ILP. ' VOLTAGE PHS � , MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. s° CITY OF ATLANTIC BEACH, FLORIDA � mw APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION'OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE LOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND IFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CO 'AND CITY OF ATLANTIC BEACH ORDINANCES. . a ELECTRICAL FIRM E LET 1 lA 1liouismymm NAME S156:91: -ADDRESS:,_ 07-/0e4,'41 s.t AT RFD '' 'BOX BLDG.SIZE BETWEEN: #I RE&K APT.( 1 COMM.( PUBLIC'( ) INDUS.( 1 NEW M OLD( ) IOW.( ) ADDITION( ) TRAILER ( 1 TEMP.,( ) SIGNS ( 1 SO. FT. SERVICE: NEW Pok INCREASE( ) REPAIR ( 1 "g/d. CONDUCTOR SIZE A4 AMPS AI',0 COPPER I ALUM. . ©d TCH OR BREAKER /� O PH W OLT fk RACEWAY 9XIST.SERV.$IZE AMPS PH W YO T RACEWAY I� NO.� , SIZE No SIZE .,, LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.210 AMPS, Si 100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVA 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 figg : 54 MISCIELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. da , FLORIDA MODEL ENERGY EFFICIENCY CODE ' µ FORM 902 FOR BUILDING CONSTRUCTION BOB GRAHAM SECTION 9/9H POINTS METHOD CL ATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS N tH 1 2 3 PROJECT NAME I L-. ? t I: r AND ADDRESS S 0,;y'30,A 3 ZIP ZONE BUILDER PERMIT NO. OWNER JURISDICTION NO. G j O O S T A T I S T I C S El RENOVATION IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AID TYPE COVERED BY THIS CALCULATION: CLEAR INT OR FILM r_1 ADDITION (SEPARATE CALCULATIONS REQUIRED QTI*LDGLn LKMULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 ' iZ1DsLE1 BLE] GROSS WALL AREA AND INSULATION CONDITIONED CEILING I SULATION CBS R= FRAME FRAME R FLOORj AREA UNDER ATTIC . ASSEMBLY R= R 111 -71 COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WA E_. SYSTEM Eir CENTRAL NONE Q STRIP GAS NONE [ErESISTANCE SOLAR L...! UNITARY COIL F-1 SOLAR �HEAT RECOVERY H GAS h" EER-SEER ® HEAT PUMP: COP = ,® ❑DED. HEAT PUMP: C OTHER: �OTHER: MAX. E.P.I. ALL ED (from 90' CALCULATED E.P.I. ME CHECK IF C YING BY;0, NATE CRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)•h, CERTIFIE DATE FORM COMPLETION DATE vmA/a --��' CHECKED BY: (buildi official) THIS A TO BE/sv_Nj_pTTO DCA BY THE LOCAL BUILDING DEPARTMENT. N. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BE ) CONDITIONED 901- 1101- 1301- 11501- 1701- 1901- 2101- 1 230 - FLOOR AREA 0-900 1100 1300 1500 1700 1900 1 2100 1 2300 1ABO BASE E P 1 120 115 110 1 105 11 100 1 95 1 90 185 1 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) las of October 1, 1 -10,0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS(maximum of 5 points) - 2,5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. !.LOWED E.P.I. ALLOWED 17 C •RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMF LiANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTI 61t LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 98. THE E.P.I. FOR A HOUSE COMPLYIN UNDER THIS METHOD ISNOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED 1!dR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 III , Ili j iI _2 3 OR AREA SGL DBL WOFI GWP OR AREA SINGLE DOUBLE SOF GSP 9F I CLR TIN I 9F N 157.4 1?Q,8 N 146 1 3 120 101 NE f -21k 226 189 -- .4 N E221186 9 E ----- - -- - � 7.4 E 28922 51 o = SE - - — 7.4 1 _ SE _ 26 `o S 157.4. S 190 160 60 134 _ -- < Sw Sw 157.4 120A W _ Z 157.4 12 8 s 1A► 2 1 24 251 209 NW 7.4 120.8 NW - 221 1 190 159 N: H - 79• - H 489 408 43 3 0 2 O O - O Lk `: .'::...:,:4:i::1�r,.: F/*.... . iii •: ;:. ;.J::..'.....,.......:... ...: . :,:.:>.:,.,... .:,,.: LIQ is >:::;><: H HORIZONTAL GLASS ISKYLIGH 'I `'l"� FORSC LESS T HAN 0.83 SEE SEC. 2:.. .. :.�::::.:::vv•::.�::i:::ii:•i•.t:.":ti::�.:'::::�::'?ti;:;::ii iii5:'i.i';,":'.i:v':::•, ::::;: � '. TOTAL GROSS WINTER POINTS TOTAL GROSS SUMMER POINTS �S3 R = 3.5 1.15R = 3.5 s 1.15 c~» R =`5.0 1.12 R = 5.0 1.1211 . 02 R = 6.7 1.09 R = 6.7 1.09 «: .0 0 1.0 0 1 . HSM FROM 9G 71,17x, CSM FROM 9H DIVIDE BY DIVIDE BY FLOOR AREA /2JS WINTER POINTS FLOOR AREA % U LR POINT CALCULATE E.P. I. WINTER POINTS SUMMER POINTS HOT WTR PTS CREDIT POINTS PENALTY POINTS /Cs + 1911 (9C) + (9D)+-3 (9E) FEWER TOTALPAINTS ARE ENCOURAGED FOR MAXIMUM ENERGY SAVINGS 9C DESIGN CREDIT POINTS (CP) 9D I HEATING SYSTEM CREDIT P IhTS CEILING FAN IN COND SPACE (max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 -OIL HEATING CROSS VENTILATION (i CP per room) t 12.8 WHOLE HOUSE FAN (min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E I DESIGN PENALTY POINTS FIREPLACE with outside combustion air 2 WASHER AND DRYER IN COND $PAC 3 9C TOTAL (not to exceed 12 points) TOTAL GLASS OPENS LESS THAN 40% 5 11 11FIREPLACE W/ INSIDE C MMBUSTIO AIR 1 5 3 `I ENERGY DATA SHEET NAME DATE JOB ADDRESS L >-r S�-� - JR Q, �j� �� 3 EPI S s 1. Type Insulation In Walls D Cr�SSI S _R 2. Type Insulation In Ceilings �� �� Ce,.4-oui R 3. Type Insulation for Wood FloorsZ-VIA R 4. Concrete Slab Edge Insulation R 5 . Insulation Around Ducts ,(w�U4►l�i'� In Condit. Space} 6 . Type Heating System-��� f'd/s COP Q 7. Type Cooling System ! EER 8. Type Hot Water Heater 9 . Type Glass In Windows and Doors : Double Glazed l� Tinted a Single Glazed Tinted 10 . Type Exterior Doors 11. Fireplace? l�W/Inside Combustion Air W/Outside Combustion Air !/ 12 . Woodstove? / e7 13. Are the dimensions of all windows and doors shown? /Yd-i If not, this is required either on floor plan, elevations or in a schedule. 14. Size of Roof Overhang? j 15. Are the washer and dryer located on floor plan? 16 . Any ceiling fans? �. If so, identify on floor plan." 17. Is a multi-zone A/C system to be used? /(]U 18. Is the building oriented on plot plan with compass direction? t If not, draw in on plot plan. 19. Is there a whole house fan (attic-type fan with 1. 5 CEM/SF) ? /V O C I TY OF 4TL!,':1 I ": %tCH 716 C)Cr; FOIi EVARD ATLANTIC EACH, FLORIDA i-WENDUM TO BUILDING PLAN Building Location: L The attached plan for the above bui Idirig is approved subject to rr,eeting 'the following applicable construction requirer,,ents : a. Footings shall be continuous monolithic concrete under exterior :a11s, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and ; three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rodl st=all be placed in the 1c.Ner one-third of the footinas , properly placed and fastened on metal cables with wire. Foot ines shall be six inches wider on each '-side than the i,.:al l above, shat 1 be at l east e; ght i riches thi ck and steal l rest on fl i rrr soil at least t �eIve inches below undisturbed soil . b. In hol low r-,asonry unit construction, each unit cell steal l be reinforced t•.i th at least on No. 4 bar at all conrners, poured and tar-;ped with concrete; such rein- forcing shall be properly tied into the footing and s;andral beam. c. All wood truss rafters (roof construction) _ shall be securely fastened to the - -- - ---- exterior ..alis with approved hurricane anc`ors or clips. d. Construction of nearby c,ne-family d. ellines, t-:hich are duplicates or'ilntensely similar, shall be avoided. Such similarity considers the external corificuration and a; p ea;ante (i . e. , roof, outer all T ,aterials , �:i; do:, sive and clrj_ lar,, end other like ct,a;acieristics) of structures . In accord :jith the fore o, inS , similar and shall be at least 500 feet apart if any one similar c.:elling is Visible from, any other similar d,:elling_ e. The final connection bet,,:een the house plUT-1bing drain and thesc::er-service connection (at the property line) j=ust be inspected by the City before being covered_ City Manager undersigned hereby certifies that he has read the above and understands that this iendum takes precedence over any contrary details to therplans and specificat"ions and ees to comply with the intent of this addendum. e Date --- — - --- - j i DEPARTMENT OF BUILDING C� � 5 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. v ! PERMIT TO BUILD i THIS PERMIT MUST BE POSTED ON JOB i Date 2/11/ 19.9-3 Valuation$ 43902.25 Fee$. 211.50 II 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. 11. al;KT This is to certify that Trevett–Sasser Const. Co- �` E4 `" leOr65 LVerlee ae-ksonvi__ 1ley FT. e:aa^i t 7 3 I t:lisu i has permission to build DUPLEX AG RER PT ANg 5-,u rT T B Classification DUPM Zone RG-1 i Owned by Trevett--Sasser Const. Co. 548 BlockLot — S/D ,, r House No. 203/210 Poinsettia Street According to approved plans which are part of this permit { NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN SPECTED BEFOII E POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material' rubbish and debris Z from this work must not be placed in public space, and must be cleared up a#td, hauled away by ether con- faci;r'.or owner, J Building Official. PERMIT CONTRACTOR FOR OFFICE DATE USE ONLY NUMBER � . PLUMBING r ELECTRICAL65 SEWER - - I WATER Piech. 5762 BUT : '.SII III;ATED SQUARE FOOTAGE: G,1R.,GE (PR IVA"IE/SHED) : --- _ .2 $ - - Per sq. ft . CARPORT; @ $ Per sq. ft. _ $ PORCHES: @ $ - --- ----- -- per sq. ft. $ DECK: J S @ $ 1,0, 1 per sq. ft. PATTO: @ $ per sq. ft,;, _ $ TOTAL VALUATION: $ , PER'•ITT FEES O 4 chi Y, 7w: CAll,: _ },1 f'C I K CA I,: BUILDING HEATED SQUARE SQUARE, FOOTAGE: 0 3_ @ $ -- �� � r_ _ Per sq. ft. == $ I -�?f' _ CAR.AGE (PRIVATE/SHED) : @ $ per sq. ft. = $ CARPORT: @ $ per sq. ft. = $ PORCHES: @ $ // per sq. ft. = $ DECK: /�S @ $ l� ���� per sq. ft , . PATIO: @ $ per sq. ft. = $ TOTAL VALUATION: $ 17 PERMIT FEES j. U , .` ------ - ---- -�4, rJU — — $ 1 `U0 -- TOTAL{VALUATTON DATA Ist $ ; I..,_1INDF,R VALUAT ) i. R --ION — @ $ Q .§L)Per thousand -or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .� PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ ' " TOTAL FEE `"bL'E.j. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _PI 2 `7 ._J --- PLUMBING PERMIT FEE: $ !1. 1 MI_CHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECT RICAL TEMPORARY: $ LATER ME'T'ER SIZE: 3 ' FEE: $ J/� U SEWER CONNECTION CHARGE: SQUARE FOOTAGE: r OL Q c ova FEE 5--- �v- --- -- WATER CONNECTION CHARGE: FIXTURE UNITS �\ � @ $10.00 PER UNIT: $ � �, ``412— __.---- ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: � F� � F2C3`v' ►� WATERTOTAL ATER ALTER CI IRGE: $ - (' y CF ATIAN IC BEAM 'TOTAL WATER CONNECTION CHARGE:. S Cy-",;,�, 'TOTAL SEWER CONNEC"CION CHARGE: ', S Itl'a ' UPAND iOTA L D'JE: $- FOR OFFICE USE ONLY Date..........•-•--•-•---.......-••-----19 ...... CITY OF ATLANTIC BEACH Permit *........................Fee$........................ Valuation $.................................................... FLORIDA House t. 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. owner. .Qj UETI.-.. ASSE-- --- - . .----.. _....... Date------Z4 - D------.8...3................................... 19............ ------Address- ...Uk4t�!)......Telephone No...zz�2" Architect...... C1.� .Y....1,Li�.L.� �.5-- ---...--•----•-•----•--•---•--_---•--------Address.......�.7.1rf....PL.8& ..... Telephone No..h�.t1.-. .1._. .y • �` �C'r ,�..r _ Contractor Builder..pT�'- -�. . .`J s t_�__.�r l�l .L._� _4�,_Address-_--- -!11-N..._ .�a..S,�.2L?.��._.._.Telephone No..__5(2tne Lot No.-----------•5�1/8-_--- -------Block No.----- ---Sub Division-.­5AZ._7=q_/&--•-•---•--..JtC..-3..............Zone------I --01&3--1=_.T.T_A-_-----_---...-----Street..ltl-U .-------Side Between...P1 1.1 .. 1. ..•------------••---------------and.. Valuation $30r-C 0...........For what purpose will building be used... (a. .. - / ALJ �X . ........Type of construction.. ;.7�.�:1� r/,�✓�[k, Dimensions of Buildin :3tt jj �36 ------Dimensions of Lot.......50..).(1 .)._..._.............Size of Footings. Size of Piers_. . A--._-_-_.._-..Size of Sills..-----Y/'°- - --- . ----- Greatest Sill Span in ft........................... P Type Roof...................................... How will Building be Heated?_.. U-C -P--J ----.------.------...........Will Building be on Solid or Filled Ground? � ........... Size of Ceiling Joists_---------------- '---/?-...... - Distance on Centers........... -----------------.............. Greatest Span----------- /................................. » Size of Floor Joists------------- -G-_---^----•---•----------, Distance on Centers.. ....... • , Greatest Span-_.... it Size of _.C�Distance on Centers .._. .y ................ Greatest Span..._..,,-`�� . . -•-•-• _.... -•-----•---•-- F, » c� R � it per �I��n► } .- r -�C� This rectangle is to represent the lot. �' +4 tr Locate the building or buildings in the D-7 - right position. Give distance in feet from all lot-lines and existing buildings. E V REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. ' 1. When steel is in place and ready to pour footing. W F W 2. When steel is in place and ready to pour columns an /or lintel a 3. When steel is in place and ready to pour beam. /�AY 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksorville. rn 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration ofermit p gi en for dol ork as d bed in the above statement, we hereby agree to perform said work in accordance with t e a shed specific i a, arhich are a part hereof, and in accordance with the building regulations of the City of e • G/1/, ,l Signature of Builder....... .!. .. . .. .......... Address---�" ------------------------ Signature ... - - Signatureof Owner............. ...................................... ....... ... .•-_------ Address..................................................._--.------•- 'DEPARTMENT OF BUILDING l CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD PERMIT NO. J 64 THIS PERMIT MUST BE POSTED ON JOB Date 314 Valuation$ PILaZING Fee$=g This permit not valid until above fee subject to revocation for violation aof a beef,Paid to City Treasurer,and is applicable provisions of law. This is to certify that FAIR pL11MBIIVG has permission t 2 wh, ��t' 2 lisp, j Classification DUPLEX Owned by Treve t t– Zone sse ns R— tT 3/64/0 C +I Lot S Block k House No. 20$/210 —===---�_S/D� R ainsettia Street iAccording to approved plans which are part of this permit j '2 NOTICE—ALL CONCRETE FO AND FOOTINGS RMS SPECTED MUST BE IN- AND RE POURING. ��_► PERMIT VOID SIX MONTHS I AFTER DATE OF ISSUE z Building material, rubbish and debris —I from this work must not be In public space, and Placed up and hauled must be cleared "'tract away by either con- ,,jp'�or;owner. USE ONLY PERMIT Building official. NUMBER DATE `✓ PLUMBING CONTRACTOR ELECTRICAL SEWER WATER I c I TY OF A Tl-A!l I C F,,j:A H Al�?L1 GAT] ON_FOR_PLIi'Pl DATE A4A 3 PLU1131 NG FIRM M-ASTER PLU,2ER Cl TY/COUNTY OCCLPATI OVAL L I CENSE N0. STATE CERTIFICATE BUI LDER OR CG4TRACTOR___ 1-17 ------ _-A- a _ _ TYPE OF BUILDING —a__S I NKS /SHOWERS — LAVATORY - _�2-lti'ATER h`ATERS BATH TUBS ---;?-Dl SMIASHERS URI UALS ----- _FDI S?OSALS CLOSETS -_i�'V,ASHI Nr-, M,, ayI NE ----FLOOR DP.AI NS ----OT'rtER _� / TOTAL FIXTURE COUt4T NSTALLATI ON OF PLU-21 NG AND FI XTURES M#UST BE I N ACCORDANCE w1 TH THE POST RECENT EDITION OF THE SOUTHERN STANDARD PLU,SI NG CODE, CITY OF 716 OCEAN BOULEVARD - P.0,BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June 22, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Fl, 32202 Dear Sir: The following final inspection has been made and is satisfactory: Permit #3866 - 208 Poinsettia Street, Atlantic Beach Permit #3865 - 210 Poinsettia Street, Atlantic Beach Permits issued to Allstate Electric Co. Sincerely, , Bohn M. Widdows Building Inspectio Supervisor JMW/ls A ADDRESS —� LOCATION a$S r T COMPLAINT OWNER OF PROPERTY SIGNATURE OF COMPLAINTANT 07 GF�f�9� � � f PHONE # ------------------------------ FOR OFFICE USE ONLY DATE OF INVESTIGATION INVESTIGATOR CONDITIONS FOUND ACTION TAKEN Al'/ COMPLIANCE NOTES: 1 r DEPARTMENT OF BUILDING 7 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5762 6 2 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/14 19 83 Valuation$ T3ECHA'4ICAL Fee$ 66-00 This permit not valid until above fee has been paid to City Treasurer,and is T subject to revocation for violation of applicable provisions of law. 6 6 y f x,i f This is to certifyat ADAMS AIR, INC, I i r uJ that 3= .. r IsA,LCI 8505 Alton Avenee has permission tom* install heat and air def Classification DUPLEX Zone RGI Owned by Trevett–Sasser Const. Co. Lot 548 Block ----- S/D 9altair 3 House No. 2091210 Poinsettia Street 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 j 4Di O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up_,a hauled away by either con- Trac r/or owner. i� Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I � PLUMBING ELECTRICAL SEWER WATER i LAUDING A.ND X01 ,11'\IG INs"z"" I I EC11011.41 bNN014 Cl']-Y OF ATLAN-11C 1',FACH, FLORIDA APPLICATION FOR MCCIHIANICAL PENAIIT IMTORTAJKT-/4,pl,:.;nt io coonplufa all horns in sccfr-_,m 1. 11, Ill, ar,d IV. • ,67 St. &*d___ St. On 1�3jzz ;da of.. \L(>'-.A,T I(D N worth. S*UA. Felt. W4"t) 4F IJILDi Lot No. 5ILe�_ r!od (State pOrf;0-m of 64 ;f L-ts 04P fwu 61L-_Affeci t*lsl d#-,_r;pl;o-n pe' d.04 ;M dUpliW* if P.WCA�"ry) 11. TYr"C OF l-,';(X\0SED MECHANICAL \Y0;'X - AJI cppI;cznfs orKn�ie Ports A - D A. Ull?_: OF lUlln!NG KESIDENTIAL IS. Ej pr;,6fs 1. C] Utility ;R-O;twf;cw,. &+c-) IC 0 State Ow "I 2. (9 Tw--.or m--ra f4pn3y 0 rr,fa-r nv_6ar of CA&F C_ KA.TU,'E Or 'WORK 3. C] Trans*4r.t. Wel. mofol. 17. Cj�-/Ne� l-,,"­4:non,ng �,culs - 13. 0 C.Lom. q --imbr nurn6ar of um;ft-- 04-or 4. 0 04or r*s;clomfial 14. 0 OTHER-SPECIFY 0 FeF=acarrrtssf of alitli&q 20. 9/piP-w *,nt,&?,4`I;Qn (Ro.vrsit--m NON-PESIDENTIAL 21. 0 of 6d-&-Om Ili* ei6l;�q rr.-twn. S. ❑ recr4&f;onal 22. 0 0tf,cr-S pe-crfy 7. 0 1n2ws!r;al 1. 0 Geroge, 4rv;cs station 9. 0 L Ty#*2 ci� "JIL-NNS 10. 0 Oft,ce, Lent. profess Anel 36. 0 N-..�A-ar Of 37. G)1V1-_,-d fri" D. P_-CHANICAL S(;U?MNT TO LE lYSTALLED 38. 0 W6s,_A-y end .rod 'Proy;do C-Omplate list or comp.,nenh On L_&Ck of t­l scan) 39. concrete 21. 0 %meco: 0 Spec* 0 R Q* Central 0 F;,,oe 40. Struct-wr&I sivwl 24. CeA;rCond;f;omin9: 0 Room Ica" Ce,-:irsl .40 41. ❑ 0A or 25. [a' Duct Syslem: Malarial D nkl 1-1�v Max;rnur" c_&pec;ty chr, 26. 0 Rsfri-,t!,:f�on TONAGE: '2 . 27. 0 Cc-oVn f-c-or: Capacity 9-P-M- THIS VACS FOR OFF-K-'i US-E ONLY 21. 0 Fars 1pr;ml!sry NUM.66r CJ !.e-eels M C] El;rz few 0 Vk�.Nft 30. 0 crtsr.,# 31. 0 ToAt o,w m lz4 r) 32. 0 LPG 33. 0 Ur.firi-d ,rt%34rs rue! 34. 0 F;,:!sr% 35. 0 Of6-r - Skiocify YF4,-rm;l Fwa_ B. !S '_-,�-ER BEING D:KE ON 42. Ulctric THIS OR SITE? a. CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-IN APPLICATION IS HEREBY MADE FOR _ 31q If M60 4.-ej� WATER CUT-IN AT THE FOLLOWING ADDRESS FOR 5y UNITS (S) CUT- IN CHARGE OF STREET NO. D- U PCI/)SL c,_ ,,_�-- LOT BLOCK SUBDIVISION ACCOUNT NO. o? c�t�c� �-abgj ;L-ao("� <47 11 4 MAST PLUMBER DATE METER NO. DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CIONS ACCOUNT NJ. c a C> ?e�S a ave 3 I C a In� DAZE a I ICX.ATION % O I o s iii LOT NO. 4� BLOCK NO. _ SUBDIVISION OWNER I r - S� TYPE OF BUILDING At MASTER PLUMBER — DATE INSPECTED BY I I'll E - ICA j )014, ADDITION :RCI AL U)::G F7 RM A.1)DRESS p7case print - -- - - A P jA R C C D OCCLPA"I ZONAL LICENSE N0. PEACH --- - _ AI E (ERI I FI CAI E NO. OR C(-)'-'TT-'ACTOR -- ------- - -- - ---- . ' .S - - ._..�'-.TURY -� LATH TUBS URI l ALS FLOOR 1)P_t:I"Is SHO::ERS S} i;_.S=;CPPB c - - - — - -- — D1 S}' S ALS c I 1�G .''_ Cir I NE OT"ER � TO_rAL FI? 1 L"�:E COUNT =I LAI I ON OF P1 t_''BI':G A2ZI) FIaTUPES '-fl;ST CE 1.•1 TH Th,E ';UST RECENT E DI'I'I ON Sill ; __N PLUMBING CODE - - - - SIG. A- irr OF _=.STrP. PL ..r,ER ll �7,C �•N' DIRE t'R\11 _)1"� . .J _i. ul.Tl\ - C _ T _ _ . _ ,.- R F 1. -L t' IT THE • = �l � t. i rp i� '*'D SOP ��C'r } 7 j E 10 THE i'IY P S-1 J i -�; I}� ;;, `rFF, SU PLY C" FGA I cAl 'j RE 1:NIT CG',!,ECTED i0 li E CI1�_ i;A1�R S` S')�';. SEC. 27-3 (c) C-!-'OUP CONSISTING OF - 7 - C, Er A - (Ii �.S�rTUF OP 1:JO 0V R .p S • ! ER r'S L-L TORY S BATH - )'�4D LTITS) - Si lC L','- TUB OP, S 0 ER S TALL (6 LTN I TS) E'',IT,'.ET 3 t';�ITS .;-..,. CU.'•'BI':_ATION SINK b TRAY _---- -- _ (3 LTNIT'S) - ---- r) TA_L LAVATORY ( L' -- -1N2 ti I TS) (1 1)Td1T) X1TCHEN SINT, CG;;BII�ATION SINK TRAY W/ - - FOOD DIS_ (4 UNITS) DENTAL UNIT OR CL'SPI- DOR (I UNIT) _. '' KI7ChEN SINK W/ DRINKING FOL):vTAIN (� UNIT) WASTE GRI`.UFR DISlrv.'-SHER (2 UNITS) _ FLOOR DRAINS (1 L?�1T) -- -- - a._ ILtVATORY (I CRIT) LL:'_5TORT, r _ ORY, SURGEONS (2 LTtiI TS) SHO';r RS GROUP PEP, }I=AD _ SURGEONS SINK (3 LNITS) - (3 UNITS) (2 D?_ITS) FLUSHING RIP'. SINK (8 LIMITS) SERVICE SINK '1 PAPP POT, SCliLI_r.RY — URINAL, PEDESTAL, SYPHON JET STAND (3 UNI TS) SINK (4 [':ITS) RLC::011T (8 UNITS) — l riI N.AL, ':'eLL 1,1P T UR!FAL STALL, _ - 1:tSHOUT 4 i''.i1 LR I N.Ai, T::OlJGH EACH 2' (4 UNAI ) _ SECTION2 UNITS -_SHING "?Gpli E. Rt'S_ ' ( ) h _ .�— ,,.t.,c Y SL;}: Fri cy (3 UNI fS) O: r_-;11C-TS CI_C'S E TS, i_`_',!;- ,Al ER C! C'S-iS :'.-LVE - - _ - (2 1' .1 TS) 0: =RATED (4 t';:ITS) / CJ"=R-i ED (b L".1i'S)