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Permit 196 - 198 Poinsettia St (vault) 44 Cf► 1 tTAAEl OF,BU LQ#NG +CETY OF ATLANTIC BEACH 40 .» . PERMIT I NPORMAT I ON ..,.,. ,..._ ,; . TIO NPO 'T`I'ON Number z` o 4 dd.ress". 196 POI TTI ST"LtT Pe,rmi t TyP ATLA,NT'TC'� RAC DA 32233 hese of work: ALTERATION ----___.. antOOD rRAME lot , Bill apoax d `U a SI OLL PA14ILY041, D wr ll nq c 1 Cade:, ? ubdiuision'. t,imatied 'Value: $1091 0€3 IMO-rov.a Cost: ? 00 Total, `e $22 ., 50 Amount,,, $22, 50 .... . .ION - ,.. APPS4CANT " . ERMT FLORIDA Ph 1 3 00 , C �NMA.TI O - ------- RADON CAB; N B HI ROOT, A ION CAPITAL 1�9O�E. D..fi3D a. V_I ACK.S ? FL, 32217 CROS Cpt�NE�ION ' 0.oo Type: 0 CONST: E tC #,A Z 0.0 AEOTI~S: r a J ' NOME-r ALL CONORETE FORAAS AND FOOTINGS AAUSt BE IN3PBOTE©BEt?t�RI�Pf}UE�#Nt� PERMIT VOID SIX MONTHS AFTER DATE OF�1SSUB' BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE MID IN PUBLIC SPACE,AND MUST,BE CLEARE UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER � ► . NE TC3 }� . " WITH THE MECHANIC'S LEEN`LAW'SAN ALT 1N K ►NC I E IT � N'I AYIN i T1 lI FORTHF 8 3I . N /SEN" IS ACCORD#REG TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR bF APPLICASLE.PE VISIONS OF LAW, AnAt4Tx BEACH BUILDING'DE=PARTIUIENT � CITY OF ALANTIC BRACH ROOFING PERMIT APPLICATION owner(s) : 14VL- Kx.M 0 Address: 1 G `�n-�.�o • S� Phone: Lot # Block or Unit # Subdivision: Contractor: Rec, Address : City, State and Zip_� In I(sQ )„li(_Q � ► 17 �! _Phone State License # _ C Co S (jej K Describe work to be performed: Valuation of Proposed Construction: !(Gw "4 Materials to be used: r" f3&,..c S a,,d 4Pp yip o�I Signature of Owner; �w Signature of Contractor: C � — Liability Insurance Supplied Workers Compensation Insurance Supplied license Information Property Appraiser- Property Details Pagel of 2 STELZMANN ANDREW A Primary Site Address Official Record Book/Page Tile# 562 VIKINGS LA 196 POINSETTIA ST 14049-00445 9416 ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233 196 POINSETTIA ST Property Detail Value Summary RE# 170636-0500 2010 Certified 2011 In Progress Tax District USD3 Value Method CAMA CAMA Property Use 0100 SINGLE FAMILY Building Value $83,160.00 $82,353.00 #of Buildings 1 Extra Feature Value $1,716.00 $1,584.00 Legal Desc. 10-16 16-2S-29E Land Value(Market) $69,375.00 $69,375.00 SALTAIR SEC 3 Land Value(Agri-c.) $0.00 $0.00 Subdivision 03115 SALTAIR SEC 03 Just(Market)Value $154,251.00 $153,312.00 The sale of this property may result in higher property taxes.For more information go Assessed Value(A10) $154,251.00 $153,312.00 to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Exemptions $0.00 See below other information listed as'In Progress'are subject to change.These numbers are part of the 2011 working tax roll and will not be certified until October.Learn how the Taxable Value $154,251.00 See below Property Appraiser's Office values propedy. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales History Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 14049-00445 6/18/2007 $180,000.00 WD-Warranty Deed Unqualified Improved 13526-01745 9/15/2006 $53,400.00 QC-Quit Claim Unqualified Improved 12045-00919 9/15/2004 $205,000.00 WD-Warranty Deed Qualified Improved 10473-00647 4/30/2002 $135,000.00 WD-Warranty Deed Qualified Improved 09648-01827 6/2/2000 $90,000.00 WD-Warranty Deed Qualified Improved 08194-00598 7/31/1990 $127.00 QC-Quit Claim Unqualified Improved 06356-00937 6/26/1987 $72,500.00 WD-Warranty Deed Unqualified Improved 05714-01942 10/21/1983 $52,000.00 WD-Warranty Deed Unqualified Improved 05528-02120 6/14/1982 $100.00 WD-Warranty Deed Unqualified Improved 05535-01374 6/9/1982 $13,500.00 WD-Warranty Deed Unqualified Vacant 04527-01186 4/28/1977 $7,000.00 WD-Warranty Deed Unqualified Improved Extra Features LN Feature Code Feature Description Bldg. Length Width Total Units Value 1 FPPR7 Fireplace Prefab 1 0 0 2.00 $1,584.00 Land&Legal Land Legal LN Code Use Description Zoning Front Depth Category Land Units Land Value LN Legal Description 1 0101 RES MD 8-19 UNITS PER AC ARG-1 25.00 100.00 Common 25.00 $69,375.00 1 10-16 16-2S-29E 2 SALTAIR SEC 3 3 S1/2 LOT 684 Buildings Building 1 Building 1 Site Address Element Code Detail 196 POINSETTIA ST Exterior Wall 6 6 Vert Sheet Siding — Atlantic Beach FL 32233 Roofing Structure 3 3 Gable or Hip Building Type 0105 Roofing Cover 3 3 Asph/Comp Shingle fi TTI TOWNHOUSE SOH I rT I FUA run Year Built 1983 Interior Wall 5 5 Drywall L J Int Flooring 12 12 Hardwood I L I — Type Gross Area Heated Area Int Flooring 11 11Ceramic Clay Tile r sAL Base Area 392 392 Heating Fuel 4 4 Electric L Finished Open Porch 84 0 Heating Type 4 4 Forced-Ducted Finished upper story 1 476 476 Air Conditioning 3 3 Central Balcony 188 0 Finished upper story 1 476 476 Element Code Stories 3.000 http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1706360500 12/29/2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001933 Date 11/24/09 Property Address . . . . . . 196 POINSETTIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2100 ---------------------------------------------------------------------------- Application desc re roof FL479 . 13 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STELZMANN, ANDY D & S ROOFING OF N. FL, INC. 196 POINSETTIA STREET PO BOX 1986 ATLANTIC BEACH FL 32233 ORANGE PARK FL 32067 (904) 276-7665 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . RE ROOF FL 479 . 13 Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2100 Expiration Date . . 5/23/10 -------------------------------------------------- -------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J� 09- CITY OF ATLANTIC BEACH Date: ROOFING PERMIT APPLICATION Job Address: 1 b V OI '`�S t:. T� � . L AI., Owner of Property: Address: [C] 10 qj Gi jSC1(( 14 S i Telephone: Roof Contractor: 1 S ti`-c�F �' a State License Number: CC-C- 13-Qj 0S 0 Contractor's Address: QV9 C>>c I ��� CLQ�+N�1t �A - 32-66 D e u-S o f��1�,n ? x ~-� t Telephone: 2 / Fax: ��6� � Email: Lt'S_- ,h!y 60—f k j a f_ Scope of Work: V I JZ c0 F Roofing Material ty.,(dCTdb 1 mcK FL Product Approval# L-A-{ `9 : Valuation of Work: 5 Required Inspections: Sheathing/In Progress-Dry In /Final If re-roof: Assessed Value of Structure:L��<$300,000/_>$300,000;Roof-to-wall improvements required? (Applies to single family structures only) "WARNING TO OWNER: YOUR FAILURE TO RECORD 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" SIGNATURE OF OWNER: Date: ll,Z3 2� � r v...........n n................. AS TO OWNER: AMBER BOHANNON Sworn to and subscribed before me this '' /ti, day of ✓ 20�. _ �,y�y Comm#DD0608917 State of Florida,County of Duval•' Expires 1o/25/2010 Notary's Signature: Fkr 2,1 Nclan,P s .,io 8-Personally known ❑ Produced identification Type of identification produced SIGNATURE OF CONTRACTOR: - Date: 11 ......................r.....R.........� AMBER BOHANNON ,un.r „ AS TO CONTRACTOR: - ��oG'Arr"!", Comm#DD0608917 ts= Expires 10/25/2010 Sworn to and subscribed before me this day of Ne L� 120 O � Florida Nctary Assn..Inc ,n State of Florida,County of Duval .••••••............ , ._,.: Notary's Signature: 4 44 � - [4'Personally known ❑ Produced identification Type of identification produced 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800-Fax:(904)247-5845 F:\roof permit applicaton.docx 7/28/09 n CITY OF — �(��-t3, y CJ,r� PUAOffice of Building Official S-�- UEST FOR INSPECTION Date 3 / �,� I < Time 2 Permit No. d D Received M l Job Address OCTdII Owner's Name BUILDING CONCRETE ELECT AL PLUMB MECHANICAL Framin 9 ❑ Footing _ Re Roofing C Slab Temp Pole E Rough Air Cond. & Insulation Lintel Finap Top Out C Heating Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues.~ Wed. A.M. Thurs. Friday Inspection Made 5 Thur✓ A.M. P.M. Inspec ! Final lnspecti' Certificate o cc�y ❑ P y K r DATE: ------------- PRE-SERVICE _ __PRE`SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 23:3 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: -- --------------------- �63 71 �- --------------- -- ----- ------------------------------------------------- ------ ------ ------------------------------ Enclosed are the blue copies, of the permits. SINCERELY, t r L� BUILD NG INSPECTION DIVISION cc:FILE i r 1 CITY OF ATLANTIC BEACH, FLORIDA � Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:.., I 19j 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. CJT wrorALF-C-(-;� .2?ZL- L M ELECTRICAL FIRM: ASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME J� V ADDRESS: 2P, Pn1_AiJ ET7-i 4 ,f► RFD BOX Co2.jF2 Dai,vsFl fT"t /DAv&;) X BLDG.SIZE (SIJ ,�1140,)s/-t BETWEEN: Snuzi jj WFS; k✓0 2r�f/Z � I RES. V) APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. 1 ► NEW( ! OLDN REW. ( ► ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ► INCREASE ( 1 REPAIR ( ► FEE _ CONDUCTOR SIZE AMPS 5 COPPER ALUM. SWITCH OR BREAKER AMPS / PH 3W /2-0/1-VOLT S V RACEWAY EXIST.SERV,SIZE /11 L) AMPS PH ,3 W �/LVOLT` f�� RACEWAY FEEDERS NO. SIZE NO. 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 i BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS SA Fr ca i ONE ,a Fl t POw Fl T� a3F Tut N O T I C E T O A 8 A T E TO PUBLIC WORKS DEPARTMENT Date: 9 21 95 WEED ABATEMENT [ x] NUSIANCE ABATEMENT [ ] Property Address: 198 Poinsettia .......................................... ------------ Legal Description:__ Lot-538_Saltair Section 3 _BKL/ 70 66-0010 Property Owner: _ PNC Xort a e (In foreclosure) ------------------ Benjamin & Sandra Davidowitz ----'-'----- Mailing Address: 408 Poinsettia Street ________ ----------------------- Atlantic Beach, FL 32233 -------------------------- -------------------------------- Typeof Work: Cut weeds and.."---------------"------------------------------------------ Lot Size: Ordered By --------------N N N N N N N N Kar TO ZONING DEPARTMENT --- Date Work Porformed: EQUIPMENT EMPLOYEES # ------- # hrs. 1. `. ---------------------- • hra. (1�-�G4- �G�tle Gg �{pa�tzQ41�•t 2. ---------------------- hrs. ---- �, c�-'L�'q•� „0� 3. --- hrs. 4. ---------------------- f11> Comments:----------------------------- ------------ 4e----------------- Signed:__ ------------------------- Superintendent, Public Works N N N NNN...N NNN NNN N N N N N N N N N N N N N N N NNNN N N N N NNNN N N/y N N N N N N N N------------------- COSTNNNNNNNNNNNNNNNN--COST COMPUTATION -------------------------- ---______ - --- --- -- --- _ I No. of i Equipment I-No. -----I-A-mount-----I S-ub- I Admin. 1 1 Employees I Used I Hours I Per Hour I Total 1 100X I TOTAL I 1 ------------i------------ 1 1 ------I---------- 1 I------- --------;- ------------ -------------i--------i ---------I-------,-------- ---------1 I ____________1 1 ------------ 1 -------------i __I-------I---------- -------i--------;--------- i ------------- I------ 1 TOTAL BILLED: 1 Date Billed: ------------------------ Date Payment Received: ---- 1 1 CITY OF ATLANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) : COMPLAINANT• Il �✓` �/?C�Y] • La S Name ADDRESS: `16, c. e- First Name - M CITY/STATE/ZIP:ll Ilr c , �� TELEPHONE: ( ) '�_-��', "71 ,_ ";22 j S COMPLAINT: 7770 A) l iU�2S `3�/*ln/qJ f 5,4A),012,4 g T2)r4Vj;)10cc>/Tz /70 LOCATION: el REAL ESTATE #• 7 s f ec>1 r PROPERTY OWNERS NAME:, N /C v r r� �y 4 _ ,��j i, �4 r✓2 OWNERS ADDRESS: H y y. _ PROPERTY OWNERS PH N : ( ) OCCUPANT: ,, ; DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: Pel-I Kit/C DATE/TIME: -a4 9, OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT./DIVISION: PRIORITY: INVESTIGATOR• CONDITIONS FOUND: ACTION TAKEN: S – 5;,'5— COMPLIANCE: NOTES: e CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !3 . ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026732 Date 8/22/03 Property Address . . . . . . 198 POINSETTIA ST Tenant nbr, name REPLACE ROTTEN DECK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 400 Owner Contractor ------------------------ ------------------------ SCOTT, WAYNE OWNER 198 POINSETTIA STREET ATLANTIC BEACH FL 32233 (904) 247-9063 ------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date 17 . 50 • Valuation . . . . 400 Fee summary Charged Paid Credited ----------------- __ ---------- ______ e ---------- Permit Fee Total 35. 00 35 . 00 . 00 Plan Check Total 17 . 50 . 00 Grand Total 17 . 50 . 00 . 00 52 . 50 52 .50 . 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 R 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 ti J n� CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: J Job Address: 1� ( t F 7�Ifs �y Owner of Property: Address: 1 ` a�NSET`�1fl�� Telephone: A Legal Description: Block Number: Lot Number: Zoning District: Contractor: „1 OR State License Number: Contractor's Address: ! ,,5,Y�IA Telephoner Fax: Describe pro osed use and w rk to be done: t_Ae t., � S ►Gil �flth6>� C p NA XD L(!>& P o r U• i� 3 _ �x fc g F� 3 i # �x i E x i£ x. J�, A %' tl ' IC BEACH CITY OF ATLANT r� OWNERIBUILDER AFFIDAVIT Date: :�� m Job Address: f-0 CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(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 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)NORKERS 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 WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT 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. 455-228(1). 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 I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE 4SSU��NCN O R-BUILDER PERMIT. .....�. SK.. ... JENNIFER SCHWETER MY COMMISSION#DD 121301 EXPIRES:May 27,2006 Bonded Thru Notary Public Underwriters NER/ UILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS �AY OF 20/ 15 Y PUBLI OMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. er loey t R� �r ;:V ► � APPpoVED CITY 0F AT 1L.DINrGNTIC OFFICEBEACH IRE ~' CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD -� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 08-00001520 Date 11/25/08 Property Address . . . . . . 198 POINSETTIA ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 --------------------------------------------------------- Application desc replace 60 sf t-11 soffit/fascia and paint ------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- LECERO, CATHERINE OWNER 198 POINSETTIA STREET ATLANTIC BEACH FL 32233 ------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 5/24/09 --------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �4 �• CITY OF ATLANTIC BEACH _I Y 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 8 OFFICE:(904)247-5826•FAX NO.:(904)2475845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY `Eliit,r Memo c�v tW SC.IP�IONS�p sZty .r �$, tky n}: T .,,w §,, LASS„O WORKw �� �:.S `t�:yu,. '._, a p� 1 ❑NEW BUILDING El DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION SPLA -01 l I ❑ADDITION ❑CONVERTING USE COMMERCIAL � ESCsIPTIQIJ;ia VyORK,i t'^>r4 �K. 5 h F•r”• �, * ' �6" ❑ALTERATION ❑ACCESSORY BLDG, @�EJRESMINKLER,- JUREPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OI HER INNO ..3CONTRACTQIt a}vl:sktcl :i.r unto i �E ARCtHITEC3T;L1;NC•rIIIEER 9.NAME. 15.COMPANY NAME: 23.COMPANY NAME: NA 16.NAME: 24.LICENSEE NAME: 10 }OADDR 1S: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 485 A-1 18.ADDRESS: 26.ADDRESS: 1 L>4 tc €et f , a 56l 11.OFFICE PHONE: 12 FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13,CELL PHONE: IV \ �J 136f) 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: ` 22 EMAIL ADDRESS 30 EMAIL ADDRESS ��; y EE :SIMRLErTITLErNOLDER�' , � {" '! BONDING COMPANYq t 1 � . n y MORTGAGE LENDER r t }` zykh' m,i .(IF 07HER7}1Al•1"'OWfJER)., tNt3G'.:.�.'.3.sr'. O.,d!tz'•-�u�� x. 31.NAME: 33.NAME: 35.NAME: 1 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.Lwiii not occupy or use the referenced building or any part theraf, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ,k,+r 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. mofda, r;., av�. w - v„.>„�„r '�.a. NTRA, , . WNER or AGE �'I,A e r of:Attometter Re eac9 R.(f.:.9,r _ .... 9 QDate: Al LC1 6g Signed: Date: his day of �n\j 4 M 1�S-,2001in the county of Before me this day of 2007 in the county of , of da,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. +� {� true and accurate. Notary Public at Large,State of 1�� 1 \��ounty of C)kx\)A Notary Public at Large,State of ,County of ❑Personally Known 0 ❑Personally Known (Produced Identification-J' ❑Produced Identificatio Notary Signature: tary Signature: - '.' 7R1R=Ej BEACLIANCE r ��Y” SUSAN SPEAKS GORMAN IONALHI rte+ F COMMISSION#D5,20I I8 E?QpIItES:February25,201tDITIONS.O F L 1:R 0/20 'OFF-` FI.Notary Discount Assoc.Co. `)rc800.3-NOTARY 'v iGE: U'[7 CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(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. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). 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. V.ACKNOWLEDGEMENT; 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. 11 1�- S-1 ADDRES PHONE NUMBER MA PRINT AM (1,D7- SIGTU E DATE Befo this day of q u V E MCA 2004 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are--true and accurate. ��r Notary Public at Large,State of I`L GZ2 0 Acounty of VN\f1/H 11 Personally Known F� ,�g H �3 1 SUSAN SPEAKS GORMAN qjP oduced Identification- � i�I► MY COMMISSION#DD643668 "� � EXPIRES:February 25,2011 ' osn QQ �_ , I.9oa3•NOTARv FI.Notary Discount Assoc.Co.o Notary Signature: ? — COAG FORM BLDG07;REVISED: 9/14/2007 1 CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT- IN APPLICATION IS HEREBY MADE FOR Q 3WATER CUT-IN AT THE FOLLOWING ADDRESS FOR _ c) UNITS (S) CUT- IN CHARGE OF UCS — IlSTREET NO._ l LOT �Q BLOCK �- SUBDIVISION ACCOUNT NO. o?o�C��aS� C l Cl�a� _a_a I a MASTER PLUMBER DATE METER NO. DATE INSTALLED s r CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNF=IONS ACCOUNT NO. P'.1 a s�Nq off.?ol_,a fig/ DAA LOCATION LOT NO. (� O SIACZC N0. SUBDIVISION � OWNER � v- TYPE OF BUILDING MASTER PLUMBER DATE INSPECTED BY CITY OF ATLAN[I C 3EA.r_'l{ APPLICATI ON FOFt F'L�_t_'3I NG �c its DATE �� 4/-*3 LOCAT I ON_ a ---- __- �✓ �� -- -- PL U143I NG F IRM MASTER PLU.3ER _- ��_----- -- CITY/COUNTY OCCtVATI ONAL LICENSE NO. STATE CERTIFICATE NO. -- ----- - - - BUILDER OR TYPE OF BUILDING _a_SI NKS SHO',YERS _,1,LAVATORY WATER HEATERS BATH TUBS _ R Dl SHWASHER.S __--_URI I4ALS DISPOSALS p�CLOSETS __'----`;;ASHI NG MAGliI NE _--`FLOOR DRAINS _OTHER MTOTAL FIXTURE COUNT I NSTALLATI ON OF PW.31 NG AND Fl XTURES MUST BE I N ACCORDANCE Wl TH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLLI`21 NG CODE. �1�ET„F FLORIDA MQDfiL-ENERGY EFFICIENCY CODE FORM sot FOe UILDING CONSTRUCTION a u - BOB GRAHAM SECTION 9, 9H POINTS ',METHOD CLIMATE ZONE GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 3 PROJECT NAME L.bT (Obtj UIu 1,72T AND ADDRESS JSAE3-Ale- C ZIP ZONE BUILDER i PERMI NO. OWNER JURISDICTION NO- S T A T I S T I C S O.STATISTICS IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE Fl RENOVATION COVERED BY THIS CALCULATION: CLEAR :TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED SGLn GLI] MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 �{ 7 DBL© I I I I OBL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R FLOOR AREA UNDER ATTIC SGL. ASSEMBLY jF_T_lt __4 13 1 tJ COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL 7 NONE F-1STRIP 0 GAS El NONE (k! I RESISTANCE SOLAR UNITARY OIL F SOLAR � HEAT RECOVERY H GAS EER SEER = r�®aHEAT PUMP: COP a,a DED. HEAT PUMP: COP =I IJ I I OTHER: Q OTHER: --�+--.+—� MAX. E.P.I. ALLOWED (from 90 CALCULAT D E.P.I.: 1 ✓� CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPFiOACH” (SEC. 903.11)* CERTIFIED B DATE FORM COMPLETION DATE owner/a a ct'Ita-�3 CHECKED BY: (building official) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (C TED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED901 1301- 1501- 1701- 1901- 2101- 2301-FLOOR AREA 0-900 1100(1101- 1300 1500 1700 1900 2100 2300 ABOVE _ BASE EPI 120 115 105 100 1 95 90 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 ✓ IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 DEDUCTIONS ✓ IF MULTI-FAMILY: COMMON CEILING and/or FLOOR ( aximum of 12 points) - 6.0 TOTAL DEDUCTIONS 13+ COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED E.P.I. ALLOWED "RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL'',OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 903.6 SWIMMING POOLS 903.3 HVAC CONTRO 'S 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM FFICIENCY SECTION 903.8 CEILING INSULATION 903.10 ( FORM 902 CLIMATE ZONES 123 9 f WINTER OVERHANG FACTOR (WOF) 9F ISUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1 .00', 1.00 1.00 1.00 1.00 1.001.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.001.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00' 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00'' 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00' 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99' 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99', 0.83 0.72 0.70 0.77 0. 70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8,9 0.99, 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98'' 0.79 0.68 0.67 0.76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98', 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97', 0.76 0.64 0.64 0.76 0.64 0.64 0:76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97_0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER ',(HSM) HEAT PUMP COP ;1.2-2.3 2.4-2.5 2.6-2.7 2!.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 0,36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTI N) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT rt NATURAL GAS / PROPANE 1.0 (SEE TABLE 9 FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) 9N 'I COOLING SYSTEM MULTIPLIERI (CSM) ELEC. ESE R 6.8-6.9 7.0-7.4 7.5-7.9 8.0-8.+ 8.5-8.9 9.0-9.4 9.5+9.9 10A-104 105-10.911.0--11.9 12.0-UP CSM 1.00 0.93 0.87 1 0.81 0.76 0.72 1 0.1,68 0.65 1 0.62 0.59 0.54 GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP - CSM 1.50 1.25 1.20 1.09 1.09 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER ',EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN BTUH =TOTAL WATTS CONSUMED 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP - 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER _ GAS BACKUP 13.9 HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - " (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15: SOLAR OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 .5 0.6 0.7 0.8 0.9 F- v. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 1 .0 14.4 16.8 19.2 21.6 HOT WATER p z UJ o GAS BACKUP 11.4 12.8 '14.2 15.6 11.0 18.8 19.8 21.2 22.6 eU a *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM : 100 = OVERALL SOLAR FRACTION 4 silori FLORIDA MODEL ENERGY EFFICIENCY CODE FORM 902 FOR BUILDING CONSTRUCTION BOB GRAHAM SECTION 9i9H POINT$ METHOD CLIMATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 PROJECT NAME I ►,Q t U* UOULT JURISDICTION AND ADDRESS 5KIV, ZIP ZONE BUILDER PER IT NO. OWNER JURISDICTION NO. ST A T I S T I C S IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED SGL GL[] MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1P141"7,1�gDBL[Aj I I I I BL GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE Q STRIP GAS E] NONE EsRESISTANCE SOLAR UNITARY OIL Q SOLAR Q HEAT RECOVERY GAS EER SEER = HEAT PUMP: COP = Q,Fil M DED. HEAT PUMP: COP == OTHER:_— OTHERS MAX. E.P.I. ALLOWED (from 9AP S CALCULAIFED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE AP ROACH" (SEC. 903.11)" CERTIFIED B DATE FFORM COMPLE ON DATE weer/a eot ' ) �1 CHECKED BY: (buildina official) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILD NG DEPARTMENT. �TMESrrF� FLOR-IDA MODEL ENERGY EFFICIENCY CODE FORM 902 FOR BUILDING CONSTRUCTION BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES "°�e�.•°` GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 PROJECT NAMED (4y V1�3tT # ( �'T AND ADDRESS J 1 kT(— ZIP ZONE BUI LDE R Aft PER IT NO. OWNER JURISDICTION NO. STATISTICS ❑ RENOVATION IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED SGLGL MULTI-FAMILY. FOR EACH WORST CA&E UNIT TYPE.) SEC. H901.1 DB GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREAI UNDER ATTIC SGL. ASSEMBLY t m I l S R= ' 1ct -D R= =-El SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL 17 NONE STRIP GAS NONE RESISTANCE SOLAR UNITARY OIL SOLAR HEAT RECOVERY R GAS EER-SEER = ®FP HEAT PUMP: COP = -a I❑DED. HEAT PUMP: COP = OTHER: a OTHER: MAX. E.P.I. ALLOWED (from 9A): CALCULAT D E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* CERTIFIED BY: DATE FORM COMPLET ON DATE —lent p�- �l.�j CHECKED BY: (buildina official THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CAL ATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 101- 1301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300 I ABOVE BASE E P 1 120 115 1 105 1 100 95 90 85 80 A/C EFFICIENCY LES AN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 ✓ DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS 1 COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED E.P.I. ALLOWED © *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL THER APPLICABLE XXX PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FO A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAX MUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903. WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 90 . SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM FFICIENCY SECTION 903.8 CEILING INSULAy TION 903.10 1 ', FORM 902 CLIMATE ZONES 123 9 FIWINTER OVERHANG FACTOR (WOF) 9 FTs MMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NWFEET N'' NE E SE S SW W NW ------ ---- ---- --- ---- 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1 .010 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.830.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1 .00 0.98 0.99 0. 77 0.76 0.84 0.94 1.00 2-2.9 1.0 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.0� 0.95' 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.Ob 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.9,9 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0. 72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8,9 0.99 0.81 0.70 0.68 0. 77 0.68 0. 70 0.81' 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0. 76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.9� 0. 76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G I HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP ;i.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 1 3.2-3.3 3.4 & UP HSM 0.45 0.42 0.38 0.36 0.33 t 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT y, NATURAL GAS / PROPANE 1.0 (SEE TABLE 9b FOR CREDITS) OIL 1.0 (SEE TABLE 9b FOR CREDITS) "gHl COOLING SYSTEM MULTIPLIER; (CSM) ELEC. ESE R 6.8-6.9 7.0-7.4 17.5-7.918.o-$.,418.5-8.9 8.5-8.9 9.0-9.4 9.519.9 10.0-10.4 10.5-10.911.0-11.9 12.0-1 CSM - 1.00 1 0.93 1 0.87 0.81 1 0.76 1 0.72 1 0.,68 0.65 0.62 1 0.59 1 0.54 COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55=0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS - CSM 1.50 1.25 1.20 1.09 1.0o 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN BTUH = TOTAL WATTS CONSUMED 9` HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP - 12.6 .HRU (A/C) WATER HEATER ELECTRIC BACKUP 6.7 GAS BACKUP 13.9 HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER cop 1.60 - 1.89 1.90 - 2.14 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1A �- V. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 1 .0 14.4 16.8 19.2 21.6 24.0 HOT WATER o 1- it o GAS BACKUP 11.4 12.8 *14.2 15.6 171.0 18.8 19.8 21.2 22.6 24.0 U a L-PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM = 100 = OVER LL SOLAR FRACTION 4 IT � Y C)� ATLANTIC BEACH, FLORIDA i ARa.ovoct by 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 FOLLG, WE HEREBY AGREE TO PERFORM- SAID-WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SFIECIFICATIt►NS,. WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES ARID Cm OF ATLANTIC BEACH ORDINANCES. s c- ILEGIRICAL FIRM: MASTER EL CTRICiANlc#wl NAME =" _ - ^-�S`1',ADDRESS:�99 C 1 - ."� RFD_, ..WX BLDG.SIZE BETWEEN: RES.(" 1 APT.l 1 COMM.( ► PUBLIC t 1 INDUS.( 1 NEW(-"i'- OLD( 1 REW.! I ADDITION 1 ) TRAILER ( ► TEMP.( ) SIGNS l 1 SO.FT. -SERVICE: NEW 4''I INCREASE ( 1 REPAIR l 1 FEE DUCTOR SIZE AMPS/ b COPPER A U , TCH OR BR KIR AMPS PH W VOLT 3 EXIST,SERV.SIZE AMPS IN W VOLT RACEWAY- oxk NO. I ' LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALEDOPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. PIXED 0.100 AMPS. OVER APPLIANCES BELL T RANSF. AIR; H.P RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS; AMPS ICEIL HEAT: KW-HEAT 0.1 `OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS' r0AlUtCf%0 uGac• 11uncR Pm v nvpR am v CITY OF ATLANTIC BEACH, FLORIDA , Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 195 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AlDESCRIBED IN THE FOLLOWING, WE,", HEREBY AGREE TO PERFORM SAID'WORK IN ACCORDANCE WITH THEA ACHED PLANS AND SPECIFICATIONS„ WHICH ARE A PART HEREOF,AND 1N ACCORDANCE WITH THE ELECTRIC iL REGULATIONS, CODES AND CITY flF ATLANTIC BEACH ORDINANCES. Is.,, ELECTRICAL FIRM: MWER ELE T NAME S- : ` C.4 ADDRESS: SLOG.SIZE BETWEEN: v RES.(el' APT.( } COMM.( I PUBLIC( } INDUS.( I N W OLD I ) RSW.1 ) ADDITION'( ) TRAILER (') TEMP.( I SIGNS ( )�.. SO.FT. SERVICE: NEW( INCREASE I I REPAIR ( ) FEE _ CONDUCTOR SIZE 49, AMPS COPPERf ALUM. TCM OR BRE KER AMPS P LT EXIST.SERV.SIZE AMPS PH W VOLTRACEWAY,, x � P , -41 ,fie, y x=au LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS: 91.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&<M.V. FIX= 0.100 AMPS; I OVER APPLIANCES BELL T ANSF. AIR H.P.RATING M.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL EAT: KW-HEAT- 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TR M4FnRMERS! uNnFR am V. OVER BOO V. i -CITY OF ATLANTIC BEACH, j FLORIDA �by APPLICATION FOR ELECTRICAL PERMIT a. TOEF ELECTRICAL INSPECTOR: DATE: 19,.E IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK A DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE AACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRIC L REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. _... t LECTRICAL FIRM: MASTER LET 1 NAME`--' '��►- C� ^�►�- 5. ADDRESS: R FD._�BOX BLDG.SIZE -BETWEEN:-- RES.( ETWEEN:RES.( ► APT.( i COMM.( ) PUBLIC( 1 INDUS.( 1 NEW( ) OLD( i REM I ) ADDITION ( ) TRAILER ( ) TEMP.( SIGNS ( ) $CI.FT. SERVICE: NEW( II INCREASE( 1 REPAIR{ 1 FEE tAhIDUC'f oR 81ZE AM .COPPER ALUM. Iota- 1CH OR OR KER AMPSPH W /OLT I Ya(:;- RACIM SERV.SIZE AMPS PH W VOLT CJEWAY EIS NO. M`S;12E NCI. SIZI ' IvO. W LIGHTING OUTLETS CONCEALED' OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL `0.30 AMPS. 1 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED O.fOQ AMPS: OYER APPLIANCES BELL I RANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL EAT: KW-HEAT . 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAG ' PHS ELLANfOUS C3 TRANSFORMERS: UNDER 600 V. OVER 600 V. v aJ I1 JiI CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) _ Date: ^ J Job Address: ��� (�l F�l<�`�IAr �� Owner of Property: V v A tdL Address: 11 Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: C�j h-lg State License Number: Contractor's Addres''s::+ IJq 9,W,VT- lA �7 Telephone: �.�t Fax: Describe pro osed use and w rk to be done: L$C'k i1 �d� SNA � d�� flNa �t,OC>� � P�'� � "�1QU• fZb� a�. �� Present use of land or building(s): E-S i a C_N e_6 r Valuation of proposed construction: 4 q - b �z What are the dimensions of the added space: b4sP- feet x feet Will the added area be heatedd cooled? (► New electrical or increase in service? 6 New plumbing fixtures? � Tb New fireplace? ! G New heating/air conditioning? �s Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Willis project involve changes in elevation,site grade or any use of fill material or the removal of any trees? Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page I Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. 1 hereby certify that all informa' n provi ith this application is correct. Signature of owner: Date: nn I hereby certify that I have read 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 a plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: dl Address and contact information f pe onto receive all correspondence regarding this application (please print). Name: t4 Lc% r Mailing Address: 1 i fi-+ ` .,#� Telephone: ��y �`( ``�r��, Fax: E-Mail: In%�yNS�cT i U�ry ties, ° t� AS TO OWNER: Oct �—•� Sworn to and subscribed before me thisday of_ t' 20 ,JJ State of Florida,County of Duval _ - Notary's Signatur �. m ( " AA JENNIFER SCHLUETER R Personally known MY COMMISSION#DD 121301 *: �''�rn oduced identification EXPIRES:May 27,2006 Type of identification produce "•.ifRf�q, EicndedThruNotary Publicundenvriters Tfication AS TO CONTRACTOR: Sworn to and subscribed before me this ,� day of 0 20 State of Florida,County of Duval �q Notary's Signature: ll�/K 714 PCO JENNIFER SCHLUETER MY COMMISSION#DD 121301 personally known EXPIRES:May 27,2006 =i' e•' aondedThruNotaryPublicunderwriiers Produced identification _ P� Type of identification produced L> 60L� 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.--5-759 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ M 19 83 Valuation$ PLUMBING Fee This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. i This is to certify that FATR PT I>h1BTNG hasermission to P 1 � 2 wh 2 dw 2 disD. 2 wm Classification MfPTFXUG Zone Owned by Cr & M CONS TRUCTI ON CO. •IJUC 11 Lot hRA BlockI u P 1 %i �/N/Ilj _S/D SAT.'i ATR House No.���f � unTt�Te�rrmTe cmrrxT --- According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN BEFORE POURING. PERMIT VOID SIX MONTHS n AFTER DATE OF ISSUE ----� ----� 0 Building material,rubbish and debris z -1 from this work must not be placed in public space, and must be cleared up_ zd hauled away by either con- `tra or,, owner, _s Building Official. FOR OFFICE PERMIT r USE ONLY NUMBER DATE '` CONTRACTOR PLUMBING ELECTRICAL SEWER WATER 5 Cr9� � (nrxttft�r�t� of (orru parr CITY OF -0rpttrtmpW of +19uiibirto :41n$-pprulm This Certificate issued pursuant to the requirements of Section 109 of the S Building Code certifying Southern Standard fY g that at the time of issuance this structure was in cornpliance with the various ordinances regulating building construction or use. For the following: i Use Classification � n Group Bldg.Permit No._ TYPeConstruction�_ Owner of Building_, Address wilding Address_ { 1 ahtV r v . _tetBy: j Building official IOST IN A CONSPICUOUS GLACE CITY OF Office of Building Official V#�" REQUEST FOR INSPECTION Date Time Permit No. Received A.M. - P.M. � strict No. Job Address Owner's v / , Name Q Locality BUILDINGCTRICAL Contractor -el-ent CONCRETE ELE Framing �' Footing �' PLUMBING Re Roofing ❑ Slab Rough Wiring 4--- Rough MECHANICAL Lintel E`— p Pole Top Out Tem ❑ f� Air.Cond.& ❑ CO.— Heating READY FOR INSPECTIONFire Place Pre Fab Mon. Tues. Wed. Inspection Made � `�- Thurs. Friday A.M. A.M. ------------P.M. Inspector P.M. Final Inspecti;upaincy Certificate of Date DEPARTMENT OF BUILDING `r�7 (h� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V ! V O PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/20 19 €33 Valuation$ mrIIANTrATFee$ 58.00 ,J-jt T1. 54�1.6U,C!{T This permit not valid until above fee has been paid to City Treasurer,and is I I 4 M 6 kl l subject to revocation for violation of applicable provisions of law. L;,urAr i This is to certify that OCEAN STATE HEATING & AC i has permission to�614�Fdt INSTALL HEAT & AIF Classification DUPTYX Zone RE-1 Owned by r. & X GB�dSI lI6TIE11d CEI. i Lot 684 Block --- S/D SALTAIRxB House No. 1961198 POTNSFTTTA STERRT i According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� � O Building material, rubbish and debris --i from this work must not be placed in public space, and must be cleared up attcj, hauled away by either con- tractdpijOr owner._ f Building Official FOR OFFICE PERMIT DATE USE ONLY NUMBER 1:r CONTRACTOR PLUMBING ELECTRICAL SEWER WATER UiLfiftG /%VDI ®CtIIIIt �� ilaE`� CITY OF ATLANTIC REACH, FLORIDA APPLICATION FOR MECtIANICAL. ESE WAt 1MnRTA.KT--hppl;o,.nf to CCKnp(afio all hams in sc ct;ofts I, II, 111, and IV. (� On._ tide of �. `Ct � �"'"� LU^t':TION - -----Ga Nth s_l°r� St. boo St. p,,or•.fr. $: A. East. wett) (Add.sts) (Intertactinq Sfrreh) OF u:Lr i,,,; lot No - A- - (Stafe poriion of hl if fats tf.an fv8 Lot--.Atter ko';al do:crpfion per d�ed in dtpliute if nK�-ary) Il. Tl t c OF Fr't0;'0S .4:NIC AL W0,'-K - 1111 r; (;c:n s crxn 7 fe P&rts A A. U111 OF WILDING E Gs;trf�?�}il► .d..-_._ KESINNTIAL 15. Prirafe (i�di,:d:a}, cs+;-rtfir,n, 1. On. family 1f. 0 Utility n'ap�rit institv4ix, eFt) (Fs�sn1, b al govaru>wrrfJ 2. ❑ T.7 or rr..,ra fa roily- 12. Q Sc''->>!, rr-bry. - --I6. ❑ PuS-c State w --- Enfcr nu*Sar of roc.+.c char a'- cat'anal C. KATIJU OF WORK 3. ❑ Transient, 6ose1, motel, 17. K N, F.Glnq r-,oming f.ousa - 13. ❑ $h», mrrar/1e Enter nurntrsr of units OtFar IE. ❑ Esi:ting Gr".d:eq. 4. ❑ CIA&r risidrnfieJ 14. ❑ OTHER-SPECIFY 19. ❑ ht j= carc;fit of asittirq iyste,w -- 20. (�' Nr-w s'aisfion (Ko,sYs4r.w rs viae y isstm!ad) NON-PESICENTIAL O ---` 21. ❑ Eaf;Fr•::cr, or ac"d-on h eiisfir.q ry-.ttnt. 5. ❑ Arnur.1rnent, recrcafionel _ 22. ❑ Oi',*r 6. ❑ Church, other religious 7. ❑ lndusfriel t. ❑ Garego, scrvico sfafion 9. ❑ Hospital, insfifufional E- TYi-E OF VUILZIIii s 36. °(� Nu,-Ear of s?•c`ries__L 10. C] Ofiice, bank, professional 3&. -- - 37. `f/c.>d fra" 0. MECHANICAL E+?UIPMLNT TO CE INSTALLED, 38. Q tte:cr.y end .-od (Provide comp'ste list of composenh on lock of this form) 39. ❑ Keinlczrd concrete 23. '/ •\Furnace: ❑ Space [3 Recessed x Control O R.�or 40. rJ' Strvcf rat st" 24. Air Cond;Goninq: ❑ Room Central 1 1( 41. ❑ Otf+v 25.� Duct Sys'em: staferia �' Thickn l -' mesimum upecity C.f.ns. TONAGE: 26. Q Rcfri;arafion _--- 27. ❑ Coot,ng toyer: Capacity9•p-^s. THIS SPACE F01 OFMCv' US- ONLY 28. ❑ Fire tp^inklers: Number of t.a.ctt 29. ❑ Elzvtfor ❑ Iaentiff ❑ Exsfetar _(Rur,.ber) 30. ❑ Gesafine purnpt (Av'1L9r) 31, ❑ Tanks` (number) Ksv-.arks 32. ❑ LPG confeir.ert (nu +bat) 33. ❑ Unfiri.d pr:ssu» v-S4411 Permit App.-v- a•d by _ att 34. ❑ 6oilen 35. ❑ OA" - Spxify Pa-rnit Fee__ llt. Fr�`c��L IN"-0Rl,�•�T)ON i --- A' lr,,a of 6,cefirg f,al: 8. IS OTh ER CONSTnt)CTION EEING D:OXE ON (j 42. E' ,frit k THIS BJILDIHG OR SITE1 I 41- fl Gas --n LP n u.a,..l n --'- CI TY OF r / i 16 C)C'EtA N'?iCl7_'1 EVAHD i'1C iit ACH, V!a 'IDA;; 33 'I'YL"r_YHOtiE(y X41 4_ _.,95 '.oust 24, 1983 Pre-Service Section 3rd Floor Jacr:sonville Electric Aut;,ority 233 Test D-Gval Street Jact.sonville, Fl 32202 D:-ar Sirs: : _T,,e nd are i2r- it x; 3861 - 196 oi.,settia Street , Atlantic -ach Fee-nit issued to _ -rriS F1eCtriC CG�t�;S1V. ' Pe -,st 3859 - ISE o 9 =1SeL i� Str et , At-1 -ntic S=ach r ; P _-it , sL-i2ed to To_ =is _ 1 t-ctric Cc- ;any. Per:jit ;:3510 - 975 'gain Street, tztla;itic _l_rch F� reit esued to Cc 1. ar,' s E 'ctric Cc::_ anV. r ;t 3509 _gin S r et , .. � --tic ach Permit sued to Co 1r.' s =Leet r c Co:, ;ani . Sincerely, t/ John M. Widdows Building inspection Supervisor Jr ,ate"` 5 DEPARTMENT OF BUILDING PERMIT NO- BEACH, I CITY OF ATLANTIC PERMIT TO BUILD 1 THIS PERMIT MUST BE POSTED ON JOB 83 19 Date--V-11 i0 5 94 244.10 Fee$ �d Valuation$ and is ; permit not valid until above fee has been paid ,j to City Treasurer, y N • applicable provisions of law. tiy' • r This pe subject to revocation for violation of app BF ACII 32 NEUNE 233 I This is to certify that PT 241 ATLANTIC BL�1D D,1P" V. I has permission to build y�Zone e Classification I S/D Owned by Blocker— Lot Street gg 1`01D are permit S House No• art of this p ALL CONCRETE FORMS According to approved plans which are p NOTICE— MUST BE I AND FOOTINGS SPD ED BEFORE POURING PERMIT VOID SIX MONTHS DATE OF ISSUE AFTER I Z Building material,rubbish and debris be laced =� -� from this work and be cleared in public space, eit con- „p and hauled away by, -trac i owner. gOfficial. $uildiu I h' CONTRACTOR �I PERMIT DATE FOR OFFICE NUMBER USE ONLY PLUMBING I 'i ELECTRICAL 3961/3859 SEWER WATER lY.t 1 .,n. -p 1./'1V •�..... ..- I t ! .ed 'Sp .fps- Y.... f t, G: Cil i,\I I CAt,: I:1-1'.CiRl�'': 'Ir: . YIJII,DING lif'A'1FD SQUARE FOOTAGE: � @ p q = $ �� X03 `j � per s ft. , C:ARAGE (PR IVATE/SIIED) : - @ $ her sq. ft . = $ CARPORT: @ $ pc-r sq. ft. = $ PORCIIES: @ $ per sq. ft . = $ 41 � `gyp j DECK: (a�� O @ $ �C per sq. ft. = $ � � t 3€7 PATIO: @ $ - Per sq. ft. = $ TOTAL VALUATION: $ (i-4ftp PERMIT FEES 101'AL 1'. -UAtION DATA Ist RE.1.>I'C'JR VAI.UA`1'ION @ $ � . e)?aper thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ PLUS 2 THE BUILDING PERMIT FOR PI!1N FILING FEE. . . . . . . . . . . $ TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ - 3 &90 PLUMBING t'F.R119IT FEE: $ 'MFCHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ I I.+-'C'I`R I CAL I I='_PORARY• $ -- - - --- WATER METER SIZE: � _r FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE MATER CONNECTION CHARGE: FIaiL'R .i'NITS C $10. 00 PER UNIT ACCOUNT NO. : APl'R0VFD BY: TOTAL BUILDING/PLAN FILING FEES: S 369 TOTAL ?,AIER NEIER CHARGE: S TOTAL t;ATER CON"�FC11aN CYARGE: $ TOTAL SEER CONNECTION CNA (;P.-".',D F(JI-AL DUE: 77 �, 17 ADDI 1-101; CO:'.'tl:kCI AL AI)DR SS J EF. PIX"iSEP, plea-se print - 1 OCCUPA•I 1O:,AL LI CENSE NO. _ 'FAI E CEk7 l FI CATE N0. - 1 I* DEF: OR CO`;TF-ACTOR , . 5,.,1`$ - - I_ V. 1ORY -- --- ---BATH iLYS _ 'ALS- - -- FLOOR Dr, .ISLRI - - Cl_uS r TS S!}O'.:LFLS 1;.,'1 ER 1; FY.S o9- D1 S' .'.;S ERS DISPOSALS -.5 IING L,CHI;NE - -- OT;;ER TOTAL F-11 XT-CRE COUNT a6 _ :'L.LLAI ION OF PIC-131NG A?ID Fl);i- RFS '-fUST 1'.: AC:CC �:_`.'_':CE 117H ThE MOST F:--GF7 NT EDITION ST�':D.=:KD PT - --- -- - - L,1�L.G CODE. SIC,.A'TURE OF „-.Si rR PL ___ ,ER FI X715RE UN 17 _--.;.DO',?N _ i =-- i,�i iS _ r5r--_B'L._' SrED AS THE ."__'S1= ..NT OF ....I_rF T�_'_'' D FOR � C'r, ..-=EP, FIi;T; .- ECT D '- �1 i 'ND CC' F TO ir}E CITY 'I KR S -� IjE t•:AIEF. S��'PLY IS C==-RGE } =D Al - _B RS PtR FTyiURE LnlT CO':;;�CTED TO 1t+- Cly ir.R S` S -EM SEC. 27-3 r.. - O - . - _ .. _ , A. •-:,v.)_•. CT-'OL�' CO*.SI S� I�:G F Y.Ai r"i i�B 1:/Oa i•;/0 OVER � _ '.:' o ER C',OS ET, LA;'ATORT 1v 1 T - - _ _ ,�P S7c,tT 1H c� S OER) (2 U,. S) TIC -.SiIC ( ~L'';' TUB OR S--01%EF. STAT L (6 UNITS) CCl"'$I'N-ATIO?N SINI: S TRAY - -_ T',1?'CrT (3 L- NITS) i L ;'RY iFAS' - (3 UNI IS) DH?'.TAL LAVATORY (2 UNITS) ------------- (1 LnNIT) hITC'r=EN SINT,, ,'BINATION SINK S TRAY W/ (2 L--NITS) FOOD DIS. (4 UNITS) DENTAL UNIT OR CL'SPI- ----------- DOR (I liN I T) hI TCh EN S 11:}: u/ Ditl:�}:I?�G FOL.':TAIN (� UNIT) --"— DlSL,NASHER (2 UNITS) WASTE GRI,"-l)-ER _ F-LOOR DRAINS (1 UNIT) ----- -- — L.AVA�ORY (I UNIT) _ L-AVATORY, _ 'A�ORY, SURG�O�:S (2 U;N1TS) SURGEONS SINK (3 UNITS) -- - -- SHO.•:ERS GF:OJP PEP, H.AD (2 U;NI TS) - -- (3 U-NITS) F-Lt'SHING R1N SINK (8 UNITS) SERVICE SINK 'I RAP - -- POT, SCIt1_LERY URI:NAL PEDESTAL ST.--ND (3 UNITS) �� � SYPHON JET BI.O'.-OUT (8 UNITS) URI',AL, 6'ALL LIP - L-RI'NAL TROUGH EACH 2' - (4 U.:i TS) SECTION (2 UNITS) _�_- W-°-SLING 11-ACr.1;NE RES. ._. 1n• CIAS LTS, T.-' _,r,- WA C -HRATED (4 UNITS) l C,1 - ; ED (b t:'Nl "I S) (77J1i p Date................»... Permit#......................»Fe*S.» CITY OF ATLANTIC BEACH FLORIDA ' # Valuation$...............................»».......»....». Holmes *........»............»..» .... ». APPLICATION FOR BUILDING PERMIT Application to hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure describsd. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all or not. provisions Of the Laws Of the State of Florida,all ordinances of the City of Atlantic herein specified or Beach and all d and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether - The Contractor or Owner-Blmilder who has been issued a Buildins Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarresment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so thalkeasss can t be verified. / � Daba. .:..� ��..:.........» ....._........, 18....»».... Owner..[ �^'i.�G.. 5....--- / .. .. t :.... -",� 1 .c:..........Addrew... ..Y/... t�.: ...................Telephone Architect.... .1.. V....... ' . L. ......................•-•-•--•-•-•-•--..........Address.. ........:Telephone N06Z..t Contractor Builder--••---0 — •..........®»t.vn.. . —.....................Address............................_. ...---..Telephone No............................. LotNo..........� .........-•--•..............Block No................................Subt......... ------•-----•-•......................Zone.......--..----•- ............................................................Street.........................Side Between--P ........OL Valuation=...............................For what purpose will building be used........................................Type of construction......... Dimensions of BundingC?c f�� f'Lac n .dimensions of toot.......,t:R.,Z -/.. .!?..........................also of Footings....l.f!.)ll?..4................ else of Piers....................................Sts of Sills................................Grrestest Sill Span in ft.............. .Type Rodl .. How will Building be Heated?--- �- .. -------------•----............Will Building be an Solid or Filled Grom�d?.....�.......»............»...... Sias of Ceiling Joists...`.X, .1_A.�t....................,Diehnce on Centers--- 7y.-�'-................_........._., Greatest Span... �.........»».....»...._ Sias of Floor Jolts... . �.a....L....................... Distance on Centers..........Y ......................, Greatest Span..../...4!»'...................... ....»... Sias of Ratters.............. /j6........................Distance on Centers— ..................................... Greatest Span ....... This rectanglethe rLocate the buuUUes or buildings the aU 1 des oamndG distance� feet lrom� B Two copies of plans and ipedtiealions LOT LII�TE shall REA_ be submitted with application. C1� Inspections required. ����,a/✓ 1. When steel Is in place and ready to pour looting. S L When steel is in place and ready to pour columns and/or lintel. S. When steel is in place and ready to pour beam. tT/ 4. When framing b completed. b. When rough plumbing is oompbted,and ready to cover up. S. When septie tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final Inspection. Not*: In case of any refection,rye-iuspection MUST be called for rafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance_with the building regulations of the City 94tlande ftech Signature of Bundsr.. ..»» ....»..».._............... Address...1. �...! :.� �. y .•�1.. G,x ............. Signatureof Owner................................................................................ Address.. .... .............»...................................................................... K DEPARTMENT OR BUILDING CITY OF ATLANTIC BEACH fi , PERMIT INFORMATION ------ - ------ LOC TION I NFO ATI Obi - to i.Number» I24 A dress: � �8 POI"NB TTA., 6T.REET Pt Typt�� 'EIE ATI DTIC $MACH, FLORIDA 32233 + .. Wc►rk; NEW - -- L GAL DlK#CR PtIdm ------- Oatx . Type., WOOD FR1E Lot : 648 'elc�ck: Section:: �iojoi4d Use SINOLE FAMILY '�"dw��b�P. 1� �3; �t Cade bdi vi ion. S ABPRAY ilmited VaI Oe. 20t a t1 z m' prov. CO Ct, pt} 3 ` I k Die TOCAADZ PENCE PER FL1�1 S I ION -- x1 `�'' ApP #C#7✓+?'YL PERMI 001 , ddree I STREET 4* PLORIDA,,c ' WATER ` 4e R.A1 -C6Nl C .NRADON ,GAS - Ott t WATER ddreise s SEWER 'T R $o.00 HYD AM SHARE B. r �. Types 1 CAP mREOY,E. :,00 � MOTES` lwP 14 NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST SE IN$PCTE"D,BEFORE POURtl" PERMIT VOID SIX MONTHS AFTER DATEE'OF I SUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE LACED IN PUBLIC SPACE,AND MUST BE CLEARED UPAN[)HAULS;t?AWAY`BY EITHER CONTRACTOR OR OWNER 44FA LURE.TO COMPLY. WITH THE s I�IIECHANICS ISM LAVA/ C�tH -RESULT" 1 fiHE' PROPERTY OWNER'PAYING TWICE,FOR BUI "D' NG:IM, tMENT ." ISSUED ACCORDf4G TOAPPROVED PIANS WHICH ARE FART OF THIS PERtv�tT AND ;� BJIRCT�T�� ,VlCYL.ATOht OFAPPLICABLE PROVISIONS OF LAW. ;.` #L ATLANTIC BEACH BUILDING DEPARTMENT 01m.. 498871=.Qf) R: 1 291993 Af'PL_[(.-;A'I*IOd FOR F'EwNcr F'F:Ftr117'BUIIdIfIg and ZOfllllg Owners name ( _ - --✓�._ - .. C�� C'_ � F'P,clrll �y�j //-// ,y Job Address ✓` .lc'- / 7L . iot__ ,.,--Block and/or Unit 1 t ill Contractor if different from ownc>r Ir 4,9 Valuation of fences Corner c,)rntE•ri�lY lot. a _..._ > PES construction L•�'CC�G1.--- `���? �_ /S`��.- _.- Show location and height of :fence as wE>11 lociIt:.ic�n cls streetts> . t ..................__„rte- Owner Signature Contra^tor sicna �> ` nt a + q,9taU,, p } e F y— v w 4rP � r N 3 77-�--•..-z.-.— .._ +V�tViorr C� rve k � � r ; TV; P k M 4& y a �V P��.tvtE 4d.x Y � � two, r ALI vi r 1 1'' 14AN t ' •i �' t t� �'�'r IW �vwi + ""; at vs • � 7 s 11 r r A „ 0 y + + )