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Permit 298 Poinsettia St (vault) STOP WORK Atlantic Beach JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and XX I General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work El Electric Wiring ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further work is done, - NOTE - _ July 23,1987 ----- Don C. Ford Date Do Not Remove This Notice Inspector ------------------------------------------ DETACH and Bring this Portion of Card With You Location: 298 Poinsettia Street-408 Seaspray Avenue Date July 23,1987 Atlantic Beach JURISDICTION INSPECTOR STOP WORK Atlantic Beach JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and X General Construction ❑ Concrete, Masonry and Finish Cement Work. ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work E:1 Electric Wiring ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further-work is done. - NOTE - JUNE 30 1987 Don C. Ford Date Do Not Remove This Notice inspector ------------------------------- DETACH and Bring this Portion of Card With You Location: 298 Poinsettia Street-408 Seaspray Avenue Date June 30, 1987 Atlantic Beach JUR DICTIO INSPECTOR CITY OF ATLANTIC BEACh 800 SENUNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 06-00033848 Date 9/14/06 Property Address . . . . 298 POINSETTIA ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 ---------------------------------------------- ------------------------------ Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IBARRECHE HARRISON CONSTRUCTION & 298 POINSETTIA STRET REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. NEW SMYRNA BEACH FL 32169 (386) 689-0689 ------------------------ --------------------------------------------------- Permit . . . ROOF! PERMIT Additional desc . Permit Fee 68 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 2200 Expiration Date 3/13/07 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �� t 6r J J1+ y Date q((( o C� Heated Square Footage —@S per sq ft= $ Garage/ Shed �� $ per sq ft= $ Carport/Porch >J $ p per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ �.Zvc Total Valuation l s` $�bo 0 ! 0 Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE ZONING: _ + '/z Filing Fee $ a 3 FLOOD ZONE: ( )Fireplaces @ $35.00 $ Il1f-PERVIOUS SURFACE: BUILDING PERMIT FEE $ C WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL .UvIPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ST( ' ) SURCHARGE $ r OTHER $ od GRAND TOTAL DUE: S CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: �[Tiggiwns Building Department Public Works&Public Utilities Departments LJ iii>` 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS p (� Permit Application# Property Address: Applicant: lh2j':,04122 Project: rG X00 This permit application has been: � Approved as noted by the Department. Final application approval must come from the Building Department. F-� Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: to- Date: 1 ( I Date Contractor Notified: x A.�� CITY OF ATLANTIC BEACH 1 r' ROOFING PERMIT APPLICATION �r Date: �C1 -- PLEASE SUBMIT(2)COMPLETE S S F PLANS WITH APPLICATION. ./ Job Address: 266 6,7 Owner of Property: L,a,it a4e h,*kr Pc h Address: 9a—y5� .�, „S'% Telephone: Contractor: rr> State License Number: /"CC a25- -5 j"$ Contractor's Address: r .� Telephone Scope of Work: E-e n�+�s.e .3 ,s+t'_,, /�.✓ cv,ht� in/4fal/� t�i�iS2,� � ' Deck Slope: Greater than 2:12 ✓~' Less than 2:12 Valuation of work: ,2, Zeo, Product Name(Example: Timberline): -3,C2 r a Manufacturer(Example: GAF): ASTM Designation(s): � Required Inspections: Sheath' g a inal Signature of Owner: 7 y, Date: AS TO OWNER: Sworn to and subscribed before me this r day of 20 State of Florida,County of Duval Notary's Signature: "— � "° ANN MARGADONNA personally known MY COMMISSION#DD536835 © MES:April 11.2010 ❑ Produced identification FI.aNowt oI l A",Ca,'�aavoT�r Type ratification produced Signature of Contractor: l Date: UP AS TO CONTRACTOR: Sworn to and subscribed before me this ! day of '20 State of Florida,County of Duval Notary's Signature: ANN MARGADONNA MY COMMISSION#DD536835 Personally known. ex IRF.S:Ate `2Co ❑ Produced identification 4 OP NowtAINC. Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.cLatlantic-beach.fl.us Page 1 Revised 2/21/03 MIAMI-DADS COUNTY,FLORIDA MMA�►QE METRO-DARE FLAGLER BUILDING 3130 BUHMING CODE COMPLIANCE0MCE(BCCO) 140 WEST FLAGLER STREET, '1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 333130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE OA GAF Materials Corp. 1361 Alps Rd. Wayne,NJ C 7470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(Al-11). This NOA shall not be valid after the expiration date stated below.The BCCO (In Wiama Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. R this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code.. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Timberline 30 IIENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Wsuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA- ADVERTISEMENT: The NOA number preceded by the wards Miami Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#01-1203.07 and consists of pages 1 through 4. The submitted documentation was reviewer/by Frank Zuloaga,RRC AIMIL NOA No.:044M.03 AmLdm Expiration Date:02J21M Approval Date:04/2 M Page 1 of 4 ROOFING SYSTEM APPROVAL tate o : Roofing Submr—AWo : 07310 Asphalt Shingles Dimensional Deck 3:12L: wood 1. SCOPE This revises GAF Timberline 30 as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION radnct _ns; Test Product D�c�tpti°° Snedocatiions Timberline 30 13'/;x 3931; TAS 110 Fiberglass reinforced heavy weight asphalt roof shingle,with a laminate profile 3. EVIDENCE SUBMITTED: Teat A ncz Test Identfiler TestNana�,IReuo� Underwriters Laboratories,Inc. TAS 107 OINK45803 04/13/94 Center for Applied Engineering TAS 100 257989 04/01/97 Center for Applied Engineering ASTM D3462 257989 05/13/97 PRI Asphalt Technologies,Inc. TAS 100 GAF4044-02-01 01/13/04 Underwriters Laboratories,Inc. TAS 107 04NK04273 02/20/04 4. LIMITATIONS 4.1 Fut classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 4.2 Shall not be installed on roof mean heights in excess of 33 ft. 43 All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. S. INSTALLATION 5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 53 The manufacturer shall provide clearly written application instructions. 5.4 Exposure and course layout shall be in compliance with Detail'A',attached 5S Nailing shall be in compliance with Detail B',attached 6. LABELING 6.1 Shingles shall be labeled with the Miami Dade Logo or the wording "Miami Dade County Product Control Approved". 7. BUILDING PERMIT REQUIREMENTS 7.1 Application for building permit shall be accompanied by copies of the following: 7.1.1 This Notice of Acceptance. 7.1.2 Any other documents required by the Building Official or the applicable code in order NO�A�No.:04M03/0�5..0y3� C? Y �■i�y _Y^ Date:024L / Approval Date:00W Page 2 of 4 R to properly evaluate the installation of this system 8. MANUFACTURING PLANTS 8.1 Tampa,FL DETA%A DECK FULL 5th 17"OFF 4th 11"OFF are! 6"OFF 2nd FULL 1st a NOA No.:044M.03 { ExPhi tiim,Date:02f21W Approval Date:04a2M4 Page 3 of 4 DETAH-B 39-318" Release Tape 6 fasteners 7-" 134" 1. 82" 74El " Front Side(Ma)imum Slots 12:12) 39-318` Release Tape 6 fasteners 72" 72" 1■ 131- 6" 0-mb" Front Side(Ma)imum Slope 21:12) Tab Sealant 1" 2" 1/Zf Back Side END OF THIS ACCEPTANCE NOA Na:044305.03 Egkuthm Date:02151/07 Approval Date:04122!04 Page 4 of 4 �----. _._._- 1 ',` � !__�+`` N .D t/1 �..� 04 1� V s�//7 CITY CSF � Q 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 Oil FAX(904)247-5805 March 25, 1993 Laurette Ibarreche P . 0. Box 364 Atlantic Beach, FL 32233 Dear Nis . Ibarreche: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : East 44 . 50 feet Lot 538 , Saltair Section 3 a/k/a a�.®.M::: " a Street RE170566-0000--1 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 Section " M 12-1-7 in that there is a white Ford Panel Truck VIN# unknown continously present on the property. We notified the owner of the automobile, Bill Logan, on )ecember 30 , 1992 and gave him an extension to February 3 , 1993 . 3o action has been taken on his part . You are hereby notified that unless the condition above scribed is remedied within fifteen (15) days from the date IYeof , this case will be turned over to the Code Enforcement (rd. Under Florida Statute 152 . 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, Karl W. rl ewald Code Enforcement 0 ficer KWG/pah En l osv.re cc : City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED SENDER: • Complete items tend/or 2 for additional services. I also Wish to receive the • Complete items 3,and 4a&b. • Print your name and address on the reverse of this form so that we can fOIIOWIng SBfviCBS (for an extra return this card to you. fee): • Attach this form to the front of the maifpiece,or on the back if space 1 does not permit. Addressee's Address • Write"Return Receipt Requested"on the mallpiece below the article number. • The Return Receipt Fee will provide you thnature of the person delivers 2 El Restricted Delivery to and the date of delivery. icla Addressed t Consult Postmaster for fee. 3. A —7 4a. rtic umb // L S 6PO' //�/ 4b. Service Type- 11 ype T e�fG� ❑ Registered 11 Insured �` C'Li / =G .��33 Certified ❑ COD Express Mail ❑ Return Receipt for Merchandise 7. Date of Deliv Si at IA eases) 8. AaamMeA Addre s ( my if requested and fee is aid) 6. Signature ge PS Form , November 7990 us.OPO:1e91-287-M DOMESTIC RETURN RECEIPT / ) M FOR DATA "' TIME v M a► OF � �^ HONED RETURNED PHONE YOUR CALL OD NU ER EXTENSION PLEASE CALL MES G W ILL CALL AGAIN CAME TO SEE YOU WANTS TO SEE YOU SIGN D TOPS FORM 4006 NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: 1L i// ' 1i.v/< located at: � � is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article II, Division 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: Z�/ c�/ Signed: `�� ,r CITY OF AL`.C'ANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) : COMPLAINANT: Last Name First Name MI � ADDRESS: CITY/STATE/ZIP: TELEPHONE: ( ) ;24:2/ � COMPLAINT: i \ .v r i LOCATION: �9 PROPERTY OWNERS : { ) - PROPERTY OWNERS NAME: ` DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: DATE/TIME: OFFICE USE ONLY "— INVESTIGATED: (date/time) ASSIGNED DEPT. [DIVISION: oar._ 8 PRIORITY: INVESTIGATOR: �eb CONDITIONS FOUND: ACTION TAKEN: �TT.c��i� Tx� T .�-�L � ��iYf-'i`h���.•�--�-- �/�%f'3 /f 7-.0 E i t ✓N, COMPLIANCE: NOTES: i I � ' I r ' ► i4 i i f i �1 2 3 1993 Luilding and Zoning 4$4.3844 7580 , DEPARTMENT OF BUILDING ~� • CITY OF ATLANTIC BEACH { PERMIT INFORMATION - ._.. -_ LOCATION INFORMATION eLrinit . Number: '7580 A dre c 408 SEASPRAY AVENUE Permit Type; BUILDING ATLANTIC BEACH, FLORIDA 32.233 a :tit Work,k SHED - -- LEGAL DESCRIPTION _--_ - �. .: r T Pe- WOOD FRAME L t : Blo k: Section. 1 Ir c roposed . SINGLE FAMILY Township. RNC : O 4 I l'ings a 1 Codi: CI Subdivision: tarnated Value; $1000 .00 Amo .rit ° .. $15 .00 Da X# a {� ION W .: APPLICATION FEES ----- Na- - - PERMIT1aO4 ddr es AVENUEn Wss PACT ` L .00a.. FLORIDAr E e J @. "taczl 4 ' � F�� Li �, z � RADON OAS—H.R,S. O . Ot3 I w RM --- _-- � 5� aO �QATIOCO C . ._ . Name r P PER ' WNE �� CAPITAL., IMPROVE� ,- S0 .00 SEWER. TAP :O! HYDRAULIC SHARE S0 .00 ns, ,wa Type. l CROSS CONNECTION '�'60 SEC� H IMPACT_FEE � 0 .o0 ""-d— .� a �HER 1 ETES• NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEF51 POI,J; N'Ip► PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 e ll "FAILURE TO COMPLYWITH THE MECHANICS' 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. ATLANTIC SACH BUILDING DEPARTMENT Jz 8y F 23 1993 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : L Address : �0 St 14,�r„�•X A t. Phone : Lot # Block or Unit # Subdivision: Contractor : &1e Address : Phone No: Describe work to be done: Foole- &Apwj(l& Present use of building: Valuation of Proposed Construction: Proposed use• �-M*6 L- Is this an addition? If yes , what are the dimensions of the added space: ,I ft . X ft . Will the added area be heated and cooled? hQ & New electrical (or increase)? M New plumbing fixtures? _ New fireplace?„)2Q_New Heat/AC?_ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: p P R 0'\\�0EPC`cE PC PCQF N�F0p1\NO 0 8y FLA. If61 VAwa INAMGO FORM Ma /a 71L1a X�ruicie Of (910mmit1tremellt aoarAaa w o�ruaAral fakoratt > The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Ll_0 Description of pro"rty...........ZILDCA114W.1...........9 .01A...........................................«..«........................................ '�.....................«..................._......... g �r ,f -,._........................----..............._.....I.._._........... ......................................._.......«««.«.........«.......«...«......«.....................................................t..................................«........_._....«««._.,........................ General description of improvement.«....»,, �ro ,ii�r 6! .......!' .l..,»»»........»»:«_...........»......«......«......«... .._.. ......................_............................................................«....................................................................................�..« .«..«..«...«««................ ........................... ................................,.............................................................................»..........................._..........._................... Owner............... ... .«. «!! ! : . . .7 ...._.:.................:.........................................«......««..................»..«.................. Addreu.......... 0. ....... . .. . ............. ....................««......... _...»..«...... ..............._............. Ownersinterest in site of the kWovewA".....«.............................................................................. .....................««..................... i Fee Simple tale holder (if other than owner) mom........................................«.......................................................................................................................................«......................................... Address.......... .......................................................w............................................«.................................«..N..w»................._.................. . Cailredar........f.'�....r. ..,1 .. .« y�............................. . .,;/..:..... ............................................................ ... ........».«.. ....... SuretyC�«�r!•.........................................................................................................................................._.. .........._.............«..._... . Addris __......«. «.....«................... ......».........»..............................................................Amme of bond S.............. ........ . Name of peneen within do State of i wWo dedputed by owner upon v*+mn nohow or other doann�rs nw Y be served ��. . ..........t ..:.............................................................. .........I. �. ... .��........ In addition to himself,owner designate tle following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill In at Owner's option). Nacre.....» . _...................«.................. ......».......«.........................................................................«..._.««...«..«....«._........«........... Address--nue uwse raI Iu�eare..:........ .... ................ ......... ..� ......._.._................ ........................................... eQ'e Yee O/KY f ....... �"�� OWNER BUILDER PERMIT AFFIDAVIT---_r_1 Stbta of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally appvarvd rig-_-K112 .1� ----------- who upon fisst boinv duly worn, deposes And says$ 11 ----------- and the legal owner of the Sollovino property$ Subdivision Ste-/T,./, 1� �LGT lvhl_ 3 BlockLots ' - ------ ARA AKA - I am applying for a building permit pursuant Lo the Owner Builder exemption set forth in Florida Statute, Section 489. 107. Florida lav requires that I have been provid&d witl, thr following DISCLOSURE STATEMENT$ DISCLOSURE STATEMENT State lav requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that lay. 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 imprc.ve a commercial building at a cost of 023,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or less&. If you sell or leafs& more than one building you have built yourself within one year atter the construction is complete# the lav will presume that you built it for sale or lease, which is a violation of this exemption. Your r construction must be done according to building codes and zoning regulations. =t is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant xeyeth not. r *2 Primp rty Own r Sworn• tca and auboc�C,ibed before 1me this dray , AF 44241 MAP SHOWING SURVEY OF LOT 538 , SALTAIR SECTION NO. 3, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. y ..2,,3 7993 LoT SZ'-1 GoT -15'or. Building and Zoning � W 0 .GoT S37 O F� � 0 0 �,ply oto' 0 0 G P NIeOAJ n ('W3Qfw )0'O/o0V.VX T 7-1A THIS IS A BOUNDARY SURVEY. a .\� 4• THIS PROPERTY LIES IN FLOOD ZONE WHICH IS THE AREA,�_���L��Ldd( /� ` Al BY FLOW MAPS REVISt0.lsC3�.1�1 l`�d COMMUNITY PANEL NO. 00015 000,0r— � .J U L NO BUILDING RESTRICTION LINE BY PLAT. i ' f ti "1-!V 2 3 1993 Building and Zoning (.1 A; 1 i a 2 3 1993 Building and Zoning Vermey Architects Architects& Planners 420 South Third Street Jacksonville Beach,Florida 32250 Telephone(904)246-1150 May 14, 1987 Mr. Don Ford Building Department P.O. Box 25 Atlantic Beach FL -32233 RE: Lot 539 - Salt Air Dear Don: Thank you for pointing out that the duplex to be built on Lot 539 in Salt Air is over the 35'-0" allowable height limit. we are revising the roof pitch from 6/12 to 5/12 in order to comply with the 35 '-0" height ordinance. Yours truly. erard Vermey, Architect, A.I .A. GV/am i o CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT __Gerard Vermey________Address_ 420- S__ 3rd Street _zip 32250-phone246_1150 Owner __________ 420_ S__ 3rd._ Street -zip 32250_phone 246_1150 Architect_ Gerard Vermey ---Address n �p� � (� ��� r Address,� _�'_411 -----zip ____Phane___ Contractor t�x� - - -- �- 0 )kr(,--expiration L ense number_c ___ ------------ Contractor's 5 Lot 538 Block or Section sec. 3 Subdivision Saltair Zoning_______; Seaspray and, David side_West Streetpoinsetta _-between_ --------- """- Frame No. Units 2 No. Fireplaces _____ Type Construction ----- ""`- ------------- residential Est. Valuation x81,000_- _ Purpose of Building `-- • City Utility Method Watercity Sewer____________ 41x21 Lot-- 50x100 -__-Size Footings Dimensions - Building__ ______ Footings----------- Sz.. iers__ SPA -p-1-axLSz• Sills see 1 an ____Greatest Span Sills_Zg,e_.P.1411-----_ Sz. Ceiling Joists--------Distance on Centers Greatest Span____,,,,___ �Sz Floor Joists Distance on Centers---------Greatest Span_______ -- -- --�----- rdS Rafters P4 Distance on Centers_.____=__Greatest Space___`____ Me hod of Heating_orced Air Solid or Filled Groun -----------Roof_ Composition a) eat pump aFl d Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide. the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. ate-- Signature Owner___ ---- _ _ =-► "�` _. C ate Signature Contract or< _ __ page 2 oo i" AIR SPacE 2xlo'5 oo oo APPROVED CITY OF ATLANTIC. FEACM BUILDING DFFIDE } 111, 2 9 1297 Y21, Gwf3 r i FM REVISED PARTY WALL DETAIL: POINSETTA DUPLEX - LOT 538 SCALE : 1 1 /2" = 1 I-O" FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-86 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301.8244. PROJECT NAME PERMITTING OFFICE: \A, '� c C11 AND ADDRESS: CIRCLE CLIMATE ZONE: 1 2 BUILDER: PERMIT NO.: OWNER: JURISDICTION NO.: 2 G DETACHED GLASS AREA AND TYPE CHECK IF WORST IF MULTIFAMILY, NEIN ADD. CASE CALCULATION: ® NUMBER OF UNITS: CLEAR TINT,FILM,SOLAR SCREEN ❑ ❑ E CONDITIONED CEILING INSULATION ❑❑ SGL SGL ATTACHED FLOOR AREA UNDER ATTIC SGL.ASSEMBLY ❑ rT NEW ❑ ADD. 1 4 0 3 R =❑0 .❑O R =❑. ❑9041 DBL �� DBL NET WALL AREA AND INSULATION CBS R= FRAME R= STEEL STUD R= LOG R EEI EEI-11 3 1 8 ❑ = EE11 DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCOND. n SPACE CENTRAL El NONE ❑ ELECTRIC STRIP C HEAT PUMP k] ELECTRIC ❑ SOLAR R = El ROOM ❑ NATURAL GAS ❑ ROOM/PTHP El NATURAL GAS ❑ HEAT RECOVERY =.E]IN COND. ❑ PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS ❑ DED.HEAT PUMP SPACEEF = .� SF/EF = F]. R � SEER/EER = •n2 COPIAFUE _ �.� all NUMBER OF BEDROOMS = ❑ INFILTRATION _ EI;I= X 100 - =.FLI PRACTICE USED I I I y 8 CALCULATED E.P.I #1 IXC ❑ n #2 ❑ #3 CE TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED ENERGY PERFORMANINDEX MUST NOT EXCEE5-100—POI NTS. in accordance with 907 F.S.,I hereby that the plans Review of the plans an!for ecifications covered by this calculation indicates and spec rfi s er this calculation in liance wi the building compliance will With the ectaFlo �e pli teen Before ce Senstru a completed,F.S. Florida Energy OWNER/AG BUILDING OFFICIAL: DATE: DATE: [:PRESCRIPTIVE EA u ex b all real ncea. CHECK E E N RE IREME T WIN W 904.1 M IM F CFM PER LINEAR F T F OPERABLE H CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SQ.FT.OF DOOR AREA.INCLUDES SLIDING GLASS DOORS,SOLID CORE, A A ENT R D PANE IN TED 0 R N Y. EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. RA . MUST BEAM LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF A M T BE VIDED. AN RNAL OR B I TaN H T TRAP MUST BE PR VIDED. SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST 7540. S AS HAVE A PUMP TIMER. GAS PA POOL HEAT RS ST AVE MIN M M THERMAL EFFICIENCY OF HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS, IN SUCH CASES,PIPING HEAT LOSS SHALL m BE LIM D T 17.5 BT H NEAR FOOT F PIPE.WA R F W TBE RE TRI M R THA ON R IN AT 20 .903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS&LOCAL MECHANICAL CODES. DUCTSIN NDITI A E T B N T M NI R 42 NT M B D.7 PARATE Y AC AL R AlT TI T R T T F R H Y M. R- -1- WINTER POINT MULTIPLIERS 98 WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 1 2 3 ORIEN- OVERHANG RATIO TATION 0.0 0.18- 0.27• 1 0.36 0.47 0.58- 1 0.71• 0.84- 1.19- 1.73 2.74- .17 .2 .4 7 .70 1.18 1.72 2.73 5.66 lip SINGLE PANE GLASS N 1.0 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.3i' 1.45 1.51 1.57 NE/NW 1.0 1.13 1.20 1.26 1.33 1.39 1.45 1.50 1.63 1.74 1.84 1.93 EM 1.0 .50 .1 - - .60 - -1. -17 1. -3.31 -4.05 -4.64 W 1.0 .77 .5 .3 .2 .10 g1 - .4 - .7 - .96 1.0 .9 .84 .74 .46 2 .1 - . 4 - .54 - .67 - .7 ULE PANE GLASS a N 1.0 1.13 1.19 1.25 1.31 1.37 1.42 1.48 1.581.69 1.79 1.88 NE/NW 1.0 1. 3 1. 5 1 1. 1. 8 1.7 1. 7 2. 2.28 2. 2. 1 E 1. .77 .62 .4 .28 .12 - .05 - .24 - .59 -1.29 -1. 6 SEISW 1. .90 .82 .72 .61 1 40 2 - .19 - .40 - . 7 1.0 4 .87 .78 7 .41 7 - .4 OVERHANG RATIO = L/H �i-L H L H Fli H 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK FACE BRICK LOG INTERIOR IN U . EXT. INSUL. R-VALE W D FR WOOD NORA I WT. LT WT NORM T WT 12.6 6 INCH R-VALE EXT AD R• ALE EXTN6: EXT EXT EXT 7-10.9 4.2 R•V UE EXT 0- 6.9 11.1 10.4 - 2.9 11. 11. .8 11 .1 . 3.5 .9 4. 7.10. 4.4 4. 4. 7. .1 .9 1 - .2 3-6.9 2.811 -12. 3.7 - 6. 74. .3 2 1. 7 .1 18. 3.4 7-1 4. 4.0 1 R-VALUE BLOCK 8 INC- 2.2 2.2 1 -18. 02.8 2.2 2. 7. R-V E EXT 26&Up 1 1.5 1 -.211 1.9 1.7 t .7 0-2.9 STEEL &U 1.3 1.2 1.3 7-9.9 3.8 -6.9 2. R-VA UE EXT ADJ 1 7& UD 1.7 0. 6.9 15.1 13.1 7-10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM) 11 -12 5.7 5.2 UNDES ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF 1 .2 4. R-VALUE WPM R-VALUEWPM CEILING TYPE 19-25.9 4.6 1 4.4 19-21.9 2.0 5 6.9 6.5 AANTBARRIEjR = PPED EXPOSED .7 2. 22-25.9 1.7 7- 8.9 4.3 .9 3.3 26-29.9 1.4 9-10.9 3.4 .0 2.1 30-37.9 1.2 11 -12.9 2.9 .3 1.3 38& 0 .9 13-18.9 2.6 19-25.9 2.0 90 DOOR WINTER POINT MULTIPLIERS(WPM) 26& 1.3 CREDIT MULTIPLIER FOR ATTIC RAD5 DOOR TYPE EXT ADJ 9F FLOOR WINTER POINT MULTIPLIERS(WPM) WOOD 15.4 13.3 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE See 903.2(o)) INSULATED 16.8 14.5 R-VALUE WPM R-VALUE WPM R-VALUE WPM 0-2.9 18.8 0-2.9 9.9 0 6.9 8.3 -4.9 9. -4.9 5.1 7-10.9 3.0 5-6.9 7.6 5-6.9 3.6 11 -18.9 2.2 7&Uo 7.0 7&Uo 2.9 19&UD 1.4 9G INFILTRATION WINTER POINT MULTIPLIERS 9H DUCT MULTIPLIERS(OM) INFILTRATION PRACTICE R-VALUE With Return W/O Return WPM Air Du Air Duct (See Table 9P) 4.2-4.9 1.14 1.10 PRACTICE# 1 10.9 5.0-6.6 1.12 1.08 PRACTICE#2 7.4 6.7&Up 1.09 1.06 PRACTICE#3 4.1 DUCTS IN CONDITIONED SPACE 1.00 1.00 -5 WINTER CALCULATIONS CLIMATE ZONES 1 2 3 BASE SINGLE DOUBLE AS-BUILT GLASS BASE GLASS x OR x WOF OR x = WINTER FE WPM WPM 1981 = GLASS AREA WPM POINT AREA CLEAR TINT" CL TINT* WIN.PTS. N 7. 13.8 13.6 7. 8.1 1. 25 128 E 4. 10.7 10.5 .6 6.0 E - 9.2 - 3.8 - 3.6 - 9.2 - 5.7 E -22.7 SE -18.1 -17.5 -22.7 -17.3 -28.4 -1363 S 14 -24.0 -23.0 -28. -22.3 8 -310 w -22.7 Sw -16.1 -17.5 -17.3 W J q n - 9.2 - W - 3.8 - 3.6 - 5.7 1. -1638 NW 4.6 10.7 10.5 4.6 6.0 H' 4 -28.4 <` -67.6 -59.1 - 7 -45.0 -221 ;. N 28 7. 3 1. 13 231 4 -374 -534 COND. TOTAL BASE BASE ADJUSTED AS-BUILT rJ x FLOOR + GLASS = ADJ. x GLASS = GLASS GLASS 1I AREA i AREA I FACTOR I SUBTOTAL BAS E WP 8 8 ,1,SUT6OT 1 14031 298 1 . 706 1 -2816BASE WIN.PT. AS-BUILT COMPONENT BASE WIN. COMPONENT = DESCRIPTION AREA x PT.MOLT. WINTER DESCRIPTION AREA x MOLT. WINTER 11 POINTS 9C THRU 9G POINTS EXTERIO 1 141 8 2.2 2900 EXT 1318 a ADJACENT 3.6 3 EXTERIOR gn 15.4 ADJACENT 13.3 1 UNDER ATTIC 1. v OR SINGLE 825 1.2 ASSEMBLY 1. LAB8.9 8 RAISED 1 .96 J U. FOR SLAB ON GRADE USE PERIM TER EN TH ALONG CONDITIONED FLOOR IN PLACE OF AREA. 71 1 INFILTRATION I 14 U 3 1 7.4 1 10392 1 1 Frac . USE FLOOR AREA OF CONDITIONED SPACE. TOTAL COMPONENT BASE WINTER POINTS I 7 f1� TOTAL COMPONENT AS-BUILT WINTER POINTS 1 16 As n f TOTAL I BASE TOTAL AS-BUILT I AS-BUILT I AS.BUILT AS-BUILT HEATING BASE HSM x BASE = HEATING AS-BUILT x DM x HSM x HCM = HEATING SYSTEM WIN.PTS. POINTS WIN.PTS. 9 9 9J POINTS .59 15008 8855 16650 1.0 . 52 1. 0 8658 BASE BASE BASE TOTAL AS-BUILT AS-BUILT I AS-BUILT TOTAL J COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS o (From P.21 From P.2 Enter on P.1 From P.2 From P.2 (Entor on P.1 11577 8855 1 11409 31841 9781 8658 11409 29848 ` H = Horizontal Glass(Skylights) For Shading Coefficient Jess than 0.83.,see sec.903.2(x).Tint Multipliers may be used for glass with solar screens,film,or tint. 4 Carleton Builders 06/29/87 828 14TH Ave South JACKSONVILLE BCH, F1 32250 TO WHOM IT MAY Cl / Patrick J Cay _ 'ZL��L ra Construction and Suppliers Inc. Li �d all responsibilities for being qualifyii. and Suppliers Inc. There will be no mo this company name or licinse number. ? ility for construction of 298 Poinsettia- 4 / �v ` 132 PATRICK J. CARLETON State of .County Of Signed before me on this C;) day of,J L111 ,19y, by ` Notary Public MyCommissionExpires Sept.4,1994' JUid � � 11iidig and Zoninf- June 23rd, 1987 To whom it may Concern, Patrick J. Carleton, Qualifying Agent of Aurora Construction and Suppliers Inc. License # CR-C038159 has terminated all responsibilities for being qualifying agent for Aurora Construction and Suppliers Inc. There will be no more Builder Permits pulled under this Company Name or License Number. Respectively, Patrick J. C leton Wit Gess a3 �� Date Notary NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires July 30,1988 6/25/87 I do however, maintain responsibility for construction of 298 Poinsettia/408 Seaspray building permit #8632. AA' . Ca eton �l ing and Zonira�ftic e ch zm Department of Professional Regulation -- �- _ _:•:___ Governor t Consruction Indus Bob Martinez try Licensing Board Secretary Richard P. Daniel State Regional Office van B. Poole 111 Coastline Drive, East, Suite 504 Post Office Box 2 June 1, 1987 Jacksonville, Florida 32201 (904) 359-6310 Patricic J. Carleton Aurora Construction and Suppliers Inc. 127 Myrtle Street Neptune I3each, Florida 32233 CERTIFICATIO® AS A Residential Contractor CERTIFICATION NO: CR C038159 EXPIRATION DATE: August 1, 1987 Dear Mr. Carleton: This will serve' as your Temporary License as the qualifier of the above entity. Until the above expiration date, you are entitled to all the privileges allowed under the Law, as stated in Chapter 489 , Part I , of the Florida Statutes . Your permanent license will be forwarded to you from Tallahassee. Sincerely, lton Rubin Administrative Assistant I,R/jp c Carleton Builders 06/29/87 828 14TH Ave South JACKSONVILLE BCH, F1 32250 TO WHOM IT MAY CONCERN: Patrick J Carleton, qualifying agent of Aurora Construction and Suppliers Inc . License # CR-C038159 has terminated all responsibilities for being qualifying agent for Aurora Construction and Suppliers Inc. There will be no more Builder permits pulled under this company name or licinse number. I do not maintain any responsibility for construction of 298 Poinsettia- 408 Sea Spray ; Builder Permit #8632 PATRICK J. CARLETON State d f-fZ—/ ,County Of Signed before me on this a1 /. dap ,19� by Notary PublicZ 1�t ,�17-- // / My Commission Expires Sept.4,1990 �U14 `1.1ilding and Zonirn June 23rd, 1987 To whom it may Concern, Patrick J. Carleton, Qualifying Agent of Aurora Construction and Suppliers Inc. License # CR-C038159 has terminated all responsibilities for being qualifying agent for Aurora Construction and. Suppliers Inc. There will be no more Builder Permits pulled under this Company Name or License Number . Respectively, Patrick J. C leton Wit ess Gr Date Yee No ary NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires July 30,1988 6/25/87 I do however, maintain responsibility for construction of I; 1`'� 298 Poinsettia/408 Seaspray building permit #8632. J� `""L '' `, } 3 v k4* �. Ca eton (iing and Zonino f aTftic e ch .r "E Department of Professional Regulation " --- on Governor at"� Bob Martinez Construction Industry Licensing Board •,�. ¢• Secretary Richard P. Daniel State Regional Office �o we Ia" Van B. Poole 111 Coastline Drive, East, Suite 504 Post Office Box 2,t i Jacksonville, Florida 32201 June 1, 1987 (904) 359-6310 Patrick J. Carleton Aurora Construction and Suppliers Inc. 127 Myrtle Street Neptune Beach, Florida 32233 CERTIFICATIOU AS A : Residential Contractor CERTIFICATION NO: CR C038159 j EXPIRATION DATE: August 1, 1987 Dear Pyr. Carleton: ; This will serveras your Temporary License as the qualifier of the above entity. Z. Until the above expiration date, you are entitled to all the privileges allowed under the . Law, as stated in Chapter 489 , Part I , of the Florida Statutes . Your permanent license will be forwarded to you from Tallahassee. Sincerely, � t lton Rubin r Administrative Assistant 'WiP { {1 c N11 r i . o y CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner_ Gerard Vermey _____Address 420- S .- 3rd Street ----- 1 zip 32250 phone 246-1150 - Architect Gerard Vermey Address420 S. 3rd. Street zip32250 phone 246-1150 ------- Contractor . same Address same same ----------------- --------------------zip------ hone_-- Contractor's License number n�a _expiration p ----- -- a 538onin : 5 ___Block or Section see. 3 Subdivision Saltair Z --------- --------------- g-------- StreetPO insetta __between Seaspray -and David -- -`"-- side west - ----------- Type Construction ---NU o. . nite No. Fire - Frame---------- places ----------- Purpose of Building--- residential . -------------- Est- Valuation81 000 -7------ Utility Method - Water City Sewer City Dimensions - Building__ 41x21 ------Lot 50x100---------Size Footings Sz. iers__ gep nen Sz. Sillsspp n� 1an ____-6reatest ___________ Span Sills Sz. Ceiling Joists Distance on Centers ------ �Sz Floor Joists -3r-_____Greatest Span _- ___ ro -_---_Distance on Centers__ __Greatest Span-"- - Sz. Rafters Distance on Centers _ ,z Greatest Sparc - PMehod of Heat ing.�orced Air Solid or Filled Ground � ---- Roof composition Teat pump ----------- ---- ---- a'Fl d Zone.......If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide, the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner te y'104 '� Signature Contract 41 ---- --- `-- --- ate__. Page 2 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA I PERMIT TO BUILD PERMIT NO. i THIS PERMIT MUST BE POSTED ON JOB � Date— Am'il 29 37508T Valuation$ 11© st27 n„ Fee$ 19 $7 7`i` J 7 I sm/a` x.3__8 8 6'1an *nin 4c � ThisPermit not i 3r Q4 valid until above fee has been paid to City Treasurer,and is 1 '111171Q subject to revocation for violation of applicable provisions of law. This is to certify that` c has permission to build Du 1 ex I I Classification NeW Residential Owned by d Zone RG-1 'f Lot House No. 298 PoinsettiaIpg -------_S/D ` a1tA"- According to a pSeas ra -- approved Plans which are part of this permit NOTICE—ALL CO AND FOOTINGS MUST EFORMS B SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS M D AFTER —�♦ �� ATE OF ISSUE Z Building material,rubbish and debris 1 from this work must not be plced in public space, and must be cleared up a/hauled away by either con. or owner. FOR OFFICEPERMIT ' B (ding Official. I USE ONLY NUMBER DATE PLUMBING ` _ -CPNTRACTOR ELECTRICAL I SEWER WATER I I Address• /107- 3 R(-'T c 2 — }Ieatea Square Footage ) (0 @ $roper sq ft = $ Garage/Shed @ $ Per sq ft = $ Carport/Porch �� @.$ per sq ft = $ Deck — @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ pc; � t ' 'ota aI ation lst $_ 6 o o Remainder Valuation iper thousand or portion thereof -------------------------------- -----------I Total Building lding Fee to ADDITIONAL PERMITS and/or FEES REQUIRED • � + 2 Filing Fee O ` Fireplaces @ 15.00 $ Mechanical i BUILDING iPEP.MIT FEE $ r; Plumbing Electric/Neta ' Electric/Tam �• �---------------------------------------��------- BUILDING PERMIT $ . Septic Tank WATER METER CF-LARGE Well SEWER IMPACT FEE Scrimping Pool WATER IMPACT FEE Sign MISCELLANEOUS $ Water Connection $ Sewer Connection c/ $ Water Meter Elevation Certificate ' GRAND TOTAL DUE $ r; � --------------- ------------------------------------------------------------- 5 7- --------- CALCULATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ --BATHROOM GROUP CONSISTING OF (� WATER CLOSET, LAVATORY & BATH -----SERVICE SINK TRAP STAND (8) TUB OR SHOWER STALL (6) V ____WATER CLOSET VALVE _____WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) _Q__BATHTUB/SHOWER (2) __v� -URINAL WALL LIP (4) ___SHOWER GROUP PER HEAD (3) (LFLOOR FLOOR DRAIN (1) --Q--SHOWER STALL DOMESTIC (2) _ V _LAUNDRY TRAY (2) --O--LAVATORY ( 1 ) _ (f) _COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) _ V _POT, SCULLERY SINK (4) -2L-DISHWASHER (2) _WASH SINK EACH SET OF FAUCETS (2) _KITCHEN SINK (2) 0__DENTAL LAVATORY (1) -21-KITCHEN ___ SINK WITH WASTE GRINDER (3) _DENTAL UNIT OR CUSPIDOR (1) _0__BIDGET (3) _C__ _ URINAL STALL, WASHOUT (4) ___FLUSHING RIM SINK (8) _COMBINATION SINK AND TRAY WITH Q FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _ _DRINKING FOUNTAIN ( 1/2) _© __LAVATORY, BARBER/BEAUTY /� SHOP (2) _v_LAVATORY, SURGEONS (2) -0 _SURGEONS SINK (3) _ d'__ICE MAKER (1/2) as TOTAL FIXTURE UNITS__�L___ @ X10. 00 EACH -------------------- JOB INFORMATION_jLO ��_ - ------- ------------------- CITY OF V/ Office of Building Official _ d REQUEST FOR INSPECTION Date— /r `✓ E _ Time Permit No. (� . 7 Received A.M. P.M. j District No. ' 4,6, Job Address Owner's Locality O Name Contract ov° �� u—j BUILDING CONCRETE ELECTRICAL PLUMBING Framing ❑ Footing ❑ Rough Wiring [IRou h MECHANICAL Re Roofing ❑ Slab g ❑ Air. & [ILintel ❑ Temp Pole ❑ Top Out 11 Heattinging ❑ Final gl*/ Sewer ❑ Fire Place ❑ y READY FOR INSPECTION Pre Fab Tues. Wed. A.M. Thurs. Friday Inspection Made Inspector Final Inspection Certificate of Occupancy Date mg CITY OF 4&44dw BeacA- Office of Building Official REQUEST FOR INSPECTION Date Time .M. Permit No. Received M. District No. Owner's E' L Name > Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing ❑ Footing ❑ Rough Wiring ❑ Rou h ` MECHANICAL Re Roofing ❑ Slab U Temp Pole ❑ Top Out 11Heatin Cond.& ❑ Lintel ❑ Final 11g Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. ue�s 'r\; Wed. A.M. Thurs. Friday Inspection Made '- A.M. Inspector x Final Inspection❑ Certificate of Occupancy Date CITY OF 4&4ot4-c BeacA--t�prtsad Office of Building Official REQUEST FOR INSPECTION Data Time —�— Permit No. Received A.M. P.M. District No. Job Address Owner's locality Name Contractor BUILDING ❑ ONCRETE ELECTRICAL PLUMBIN Framingootin MECHANICAL Re Roofing ❑ g / Rough Wiring ❑ Rough ❑ ❑_ Tem Pole Air.Cgnd.8 ❑ Lintel ❑ Temp ❑ Top Out ❑ Heating Final ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. �. rr�� /�"+Wed• Thurs. A.M. CT 6 Friday----__P M. Inspectio4Made q:M Inspector Final Inspection❑ Certiticate of Occupancy Date STOP WORK Atlantic Beach JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and XX General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work ❑ Electric Wiring ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further work is done, - NOTE - July 23, 1987 Don C. Ford Date D_o_N_ot R_e_m_o_v_e_T_his_N_otice Inspector ---------- --------- DETACH and Bring this Portion of Card With You Location: 298 Poinsettia Street-408 Sea$pray Avenue Date July 23,1987 Atlantic Beach JURISDICTION INSPECTOR f FFA MAP SHOWING� ANG SURVE Y OF 'Lot 538, as shown on the Plat of Saltair Subdivision, Section 3 , a3 recorded in Plat Book 10, Page 16 of the Current Public Records of Duval County, Flori- For Loretta Ibarreche x , r k � ,�•Coa.�c. Gt/�c� TV /OHO I 0.2 O11 VJ � N C f UTILITY AGRM ENT (Water and Sewer) THIS AST, made and entered into this 29th day of Anr;l 1987 , by and between the City of Atlantic Beach, Florida, a mtmicipal corporation, hereinafter referred to as "City", and _ rPrarrl �IPY'S71P17 and its successors and assigns herein referred to as "User", TAEREAS, User owns land in Duval County, Florida, described as follows: T,ot 8Saltair 2.98 Poinsettia £ 108 coasl2raY and WHEREAS, User plans to develop said land by constructing 1 buildings, 2 residences and/or other improvements thereon consisting of _ n1j"I ex and WHF„'ZEAS, The City is the owner of a water plant, water distribution system, sewage treatment system and swage collection plant in the vicinity of the above described property; and VJBEREAS, User will need water and sewer service, and User desires City to furnish same; and WHEREAS, City is willing to operate such water and sewage treatment system so that all buildings constructed on User's property by User may have furnished to them water and sewer service, subject to all terms and conditions of this Agreement, NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, the parties hereto agree as follows: (2) 1. Upon the terms and conditions herein contained, the City agrees to provide potable water and domestic sewer services to the User's Property. The term "domestic sewage" used in this paragraph and referred to throughout this Agreement is defined as follows: Human waste including liquids and solid matter carried from plunbing fixtures normally carried off by drains and sewers, and except where specifically excluded bath and toilet wastes, laundry wastes, kitchen wastes and other similar wastes. It does not include commercial or industrial waste. 2. City agrees that after User has connected to the system, thereafter City will provide, at its costs and expense, but in accordance with other provisions of this Agreement, including rules and regulations and rate schedules, sewer service and water service to User's Property in a manner conforming to reasonable requirements of public governmental agencies having jurisdiction over City's water and sewer operations. 3. User shall, at its costs and expense, install all of the potable water distribution and domestic sewage collection lines which may be required on User's property, including engineering cost, to connect City's plant to; the User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. A one year maintenance bond guaranteeing improvements may be required. If buildings more than two stories in height are constructed on the User's property, the User, at its own expense, agrees to furnish to the City any equipment which may be necessary for pumping potable water to the additional height with associated back--flow preventers, (3) At all times during the construction of the potable water and domestic sewer lines and related equipment, the City shall have access to the construction and the right to inspect the construction to insure that the lines and related equipment are being installed in accordance with the plans and specifications approved by the City. User shall construct the domestic sewage disposal lines in such a manner as to insure that no water from air conditioning systems, ice machines, swimning pools or any other form of condensate water shall flow into the domestic sewage disposal lines of the City and nothing other than sewage in its strictest sense shall be discharged into the domestic sewage disposal system of the City. City shall inspect all connections made by contractors, plumbers, builders, etc. to any portion of the sewer system that discharges into the sewage collection system owned or operated by City or contemplated to be owned and operated by City under the terms and conditions of this Agreement prior to being covered up. City shall only be obligated and will only provide water and sewer service to User's property upon 100% completion of all terms and conditions of this Agreement. 4. User shall pay a planning and inspection fee in order to defray all actual costs to City of preparing and executing this Agreement, including any attorney's fees; and conducting the inspection and testing of the installation of the User's Extension; and all other administrative costs incident to accepting the User's extension, Said fee shall be equal to one half of building permit fee. 5. User shall pay City a "Sewer Impact Fee" of $1,035.00 per residential unit and a water impact fee of $10.00 per fixture unit/or as otherwise (4) provided in the City's Code of Ordinances, 6. The City shall provide water and sewer service to User's property upon payment to City of the standard meter charges as provided in the City's Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter) , 7. Payment of the Sewer Inpact Fee, Water Impact Fee, Planning/ Inspection Fee and Water Meter Charges, shall be made in full at the time City approves the plans. 8. In the event, at a future date, City's charges, rate schedules or fees are revised, subject to the operating rules and regulations and approval of governmental authorities having jurisdiction, then in that event, User and/or assigns shall pay the charges, rates or fees then in effect on date of payment, 9. Hydraulic share of main extensions-payment or refund; User recognizes that water or sewer utility service to th User's property is provided by the use of a main extension and other improvements constructed by a prior developer and that User is obligated to refund to said prior developer User's share of the cost of said main extension or other improvements, Accordingly, User shall pay its pro rata share of the cost of said main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ With respect to utility facilities installed by User to which future developers connect directly, and in consideration for monies expended by User toward said facilites, City shall refund to User, or User's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share. of the cost of said facilities,1 Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever feasible, The refund obligation of City hereunder and the benefits to User related thereto shall expire five (5) years from the date of execution of this Agreement, Said refund shall be -made to User within sixty (60) days of the receipt of payment by City from a future developer, 10, If any damage is done by User, its agents',' or employees',' the existing potab14. water lines or domestic sewer lines of City or other utilities CATV, electric, phone, or the potable water lines or domestic sewer lines installed pursuant to this Agreement, during or after the installation thereof and by reason of construction work, User shall at his expense, make such repairs as are required to restore said potable water or domestic sewer lines to the condition which existed before such damage occurred,. but in the event User does not restore said potable water or domestic sewer lines (but this clause shall not be construed as to require the City to make such reparis or restoration) , User shall provide the City and its agents adequate access and facilities for the makinc, of said repairs. All costs incurred by the City in making such repairs shall became immediately due and payable and shall be considered in all respects the same as if said charge had arisen in connection with the rendition of the regular services of the City, 11. Notwithstanding any provision of this Agreement, the City shall have no obligation to provide sewer services to any customer producing sewage which is unusually burdensome, unusually costly to process or substantially detrimental to the sewage system, 12. This Agreement shall be beinding upon the parties hereto, their successors in interest, grantees, transferees and assigns, In the event User transfers any part of the User's property, it will cause its transferee to comply in all respects with the provisions of this Agreement. 13. In the event the City sells either its sewer treatment plant or collection system or its water treatment plant or water distribution system to any governmental body or any other purchaser, then, in such events, this Agreement shall terminate as to the City on any protion sold and all of its obligations or liabilities hereunder shall cease and determine for that portion sold. 14. The City may shut off the water to the User or any other person and refuse to accept sewage from the User or any other person if the User or any other persons shall fail to pay any sums due hereunder when the same becaue due and payable. Nothing herein contained, however, not any action taken by the City in pursuance hereof shall impair any other remedy which the City might have, at law or equity, for breach of this Agreement by Owner or any other person. 15. City does not guarantee an uninterrupted supply of water for any purpose or water at any particular pressure for any purpose and reserves and shall have the right to shut off the water in its main at any time for the purpose of making repairs or extensions or for other purposes incidental to its water supply and will not be responsible for any damage caused by low pressure. City shall have the right to turn off water service at the main where the User has been found to be useing water illegally, and to assess a fee for restoration of service. 16. The City shall have the right to assign and transfer this Agreement at any time provided, however, that no such assignment or transfer shall impair the rights or increase the obligations to the User or any other person pursuant to this Agreement. (7) 17. Unless sooner terminated as provided herein, the initial term of this Agreement shall be 15 years. After the initial term of 15 years from the date of the execution of this Agreement, the terms of this Agreement shall automatically be renewed for successive terms of five (5) years each, unless written notice of termination of this Agreement is provided by either party hereto, not less than ninety (90) days prior to the commencement of any such renewal period. 18. It is expressly agreed and understood between User and City that there are no other written or verbal agreements applicable herein between User and City. 19. This Agreement may be amended and modified from time to time as necessary by mutual written agreement of the parties hereto. TN WTTNF,SS UTFW,,oF, the User and the City have caused d-iese presents to be executed the day and year first above written. Signed, sealed and delivered in the presence of: \/J "Ts ' ess - r , City of At antic B7 Wi ess r i DEPARTMENT OF BUILDING 6j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. _ "�_ ' PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB p7'00 I Date _ --Agx'1 29 19 87 s 71 1 1 P, 511 '" Valuation$ Fee$ 87.00 Ix g 9G34 orlOCA I u"711 1 n �/i0✓9 This permit not valid until above fee has been paid to City Treasurer,and is 1 } subject to revocation for violation of applicable provisions of law. i' This is to certify that Atlantic Coast Pliattbit;! CFCA21529 has permission toXE)i�[XX ;rscr„t t ..� i.s i 1 Classification_ ZNew Resident4-1 Zone RG-1 Owned by_Cerard Ver�tey i Lot_ 538 BlockS/D Saltatir j House No. 298 Poinsettia 108 Seas ra According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECT ED BEFORE POURING. PER VOID SIX MON`H,5 _ n AFTER DATE OF ISSUE --� --� 0 Building material,rubbish and debris q from this work must not be placed in public space, and must be cleared _ u :ita4 hauled a%yay by either con- tractor of owner Ay o Built Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR 1 11 PLUMBING ELECTRICAL SEWER WATER ..x,9111►.. ix CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION �� �-f Eiq PLUMBING CONTRACTOR_R-A10 C QAf L IV LICENSE NUMBERS C F e Iq 2( 5- OWNER U�y „ ` 7 BUILDING CONTRACTOR TYPE OF BUILDING ,p�Q� �- SINKS SHOWERS LAVATORY 2- WATER HEATERS Lf BATH TUBS Z DISHWASHERS u URINALS Z- DISPOSALS -1 CLOSETS Z. WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT � ej g) INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . i CITY OF 4&4ft4-C Be cA- Office of Building Official (�� REQUEST FOR INSPECTION Date ._ (UUt Time Permit No. Received A.M. P.M. District No. Job Address Locality Name Owner's --y� Contractor BUILDING CONCRETE CTRICAL Framing ❑ Footing ❑ �� PLUMBING MECHA qL Re Roofing ❑ Slab 1n Rough ❑ Air.Cond.8 ❑ ❑ Temp Pole � Lintel Top Out ❑ Heating ❑ Final ❑ Fire Place ❑ READY FOR INSPEC -.�1 Pre Fab Mon. Tues. Wed , ' ur :'firJT) - Friday A.M. Inspection Made .M. Inspector Final Inspection❑ Certificate of Occupancy Date t CITY OF ATLANTIC BEACH, FLORIDA "pp► APPLICATION FOR ELECTRICAL. PERMIT � ~1 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. ELECTRICAL FIRM: MASTER"EL ECTRICIAN SIGNATURE jdG-- NAME ADDRESS:eg71PiyI�GC�(l'J RFD BOX OLDG.SIZE BETWEEN: RES.( 1 APT.1,7 COMM.( 1 PUBLIC i 1 INDUS. 1 k NEW OLD i 1 REW.( 1 ADDITION ( ) TRAILER ( i TEMP.f-l' SIGNS ( ) SO. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ! FEE CONDUCTOR SIZE AMPS 4 v COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY da EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES- CONCEALED OPEN TOTAL ' 0•30 AMPS. 31•f00#MPS. SWITCHES INCANDESCENT' FLUORESCENT&M.V. FIXED 10.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0•t OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE -PHS MISCELLANEOUS roAmacnoucoa. Itktnva RMV AVFR B00 V_ CITY OF ATLANTIC BEACH, FLORIDA Approvwd by APPLICATION FOR ELECTRICAL P tV ERMIT 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. r ELECTRICAL RM: MASTER ELECTRICIAN I AT NAME . 4 ADDRESS:X -V;&".A& Al RFD-----SOX- BLDG. FDBOXBLDG $12E BETWEEN: RES.( ) APT.(-+" COMM.( ► PUBLIC 1 1 INDUS.1 1 NEW . OLD( 1 REW.( ) ADDITION ( ) TRAILER ( ) TEMP.('' ) SIGNS ( ) SO. FT. SERVICE: NEW(-l' INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZEAMPS COPPER I ALUM. , d SWITCH OR BREAKER d AMPS PH j W D VOLT 60A RACEWAY 185. 06 EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMPS: SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO 1 H.P. VOLTAGE PHS MISCELLANEOUS -7-1 rnwucenouene. 11urnco am v nVER am V. CITY OF ATLANTIC BEACH, FLORIDA Amro" by APPLICATION FOR ELECTRICALc PERMIT J TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. -c��GS�.S_ ELECTRICAL FIRM: MA-'tTFd Fj igIRICIAN SIGNATURE NAME ADDRESS: Ay. RFD- - BOX G BLDG.SIZE BETWEEN: RES.( 1 AFT.t4' COMM.1 1 PUBLIC 1 1 INDUS.1 NEW(--r OLD( 1 REW. ADDITION ( 1 TRAILER I ► TEMP.`( ) SIGNS ( ) SO. FT. SERVICE:. NEW( INCREASE ( ► REPAIR 1 ' 1 FEE CONDUCTOR SIZE AMPS COPPER 1 ALUM. SWITCH OR BREAKER r AMPS PH3 W 440VOLT Oz,7117 RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERSNO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER _ APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT' 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS T0eluQCf%0UCQC• - tiNnFaR RAA v_ OVER 600 V. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA THIS PERMITM'r 7,0 AC PERMIT NO 8633 MUST BE POSTED ON JOB Date q r• 7r;.q0 T Valuation$ 1I zg 19' 87 997.3 71;.O.O Kr This Fee$� 76.00 963; A ' Permit not valid until a 937a •:IPC subjsub' bove fee has ect to revocation For °f bce violn Paid to Cit 611 p f violation si Treasurer,and is 1 � l �? ilThis 1S t0 certify that �iapplicable provision J of • DDan CAC039 6 has permission to W Classification Owned by New Residential Lot_,_ _ rard V @ Zone RG-1 House No. oQ Block_-S� ' According to approved plans which are Part of this permit ' NOTICE_ALL AND FOOTINCONCRET13 FORMS SPECT RE MUST BE N PERMITEFO POURING. I AFTE VOID SIX MONTHS z Building materia] TE OF ISSUE 1 fiom this yt rk rubbish and debris in Publi s, ac must not be laced UIP and'h ' and must P ,'haul be cleared tractoj or a ay by either con_ IFOR OFFICE USE ONLY PERMIT NUMBER DATE Building official. � PLUMBING CONTRgCTOR ELECTRICAL SEWER WATER -� r h' BUILDING AND ZONING INSPECTION DIVISION CITY OF JACKSONVILLE, FLORIDA APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER LIntersecting ANT - Applicant to complete all items in sections i, II, III, and IV. ess: � .Vii/✓L LOCATION OF Streets: Between. And.:BUILDING 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 witlattached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Mechanical Contractor Name � State Certification or ? • '': Registration Number ` Qualifying Agents 4 � Signature r ? x Masters Card �p Number Property Owners Nameyti:� �� r 1 j� := Signature of Architect or Engineer ill. GENERAL INFORMATION A.Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ LP Gas ❑ Natural Gas ❑l Oil ❑ Solar ❑ Wood IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Other-Specify PERMIT IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) A. O�Residential B. ❑ Commercial I<Heat: A. ❑ Space B. ❑ Recessed C. Central C. L 'New Building D. ❑ Floor ❑ Fire Place ❑ Wood Stove D. El Building Air Conditioning: A.�ir-to-Air Heat Pump E. ❑ Replacement of existing system B. ❑ Water-to Air Heat Pump C. El Straight Water Cool D. ❑ Straight Air Cool F. El New installation(No system previously installed) ❑ Duct System: Total Capacity cfm G. ❑ Extension or add-on to existing system ❑ Refrigeration H. ❑ Mobile Home ❑ Cooling tower: Capacity1. EJ Other g.p.m. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY ❑ Tanks (number) (Received) ❑ LPG containers (number) Remarks ❑ Unfired pressure vessel ❑ Boilers ❑ Rangehood Permit Approved by Date ❑ Cooking Equipment ❑ Water Heater Permit Fee ❑ Gas Piping LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units _ rDescription Model Number Manufacturer Capacity Approving (Tons) Agency J. HEATING - FURNACES, BOILERS, FIREPLACES AF 44241 MAP SHOWING SURVEY OF LOT 538, SALTAIR SECTION N0. 3 IN PLAT THE CURRENT PUBLIC RECORDS OF DUVALRCODUNTY,) FLORIDA, BOOK 10, PAGE 16 OF Lor' 5`Z'7 'x �0 /.ecsa/ n s u J LoT S3� 0 o P 17 U Q c \ � moo, 0 N ` N o ' 0 0� THIS IS A BOUNDARY SURVEY. t THIS PROPERTY LIES IN FLOOD ZONE " C WHICH IS THE AREA BY FLOOD MAPS REVISED /4- f$ 1' COMMUNITY PANEL No.-/,Co0 75 NO BUILDING RESTRICTION LINE BY PLAT. µ'