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369 Plaza (vault) JOB ADDRFSS �,� ICt�( TYPE WORK I� PROPERTY OWNER MC.P KR !" I ! I S ITEF-PHONE U � 3L4 �;L- CONTRACTORL� rl TELEPHONE PERMIT NUMBMt t� �` DATE I I 10 2- INSPECTIONS: FOOTING Q Z-- SL�AB TM} LLVM 1KAILING/SfIEATS.IBVG FRAMEV"OVER UP INSULATION FINAL BUILDING CERTIJh7CG4TE OF OCCDP ELECnUC4L PFJUIM INSPECTIONS ROUGH FINAL MECEANICAL PEBAM INSPECTIONS ROUGE FINAL PMd0MVG PERMIT# INSPECTIONS ROUGMUNDER SLAB TOPOUT WAMMSEWER FLNAL NOTES.- x g JOB ADDRESS 6�ato�ZkAaA, TYPE WORK -- PROPE RTYOi�1VER n TELEPHONE CONTRACTOR TELEPB'OAW PF.(Rll r �SCS DATE -- j INSPECnON.- FOOTING TlEBEAM Lmm ,( 11TAILXNtMVG FRAMV"OVER UP PaMTTON FINAL BUILDING CERTIFICATE OF OCCUPANCY t O ELECTRICAL PFAMN INSPECTIONS ROUGE r - FINAL a ol 0 C, (; fi=r 1 -° _/ a)a i AMMANIC9L PEMOM INSPECTIONS ROUGH l FINAL - � © l PLUAMMGP MOM ''`�� `�� off)(�q Ia2-ll •o o INSPECTIONS ROUGMVWER SLAB - a TOPOUT 1 l WA I Wf C _ -3p, 01 6549 FINAL NOTES: ` t 2- ��0.�2, 1 • 2.9• �oraa - 233 9 6 - e�e,v� �- 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030435 Date 5/27/05 Property Address . . . . . . 369 PLAZA Tenant nbr, name . . . . . . INSTALL SPRINKLER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ WIEGARD, BONNIE HULIHAN TERRITORY P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ------- --------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN ODES. BUILDING OFFICIAL w CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION moult ar Date: S_^1- 47Z' 57_ Property Address: 3�0 7 /�k tq Owner: �R Pd►+ Telephone#: Contractor: ZK G, ;1 1 Telephone Contractor Address: // 2 ? .��5/g�, Z 131t-Iq Fax#: Z70 L L ;', Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System JjC,cOther re�cw Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http:t/www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 °#`= INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029865 Date 4/05/05 Property Address . . . . . . 369 PLAZA Tenant nbr, name . . . . . . POOL/DECK Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 24000 Owner Contractor ------------------------ ------------------------ WIEGARD, BONNIE SURFSIDE POOLS 313 BEACH BLVD. ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2666 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc POOL WIRING Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- - --------- ---------- -- -------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES BUILDING OFFICIAL RG, Gmwri bakL CITY OF ATLANTIC BEACH cje_,,_-it-- ':3'7 0 7 ELECTRICAL PERMIT APPLICATION -7o� -r Lrf3� Date: D Property Address: Owner: iL Telephone Contractor: V i ptjie QS �c C jj,,,�Telephone#:60!t a2o�-`769- Contractor Address:.31 g 0.r�olg ie AveP 30c' #: "--d-7o�-7 `i In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of practice listed e , r Building: ._ Miens g Type: r;`J Trailer Service: 1f other construction.,is n ATPbeing done on this building ir�pnc 0 Temp. o New Or site,list the building Old 11r Commercial O Signs O Increase pin o Re-wire ❑ Addition Sq.Ft. 05--CM Conductor Size: AMPS: COPPER AL Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT J D WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0-3f)AMPS 3 Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER Air H-P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDERWOV Rb00V Transformers NO. KVA NO. KVA No.Neonf. _Trans Ea. Si Miscellaneous hi D 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845- http://www.cLadantit-beach.fLus `t), CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 4 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000885 Date 6/22/09 Property Address . . . . . . 369 PLAZA Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc converting garage to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DENT PHILLIPS BUILDERS LLC 1250 SELVA MARINA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 12/19/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * Alarm system on doors and windows for pool safety will be required at final inspection for certification of completion on this permit . * Kitchen not permitted. Garage canot be used as a dwelling unit. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ----]] nn------- ---------- --------n-- ---------- PERMIT IS 4W&� &ONEWINT iDANCE Wlttt' VLOATY OF ATL;A91C073EACH ORDINANCES QND THE FLORIDA00 BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00000885 Date 6/22/09 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JAN-6-2001 06:46 FROM:CLERK OF COLRTS 904 2270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT Stats of_ / Tax Folio No. County of ` TO Wbom It May Concern: 1111 uadersi¢ncd hereby iafoans you utast improvcaxtens will be made to certain real tiro Flwida Statutes,tho following injormation is stated inn this OTIC OF >!dMENCBMEN Aud in accordanas whir Section TI3 of Legel bc.�aiption ofpmpcxty bong itxrlsr+oved; Address ofpMexty bcirxg improved 3 6Q p �' �q, •�L'/. ��. . aosrri�tia>Dt of uopmv � - � - -! Address: 4 Owrur's intmtst in site of the improveineut: Name: Cotfxaetor&I-A"+Ai SAl&OC -.L--Vl ,Address: _rp /hA2rNA Telephone No.: Fax No: ' - , Strut r(if any) Address: — —-' -` --• _ -- -- - - -- _ Amount of Bond S -- Telephone No: Fax No: Nam and address of any person mating a loan fbr the construction of the improvements Mame: _ — Address: Phono No: Fax No: Nemo of person within tho Stotts of Florida,otlrar than himself designated by owner upon whom notices or other docunnents may be served: Name:'M iir- tt�t��AS Address !2 r - d ewz- Telephone No: —ZfLLRzzq Fax No in addition to banaself, owner designates the following person to receive a copy of the Lienees Notice as providediii Section 713.06(2)ft Florida Statues. (Fill in at Owmer.'s option) Nemo: ,A,ddxvss: Tolcpbono No: Fax No: F,xpiation date of Notice of Cort menceanertt(the expiration date is one(1)year from the date of recording nabs a di1for=date is TTM SPACE FOR RECORDER'S USE ONLY OWNER DM>d 2WP2usCa i•OR AK 14983 Page•i p"0j, Signed: t Number Paoec 1 Before tee t ' day of is the Gn> of thtval,State Recon ded M-15/2 02 at 02.17 PM. Of Flotilla,has vexsovaUy appeared JIM FULLEP.CLERK CIRCUIT COURT DUVAL Noltay Public an�t of Florida,IrOtL SHIRLEY t ORAIiAM ' COUNTY My commission exp• N Pubft-St b of Fb Wa RECpP.DINO X1000 Personally Known: .• tmllelssion F.om Fab 14 201 Froduood IdowiftAMOVY rConlmiss +► s '•rn.` i NO Awa• CITY OF ATLANTIC BEACH 9- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY °JOB ADDRESS 777 7-77, - 7777777- -7. 7,77 ".1 -77 777, 7777 - -7 '7 WON- 'Zo 0-0 0. 'DESCRIPn 0 N. AW,STRUCTURE� 13 NEW BUILDING 11 DEMOLITION 94ESIDENTIAL Lo-32, BLOCKIL SUBDIVISION 13 ADUMON [3 CONVERTING USE 11 COMMERCIAL ,,I,;.''DESCRIPTION LTE RATION 0 ACCESSORY BLDG. S.,FIREZPRINIJLM` 13 REPAIR 0 POOL/SPA 0 YE0 NIA Actstilad 160A(Vilh. 49 A 401 11 MOVE 0 OTHER ,:OWNER' -T- ,�-- ARCHITECT I 9.NAME: 15.COMPANY NAME: 23,COMPANY NAME. beo-r 16.NAME* 24.LICENSEE NAME: MIZAACL P R I LJ-,I AS 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 6R(-' IW-73 1* .ADDRESS: 26.ADDRESS. LL FZ2,33 1817-9-0 gal VA AkA 12�10 h CtP-- Imo.1113, fmk. ylwL 33 11.OFFICE PHONE., 1,90,FFillE PHONE. 20.FAX NO.: 27.OFFICE PHONE: 213.FAX NO.: P77- _!3 MA I -- I 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 5-01 - 9 2,17 1-9+9-2-Cl al (t 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: Krpgr 30.EMAIL ADDRESS: ' s FEE SNIP jiTLE HOLDER F1,y P HJUA IVS WW.OAI 9 cp"t-f t-r COUP IPI I 666"i UMTGAGifLFIIDER 31.NAME: 73,NAME 35.NAME: 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any Time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air CondMoners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 'A (aloft A Signed: Date: r-% Si 'Datet/a 1-1—f 9 Before me thiW-9--c-e-day of 2009 in the county of B6m is day of 111/0 200/9 in thAunty of- 're Duval, lorid State f Florida,has personally appeared Duval., a,has pers:nnaWep-pel-krN — r%—>t Ycj— -- - - - %� J§A!-�- herin by himse�/hersilf and affirms that all statements and declarations are herin by In elf/herself and affirms that all statements d diac�faratfons are true and accurate. true and accurate. .f� Notary Public at Large,State of Notary Public at to Of County 2 - ,County f-L—Wol ( I , 11 Personally Kno 0 Personally 11 Produ El Prod n I a oar ,!" N Notary '4 otary Sig MYCommissionte of a S F116R -OMPLIANCF, 'C FeCommission pb CODE C CITY OF ATTRIG'igFACH 81,dea BY National Nota 11 SU PARMIT9]POR AI)DITIONAI REQUIMMMS AND COND71M ELDG01 Pernit Applicafion BI g:REVISED:1 18 0 IL E COP T Te aNs. REVIEWED BY. -YSI-0? DATE: MAP OF SURVEY LOCK 11, SUBDIVISION "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. \ � S � Old L vo FOUND 1' IRON 84, ,�• ,49•S9-FIELD -(NO CAP) k ,N 4410IP E a CO 004. CHAt LINK R, FOU D PPE(NO CAA) N 4.5' vi 0 G • 21.2' _ 1.0• ONE STORY w 6ak s0 r� w FRAME 3n°I N GARAGE N j 1 1 = 30' his patm .5 21.2. J f 1 �1 U'r`n^ ✓ I � W o 1l 0- d- Q ti' WOOD Fj' p w � i�GONC '1E � FENCE X 5 1 Q P9RCH\ :. 14.3' 4.9 w 3.51 %000 •� A 12.1' a FENCE 0 AP R t0c OEWI ft MA o -' I I �' _�N 11N. UILDING OFFICE �' W 4IL .1' TWO FRAME < Lp 0 RESIDENCE "' 0-- No. 369 id Ii x T 4.7' PROPANE �{( SDNCRE �.IE PqRtp 0 4.8 TANK PAD 00'—PI gIT T" FOUND 1/2* IR y IV -2) k9s I-%(-, y` X FOUNh 4�n.`-- PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. Project Name: (L C,+i� Permit# Project Address: 3 (d As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regarding statewide product approval may be obtained at:www.floridabuilding.org, Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Slidingger . 3. Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1. Single hung 2.Horizontal slider 3.Casement 4.Double hung /-j,nAe r, �'eA S W 4 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1. Asphalt shingles 2. Underlayments 3. Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofmg slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2.Bahama 3. Storm panels 4. Colonial 5.Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS 1.Wood connector/anchor 2. Truss plates 3.Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9.Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight i-A tA Er � Up, ED C9, tp CD ' s cwt co TP 0 Cu 9� 0 so C, A5 Z-4 0 VD oCD ell. CD CD cc) tit VD. rot GCl/ 1p co rntl 0 v-t ca CD C) 1<4 J�b -A City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned.bythe Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5645 +�. E-mail: building-dept@coab.us Date routed. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: g / Depiadment review required Yes No / uildin Applicant: �� 5 � i �1; L G nn�ng &Zonin r Project: 0 (Vn Public Works Public Utilities I VI'nj Public Safety Fire Services V'It~ ,s';ff���. ��. z�,.�;k� �Y� .�t�, �fept'•SIg!'�at��e� � �: w��lt1� _S�M.K; ;!�-�� .vks-� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection '1 0 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 p n Other: A APPLICATION STATUS Reviewing Department First Review: [—]Approved. ❑Denied. (Circle one.) Comments: .� PLANNING &ZONING e'5kll S �.. (.tel by. • /Z 16A4_1 Date: — -O TREE A Second Review: pproved as revised. [—]Denied. PUBLIC WORKS Comments; PUBLIC UTILITIES /� PUBLIC SAFETY Reviewed by: Date: " 7-0 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: � � Te 5 ate 6��.v6�. ..�d try: �cEw' Revised 05//4109 BP255UO2 CITY OF ATLANTIC BEACH 6/17/09 Application Tracking Action Log Maintenance 15: 02:25 Application number . . . . . : .09 00000885 Application type . . . . . . : RESIDENTIAL ADDITION/ALTERATION Address . . . . . . 369 PLAZA Revision/Path/Step/Seq/Agency: A 01 00 PLANNING & ZONING Type information, press Enter. Action date . . . . . . . 61709 Action by (F4) . . . . . . SD Action code (F4) . . . . . AP Time spent (hours) . . . . . 00 Correction report item . . N Y=Yes, N=No 1=Add new comment 2=Change comment 4=Delete comment Opt Seq Comments Print 1. 00 Kitchen not permitted. Garage canot be used as a dwelling Y unit. 2. 00 3. 00 4 . 00 _ 5. 00 F3=Yxit F4=Prompt F9=Add standard comment F10=Force step complete F12=Cancel F21=User defaults i „r3 r.r CITY OF ATLANTIC BEACH _ t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY M'.JOa ADDRESS 2 VALIlATiON'OF WORK &S a FT-UNDER ROOF, A:LEGAL DESCRIPTION' 5:CLASS OF WORK, fi.USEOF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LO-32- BLOCK SUB DIVISION ❑AD TION ❑CONVERTING USE ❑COMMERCIAL fi'DESCRIPTION OF WORK61< RATION 11ACCESSORY BLDG. 8.FIRE SPRINKLER. 11/ -1 ,( REPAIR ❑POOL/SPA ❑YE ❑N/A 0169 00 r(�`�1 '`� � 11 MOVE ❑OTHER V"., (,PROPER OWNER:. CONTRACTOR.. ": ,` -^ : : ARCHITECT I ENGINEER:: ` 9.NAME: 15.COMPANY NAME 23.COMPANY NAME P Nf W1 ps 1. v,oeft r CZ/V�p'r Y ET 16.NAME /�/ 24.LICENSEE NAME: 1 '� 11, X100..ADDRESS: y�,, /� 17.STATE O1F FLORIDA LICENSE N0: 25.STATE OF FLORIDA LICENSE NO.: �Z%l //T L�1 ES 6 7 14 - �,�+ +. 3�2,j 3 18.ADDRESS: 26.ADDRESS: J JZS"'o Set✓ "1?t0N e►1�.. a.is. tz-.. 32,z_33 11.OFFICE PHONE: 12.FAX NO.: 19 OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Z4 -132AIIA I ----- 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE CSI ;4'9 - 21C14q 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: � 30.EMAIL ADDRESS: PN (a4 SIMPLE TITLEHOLDER W�, + J B t / Or*�,�tD{NG MORTGAGE FENDER . pFoTHER nrwow►>EFy 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER'ar AGENT: CONTRACTOR °, ([f Agedt,Power of,�tiomey or Letter Regcrired) -(q ,; Signed: \. Date: W l 0 Si e 'Date- lJ Before me thi day of 2009 in the county of B re m is day of 200/9 in th county of Duval,State f Florida,has personally appeared Duval, lorida,has persona ppe r herin by him.. /hers If and affirms that all statements and declarations are herin by HAW/herself and affirms that all statements d declarations are true and accurate. true and accurate. / Notary Public at Large,State of County of Q Notary Public at to of !/ County of ❑Personally Known 11Personally 11 Prod. i - ❑Produced 'on pum„� Notary9 Ac.''. Notary Signu r 'o to of d YCommission axGl sFe 14( Commission# D 518533 010 on s8, National Notary Assn. BLDG01 Per-nit Application Bldg:REVISED:12/18- 0 Family shall mean one or more persons,related by blood, adoption or marriage, living and cooking together as a single housekeeping unit, exclusive of household servants and minor children under the age of eighteen (18). Persons living and cooking together in a domestic relationship and as an integrated single housekeeping unit, though not related by blood, adoption or marriage, shall be deemed to constitute a Family, provided that such alternative definition of Family shall not exceed two (2) persons. The term Family shall not be construed to mean fraternities, sororities, clubs, convents or monasteries, or other types of institutional living arrangements. Family Day Care Home shall mean as defined by State law. (See also Group Care Home.) Pursuant to Chapter 166.0445, Florida Statutes, the operation of a residence as a Family Day Care Home registered and licensed with the Department of Children and Family Services shall constitute a permitted residential Use and shall not require approval of a Use-by-Exception. Fence shall mean any horizontal Structure constructed of wood, vinyl, lattice, masonry, wire, metal or similar materials for the purpose of enclosing, screening or separating Land. Open frames, open trellises, or similar open landscape fixtures, designed solely to support landscaping and plant materials shall not be construed as a Fence. Flood shall mean a temporary rise in the level of a body of water inundating areas not ordinarily so covered. Flood Frequency shall mean the statistically determined average for how often a specific flood level or discharge may be equaled or exceeded. Floodway shall mean the channel of a watercourse and portions of the adjoining flood plane, which are reasonably required to carry and discharge the regulatory flood. Floor Area shall mean the sum of the gross horizontal areas of all floors of a Building or Buildings, measured from exterior faces of exterior walls or from the center line of walls separating two (2) attached Buildings. Foster Home shall mean any establishment or private residence that provides 24-hour care for more than three(3)children unrelated to the operator and which receives a payment, fee or grant for any of the children receiving care, and whether or not operated for profit. Future Land Use, as used in this Chapter, shall mean the Future Land Use as designated by the adopted Comprehensive Plan Future Land Use map, as may be amended. Garage Apartment shall mean a Dwelling Unit for not more than one Family, which is combined with a Private Garage, allowed only as set forth within Section 24-88. A Garage Apartment shall not be leased or rented for periods of less than ninety(90)consecutive days. Only one Garage Apartment shall be allowed on a residential Lot, subject to the provisions of Section 24-88. Garage Apartments shall remain in joint ownership with the Principal Use Structure. Garage, Apartment Building shall mean a Building, designed and intended to be used for the housing of vehicles, belonging to the occupants of an apartment Building on the same property. Garage,Private shall mean a detached residential Accessory Structure or a portion of the Principal Building used as a work or hobby space, for recreation or leisure activities, or for the storage of motor vehicles and personal property belonging to the occupants of the Principal Building. A Private Garage may contain sleeping quarters, electrical service and plumbing,but shall not contain a Kitchen and shall not be converted to or used as a Dwelling Unit. No Home Occupation shall be conducted with a Private Garage, unless approved in accordance with the provisions of Section 24-159. A carport shall be considered as a Private Garage. (See Section 24-151 (b)(1)iv.) Initial Effective Date: January 01,2002 10 Last amended August 25,2008 Ordinance Number 90-01-172 by Ordinance 90-08-206 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) =3 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ryv E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Prod Address: 9 7 �AZa.^- De ent review required Ye No Prop" uildin Applicant: M ��' S li r d f L _ nnmg &Zonm r Project: l fT j G'i �)ff g 4-M Public works Public Utilities LI VI'n �« Public Safety JJ Fire Services Other Agency Review or Permit Required Review or Receipt Date of 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. 'Spcle one.) Comments: BUILDING PLAN &ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviev,led by: Date: Revised 05114/09 OF SURVEY MAP 5, PAGE CH AS RECORDED IN FLORID AT 0OK A" ATLANTIC BEA 6F DUVAL COUNTY, LOCK SUBDIVISION „ n J 69 OF THE CURRENT PUBLIC RECORDS PA o� o vo 84. 8 49.89—FIELD) 4'1 0" E o FOUND 1" IRON EA' FOUND 1/2- IRON —(NO CAP) k 0.00 PIPE—(NO CAP) 4 CHAI LINK. O'5 4.5'y O O6 1.0' 21.2' Vva `li{ '1 ti ONE STORY N FRAME ti ��^ 60 N GARAGE vi J �G(!l_M}' r 1 M , N ✓ I~ 30' 1�`�•h s 2tz' 1 .. 0 O� 0 Q� w a� 0 W �. ao t" \ 0 i 1 to �,0 1 � � T-M E4 6' WOOD CZIYERED'vi FENCE C BCH\ 14.3. 4.J A W 3.51 EE R Q v r 12.1' Lr Lo N u t TWO STORY t Oto Z W 4.1 FRAME RESIDENCE No. 369 � x m Q PROPANE ^p 14.7, 30.5' NK PAD 4tTA • x (� ` -COyF(iF�- o vR r8R1 po ig00 b *GAM N J � i do / J I 1.85'-FIELD t,�, � Y 5 GVE D ++" ON FOUND 1/2' IRON �-- • 1 y X PIPE—(NO CAP) x FFOUNO IRON GATE CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Jilt Application Number . . . . . 09-00000885 Date 6/23/09 Property Address . . . . . . 369 PLAZA Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc converting garage to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DENT PHILLIPS BUILDERS LLC 1250 SELVA MARINA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/20/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * Alarm system on doors and windows for pool safety will be required at final inspection for certification of completion on this permit . * Kitchen not permitted. Garage canot be used as a dwelling unit. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------{{-----------{{---��-- ---------- ---------- ----------n- ---------- PERMIT IS AP�II (7NVf IN`rtt.' 66ANCE WITH Rt:LOATY OF ATLANT>i KEACH ORDINANCES 1iND THE FLORID'A� BUILDING CODES. � , `" •t ° `I, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J . -`' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 1 Page 2 Application Number . . . . . 09-00000885 Date 6/23/09 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P7S' vx, 4_ CITY OF ATLANTIC BEACH 7_ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 s OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY PLON2f) Atlantic Beach FL 32233 416-f❑41 ES PERMIT#: r Lih+ za�4•;rxa.,,.':2. ,X"fr -"ti rpt' tu,�lis "rG rr�i�t 41!'„,G n,sx.„y PROP ER 5I iX 7"��' iin�t�;iikta'�i!p liw'#,-�,R /4'.NAME: S.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 3.UMBING. 1R �6, ,: �r�'� a _ u W i "° 9. 7.NAME OF COMP Y: 8.AADDDRESS.: n 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX N0.: 1 tea^ ie 12.EMAIL ADDRESS: 13.OFFICE PHONE: / 14. Co,nc?� C 14 1 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: t 1 'tv/►ItfREOF W0K! R+{k 'i.,ar : = k71 ❑ NEW ❑'06FLORIDA BUILDING CODE- ❑ RE-PIPE PLUMBING ❑OTHER: tib k rr u;< ,'I *A UM ER.k R +* +i,r X I(,-7,6 , A:' ,X r' ai ,777-,77'./ b7,77,",777777 BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY LAUNDRY TRAY ttr S i� OTHER (SPECIFY): ROOF DRAIN PLUMBING'.P IT FEES ��' PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:11/6/2007 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ter,. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000885 Date 6/23/09 Property Address . . . . . . 369 PLAZA Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc converting garage to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DENT PHILLIPS BUILDERS LLC 1250 SELVA MARINA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/20/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS * Alarm system on doors and windows for pool safety will be required at final inspection for certification of completion on this permit . * Kitchen not permitted. Garage canot be used as a dwelling unit . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --p--rr--�-------------- ---------- ---------- ---------- ---------- PERMIT IS AhYRl7t'& JWV Irt Rteb DANCE WITIR OALP�ITY OF ATLA741C0 BEACH ORDINANCE OAND THE FLORIDAP 0 BUILDING CODES. 9G CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 4 f1i31�'' Page 2 Application Number . . . . . 09-00000885 Date 6/23/09 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 4s. 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 5-00029717 Date 2/14/05 Property Address . . . . Tenant nbr, name . . . . . . TREE REMOVAL PERMIT Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- - --- ------ ------------ ----- ------------------- WIEGARD, BONNIE OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------- -- ----------------------------- --------------------- -------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 2/14/05 Valuation . . . . 0 Expiration Date . . 8/13/05 ----------------- - ---------------------------- --- --------- - ------ - ---------- Special Notes and Comments APPROVED TO REMOVE ONE 27 INCH WATER OAK AND TO BE MITIGATED ONSITE WITH ONE 13 INCH PALM OR PAY $117 . 00 PER INCH INTO THE TREE FUND. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -- -------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILD G OFFICIAL MINUTES OF REGULAR MEETING OF TREE CONSERVATION BOARD February 9,2005 A regular meeting of the Tree Conservation Board was held on September 22, in the Adele Grage Cultural Center. Present were Chair Maureen Shaughnessy, Jim McCue, Charles Carroll, Jamie Fletcher, Building Official Don Ford and Recording Secretary Amber Lehman. 1. Call to Order The meeting was called to order at 7:01 p.m. 2. Recognition of Visitors Silet Wiley, 1855 Live Oak Lane 3. Approval of Minutes of the Meeting of January 27, 2005. A motion was made by Board Member Carroll, seconded by Board Member McCue, and unanimously carried to approve the Minutes of January 27,2005. 4. New Business A. Tree Removal Applications: 1. 369 Plaza: Board Member Carroll, seconded by Board Member McCue, motion unanimously carried to instruct building official to issue a tree removal permit to remove one 27 inch water oak and to be mitigated onsite with one 13 inch palm or pay $117 dollars per inch into the tree fund. 5. Old Business 1. 1065 Ocean Blvd.: Board Member Carroll, seconded by Board Member McCue, motion unanimously carried to allow owners of the property to plant 40 inches of palm in lieu of the original 40 inches of oak that the original tree permit was issued for. 6. Reports and Announcements Mr. Ford reported that the proposed Tree Canopy Ordinance would be going before the City Commissioners on February 28, 2005. Mr. Ford stated that the proposed ordinance had gone through the City Manager and the City Attorney. After the tree board members reviewed the proposed ordinance, they expressed several concerns about the proposed ordinance. Ms. Shaughnessy stated that the original Tree Canopy ordinance that the Tree Board recommended is not what is being recommended to the City Commissioners on February 28, 2005. S s CITY OF ATLANTIC BEACH YSAN _" ? �c.��� `` TREE REMOVAL APPLICATION r � 1 All applications must be submitted with seven(7)copies and received by 5:00 p.m.on the Friday ten (10)days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. Applicants Name: Q n n le, W64" Address: 3(q f" la- A-4�a"kc. VCk Telephone#: "Io¢-2+ -7R?.v Address or Legal Description Of Tree Removal Site (If legal description,list closest cross street y�[ j Reason for Proposed ' - "" I r � 2aL)I "``-LK' Air� Tree Removal Has this site been to the Tree Board Before? (Circle) YES NO ,)NOT SURES N Please provide the following information: SID} T►oaf 1 M aw SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilities and easements as applicable. c. Location, species and size of all trees with Diameter at Breast Height(D.B.H.)of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an"X". e. Location, species and size of all trees to be preserved on-site for replacement must be marked with brackets"[]" f. Location, species and size of any proposed new replacement trees marked with a circle"O". g. Location, species and size of all trees to be preserved on-site with barricading at tree drip line noted. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property corners must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST BE MARKED ON-SITE BY RED/ORANGE flagging, paint or tape. e. All trees tope preserved on-site for mitigation MUST be marked with BLUE/GREEN flagging, paint or tape. 800 Seminole Road•Atlantic Beach,FL 32233-5445 Phone:(904)247-5800•Fax:(904)247-5854-www.coab.us Page 1 of 4 Revised 11104 LIST TREES PROPOSED FOR REMOVAL: DIAMETER OF TREES APPLICANT'S OFFICE USE SPECIEESV INTERIOR ZONE** EXTERIORZONE** COMMENTS ONLY SII W /j" r lr�Vnt) rk- �y CHOICES FOR REPLACEMENT: Choose one or a combination of the following to compensate for trees removed: a. Plant new trees on sit b. Pay money into the Tree Fund at the current rate. c. .Protect(save)other trees that qualify and mark trees to be protected on site. d. List in the columns below by diameter inches,for your choice of mitigation or replacement trees by inches. DIAMETER OF PLANT NEW PAY INTO TREE SPECIES TREE TREE FUND PROTECT S off I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROT CTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH. /- a 1p 05 Applicant's Signature Date Owner's Signature Date Tree Conservation Board Chair Date (") 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 trees is determined by adding together the diameter of each trunk as measured immediately above the forks. (") Interior Zone: Outside the 20-foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on following page). Exterior Zone: Within the 20-foot fronttrear setbacks and the 7.5 feet side setbacks(see diagram on following page). 800 Seminole Road-Atlantic Beach,FL 32233-5445 Phone:(904)247-5800 •Fax:(904)247-5854•vwwv.coab.us Page 2 of 4 Revised 11/04 Pool Data Perimeter: 68 Ln.Ft. Tile Per: 68 Ln.Ft. Area: 303 Sq. Ft. Int.Surface: 558 Sq.Ft. Depth: 3'-0"Shallow 4'-6" Deep Length: 21' Width: 15' Deck Data Property Line Deck Area: 887 Sq. Ft. Conc Patio Area: 219 .ft.a 9 ft.0 in. 58ft.0in. aver Deck x 7 7 � Existing Pol ble J J Pr a Line N Spa W p Pool 21'X 15' p P ►tY �a iL] Existing Covered _ ;. Lanai With New Paver Deck PV This drawing is an artistic in general appearance of the sM not meant to be an exa ALL Dimensions are a Owner's Approval: 140\ � Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 �.r INSPECTION PHONE LINE 247-5826 Application Number . . . . 03-00026548 Date 7/22/03 Property Address . . . . . 369 PLAZA Tenant nbr, name . . . . . . MISC WIRING 200AMPS Application description . . . ELECTRIC ONLY Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ WIEGAND, BONNIE UNITED ELECTRIC CO. OF JAX 5716 ST.AUGUSTINE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731-4210 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 " .`4'd ..,. Address: 369 PLAZA DRIVE Permit Number: 20749 ATLANTIC BEACH, FL 32233 Permit Type: TREE REMOVAL Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: 177 Improv. Cost: Date Issued: 10/06/2000 Name: PHILLIPS, MICHAEL Total Fees: Address: 369 PLAZA DRIVE Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: Phone: 904)280-3144 Work Desc: TREE REMO%r% EIRE , RDAPPROVAL icar,R, 1' FFw 3 , PROPERTY OWNER 4i1 �4. 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 "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. tc)r",-., ATLANTIC BEACHIBUILDING DEPT. iF CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION iY Of AILJ�! ' k' I All applications must submitted with seven(7) copies and received by 5 P141 bh'!fnWw1&e_" days prior to the scheduled meeting in order to be -placed on the agenda. INCOMPLETk APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAMADDRESS TELEPHONE 2. 3 Dir�33 ADDRESS OR LEGAL DESCRIPTION OF TREE�kEMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: co( e-- Q ftlk LQ 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? [I YES El NO NOT SURE 5. PROPERTY ZONING: XRESIDENTIAL 11 COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: INTERIOR OR SPECIES DIAMETER EXTERIOR ZONE** POA Icy—) fY C'Q (D 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 trees is determined by adding together the diameter of each trunk as measured immediately above the forks. •s MAP ,SHOWING BOUNDARY SURVEY OF LOT 2 _._._RLOCK S t AS SHOWN ON MAP Of AS RfCORGLrO iN PL4T ACN,iK PAGC? ova Or TMC ��!�ltt�."� PC.1s*�« 0.'�..►�w•a wt_�,.,�ra C. r�� "ffrW7tV rQ. rl LS,IAAF-,6..l- I i'xa.5.il .�.=8B:C-A sL w c. j.�'M 1L1 LPr:, 60Z P p w MkAkj!S :..¢.r s-t .�. Tree Removal APPMOd +Y �! tJ r C A U'T �` ~ � �� --r � ©� •ti 'dam s <� � J 7 " (J @5D jJ w .�. cj. [3.4! .4 4 ' l Cci•' vJ. Gi cam. C�rti v N .f'.FR-R.Er AW..,O .4,RFOC 44 TAW, INC, Pira ar�AovrMos>Ia i.wt. surrc zso. .nAc�soHvrtt� Ror1� xtsar rHaMt: !�, saw—sm iur: +►o�) sa—.rasp rrrr�u MU • w.O. POIM Of CLMWATURK LCCiEl�! M wAlOw,s P,T. PANT 01 1,�q� 3 +) MM Mbs sNOIwN NCRR URC M4alp ON P,R.c w01NT OP RMR!�Ctrllrt A wI.'�M'•�i' a^w. wa -Poo as•�.... s!`.. IC.C• FQlw Of COOMONND cu" C s....•a •♦ �O!.w..•. 1..O.C. Z►OMfT ON ItA, kD*,O 1PMCTWN Ile N (i) � � K T1M1 MOwCRhf MAS NO? newNOTs1aCT�0 c9pw" UbwtlONO R POR c"c&KNTs. cOMCMANTs, RCT,TRICTWNS II/M p0mr-OP-MMY i#2 ++NocllawOKlWo VTMITKI 7t1er1N0 +►!Is I.P. OMAN Pwt NOM MRW t*AVC NOT OWN UICATCD OR ♦) THE Ps0/4RTY S"WM MLR[ON NLs WIThMN ALI, FL000 xONR AS PC* r.c.r,a. 2 2 2 MAI FLOOD INsvMANC[ MwTC w1►. IANCL 1MA . Pc**Cr. nA. CCRT. NO. ' 5—r -sus.-�.. A►.., �. OATa0 4�-�.�• &ATT 0/ /1LW .s1, VVY CAft S. +COURSON. nA,. CORP. NO. JI?g w MAO W Mr► mr SMAM MT• TW dMwML AVRA. 9AL W. ntAMWA unw p am-mm A .w"w aftma Mei. TREE SURVEY 369 PLAZA DIAMETER LOCATION 1. OAK 13.69 6'5"FT FROM FRONT AND 2'4"FROM RIGHT SIDE 2. PALM 14.97 5'3"FT FROM FRONT AND 13 FT FR. RIGHT SIDE 3. PALM 12.74 5 FT FR. FRONT AND 29'5"FT FR RIGHT SIDE X. 4. PALM 14.65 20' FR FRONT AND 24' OFF RIGHT SIDE X 5. PALM 13.38 21' FR.FRONT AND 22' 5'FK RIGHT SIDE �C 6. PALM 14.01 30' FR.FRONT AND 31 ' FR.RIGHT SIDE X 7. PALM 17.52 22' FR FRONT AND 5' FR. RIGHT SIDE 8. PALM 15.92 50' FR.FRONT AND 1' FR RIGHT SIDE ,/,9. PALM 9.55 52' FR. FRONT AND 1'FR.RIGHT SIDE 10.PALM 12.42 88' FR. FRONT AND 12' FR.RIGHT SIDE 11.PALM 14.65 128'FR. FRONT AND 13' OFF RIGHT SIDE 12. OAK 5.10 120'FR. FRONT AND 13' OFF RIGHT SIDE 13. OAK 7.01 129'FR.FRONT AND 30' OFF RIGHT SIDE 14.PALM 14.02 89' FR.FRONT AND 49' FR.RIGHT SIDE x,15.PALM 14.97 90'FR FRONT AND 18' FR RIGHT SIDE 16.PALM 17.20 90'FR.FRONT AND 20'FR.RIGHT SIDE 7. SITE PLAN/TREE SURVEY indicating: a) Changes of topographic features such as hills and low areas affecting trees. b) Existing and proposed structures. Location of all trees with Diameter at Breast Height (DBH) of six inches or more. Q Tree species and sizes in DBH. ® 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. Location of trees to be preserved on-site with barricading indicated. ZD 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 Number or Address. 9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES 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. Applicant's Si at D e Owner's Signat e Date CITY USE ONLY: Tree Conservation Board Chairperson Date CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029865 Date 3/15/05 Property Address . . . 369 PLAZA Tenant nbr, name . . . . . . POOL/DECK Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 24000 Owner Contractor ---- -------- ------------ ---- -- ------------------ WIEGARD, BONNIE SURFSIDE POOLS 313 BEACH BLVD. ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2666 ----------------- ----------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00 Issue Date . . . . Valuation . . . . 24000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total 75 . 00 75 . 00 . 00 . 00 Grand Total 225 . 00 225 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO S. �k BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: BUILDING /ZONING DEPARTMENT r� 800 Seminole Road . Doerr '+ Atlantic Beach,Florida 32233 �J13 � (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS MAkl!� Permit Application # O S - Zlzi t Property Address: Applicant: Project: This p rmit application has been: Approved ED Reviewed and the following items need attention: Please re-submit y r applica n when these items have been completed. Reviewed By: Date: Date Contractor Notified: A SPA RECEIVED CITY OF ATLANTIC BEACH Pools•Spas•Service ATLANTIC BEACH BUILDING &ZONING "IT APPLICATION MAR 11 2005 + 246-2666 EXT.122 Fax 249-8801 313 BEACH BOULEVARD I JACKSONVILLE BEACH,FL 32250 CPCO 44080 I V', DAN ROUSE WWW.SURFSIDEPOOLS.NET II Date: tt Job Address: _IV___L/`�!%� ,`, TL. 'TJ�- Owner: ®�v�,,r Lc.T .4 Phone: Contractor: iLey,��Ji OO -e_ Phone: ,Y 1L2. Address: _3/3 +��•/ /2ly-/ - Fax: 2 City : State: bl:--e .Zip Code: 11 Valuation of Proposed Construction: .2 4 O 00, $'tl Gallons: © S D *Impervious Surface Calculation: 0 Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. Is approval of Homeowner's Association or other private entity required? Na If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic.Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours-by leaving a message on the voice mail system. Inspections are made the following workday; please'specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type.of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUII.,DING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845- http://www.ei.atiantic-beacb.fl.US Revised 3/04 I hereby certify that all information provided with this appy tion' correct. 1 Signature of Owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date; AS TO OWNER: Sworn to and subscribed before me this day of .20 0 S . State of Florida,County of Duval . Notary's Signature: Kknown PersonallyO!�o'M1S 19"00 Produced Identifiiatiom N Type of Identifi4-m°1'r0fi"3669 o d ?99� u`�:F bu Ung . N�`� ASA1/. /C St 11 t4O�\NIS'v AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 1) State of Florida,County of Duval Notary's Signature: personally known �,tt�lattaHiiial®,ani ❑ Produced Identiftql•SUT'/iF�>ro, qa .� �, SIO F• �/,y r Type of Identif a�p 2: #Do 223659 roti ✓meq s PoncledlM� `0`;`0.� BUCilii1t91i ST0 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http://www.ci.atiantic-beach.fi.us Revised 3/04 Vit!. CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENT ° F 1 sy 800 Seminole Road Doerr Atlantic Beach,Florida 32233 (904)247-5800 904 247-5845 Fax www.coab.us l.!'( ,t ',T u r s_ r PLAN REVIEW COMMENTS { MR � Permit Application # QS- Z9BL S Property Address: of Applicant: Project: �ad This permit application has been: ZApproved 13 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: GI"`y pi= CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION s1Q 4t'a?dG8 � i Date-, Job Address: Owner: �i�-rvr �f~�I Phone: el?– 7 74 O Contractor: � Gt,��•J/ e �as f.!" Phone: �/�- 244K X 12-?— Address: 2ZAddress: .3/3 Fax: City State: t'l:-e_Zip Code: Valuation of Proposed Construction: Gallons: D S A *Impervious Surface Calculation: Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workdoLy; please`specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845- http://www.ei.atlantic-beach.fl.us Revised 3/04 Doc # 2005083144, OR BK 12345 Page 1027, 1 of 1 Filed & Recorded 03/11/2005 at 12:00 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 j NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE Permit No. Tax Folio N State of j. County of To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property,and in i accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property bein improved: CmT 32 B[oct% l/ S. d/t+LJrc� Address of property,being Improved: N� Z e4 Cir �L-W1 3 LZs�� General description of Improvements: .�w/r•.-�i^�_���� ���9���'4✓ Owner �C.c-oc�/e �G� Address 3 9 A64 2,4F ,s�7Yc 1X,".' �4 _Owner's interest interest in site of the Improvement_ P-6 Fee Simple Titleholder(if other than owner) Name Address PAR Contractor - DUc Address1 -91,K) , �E. 3 2SU Phone No. Fax No. L/ S O � Surety(if any) Address Amount of bond$ 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 Lienors Notice as provided in Section T13.06(2)(b),Florida Statutes.(Fill in at Owners option). Name Address Phone No. Fax No. 10 . Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is spedfied): THIS SPACE FOR RECORDER'S USE ONLY OWNER t)N�1 E, e I G,II/dD Signed: -eOnn;<— tLlti -V' - Date:2 Before me this day of _in the Cou f Duval,State of Florl IW,g�rs ally appeared 11 Notary ro at Lerge,jtat pf oridt' ttjr?of Duval My commission expires Personally Known •' or Produced Identification ..�''�9hg'•..$11 • 'RE�t ���/ItlltilllUNHI Mar' 08 05 05: 04p Boatwright Surveyors 9042413346 p" 2 MAP OF SURVEY LOT 32 BLOCK 11, SUBDIVISION "A" ATLANTIC BEACH, AS REC IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL C FLORIDA. va O� FOUND (� 84'J1'18' E 49,89—FIELD) INN 84"44 -(NO CAP) � 10" _ 50.00 , 4` FOUND 7/2'IRON 0.5 46 1�'OOD -- 4 CHAIN LINK , PIPE-(NO CAP) 4.5' '- 21.2 �- 7.p• ONE STORY �M Q 15 3,0 60 ^ FRAME GARAGE M SCALE 1" 0 3' 71.2' o >4 1 o� 1 ocq zo ch 04 O V6 c 1 Zt ' I o ' `' O Lox CONCRETE I _ FENCEO ✓ `L-� N �r� \ 14.3' 4.9 J.$'HOOD O e- 4 A 12.1' FENCE S z 4.7' TWO STORY a FRAM RESIDENCE x v ¢� f m _x NO. 3 )0 6? 89 Y Q / a:,--W I 1M x z4.J' J015' µOK�v 0 C f"LYI /t�d E7E7 0 4.a Ct>�.vfvf Lr z Lai o o $X I ASCD-', fio # 349, w 85LFlEL0 c N PND J50-'50 -PLAT OU '� '� x Pw'E-(N PIPE (NO 2'FOUND IRON A .1, 5 0.007 % FOUFENCE ND I? CA) V DA (50.06'-FIELD) 80' THE PLAZA NOTES. PAVED THIS IS A BOUNDARY SURVEY, BEARINGS ARE BASED ON THE NORTHERLY RIGHT OF WAY LINE OF THE PLAZA AS BEING S 8444'10" W. NO BUILDING RESTRICTION LINES PER PLAT THIS SURVEY WAS MADE FOR THE BENEFIT OF; BONNIE WEIGAND: WASHINIGTON MUTUAL BANK: FIRST COAST 71TLE SERVICES, INC: AMERICAN PIONEER TITLE INSURANCE THE PROPERTY SHOWN HEREON APPEARS TO LIE COMPANY IN FLOOD ZONE "X" AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" COMMUNITY-PANEL NUMBER 120075-0001 D, REVISED APRIL 17, 1989, FOR DUVAL COUNTY, FLORIDA. nn [pooL DecK e i 6 6"Concrete Floor— r lll_�'44 #3 Bars @ 12" o.c. Each Way Hydro-Static Pool Da. Release Valve volume c Tum Over Longitudinal Section Pimp Pump N.T.S. Pool-DecK 3.5"Conc. Deck(2500 psi pea rock) with KooLDeck Finish l #3 Bars rGJ 12" o.c. _ 1t Each Way Cr,� 6 X 6 Ceramic Tile— " Hydro-Static #3 Steel Bars R 12"o.c. each way Release Valve Ta Cross Section Pool Finished with N.7.S. exposed aggregate. r Wall Secth N.T.S. CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD f4 ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 �tiJ1Il�� Application Number . . . . . 04-00028318 Date 5/18/04 Property Address . . . . . . 369 PLAZA Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240VOLT Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ - ---------------------- WIEGARD, BONNIE UNITED ELECTRIC CO. OF JAX 369 PLAZA 5716 ST .AUGUSTINE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731-4210 ---------------------------- ------------------------------------------------ Permit . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . 0 Fee summary Charged Paid Credited Due - ----------- ----- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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. ( , BUILDING OFFICIAL • , ?t rL`�r� CITY OF ATLANTIC BEACH s ELECTRICAL PERMIT APPLICATION C At Date; a `, Property Address: _ 3G9 if" k Z cL Owner: ��gni �.•1+ o) C,n Telephone #: a�7- 1gZ� Contractor: U G !- L Telephone#: _7 3)" Contractor Address: �� c51I' �vy�J �c Fax#: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is O New Residence ❑ Temp. ❑ New being done on this building Old ❑ Commercial LlSi ns ❑ Increase or site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALS Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS 19 0Z) PH W 3 VOLT 2-V WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0-30 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 04 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V VER60 V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sin Miscellaneous " 1 !"!? S ,,Q 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 _ PERMIT INFORMATION _� LOCATION INFORMATION" J Permit Number: 18448 Address: 369 PLAZA DRIVE Permit Type: DEMOLITION ATLANTIC BEACH, FL 32233 Class of Work: REMOVAL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/01/1999 Name: M. E. KENYON COMPANY Total Fees: 50.00 Address: 5772 TIMUQUANA ROAD Amount Paid: 50.00 JACKSONVILLE, FL 32210 Date Paid: 7/01/1999 ; Phone: (904)777-0833 Work Desc: DEMOLITION OF UNOCCUPIED BUILDING CONTRAGTQR(S) ; =R _ APPLICATION FEES LARUE HOUSE MOVERS PERMIT 50.00 i 1 I I i i Inspections Required I i f i� UST BE REQUESTED AT LEAST 24 HOU NOTICE- INSPECTIONS M R5 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 F-- LAW CAN RESULT IN THE PROPERTY 1 "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN 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 158,88 14 r v--• Date: 7/81/99 01 Receipt: 88685777Q ----- CHECKS ATLANTIC BEACH BUILDING D T. 88188883221888 JUN-Z5-99 FRI 12:05 PM MAILBOXES ETC FAX NO. 904 241 2294 p, 02 ' CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL,ADDITIONS,OR ALTERATIONS MOVING,DEMOLTITONS Owner(8): M . E. Kenyon Company Job Address: 369 Plaza Street Phone: (904) 777-0833 Lot# 32 Block or Unit# 11 Subdivision: "A" Atlantic Beach Contractor. L,4 State License# 4t/� Address: Phone No: City State Zip Code Describe work to be done: Demolition of Building Present use of building: None — Unoccupied Building Valuation of Proposed Construction: N/A Proposed use: Is this an addition? No If yes, what are the dimension of the added space: fL X ft. Will the added area be heated and cooled? New electrical(or increase)? New plumbing fa lures? N�A New fireplace? N/A NcW lieat/AC? N/A SUBMIT 7RWEE(COMMERCIAL) TWO(RF, MEN7W) COMPLETE SETS OF PLAIM INCLUDING SITE PL41V, SURLY. ENMITY CODE RMS, NOTICE OF COMMENCEMENT, AND OW�vERiCONTRACTORSAFFMAKT,IFO RS IS CONTRACTORS Signature OWNER o/ Date: 62 Signature CONTRACTOR: Date: AS TO OWNER: Sworn to an$subscribed before we this 9 day of �Va.R—. .19� A MICHAEL ;.{ NOTARY PUPLIC, STATE Of FLORIDA My commission expires July 2,1999 `.:•+� Commission No, CC 47.759.E NOTARY PUB C AS TO CONTRACTOR Sworn to snd ■ubscribed befirs nae tats AIRY of , NOTARY PL`BLIC I-a l 1 c uo rn MA 1 LBOXES ETC FAX NO, 904 241 2294 P. 01 CITY OF 1'��QaarfC {,�LSrKW� - 7&zoo ct _ 900 SE1 INOI.h:RO&D - r ATLAWIC;E:EACH.FLOrTT)A;;2233.044.5 • T1rI,FP1•iQ^(E 1S>04r 247-C�{� " rA.X 0)04. 214,-5,8071 Sli\CObi ris•�-58tH> w .. s CHAPTER 489, FLORIDA STATUTES, PA1tT I "CONSTRUCTION CONTRACTING' RE<)UIRCS OWNBWBUIL.DER TO ACXNOWLZ=K THE LAW: DISCLOSURE STATEMENT FOR SECTION A89. 103(7), FLott10A STATUTES: STATC LAW Rmuip $CONSTRUCTION TO at DONE BY UCENS£D CONTRACTORS. YOU NAVE APPLIED rOR A PERMIT UNDER AN IP.CtmpnoN TO THAT LAW, THE BXSMPTION ALLOWS YOU, AS THE OWNER OF TOUR PROPIIRYY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOVOM YOU DO NOT HAVE A LICENSE. YOU MUST CUFeRVtsC THE CONSTRUCTION YOURSELF, YOU MAY BUILO OR IMPROV£A ONE - OR TWO FAMILY RESIDENCE OR A FARM OVTDUILDING. YOU MAY A= BUILD OR IMPROVE A COMMERCIAL SUILDINO AT A COST OF $25.000.00 OR LESS. M.19 SUB-014c MUST tae VOR YOUR Uar AND OCCUPANCY. IT MAY NOT DE GUILT FOR SALE OR LEASE. IR YOU SGLL OR LEASE A SUILDINC YOU HAVE suwr YpURSCLF WITHIN ONE YEAR AFTER TM5 CONSTRUCTION IS COMPLETE, THE LAW WILL PRXZUMF-THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN WjjL10ENSR0 PCASON A8 YOUR CONTRACTOR, YOUR CONSTRUCTION MUST BE DONE ACCOROLNG TO TME 4VILDING CODES AND ZONING REGULATIONS. IT 13 YOUR RESPONS10JUTY TO MAKG SURE THAT PEOPLE ltMr�TCD eY TOU HAYta L)CENSES REOUtREb QY�TI,TE LAW AND BY COUNTY QR MUNICIP/U_ L)CrN--,INQ ORDINANCti, ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE Tlit:IR OWN PROPLx7Y WHEN IT is rom PERSONAL OR FAMILY USE.AN*LJKEWLSE REOUIR£ALL WORK (DCCLPT MAINTENANCE UNDYR $-P,COO) BE UNDER A NUII.WNO PERMIT AND PASS ALL NORMAL INSPECTIONS. TYit CIRDINANCS STATES OWNERS MAY PHYSICALLY DO WORK TFICMSCLVrS; OR MAY N/Ri UNwCRNsED WORKERS PROVIoco SUCH WORKams as UNDCR "DIRECT£I.IPERVtsION OF TNI[OWNGR, W)40 MUST tae ON TNK.400 AT ALL TIMES WH1LS WORK IS IN P9Z00R6SS BY UNLICLrN$60 TRADES PEOPLE." TKIS DOa.B NOT ALLOW USE OF UNUCVNS69 CONTRACTORS. SINCE 2?.ftArkRS MAY BE LIA&Lr, ERR INJURIES TO WORKERS THEY HIRE, THE BUILDINo OL`PARTMCNT SUGGESTS WOR"A'$COMPENSATION INSURANCE OC PURCMASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTsCTS THE OWNER. OWNERS PIIRINO WORKERS SP-COME EMPLOYERS AND 4H6UL0 ALSO OBSERVE IRS WITH?nOLDINO TAX AND/OR FORM 1 099 REOUTAZM9NT$ ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. QrjLfCLN390 CONTRAf TORS CANNOT QE EMPLOYED I R ANY CIRCUM ANCEB. OWNERS BEING SVSJLCT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455.228(1). AN-•" rzUPAT)ONAL LIC=NSC" 1S NOT 4212VATE. THE OWN&n SHOULD PMYSICAILY SEC THC COUNTY "CERTIFtCATS OF COMPETENCY" OR THG FLomoA "CONTRACTORS CER11FICATE" TO ASCYRTAIN )F A PERSON IS A LICENSED CONTRACTOR, TELEPHONE THE BUILDING DEPARTMENT(247- 5aZ5) IF IN cou&T. ) HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLO$URLSTATEMENT ANN THAT I COMPLY WITH ALL., THE REOUIREMENTS FOK THE IS. uANCC OF AN•�ONNCR-BUILDER PERMrr. PAT MICHAEL NOTARY PUPLIC, STATE OF FLORIDA PR7T OWNER/BU` R ew E. Kenyon,, Fcresident • MY commission expires Iuly 2, 1999 74. E. Kenyon C p ny COmmIsslOn NO. CCV7597„ 5772 Timuquana Road Jacksonville, FL 32210 ADDRESS TELEPHONE (904) 777-0833 '1gCk 19 .1 SWORN TO AND SUBSCRIBED BEFORE ME THIS2�DAY OF n� NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES, ARE EMPHASIZED BY THE BUILDING DEPARTMENT. I F .. I CITY i` O it 4arQ6��iL�Bc Office of Building Official L 0-7 _ REQUEST FOR INSPEC N Date � a _ Permit No. Time --s Received _ M. Job Address Loca ty Owner's /'7 Name ��� —_ _ on BUILDING CON RETE !ELECTRICAL PLUMBING MECHANICAL Framing Footing ..-i Rough Wiring [.i Rough -- Air Cond. & ❑ Re Roofing C Slab Temp Pole 7 Top Out Heating Insulation 7 Lintel ❑ Final Sewer Fire Place C Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday_ A.M. inspection Made "</ —� --__. __�-__P.M. Final Inspectiinspec -- on Certificate of Occupancy Date ------ :tt ->I-T C'e� CITY OF 000 SFININOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5000 FAX(904)205005 January 19, 1995 Mr . Richard A. Stanny 2764 Woody Place Jacksonville, FL 32216-5353 Dear Mr. Stanny: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 369 Plaza Drive a/k/a Lot 32, Block 11, Atlantic Beach RE#170014-0000 Investigation of this property discloses that I have found ` and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach ordinance Chapter 12, Section 12-1-8 (Structurally Unsound) , . , ' the wood framed garage on the west side of 369 Plaza is collapsing. The structure should be demolished within the time specified. You are hereby notified that unless the condition above described is remedied within ten (10) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, 4ar Grunewald Code Enforcement Officer KWG/Pah cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: - - --- / - --------------------- ------ --------------------- --------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. S;-NCFJWLY, BUILDING INSPECTION DIVISION cc:FILE G/ CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—,/--?,L 19 2- IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDAW WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE H- E ELECTRICZRELATIONS, CODES AND CITY OF AT TIC BEACH ORDINANCES. LECTRICAL FIRM: MASTER EkdcnicIAN S1 NAT EJOURNEYMAN NAME 2 _ADDRE : ( �s.-. = RFD 80X BLDG.SIZE BETWEEN: RES. APT. ( ) COMM.1 ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD REW.( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIG ( ) SQ. FT. SERVICE: NEW( ) INCREASE REPAIR 1 ) FEE CONDUCTOR SIZE AMPS O 0 COPPER ALUM. 1 SWITCH OR BREAKER 100 AMPS PH W bVOLT I RACEWAY EXIST.SERV.SIZE 4f 6 AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES 11BELL TRANSF: AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O'1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS-1 MISCELLANEOUS roenlecntaMCRc• 11 um:A Rnn V_ AVER Rnn V CITY OF ATLANTIC BEACH sr� 800 SEMINOLE ROAD j � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027549 Date 1/22/04 Property Address . . . . . . 366 PLAZA Tenant nbr, name . . . . . . METAL RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 Owner Contractor ------------ ---- -------- FOGG, MICHAEL ARMORED METAL WORKS INC 366 PLAZA PO BOX 16952 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 219-9778 ----------------- --------- ---- - --- - ---- - - ----- --- - - -- -- ----- -- -- - - - --------- Permit . . . , , . ROOF PERMIT Additional desc . . Permit Fee . . . . 143 . 00 Plan Check Fee . 00 Issue Date . . , . Valuation . . . . 13000 Fee summary Charged Paid Credited Due ------------ --- -- ---- ----- - ------- --- -- -- - -- -- - ------ --- - Permit Fee Total 143 . 00 143 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 143 . 00 143 . 00 . 00 . 00 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 WHICHAkRE PART OF TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLA+�dTIC BEACH SPE -hIT ..CAL.CUL.aTION S$EET Act rens 3L�C� � 0-2 4 Ideated Square Factage Mer sq Garage/S. ed 5 er .sq .ft = .5 Carport/PC.rch _ft ._ $ Deck. @ $ Mer sq ft = . S patio Mer : sa ft = $ TOTF,.L V$L;UAT:L.00i : ' S .Total Valuation Ist $ /tic) E}�0 $ :Remaining Value .$�� per thausan.d or, ;Pcrticiz '.thereof TOTAL BUILbTDf.GFEE $ ? . . + ..L/2 Filing , F'ee (.". ). Fir.eplaces . @ . $l5 . 0C y , BUILDENG , PERMIT FEE WRATER IMPACT SEWER, :IMP,'-CT,:.FEE $ . WALTER' r1ETER•/TAP $ CAP ITAL .IMPROVEMENT, :$ SEWER .TAP, 5 ( ) RAI}ON (IRS) . 0a5a. ' S SECT ION $ P.AV ING ( ) 5 HYZSRAUL.IC ,SNARES 5 CROSS CONNECT:GN $ .OTEER $ GRAND .TOTAL' DUE43. .$ ADDITIONAL PERMITS OR .FEES :.,Mecbani,cal „Plwmbing Electric/New Electric/Temp ; SwimmiagPaal Septic Tazlk Well Sign Finish Floor Eiavati an Survey Other. CALCULaTICNS and/cc NOTES : Cc: CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT s~— "�iwins f 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 RFU . (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application.# C1q — Property Address: Ct Applicant: _Ll r`rY1 r e J Iti1 F Project: This p snit application has been: Approved (;2-ARevjeVftd--aa41fi'eb1l0wing items need — v tl- Please re-submit your application when these items have been completed. Reviewed By: L4-- Date: 1 CITY OF ATLANTIC BEACH z ,7 . ROOFING PERMIT APPLICATION Date: 0 4 Job Address: 7j (o p C►.2.q Owner of Property: -,'iter6 %pp iN\u-No � a1/.c� ki1Q Y'%a%A o A Address: '566 Yk o z.o. Telephone: Contractor: Arcv,oc-oca Mc State License Number: CCC, Contractor's Address: 9163 �oQc,�r, 1�� J a1c • I F� 3 Z2-4 Telephone: °x n y - 2-10%- 00-18 Fax: ULA-- 64% - $16'.'�, Scope of Work: e- p e � oo . T Deck Slope: I-A, Greater than 2:12 4e s Less than 2:12r — nn Valuation of work: 13, O p© w Product Name(Example: Timberline): 'D e K ME 1 S sC1 r o- l o c C� �J.1 S tYl I Manufacturer(Example: GAF): c P ASTM Designation(s): ADT`t`n a -1°ia. ©2- Required Inspections: Sheathing W Einal Signature of Owner: �^ r Date: t 7 v t1q _ Signature of Contractor: �- J�/ SSG._ Date: ► -1 z o ,o y AS TO OWNER: �1 Sworn to and subscribed before me this day of 200(-fl. State of Florida,County of Duval � Notary s Signature: vVv ,tU� JENNIFERSCHLUETER .: MY COMMISSION#DD 121901 r-1Personally,k wn EXPIRES:May 27,2008 Rf„nes BondedThruNotary PW*UMrs ['Produced identification Type of identification produced V U DID 3 5- AS TO CONTRACTOR: Sworn to and subscribed before me this day of200=1-. State of Florida,County of Duval Notary's Signature: � IA JENNIFER SCHLUETER Y Personall known *. : MY COMMISSION#DD 121301 ❑ EXPIRES:'May 27,2006 �roduced identification _ rRf BorrdedThruNotary PuDlbUxlenvrRers Type of identification producedFl ,F-Zoo`•�2 `�Z"z-ZI_v 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 Armored M0181Works t� 11C. Sh0. r Lccv, 13/t► 5V��,��u� Seaavy, QknVe4 ( a\\jG, L,�YNe. C� i'ps cry a�lec� e,jtc A APPROVED CITY Or AUvii"1C bEACH BUILDING OFFICE JAN ?- 2 2004 -:\. ,//.:v .!•,/���\�,f';7i�:�\!�^.\':!�`\-r�\,., ':��`� rr�r"�\\\_�Iu�r--��� ;�:��.,1 � ���� �,���:�!✓\r,✓,��`'4;�. '�J�' \.. � "moo �. hr �\\\✓i,�%'�.�wr r.//J:� �j i �:�; ,.r</ria:;\\�✓�\\\�; ;,\��� ��.,.� -r r. ,v\�'" "\`,�-:p;:��\�:. c j�'.�'. �,,...G. �i ~= � .:i s \ 1� \ �� `\\ ! -� \\ te�f(r(b/ \'(r l• �r 1\\\ ��/rr l&, �, `,✓� \�. .i„c����/ � / ..� v .c.�, y � r._ �r � .may te' ria S:pec aye `M t.a -_ H.D.''GALVANIZED: :` ASTM A 653, S$, Grade 50B, G90 GALVALUME ASTM A 792,' SS,Grade 50137 AZ-50 (For Painting) : ALUMINUM: ASTM B-209, ALLOY 3003, TEMPER H-14 DREXLUME: ASTM A792,SS,Grade 50B,AZ55 (Acrylic/Chromate Treated) THE COATING SYSTEM SHALL MEET ALL ASTM TESTING PROCEDURES Polyvinyl Flouride, 70% Kynar 500/Hylar 5000 with a total dry film thickness of 1.0 MIL (+/- 0.1 MIL) consisting of 0.2 MIL primer and 0.7/0.8 MIL top coat. EDREXEL ['-I E T/X LS CC)RPCDR✓�',:T-ION 204 Railroad Drive Wyland, PA 18974 toll free: 888-321-9630 toll free fax: 877-321-9638 emoil: info`a drexmei.com web: www.drexmet.corn TO,V \ Vey C REXEL METALS CORP. 0!0 E DREXMET° 175 SNAP-LOCK SYSTEM r 31GNED TO COMPLY WITH THE HIGH VELOCITY RRICANE ZONE, FLORIDA BUILDING CODE Drexel Metals 175 Snap Lock Architectural Roof Panel System _24 gauge x 18" wide panel with optional Striations. Grade 50 with AZ50 Galvalume substrate. Maximum Design Pressure: -82.5 psf Recommended minimum slope: 3:12 Weathertightness warranty available. Available in all 38 standard Drexmet®finishes with our 30 year "Non Pro-rated" warranty. "Cool Roof" & Low Gloss standard colors available. Utilizing Drexel Metals Certified Network of Qualified Manufacturer/Installation Contractors Miami-Dade County, Florida APPROVED: NOA # 02-0807.02 Exp: 11.27.07 CALL (888) 321.9630 A INFOODREXMET.COM FOR MORE INFORMATION DREXEL METALS CORPORATI N WWW.dr@Xmet.COm 204 Railroad Drive•Ivyland,PA Jan 21 04 04:01P Ken Durden (9041 641-8162 P. 1 Armored Motai Works inc, JaCkS$RWB.HOMO 32246 PIS[994?219.91)8 L ;A ,4-j',�(-) \j e-, (7\4, 0 ,V\j cr,-(� 14 LA Jan 21 04 04:01p Ken Durden (904) 641-8162 p.2 CORPORATE( MAIN NIANUFACTURING NATIONAL SALt:S S SIARFI:11"it- 1+_1111 Anlhuv Ave. 320 Snulhvrn tr..1te.l Perth %mhrgt..NJ 101862 (:arlmul. I\74043 I'bumv:Mitt)826-861.1 11honc:1214,27%-73011 Fax:1 9118 182 6-10163 Fa,:,2 1 4 1 840-311+' SERIES 2000 1 3/4" HIGH STRUCTURAL & ARCHITECTURAL SNAP LOCK STANDING SEAM VARIA/LE W 1 0 7 H OF 11 • 16 - 1 I INTEPLIKK OEMr four unpuperM lar wrtoltr wtlNt pt tNe 3{110 wd Iwan 1a 2�W.,i2 qa.u1t1 912• W alwm�tm,rwsrttasaa•112•„ria a�uer. 00eww sw111111 L—opumalPod P&A --J PR 0 1)U("I' ll RES ENTATION other flecking niter tthlch the parcel systems are del'lecnon slay :atrsr p.unel, t„ nil 1.111 Sll:ll ,,•t Sone,_'thxl I ':4'Inch Structural Snap Lock StandmL itnstalled .hall be true. plumb and straieht: an) cannntg ns 11,11 a:at1,e Int prt,du,r Seam 1+ .t t a1 iahlc a kith 1 12 I8"1 integral pati,) finish en•:uly 111111111111C,,nl:.,nnu1�•.9110 lent m_i., deign.„fill optional pencil r1hs.Variable width feature ac,thrurally plra,nlg,It.alua krtm ifr,t allows you to,prcltw xhatecer panel width you choose Series 2(NN)Structural Snap L":6 ,if,If a, I'_ Ii I/r' and 18" jot any infinite widill ARANEL .. System can be c:t>11% adapted 1:,r snap�„nhei,tccn I'•-IN"i ru blend in ,%fill your design applic;lions.A 2•'high x 1-112"ttlde,onunuou,paremcl.•1,oncilcriun acsthelics SERIES20call,imply be snapped i n place otei Sernc, 2($xI,::.aIhr panel Jrsign ,C:ufC,tin male inlcrlotk hent interLuck Standing Seam proitle.the female Ieg tonnnuou,ly, lending structural haven look. The snap-on balicn a.,,n c•+1.111 _n.:'.:: charactcn,ti:,to appy it titer purlins iCxcs or 7.ccst. SEAM CAP weathrrughtmcs,. 01tectional b:m•., .vu, —.11, m The p.uu•I I,,i:mvd w file putlins or suhstralc by clips hauerts can be easdt wc„ntpli'llcd In livid it fiat:, atinu rim los unrestricted thermal mu,cmtents all bending and pup rnrtin_'the hasten,al ills•tian,fi- - W'irh Serres 2(Itk)jumcl.t7.ru m durrnr urrl c hunt rs esti, Geduners arc concealed: the clip design protides for:t G r Scars 218X)-with snap-on h:nrcn+.ata, hr:gipb.d rt„u: urrnmpliclrrJ Jn+rn 1111 y ru Ju,,,rcr with bncr rttjrt Iry' 1/4 rlc:n:Iit•r I,cr,taxn the flat surface of Ihr pallel andCave nit eat'e in one corrttrmous panel Icrt_tL titin td /'telt-nc+rc$iut andtern,/tor tin' panels tit (lir the,uh,irate.allotting tennlation underneath.Optional nzuts 1111111 c. flashiue:u the Iitkw - +C:dant as,UleN greater ,t:llerlighfile,s. IIIStallatiolt i,a ,n,,I,.no labra uurnsc utachanwal seining:dost secure rile made lef,,t fill clips and snap the panels in place. ALLOWABLE UNIFORM LIVE LOAD(PSF) FOR MATERIALS, FINISHES SERIES 2000 PANEL PROFILE :4 gauge(,;,d,alumc conforming m)ASTM A-791.50 KSI of 22g:1u_r hal-dipped galvanized steel 0-911. PANEL PANEL NO.OF AS'f�l A-44o Grade I), 50 KSI or *032 aluminum WIDTH GAUGE EQUAL SPANS 4'0" 4'6" 5"0" 516" 6'0•' ,d1os ijo5-1114,ar equal with baked-un PermaCulor '' 0 Ktn.0 :+Ira'` tit all standard colors (sec Color .032" 2 31 25 20 16 1.1 Card and('oaungs and Finish Processes, in sntouth. Alum. 3 or more 36 29 23 19 f ,tucco embo„ed or striated l spe,aty i finish. 12 in. 24 ga. 2 82 65 53 44 3' "Lauer and U.;2' alumuwnt are available subject Io Steel 3 or more 96 76 1 61 51 43 nunnntln irdrl 1equirranrnt of If1,fNN1 til _.—__ 22 ya, 2 106 84 68 56 47 FLASHING AND FLAT STOCK Steel 3ormore 124 98 79 66 55 111 rtpa,eJ Hashing, ,hall he field formed In same .032 2 23 18 15 12 10 -,aucc. finish,color:old tenure matching the panel,. Alum. 3 or more 27 21 17 1 12 milli prutccmte strippable Iihn to he removed a(tic time „f the Installation 16 in. 24 ga. 2 62 49 40 33 27 Steel 3 or more 72 57 46 38 32 USES.APPLICA11ONS 22 ga. 2 80 63 51 42 35 \,an nueer.ucJ roofln_ svacm, Series 21)O8 1 314" Steel 3 or more 93 74 60 1 49 -I1 high Stru:wr.J Snap Loci, panels nla% hr installed on lope, t•'%I2" or treater. user purlins or solid deck. 032 2 20 16s'. 13 11 ) ,nth mo la%cr,„1 13#felt.Series Nxx)panels{nay also Alum. 3 or more 23 19 15 12 10 t,e tn,tatled,,,e( right 11nsulamom,with clips and hearing 18 in. 24 ga. 2 55 43 35 29 24 plate, D" nor in+rall panels directly over chemically Steel 3 or more 64 51 41 34 28 ucafeJ I-mended use of the Series 2011!)panel syslcni can be 22 9a. 2 71 56 45 38 32 made Im nt.ln,cud-'rquipmem ,Caen applications over Steel 3 or more 83 65 53 4.1 3' ,ub,.tits of a,fascia and siding milli systcnt. NOTES: -Loads slur.shown stat rite utcrcaseil ht I r3 fur a{h+wabie„nut I'm"Pallets,hall he continuous from ridge it)rate with no Def1cenon,du nut exceed 112-l0 of span in 111,11c'.rthl lap, H,Irrowal putlin,. 2 x 4•s or pw lyood and Kynar 50L is a registerea traaemat4 m Atoc^err N=. Jan 21 04 04: 03p Ken Burden [9041 641-8162 p.3 [E:NLERT TECHNICAL BULLETIN --V� L V Pv .60 Pv .70 Pv Gross Wind Velocity Positive Negative Class UpliFt, Velocity, Pressure, Pressure, Pressure, PSF MPH PSF PSF PSF 30 95 23.08 13.85 16.15 30 45 116 34.61 20.77 24.23 60 134 46.15 27.69 32.31 60 75 150 57.69 34.62 40.38 90 164 69.23 41.54 48.46 90 105 178 80.77 48.46 56.54 �___.._._.._._..__ _... JANUARY 1994 Jan 21 04 04:04p Ken Durden (904) 641-8162 p•4 MAIN MANUFACTURING.,HOME OFFICE P.O.Box 149 1200 Amboy Avenue Amboy. 98)2689y °8862ENGLERT �j NC■ Phone: 64 ( Fax:(908)826.8865 From the desk of: Joe Tripod, Jr. Project Manager/Sales Engineering TECHNICAL BULLETIN #2 November 3, 1893 Re: Englert Series 2000 Panel System is Complete With Total Engineering And Testingi Englert Series 2000,1 3/4"High Structural Snap Lock Standing Seam,is a Panel System that is totally complete with engineering and testings: 1. 24 ga., 18" wide Panels, is UL-90 rated over open purlins at 4' o.c.. Panels narrower than 18"are automatically eligible for UL-90 rating. Likewise,22 ga. Panel System, 12"-18" wide, is eligible for UL-90. 2. 24 ga., 18" wide Panel, has UL-90 rating for application over metal deck with rigid insulation, bearing plates and clips,with a layer of 30# telt,by securing the Panel System into metal deck through rigid insulation; no horizontal purlins are required. Similarly, when panels narrower than 18" wide are applied, such as 12", 16", etc.; UL-90 rating will apply. Also, it 22 gauge panels are used instead of 24 gauge, UL-90 rating will continue to be applicable. 3. It now has Dade County approval 4. it has been tested for modified ASTM-330 (Air bag.) 5. it has been tested for Air Infiltration, per ASTM-E-283-84. 6. -It has been tested for Water Penetration, per ASTM-E-331-84. 7. It has been tested for simulated water spray equal to 8.8"/hour rainfall, with wind velocities ranging from 50 to 100 mph., with no leakage, damage, or failures. 8. It has been tested for 250# Concentrated Load In a 4-square inch area. 9. The Panel System comes with a Professional Engineer's Load Table for various spans/live loads. 10. The Panel System comes with an optional sealant, like any other system on the market today! R must be noted that all ratings and testings are applicable if the panel system Is installed in a manner in which it was tested. Series 2000 is a much versatile panel system that can meet most specs. Check with our Sates Engineering on any Spec. compliance questions you may have! Jan 21 04 04: 06p Ken Darden (904) 641-8162 p. 5 FENGLERT RIDGE/HIP ICD -0161 RIDGE/HIP CAP CL❑SURE TRIM ROOF PANEL SOLID DECK 30M FELT FOR FLASHING TRIMS SEE RIDGE DETAILS. JANUARY 1"4 Jan 21 04 04:08p Ken Durden (9041 641-8162 p.6 EENGLERT PITCH BREAK ECD 0 7 4 F --t - COUNTERFLASH. � BY OTHERS. FLASH 'B' EXIST/NEW CONSTR. (3) FASTENERS PER PANEL FLASH 'A'. SET IN SEALANT TAPE ROOF PANEL. FIELD BOX END. vp 30M FELT SOLID DECK ROOF CLIP 6' FROM PANEL END i FLASH 'A' FLAW V JANUARY 1991 Jan 21 04 04:09p Ken Durden 1904) 641-8162 p. 7 ENGLERT RIDGE CD- 0101 F ■ CLOSURE LASH 'B' FLASHING 'A' ROOF PANEL. SET IN SEALANT TAPE FIELD BOX END. � POP RIVET ONE SIDE—ONLY e 24' C TRS. ROOF CLIP, IST CLIP 6' FROM PANEL END 30# FELT SOLID DECK (3) FASTENERS PER PANEL +� NEOPRENE CLOSURES MUST BE USED WITH THIS DETAIL FLASH 'A' FLASH 'W JANWDr 199 Jan 21 04 04: 10p Ken Durden [9041 641-8162 p.8 FENGLERT SAVE CD- 050 ROOF CLIP 6' FROM PANEL END ROOF PANEL. FIELD CUT &BEND RETURN. FILL END OF SEAM WITH SEALANT. 30# FELT SEALANT SOLID DECK FLASH 'A' FLASH 'B' CONT. CLEAT FLASH 'A' FLASH 'B' .JANLMRY H"• CITY OF YW4#% G BearA- T& , Office of Building Official REQUEST FOR INSPECTION Date Permi N 1. Time A.M. Received P.M. Job Address Locality Own is ( �J" �Me C r G CONCRETE �CT� PLUM81 MECHANICAL ❑ Footing ❑ oug mng ❑ ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION E- ) A.M. Tues. / Wed. Thurs. Friday P.M, . , V Inspection Made klk`' 4 a P.M. Inspector �� Final Inspection ❑ Certificate of Occupancy❑ Date Schlueter, Jennifer From: Ford, Don Sent: Thursday, November 07, 2002 8:02 AM To: Schlueter, Jennifer Subject: 369 Plaza - Final inspection on Garage Jennifer, Please check the file to determine if we have completed the final inspection for a garage at 369 Plaza. Thanks, Don Don C. Ford CBO 800 Seminole Rd. City of Atlantic BEACH,FL. 32233 Phone 904-247-5826 //�� ��,, ///3CITY OF lq&4a 4 elacA-ILI Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time M. Received ) � Job` Localit Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑; o Air Cond. & ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final J;]. Sewer ❑ Fire Place Pre Fab VM� READY FOR INSPECTfON Mon. Tues. Wed. Thurs. Friday A.M. Inspection Mad CJZ� PM, Inspector � _ Final Inspection ❑ Certificate of Occupancy 1--j 2— �,- - Date 4&4 CITY OF Office of Building ictal REQUEST FOR INS E ON f Date o(2— Permit No. Time Received r � l Job AddreLocality Owner's , /� +. Na Contractor BUILDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL Framin ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M A.M. Inspection Made '� P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date ,r� � CITY OF 4&aa,tic BeaaA-0;,w- Office of Building Official REQUEST FOR INSPECTION Date — Permit No. �� Time A.M. Received — ----PTA tel, 1� `'•�—/�./�'� J dress Locality Owner's Name Contractor BUILDINGCON E� ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab 1-341—F Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. / Wed. Friday P.M. <--! f A. Inspection Made P.M.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date i�//4a //CITY O//F / uA Office of Building Official REQUEST FOR INSPECTION Date �� / Permit No. Time A.M. Received M. ob Ad _ Locality Owners � Name Contractor f!" /�i?'7l L�� BUILDING CONCRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring Fi Rough C7 Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole Ll Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION � � Mon. Tues. Wed. urs. Friday_ TA.M.��. A.M. - InspectiomMade In pector Final IrnSpeef Certificate of Occ pan a'6, Date CITY OF Office of Buildi Official != S i- d ( � ' REQUEST F INSPECTION ► /) f - Date •� � � �--' / Permit No.m 2`�,4 fl Time A.M. Received P.M. Job Address Locality Owner's Name /Cly11IC L e—e,0--,Contractor BUILDING CONCRETE ELECTRICAL) PLUMBING MECHANICAL- D Footing ❑ -Yiooe3h-W--� ❑ Rough ❑ AiiCewdrlC' F-1 Re Roofing ❑ Slab C Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A - — Inspection Made 00 12 Inspector inal Inspection ficate of ccupancy ��IL Date ' /�1� /CITY OF 4& f3ew-4-99kZ�Q�S I Office of Building Official REQUEST FOR INSPECTION Date �) Permit No. Time L A.M. Received �' P.M. Job Address Locality Owner's n Name ►�'1� - P t��( Contractor L(j sk BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring j Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab h Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Final Cl Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION <A—.M^.+l Mon. Tues. d. Th Friday PiVt' Inspection Made ��' P.M. Inspector Final Inspection ❑ Certificate Of Occupa^noy ❑� Date ll nn CITY OF 2 Q Office of Building Official f__- ,�- L REQUEST FOR INSPECTF�'� Q s Date /( 2 2 —O V Permit IVo' �✓ ___ Time A.M. Received P.M. Job Address Locality Owner's t� Nam Contractor / f c CBUILDING CONCRETE —-- ECECTRICAL —PLU-M-B-1146S MECHANICAL � Footing ❑ g --# S►g �'' o �B' Re Roofing (O Slab ❑ Temp Pole ❑ Top Out ❑ Heating r\ Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. Friday P.M. A.M. Inspection M� Ga M. Inspector ue � _' Final Inspection ❑ Certificate of Occupancy ❑ Date //�� � ����,,� //CITY__O//F rih�"'4 Beata-414u-44 Office of Building Official /7 ff�� REQUEST FOR INSPECTION J Date ` / 'V Permit No. Q " Time A.M. Received 126 q J b�d, s � ocality Owners Name Contractor ✓ f �` BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab c�j ADY�F SPECTION �0� on. 'Tues. 7 e . Thurs. Friday pM, A.M. Inspection ade ,�+ P.M. Inspector �c ' '. Final Inspection ❑ Certificate of Occupancy❑ Date /n���//� �;��.-� //CITY__O//ta-" __ �/_ fYK�i#dw- Be4cit-0;AK4J4 Office of Building Official REQUEST FOR INSPECTION Date 12— - ,(e/-0_b Permit No. Time A.M. Received P.M. - 36 5 �k*;e Job Address Locality Owner's Name 4,� l/�1-i Contractor �11�/L C. V /1 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring F3 Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy 11�.�if L � J Date CITY OF Z� ^t '3 L (m 4&44 +2C BeaaK-AfNlfQ� Office of Building Official REQUEST FOR INSPECTION Date / Permit N Time Received P 771/1-t Loc ity Owner's NameContractor BUILDING CRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ oo mg Rough Wiring Cl Rough ElAir Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READ INSPECTION A.M Mon. Tues. Wed. Thurs. /Friday 30 -G; Z_." A.M. (LO t O S E /0 F Inspection Made PM Inspector Final Inspection ❑ SLG S _Certificate of Occupancy❑ C Date t �y R05 30 '00 08'-46 FR 9R1J::E EL'S I5 904 287 1258 TO 19042461500 P.03,111 FORM E0OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: .Atlantic Beach,Fl. PERMIT#: BASE AS-BUILT GLASS TYPES 18 X Conditioned X BSPM = Points Overllan$ Floor Area TypelSC Omt Len Hgt Area X SPM X SOF Points A 2430.0 88.45 1207=.2 Double,Clear S 817 710 20.0 34,M 0.40 338.1 Double,Clear S 8.7 8.0 72.0 34.50 0.51 385.6 Double,Claw 5 8.7 7.0 20.0 34,50 0.49 338.1 Double,Char E 1.7 17.0 8.0 40.22 0.96 3201 Double,Clear E 1.7 14.0 140 40.22 098 569.1 Double,Clear N 1.7 15.0 45.0 19.22 0.99 dd9.1 Double,Geer W 17.7 6.0 10.0 36.9 0.40 147.7 Do",Clear N 1.1 7,0 30.0 19.22 0.94 $43.1 0%.ble,Clear N 24.0 8.0 9.0 19.22 056 102.6 Double,Clear SAI 1,7 16.0 13.0 3699 0.99 478.3 Double,Clear $ 1.7 5.0 32.0 34.30 0.77 846.8 Double,Clear S 7.7 9.0 10.0 3450 O.S4 186.7 Double,Clear S 1.7 e.0 4.0 34,50 0.82 113.5 Double,Cher E 1.7 45 18.0 40.22 0-81 SK0 Double,Clear N 1.7 5.0 40.0 19.72 0.80 686.6 Double,Clear W 1.7 5.0 16.0 38,99 0.84 46@.6 Double,Geer W 1.7 5.0 10.0 36.99 0.84 312.2 As skirt Topp 321,4 7812.1 WALL TYPES Area X BSPM = paints Type R-Value Area X SPM = Points Adajcent O.Q 0.0 0.0 Frame,Wood,6xaerlor 11,0 1=0 1,70 3M.1 Exdehor t923.0 1.70 3289.1 Men Total; 1923.0 5248,1 Aa49ulU Total. 190.0 82".1 IEOOR TYPES Area X BSPM a Points Type Area X SPM = Paints djacent 0.0 0.00 0.0 E *MorWood Seto 6,10 341.8 DOOR 560 6.10 3416 ease Total: 6d,a 841.4 As$uiR Total- CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM s Points Under Mic 1080.0 0.60 048.0 Under Attic 30.0 1061.0 O.eo 636.6 &n¢e Assembly 19.0 23.0 180 41.4 Under Attic 19.0 136.0 1.10 151.8 Base Total: f aat4.0 84=.0 AsAullt Total; '1212.) 819.8 Sf*r9YGa r9e91 DCA Form 60DA-07 ErwgyrGauge®arResFREEV7 FLRIPA 2.02 2LG =O '00 08:4e FR _n';UCE EL-IS 9E34 287 1258 TO 19042461501 P.04/11 FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS:,Atlantic Beach, FI, PERMIT 0: BASE AS-BUILT FLOOR TYPES Area X SSPM = Points Type R-Value Area X SPM = Points 5ab 132.0(w -37.0 -4864.0 Slob-On-Grade Edge Insulation 0.0 132.0(p) -11.20 4439.+1 Rawoo 130.0 399 -5181 Raised Woad.Poet or Pier 11.0 130.0 1.05 1371 Base Total: d402.> A*41ullt Total: 4301.3 INFILTRATION Asea X SSPM = Points Area X SPM = Points 21X40.0 1021 20726.9 2030.0 10,21 20726,3 Summer Base Paints. 31+660.5 Summer As-Built Points: 27177.7 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 27177.7 1.000 1.067 0.341 1.= 9999.19 31660.5 0.3573 11312.3 27177.7 1.00 1.067 0.341 1.000 9899.8 EnergyGaugeTM DCA Form WM-97 EnwWg GaugeS/ResFRFE'97 FLRIPA 2.02 RUG 30 108 08.48 FR BRUCE ELLIS 9214 287 1258 TO 19042431500 P.05111 FORM 60OA-97 WINTER CALCULATIONS Residential,Whole Building Performance Method A - Details ADDRESS-,AtIontic Beach, ISI, PERMIT#: BASE AS-BUILT GLASS TYPIES .18 X Conditioned X BWPM = Points Overhang Floor Area TypelSC Orr1t Len Hgt Area X WPM X WOF = Points .19 2030.0 8.7'0 3M.1 Double,Clear S 6.7 7.0 20.0 4.03 3.05 248.4 Double,Clear 6 8.7 8.0 22.0 403 2.87 254.9 Double,Clear S 8.7 7.0 20.0 4.031 3.09 24A Double,Clear E 1,7 17.0 010 9.09 101 73,2 Double,Clear E 1.7 14.0 14.0 9.08 1.01 126.3 Double,Clear N 1.7 15.0 46.0 14.30 1.01) 643.5 Double,0:1ear W 1711 60 10.0 1077 1.23 132.1 Double,Clear N 1.7 7,0 30.0 14.30 1.00 4X 1 Double,Clear N 24.0 6.D 9.0 14,30 1,03 132.2 Double,Clear 1717 1.7 15.0 13.0 10.77 1.00 140,2 Double,Clear S 1.7 55,0 32.0 4.03 1,27 163.9 Double,Clear S 7.7 9.0 10-0 443 2.W 100.6 Double,Clew s 1.7 8,0 4.0 4.03 1.17 18 8 Double,Clear E 1.7 4.5 18.0 9.06 1.08 176.0 Double,Claw N 1.7 5.0 40.0 14.30 1.00 5749 Double,Clear W 1.7 5.0 16.0 10,77 1.034 179.8 Dmibie,Clear W 1.7 s.o 10.0 10.77 1.04 112.4 As-Bulk Total: 32,1.0 3757.7 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adepent 0.0, 0.0 0.0 Fname,WOW,E)dehor 11.0 1923,0 3.710 7115.1 Exterior 192:1.0 3.70 7115.1 Base Total: 1823.0 7115.1 As-Bulli Total: 1923.0 7115.1 DOOR TYPES Area X 9WPM - Points 'hype Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 56.0 12.3.0 We Exterior 56.0 12.30 am.$ ease Total: $4.0 MA As-8ullt Total: solo #6118.9 CEILING TYPESArea X SWPM = Points Type R-Value Area X WPM = Points Lander Attic 11080.0 120 1298.0 Under Attic 300 1061.0 1.20 12'3.2 Singke Asserably 19.0 Talo 2100 48.0 Under Attic 1$10 139.0 2.00 276,0 Base Tool: 10110.0 1299.0 As.ldu0i Total: 1212.0 1665.2 EnewGaugeO DCA Form t)0A.97 EnergyGauga9AeVREV97 FLRIFA 2.02 HLiCi S '00 06:45 FR tIRUCE EL'_IS 9'a4 297 1255' TO 190424rG1500 P.E a:'11 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS- ,Atlantic Beach, Fl. PERMIT#: -J BASE AS-BUILT FLOOR TYPES Area X SWPM = Points Type R-Value Area X WPM Points Slab 132.0(p} 8.9 1174.8 Slab.on.Orade lidge Insulation 0.0 132.U(p) 18.50 2491.6 Raised 130.0 0.96 124.9 Raised Wood,Post or Alar 11.0 130.0 1.55 2015 Base Total: 1299.6 lla.80111:Total: 2403.1 INFILTRATION Area X BWPM = Points Area X WPM = Points 2=0 -0.w -1197.7 203D.D -0.1�9 -1187.7 Winter Base Points: 12769.9 Winter As-Built Points: 14642.2 Total Winter X System - Heating Total X Cap X Duct X System X Credit Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 146Q.2 1.000 1.078 0.501 1.000 7917.1 12769.9 0.5340 6819.1 14642.2 1.00 1.076 0.501 1.000 7917.1 LnergyGaugeTM DCA Form SDIIA-27 EnergyGdugeWRes REEW FLR1 PA 2.02 RLiG 30 '120 08:45 FR SPLICE E L.L I S 904 287 1258 TO 19042461500 P.0 7/11 FORM 60DA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: ,Atlantic Beach, Fl, PERMIT BASE AS-BUILT WATER HEATING Number of X Multiplier - Total Tank EF Number of X Tank X Multip ier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 4 2746.00 10984.0 W.0 091 4 1.00 26MA7 1100 10621.9 As*allt Total: toe21.! CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating ► Hot Waler Total Cooling + Heating + Hot Water - Total Points Points Points Points Points Points Points Points 11312.3 6819.1 10984.0 29115.4 9099.8 7917.1 10624.9 28438.8 PAs S S.�Ttua arty FnergyGauge'm DCA Form OMA-97 F_"rgVCaugVGeRe3FREE.V7 FLRtPA 2.02 ��iUG 30 '(2,10 08*-5C FR ?R-CE ELvIS 9a4 28'? 1258 1-0 19f,)424515-00 P.01D, 11 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS:,Atlantic Beach, F1, PERMIT#: SA-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST REQUIREMENTS FOR RM PRACTICE CHECK qpk1.ASC1,1 MWmum:3 stmAg-ft window KM.5 efmllso-ft,door area. F)dador Q Adjaotnt Walls W61,A21C.1,2,1 Caulk,gasket,weatherstrip or sent between:windowsidoom&frarrm,surrounding%1111',1 foundation&wall sole or sill plate;JoIrft between*Aerior vmlt panels at corners;utility perati-stlons;belvwieen wall panels&top/bottom plates;between walls and floor, EXOF-PTION:Frame walla where a continuous infiltration barrier Is Installed that extends from,and Is sealed to,the foundation to the top Owe. Ffaars 606.1 ABC,1,2.2 Penetnxtionsftvnirg >IN'sealed unless becko by trim or joint members. EXCEPTION:Frame Room vAere a continuous InAltration barrier is InstaVed that is seated to the De► allair.wiviratlarts and seems. 6W.1,Al8C.1,2-3 5evmn walis S owflings;penetrations of caftna piano of top Poor;around shaft,chase$, &*M,tri,ohimineys,cabinets sealed to continuous air barrier;gaps In gyp board&lop pleitc attic aoceas EXCEPTION:Frame ciii1lings Where*corillrluWs Infitration bitrner is installed that is sealed at the poi IMeter,M Dei1qMjgrtaJ4I10,3'"' —:------ Recessed L#09 Fixtures tX761.ABC.11A Type IC Wad with no penetratilm,sealed;of Type dC or non-IC raw,installed Inside a sealed box with 11Z olverance&3"from trisulatlan,or Type tC rated with<2.0 ofm from MuIG rt 91'Houses of floor cavity between Room. Additional infiltration r" i W151,AEU1.3 Exhawst too vented to outdoors,dampers;combustion space heaters comply with NEPA have combusUm air. -6A-29 OTHER PRESCFtIPT,IVE MEASURES Jmust be Met or exoWdad by-&N residences.). S�CLWP—TN—ENTS--J SECTION --4RFWREMENTS � CHECK Water Mentors 612.1 Comply with eftency mquirements in Table 6-12 Switch or clearly ri'varkod circuit —_4 bresKer(elieciric'i or cutoff,(ps nust be provided.Egqnal ,swimming Foots&Spas e12'1 Spas&heated pools must dove cvers(except 60"al heated).Nof rovilunM106 JAM mutat have*pump timer.Go*spia&pool hesters,must have a minimum thermal 'efflolencyol'78%. ....... — Shower heads 6121 Water flow must be rs*k-,Wto no more than 2.S sralkins ver minutoat801281G, Air Distribution Systvros 610.1 Ail duob,fittings,moManical equipment and plenum chambers shall to rifthariftily i aftched,sealed,ImWed,and installed in accordance with the witerlo of Section 610. Duft to 4noordtwed vaim R!Q min.insulation. HVAC Cgrorve 607.1 §#9t%le r cessible manual or vAomqft!LiLrYncSt1t for aar'.h system insulation W4 1,sxz 1 Ceilings-Min-R-19-Common walls-Frame R-19 or CBS R-3 both sides. Common eiilllmp&Moors R-11. EiergyGaugeT"DCA Form WOA-97 EnwWGauVVFtssFREE'97 PLAIPA 2,02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CA-RD ES'; MAIED ENERGY FERFORMNCE SCORV =82.1 'the hirher tke were,the more efficient the bowe� Michael David Phillips—Atlantic Beach. Fi, 1, New coubatwulou W twsbrw Now 12 Cw0mg-sywms 2 Singly family 0r Multi-family singla family a, centIVI Unit C41.42,10 Ll>.i1or 3, NUM)vr ot Urats,it rliultFAAMON I SEER, 10-60 4 b Mln 3 L 0,e-,s a worst can? No 6. raf,46(,uod 110or arra(IF) 2030 ft, c. A"A Gluss aj ea&tm- a. cl.:"-aingle pure 0 0 0' 13 fleet ing--yvwmx cktv-double Putt 321.0 W a.Electric Hew,1'ump Cap;42.J'.tNwlir Fintmthet 5G!8HC'C-single Pam; 0.0 W MPF-6 bo) d.'I'inVo(Wr 3CwSHCV--double pate kO fF b, WA Edga!ustilation R---().Q,132,0(p)ft MIA b i,ajfvcd Wz*D4,Kstor?ici R-1 110.OW c. NA 14, Hot waw qaww, Wull a slcctrk rz;ei�ftce Up:SU 0 gallons ._ a. vrame,'XI)OA 1;d6or R-1,LO, 1923.0 111 EF 0,91 L N A NA d.NA ctdilv Milk' (I-IR-EvaT mvnon"Solar ("t-Wng lype" 1)1U'-Da&c&tad lical pump) I O,Rdcr AM 1061.0 W 15, HVAC audits Single AsL"j-Ity 8=0.0,230 It' (CF-Cciliag Cott,cv.-Clont U11da At f, Rr 19,0,138,)11' �'-Wbole house.BU), it DUGIS FIT-PrCWammah1q;Thenylostall a, Skip-0"1 Rix Utw. 411 &Lc %;P.R-6.0.60,011 RB Aho mdumi h4xriar, b 3LF,1,hw. Rd.Unu. AH Attir, Sup-R-6,0,70.0 It 1'vSZ-C-MulfU0110 C'Map, MZ-H-Muluznm hcafiug� I cvr% ,tL,,,!this home ba,-complied with the Mccide Facir'Efficicitcy CA,,&7,or Building Corm-uruon thrmo the above encr&y savinz.ffttuxes which will be iwtaVed(ot euce4ed) jr,this 11ome IWOic fmal mspmlioa Otherwise,a ntw EP-1 Display Cud wilj be�;Ompleted 1W 'hosed on iristalki!CWc cuing rant features HWA'des Date: Addicss of New Home. City,TIL Zip Raw *NOTE: The home's,?iii�rxtrd ,-ietgVpet:fijnnqnve score is only avaiiable 11ir(rugh the f2ARES COMPWA�t Program. 'This is i'l AsilchngE),it'WV RafitIg lf>OUPS(O"is 80(.r grV41ter(or 66for a US EPA/WE F.her,0,SUP" dedynahon), holm-wv qjoh,w,&w energy efficien7y pivrlg.age!Mj)invenfives if you ohtwn a Morida Energy Cfauge Rafing. the E3ivrgp(.7augetJolfine at 407,16384492 orsee the Emorgy Gauge,wbs!1a at wwwvjvev.u'.rlredufur ill'Orma.,lon'.4.jei a list 4f'm-tA4vd Raters, For inforouOickri about Florr Ja's)-")v F Fw'ftlth'"' ,* Cns ct't the f0epat'tmefli qfComm"iy Affairs at 850107-1824 EncrgyGaug&(Version:FLRIPA 2.(32) AIG 30 'eO 08:51 FR i;RLCF t L.L IS 904 2S7 1258 70 19 1424 3 ff OO F'. 1 DATE: 7/22/00 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: Michael David Phiilips R.B. Ellis Energy Design Systems Job Name: Atlantic Beach DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (%) 5 Latent Factor (1) 29 **icor***��*�c��c*k#�t***ak*#*,k�F�r*�r�r�c�**�r***##k***#*#k***# t*s!*#•k###*#ak+irt�r,k#,kit Sensible Room Heating Heating Cooling Coaling Name BTUH CFM BTUH CFM ------- ------- ------- ------- WHOLE HOUSE 40695 1357 31640 1318 HEATING COOLING DELTA T 43 DELTA T 23 NOTE:**Calculated air flaw is based upon load rep irements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-2875339 AUCs 33 100 er:51 FF BRUCE ELLi= 904 28? 1258 TO 15042461500 P.11/11 DATE: 7/22/00 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Michael David Phillips R.B. Ellis Energy Design Systems Jab Name: Atlantic Beach EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------------------ AREA 124 108 40 49 321 COOLING 3100 4320 2960 3626 14006 HEATING 3968 3456 1280 1568 10272 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------ -M- --------------------_---------------- AREA 1923 1923 COOLING 4808 4808 HEATING 7692 7692 ------------------------------------------------------ - - DOORS TOTAL ------------------------------------------------------------------------- AREA 56 56 COOLING 739 739 HEATING 1159 1159 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 132 4805 RAISED WOOD 13Q 169 416 -----------------------w--------------w--------------------------------- CEILING AREA COOLING HEATING -_ _ .. ---- ---..---.•- ----y--~ UNDER ATTIC 1061 2546 2546 SGL ASSEMBLY 23 53 51 KNEE WALL 138 317 373 ------------------------------------------------------------------------- MISCELLANEOUS COOLING LOADS _--°----------------------- People Sensible Load 1500 Latent Load 4128 Lights & Appl. Load 1200 Latent Safety Btuh 206 Ventilation Load Duct Heat Gain 2505 Infiltration Load 2409 Sensible Safety Btuh 1387 TOTAL SENSIBLE LOAD 31640 TOTAL LATENT LOAD 4335 Summer ACH 0.4 Temp. Swing Mult. 1.00 **�► Total Cooling Load 39572 BTUH Or 3.30 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- - - - - Infiltration Load 10143 Ventilation Load Duct Heat boss 1366 Safety Btuh 1873 Winter ACH 0.8 *** Total Heating Load 40695 BTUH Or 3.39 Tons*** +: ICTHL F'P3E.11 ** CITY OF r�ac�ctic �elac� - �Gvua�a 800OLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR.USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE, IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN 17 IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE (UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-2280). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5828) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER P RMIT. P PERTY OWNER/BUILDER Pr. )ki 3144- ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS b DAY OF 30 0 NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: LINDA KILIS ARE EMPHASIZED BY THE BUILDING Notary PubliC, State of Florida DEPARTMENT. My C'o� rly• eXp. 9. JV, 2003 J comm. No. OC849877 PLAN REVIEW CHECKLIST PROPERTY DESCRIPTION: ,3 G 9 OWNER: f �/4 G 11'aA-9S [�J 1. Determine Occupancy Classification of the structure. Select occupancy classification t ` which most accurately fits the use of the Building. (Chapter 133) [ yr 2. Determine actual physical properties of building. [✓j` a. Determine building area each floor. (Area definition Chapter 62) 14' b. Determine grade elevation for building. (Grade definition Chapter 132) [v} C. Determine building height in feet above grade. (Height definition Chapter 132) [v]'' d. Determine building height in stories. (Story definition Chapter 132) [ e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter 132) [ f. Determine percent of exterior openings per floor. 3. Determine minimum Type of Construction necessary to accommodate proposed structure. (Chapter 136) a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table B500) [ b. Check allowable height and area increases permitted. (Chapter 135) 4. Check detailed Occupancy requirements. (Chapter 64) E 5. Check detailed Construction requirements [�] a. Fire Protection of Structural Members(Chapter B6&Table B600) [ b. Fire Protection Requirements(Chapter B7 and Table B700) [ C. Means of Egress Requirements(Chapter B10) } d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) 6. Review design as related to standards. (Chapters B16-B26) 7. Check other requirements as necessary. [� .] a. Construction projecting into public property(chapter B32) [ b. Elevators and conveying systems (Chapter B30) ( ] C. Sprinklers, standpipes and alarm systems(Chapter 139) [y]� d. Use of combustible materials on the interior(Chapter 138) [ e. Roofs and roof structures(Chapter B15) (� f. Light,ventilation and sanitation (Chapter B12) ( ] g. Other © � CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date By: ,-,, ( ,, 2A Don C. Ford, Buil ing Offi ' l don/sb.1 PROPERTY DESCRIPTION Lot # 2 Block #� Section # Subdivision: r. , n/�1� Street Name 369 /,lrl� DESCRIPTION OF WO X' or Address: (If in a FLOOD HAZARD Cly.}/ Of Atlani! r G 1 arc G' Flood Zone: area complete page 3) Brief DescriptionNolweonjng Class of Work: (New/ � Y k'% Remodel/Addition: ZONING INFORMATION Type of Construction: Wow) F/2Af^' Zoning Proposed District: —Use: NEW /-/M6 Estimated Value $—I ��,ybbc ✓ Exceptions or Variances Material : d�, � 1Y1i7-,�/f/ •`^`u s mwt Granted: Solid or Fille � r� Ground: e Roof: NAVA Method df'Heating: OWNER INFORMATION C l Property Owner: jM1Ll44M- -4 L�fQn�,iNL �f � l>t'1�� Phone: 2���3 � ' 2,l1 ' W(o Mailing Address O 1AI& Cl Zip: a,v, 0z'O. P- .32-011— CONTRACTOR 2-01vCONTRACTOR INFORMATION Contractor: M4q,4fafl, �/ ,`/l,�S Phone: Mailing Address: Zip: Expiration STATE LICENSE NO: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature 14� DATE /� /1J" \ Contractor Signature � DATE �- SWORN TO AND SUBSCRIBED BEFORE ME BY11�tr "_THIS -3111 DAY OF Q� , -}f39- .7,210O Q LINDA P KILIS NOT Y PUBLICofl My comm. exp. Aug. 30, 2008 Comm. No. CC849677 CITY OF ATLANTIC BEACH Fixture Unic Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE'!ENT OF WATER DFuaND FOR EAC2 HATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY 4ATER SYSTEM. THE- WATER SUP?LY C!L�.RGE IS HEREBY FIXED AT ,;ENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CIT'; WATER SYSTE.'.!. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND / } WATER CLOSET, LAVATORY & BATH (8) t TUB OR SHOWER ST.I.LL (6) 1 twATER CLOSET J wAi'E3 CIASET, TAM OPE4ATED (4)/2_ T_VALVE O?vRLlll= (8) DATH-rn/SHOVER (2) 1URINAL WALL LI' (4) SHOWFM GROUP PER HF-0 (3) tF-,..00R DRA_N (1) SaCWE3 STALL DOMESTIC (2) LAUNDRY TR,Y (_) _LAVATORY (1) ( CC"*B:aaT_Cv S:NK AND 77_,y (3) wASHI:iG m-ACHINE (3) rj _PCT. SCLMLz:iY S-_NK (=) 1 DISHWASHER (2) Z SMASH SINK EACH SET C. FAUCETS (2) d ICITQiEH SINX (2) 1 DENTAL LAVATORY (1) XITC3E5i SIXK WITH WASTE DENTAL UNI:' OR CUSPIDOR (1) GaINDEY (3) [ 3IDET. (%} UR.T:IAL STALL, AS'r.OUT (4) 4 FL.IISHI?iG IT2i SINY. (8) t CON1HI:iAT10N SINK AND TRAY WiT FOOD DISPOS. (4) URINAL. Fs..DESTAL, SY?HCN JET DRINKING FOUN-_AZN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY: _ ICE MAKER (1-1 /2) � ,$ SHOP (2) 4 SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS Q $20.00 EACH S � ra, OD JOS INFORMATION ' "� i /Q ;rdL/ ` y"sTf/`1G o JD) CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ? e ) Date 0 Heated Square Footage per sq, ft q2 /00 Garage/Shed _per -q Carpor9 ,00per sq t(2 f t bier Der 3,7 ft Patio —Per sa ft 8 TOTAL VALUATTON : O-L) Tat .1 .Vacation ist /000,)o I, T� Remaining Valu-e-' �. per thousand or Dartion thereot; TOTAL BUILDING FEE 5 3- + t' /2' Filing Fee $—.2- q Fireplaces @ $15 , 00 s BUILDING PERMIT FEE WATER IMPACT FEE $— rO'b 0 SEWER IMPACT FEE WATER METER/TAP CAPITAL IMPROVEMENT SEWE j. TAP 5- RADON (FIRS ) G050 SECTION H PAVING i $ HYDRAULIC SHARES CROSS CONNECTION Ob S) SURCHARGE . '0051 5',7- OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanircal__,; plturbing FLI.ectric 'New Electric/Temp _:1 S w i r,im I n a P o o Septic TankJ S.Lqn,,_,_Finish Floor Elevation Survey . Other CALCULATIONS and/or NOTjE7b—. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BRACH.FLORIDA 31923 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items 'n sections 1, II, 111, and IV. I. �=1 Gr4 2.4 ' LOCATION Street Address! OF Intersecting Sfreattt 8e1wean And BUILDING Sub-divition 11. 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 attaclUd plans and specifications which era a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.precttce listed therein, Name of Mi ahaa'ael 75-044 PJ Q N Contractors /,^A�S o coo Print Master (_ 4 Name of 5 r(G ►repeMy Owner S110etura 0 Owner stun of er AYtherired A Are itact or Engineer Ill. ERAL INFO w- A' TYf»of ABN welt 8• �/' `t "'•^,.SIS OTHER CONSTRUCTION BEING DONE ON gyp. ElseMe TN1B BUILDING OR SITE? /❑ 646,--❑ LP ❑ f ❑ Central Utility ' IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other--specify IV.feIECHANICAL NOUIPMONT TO At INVTALLIC NATURE OF WORK (Provide complete list of eompoMnts as beck of this fern) 16Residential or [2 Commercial Msa! C3 Space C3 Reed assa �Cen4te{ U floor New Building ^Nr Cendrilenlnyt E3 Room �Centfw ,� �� Q Existing Building Gi DYcf System: Materia ����s TAA:ks.rsr� ❑ Replacement of existing system Maaimem eepoelly �f m, New installation(No system previously Installed) ❑ R�frigerallon O Extension or add-on to existing system 13 Cooling }Dever Capecify 9� ❑ Other—Specify ❑ lite aptnllens Number of headtr (3 E.lavetar ❑ Manilft ❑ EsWolor (number) THIS SFA(X POR OFF=USE ONLY tr3.Casollne pYmpe (nYmb.rl (fid) Y.'Tam (number) Remarks ❑ LPC swntefew (twmbw) O Usfired pressure ve" O SAMPermit Approved by n-e- ❑ OfAer—'SPeuJfy Permit Fee LI8T ALL SQUIPMBNT AM CONDITIONING AND REFRIGERATION EQUIPMENT Cap�L Approving Number Valla Daarlpdat Modal Number Manutaaturer (Kbsnty Ag*NW C IIIlATING-FURNACES,BOILERS,FIREPLACES A w Number Valu Deaulptlsa MeX"411Number MeaataaUU r (capacity) �=T Q 14 FM AV N F v .G. TANKS am Many Ntt�LaaT Capaolty 'Ty"T 4Wd Name dt Serial ApproYin aa4 DlmaeBlona Contolned Manutaetur" No. A{auc� CITY OF >4i�!ar�ctle �eac� - '3Gv�tlda 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 DATE // 27 o D JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS C4 Please call me at 904-247-5826 if you have any questions. ATLANTIC BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLAWIC eRACN.FLORIDA 31133 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. ,4 A LOCATION StreetAddnw OF Intersecting Street$$ 4Mses And WILDING Srb-dhidon II. IDENTIFICATION—To be completed by all applicants, in co:Idoselion of Permil given for doing the wort as dasctibsd in the above 1141-4.1.e h•rehy agree to Parloan sold work In accord-este with theat#ec11►d plans and sp•ciliullom which are a port hersol and in accordance will, Ih•City of Jacksonville ordinances and stenderds o{good.practice listed therein. Name of M•eh•nledA. .�- ,�-� C•Oreefers es Ctr••ler (hi-fi s.., �l�/ �• �� Mubr I Name•f properly O.ser 1 Siseshned Own: ` Sigeelvr0 of w Autherised A. at Ar6hiHef or Engine: Ill. GENSIAL INFORMATION A. Type of heating fwd: 8' 13 OTHER CONSTRUCTION BEING DONE ON ❑, L%scMs THIS RUILOINO OR SITE t"< / Gas_k V 13Nehual ❑ control utilityI 3v IF RMI 04V,PyNU�MiE�9F Sr01T}TRUCTfON C3 09 PERMIT {] Other—specify IV. h/ECHANrAL scut►uwT TC as INSTALLW NATURE OF WORK (provide complete lid of compomeeh on b•dt of this torp( Residential or ❑ Commercial Q` Most ❑ Spew ❑ Recessed O Control O Roar New Building ❑ Mr cesddtosimsl ❑ Roam ❑. Can" L❑ Existing Building ❑ Dud SyslaRt Materiel_ ThicknessRePlaeement ai existing system Mulmwm wildly elrw. New Instsilatlan(No system previously Installed) ❑ Extension or add-on to existing system 13 wr4smell" ❑ Other—Specify 13 Coolies fewer Cepeath ❑ pro rpdahl.ns Number d h• ,.d ❑ Eleeefer Q M•nliff ❑ seealeleR (nrmMr) THIS SPACE MOR O►l4CE USE ONLY ❑•asseliee pvmpa - —emrmberl (Ree.fv.d{ Q.•Tuts (armbe►{ RemseM ❑ LPG aeNfnan (srmlser) ❑ Usar""we vowel Permit Approved by Dole — 13 Iolhn Other--Specify cftf k Permit Fe- LitTT ALL EQUIPMENT Alit CDN=OMNG AND REFRIGZ"770N EQUIPMENT capadt)r A NtmaberT7afta Deeer{ptica ][oddNtaaMe XaaufeaWne M011141) TMATMG-FURNACES, SOU IRS, PMM'LACF.3 dVoa!!7 AppmVilaill NumberUatte Dorsa ipuiew X0001 NWnber Xaaulaofasee (Still) ASMW TANIKS New Xaa, xossrleel Capeett,P TY"sawed Naso-of So" APvin`Ovin sad Dtmeedaad Contained I4aatutma Na. ^s�7T CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23388 Address: 369 PLAZA DRIVE Permit Type: GARAGE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 15,750.00 OWNER INFORMATION Date Issued: 1/29/2002 Name: PHILLIPS, MICHAEL Total Fees: 135.00 Address: 369 PLAZA DRIVE Amount Paid: 135.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/29/2002 e; (904)280-3144 Work Desc: CONSTRUCT NEW CONTRACTORS LIGATION FEES PROPERTY OWNERWIT `Y, 135.00 ". a QQZ h Y NOTICE SP>=CTI T4�> EUESTEE3 AT LI=At`24 tff5tt# S R Tfl 11�[ , ECTION BUILDING MATERIAL, BBISH A�EBRI FROM THIS WOREC MUST NOT B LACEtl I.N UBLIC SPACE,AND MUST BE CLEARED UP", Q HA.flf.E 1fA(:E EETHEE2 C317R4CTOR O ICIER. "FAILURE TO COMPLY H LT IN THE PROPERTY OWNER PAYItz ISSUED ACCORDING TO APPROVED P AIR F RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO14N ..-�� (- At I Date: 1/38/82 ®1 Receipt 3II8,'i8787 DIECKATLA IC BEACH B IL DEPT. 691ggs®832z1Ne b93P CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 I 7 ,4 /z Date 7 M 02- Heated Square Footage @ $ per sq ft = $ Garage/Shed �� @ $ 36 per sq ft = $% s Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : S f s� -77J �- Total Valuation 1st $ /cc a r Remaining Value $$-• per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ � ( ) Fireplaces @ $15 . 00 $ '_ o BUILDING PERMIT FEE $ ! 3SJ WATER IMPACT FEE $ _ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ { ) RADON (HRS) .0050 S SECTION H PAVING ( ) S HYDRAULIC SHARES $ CROSS CONNECTION S { ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ 3'S ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: PROPERTY DESCRIPTION RECOVED `uktF � Lot #�, Block # , Section # Subdivision: A T1 59 C It City Of Atlantic Seach Street Name / /�/ 130diqyj�&rUW OF WORK or Address: (If in a FLOOD HAZARD Flood Zone: area complete page 3 Brief Description d{Or(,e/ Class of Work: (New/ Remodel/Addition: ZONING INFORMATION Type of Construction: Zoning Proposed District: Use:(S'A-��7-C— Estimated Value �/�� /�$ 02� 04 - Exceptions or Variances Materials: Granted: Solid or Filled Ground: Roof: Method of Heating: OWNER INFORMATION j,yJ 4l-f.19j 3 g 9- a--� Property Owner: �%G ���'Y Phone: '2 �/� ?J r` Mailing Address � AZIN A eL-, Zip: CONTRACTOR INFORMATION Contractor: �f Phone: Mailing Address: Zip: Expiration STATE LICENSE NO: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS /ANDSUPORTIN AT HAV BEEN OR SHALL BE PROVIDED AS REQUIRED. ♦ ��v ' � � Owner Signature DATE Contractor Si nature DATE SWO T AND SUBSC7 BEFORE ME BY THIS DAY OF .�Gd . X1.1�'Db1 - icia A soft" # CC947012 E"is PALAMMON NOTARY PUBLIC 60NOEDAugust 27,+NINtUIIANCfrm +s � FLOODPLAIN DEVELOPMENT INFORMATION Location:: ��q Type of Development: Flood Zone: Required Lowest Floor Elevation: < J If building is located within a flood hazard zone, 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 b made and no certificate of occupancy will be issued until the survey is on file with the Building p t. COMMENTS: Applicant Acknowledgment: 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 Ord' e No. 25-7-11 and all other laws or ordinances affecting the proposed dey6opme t. j Date 2 D� Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative -a6 ale CITY 4F 800 SETYL'u POLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-6805 SLNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCT)ON CONTRACTING' REQUIRES OWNER/BUII.DER To ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UC DV.ED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BULLRING AT A COST Of $25,000.0O OR LESS. THC BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT R FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODB.S AND ZONINFi fr2EGUL ATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REO RED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THSIR OWN PROP9RTI WHEN rr Is FOR PERSONAL OR FAMILY USE. AND LIKEWISE RE-QUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $Z,OCO) BE UNDER A BUILDING PERMrr AND PASS ALL NORMAL INSPECTIONS. 7)4E ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES. OR MAY MIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER DIRECT SUPERVISION OF THE OWNER. WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPLE.' 71.41$ DOES NOT AVOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY Be LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPL0YERS AND SHOULA ALSO OBSERVE IRS WrTHHOL.DING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER AMY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTIC N4, 455-229(1). AN 'OCCUPATIONAL LICENSE' IS NOT ADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPSrENCY' OR THE FLORIDA *CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. 7tLEPHONE THE BUILDING DEPARTMENT (247- 58215) IF IN DOUBT. I HEREBY AGIWOWI JCC THAT I HAVC ROAD THE ABOVE DISCLOSURE STA?E3MENT AND THAT I comp-Ly WITH AL1. THE RCOUIREMCHTS FOR THE ISSU/WCC OF AN OwNCR-SummaR PERMIT. io PROPERTY awNORmuiLcIek On ADDRESS / TELEPHO SWORN TO AND SUBSCRIBED BEFORE ME TH 0 OF OTARY PUBLIC Patr'IciO,AmOnO NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION mycoMMISSION# CC947012 EXPIRES • = ARE EMPHASIZED BY THE August �BUILDING SONDEDWtUTROY PA6M$URANCEW- DEPARTMENT. i •q,�n MAP SHOWING BOUNDARY SURVEY OF LOT -:X?2 BLOCK < < AS SHOWN ON MAP OF AS RECORDED IN PLAT BOOK PAGES "1 OF THE P�25-c- R��� n� ����� Ge•. Fro• CERTIFIED TO: M1CPAE1, D. V>-AkkL1PS �BAMSAZA c. p4kkL1P5 rZp[�o� Ttsen.t uu1�Al�ee NOCL'1LAl� GOTZPOSZA"C�01:.I o T � o i CP�•Tl yo•a0• '''' I�. ��1-�C�"t ' 4 v•�' X1.93 . 2 q ON 4 G40��s t.�uG 'LACTvAL•� n* uue Fewrce FV �ZI,P• s.5 O,'1'. .Ffll.\G� \.s NocaP r10 t.s•P O O O 0 t 0 0 1 r 0 At m c � o 0 r Q U i ��•� � � m m ti �n a � d �,.9 ,� o .• fl m r� Iz.p• >' n m m N C c 1 A C 14.8 349 f 0 G o m m o 0p P 14.8 30.4 4.8 �! U ✓ 4 � 'P' ..Y � '� G ouc � O 0 N J � � i 3.S 13.1 ^� Q• nx� 0 CL AL.STOUT- 1 V N , C () Fo.'Iz�.C• Fc.�lZ'.i.f. N �.S•c�.P 18 V �.y ae mP� .--^ O r. 2.y' (XVI Fo.�: r-- 0�OCA Z FEDERAL EMERGENCY MANAGEMENT AGENCY 7-OQ77 O.M.B. No. 306 NATIONAL FLOOD INSURANCE PROGRAM Expires July 06 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number !IICA4E4 13Ae ,04 C. PA4izuPS BUILDING STREET ADDRESS(including Apt.,USuite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE r ZIP CODE T�1•V7•ic ec=•GN lz:k. 3zz33 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,eta) Lo T 3Z - St-oc x /l- Svar»WiSio�v "A " 4 r_ZAAJn AgR4c J -P,8e 9 BUILDING USE(e.g.,Residential, Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) -r,,.4 it- LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: "GPS(Type): ( ##°-##'-##•##" or L1 NAD 1927 "NAD 1983 L.1 USGS Quad Map Li Other. SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE A7z-+��ric T,3E+4VA 84.MAP AND PANEL 65.SUFFIX B6.FIRM INDEX 67.FIRM PANEL I B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE/ EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) OOCJ> D ¢ 7/69 ¢//7/8 IF 810, indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in 89. " FIS Profile IXI FIRM LJ Community Determined " Other(Describe): B11. Indicate the elevation datum used for the BFE in B9:L<J NGVD 1929 " NAVD 1988 " Other(Describe): 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? LJ Yes LCJ No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I lConstruction Drawings' "Building Under Construction' I XlFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3.Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,ARlAH,ARAAO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion. Datum/dbvb 1929 Conversion/Comments N/A Elevation reference mark used Z_a>G4 G. Does the elevation reference mark used appear onthe FIRM? LJ Yes L.% No ❑ a)Top of bottom floor including basement or enclosure) !1 5 ft.(m) ;� „qk' � � ; ¢ V ❑ b)Top of next higher floor Z! S ft.(m) ❑ c)Bottom of lowest horizontal structural member(V zones only) +ft.(m) �' �. "` ❑ d)Attached garage(top of slab) WA _ft.(m) b �� ,"� ' O►' ' ❑ e)Lowest elevation of machinery and/or equipment „ „ ,, , servicing the building VIA ❑ f) Lowest adjacent grade (LAG) 8 ft.(m) Z'21 � , �►,, y� ❑ g) Highest adjacent grade (HAG) /0 0 ft.(m) ❑ h)No.of permanent openings (flood vents)within 1 ft.above adjacant grade A ❑ i)Total area of all permanent openings (flood vents)in C3h A sq. in. (sq, SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor,engineer,or architect authorized by law to certify elevation information. l certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 1001. CERTIFIER'S NAME Carl S. Courson LICENSE NUMBER FL—LS-3129 TITLE Vice President COMPANY NAME Perret and Associates, Inc. ADDRESS 161Atlant'c University Circle CITY Jacksonville STATE F1 ZIP CODE 32207 SIGNATURE DATE 9 TELEPHONE 904-305-0030 FEMA Form 81-31,AUG"99 SEE REVERSE SIDE FOR CONTINUATION REPLACES.ALL PREVIOUS EDITIONS FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:'';, BUILDING OWNER'S NAME Policy Number ,/�'J/C�+,G4EG 17 HA2 ,2A G. �i-J1tuP5 - i/ BUILDING STREET ADDRESS (Includii5 Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAJC Number 3�9y4 E � A CITY � STATE ZIP CODE rc.A.vTic ?��4cN fit_ 3ZZ33 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lor 3z 13Loc.< /l- 5b,5n)✓/S/oN "A - A rz-4 Ain c 9f',4cN -)C'B� 5 -06 �9 BUILDING USE(e.g.,Residential, Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: !_i GPS(Type), ( ##°-## -##.##" or # L_I NAD 1927 "NAD 1983 U USGS Quad Map LJ Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 81.NFIP COMMUNITY NAME 8.COMMUNITY NUMBER B20'73 .COUNTY NAME B3.STATE `A n-�►-�JTi c F,3�4 cid /20 ' L7u va /_ B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL68.FLOOD 89.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZC (S) (Zone A0,use depth of flooding) 0001 D ¢//7f.o9 ¢/f7 es X At)IA B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. " FIS Profile LX FIRM I I Community Determined LJ Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: [2� NGVD 1929 U NAVD 1988 " Other(Describe): B12. Is the building located in a Coastal-Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? "Yes (XJ No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: L_jConstruction Drawings' "Building Under Construction* I XIFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion. Datum 1*6Vb /9Z7 Conversion/Comments n1/A Elevation reference mark used LmGaL Does the elevation reference mark used appear of�, FIRM? (_j Yes L?cl No ❑ a)Top of bottom floor(including basement or enclosure) 1/ S ft.(m) , t� ,7y �5 _ C3 b)Top of next higher floor ft.(m) C3c) Bottom of lowest horizontal structural member(V zones only) -'JAA _ft.(m) ❑ d)Attached garage (top of slab) n11A _ft.(m) E ❑ e) Lowest elevation of machinery and/or equipment w „ Z+ Iwq �;. servicing the building NSA _ft.(m) NJ► ¢` ^' '�� 1;� ❑ 0 Lowest adjacent grade (LAG) 8 ft.(m) z s fid, ❑ g) Highest adjacent grade (HAG) ft.(m) "_ •. "* �' �,+ ❑ h) No.of permanent openings (flood vents)within 1 ft.above adja t grade ❑ i)Total area of all permanent openings(flood vents)in C3h A sq. in. (sq.cm) x: 1 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code Section 1001. CERTIFIER'S NAME Carl S. Courson LICENSE NUMBER FL—LS-3129 TITLE Vice President COMPANY NAME Perret and Associates, Inc. ADDRESS 161Atlant 'c University Circle CITY Jacksonville STATE Fl ZIP CODE 32207 SIGNATURE DATETELEPHONE 9 /7904-305-0030- FEMA 04-30 —00 0FEMA Form 81-31,AUG19 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS 'Z G �01 O "ON 410 1k 0v���`'�5Q P�`GP�' O Q �`ta°�o P�Q n,. 0 G° �GP�' ° 4233-5445 Ce`oa� `fig P�_ \�neQ i-5805 Oa`e e ea �q� OC F SOP Q� Q�a 852-5800 �Ppl ed' Ge �e GOo°��g Q AA Qa ens Q�\a�e\ Cti Fta Qac Pe \�, o` JEA Consti ---�' 2325 EmersL Jacksonville, Fc- 7 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS 369 6*5-&Y �"-01- Please call me at 904-247-5826 if you have any questions. 67 rely, CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 RMIT INFORMA LOCATtON:INFORMA. IOIV:. rL sA L r1.d.1`v ttan a} ,A A AAV_ , VVv I—,! A7A. i.JM1`vLZ S Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 / 1 ..F lw►__ - AIC1Al Tn win-hin• R—fi-VEIgUe• Book:Proposed.Use: SINGLE FAMILY Lot(s): Block: Section: C�e!laro 1=sn4• C.!lFrfiiicinn• Est. Value: I Parcel Number: Imr►r�y, f_nc#; r_1WiC1Gt ttUGf1�?1CIt�Te. ifll�l ame: PHILLIPS, MICHAEL Date Issued: 12/11/2000 N Total Fees: 25,00 Address- 359 PLAZA DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 12/11/2000 Phone: (904)280-3144 Work Desc GAS PIPING AEI INTERNATIONAL CORP PERMIT 25.00 i s �ictronzEte. uliced,s M * ? , ROUGH A.CtlI/'`Al.. CIAIAI L vl 1 ...EC 7, iL^L 7 i 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 PLAITED IN PUBLIC SPACE, ANU 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" --d ISSUED ACCORD!NG'I O APPROVED PLANS WHICH ARE PARI OF THIS PERM!IIA"D SUBJEC TO REVOC IVN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ��+ �• ATLANTIC BEACH UILDING DEPT. NI�MIolm bl CITY OF ATLANTIC BEACH MECHANICAL PERMIT I 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 � PERMIT_INFORMATION----- LOCAno INFORMATION f Permit Numb-er: 2tJ941 Address: 369 PLAZA DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY j Lot(s): Block: Section: Square Feet: ( Subdivision: Est.Value: Parcel Number: ImpFay. Cost: OWNER INFORMATION -- ----- _-- _ _- j Date Issued: 11/0812000 Name PHILLIPS, MICHAEL I Total Fees: 61.00 Address: 369 PLAZA DRIVE I Amount Paid: 61.00 ATLANTIC BEACH, FL 32233 Bate Paid: 11/08/2000 Phone: (904)280-3144 i - Work De_sc: INSTALL HVAC 4N I4EW ---ME ( CONTRACTOR(S) _ __ _APPLICATION FEES__ OCEAN STATE HEAT &AIR i PERMIT 61.00 I s � I G f I F 1 f4 I _ In:spect%ons ReqWired ROUGH MECHANICAL i FINAL 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 "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING SO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION ' FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i $61.00 14 Date: 11'i09100 81 Receipt: 0005531 _ CHECKS 15966 AT NTIC BEACH UILDING D 60109003221008 Our A7LANPr, REACH i DEPARTMENT OF BUILDING 800 SEMINOLIE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247-5877 PFRAIiaT INFORMATION _ LOCATION INFORMATION Address: 369 PLAZA DRIVE Permit Type: BUILDING ; ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY � Lot(s): Block: Section, Square Feet: Subdivision: Est„ Value: Parcel Number: Improv. Cost: 145,880.00 _ OV 9E-1k IN 6 N___ Date Issued: 8/30/2000 Name: PHILLIPS, IiP16Cli� L Total Fees: 1,392.41 Address- 369 PLAZA DRIVE Amount Paid: 9,392.41 � ATLANTIC BEACH, FL 32233 Date Paid: 8/30/2000 Phone: (944)280-31,4 W rk 6"-c- CONSTRUCT NEW HOME PER CONTRACTOR(S_-----__-- APPLICATION FEES _ PR®PERTY C7Vi/NER � PEFtIUI�,��._______ 897. 4 i WATER IMPACT FEE 450.00 4 RADON GAS-H.R.S. 5.08 RADON CAB 5% 0.25 i CROSS CONNECTION 35.00 CONST.SURCHARGE 4.56 s SCHARGE/ATL.IBCH. 0.52 I @gip 4�ons_Re_qt pro FOOTING 'SLAB COVER UP FRAMWG FINAL ELECTRIC CERTIF/OCCUPANCY i INSULATION 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 Offl R PAYING TWICE FOR BUILDING IMPROVEMENTSa° I BIP ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOPMOLATION OF APPLICABLE PROVISIONS OF LAW. m 0 e► w _ ___.__--– _ OPFr.tars CIERYLE A`'f 11TIC BEACH 13UILD -G— DEPT. Date: 9/lu" gf ReteiAta � Total Paynnt f 9� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20564-- kddress: 369 PLAZA f�RIVE 1, Permit Type: BUILDING j ATLANTIC BEACH, FL 32233 Class of Work; NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: I Improv. Cost: 145,880.00 OWNER INFORMATION Date Issued, 8/3012000 Name: PHILLIPS, MICHAEL I Total Fees: 1,392,41 Address. 369 PLAZA DRIVE Amount Paid: 1,392.41 ATLANTIC BEACH, FL 32233 Date Paid: 8/30/2000 Phone: (904)280-3144 - Worklbesn- APPLICATION FEES PROPERTY OWNER PERMIT WATER IMPACT FEE 450.00 RADON GAS-H.R.S. 5.0 RADON CAB 5% 0.25 CROSS CONNECTION 35.00 CONST.SURCHARGE 4.56 SCHARGEJATL.BCH. 0.52 Invections_Ret uired-. -s-- L TREE BFOOTING �SLABARRICADES FINAL ELECTRIC COVER UP FRAMING i CERTIF/OCCUPANCY INSULATION 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 "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, AT TIC BEACH, UILDING DEPT CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5828-FAX: 247-5877 PERMIT INFORMATION _ _.____—_LOCATION INFORMATION Permit Number. 20-546 _ Address: 369 PLAZA DRIVE Permit Type: FOUNDATION ONLY I ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number_— ----- ------ Improv. Cost: OWNER INFORMATION__ Date Issued: 8/29/2000 Name: PHILLIPS, MICHAEL Total Fees: 25.00 Address: 369 PLAZA DRIVE Amount Paid: 25.00 i ATLANTIC BEACH, FL 32233 _ Date Paid: 8/29/2000 Phone: (904)280-3144 Work Desc: FOUNDATION PERMIT CONTRACTOR S — APPLICATION FEES PRDPERTY OWNER - PERM{T 25.00 j 1 � s Inspections Required .- - --.—_--- --�,� FOOTING — — SLAB NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i 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. — ._ Date: 9 1:ui� c7.r r� ere17tt3 4 4r'�� uld EPT. s A TIC BEACH BUILDING D CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tet: 247-5826-Fax:247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Pew�rnit NumberNumber20558 1- Address: 369 _ PLAZA DRIVE _ - --I Permit Type: ELECTRICAL } ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: S Parcei Numbest: Improv. Cost: _ _— OWNER INFORMATION Date Issued: 8/29/2000 Came: PHILLIPS, MICHAEL Total Fees: 50.00 i Address: 369 PLAZA DRIVE Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/29/2000 Phone: (904)280-3144 _�_Work_Desc: CS4/0 200AlUIP�1_PH 31N 240V SEURW A�UM�-NEV1l RESIDENTIAL SERVICE CONTRACTORLS ______.___ _______.__ API? II_CATION FEES.__._.____ BROOKS 8" LIMBAUGH T PERMIT _ --- - 50.00. i r r inspections Required ROUGH ELECTRIC FINIAL ELECTRIC 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 "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. j 1 £5`3a III 14 __. _____ We: 8/29/C3 01 Receipt: t;�G,» 33 ATLA IC BEACH B ILDING DEPT. CHEMS w 108003221006 CITY OF ATLANTIC BEACH T? DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT LOCATION INFORMATION PERMIT INFORMATION — - I Permit Number: 20628 Address: 369 PLAZA DRIVE C Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW i Township: Range: Book: I+ Proposed Use: SINGLE FAMILY Lot(s): Block: Section: I Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION _ Date Issued: 9/14/2000 Name. PHILLIPS, M{CHAFE Total Fees: 74.50 Address: 369 PLAZA DRIVE Amount Paid: 74.50 ATLANTIC BEACH, FL 32233 Date Paid: 9/14/2000 i _Phone: (904)280-3144 _ Work Desc: INSTALL PLUMBING IN NEW HOME CONTRACTONS_t______ _ APPLICATION_FEES �`- STEEG PLUMBING PERMIT — 74.50 - i t _ inspections Required UNDER SLAB PLUMBING SEWERNVATER TOPOUT - FINAL 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 "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� - - S74.% 14 LGDAT NITIG BEACH N . Dater9/15/08 11 Receiet: OM7 8 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION : OWNER OF PROPERTY: M ke 3N 1��p 5 TELEPHONE NO. PLUMBING CONTRACTOR � � 1 1 �4 �b -r- hL CONTRACTOR' S ADDRESS : oll' 5 A STATE LICENSE NUMBER: Fc0 3-71u TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY / WATER HEATERS BATH TUBS I DISHWASHERS URINALS DISPOSALS CLOSETS j WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES : 7 . x $3 . 50 + $15. 00 L�• S MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904 ) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION r•� CITY OF ATLANTIC BEACH, FLORIDA Avorowa bV APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �� 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF,AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 0-000, ELI:C'TRICAL FIRM: MASTER ELECTRIIC/CIC�SIG/NATURE /=i� ��75� JOURNEYMAN NAIdE���jGLII�s ADDRESS:��('� / /44 7-4 //00// RFD------ OX , BLDG.SIZE BETWEEN: RES.X1 APT.( ) COMM.( ) PUBLIC 1 ) INDUIL 1 NEW$V OLD( ) REW.( 1 ADDITION 1 ) TRAILER( ) TEMP) SIGNS ( ) SO,FT. SERVICE: NEW( 1 NCREASE I 1 �CREPAIR( 1 FEE CONDUCTOR SIZE U AMPS 6FX--COPPER k ALUM.( SRT[CH OR BREAKERAMPS PH W `VOLT RACEWAY 19W.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS I CONCEALED I OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS. 31-100 AMN. swim zs INCANDESCENT FLUORESCENT 8 M.V. RIXFm 0.100 AMM. oym APPUANCKS BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW44EAT ai OYQ MOTORS H.P. VOLTAGE PHS NO, 1 LF. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 800 V. OVER 800 V. NO, I KVA 11 NO. KVA NO.NEON TRANSF. NO. VA MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED +rr... Waaa w+ CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: (i� 19 IMPORTANT NOTICE. IN CONSIDERATION OF PERMrr 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. ELIMICAL FIRM: MASTER ELECTRICIAN=NATURE --� 7 NAME ✓" ADDRESW-- � RFD SOX BLDG.SIZE BETWEEN: RES. APT.( I COMM.( 1 PUBLIC( 1 INDUS.( I NEW OLD( I REIN.( I ADDITION I ) TRAILER 11 TEMP.I l SIGNS ( ) 30.FT. SERVICE: NEW( I INCREASE( I R5PAIR( I FEE CONDLOCTOR SIZE //0AMPS COPPER ALUM. vo SIIITCH OR BREAKER AMPS PH W VOLT. 5eZ)RACEWAY M=I SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTWNG OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.iO AMP@. 31-100 AMM. swim 9ES INCANDESCENT FLUORESCENT R M.V. FIXED 0.100 AMP@. IOV OI ArPU4%NC89 BELL TRANSF. AIR M.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT a� ovEI MOTORS H.P. VOLTAGE PHS NO. 1 U.P. VOLTAGE PHS WBCELLANEOUS TRANSFORMERS: UNDER 800 V. OVER 600 V. NO. t KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SWZE SWITCH FLASHE EACH SW IN FORWARDED S CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS DNS 11C:_©0 AJOe-T f 00 Owner(s) : Job Address: }Tt�";�^� Phone: � ' 1 Lot # Block or Unit # Subdivision: Contractor: p-Lf=- State License # Address• �' £��f�S/1GL)r✓�/,Gy? , Phone No: City P, !s, &A,, Zip Code Describe work to be done: 'FOV r>4M a 11! ntylLi Present use of building: -,*-7- � Valuation of Proposed Construction: 0 rW�1 0, Proposed use: Is this an addition? NO If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUMMIT TEP" (CONKCRCIAL) TWO (RESI118,1VTIA1) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE F RNS, NOTICE OF COMMENCEk=T, AND NER/ AMDAVIT, IF OWIMR ZS CONTRACTOR. p �L Signatur 0 Date: � Ar-14 Signature CONTRA OR: Date: AS TO OWNER: "' Sworn to and subscr'bed before me this �J day of 2000. �s r Q `E (-z -5` - LINDA P KILTS (, s- ( z-o ,.�_ Nnla., Publie,StMe _f Florida NOTARY PUBLIC AS TO CONTRACTOR: My comm. exp. Aug. 30, 2003 Comm. No. CC849677 Sworn to and subscribed before me this day of ,2000. NOTARY PUBLIC L � 170014-0000 SPATE ABOVEMM M LINE FOR PROCMSING CA"A ^'—" SPAC U AI1nV6'n!NS LINE FOR RC ORPINc.DATA Notice of Commencement (PREPARE IN DUPLICATE) To WllOttt it Illc"iy C41IC@Tln: y The undersigned hereby informs all concerned that improvements will be made to certain real property,and f in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property(Include Street Address,If avallable) 369 Plaza Street , Atlantic Beach, Florida 32233 Lot 32, Block 11, SUBDIVISION 01A" ATLANTIC BEACH, according to plat thereof as recorded in Plat Book 5, page 69 of the current public records of Duval County, Florida. General description of improvements single family resldence Owner Michael D.Phillips and Barbara C.Phillips,his wife Address 61516th Ave.South Jacksonville Beach,Florida 32.250 Owner's Interest In site of the Improvement fee simple Fee Simple Tf1ie holder(if other than owner) Name NA Address Contractor Owner Address Surety(if any) Address Amount of bond $ Any persons making a loan for the construction of the Improvements: Name The Gordon Bank Address 1700 South Third Street Jacksonville Beach,FL 32250 Person within the State of Florida designated by owner upon whom notices or other documents may be served- Name erved:Nam fI Address + In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided In section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). Name Address o`wna-{` Michael D.Phillip. Sworn to and subscribed before me this 19th day of July 16 00 Notary Public Notary Public qUG 30 'e0 06:47 FR BRUCE ELLIS 904 287 1258 TO 19042461500 P.02i11 FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Phillips Residence Builder: Michael David Phillips Addrass: Permitting Office. Atlantic Breach City,State: Atlantic Beach,FI Permit Number. Owner: Michael David Phillips Jurisdiction Number: 261100 Cilmate Zone, North ? �..._1- ..New aurtstruariorl or existing Ncw 12 _ -----._.—,_,._..,.....�.... . ... .-......._.._ , C,,Hng systom3 2. Single family or multi•liunily Single family _ a. Central Unit Cap:42-0 khtm}ir 3 NLmberofunits,ifrrmultffamily l — j SEER:10.00 _ 1 4. Number of Bedroioms 4 _ b.N/A 4 5 Is this a wrnat calci No 6. Coaditicmed floor area(9F) 2030 fit° � I c NIA — i 7. Glass area et type a.Clcer-single pens 0.0 to — 13. Heating systems b.Clear-double We 321,0 fe _ a,Electric Heat Pump Can:42.0 kBtw'br _ I c. Tintrother Sc:/SHUC-single pane 00 if _ HsPr• 6 80 d.TinVother"HGC-double pano 0.0 it= b.NIA S. Floor types V — K, SWWri-Grede Edge Insuistion 11=0.0,132D(p)ft _ a WA b Raised Wood,Post or Pier R-11.Q, 130.Qft- — i c.N/A — 14 Mot water systent9 i 9. Wall types a Electric Rasismanac Cap:50.0 gallonx a. Frame,Wood.Exterior R-11.0. 1923.0 tF _ ` EF.0.91 b.N/A b_NIA c. N/A d.NiA c. Coosetvatiaa cra;bts — c.N;AHR-Heat 10. Catlin � ( �'t'�5`.Solar types DHP-Dodical d hat pump) l a Under Attic R=30.0, 1061.0 it' 15. HVAC credits b.Single Assembly R-1.9.0,23.0 W _ (CF-Ceding in,MC;rmss ventilation, I c. Ueda Attic R-19.0, 138.0 if HF-Idols house fait, 11, Ducts _ PT Preigrammabk Thcrmos4mt. a. Sup:Con. Ret:Una AH:Attic Sup,rt=6 0,6D.0 ft W'C Multizone cautirmg. b.Sup;Uno Ret:Une- All:Attic Sup.R-6.0,70,0$ — I�t7i H-Muitiznne kis atirmg) i i GISSS/FloOr Area. 0.16 Total as-built points: 28439.00 PASS Total base points: 29115.00 I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this ®� sraa Energy Cade. r. calculation indicates compliance PREPARED By- with the Florfds Energy Code. DATE: 8e€ore construction is completed this budding wilt be inspected for I hereby certify that this building, as designed,is in compliance with Section 553.908 compliance with the Florida En m My o Florida Statutes. OWNERrAGENT: BUILDING OFFICIAL: r m'— DATE• P- 1- DATE: C � � EnergyGaugeO(Version: FLRIPA 2.02) ;1L,G 30 100 06:46 FR BRUCE ELLIS 904 207 1258 TID 1904246VA-5 0 P.03/11 FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: ,Atlantic Beach,FI, PERMIT#: _71 BASE AS-BUILT GLA33 TYPES 18 X Conditioned X 8SPM = Points Overtiang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF Paints .18 2030.0 33.0E 12078,2 Double.Clan $ 8.7 7.0 20.0 34.50 0.40 335.1 Double,Clear S 8.7 8.0 22.0 34.50 0.51 385.6 Double,Clear S 8.7 7A 20.0 34.50 0.49 338.1 Double,Clear E 1.7 17.0 8.0 40.22 0.99 320.1 Double,Clear E 1.7 14.0 14.0 40.22 0.99 569.1 Double,Clear N 1.7 15.0 45.0 19.22 0.99 859.7 Double,Clear W 17.7 6.0 10.0 36.99 0.40 147.7 Double,Clear N 1.7 7.0 30.0 19.22 0.94 $43,1 Double,Clear N 24.0 8.0 9.0 19.22 0.98 102.8 Double,Cleat N 1.7 16.0 13.0 35.99 0.99 478.3 Double,Clear S 1.7 5.0 32.0 34.90 0.77 846.9 Double,Clear S 7.7 9.0 10.0 3450 0S4 186.7 Double,Clear S 1.7 e.0 4.0 34.50 0.82 113.5 Double,Clear E 1.7 45 18.0 40.22 0.81 Wo Double,Clear N 1.7 5.0 40.0 19.22 o.9D 689.6 Double,Clear W 1.7 5.0 16.0 36.69 0.84 466.6 Double,Clear W 1.7 5.0 10.0 36.99 0.84 312.2 As•8ullt Total: 321.0 7312.1 WALL TYPIES Area X BSPM = Paints Type R-Value Area X SPM Points Adalcent dA 0.0 0.0 Frame,Wood,0darlor 11.0 1923A 1.70 3286.1 Edenor tg23A 1.70 3299.1 Baas Total; 1923.0 3289,1 AsAultt Total: 142810 8268.1 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 66,0 6,10 341.8 Exterior 560 6A0 3416 Base Total: 46.0 34146 As-Built Total: 86.0 341.6 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM Points Under Attic 1060.0 0.60 648.0 Under Attic 30.0 1061.0 0.00 636.6 Singe Assembly 19.0 Z3.0 180 41.4 Under Attic 19.0 138.0 1.10 151.8 Base Total: 1080.0 648.0 As4lullt foul: 1222.0 829.8 EnergyGaugeW DCA Form 500A.97 EnwgyGauge*1ResFREEV7 FLRIPA 2.02 SLG =8 'eO 08:48 FR DRUCE EL'LIS 9a4 28_7 125E TO 19042461500 P.04/11 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS:,Atlantic Beach, F1, PERMIT 0: BASE AS-BUNT FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slap 132,0(w -37,0 -4884.0 S1rb•Qn-Grads Edge Insulation 0.0 132D(P) 41.20 X36.4 Raised 130.0 3.98 518.7 Raised Wood,Post or Pier 11,0 130.0 1.05 1371 Use Total: 4102.7 A*43ull Total: 6301.3 INFILTRATION Area X BSPM = Points Area X SPM - Points 2WO.0 10.21 2D726.9 2030.0 10,21 20726,3 goo Summer Base Paints: 31660.5 Summer As-Built Points: 27177.7 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier points 27177.7 1.000 1,067 0,341 1,000 98w1b 31660.6 0.3573 11312.3 27177.7 1.00 1.067 0.341 1.000 9899.8 EnwgyGaupeTTM DCA Form 600A57 EnergyGaupO/ResFREF97 FLRIPA 2.02 '88 08:46 FR BRUCE EL'I-IS 904 287 1258 TO 19042431500 P.05111 FORM 60OA-97 WINTER CALCULATIONS Residential,Whole Building Performance Method A - Details ADDRESS, , Atlantic Beach, F1, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type"I Ornt Len Hpt Area X WPM X WOF = Points .18 2030.0 916 36&8.1 Double,Clear S 8.7 7.0 20.0 4A3 3.08 248-4 Double,Clear S 8.7 8.0 22.0 4.03 2.87 254.9 Double,Cigar $ 8.7 7.0 20.0 4.13 3.06 248 4 Double,Char E 1,7 17.0 8,0 9.09 1.01 73.2 Double,Cinr L 1.7 14.0 14.0 9.08 1.01 128.3 Double,Clear N 1.7 15.0 46.0 14.30 1 dX3 643.5 Double,Char W 1717 8.0 10.0 1077 1.2.3 132.1 Double,Clear N 1.7 7.0 30.0 14,30 1.00 43x3.1 Double,Clear N 24.0 8.D 9.0 14.30 1.03 132.2 Double,Clear W 1.7 15.0 13,0 10.77 1.00 140.2 Double.Clear S 1.7 5,0 32.0 4.03 1.27 163.9 Double,Clear s 7.7 9.0 10.0 4,03 2150 10016 Double,Clear S 1.7 Co 4.0 4.03 1.17 18.8 Double,Clot E 1.7 4.5 18.0 9.09 1.08 176.0 Double,Clear N 1.7 5.0 40.0 14.30 1.00 574.9 Double,Cleat W 1.7 5.0 16.0 1077 1.04 179.9 Double,Clear W 1.7 5.0 10.0 10.77 1.04 112.4 As-Smit Total: 321.0 3767.7 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adaluent 010 010 0.0 Frame,Wood,Uderior 11.0 1923.0 3.70 7115.1 Exterior 192&0 3.70 7115.1 Base Total: 1923.0 7116.1 As43uilt Total: 1023.0 7116.1 DOOR TYPES Area X SWPM = Points Type Area X WPM Points Adjacent 0.0 0.00 0.0 Exterior Wwd 56.0 12.30 908.8 Exlerior 56.0 12.30 688,i1 Base Total: 6410 688.8 As-Guilt Total: 68.0 488.8 CEILING TYPESArea X BWPM = Paints Type R-Value Area X WPM = Points Under Aftic 1080.0 120 1296.0 Under Aftic 30.0 1061.0 1.20 1273.2 Singie Assembly 19.0 '23.0 2.00 48.0 Under Aftic 19.0 138.0 2.00 276,0 Base Total: 1080.0 1206.0 As.1111aiit Total: 1222.0 1696.2 cnaMyGaug"DCA Form S0RA-97 EnerQyGauq I&MesFREE'9 r Fl.R1PA 2,02 ;Lir :30 '00 013:4_ FR tIRUCE ELI-IS 9a4 297 1250 TO 190424615,00 P.06.1111 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS ,Atlantic Beach,FI, PERMIT#: BASE AS-BUILT FLOOR TYPES Area X SWPM = Points Type R-Value Area X WPM Points Slab 132.0(p) 8.9 1174.8 Slab-On-Grade Edge Insulation 0,0 132.0(p) 18.80 2481.8 Raised 130.0 0.96 124.8 Raised Wood,Post or Plsr 11.0 130.0 1.55 2015. Base Total: 1249.8 WWII Total; 281<:l,1 INFILTRATION Area X BWPM = Points Area X WPM = Points 203UO -0.w -1197.7 2030.0 -0.59 -1187.7 Winter Base Points, 12769.9 Winter As-Built Points: 14842.2 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 14642.2 1.000 1.078 0.501 1.000 7917.1 12768.9 0.5340 6819.1 14642.2 1.00 1.078 0,501 1.000 7917.1 EnergyGaugeTM DCA Form 60OA-97 EnergyGauqEi@i!*sFREE'97 FLR1 PA 2.02 ;UG 30 '00 08:45 FP D LICE EL.'L15 904 287 1258 TO 19042461500 P.07/11 FORM 60OA-37 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole wilding Performance Method A - Details ADDRESS: ,Atlantic Beach, FI, PERMIT# BASE AS-BUILT WATER HEATING Number of X Multiplier - Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 4 2746.00 1066 1.0 50.0 Dal 4 1.00 2MS.47 1.00 10621.9 As43u1R Total: 16621.9 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water — Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 11312.3 6819.1 10984.0 25115.4 9899.0 7917.1 10621.9 28438.8 PASS 4Vo�'� a L�neflyGauge'"DCA Form 60DA-97 En"yG4ugvVRe3FREE'97 FLRIPA 2.02 SIL Ia '[ <� Et8 E FR 1'RI ICE ELI.I S 934 287 12`18 TO 19i-,142461500 P.0'�'/11 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS:,Atlantic Beach, FI, PERMIT#; SA-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS 5ECTbN REQUIREMENTS FOR EACH PRACTICE _T — CHECK txtarlor 4Vle doves& oors_ M,,j.A_BC 1,1 N A Um:3 cfmisn_it.window area;,5 cfmisritt.door area - Erderlor&Adjaoerd Walls W51.A21C.1.2.1 ,Caulk,gasket•weatherstrip or seat between:vlindows/doors&frames,surrounding wa;l; foundation&wail sole or sill plate;jolnxs bahwen exterior wall pansis at corners,utility penetrations;between wall panels&top/bottom plates;between wells and floor, FYOFP'TIQN:Frame walls where a continuous infiltration barrier Is installed that extends _ from and Is sealed tothe fvundatign to the top plate. Floors -r^ 6OB.1 A�iC,4,2.2 Penetrationslopenbtgs 7415°'sealed unless backed by trus.-or joint members. EXCEPTION:Frame floors where a continuous infiltration banter is installed that is sealed to the perift*er,parlek Ions and searns Ce►ling$ OW.t.ASC.1.2.3 Between walls 6 ceilings;periatrations of coiling plane of top floor;around shaft,chases, i SoM,Is,Chimneys,cabinets sealed to continuous air learner;gaps In gyp board s top plate; *ttic a0cess EXCEPTION:Frame cettings where a continuous Infiftratlon barrier is —_______ T,___.__ • installed that is sealed at the wimster.at DengUftoras-".s," - Recessed Lining Miures C:1Z4 j Type IC rated wtth no penetradortc,seated;or Type iC or non-IC rated,instated Inside a seBW box with IW olearanoe&7 from insuiatlon;or Type IC rated with<2.0 cirri from �orx Housse ! 1 A 1.' .A r diGotsed sp a later d. fJlulti�t eoe, t��, a. I _�ygmer,on,perianatn of fbor cavity between Boors. ..__._._— Additianat i-mlii atlon ragts 606,1.ABC 1.3 Exhaust to*Vented to outdoors,dampers;oombw.ation space.heaters comply with NFPA have combustion atr. 6A-22 OTHER PRESCRIPTIVE MEASURES Imust be met or exceeded by aN residences. COMPONENTS . _SECTIOIaI-,_ REQUIREMENTS ' CHECK Water Heaters 612.1 Comply with efficiency NquiremenW in Table+312-Switch or dearly marked circuit - _ breaker(0100ft;or cutoff(t�mLrrwst be priwided.&ental or built in heat irtr�_Lqu red _ ...._ _._... wmmtng Pools&Spas t31 a^.1 Spa®&heated pools must have covers(e)cept soar heated),pion-comirnercial poots must have a pump timer,We spa&pool heaters must have a minlmum thermal Shower heads __ 812.1 _Water now must be raWtWd to no more than 2.5 Slalivntper mmuta at 80 PSIG. Air 0Wribution Sys!,errs 610,1 Ail duets flttlngs,mechanical equipmetrt and plenum chambers Shea Gs mechanically atteched,sealed,Insulated,and installed in accordance with the witerla of Section 610. um In unoorxfitiorted at ec :R-6 min.insulation. _- _ �___.,........,.._..._ HVAC Curatrcfa607.1 —%Saggrate Meffy secesatble manual or automatic utrrrnawtas t for each fstem. +_ Insulation - 9041,exzi Cegings-MM.R-19.Commion walla-Frame R-11 or CBS R3 both sides. - Common coiling&floors R-11. t:nergy©auge"I DCA Form GODA-97 FnwWGaugWRssFREE'97 FLRIPA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTMkIfEll) E=RGY PERFORK4,NCE SCORE* 82.1 Tine hig1ker Me wore,the more dWent the boov. Michael David PNIlips. ,Atlantic Beach. El, New wuszriwuiou 2r twou?* Now 11 C0G-3i1)53y%1r'M5 sinww Lama v(VI multi-family single family a, c4atisl Unit C"1;42,0 Lj3V.iJr s. Nuraher of umls'if TrIulti-ESM6 I SEER, 10-60 4 jJqwbcj of Mrocms 4 b. 1 L this a%voi7t case? No 5. &x1r arra 203011' Glass arca kr tytx -single O"c0 0 fp 13 b Cltw-double natio 321 A ft" a. E;wtric Heat ruinp Cap.42.--)kPttOir c. TiutjcXhet -single pang 0.0 W li-M-6 b-0 d,7inVodior SCJSHCYC-double paut: o'o fe b,NA S floor t" c %Lrb-C`ii-Cmdu Edge;usdation R-UA 132.0(p)ft c. NA b r,aii4d WK4 Pest or Pici R-1 1,0,130,0(f c. N A 14, Hot water qater4s Wull tvPC3 a. zl. rrume'Wood E-tcTl'or R-11.0. 1923.0 W T EF G'91 b N A b.NA d.NrA Qvdit-s , qiA, (3-1R-Heat.mvoyarl,Solar 16. Otiling lype, DlU'-Dedicated heat pump) d 1),kdcr At1,7 R-30.0, 1061.0 fO 15, HVAC raodits Single AswriL,%, R=0,0,23.011x UndaATif. R-19.0,138"0 fe Hr-wh':ile house Gen lxwts PT-PrWammahir. a, Sup-Cu,, Ree Unc, J' AItc sk;p'R-6.0"60.0 it R]5-Arno raduwt-.rritn, b $Lp,Uw. Fctz Uxiv, AH Axtir. Sup-R�6,0,70.0 A M&C-Mvillizono C-001;ng. NII-H-MWtizrM boatiug"' rvrlif'th,-,!U"%hoMC h4,-comphed with the Florida Enet&y Efficicitcy Cale F� or Wilding C011ar=dvn tbmuo the above encr&y uviat,fWUu-cs which will be installed(of C'Uceded) it this ho me►ekoiz taA mspmliori Otherwise,a new EM Display C41,d will bc cxmpleted b4sed on itmalle 1 Code CO ii;rliant features Kai;&, Date; Addicss of New Home, Cjty/1FL Zip- 0 *N01E.- The hotne','-esii.viatpaetepgVpeYf(imiance wore is only avaiiable fitreugh theFJARES compult'.Program. �1 As i4*ng bjergv Rating lf,.00vP T<Vre is 80 or greater(or 60 for a US EPAIWE k'neqySid7 dezignahon), ,o,sr how'-PnIly Tdalf6lfivr energy efficicnCY m9rlgage !EF-V)Int.'e'nilveS if ohlon a Florida Eneq* �7aage Rating. !A,-E�Ivrgv G'auge H(Wine at 407/638-149."or see the Env rgyr Gtwge 4v6 sits at T-vV,'wjxe.-.ut;,`edu fur ':Jad a lia v1`wer'-qfivd Raterjr, Far infarNWO(W about F1017da's C(4eFov BU11(fing Cunsirnx-ficn, the f aptzftet7i of Commuai(y Affairs at 85046 7-1824 EuergyCjauge&(Version;FLRIPA 2,02) -0 'CIO 08*51 51 FR B RUT-E ELL I S 904 267 7 125E TO 1917424'01500 P. 1011 11 DATE: 7/22/00 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: Michael David Phillips R.B. Ellis Energy Design Systems Job Name: Atlantic Beach DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 safety Factor ( ) 5 Latent Factor { } 29 *:*,tai►,t�*�rxit4tilt�r�* k*****,k*�c*ira�� t�c***st*#*****##**** x*,k+kt*�k�***fr��r��**** Sensible Roam Heating Heating cooling Cooling Name BTUH CFM BTUH CFM WHOLE HOUSE -- - - 40595 1357 31640 1318 ------- ------- ------- ------- HEATING COOLING DELTA T 43 DELTA T 23 NOTE:**Calculated air flow is based upon load requirements Verify, that air flow calculated is coYrpatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 AUG ?3 '00 08:51 FF' BRUCE ELL13 994 287 1258 70 15042451500 F.11,11 DATE: 7/22/00 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Michael David Phillips R.B. Ellis Energy Design Systems Jab Name: Atlantic Beach EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------....-------------------...._..--- ------------------------------ AREA 124 108 40 49 321 COOLING 3100 4320 2960 3626 14006 HEATING 3968 3456 1280 1568 10272 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------------------------------------------------ AREA 1923 1923 COOLING 4808 4808 HEATING 7692 7692 --------------------------------------------------- -- - DOORS TOTAL -------------------------------------------------------------------... --- AREA 56 56 COOLING 739 739 HEATING 1159 1159 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 132 4803 RAISED WOOD 130 169 416 ----------- ----y-y----- ----- CEILINGAREACOOLING HEATING ---_-_ +-R-------M---- -- UNDER ATTIC 1061 2546 2546 SGL ASSEMBLY 23 53 51 KNEE WALL 138 317 373 -----------------------------------------------------------------_-_----- MISCELLANEOUS COOLING LOADS --------------------- --- People Sensible Load 1500 Latent Load 4128 Lights & Appl. Load 1200 Latent Safety Btuh 206 Ventilation Load Duct Heat Gain 2505 Infiltration Load 2 .09 Sensible Safety Btuh 1387 TOTAL SENSIBLE LOAD 31640 TOTAL LATENT LOAD 4335 Summer ACH 0.4 Temp. Swing Mult. 1.00 *** Total Cooling Load 39572 BTUH Or 3.30 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 10143 Ventilation Load Duct Meat Loss 1366 Safety Btuh 1673 Winter ACH 0.8 *** Total Heating Load 40695 BTUH Or 3.39 Tons*** TCS!7 AL FADE.I! ** CITY OF ,,*Z tic Ve4d - 94ue4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 " TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-2280). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER P RMIT. n P PERTY OWNER/BUILDER 3144- AD(DRESS TELEPHONE SWORN TO AND SUBSCRIB D BEFORE ME THIS DAY OF 11 91- NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: LINDA D KILIS ARE EMPHASIZED BY THE BUILDING Notary Public, State of Florida DEPARTMENT. My COMM eXp. AYO. 90 ', 2003 J Comm. No, CC8496 / PLAN REVIEW CHECKLIST PROPERTY DESCRIPTION: 7 G z OWNER: la 'S [ J� 1. Determine Occupancy Classification of the structure. Select occupancy classification t4 which most accurately fits the use of the Building. (Chapter 133) [ 2. Determine actual physical properties of building. [VTa. Determine building area each floor. (Area definition Chapter 132) 14' b. Determine grade elevation for building. (Grade definition Chapter 132) [� C. Determine building height in feet above grade. (Height definition Chapter B2) [ d. Determine building height in stories. (Story definition Chapter 132) [v]� e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter 132) f. Determine percent of exterior openings per floor. 3. Determine minimum Type of Construction necessary to accommodate proposed structure. P (A 1_L- (Chapter 136) a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table B500) b. Check allowable height and area increases permitted. (Chapter B5) 4. Check detailed Occupancy requirements. (Chapter 64) (y]/ 5. Check detailed Construction requirements a. Fire Protection of Structural Members(Chapter B6&Table 8600) [ b. Fire Protection Requirements(Chapter B7 and Table B700) (, C. Means of Egress Requirements(Chapter B10) d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) [ 6. Review design as related to standards. (Chapters B16-B26) 7. Check other requirements as necessary. [�] a. Construction projecting into public property(chapter B32) ( b. Elevators and conveying systems(Chapter B30) [ ) C. Sprinklers,standpipes and alarm systems(Chapter 139) [ d. Use of combustible materials on the interior(Chapter 138) [v e. Roofs and roof structures(Chapter 1315) [ f. Light,ventilation and sanitation (Chapter B12) [ ] g. Other U ' © 6 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date 2, 13y: c� Don C. Ford, Buil ing Offi ' I don/sb.1 PROPERTY DESCRIPTION Lot Block # , Section # Subdivision: Street Name DESCRIPTION OF WOIK{ ' 0 or Address: ,36/� PAIR (If in a FLOOD HAZARD Ci Of Atla l d- 1 OBG i Flood Zone: area complete page 3) NwweOnin,,' Brief Description Class of Work: (New/ ` , ,,, \ I" Remodel/Addition: ep-i ZONING INFORMATION Type of Construction: W©btj F/2A Zoning Proposed x District: Use: /VFX/ / OM6 Estimated Value $ I Exceptions or Variances Materials: Granted: Solid or Fille Ground: f Roof: �-IW Method df-Heating: OWNER INFORMATION C -�t Nt'G 10 iJ Property owner:_'W IC14 ti, -}' LILt�a1,'NL �r�� l�i �s Phone: Z170-3/44z&_11 Sri Mailing Address d I cr Zip: P-v- Ot,0. P- 32-0171— CONTRACTOR 2-,BvCONTRACTOR INFORMATION Contractor: /W/eyAQ, '0#;rh�qs Phone: Mailing Address: Zip: Expiration STATE LICENSE NO: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner SignatureDATE .f�® d 4&&Z Contractor Signature DATE SWORN TO AND SUBSCRIBED BEFORE ME BY ` / THIS \,�,/�� A V DAY O F LINDA P KILIS NOTARY PUBLIC Notafy Pubi1c, Stalu 01 vlo—rja— My comm. exp. Aug. 30, 2003 Comm. No. CC849677 CITY OF ATLANTIC BEACH FLxcure Unic Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE:iENT OF WATER OE!�AND FOR EAC2 WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTE:i. THE. NATER SUPPLY CHARGE IS HEREBY FIXED AT TWE`'TY DOLLARS PEA FIXTURE UNIT CONNECTED TO THE CI—L WATER SYSTEM. 2- BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND /,r^> STATER CLOSET. LAVATORY b BATH (8) t F/ TUB OR SHOWER STALL (6) r L MATER CLOSET WA:= CLOSET. TAn OPERATED (4)12 VALVE QP=.^tiiTED (3) BAT1iTAE/SHCUTR (2) 4URINAL WALL L:' (4) SHOWER GROUP PER HEAD (3) FLOOR DR.AI:1 (1) Si4OWER STALL DOMESTIC (2) LAUNDRY TRAY (Z) ��LAYATOIY (1} C CO*12I!ZAT:CN SINK QjC 1 , VASHI:iG MACHINE (3) ! PO':,', SC'1LLE �Y 5T:7K (:.l DISHWASHER (2) WASH S7-.NK EACH. SET OF FAUCETS (2) ICITCm SI:tX (2) i DENTAL LAVATORY (1) [ITCBP:d SINK WITS WASTE DEXTAL UNI:' OR CUSPIDOR (1) GRIXDEY (3) t V EIDE: (�} URINAL S TALL, W`ASFOUT (4) P FLIIS}iI2fG IIsi SINK (8) i CON.B INA:T_ON SINK AND TRAY WITH ."COD DISPOS. (4) URINAL, Ps..J' £STAL, SYPECN JET DRINKI:ZG FOUNTAIN (1/2) BLOWOUT (2) r L.iVATORY, BARBER/BEAUTY _ICE KAKER (i./2) r S SHOP (2) SURGEONS SINK (3) LAVATORY, SURGZONS (_) JACUZZI (2) URINAL STALL. WASHOUT (4) TOTAL FIXTURE UNITS ' ' @ $20.40 EAC.i OD .JOB INFOR".ATION -/q` , a