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Permit 85 Simmons (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 CERTIFICATE OF OCCUPANCY P E R M A N E N T Issue Date . . . . . . 8/06/03 Parcel Number . . . . . 172167-0000- Property Address . . . 85 SIMMONS RD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 02-00025255 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL PERMIT WORKSHEET JOB ADDRESS r )m ons Rd, TYPE WORK PROPERTY OWNER � �r��S 4t TELEPHONE CONTRACTOR Ck-Cky-* �A Uku TELEPHONE `,? -q PERMIT NUMBER 0'2'- - S DATE ISSUED INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEATHING 3 31-D 3 �i1teF H'.i 03 FRAMINGICOVER UP v'9.03 INSULATION ia . FINAL BUILDING CERTIFICATE OF OCCUP Y TREE PERMIT ISSUED?__7!,/ '7%x,2— PE MIT OUMBER ELECTRICAL PERMIT NUMBER e DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC(:-c c 3 RELEASED TO JEA TEMP. POWER RELEASED TO JEA TEMP. POLE /RELEASED TO JEA_:!2�= FINAL MECHANICAL PERMIT NUMBER "ok(0�� INSPECTIONS: ROUGH FINAL PLUMBING PERMIT NUMBER INSPECTIONS: ROUGHIUNDERSLAB 3-10 TOPOUT(_'o 5>O WATERISEWER FINAL '4114 DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGISHEATHING FINAL FAILED INSPECTIONS: DATE PD. 3-16-6-15 DATE PD. , Quill CITY OF ATLANTIC BEACH j f s 800 SEMINOLE ROAD +� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 JiSI 9'r' Application Number . . . . . 09-00000288 Date 3/09/09 Property Address . . . . . . 85 SIMMONS RD Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc new shed 149 sq feet ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 9/05/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. *EMAIL INPSECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- 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. City of Atlantic Beach APPLICATION NUMBER J' SSl Building Department (To be assigned by the Building Department.) 800 Seminole Road (� Atlantic Beach, Florida 32233-5445 ' 62 8 0 Phone(904)247-5826 - Fax(904)247-5845 'UE19 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us 1 7/3 /0!� ----------- APPLICATION REVIEW AND TRACKING FORM a nt review required Yes No KY P Pro a Address: a Zonin Tree inistrator Applicant: ublic ork (� u is Utilitie Project: v u is Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS I Reviewing Department First Review: FlApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING—D TREE ADMIN. Reviewed by: Date: �3 PUBLIC WORKS Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH I I I I I =✓ ;`. i.' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09_ F7 41`t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US 1==I� BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.Fr.UNDER ROOF '9` 5 M MONS.Rb h-LA e AACH FC 3�3" 4l Cco I5C� 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: r El REPAIR ❑POOL/SPA ❑YES El N/A t }7 (� ,0 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: ` 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: U S S t M M lin S 1��- 18.ADDRESS: 26.ADDRESS: At`LanktcIeo<k VL. -Zz3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 4 s(,�; J.EMAIL A DRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ��r7�M r �C.r�L iC �Ma+i I C•>7 FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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. OWNER or AGENT CONTRACTOR (If Agent,Power of Atto eyorAg2ncy etter Required) (Qualifier Only) Signed _Date:ZMAR D) Signed: Date: BeforPtate Z day of A4 AjCL`H 2009 in the county of Before me this day of 2009 in the county of Duval, Florida,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 County of &,4L Notary Public at Large,State of ,County of ❑,,,...,,,,,,//////Personally Known nn El Personally Known Produced Identifi n- 04 r 2 V-6!7 11Produced Identfcation- Notary Signature: Notary Signature: ?14r'h� Notary Public State of Florida Nancy E Bailey FMy Comrtmii�ssion DD745822 BLDG01 Permit pli t2h :REV1R1"dt� 12 O F �T acL zo' Fin --8w-1'L MAP OF S / FRpm 5�� LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8.8 8.9 ' 10.0 7" 9 9.1 89'49'05"E 55. �r -1 8'7 11.6 . N 89'30'00"E ,3 ,Z 11 10. 10.63 FOUND 1/2" IRON 'L '12,3 8"LIVE OA F IP ,1 N2 ICAPN PIPE, NO CAP 16"PINE ;,, 14.0 ' .�10 ' �? 7 9 2.6 0.5 2 E "LIVE OA I 10. 22"P E 18"PINE 16"P4I j A 10.4 Al City'tf A ntic Beach 111 P nning rid oning,13epartrnent 18"PINE 10:416 +0 27"LAU d' p ed %.Vmpllanoe with appllewble 21 P on sub 1 and other local land 117s, 7 IN 1 eve m t r u Re, but does not constitute c S dov Ifo the is ance of permits. Compliance �- 'th FI rida�uil Code and all other applicable 2�b PINE IO I, tatg an F eral permitting requirements w Ay11.1 0 12" us b a@r i9 ture of the City of Atlantic ,, 20"PINE_ BLAC h i is rior to the issuance of a L` v!j -_`___24PF�E "- iIit. N /1 Ln •- :'` 10.6 Ap rov /1 �"LOT 7 N 3 C pity 4vel pment hector (' : 17"PINE ate: 9 in 19'PIN e o 11.4 C\1 LOT "1' `t' o z Z 20"PIN 16"LIVE OAK o 12 PI E 11.6 oN B. 10.7 11.5 iJ( 7 10.8 14' I N E 11.4 5 PINE 13"PINE 12" INE 1 "P N l� 6' IN 8--PI 2. 1.1 zo .' 12" IN . 20 PIN U ..�, I 17"PALM 12 6 1 "PI E _ FOUND 1/2" IR `�� i FOUND / I ON FL=8,82 PIPE, NO CAP NO FL=9.02 12.1a S89'30'00' W55.00' 11.0 11.0 1 3 .3--._ ,Z 55.19' FIELD +� , ,_/11,2 11.80 11,63 11.61 11.94 11 95 S1 ONS ROAD EDGE PAVEMENT I i I{ 3' WOOD FENCE i 12.32 12.00 11.83 11.87 v v 12,25 - CENTERLINE - --'�inri 11.87 30' RIGHT OF WAY I I -- IDOL �5`h-vcfr�l 1 So lOX1� NOTES, � THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE -Tie 3oL rx /Vafkzids N�,-ncc-Ae 'IrVSS f-ccSt wadi EfaCrS� LOCATION SURVEY. .............. ..._ ...___ .... _.._ ..---..__... _._..- -- ��t)f(IGO.h>r, S�V0.pS � (rCV1d City of Atlantic Beach [RNZM-�C fvvn APPLICATION NUMBER I� Building Department I MAR 0 4 2009 (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 I E-mail: building-dept@coab.us Date routed: 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM a nt review required Yes No Property a Address: a Zonin D Tree inistrator Applicant: �1 � !�L �" ublic ork O u ec Utilitie Project: u sc Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection 1A Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: / BUILDING PLANNING &ZONING Reviewed by 16�)111 Date: S 3 � TREE ADMIN. PUBLI WOR S Second Review: ❑Approved as revised. ❑Denied. Comments: UBLI ILITI PUBL AFETY ' FIRE SERVICES Reviewed by: Date: T Mrd Review: [-]Approved as revised. ❑Denied. Comments: Reviewed by: Date: /-�''� ;:, CITY OF ATLANTIC BEACH 09� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ! BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVf;L COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDE 5 4.LEGAL DESCRIPTION: 5.CLASS OF WORK UCTURE: ❑NEW BUILDING ❑DEMOLITION L LOT�BLOCK�� SUBDIVISION ❑ADDITION ❑CONVERTING USE IAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. LER: ❑REPAIR ❑POOL I SPA ❑N!A, ❑MOVE ❑OTHER I 11 NO ' PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 9 /t 15.COMPANY NAME: 23.COMPANY NAME: Je+drr i e VQ�rO�'S t-u l 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: is S S 1 1V+ r-%Un 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: �y 21.CELL PHONE: 29.CELL PHONE: `dq 30Z ` (,-�; 30.EMAIL ADDRESS: .�4.EMAIL A RESS: ,5 22.EMAIL ADDRESS: YOf�D'1 f�' Ot. A+�SC FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: OF OTHER THAN OMER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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 HE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agerrt,Power of Attorgey-orAgi?n T4 et1er Required) (Qualifier Onfy) Signed ZMAA 01)Date: Signed: Date: 1 2009 in the countyof Before me this day of 2009 in the county of Before day of 6tVt �� Duval,k tate of Florida,has personally appeared Duval,State of Florida,has personalty 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 County of _ Notary Public at Large,State of ,County of El Personally Known ❑Personally Known yLyroduced Identifica, n- vL -32 D ❑Produced Identification- Notary Signature: Notary Signature: �au��4o. Notary Public State of Florida Nancy E Bailey my Commis3ion DD745022 r.��19'1�]?� BLDG01 Permit plicate:RE' W32 0 St-,900 L MAP OF SURVEY rzom 5'r,>r LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. g,1 10.0 7" 9 89'49'05"E 55. 1z" 10.18. 7 N 89'30'00"E 13 11. 11.6 j FOUND 1/2" IRON j,2 j '12,3 8"LIVE OA F D 1/2 IRON PIPE, NO CAP 16" J IP N ICAP PINE �� 14.0 2 E •' \ LIVE OA I � 11.0 5 �- 2 "P E 18"PINE 16"P4 tl I 10.4 11 18"PINE 10:46 A +0 27"LAU L K 9 0 21 P �,7" INi . 1 1�2. 0.2 f Ver `� PI/NE N N �' 11.1 0 E 12" AK 20" INE 20"PIN ,� BLAC ACK o s 10.6 C14 LOT 7 N 3 d 9 44 17"PINE W !U 19'PIN !, s W 'fes e- o i 11,4 N v LOT r o3 -Z 0 � ."S EETGUM � f o 0 �T o p 2N 16"LIVE OAK o 12 PI E z 11.6 8• � 10.7 �r 11,5 • 10.8 14` INE 11.4 r 5 PINE 12•' INE 13"PIN E .®4 Z- 111 "PIN 6' IN PI 2 8, rx Z t� z ti 12"PIN 20 PIN O J s 4 17"PALM 1 "PI E 'a t FOUND 1/2" IRO FOUND / I ON FL=8.82 PIPE, NO CAP: 11.4 , NO FL=9.02 12.0 S89130100"W* 55.00' 11.0 11,0 1 3 3 12.14 55.19' FIELD �� , 11.2 12 11.80 11,63 11.61 ww 11.50 II 1194 11 95 S' 0�� ROAD EDGE PAVEMENT 3' WOOD FENCE 12.32 12,00 11.83 11.87 I�1 ISI 11.87 12.25 , -CENTERLINE- 30' CENTERLINE30' RIGHT OF WAY I 1 -- WOO& �5frUctld )50 j NO ES. AA AA THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE /I e �OQ c�1 f, A LOCATION SURVEY, rjr�Yr� City of Atlantic Beach APPLICATION NUMBER ` > Building Department (To be assigned by the Building Department.) r I� 800 Seminole Road Atlantic Beach, Florida 32233-5445 U Q C Phone(904)247-5826 • Fax(904)247-5845 ED)It19" E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM STreeinistrator nt review required Yes Pro a Address: Zoninp � Applicant: �1 ) !� ' /�/9 i rfrk L -FUD11C Utilitie Project: u ec Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other:-- APPLIGATION STATUS Reviewing Department First Review: ' Approved. ❑Denied. (Circle one.) Comments: CBUILDIZ) PLANNING &ZONING Reviewed by: Date: 3 n TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Thiord Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: PREPARED 1/'i�/03, 8:24:32 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 1/16/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: TEMP POLE 60AMP,1PH,3W CONTRACTOR CMA ELECTRICAL CONTRACTORS PHONE (904) 765-6262 OWNER BEACHES HABITAT PHONE PARCEL 172167-0000- APPL NUMBER: 02-00025330 ELECTRIC ONLY------------------------------------------- PERAIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 20 01 1/14/03 LJH EL TEMPORARY POLE TIME: 08:00 1/15/03 DP 20 02 1/16/03 LJH EL EMPORARY POLE TIME: 08:00 A OR PM PAID REINSPECT FEE AND ADDRESS IS ON METER BOX 20 03 1/16/03 LJ TEMPORARY POLE TIME: 17:00 7 C M OR PM PAID REINSPECT -------------------------------------- COMMENTS AND NOTES -------------------------------------- rxxpAA�B�—��14/03g;38:50 CITY OF ATLANTIC BEACH INSPECTION TICKET ___________" INSPBCTOR: LARRY J HIGGINS PAGE 11 ADDRESS ------------------------------------------------ DATE 1/14/03 85 SIMMONS RD TENANT, NBR: TEMP L30 MP,1PH;3W - —�. -- SUBDIV: CONTRACTOR CMA ECONTRACT,ORSq OWNER BEACHAB PHONE � J c. (904) 765 6262 ` h PARCEL 172167PHONE APPL NUMBER: 02-000 ; R k ✓n-i ONLY ------ - -PUNI?: BLBC 00 BLB [rr - -------- _ _ _ - -------- -- TYPISQ RBQUBSTBD /-? ----------- ------ COMPLETED RESULT RESULTS/COMMENTS �J ---------- 20 O1 1/14/03 LJH }•. ---------- J-� - -------------------------------------- 1 COMMENTS AND NOTES CITY OF Seaclt-t Office Of Building Official Date REQUEST FOR INSPECTION Time Receiv A.M. Permit No, P.M. - Job Address �i Owner's Name Locality BUILDING Contractor Framing CONCRETE '�-�\ S I Re Roofing Footing ELECTRICAL PLUMBING Insulation O Slab Rough Wiring 0 Lintel 0 171 Rough MECHANICAL Temp Pole Final Top Out Air Cond. g 0 Sewer 0 Heating READY F 0 Fire Place Mon. OR INSPECTION Pre Fab Tues. Wed. Inspection M- �j3 Thurs. Friday A.M. Inspector �P.M. Final Inspection C- CCertificate of Occupancy f-, Date PREPARED 8/06/03, 8:36:35 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/06/03 -------------------------------------------------------------------------------------------- ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE ----------------------------------------------------------------------------------------- PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------------------- 10 01 3/11/03 LJH BD FOOTING TIME: 13 :00 3/12/03 AP 813-6429 17 01 3/31/03 LJH BD SHEATHING TIME: 08:00 4/08/03 AP 17 02 4/02/03 LJH BD SHEATHING TIME: 17:00 4/10/03 AP 13 01 6/06/03 LJH BD FRAMING TIME: 13 :00 6/09/03 DP FAILED DUE TO MOISTURE CONTENT OF WOOD OVER 19% FBC 2301.7 13 02 6/09/03 LJH BD FRAMING TIME: 08:00 6/10/03 AP * OVERRIDE TAKEN BY JSCHLUETER DATE: 06/09/03 TIME: 07:39:02 15 01 6/12/03 LJH BD INSULATION TIME: 08:00 6/12/03 APVD VERRIDE TAKEN BY JSCHLUETER DATE: 06/12/03 TIME: 08:21:38 -6429 16 01 /�8/((00�6/03 LJHFINAL TIME: 08:00 -'v ------------ 'PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 22 01 6/09/03 LJH EL ROUGH TIME: 08:00 � _ 6/10/03 AP 23 01 8/06/03 LJH E FINAL TIME: 08:00 �• -------------------------------------------------------------------------------------- PERMIT: PLBG 00 PLUMBING PERMIT SUB: CHRISTY FIRST COAST PLUMBING (904) 247-4419 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 43 01 6/09/03 LJH PL TOP OUT TIME: 08:00 6/10/03 AP 45 01 8/06/03 LJH,4 P FINAL TIME: 08:00 9.11 - 1. ------------------------------------------------------------------------------------------------ PERMIT: PLBG O1 PLUMBING PERMIT SUB: CHRISTY FIRST COAST PLUMBING (904) 247-4419 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 41 02 3/06/03 LJH PL UNDERSLAB TIME: 13 :00 3/07/03 AP 813-6429 43 01 6/09/03 LJH PL TOP OUT TIME: 08:00 6/10/03 AP 45 01 8 06/03 LJH /PFINAL TIME: 08:00 L -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/12/03, 8:34:56 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/12/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE ; PARCEL 112167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PBNNIi: BLDG 00 BUILDING PBFNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 3/11/03 LJH BD FOOTING TIME: 13:00 3/12/03 AP 813-6429 17 01 3/31/03 LJH BD SHEATHING TIME: 08;00 4/08/03 AP 17 02 4/02/03 LJH BD SHEATHING TIME: 17:00 4/10/03 AP 13 01 6/06/03 LJH BD FRAMING T ME: 13:00 6/09/03 DP FAILED DUE T MOISTURE CONTENT OF WOOD OVER 19$ FBC 2301.7 13 02 6/09/03 LJH BD FRAMINGTIME: 08:00 6/10/03 AP * OVERRID TAKEN BY JSCHLUETER DATE: 06/09/03 TIME: 07:39:02 15 01 6/12/03 LJH, BD INSU TION TIME: 08:00 * OVER DE TAKEN BY JSCHLUETER DATE; 06/12/03 TIME: 08:21:38 8I�6 9 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000849 Date 6/12/09 Property Address . . . . . . 85 SIMMONS RD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OCEAN STATE HEAT & AIR, INC. 1476 ATLANTIC BLVD. NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 06/12/2009 09:53 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH it001/001 l0 4, t�;�' Sn,,�,,, CITY OF ATLANTIC BEACH 09- F' INSEMINOLE ROAD,ATLANTIC BEACH.FL 72253 OFFICE.(004)247-1,M•FAX NO.;(004)2,(7-5845 BUI LD1 NG-DEPTDCOAa,US MECHANICAL PERMIT APPLICATION DUVAL COUNTY B5 imh,U►IS Road `�oad E 0�-�Z ❑YES PERMIT>b: r.v rysl•,.r,"'e.1 `r v ,( .;� .1: r r i,tr,;• ;v r,l'r ,,+T.Irlla-.I„r,n .F" � 4 NAME 6 ADDRESS IF DIFFERENT FROM JOB ADDRESS E PHONE.^ i S(jr� �CG-mCw, C `153-`?)33 4 l...IYMCMA M MII.tC0NFRAGlr9tt:I• ^7.NAME OF COMPANY B ADDRESS. S r 14',1P A±i a-11 tic.Blvd Nc c 6.STATE DF FLORI UCENS�NO 70, PMO E, 1i F►x NO td� ��ObSO "I 12 EMAI ADDRESS 1 ^F E- �{ 14. C (,I .7 Application Is hereby made to obteln a permit to do the work and knatelIetlems or Indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in thk jurisdiction. This permit becomes nut nd void if work iS not Commenced within six(6) months,or If construction or work IB Bue0en0W or abandoned for a period of six Uy me a ter r s CONTRACTQRS SIONAT e, :'SAS. !:ti^��'•r,.•i9 !.;j� .yl . 4:; : ' a�•.''. h+,`';n"', t16h g*Tjoraw.r.F `•.1 "77) 0 NrINSTALLATION D NEW EN L ❑'06 FLORIDA BUILDING CODE- PLACEMENT OF EXISTING SYSTEM VAISTING M COM MER `jIAE•CHANICAL ❑ALTERATION I ADDITION TO EXIST SYSTEM 0 REPAIR p OTHER . '-?I,,"f•IMLCHAtIILlfI F'AQfAf�H,T11ttD :n- ,�ti,: "' .(."+r. +r4 4� •; Z, 19.HEAT: ' 0 SPACE O R ESSED YtENTRAL O FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM a.,61ENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS' MAX CAPACITY: cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY; gpm 24_FIRE SPRINKLER: NUMBER OF HEADS: 26.UFT SYSTEM: ELEVATOR; MANLIFT: ESCALATOR: AUTOLIFT: 26,COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 29.IRRIGATION: 0 PUMP O WELL ❑PIPING 29.GAS PIPING: a OF OUTLETS: C GAS AHU. O GAS WATER HEATER, 30.OTHER-SPECIFY: SOLAR HEATING. BOILERS,UNFIRED PRESSURE VESSEL.MEAT EXCHANOER OR COIL IN DUCTS ETC VALUE FOR OTHER ITEMS: 1:71' �'•�•'.'Nt'n: i:A;j•,i").f.' -.i J*•I�4d� ver.A%; 'k:••[,ti1.':S�': �i.`}'11,{;t: fl e��[I.i}AA' 91 �•I n�•H'Ir ��,•, dl!T' a•'T iS `I -!'Fti �`'h+, A,�•. APPROVIN NUMBER DESCRIPTION HOOFER MANUFACTURER TONS AGENCY OF UNITS 3b30'5 I ,�r.r „ '1.-yAl.wtif:e. r�'1;l2: :1 .as,•. �,..•;a L,1 rir'1'I$�"ks�kr;"'4v1 r),1 AWWROWING NUMMK Sal';%A v'1'^'4h� a ':; '1'' A.�I• "I ,I. i'- rar%�• 4�,' ,r,N•, t;i OF UNITS DESCRIPTION MODEL d MANUFACTURER BTU AGENCY 1 Iii 1} l f oNfou C 303-2305 M..dike.••;,;P"�F!'�:`in�r' :r••;�.,i' �'d•h" '•i-ry'•.I. .9'• 'r,^�' 'I „j'�'YS.�e'S•• IQ'"Y�I.Y rf'., «,r�{.+•, WE LIQUiV NUMBER GALLONS NTAINED MANUFACTURER SERIALS AGENCY 13LDG04 Permit Applltaton Mew REVISED.121182008 D3 //� '` CITY OF ATLANTIC BEACH _ P7 /-� 1i'. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O OFFICE:(904)247-5826•FAX NO.:(904)247-5845 }i1 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: 12.IS THIS A SUB PERMIT: 3.DATE: ,^(j S rnh)C)1A5 -Road ❑YEOS PERMIT#: V�i� IZ^V 1 PROPERTY OWNER: 4.NAME. 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE. tq i 5O►1 3e-C n-)ar) I I CSS 12 `'153-9133 MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: e�vt 5 r I yH I fi c 131�� Ne dune I'� 31z t, 9.STATE OF FLORID LICENSE NO. 10 PHO E�:V I^ _ 11.FAX NO.: r r Nei 12.EMAI/.',I�!'!At[RESS:�3 C< . 1/`"I FnLJO)E -I L S I 14. 1 CIL orranslfLk Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null Ind void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six ny Ime a er r c is d. CONTRACTORS SIGNAT E: 16.CLASS OF WORK: 15.BUILDING= i . U10E: 18.CURRENT CODE: ❑XW INSTALLATION ❑ NEW SIR ENT L ❑'06 FLORIDA BUILDING CODE- PLACEMENT OF EXISTING SYSTEM FISTING ❑COMMER MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑ OTHER MECHANICAL`EQUIPMENTTOBE STALLED: 19. HEAT: ❑ SPACE ❑ RIECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: Spm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 3i.:COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION.E UIPMENT CONDENSORS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY CurC�Gr.SVYhC 5� CCt.rrI D5 32,HF_ATtNG'EQUIPMENT: FURNACES.,.-.—Z FIREPLACES AIR HANDLERS ETC: NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 1 ✓ L ±V 6Iv fOU4 C 0-r-I e.,- 5 lc�u 30 3_Q3D15 S3.TANKS: TYPE LIQUID A NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Me&:REVISED:12/1812008 FL:!�5 I PREPARED 8/06/03, 8:36:35 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/06/03 -------------------------------------------------------------------------------------- ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: HVAC CONTRACTOR OCEAN STATE HEAT & AIR PHONE (904) 249-8251 OWNER . . PHONE PARCEL . . 172167-0000- - APPL NUMBER: 03-00026045 MECHANICAL ONLY ----------------------------------------------------------------------------------- PERMIT: MECH 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- 32 01 6/09/03 LJH ME ROUGH TIME: 13 :00 6/10/03 AP 34 01 8/06/03 LJH ME FINAL TIME: 08:00 FINAL FOR CO 813-6429 1� /CITY OF n Office of Building Official REQUEST FOR INSPECTION Date r v� Permit No. � Time A.M. Received P.M. ds r rYl ✓l S Job Address / f Q Locality Name Owner's �r[F l / IEJi -Irj Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL DING_% Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel �// C Final ❑ Sewer Fire Place i,l.:w l Cu/(� Pre Fab PC^C l � READY FOR INSPECTION A.M.; Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Inspector Final Inspection i- Certificate of Occupancy Date PREPARED 6/09/03, 7:39:57 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/09/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RBSIDEN CONTRACTOR : BEACHES HABITAT PHONE (904) 241-1222 OWNER . . : BEACHES HABITAT PHONE PARCEL . . 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PBRNIT: BLDG 00 BUILDING IPERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 3/11/03 LJH BD FOOTING TIME: 13:00 3/12/03 AP 813-6429 17 01 3/31/03 LJH BD SHEATHING TIME: 08:00 4/08/03 AP 17 02 4/02/03 LJH /BDSHEATHING TIME: 17:00 4/10/03 AP 13 01 6/06/03 LJH FRAMING TIME: 13:00 6/09/03 DP LED DUE TO MOISTURE CONTENT OF WOOD OVER 19t FBC 230.1.7 13 02 6 09/03 LJH FRAMING TIME: 08:80 OVERRIDE TAKEN BY JSCHLUETER DATE: 06/09/03 TIME: 07:39;02 ------------------------------------------------------------------------------------------------ PSRNIT: BLBC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------- --- ---- -- ------------------ -� - - -- 22 01 /09/03 LJH GG ,. ------------------------------------------------------------------------------------------------ PREPARED 3/28/03, 16:40:07 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/31/03 ---------------------------------------------------------------------------------- ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------- 10 01 3/11/03 LJH BD FOOTING TIME: 13:00 3/12/03 AP 813-6429 17 01 3/31/03 LJHB�SHEATHING TIME: 08:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6106/03, 8:18:08 INSPECTION TICKET PAGE 1 CITY OF AXLANT?C BEACH INSPECTOR: LARRY J HIGGINS DATE 6/06/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR : BEACHES HABITAT PHONE (904) 241-1222 OWNER : BEACHES HABITAT PHONE PARCEL 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERNIT: BLDG 00 BUILDING PERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 3/11/03 LJH BD FOOTING TIME: 13:00 3/12/03 AP 813-6429 17 01 3/31/03 LJH BD SHEATHING TIME: 08:00 4/08/03 AP 17 02 4/02/03 LJH BD SHEATHING TIME: 17:00 4/10/03 AP 13 01 6/06/03 LJH G ---------- -------- 813-6429 ------------------------------------------------------------------------------------------------ PERNIT: ELIC 00 ELECTRICAL PERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------- ---- ---- ----- 22 01 6/06/03 LJH ---------- -------- ------------------------------------------------------------------------------------------------ PERNIT: PLBG 00 PLUMBING PERMIT SUB: CHRISTY FIRST COAST PLUMBING (904)247-4419 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 43 01 6/06/03 LJH lw'-M s ---------- -------- ------------------------------------------------------------------------------------------------ PERMIT: PLBG 01 PLUNBING PERNIT SUB: CHRISTY FIRST COAST PLUMBING (904)247-4419 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------_--------------------------------------------------------------------- �., H 13UND�BR�`bA� 13:00 41 02 3/06/03 LJH PL UNDERSLAB TIME: 13:00 3/07/03 AP 813-6429 43 01 6/06/03 LJH ---------- -------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREP}1RED 6106/03, 8:18:08 INSPECTION TICKET PAGE 11 CITY OF,ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/06/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR; HVAC CONTRACTOR ; OCEAN STATE HEAT & AIR PHONE (904) 249-8251 OWNER . . PHONE PARCEL . . 112161-0000- - APPL NUMBER; 03-00026045 MECHANICAL ONLY ------------------------------------------------------------------------------------------------ PBBNIT: NBCH 00 NBC HANICAL PBYNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------- ------------------------------------------------------------- 32 01 6/06/03 LJH ---------- -------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/11/03, 8:22:07 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/11/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE -------------------------------------------------------- --------------------------------------- PBBAIT: BLDG 00 BUILDING PIRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------ --- ------------------------------------- 10 01 3/11/03 LJH BD FOOTING TIME: 13 0U' - 813-6429 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/05/03, 16:51:35 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/06/03 -------------------------------------------------------------------- ADDRESS . : 85 SIMMONS RD SUBDIV: TENANT, NBR: NEW SINGLE FAMILY RESIDEN CONTRACTOR BEACHES HABITAT PHONE (904) 241-1222 OWNER BEACHES HABITAT PHONE PARCEL 172167-0000- - APPL NUMBER: 02-00025255 SINGLE FAMILY RESIDENCE - _ _ _ - --------------- PBRNIT: PLBG O1 PLUKBIBG PERMIT SUB: CHRISTY FIRST COAST PLUMBING (904)247-4419 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------ ------------------------------- 41 01 3/05/03 LJH PL UNDERSLAB TIME: 13:00 ---------- -------- 813-6429 41 02 3/06/03 LJH PL UNDERSLAB TIME: 813136 V"- -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Ji319r' Application Number . . . . . 09-00000240 Date 2/27/09 Property Address . . . . . . 85 SIMMONS RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ;j V11- : City of Atlantic Beach APPLICATION NUMBER J' Sil Building Department (To be assigned by the Building Department.) 800 Seminole Road 7 Q r :) Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM (� (� E=— Tree Yes No Property Address: CJ d� /riI Administrator Applicant: ublic W s blic Utiliti Project: / Public Safety Fire Services \ Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: CBUILDINGj PLANNING &ZONING Reviewed by: Date: / 4 TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. [-]Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: 1V116VH S3HOV36 :NOS)�OVf 310NV d0 '-V 101 lV 310d 63MOd DOOM d0 301S 1S3MHi6DN NI 1133N36 •3Hi X103 3aVA SVM J,]A?�ns SIHl ZL9£ 81 'XS10 V 11VN9VNi ONnoA *-03Sn >i6VAHON38 -(An1Va 03AnssV) 'M .00,0)=.613 S SN139 'aVOH SNOVMS d0 3Ni1 AVM 30 1HOI2� A1d3HAON 3H1 NO 03SV8 32JV SONIdV38 'A3A?jns A24VONn08 V SI SIHI AVM 30 1HE J ,02 75310 OVO�l SNOVNNIS 1N3W3AVd 3D 3NI12l31N30 1N3W3AVd 3003 a1313 ,zo. N '3did '00*99 M"00,02.69S ND2l Z,L ,00 691 dVO ON '3dld XZ 0 N081 Z/L ONnQ 77, =O dVM3Ala0 a +` 31 p 3MON00 I o O -�-' 1nONV310 ,9'9 a'et u 1 C �� z rz�� o Z I ,0'06 ,Z cZ r�* C) ).UN3 3.L2NONOO _ \ 03M3AOO ,9'0 I D I Mil NNII NIVHO ,4 �Z' � 00•£1:N011VA313 N jf •9 ,S'S C I l O O o 80013 HSIN13 M 1 N 99 *ON 30N301S36 O 1 ONIOIS 1ANIA /M 6 10`1 m 3WV2�d A�i01S 3N0 a o _ N 1 •O °OuSdid -� � 3 ul w L 101 �. l'SZ J x LTI (.316 0 m X 41 TdVJ ON '3c id 9£ 91 '3did 00.99 3 `00,02e6BN N0211 .-eA °Nnoi N al .a/t 13s s 41314) ,"A-NV'] 3 401 3 IXOaddV I z L io1 I HO110 „ 8 0 � 8 VaI�lO�d `J.1N(100 -IVAno 30 Sa�10032J 01�8f1d 3H1 �0 `9l 30Vd 6L h006 lV-id NI 03M1003�1 SV `lV`Id321 S�ENNOa '6 >100-l6 '9 101 /� 3ndns -j0 d`d rs f�i� CITY OF ATLANTIC BEACH SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 i� OFFICE(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US BUILDING PERMIT APPLICATION DWAL COUNTY 1 JOB Z VALUATION OF WORK 3.SO.FT.UNDER ROOF 4."LEGAL DESCRIPTION: it CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_Sl/B DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL T,QESCRIPTIUN OF WORK ❑ALTERATION ❑ACCESSORY BLDG. KL .FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA 10 YES ❑NIA Fri,Vot,C y rfri ❑MOVE ❑OTHER ❑NO PROPERTY OWNER:• CONTRACTOR: ARCHITECT/ENGINEER: g NAME: t 15.COMPANY NAME 23.COMPANY NAME 16.NAME: 24.LICENSEE NAME 10.ADDRESS: /7 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: S�S r....res vn�•� K., 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28-FAX NO.: 1i 13.CELL PHONE 21.CELL PHONE 29.CELL PHONE y— SGS ' V 1 EMAIL ADDfjESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: h oaf�o FEE SIMPLE TITLE OLDER: BONDING COMPANY: MORTGAGE LENDER: OF OTHW THW OMER) 31.NAME 33.NAME 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Welts,Pools,Fumaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR pfAgeN PowerbrACaineyorAgenyLuerRe*&ed) (�rref�) Signed:. Date: Signed: Date: Before thi day of V—t P, 2009 in the county of Before me this day of ,2009 in the county of uval, to Florida,has personally appea Duval,State of Florida,has personally appeared I iq b4S herin by h self/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 ,County V Notary Public at Large,State of County of ❑P navy Known 13 Personally Known rodtr�d ❑Produced Identification- Identif Notary Signature. U01 Iww +p,e w,'r�. Notary Signature: epll013)o a S-olpri eION =•; `orc NVH"O'l A31NIHS and^" BLDG01 Permit Application Bldg:REVISED:121182008 s ,moi CITY OF ATLANTIC BEACH 0 9_ F7r `` 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 w.» r. 1-71^~ ( I s OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1:J08 ADDRESS: 2 VALUATION OF WORK: 3 SO:FT.UNDER ROOF SimP">,Jg LEGAL DESCRIPTION: 5_CLASS OF WORK &USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ;&7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. A,FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA (3YES 13 WA prii Vot, rt"Cc ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME f} 1 15.COMPANY NAME 23.COMPANY NAME .,1o�.r�t� tJc>lr�✓3Lh 16.NAME 24.LICENSEE NAME 10.ADDRESS: © 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: V 18.ADDRESS: 26.ADDRESS: t 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27,OFFICE PHONE 28.FAX NO.: \i �.� 13.CELL PHONE �� 21.CELL PHONE 29.CELL PHONE ` ' v 1 EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS. our 1, l o%uL. }�— FEE SIMPLE TITLE OLDER. BONDING COMPANY: MORTGAGE LENDER: r (IF OTHER THAN owNER) 31.NAME 33.NAME 35.NAME- 32- AME32.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 sox (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (I(Apent Power of Attorney or Agency Letter Required) (Qualifier Orgy) Signed:. Date: ZJFEAM Signed: Date: Before9-:1 hi day of 9t lk 2009 in the county of Before me this day of 2009 in the county of uval, a Florida,has personally appea Duval,State of Florida,has personally appeared herin by hitnself/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 � County of Notary Public at Large,State of ,County of ❑P nally Kno;NVHV219 ❑Personally Known roduced Ident [3 Produced Identification- �i ip Notary Signawreu0t Iww 3'°= Notary Signature: ol.1 JO a S ollgn elON =,,• •orc 'l i01HIHS °9"An+'• BLDG01 Permit Application Bldg:REVISED:12/18/1008 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 U y Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �9 d City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM (� J D ent review required Yes No Property Address: 0 0� m]� � �` ivm��A Tree Administrator Applicant: d ublic W s PU-b—lic Utiliti Project: !f Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING -- Gam- Date:,Z �9 D TREE ADMIN. Reviewed by: ,� PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: _ Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER r- 0 Building Department FEB 2 3 2009 (To be assigned by the Building Department.) r _ 800 Seminole Road /j 9 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 — E-mail: building-dept@coab.us Date routed: �9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM (� D ent review required Yes No Property Address: Tree Administrator Applicant: 0 QPublic W 5 r blic Utiliti Project: b / Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date l of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. 1 _ PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: _ Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: MAP OF SURVEY LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0 cV II B L 0 C K 8 DITCH LOT 12INN C) I APPROXIT(F El TOP / F BANIy, - N89'01'38"EELDFOUND 1/C IRON N89°3000' E 55.00' SET '/2' IR " PIPE, NO CAP PIPE, LB 38 B 0 X � K 9 lz O Z m oo 51 Ln 0 w N a = U Ln N 25.1 o � n Iof z a 3 O `� 23.2' 6.7 W LOT 7 00 X PLASTIC NIn A/C PAD O u o ONE STORY FRAME Ln LOT 9 Z O X W/ VINYL SIDING W z RESIDENCE No. 85 z c) FINISH FLOOR Q p ELEVATION:13.00 - (n N z N w >3 4' CHAIN LINK I Q FENCE I O 0.5' COVERED �__ CONCRETE Uaf w w ENTRY I z p Z 23.2' 10.0' Q -: O 0 i' P 15.2' 6.6' CLEANOUT 0 O O CONCRETE 0 0 N N DRIVEWAY FOUND 1/2- IRON 0• Y_1' PIPE, NO CAP 165.00' FOUND 2- PPE, NO CAPRON \S89e30'00"W 55.00' 5.02- FIELD . EDGE PAVEMENT CENTERLINE OF PAVEMENT NOTES: SIMMONS ROAD 30' RIGHT OF WAY THIS IS A BOUNDARY SURVEY. BEARINGS ARE BASED ON THE NORTHERLY RIGHT OF WAY LINE OF SIMMONS ROAD, BEING S 8930'00" W, (ASSUMED DATUM). BENCHMARK USED: FOUND MAGNAIL & DISK, LB 3672 THIS SURVEY WAS MADE FOR THE BENEFIT IN NORTHWEST SIDE OF WOOD POWER POLE AT LOT 4, OF ANGIE JACKSON; BEACHES HABITAT BLOCK 21, ELEVATION=14.19 N.G.V.D. (1929). ATTORNEYS' TITLE INSURNACE FUND, INC. NO BUILDING RESTRICTION LINES AS PER PLAT. AND DONAHOO, BALL & McMENAMY, P.A. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" COMMUNITY-PANEL NUMBER 120075 0001 D, REVISED JULY 17, 1989 FOR DUVAL COUNTY, FLORIDA. \ DONN W. BOATWRIGHT, P.S.M. 'NOT VALID WITHOUT THE SIGNATURE AND THE FLA. LIC. SURVEYOR AND MAPPER No. LS 3295 ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FINAL SURVEY: 08-11-2003 SURVEYOR AND MAPPER.- REVISED TO ADD BUILDING: 11-25-2002 FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE: NOVEMBER 14, 2002 DRAWN BY: DAF 1500 ROBERTS DRIVE SHEET 1 OF 1 FILE #: 03-921 JACKSONVILLE BEACH, FLORIDA 241-8550 MAP OF SURVEY LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8,9 11.0 9 1 10.0 7" 9 89'49'05"E 55. N 89'30'00"E 11.6 • 10.63 u FOUND 1/2" IRON 12.3 8"LIVE OA F D 1/2 IRON PIPE, NO CAP 6"PINE ,3 14.0 IP N ICAP �a 7 2.6 0.5 Lo 2 E 11.0 "LIVE OA I 10. 22"PE I18"PINE 16"P4t4E # # 10.4 11 � o 18-PINE 10:4/6" AK �0 21 PA27"LAU L K '7 9.0 11 L � IN� 1 .1 2.7 0.2 I 2�6 PINE (.t.1 or yvi., 12 AK 20" INE 20"PINE BLAC ACK - o w 10.6 LOT 7 4 3 1 N 44" tS'" x 17"PINE W N .9 lLAW !� � 19'PI N°� a C, '- t w o U) 11.4 LOT N U o O "S ETGUM o -T 0 Z 20 PINE 16"LIVE OAK r o 12 PI E /N I 11.6 U) 8, W ` 10.7 I 11.5 < 11,61 �,.¢`, t / I 11.4 �! 5 INE 10-8 14 INE 13"PINE 12 INE � *a 1 PN 8„PI 1.1 6' IN z 12" IN 0 . 20 PIN f ` 17"PALM 1 "PI E 6 k 12. 1 ,6 FOUND 112" IRON FOUND / I ON FL=8.82 PIPE, NO CAP11.4 " NO FL=9.02 12.0 12,14 S89'30'00' W'55.00 11,0 11,0 1 3 3 ! 55.19' FIELD I < _ ,y �.9__ , 11.2 11.94 11.80 11.63 11.61 11.50 1.95 95 Si ONS ROAD EDGE PAVEMENT �' � 3' WOOD FENCE 12.32 12.00 11.83 11.87 12.25 - CENTERLINE 30' RIGHT OF WAY I I NO ES. s.. THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE LOCATION SURVEY, Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 61 13 1 03 Contractor Name: 15 ✓6CY t-P -S Hato 1`ra+ Permit #: Qom_ a`602_5G Property Address: Legal Description: D `7 Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Residence ❑ Commercial ❑ Other: r Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works G-3 _1 Planning Dept. p S /3 D Building Dept. -VY, p 3 Final Survey with FFE [V/Yes ❑ No All Re-Inspect Fees Paid E2"' Yes ❑ No CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD F. v� ATLANTIC BEACH, FLORIDA 32233 ' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026045 Date 5/13/03 Property Address . . . . . . 85 SIMMONS RD Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . : . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . OCEAN STATE HEAT & AIR Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/13/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL ..tea 2 A CITY OF ATLANTIC BEACH ~� MECHANICAL PERMIT APPLICATION Date: —0 3 Owner of Property: Job Address: .5 .1 tii�r ui✓S %�,C> Contractor: ` t A - ° T— r;-=T T dC etc vg 1 P In consideration of permit given for doing the work as described in the above statemem,we hereby agree to perform said work in accordance with the attached pians and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances:and standards of good practice listed therein. III. GENERAL INFOR IATION :s, Tof heating titch:-;r itch: B. r; }pe Electric IS OTHER CONSTRUCTION BEING DONE ON THIS O Gas: _LP _Natural _Central Utility BUILDING OR SITE? r � O Ott 0 Other-Specify IF YES.GIME NUMBER OF CONS_�ON PER41I7 0 a — .2 5- IV.IV. MECHANICAL EQUIPMENT TO BE NATi'RE OF WORK INSTALLED Residential or _ Commercial $' New Building (Provide complete Iist of components on back of this form) 0 Existing Building Heat _Space _Recessed X,Central Floor 0 Rtplac eawnt of existing system t,8 Air Conditioning: Room © X New Installation(No system previously installed) Duct System: Material Thickness Cl Extension or add-on to existing system Maximum capacity 9'0 0 cfM O Other-Specify O Refrigeration Cl Cooling tower. Capacity O Fire sprinklers: Number of heads THIS SPICE FOR OFFICE USE ONLY 0 Elevator: _ Manlift_Escalatar (Number) O Gasoline pumps_(Number) (Nu ) (Received) 0 Tanks (Number) Remarks 0 LPG containers (Number) O Unfired pressure vessel 0 Boilers Permit Approved bp Date O Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufac rer Capacity Approving (Tons) o�✓ O fi4 e?.2 �4 yveLt- HEATING LHEATING-FURNACES,BOILERS.FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving ('BTM Agency 7271,-E-2 32 y `2 TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving .Aral Dimensions Contained Manufacturer No. Agency 808 Seminole Road•Adande Beach,Florida 32233-5445 Phone:(484)247-5800•Fa::(484)247-5845• http:r/www.ci.atfantic-bench.il.us 1!14103 1 .jyL`1j• �3 It CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 v INSPECTION PHONE LINE 247-5826 02-00025255 Date 3/05/03 Application Number 85 SIMMONS RD Property Address . . . . ' ' NEW SINGLE FAMILY RESIDEN Tenant nbr, name . . . . . . Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 47000 Contractor Owner ----------- BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241-1222 ----- ---- Permit . PLUMBING PERMIT Additional desc . Sub Contractor CHRISTY FIRST COAST PLUMBING 00 Permit Fee 112 . 00 Plan Check Fee 0 Issue Date . . . Valuation Fee summary Charged Paid Credited _ _ ---------- --- Permit ---------- Due--- ----------------- . 00 . 00 Permit Fee Total 112 . 00 112 . 0000 00 . 00 Plan Check Total . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 y T BE ED BUILDING BDDEBRIS FROM THIS WORK" PUBLIC S AC R OR OWNER. FAILURE TO COMPLY WITH CONSTRUCTION LIEN LAW CAN UP ANAWAY BYEITHERCONTRACTOISSUED � PLANS OWNERRESULT IN THE PROPERTY PAYING TWICE O WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATIONOF APPLICABLE PROVISIONS ONS OF W. Y RI rH nrNG OFFICIAL R CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT,�t- JOB LOCATION: g5' OWNER OF PROPERTY: PLUMBING CONTRACTOR:cFlp- conST P vnajvc� CONTRACTOR'S ADDRESS: r(�, Ick S Q �{� (�, �,n,�c 13cLi, I, 3 1�Qqo STATE LICENSE NUMBER: TEL. D y7-LIg19 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW C SINKS SHOWERS v< LAVATORY _WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS _CLOSETS WASHING MACHINE FLOOR DRAINS \ SHOWER PANS _SEWER _WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 +$35.00= MINIMUM PERMIT FEE: $35.0 SIGNATURE OF OWNS - SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 247-5826. a SS CITY OF ATLANTIC BEACH J 800 SENIINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 . V tea!:.,'s•-'',- c r, INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025255 Date 1/13/03 Property Address . . . . . . 85 SIMMONS RD Tenant nbr, name . . . . . . NEW SINGLE FAMILY RESIDEN Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 47000 Owner Contractor --------- --------------- ------------------------ BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc INSTALL 11 FIXTURES Sub Contractor CHRISTY FIRST COAST PLUMBING Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 1 n7 n'�E'r1 OWNER OF PROPERTY: TEL. ��/ PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: 76'5(- STATE LICENSE NUMBER 05 TEL.o2 7` HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW —SINKS SHOWERS a—LAVATORY _WATER HEATERS _BATH TUBS DISHWASHERS URINALS DISPOSALS _CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS _SEWER WATER RE-PIPE(LIST FIXTURES BEING REPIPED) OTHER I r TOTAL FIXTURES: / [ X $3.50+$15.00= MINIMUM PERMIT�FEE: TTT$225.00 SIGNATURE OF OWNER: / SIGNATURE OF CONTRACTOR::1 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS-(904)247-5826. F � CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jr3l '`' Application Number . . . . . 02-00025255 Date 12/19/02 Property Address . . . . . . 85 SIMMONS RD Tenant nbr, name . . . . . . NEW SINGLE FAMILY RESIDEN Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 47000 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc NEW150AMP, 1PH, 3W, 240VOLT SVC Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Dec 18 02 01 : 37p James Granger 766 7760 p. 2 12/17/2002 23:52 9042411222 BEACHES HABITAT PAGE 04 2S CITY OF ATLANTIC BEACH, FLORIDA 35 00 APPLICATION FOR ELECTRICAL PERMIT �® S� .AN � JrVo TO THE CWU ELECTRICAL DdSPECTOR 3 � � 20� IMPORTANT Nana; DATE; IN CONSIDERATION OF PERNOT GIVEN FOR DOING TlM WORK AS DESCRIBED IN THp FOLLOWTNG,WE RI REBY AGREE TO PERFORI.f SAID WORK IN ACCORDANCE WrM THF ATTACHED PLANS AND SPECIFICATIONS.WHICH ARE A PARTREOF.HE AND tiv ACCORDANCE WITH Tl ELECTRICAL CODES AND CITY OF ATLANTIC BEACH ORDINANCES ELECTRICAL FIRM- MASTER ELECTRICIAN SIGNATURE; r)11 OWNERS NAME:&�Ad P ADDRESS: &S BLDG.SIZE RFD BOX EN: L RES.(✓),/ BETWEAPT.{ ) CO1�LbE.{ ) PUBLIC( ) INDUS.( ) NEW OLD( ) REw.( ) Y' ADDITION( ) TRAILER( ) TLW.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE- REP COND�OTOR s1�I AW AMPS: COPPER ALUM. FEES _SWITCH OR BREAKER AMPS PH �W VOLT RACEWAY EXIST. SERV.SIZEJ` , AMPS PH W VOLT RACEWAY �J FEEDERS NO. SIZE N0. SIZE —r N0. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED AMPs OPEN TOTAL S WITCHES 31.tao AMPS INCANDESCENT FLOURESCENT&M.Y. FIXED 0.100 s. OVER APPLIANCES AIR TI P.RATING H.P.RATING BELL TRANSF. CONDITIONING COMP.MOTOR OTHER MOTORS AMPS Hg KW-NEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO, I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600V AVER 600V NO-NEON TRANSF. NO VA MKVA NO. KVA EACH SIGN A MOTOR SIxE SWITCH FLASHERS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD yA _ ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025330 Date 12/19/02 Property Address . . . . . . 85 SIMMONS RD Tenant nbr, name . . . . . . TEMP POLE 60AMP, 1PH, 3W Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT CMA ELECTRICAL CONTRACTORS 8814 DARLINGTON DRIVE MYPT FL 32228 (904) 765-6262 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . TEMPORARY POLE Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 r BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. by=� BUILDING OFFICIAL Dec 18 OZ 01 : 37p James Granger 7GG 77GO p. l 12/17/2002 23:52 9042411222 BEACHES HABITAT PAGE 03 CITY OF ATLANTIC BEACH, FLORIDA, APPLICATION FOR ELECTRICAL PERMIT TO THE CHIU eLEC'TRICAL INSPECTOR: BATE: j Z11 A 20_6 �2_ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN POR DOING T}M WOM AS DESCRIBED IN THE FO.LOWNG.WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WINCH ARE A PART HEReoF, AND IN ACCORDANCE WITH THE ELECTRICAL REOULATTONS,CODES ANO CITY OF ATLANTIC BRACH ORDINANCES. ELECTRICAL FIRM. MASTER ELECTRI SIGNATURE: Z 71mh �� > �' OWNERS NAME: - ' ADDRESS: �r rrrT RFD BOX BLDG,SIZE N, BETWEEN: APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ADDITION( ) TRAILER( ) TEMP.7(') SIGNS( ) SQ,FT, SERVICE: NEW I�NCREASE( REPAY CONDUCTOR SIZE S: COPPER ALUM. FEES S - SWITC14 OR BREAKER � E -6O AMPS PH W VOLTYEXIST.SERV-SIZE AMPS __PH W VOLT Y �- FEEDERS NO. SIZE NO. SIZE_ NO. SIZE ^� LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AWS 31,100 AMPS SWITCHES INCANDESCENT FLOURZSCENT&M.V. FIXED 0.100 AMPS, ovFl� APPLIANCES BELL TRANSF. AIR H P.RATING H.P.RATING CEIL. KW-IAT CONDITIONING CO MOTOR OTHER MOTORS AMPS INEAT 4 OVER, MOTORS MOTORS li-P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS )vIISCELLANEOUS - UNDER 600V I OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRA.'vSF. NO VA MA MOTOR SIZE. [SVVITCVTEASHERS �� EACH SIGN tiffs �zL, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025323 Date 12/17/02 Property Address . . . . . . 85 SIMMONS RD Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 12/17/02 Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE A 26" PINE AND A 24" PINE TO BE MITIGATED ON SITE WITH A 16" PINE AND A 17" PINE. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACHRFC' TREE REMOVAL APPLICATIO NOV 2 0 2002 All applications must be submitted with seven 7 copies and received�VX-?Mon t e Friday ten (10) days prior to the scheduled meeting in order to be placed on theagenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE Rk 93 S 1n 45" 2. Lot !�' 6(Occ 1; Elmgr�7 R'-p(ot° PLN-^-k of Foga I(e ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: F�t S 41e Rrn, ( 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NOT SURE 5. PROPERTY ZONING: RESIDENTIA COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT. EXT. Pf �c � c 20 7-0 k)e 21 (o a4 sUU . 1 � U � *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. ** See attacher] diagram for determination of interior and exterior zones. 7. SITE PLAN=E SURVEY indicating; a) Location of topography features such as hills and low areas. b) Existing and proposed structures. C) Location of all trees with Diameter at Breast Height of six inches or more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an ".X". f). Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle "O" h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: a) All trees identified for.removal MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked withBLUE flagging,paint or tape. c) The front property comers must be marked by stakes or paint indicating the Lot 9. EN'COMPLETE APPLICATIONS OIC INIACCURATELY MARKED SITES )VILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES.OF THE CODE OF ORDINjAeqES OF ATLANTIC BEACH. .Applicant's Signature Date Owner's Signatur Date CITY USE ONLY: alm:� hawI/ plr) Tree Conservation Boar airperson Date ► 4 I MAP OF SURVEY LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8.8 8,9 11.0 B.8 10.0 7" -_.-_ 9 9.1 89'49'05"E55. �� 0.7 N 89'30'0013 '2 11• 10.1 11.6 10.63 13 FOUND 1/2" IRON 12.3 8"LIVE OA F U D l2 IRON PIPE, NO CAP 16"PINE 14.0 IP N ICAP 's 7 2.6 0.5 2 E "LIVE OA I 11.0 7� 10. rrl' 1 18"PIN ILAALE '`- 18"P E 10.4 K 27"LL K Y� g.0 1 21 1 •t 0.2 E 12 AKCK 20" INE i r w 20"PINEBLAC A " N 'Cu) s JO.6 N LOT 7 N 3 � x 1 'P LJ 9 !LLJit 19'PIN O o U7 9 11.4 LOT C) i7 t o M T o 0 o z 16"LIVE OAK o 12 PI E 11.6 Ln g. < 11.61 ,�,• . 10.8 4 14' I N E 11. 13"PINE 12" INE ? Z 1 ..PIN B,.PI �t 6' IN 4 zo � 12"PIN 20 PIN U 17"PALM 1 "PI E FOUND 1/2" IRON FOUND / I ON FL=8.82 PIPE, NO CAP 11.4 " , NO FL=9.02 12.0 12.14 S89'30'00' W* 55.00' < 1$ 55.19' FIELD +�� _%11.2 11.80 11,63 11.61 11.94 11.95 11.50 S1ONS ROAD EDGE PAVEMENT �+ I 1 I i 3' WOOD FENCE 12.32 12•p0 11.83 11.87 � Imo,' 12.25 - CENTERLINE 11'B7 30' RIGHT OF WAY Tree Removal Approved NOTEc: pp THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE 6 LOCATION SURVEY. i� f•f i"LS,rJ�• CITY OF ATLANTIC BEACH :-R J 800 SENIINNOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 - Js3s� Application Number . . . . . 02-00025255 Date 12/13/02 Property Address . . . . . . 85 SIMMONS RD Tenant nbr, name . . . . . . NEW SINGLE FAMILY RESIDEN Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 47000 Owner Contractor - ------------------------ ----------------------- BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 12/13/02 Valuation . . . . 47000 67 Other Fees . . . . . . . CITY RADON SURCHARGE .28 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 5 . 06 AB CONSTRUCTION SURCHARGE . 56 STATE RADON SURCHARGE 5 .34 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 330 . 00 WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 2476 .24 2476 . 24 . 00 . 00 Grand Total 2476 . 24 2476 .24 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 50 ,55 7 s RF ,JV` J _r NOV 2 7 Zoo' City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32 - Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atiantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) '. l o . 17e-;�/6-7 DCS d?i i t ate,L DATE JOB ADDRESS 15A4"()&"5A4"()&"5 RA- .�.t-t"� bk" OWNERS NAME---&Qct PS /�/ ak /� ADDRESS /42/ 15d1 S' /I1'_Z°/jl�(Q Cl/ cC PHONE: 1 QFC 322 33 6.'L- iq LEGAL DESCRIPTION: BLOCK NUMBER _t LOT NUMBER_ ZONING DISTRICT P~jL 16 CONTRACTOR _-13fQMff fT�f�� STATE LICENSE NUMBER ADDRESS 2A10 ZdaL,/ S t• PHONE Z14 Z /ZZi CITYSTATE ZIP 9?_Z3-3 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE AOUJ PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION 0 7 n Is this an addition? _[�b If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? (des New electrical or increase in service? Ue le New plumbing fixtures? _ New fireplace? New heating/air conditioning Is approval or Homeowner's A sociation or other private entity required? no if yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑ NO. 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 6/18/02 i 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. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may xcluded from otal Impervious Surface.) 7. Other information as may be appro for indivi al applicat s. I HEREBY CERTIFY THAT AL I N RO E ITH THI APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY" TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AN SUPPORTING DAT HAV`; BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME "MAILING ADDRE S Wh 2( r'Y�nL�L•_S ��L�-(, �� )L32233 PHONE �Q�-L� -��T?_ FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF No y• �©� STATE OF FLORIDA,COUNTY OF DUVAL 3 NOTARY'SSIGNATURi�awvvl&A!�—:;,::�t SM.AUePun Mild kMON N41 WUD9 _�F AST OWW'MAew:S3HIdX3 ersonally known lOEIZI 44 ti NOISSIWW00 AN I ❑ Produced identification 8313ITIHOS d3JINN3P JI Type of identification produced AS TO., [!J'/Personally known law°d' JENNIFER SCHLUETER ❑ Produced identification ;= MY COMMISSION#DD 121301 EXPIRES:May 27,2006 Type of identification produced %^ � -.� ''�„qf ;;:•` Bonded Thru Notary Public Underwriters 6/18/02 O ° zO a C) a� O r ma�nmasamao ammo 00 °sas�H_y a�a� „os'aH C c v �•v H.o .o ^, 7'y °a F v 5 x o ,o 0 �- g �g � d aay kan m "TI c) 7 m m t^n A Q 9 �'the rt D p tan b c m C Y7 t^n 'ti E N d'O `G 3 £ B ao� .e$�v av°'� 5 "" ° ov c° o _ =rn•N� � !NC 9v� a.e v v ,°'o�s,a a�•o� <! a'.f°n.. o E.o E.o,2 � 2`e •`? �o ° $ ^ o , v� m o Z d as ac n , , — - - . c y° y � l'� ) t.. --qP �^ = t5e ooc w n v ° V) c,y D H C��.y °o' o N G > > '-f °• m o 5 Cly H O n n p�T O US t17 m 'i7 a o a 6'a m'N Q7 L a m ,re rn, , n Cil zzz zzzzz� zz z z z z z z z z z x000 z ? r 0 0 0 0 0 0 0 0 ° ° o ° o ° ° ° ° ° ° o o ° ° o o � � z c� D zzz . z zzz z z z zzzzz �ezzz zz»> >aa >> a D > >'Da�> 'D>>> D> J W V P U A r0 b-J a U A W r 11 J a U a W r r" o c ° D D n D° a a ^ m n 3 3.5 Gw rn 0,g 5 w =3 A c m t ^ 5•S• m s° t°e a E o r o — o 4� � a�-�-yhyd �o�� m � o „ �t => � o2°r- '.•o'a,° ° n n 9 n v' y ° 0 5 " E3 y � Ei " a n ° w—o o s 5 > >�-w n ^. 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Reviewed by Signed —Date /2- --� ti Contractor Notified Date Y OF ji r �JJu, CI ATLANTIC N800 SEMICH ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 11 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us Jjilt PIJAN 12 EVIEW COMMENTS Permit Application # c95 �5 Applicant: [4"1 +0-4— Address: t ©�S 4 Project: Af e LJ < C_ 4 15� Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed b Signed Date f Z Contractor Notified Date e P OF C of Atlantic Beach M i�/, /-1 in and Zoning Department LOT 8, BLOCK 9, DONNERS REPEAT, AS RECORDED II'hiplai if r e,1g"e , �E I}arlce OF THE PUBLIC RECORDS OF DUVAL C 1r�hTi�S �r e p with applicable 9. ision and other local land de lopment regulations, but does not constitute 8,g appfoval for the issuance of permits. Compliance with Florida Building Code and all other applicable 8,9 local, State and Federal permitting requirements 11.0 8.8 muss be verify by signature of the City of Atlantic 10.0 7"- Bea g.Off, ' b ft isausn"Of a 89'49'05"E 55. " 8,7 11.s N 89'30'00"E 13 12 10 10.63 ve FOUND 1/2" IRON 3 PIPE, NO CAP 6"PINE 12 ,3 14.0 8 LIVE OA IP , N A 1? 7 2.6 0.5 2 E 11.0 "LIVE OA I Z 10. 22" E I18`PINE 16"P E C` { 10.4 11 0 18"PINE 10.46 AK 1p 27"LAU L K 9.0 I .7 21 PA � IN� 1 ,1(,2 . 0.2 ( G 4� 7 _ \l 2 PINE y 1t,10- ✓e 12 AK 20" INE 20"PINE BLAC ACK o p- 04 Ui LOT 7 v 3 U 4f- 10.6 .N- /' 4' � x 17"PINE W N g 4 w � 19'PINE = r' oo in ' 11.4 N LOT P 0 "S ETGUM o , + z Z 20"PIN 16"LIVE OAK r o 12 PI E le C0 W t 10.711. v� g. 11.61 5 ' 11.4 10.8 14 INE/ - ^" 5 INE 12" INE 13"PIN E ' 8"PI .1 6' IN V �` s 4 11. p 8, Z 12"PIN 20 PIN O Pi Q 00 17"PALM ,? 12.6 1 "PI E � 1^1 � 6 FOUND 1/2" IRON OUND / I ON FL=8.82 PIPE, NO CAP 11.4 " NO FL=9.02 1z.o 1214 S89'30'00 W'55.00 11,0 11.0 1 3 .3 - 12 55.19' FIELD 1163 11.6��- . 11.2 11.80 11,94 11.95 11.50 S' ONS ROAD EDGE PAVEMENT ' 3W � �� 3' WOOD FENCE 12.3212.00 11.83 11.87 ��1 �.2 12.25 - CENTERLINE �� - 11'87 30' RIGHT OF WAY I I I f ` NOTES: THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE LOCATION SURVEY. Book 10775 Page 1548 This instrument was prepared by �E�l�� j Doc# 20023312 77 Book: 10775 P.O. Box 50939 �� Pa e. 1549 Jacksonville Beach, Florida 32240 Filed & Recorded 11/20/2002 10:56:00 AM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY NOTICE OF COMMENCEMENT RECORDING $ 5.00 TRUST FUND $ 1.00 STATE OF FLORIDA Permit No.: COUNTY OF DUVAL Tax Folio No.: The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property:(legal description of property and street address if available) 5/1" '11 fj?�e'c-)k, ICA 9c"j-p- 16 2. General description of improvements: To build a single family residence 3. Owner Information: a. Name and Address: Habitat For Humanity Of The Jacksonville Beaches, Inc. P.O. Box 50939, Jacksonville Beach, FL 32240 b. Owner's interest in the site of the improvements: 100% C. Name and Address of fee simple title holder(if other than owner) : N/A 4. Contractor: a. Name and Address: Cb. Phone Phone Number: C. Fax Number:(optional, if service by fax is acceptable) 5. Surety on any payment bond: NONE 6. Name of any lender making a loan for the construction of the improvements: N/A 7. Persons within the State of Florida designated by owner upon whom notices may be served as provided by Section 7713.13(l) (a) 7,Florida Statutes: i, �=, I`�� 1`' 1��r� 7, P.O. Box 50939, Jacksonville Beach, FL 32240 Phone: (904)241-1222 Facsimile: (904) 241-4310 8. In addition to himself, owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13 (1) (b), Florida Statute (Name, Bank and Address): N/A 9. Expiration date of notice of commencement: 1 year from the date of recording. The forego ng instrument was acknowledged before HABITAT FOR MAN Y OF T E me this of 200 g y 'may � JACKSONVILLE�ET',J C. &za who [ is AAL known to r„P or MAP OF SURVEY 6,55 , LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8.8 LJ 1B.9 , 11,0 "8 8 9.1 LOT 12 10.0 7" a 89'49'05'E 5. 12 11 10.1 8.7 11.6 . N 89'30'00"E 10.63 ' FOUND 1/2" IRON 12.3F D 1/2 IRON PIPE, NO CAP 8"LIVE OA IP N CAP r� 16"PINE � 14.0 , 7 2.6 0.5 0 2 "LIVE OA I 11. f 10. 22"PINE 11 � I18"PINE 16"PINE Q10.4 11 U N ' 18"PINE 10.4 6"OAK �0 27"LAU L K 9.0 21"P ALM O 17"PINi1 •1 0.2 � 2.7 26"PINE 12AK 20" INE 11.1 " Ln 20"PINE BLAC ACK o N 24"PINE p w LOT 11 Nu-p 10.6 N i- LOT 9 LOT 7 o O r� o oto 17"PINE W 9 19'PINE LOT 10 w Z Z O 11.4 �l7 N rU- "SWEETGUM o 4J 5.5' 6:0' 20"PINE 16"LIVE OAK rob 12 PI E � o 11.6 8, a 10.7 11.5 3 0 11.81 10.8 11 4 14 INE �o 0.5' 15'PINE 13"PINE 12" INE 1 "PIN V NO 1.1 6' IN o 8"PI 8, w � uj 11.4 Z0 12"PIN 20 PIN U 17"PALM ,? 12.6 1 "PI E FOUND 1/2" IRON FOUND IR N PIPE, NO CAP PIP O FL=8.82 0.5 11.4 " 600' FL=9.02 1z.o 1214 S89'30 00 W'55.00 11.0 11,0 1 3 1y 55.19' FIELD 11.80 11,63 11.6 . 11.2 11.94 1195 �� ROAEDGE PAVEMENT I 1 I \-3' WOOD FENCE 12.32 12.00 11.83 11.87 i�l ',,I 11.87 12.25 - CENTERLINE - T^�1� NOTES: 30' RIGHT OF WAY I THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE LOCATION SURVEY. BEARINGS ARE BASED ON THE NORTHERLY RIGHT OF WAY LINE OF SIMMONS ROAD, BEING S 89'30'00" W. BENCHMARK USED IS •'X" CUT IN CATCH BASIN ON NORTH SIDE OF ROBERTS STREET & WEST SIDE VOOSWAR LOUNGE AS HAVING AN ELEVATION OF 10.78 (NGVD 1929) CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address S,".14'`?o 0-�-s Lo .Date 1 - J�� 0 -2— Heated Heated Square Footage /'/421 @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport/Porch @$ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE:_ TOTAL BUILDING FEE $ ZONING: X(-,= ( + % Filing Fee $ FLOOD ZONE: X ( ) Fireplaces @ $15.00 $ --�0 IMPERVIOUS SURFACE�ZX BUILDING PERMIT FEE $ WATER IMPACT FEE $ 3 SEWER IMPACT FEE —0-WATER METER/TAP $ S�� CAPITAL IMPROVEMENT$ SEWER TAP $ C qrL§RADON 14 5.0050 $ SECTION H PAVING ( ) $ --8 -- HYDRAULIC SHARES $ —0 – CROSS CONNECTION $ 3$` ST(/(zn SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ WATER IMPACT FEE WORK SHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 " Bathroom group consisting of water closet, lavatory, bidet, and bathtub or shower 6 r 2— Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain 1/2 r Floor drains 2 Kitchensink,sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = / L --s MULTIPLIED x 20 TOTAL$ S 3 DEPARTMENT OF PUBLIC WORKS ley 1200 SANDPIPER LANE ATLANTIC BEACH FLORIDA 32233-4318 y* s1 TELEPHONE:(904)247-5834 r, S FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # C 50 Applicant: B,,�"a PS Address: 0 -' 8 rmS Ro a-& Proj ect: ljetV e L�'esldet?of Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: A01 az:�j , d Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Donna Kaluzniak, Public Utilities Director Date /ZZ2 ignature Contractor Notified Date — G Qve C gor K-11QlV CY, i U DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 SSL TELEPHONE:(904)247-5834 j FAX:(904)247-5843 SUNCOM:852-5834 ro http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # c�2 50 5� Applicant: 8)",->a� eS Address: �r,� SIM M 0/7 Project: ua) EJ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: A concrete driveway shown at the southwest corner of the property is being used by the adjacent owner, but the eastern half appears to be on the property of 85 Simmons Road. This should be resolved with the adjoining owner. A proposed grading plan will be required. R c tc( 1.;q to(00 piG Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date CZ S p-L Signature Contractor Notified Date �¢� C - Bor kJi-¢r 4- of o,, Book 10775 Page 1548 This instrument was prepared by m1� REj� 5 �� Boo#•2002331277 P.O. Box 50939 PHONE Page: 1544,85 Jacksonville Beach,Florida 32240 Filed & Recorded 11/20/2002 10:56:00 AN JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY NOTICE OF COMMENCEMENT RECORDING # 5.00 TRUST FUND $ 1.00 STATE OF FLORIDA Permit No.: COUNTY OF DUVAL Tax Folio No.: The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property:(legal description of property and street address if available) 2. General description of improvements: To build a single family residence 3. Owner Information: a. Name and Address: Habitat For Humanity Of The Jacksonville Beaches, Inc. P.O. Box 50939, Jacksonville Beach, FL 32240 b. Owner's interest in the site of the improvements: 100% C. Name and Address of fee simple title holder(if other than owner) :N/A 4. Contractor: a. Name and Address: b. Phone Number: C. Fax Number:(optional, if service by fax is acceptable) 5. Surety on any payment bond: NONE 6. Name of any lender making a loan for the construction of the improvements: N/A 7. Persons within the State of Florida designated by owner upon whom notices may be served as provided by Section 713.13(1) (a) 7,Florida Statutes: T, P.O. Box 50939, Jacksonville Beach, FL 32240 Phone: (904) 241-1222 Facsimile: (904) 241-4310 8. In addition to himself, owner designates the following person to receive a copy of the lienor's notice as provided in Section 713.13 (1) (b), Florida Statute (Name, Bank and Address): N/A 9. Expiration date of notice of commencement: 1 year from the date of recording. The forego' g instrument was acknowledged before HABITAT FOR MAN Y OF T E me this day of � 200 �y JACKSONVILLE E C. L, who [ is personally known to me or [ ] has produced as identification By: < [check one]. /� ' Name: Notary Public, State f Florida at Large _ Title: 1......... ...t, ............] Print name below signature I My Commission Expires: My Commission No.: OL [Affix Notary Stamp] Carol A Marcello *"Ay commission CC943448 Expires June 08,2004 GEARING HEIGHT 56HEPULE 0 8' 1-11811 NOTES: T)REFER TO HID 91(9ECOMMENDATION5 FOR HANDLING I1,15TALLATION AND TEMPORARY BRACING) REFER TO ENGINEERED DRAWINGS FOR PERMANENT BRACING REQUIRED. 2.)ALL TRU55E5(INCLUDING TP.U55E5 UNDER VALLEY FRAMING)MU5T BE COMPLETELY DECKED OR REFER TO DETAIL V105 FOR k ALTERNATE BRACING REQUIPEMENT5. I 3.)ALL VALLEYS ARE TO BE CONVENTIONALLY FRAMED DY BUILDER. 4.)ALL TRU55E5 ARE DESIGNED FOR 2'o.c. MAXIMUM 5PACIN6.UNI-E55 OTHERW15E NOTED. 5.)ALL WALL5 5HOWN ON PLACEMENT PLAN ARE CON51DERED TO BE LOAD DEARIPIG,UNLE55 OTHEFW15E NOTED. 6.)5Y42 TPU55E5 MU5T DE IN5TALLED WITH THE TOP DEING UP. 1.)ALL ROOF TRU55 HANGE95 TO BE 51MPSON HU526 UNLE55 OTHEEW15E NOTED. ALL FLOOR TRU55 HANGERS TO BE 51MP5ON THA422 UNLE55 OTHEPWI5E NOTED. 5)REAM/HEADER/LINTEL(HDR)TO BE FUM15HED DY DUILDER. 5HOP DRAWING APPROVAL THI5 LAYOUT 15 THE 50LE SOUPCE FOR FABRICATION OF TRU55E5 AND V0105 ALL PREVIOUS ARCHITECTURAL OR OTHER TRU55 LAYOUT5. REVIEW AND APPROVAL OF THI5 LAYOUT MUST 'E RECEIVED BEFORE A14Y TRU55E5 WILL DE DUILT VERIFY ALL CONDITIOPI5 TO IN5UPE A6AIN5T CHANGE5 THAT WILL RESULT IN EXTRA CHARGE5 TO YOU. ( 2ya+ul Dc6try Datc: Mira.!IY. Dm LIBuild r .FirstSource Gunnell PHONE.904-437-3349 FAX:904-437-3994 Jacksonville FHONE.904-772-6100 FAX 904-772-1973 Lake City PHONE.904-755-6894 FAX:904-755-7973 Sanford PHONE 407-322-0059 FAX.407-322-5553 oUILDER DEAGHE5 HADITAT ,E6AL 011th5 77 51MMON5 RD. YDDEL. PEY151UN: 3 BEDROOM D05T0 NT5 DAIf DPAiX DY: d00J1. i 11/06/02 DT 210422 k 25-0-0 24-M-0 0 0 00 0 0 0 0 o J� --_l --D -:1 -_l --_l J0 -J03 GJO o J05 GJO 0 J07 GJO JOq GJO 2 0 01 o 0 N of � N H nl JOq GJO CJ07 GJO 0 o J05 CdO15 J03 GJO o 0 J01 > 0 0 0 0 0 0 15-0-2 10-2-2 14-11-0 10-1-0 I � Job Truss russ yp Oty Ply 77 SIMMONS RD. A382344 J210422 CJ01 ROOF TRUSS 8 1 77 SIMMONS RD. (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr4)iH01 R1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:1858 2002 Page 1 -2-0-0 1-0-0 2-0-0 1-0-0 C S lo 1:6.1 17 5.00 12 B D000 A 000 2x4 = 1-0-0 1-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.21 Vert(LL) -0.00 B >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.01 Vert(TL) 0.05 A-B >458 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) 0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/defl = 240 Weight: 6 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 1-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=-97/Mechanical, B=275/0-3-8, D=14/Mechanical Max Horz B=81(load case 4) Max UpliftC=-97(load case 1), B=-313(load case 4) Max Grav C=150(load case 4), B=275(load case 1), D=14(load case 1) FORCES (lb) - First Load Case Only TOP CHORD A-B=41, B-C=-62 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category ll, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 11C4S�tt1N�i+luult�trlj 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 97 Ib uplift at v��}ti�� joint C and 313 Ib uplift at joint B. 01 t� 4b ff, 4F, LOAD CASE(S) Standard r S ATEc�F /,A- OR 1 ,A-OR1 ED rpI ft7lt7:)NlIS#!1;!114�1`ti November 7,2002 ' C I I Job Truss Truss Type Qty Ply 77 SIMMONS RD. A382345 J210422 CJ03 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck ThorruhiH01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:18:58 2002 Page 1 -2-0-0 3-0-0 2-0-0 3-0-0 C 1:9.4 5.00 12 000 B D A coo x4 = 3-0-0 3-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.23 Vert(LL) -0.00 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.05 Vert(TL) 0.10 A-B >275 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/deft = 240 Weight: 13 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 3-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=28/Mechanical, B=283/0-3-8, D=42/Mechanical Max Horz B=119(load case 4) Max UpliftC=-88(load case 5), B=-229(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=-50 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 88 Ib uplift at joint C and 229 Ib uplift at joint B. ��+�' � A XtIrk�` IF LOAD CASE(S) Standard w S Al OF 1,a.4 -' OR L) November i1!1'ttitih�� November 7,2002 Job I russ lruss ypety Iy 7 IMMON RD. J210422 CJ05 ROOF TRUSS g 1 (optional) A382346 Builders FirstSource, Jacksonville, FL., Buck Thorr4iiH01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:18:59 2002 Page 1 -2-0-0 5-0-0 2-0-0 5-0-0 C Sca :12.6 5.00 12 oco B D A x4 = c'n 5-0-0 5-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.24 Vert(LL) -0.03 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.14 Vert(TL) 0.11 A-B >249 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/deft = 240 Weight: 19 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 5-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=102/Mechanical, B=347/0-3-8, D=72/Mechanical Max Horz B=162(load case 5) Max UpliftC=-1 64(load case 5), B=-220(load case 4) FORCES (lb) - First Load Case Only TOP CHORD A-B=42, B-C=30 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 164 Ib uplift itit�s�nnunrrr at joint C and 220 Ib uplift at joint B. C LOAD CASE(S) Standard 2,0 Ir7 _ZO £S+ ZF S AIM OF #ski November 7,2002 Job russ Truss Type ty Ply SIMMONS RD. A382347 J210422 CJ07 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr#�iH01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:00 2002 Page 1 -2-0-0 7-0-0 2-0-0 7-0-0 C ScaI '=l' 5.00 12 B D A x4 = 7-0-0 7-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.50 Vert(LL) -0.11 B-D >776 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.28 Vert(TL) 0.35 A-B >75 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/dell = 240 Weight: 251b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (Ib/size) C=164/Mechanical, B=423/0-3-8, D=102/Mechanical Max Horz B=219(load case 5) Max UpliftC=-237(load case 5), B=-227(load case 4) FORCES (Ib) - First Load Case Only TOP CHORD A-B=42, B-C=50 BOT CHORD B-D=0 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 237 Ib uplift ��ll� �un�t»rn+IUtarrll at joint C and 227 Ib uplift at joint B. � Isr� � A c LOAD CASE(S) Standard " ty S AT O I� 0 ED r"flutrr,atitlt', `001 November 7,2002 Job Truss I russ I ype QtY Ply 77 SIMMONSRD. A382348 J210422 CJ09 ROOF TRUSS 8 1 (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr4hiM01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:01 2002 Page 1 -2-0-0 4-8-2 9-0-0 2-0-0 4-8-2 4-3-14 D Sca :19.5 5.00 12 2x4 C B A F E 3x6 3x4 9-0-0 9-0-0 Plate Offsets ): [B:0-2-15,0-1-81 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.29 Vert(LL) -0.19 B-F >563 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.41 Vert(TL) -0.28 B-F >376 BCLL 10.0 Rep Stress Incr YES WB 0.16 Horz(TL) -0.00 E n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/deft = 240 Weight: 381b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) D=90/Mechanical, B=503/0-3-8, E=264/Mechanical Max Horz B=277(load case 4) Max UpliftD=-132(load case 5), B=-308(load case 4), E=-104(load case 5) FORCES (lb) - First Load Case Only TOP CHORD A-B=42, B-C=-408, C-D=25 BOT CHORD B-F=358, E-F=0 WEBS C-F=-393 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 iujtini Ull't P Y 9 Y P Y 9. P P 1��xt +1111A If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to ��`�� + � A. /rrfi� wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ��`� � jFi /VX 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 132 Ib uplift 1 at joint D, 308 Ib uplift at joint B and 104 Ib uplift at joint E. - *# LOAD CASE(S) Standard � �.---•• _ ' S LTi Or t01 ED November 7,2002 Job russ russ I ype Qty Ply IMMONS RD. J210422 EJ11 ROOF TRUSS 6 1 A382349 (o tional) Builders FirstSource, Jacksonville, FL., Buck Thorr#��01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:02 2002 Page 1 2-0-0 5-6-0 11-0-0 2-0-0 5-6-0 5-6-0 2x4 1i cale = 1:26.3 D 5.00 12 3x4 C B 0 0 A x4 = F E 2x4 II Simpson HUS26 3x4 = 11-0-0 11-0-0 LOADING (psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.26 Vert(LL) -0.03 E-F >999 MI120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.20 Vert(TL) 0.05 A-B >495 BCLL 10.0 Rep Stress Incr YES WB 0.38 Horz(TL) 0.01 E n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/deft = 240 Weight: 551b LUMBER BRACING TOP CHORD 2 X 4 SYP No.1N TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.1 D BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) B=581/0-3-8, E=438/Mechanical Max Horz B=374(1oad case 4) Max Uplift B=-352(load case 4), E=-310(load case 4) FORCES Ilb) - First Load Case Only TOP CHORD A-B=42, B-C=-700, C-D=33 BOT CHORD B-F=594, E-F=594 WEBS C-E=-648, C-F=184, D-E=-115 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category Il, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to �%J%III+III+uNryrfyj� wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ��11 1fr�i 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 352 Ib uplift �� B A` i� at joint B and 310 Ib u joint "f uplift at 1 E. �r LOAD CASE(S) Standard — November 7,2002 4 l • s I Job Truss Truss Type ty Ply 7 IMM NS RD. A382350 J210422 HJ11 ROOF TRUSS 4 1 ; (optional) Builders FirstSource, Jacksonville, FL., Buck Thorr4hiH01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:03 2002 Page 1 I -2-9-15 5-8-9 10-5-14 15-6-11 2-9-15 5-8-9 4-9-5 5-0-13 Scale = 1:31.7 2x4 11 E F 6x6 3.54 12 D 2x4 zzz C _ B OA 3x6 5� H Simpson THJA26 G 3x4 = 3x4 = 5-8-9 10-5-14 15-6-11 i 5-8-9 4-9-5 5-0-13 Plate sets ( ): ,0-1-81 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/deft PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.79 Vert(LL) -0.11 B-H >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.38 Vert(TL) 0.21 A-B >174 BCLL 10.0 Rep Stress Incr NO WB 0.51 Horz(TL) 0.02 G n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/dell = 240 Weight: 901b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 4-2-13 oc purlins. BOT CHORD 2 X 6 SYP No.1 D BOT CHORD Rigid ceiling directly applied or 6-5-10 oc bracing. WEBS 2 X 4 SYP No.3 WEBS 1 Row at midpt D-G REACTIONS (Ib/size) B=1006/0-4-15, G=1671/Mechanical Max Horz B=701(load case 2) Max UpliftB=-584(load case 4), G=-1171(load case 2) FORCES (lb) - First Load Case Only TOP CHORD A-13=46, B-C=-2282, C-D=-1778, D-E=76, E-F=-17 BOT CHORD B-H=2169, G-H=1657 WEBS C-H=-539, D-H=731, E-G=-426, D-G=-1965 NOTES 1) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category II, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 yXNt�d�lltitit�i�r�gra try4ry� If end verticals or cantilevers exist,they are exposed to wind. If porches exist, they are not exposed to `` ,t'�t�,CE A. ��if��i wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ! �r�rJ�.q f 2) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 584 Ib uplift `•Y at joint B and 1171 Ib uplift at joint G. G LOAD CASE(S) Standard 1) Regular: Lumber Increase=1.25, Plate Increase=1.25 } Uniform Loads (plf) 5 ATT:Of- � Vert: A-B=-54.0 Trapezoidal Loads (plf) Vert: B=-2.8-to-F=-210.0, B=-0.0-to-G=-116.7 `',• ) 'x i` ,�?` November 7,2002 Job I russ Truss lype ty P y 77 SIMMONS RD. J210422 T01 ROOF TRUSS 2 2 (optional) A382351 Builders FirstSource, Jacksonville, FL., Buck ThorAM01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:04 2002 Page 1 -2-0-0 4-3-0 8-4-8 11-0-0 12-6-0 14-0-0 16-7-8 20-9-0 25-0-0 27-0-0 2-0-0 4-3-0 4-1-8 2-7-8 1-6-0 1-6-0 2-7-8 4-1-8 4-3-0 2-0-0 Scale: 1/4"=1' 4x5 = E P 5.00 12 3x4 0 3x4 D F 2x4 2x4 LC C G B H _ .+A I I� 0 0 4x6 = N M Q L K J 4x6 = 3x4 = 6x6 = 5x6 = 3x4 = 6x6 = 5-0-14 , 10-0-5 1i1-0-p 14-0-0 11-11-a1 19-11-2 , 25-0-0 5-0-14 4-11-6 0-11-11 3-0-0 0-11-11 4-11-6 5-0-14 —Plate Offsets ( K: - -0,0-4-4 , [M:0-3-0,0-4-41 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.35 Vert(LL) 0.26 K-M >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.74 Vert(TL) -0.33 K-M >894 BCLL 10.0 Rep Stress Incr NO WB 0.46 Horz(TL) 0.07 H n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min I/deft = 240 Weight: 300 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 5-0-7 oc purlins. BOT CHORD 2 X 6 SYP SS "Except' BOT CHORD Rigid ceiling directly applied or 9-3-6 oc bracing. H-L 2 X 6 SYP No.1 D WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) B=3287/0-3-8, H=3287/0-3-8 Max Horz B=165(load case 4) Max UpliftB=-1899(load case 4), H=-1899(load case 5) FORCES (lb) - First Load Case Only TOP CHORD A-B=45, B-C=-7370, C-D=-7262, D-0=-7414, E-0=-7300, E-P=-7300, F-P=-7414, F-G=-7262, G-H=-7370, H-1=45 BOT CHORD B-N=6752, M-N=6856, M-Q=5563, L-Q=5563, K-L=5563, J-K=6856, H-J=6752 WEBS C-N=-159, D-N=-258, D-M=-116, F-K=-116, F-J=-258, G-J=-159, E-M=2872, E-K=2872 NOTES 1;1111;1tt�ti��uuNr�f�frlji� 1) This truss has been checked for unbalanced loading conditions. 1`,1'11 �y 2) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level ``"1 �i� I 'fr, �✓ using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category 11, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 CY J-.�4� r0 If end verticals or cantilevers exist, they are exposed to wind. If porches exist,they are not exposed to '� e wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ? * > 7 f 3) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1899 Ib uplift at joint B and 1899 Ib uplift at joint H. 41 2-ply truss to be connected together with 0.131"x3" Nails as follows: 5 AT 0 Top chords connected as follows: 2 X 4 - 1 row at 0-9-0 oc.Bottom chords connected fiZ Ut $ •� Webs connected as follows:2ht 0-5 0 oc. 2 X 4 - 1r wat 0 9 0 oc �'urtr'rrfo:G�4SSSl1ti�� November 7,2002 LOAD CASE(S) Standard 1) Regular: Lumber Increase=1.2 5, Plate Increase=1.25 Uniform Loads (plf) Vert: A-0=-54.0, E-0=-141.0, E-P=-141.0, I-P=-54.0, B-Q=-30.0, L-Q=-249.0, H-L=-30.0 Continued on page 2 ob russ rusS ype ty y I J210422 T01 ROOF TRUSS 2 2 A382351 to tioc.nal) Builders first ource, Jacksonville, L., Buck Thorr�hM 1 R1 s ct 1 2001 Mi ek ndustnes, nWed Nov 06 16:19:04 2002 Page 2 LOAD CASE(S) Standard Concentrated Loads (lb) Vert: L=-1671.0 Q=-1671.0 • • t Job I russruss Type ty Ply 7 SIMMONS RD. J210422 T02 ROOF TRUSS 12 1 (optional) A382352 Builders FirstSource, Jacksonville, FL., Buck Thorr4hiH01 SR1 s Oct 17 2001 MiTek Industries, Inc. Wed Nov 06 16:19:05 2002 Page 1 -2-0-0 6-6-14 12-6-0 18-5-2 25-0-0 27-0-i i 0 2-0-0 6-6-14 5-11-2 5-11-2 6-6-14 2-0-0 Scale: 1/4"=1' 4x5 = D 5.00 12 2x4 2x4 C E B F off' A G Io 3x5 = J I H 3x5 = 3x4 = 3x4 = 3x4 = 8-6-9 16-5-7 25-0-0 8-6-9 7-10-13 8-6-9 LOADING (psf) SPACING 2-0-0 CSI DEFL in floc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.35 Vert(LL) -0.17 B-J >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.51 Vert(TL) -0.24 B-J >999 BCLL 10.0 Rep Stress Incr YES WB 0.24 Horz(TL) 0.05 F n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/dell = 240 Weight: 113 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2D TOP CHORD Sheathed or 4-4-7 oc purlins. BOT CHORD 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 6-11-8 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS (Ib/size) B=1157/0-3-8, F=1157/0-3-8 Max Horz B=162(load case 4) Max UpliftB=-665(load case 4), F=-665(load case 5) FORCES (lb) - First Load Case Only TOP CHORD A-B=42, B-C=-2008, C-D=-1796, D-E=-1796, E-F=-2008, F-G=42 BOT CHORD B-J=1789, I-J=1215, H-1=1215, F-H=1789 WEBS C-J=-316, D-J=636, D-H=636, E-H=-316 NOTES 1) This truss has been checked for unbalanced loading conditions. 2) This truss has been designed for the wind loads generated by 120 mph winds at 13 ft above ground level , using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load, in the gable end roof zone on an occupancy category ll, condition II partially enclosed building, with exposure B ASCE 7-98 per FBC2001 a�i��ojulrilkarrtyt If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to y�q.' 111V' wind. The lumber DOL increase is 1.60, and the plate grip increase is 1.60 ��`� ,1kc 3) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 665 Ib uplift IFrrr4f at joint B and 665 Ib uplift at joint F. LOAD CASE(S) Standard r S ATr O f .N '�FI�ti1Cr!(i1114'tilltitZ�t November 7,2002 t 1 2 1 3 ❑ ❑ as as RIGHT SIDE ELEVATION HIP OPTION t/4"-t'-0" 5 PLATE HEIGHT m s FIN FLR ENTRY ELEVATION HIP OPTION 1/4'-1'-0" c a 0 a� a 0 a _m E g 0 h c 0 4 m H R� 0 a DSGN p� R J.A. Z RAMMOND V O O CHK APVD NO. OAT, REVISION BY APVD O¢i to D bOl ® p I� FLUOR I W as lip wP ELECTRICAL PLAN tic• -1'-0' WATERPROOF SWITCH SINGLE O RECESSED LIGHT ® SMOKE DETECTOR c $61 GROUND FAULT SWITCH SWITCHED OUTLET WALL MOUNT SPOT Jl, ® DOORBELL IM a DMER ; WATERPROOF OLD.MOUNT SPOT ® FLOOR PHONE JACK 220V OUTLET '� $4 4-WAY SWITCH N CLG MOUNTED FIXTURE t�1 TELEPHONE SACK A 8 $3 3-WAY SWITCH ®N EXIT LIGHT/CLG TT L TELEVISION ACK $ � WALL MOUNTED SWITCH EXIT LIGHT/ WALL TRACK LIGHT O THERMOSTAT = y DUPLEX 110V C= EMERGENCY LIGHTSB- FLOOD _IGHT O IIOV FLOOR UV b O EXHAUST FAN CEILING FAN FLUORESCENTS GROUND FAULT HMD WIRE OUADRUPLE% _o N a DSGN gg R J.A.CvAMMOND 9�p{Uli HK X%01 APVD NO. DATE REVISION 8Y APVO t h11 O ai 1 2 1 3 0 ll/4 I i /-DOUBLE� KING STIR$ J SMIGLI N / 2X4 TYPICAL DO N.T.S. 4/12 clb a aR 0 0 0 a m E a ROOF PLAN 1/4"-1`0" h 0 4 h O N o SGN S� R J.A. CRAMMOND C, OR \ Iv- M CF7K e O m PPVOt NO. Dn7E REVISION BY PPVD 4 1 g I 6 A 444el 111111 u Lill B REAR ELEVATION HIP OPTION 1/4"•1'-0" C 013013 as asLj 00 00 LEFT SIDE ELEVATION HIP OP`ION 1/4"•1'-0" W D > W 011e z: a. SHEET 38-1h «. BEACHES HABITAT n ORIGNA� DRA.WG DATE Apri12002 ' BEACHES Y PROJ LW i 1qT Orf I OH NO. L HABITAT T.4s SK0ET,HCIAaA,sT Exterior Elevations (HIP OPTION) SCALES ACCORDWLy U� 09/06/2002 11:19:42 AM 4 1 5 1 6 2" 4'-91/4" 14'-23/4„ A d d' 3068 EX 2868 EX STORAGE 5'-0" `n 3'-4" 2 -1" cQ 9'-6/2" - o ' i 2„ 31/2" _ N i 4Ln .. b M 7 BEDROOM 2 _ o � o N A/C .. N N e R&S ' HW L4 rr� N ro r7 = ' N I V' 1'-5'/z" M M R&S R&S — N '/ 3 5068 BF 3 0 3068 3068 BF W40 8 BF _ 3'-8" 1'-1' Y-1112" N 4'-1'/2 CN F 3'/z.. 4.. -- -- ------ p p� - f c '-- - MASTER Ln - 1 2 r=-, -_-- -------------- BEDROOM ------------ ---------- BATH 1 ko k 13'-0" 2030108S IN, IN - 2'-10" 15'-3" z z _ 1— o U R PLAN ~ 8S //Y/, ®Ng z z Tm SHEET 38-2 0 aAa 5«E. OR BEACHES HABITAT DAIS Ap,,U002 OR,GWAL ORAWWG At BEACHES ��^ ^ NO. F NOT ONE Kn OR J J V v V VL'L�� N0. O HABITAT TMS SNEET.AO.uST Floor Plan SCALES ACCOROUGIr 09/06/2002 1:19.-09 AM 4 I 5 I 6 25'-0" 7.-0- A r------ ---------------------I I I � I I � I I I I I I I I _ \Di 9 �Q I \'s I I I AICD®'TH'P 8 L I I I I ' I I I I I � I I I I I I I I ' I I I I I I I I li I — I If I �m C Ix I " I I I i I I I I I I I I u I i I o I--------------- -----'-----I I V I b 25`0- 1 1 FOUNDATION PLAN z O 1/4"-1'-0" — H ov D ry F- z SHEET 38-3 0 L �, BEACHES HABITAT DATE Agra2002 ORIGNAL. DRAW NG BEACHES PROJ ' i NOT E NCr•OR NO. HABITAT SMS S ACC AOJUSt Electrical and Foundation Plans SCALES ACCdtDNGL• 09/06/2002 /1:19:0/AAI 4 I 5 I 6 A ASPHALT SHINGLES OVER 7/16 MIN. OSB SHEATHING NAILED 6-OC.EDGE' 12"OC FIELD W/ 8d NAILS ON PRE- ENGINEERED ROOF TRUSSES AT 24"OC TS 2X6 SPF FASCIA \"GWEI W/ VINYL WRAP SANIBEL STRAP. CHANNEL SET VINYL EA TRUSS 'LATE �l DOUBLE 2x4 TOP PLATE SOFFIT w/ CENTER VENT DOL 2.4 SYP•2 TOP PLATE VINYL SIDING OVER TYVEK HOUSE WRAP 2.4 SPF-2 STUDS 016' ON 7/16"OSB SHEATHING HEADER NAILED 6"OC EDGE,12" R-13 BATT tNSUL OC FIELD W 8d NAILS KING STUDS \ 2X4 PT SOLE PLATE `ROUGH OPENING MAS ANCHOR BOLTS 24• OC WASHERS 8 JACK STUDS 3000 PSIFIBERMESH CONIC SLAB ON 6 MK POLY VAPOR BARRIER ON CLEAN.COMPACTED.TERMITE TREATED FILL FINISH FLOOR I FINISH GRADE � V SINGLE TREATED 2X♦ SOLE PLATE D 2.4 STEEL.CONT TE FRAMING TYPICAL WINDOW FRAMING EXTERIOR WALL SECTION N T c N.T.S. C ROVCR MEAGER •OF KING •OF JACK ITEM MARK DESCRIPTION OPENING SIZE STUDS STUDS WIN" 3010 SM r wide q r Npn-sln4/e Axq WIrdW 3'-%i+T"% DBL 2XB x r-J}'i• 4 2 3017 SM r wide by r/yp16-sl"Iwq wln0ow loosnlre gbss/ r-%'x r-%i DBL 2XB X T'J3'i" 4 2 3550 SM r wide by 5'ligh-singM tWV wlAdCW J'-'14 X 5'-%4• DBC 2XB 4 2 4050 SM 4'Wlde oy S'Ngh-single WM wlAdCW 4'•%i X 5'-%• DBL 2X10 x!-J-%* 4 2 BIFO(D DL10R 2068 BF Z w/de ey 6-edge-NyNd door 2 4h*X 6'-9111' 2X4 X Z-r 4 2 3066 BF Jr wide by 6'•B/npll-WaId door 6-9112' 2X4 x 3'•4' 4 2 4068 BF 4-wide q 6'-dngn-olTdd dW 4•-!/7•X 6'-9112' 2X4 x r-4• 4 2 5058 BF 5'wide by 6-aMpe-WOO door 5'412'X 6'-9h' 2,4 X 5'-4• 4 2 DOOR 2866 EX Z8 wide oy 6'-B'Iypn-exlerlor dour -KT+6'-0112' DBL 2x8 X Z•Ih}'j' 4 2 3066 EX r•v wide by 61FMgn-eXlerl-door r-Z X—6- OW DSL 2X8 X r•3}r" 4 2 Z 2868 Z-d wide by 6'dNgn-lrferlor dor Z-KT X 6'-10112' 2.4 x Z-Ihx' 4 2 0 JC58 rawide oy 6'•B'Mgn-Meda aaor T-Z X 6'-012- 2x4 X r•33'2• 4 2 F— DLn U z SHEET 38"4 0 BAR 6 ONE HCNN ON BEACHES HABITAT DATE Ap,,l 2002 ORIGINAL DRAWING j BEACHES 0 ,l .3 PROJ D! IF NOT ONE INCH ON N0. 0 HABITAT THIS 1E7."D•55A1ST Exterior WallSectiono and Roof Plan SCALES ACCORDINGLY V- 09/06/2002 /1:19:34 AIM FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Habitat, Single Family Home Builder: Beaches Habitat Address: 85 Simmons Rd. Permitting Office: Atlantic Beach City, State: Permit Number: Owner: Jurisdiction Number: Climate Zone: North 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:24.0 kBtu/hr 3. Number of units,if multi-family 1 _ SEER: 10.00 _ 4. Number of Bedrooms 3 _ b.N/A _ 5. Is this a worst case? Yes 6. Conditioned floor area(112) 1125 ft' c. N/A _ 7. Glass area&type _ a. Clear-single pane 0.0 ft, - 13. Heating systems b. Clear-double pane 130.0 112 _ a. Electric Heat Pump Cap:24.0 kBtu/hr c. Tint/other SHGC-single pane 0.0 ft2 _ HSPF:7.00 _ d. Tint/other SHGC-double pane 0.0 ft, b. N/A _ 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 143.0(p)ft _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:40.0 gallons a. Frame,Wood,Exterior R=I 1.0,972.0 ft' _ EF:0.92 _ b.N/A _ b.N/A _ c. N/A d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0, 1126.0 ft' _ 15. HVAC credits _ b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,25.0 ft _ MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 18489 PASS Total base points: 20243 I hereby certify that the plans and specifications covered Review of the plans and sT by this calculation are in compliance with the Florida specifications covered by this All = 9r�o Energy Code. calculation indicates compliance COwQ with the Florida Energy Code. "- o PREPARED BY: Ocean State HVAC .1 Before construction is completed A 1 I v DATE: 0 - 0"Z this building will be inspected for hereby certify that this building, as signed, 's ' compliance with Section 553.908 fl, 5� compliance with the Florid e. Florida Statutes. cOD wE � OWNER/AGENT: n r y dBUILDING OFFICIAL: DATE: % , L DATE: EnergyGauge®(Version: FLRCPB v3.21) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1125.0 20.04 4058.1 Double. Clear SW 1.5 6.0 15.0 38.46 0.89 510.7 Double, Clear NW 1.5 4.0 6.0 25.46 0.85 129.3 Double, Clear NW 1.5 4.0 9.0 25.46 0.85 194.0 Double, Clear NW 1.5 6.0 15.0 25.46 0.93 353.4 Double, Clear NE 6.0 6.0 20.0 28.72 0.59 336.3 Double, Clear NE 1.5 6.0 20.0 28.72 0.92 528.9 Double, Clear SE 1.5 6.0 15.0 40.86 0.88 541.4 Double, Clear SE 1.5 6.0 15.0 40.86 0.88 541.4 Double, Clear SW 1.5 6.0 15.0 38.46 0.89 510.7 As-Built Total: 130.0 3646.1 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 11.0 972.0 1.70 1652.4 Exterior 972.0 1.70 1652.4 Base Total: 972.0 1652.4 As-Built Total: 972.0 1652.4 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 38.0 6.10 231.8 Exterior 38.0 6.10 231.8 Base Total: 38.0 231.8 As-Built Total: 38.0 231.8 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1124.7 1.73 1945.7 Under Attic 30.0 1126.0 1.73 X 1.00 1948.0 Base Total: 1124.7 1945.7 As-Built Total: 1126.0 1948.0 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 143.0(p) -37.0 -5291.0 Slab-On-Grade Edge Insulation 0.0 143.0(p -41.20 -5891.6 Raised 0.0 000 0.0 Base Total: -5291.0 As-Built Total: 143.0 -5891.6 INFILTRATION Area X BSPM = Points Area X SPM = Points 1125.0 10.21 11486.3 1125.0 10.21 11486.3 EnergyGaugeO DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: BASE AS-BUILT Summer Base Points: 14083.3 Summer As-Built Points: 13073.0 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 13073.0 1.000 (1.090 x 1.147 x 0.91) 0.341 1.000 5076.2 14083.3 0.4266 6007.9 13073.0 1.00 1.138 0.341 1.000 5076.2 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: BASE AS-BUILT FGLASSPESditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF= Point .18 1125.0 12.74 2579.9 Double, Clear SW 1.5 6.0 15.0 7.17 1.06 114.0 Double, Clear NW 1.5 4.0 6.0 14.03 1.01 84.9 Double, Clear NW 1.5 4.0 9.0 14.03 1.01 127.3 Double, Clear NW 1.5 6.0 15.0 14.03 1.00 211.1 Double, Clear NE 6.0 6.0 20.0 13.40 1.04 279.8 Double, Clear NE 1.5 6.0 20.0 13.40 1.01 269.7 Double,Clear SE 1.5 6.0 15.0 5.33 1.10 87.7 Double, Clear SE 1.5 6.0 15.0 5.33 1.10 87.7 Double, Clear SW 1.5 6.0 15.0 7.17 1.06 114.0 As-Built Total: 130.0 1376.2 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 11.0 972.0 3.70 3596.4 Exterior 972.0 3.70 3596.4 Base Total: 972.0 3596.4 As-Built Total: 972.0 3596.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 38.0 12.30 467.4 Exterior 38.0 12.30 467.4 Base Total: 38.0 467.4 As-Built Total: 38.0 467.4 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1124.7 2.05 2305.6 Under Attic 30.0 1126.0 2.05 X 1.00 2308.3 Base Total: 1124.7 2305.6 As-Built Total: 1126.0 2308.3 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 143.0(p) 8.9 1272.7 Slab-On-Grade Edge Insulation 0.0 143.0(p 18.80 2688.4 Raised 0.0 0.00 0.0 Base Total: 1272.7 As-Built Total: 143.0 2688.4 INFILTRATION Area X BWPM = Points Area X WPM = Points 1125.0 -0.59 -663.7 1125.0 -0.59 -663.7 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: BASE AS-BUILT Winter Base Points: 9558.2 Winter As-Built Points: 9773.0 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 9773.0 1.000 (1.069 x 1.169 x 0.93) 0.487 1.000 5533.0 9558.2 0.6274 5996.8 9773.0 1.00 1.162 0.487 1.000 5533.0 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.21 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 40.0 0.92 3 1.00 2626.61 1.00 7879.8 As-Built Total: 7879.8 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 6008 5997 8238 20243 1 5076 5533 7880 18489 PASS yo� 0 �xErSTAT� I�C0D 1NEJ�S EnergyGauge'" DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.21 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 85 Simmons Rd., , , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows& Doors 606.1.ABC.1.1 Maximum:.3 cfm/s .ft.window area; .5 cfm/s .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; ! foundation&wall sole or sill plate;joints between exterior wall panels at comers;utility penetrations; between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Multi-story Houses ! 606.1.ABC.1.2.5 Air barrier on perimeter of Floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS 1 SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker electric or cutoff as must be provided. External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTm DCA Form 60OA-2001 EnergyGaugeO/FlaRES'2001 FLRCPB v3.21 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 84.2 The higher the score,the more efficient the home. 185 Simmons Rd., , , 1. New construction or existing New — 12. Cooling systems 2. Single family or multi-family Single family — a. Central Unit Cap:24.0 kBtu/hr _ 3. Number of units,if multi-family 1 _ SEER: 10.00 _ 4. Number of Bedrooms 3 _ b.N/A 5. Is this a worst case? Yes 6. Conditioned floor area(ft2) 1125 ft2 c. N/A 7. Glass area&type _ _ a. Clear-single pane 0.0 ft2 — 13. Heating systems b. Clear-double pane 130.0 ft2 _ a. Electric Heat Pump Cap:24.0 kBtu/hr c. Tint/other SHGC-single pane 0.0 ft2 _ HSPF:7.00 d.Tint/other SHGC-double pane 0.0 ft2 b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 143.0(p)ft _ c. N/A _ b.N/A c. N/A 14. Hot water systems 9. Wali types _ a. Electric Resistance Cap:40.0 gallons a. Frame,Wood,Exterior R=11.0,972.0 ft2 _ EF:0.92 _ b.N/A _ b.N/A _ c.N/A d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0, 1126.0 ft2 _ 15. HVAC credits _ b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Interior Sup.R=6.0,25.0 ft _ RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) y®1 THE Sr4 in this home before final inspection.Otherwise,a new EPL Display Card will be completed . based on installed Code compliant features. Builder Signature: Date: 0 �- a Address of New Home: City/FL Zip: r�6'0p WE *NOTE. The home's estimated energy performance score is only available through the FL 41RES computer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 for a US EPAIDOE EnergyStarTmdesignation), your home may qualify for energy efficiency mortgage(EEA/1) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version:FLRCPB v3.21) SINGLE FAMILY HOME HVAC LOAD ANALYSIS for Beaches Habitat P.O. Box 50939 Jacksonville Beach, FL 32250 LQftwqle tej HVAC o� RHVA . Prepared By: Rick Janousek Ocean State Heating&Air Conditioning 1476 Atlantic Boulevard Neptune Beach, FL 32266 (904)249-8251 11-20-02 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Single Family Home Neptune Beach,FL 32266-1798 11-20-02 Page 2 Project Summary Project: Single Family Home Company: Ocean State Heating &Air Conditioning Client: Beaches Habitat Representative: Rick Janousek Address: P.O. Box 50939 Address: 1476 Atlantic Boulevard City: Jacksonville Beach, FL 32250 City: Neptune Beach, FL 32266 Phone: 241-1222 Phone: (904) 249-8251 Fax: Fax: (904) 249-8949 Comment: Design Data Project Name: Single Family Home Reference City: Jacksonville, Florida Daily Temperature Range: Medium Latitude: 30 Degrees Elevation: 26 Feet Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference Winter: 27 N/A N/A 72 N/A Summer: 96 78 50% 75 51 Check Figures Total Building Supply CFM: 801 CFM per square foot: 0.712 Square feet of room area: 1,125 Square feet per ton: 590.223 Building Loads Total heating required with outside air: 23,653 Btuh 23.653 MBH Total sensible gain: 17,612 Btuh 85 % Total latent gain: 3,010 Btuh 15 % Total cooling required with outside air: 20,622 Btuh 1.719 Tons (based on sensible + latent) 1.906 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Wednesday,November 20,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Single Family Home Neptune Beach,FL 32266-1798 11-20-02 Page 3 Total Building Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 130 4,241 0 5,572 5,572 10D Door Wood Solid Core 38 787 0 430 430 12C Wall R-11 + 1/2" Gypsum(R-0.5) 972 3,936 0 2,153 2,153 16G Ceiling R-30 Insulation 1,126 1,672 0 1,672 1,672 22A Slab on Grade No Edge Insulation 143 5,214 0 0 0 Subtotals for structure: 2,409 15,850 0 9,827 9,827 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 3,600 3,600 Lighting: 0 0 0 0 0 Ductwork: 0 1,127 0 1,601 1,601 Infiltration:Winter CFM: 135.0, Summer CFM: 60.0 168 6,676 2,090 1,384 3,474 Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 17,612 Temperature Swing Multiplier: X1.00 Building Load Totals: 23,653 3,010 17,612 20,622 Check Figures Total Building Supply CFM: 801 CFM per square foot: 0.712 Square feet of room area: 1,125 Square feet per ton: 590.223 Building Loads Total heating required with outside air: 23,653 Btuh 23.653 MBH Total sensible gain: 17,612 Btuh 85 % Total latent gain: 3,010 Btuh 15 % Total cooling required with outside air: 20,622 Btuh 1.719 Tons (based on sensible + latent) 1.906 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Wednesday,November 20,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Single Family Home Neptune Beach,FL 32266-1798 11-20-02 Page 4 System#1 Summary Loads Component Area Sen. Lat. Sen. Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 130 4,241 0 5,572 5,572 10D Door Wood Solid Core 38 787 0 430 430 12C Wall R-11 + 1/2"Gypsum(R-0.5) 972 3,936 0 2,153 2,153 16G Ceiling R-30 Insulation 1,126 1,672 0 1,672 1,672 22A Slab on Grade No Edge Insulation 143 5,214 0 0 0 Subtotals for structure: 2,409 15,850 0 9,827 9,827 Active People: 4 0 920 1,200 2,120 Inactive People: 0 0 0 0 0 Appliances: 0 0 0 3,600 3,600 Lighting: 0 0 0 0 0 Ductwork: 0 1,127 0 1,601 1,601 Infiltration:Winter CFM: 135.0, Summer CFM: 60.0 168 6,676 2,090 1,384 3,474 Ventilation:Winter CFM: 0.0, Summer CFM: 0.0 0 0 0 0 0 Sensible Gain Total: 17,612 Temperature Swing Multiplier: X1.00 System Load Totals: 23,653 3,010 17,612 20,622 Check Figures Supply CFM: 801 CFM per square foot: 0.712 Square feet of room area: 1,125 Square feet per ton: 590.223 System Loads Total heating required with outside air: 23,653 Btuh 23.653 MBH Total sensible gain: 17,612 Btuh 85 % Total latent gain: 3,010 Btuh 15 % Total cooling required with outside air: 20,622 Btuh 1.719 Tons (based on sensible + latent) 1.906 Tons (based on 77% sensible capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Wednesday,November 20,2002 RHVAC-Residential&Light Commercial HVAC Loads Program Elite Software Development,Inc. Ocean State Htg&A/C Single Family Home Neptune Beach,FL 32266-1798 11-20-02 Page 5 Room Load Summary Reports System#1 Room Load Summary Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM ---Zone 1--- 1 Master 181 3,238 42 0-0 0 2,718 647 124 1.00 124 124 Bedroom 2 Bath 154 1,466 19 0-0 0 1,980 75 90 1.00 90 90 1/2,Laun dry 3 Kitchen 112 1,383 18 0-0 0 3,260 112 148 1.20 178 148 4 Dining 100 4,113 53 0-0 0 1,906 435 87 1.25 108 87 5 Living 225 5,392 70 0-0 0 3,208 435 146 1.25 182 146 6 Bedroom 209 5,025 65 0-0 0 2,252 889 102 1.00 102 102 3 7 Bedroom 144 3,036 39 0-0 0 2,288 417 104 1.00 104 104 2 System 1 1125 23,653 307 17,612 3,010 801 889 801 Totals Main Trunk Size: 12x12 in. System#1 Cooling System Summary Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 1.719 85%/15% 17,612 3,010 20,622 Recommended: 1.906 77%/23% 17,612 5,261 22,873 System #1 Equipment Data Heating System Cooling System Wednesday,November 20,2002 MAP OF SURVEY LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8.8 B L 0 B-9 x 11.0 8.8 g.1 LOT 12 10.0 7" 9 89'49'O5"E �5. 1z�� 101 8,7 11.s N 89 30 00 E „ t1. 10.63 ' FOUND 1/2" IRON 12 3 F D 1/2 IRON PIPE, NO CAP 6 8"LIVE OA IP N ICAP 1 "PINE , 14.0 . 2.6 0.5 2 "LIVE OA I 11.0 04 10. 22"PINE II ui � I 18"PINE 16"PINE U1^t 10.4 11 o P UI ' 18"PINE 10;4 6"OAK �0 27"LAU L K 21"PALM017"PINi . 1 •1 0.2 2.7 W N +p `` 26"PINE 11.1 a 12" AK20" INE Ln 20"PINE BLAC ACK o N 24"PINE p w LOT 11 O 10.6 N^ LOT 9 LOT 7 0 0 o - o , 17"PINE Ld 9 o O 19'PINE s LOT 10 w Z Z 0 11.4 Nam "SWEETGUM f o o W 20"PINE 16"LIVE OAK o 12 PI E 5.5' 6 0' ! 1A.6 . o • a. Q 10,7 � 11,5 � 3 11.61 T ` 4 10.8 14 INE `0 �U\J 0.5' 15'PINE 12" INE 13"PINE V 1 "PIN 8„PI 11 IN o S. M w 21 � � 11.4 11. Lj Z 12" IN 20 PIN 0 v 17"PALM ,? 12 6 1 "PI E FOUND 1/2" 1 ON '"" .6 PIPE, NO CA FOUND 0' IR N FL=8.82 0.5 11.4 " 6 .00' FL=9.02 12.0 1214 S89'30 00 W'55.00 11.0 11.0 t 3 12 55.19' FIELD ��_ 11,80 11.63 11.61 11.94 11.50 1195 SIM ONS RD EDGE PAVEMENT 1 + 3' WOOD FENCE 12.32 12.0 11,83 11.87 _v v 12.25 - CENTERLINE NOTES: 30' RIGHT OF WAY I THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE LOCATION SURVEY. BEARINGS ARE BASED ON THE NORTHERLY RIGHT OF WAY LINE OF SIMMONS ROAD, BEING S 89'30'00" W. BENCHMARK USED IS "X" CUT IN CATCH BASIN ON NORTH SIDE OF ROBERTS STREET & WEST SIDE VOOSWAR LOUNGE AS HAVING AN ELEVATION OF 10.78 (NGVD 1929) THE ELEVATIONS SHOWN HEREON ARE IN FEET AND ARE THIS SURVEY WAS MADE FOR THE BENEFIT OF BASED ON N.G.V.D. (1929)• BEACHES HABITAT AND IS IN COMPLIANCE WITH THE MINIMUM NO OTHER IMPROVEMENTS WERE LOCATED BY THIS TECHNICAL STANDARDS SET FORTH IN CHAPTER SURVEY, EXCEPT AS SHOWN. 61 G17-6 OF THE FLORIDA ADMINISTRATIVE CODE. NO BUILDING RESTRICTION LINES AS PER PLAT. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "AH" (EL.6) AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" COMMUNITY-PANEL NUMBER 125147-0187 D, REVISED JULY 30, 1999, FOR ST. JOHNS COUNTY, FLORIDA. "NOT VALID WITHOUT THE SIGNATURE AND THE DONN W. BOATWRIGHT, P.S.M. FLA. LIC. SURVEYOR AND MAPPER No. LS 3295 ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: 4„r BOATWRIGHT LAND SURVEYORS, INC. DATE: NOVEMBER 14, 2002 DRAWN BY: AJ 1711 5th STREET SOUTH FILE #: 2002-1270 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 s PLAN REVIEW COMMENTS Permit Application # 5� )6 Applicant. C('e Address: — Project: o Your application is approved J� Your permit application has been reviewed and the following items need attention: FA2vdc t P C La � z p ah S0 f - o Please re-submit your application when these items have been completed. Reviewed by !`O�e S Kosot/ Signed Date Oz Contractor Notified Date /Oa- P. 01 TRANSACTION REPORT OCT-30-2002 WED 10:53 AM FOR: ATL, BCH. PUBLIC WORKS 904 247 5843 DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP OCT-30 10;51 AM 92414310 1' 39" 3 SEND OK 482 TOTAL 1M 39S PAGES: 3 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATI,k TMC BEACH,FLORIDA 32233.4318 J TELEPHONE: (904)247.5834 FAX: (904)247.5843 £) SUNCO M: 852.5834 hap://ci.atiantic-hcach.fl.us FAX TRANSMITTAL DATE: �_fl a to-x-- TO: TO; QC -Q S Naas FAX #; (- 14SI D - Total Number of Pages, Including Cover Sheet: 13__- -�',,L it '/� '�LSo 7 S BY City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL-, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESSA"�' ` APPLICANT ADDRESS 1671 PHONE: Z Z LEGAL DESCRIPTION: BLOCK NUMBER_ LOT NUMBER ZONING DISTRICTZ(Jt-0/,5 CONTRACTOR Jam' filf]EF S' -' STATE LICENSE NUMBER ADDRESS PHONE �t CITY STATE ZIP FAX 2�j 4_3 DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDINGS) VJ+C!!`ACL.-' VALUATION OF PROPOSED CONSTRUCTION 241 er- Cs Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? NO.-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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. DATE SIGNATURE OF OWNER 14 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. X/1 DATE `Z...._-. SIGNATURE OF CONTRACTOR ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) f NAME 01--)y4, ,6- MAILING 1 , ,6- ��L'71t MAILING ADDRESS 16 7/ F f PHONE f Z �- FAX Z�-I ! __E-MAIL C? (—. SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL , JENNIFER SCHLUETER NOTARY'S SIGNA .. 4-A MY COMMISSION#DD 121301 AS TOO = EXPIRES:May 27,2006NJ/PersonallyPersonally known sanded rhru dowry Public Underwriters F-1 Produced identification Type of identification produced AS TO CONT R e ,�'T ersonally known JENNIFER SCHLUETER (Produced identification MY COMMISSION#DD 121301 Type of identification produced _`: 27 2006 EXPIRES:May '�F• ''' gerxed Thru Naa Public Undenr^� MAP OF SURVEY LOT 8, BLOCK 9, DONNERS REPLAT, AS RECORDED IN PLAT BOOK 19 PAGE 16, OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 8.8 8.9 x 11.0 8.8 g•1 LOT 12 10.0 7- 8 " 9 89'49'05"E 55 N 89'30'00"E 11.6 1p.63 FOUND 112" IRON 12.3 8"LIVE OA F D 112IRON PIPE, NO CAP 16"PINE 1a.o IP N ICAP _ a • 7 2.6 0.5 2 "LIVE OA I 0 N 10 22"PINE II 18-PINE 16"PINE Q10.4 11 0 0 U 18"PINE 10.4 6"OAK 27"LAU L K 9 0 21"PALM017"PIN` 1 .1 0.2 w 1t.t Q 12" AK 20" INE Ln 20"PINE BLAC ACK - o N 12.0' 25.0' 18.0' 0 LOT 11 w Q 10.6 Lci N LOT 9 LOT 7 0 0 PROPOSED Ld e oO 1 "PINE 1 -STORY 14 t w = LOT 10 Z z RESIDENCE Ln N W o No• 85 0 16" VE OAK o 12 PI E 5.5' 6 0' v t .6 g. r FINISH FLOOR a 11 5 3 11.51 ELEVATION:13.5 L� 10.8 14' INE �0 11.40.5' 12" INE k' 13"PINE w 1 IN v 12. 25.0' 18.0' 1•t 6 INo w 0 8"PINE NN 11.4 z o 0 12"PIN 20 PIN 0 N � N 1 "PI E PROPOSED .�r 12'6 FOUND 1/2" IRON 20'x FOUND IR N PIPE, NO CAP CONCREE TE 17"PALM FL=8.82 0.5DRIVEWAY 11 4 PIP . 0 6 .00' FL=9.02 12.0 12142 0 S89130 00 W'55.00 t1 p 110 t 3 2 55,19 FIELD ��,L- ,�1t•2 11.80 11,63 11.61 11.50 11.94 11.95 EDGE PAVEMENT tj A A �y' ROAD 1 I � 3' WOOD FENCE 12.32 s! ONS ROAD 11.87 I"11 11.87 12.25 - CENTERLINE - -----1 ,T� 30' RIGHT OF WAY NOTES: - t THIS IS A BOUNDARY, TOPOGRAPHIC AND TREE LOCATION SURVEY. '� !, ®'Qo? BEARINGS ARE BASED ON THE NORTHERLY RIGHT OF WAY LINE OF SIMMONS ROAD, BEING S 89'30'00" W. BENCHMARK USED IS "X" CUT IN CATCH BASIN ON NORTH SIDE OF ROBERT STREET & WEST SIDE VOOSWAR LOUNGE THIS SURVEY WAS MADE FO HE BENEFIT OF AS HAVING AN ELEVATION OF 10.78 (NGVD 1929) BEACHES HABITAT THE ELEVATIONS SHOWN HEREON ARE IN FEET AND ARE AND IS IN COMPLIANCE WITH THE MINIMUM BASED ON N.G.V.D. (1929). TECHNICAL STANDARDS SET FORTH IN CHAPTER 61 G17-6 OF THE FLORIDA ADMINISTRATIVE CODE. NO BUILDING RESTRICTION LINES AS PER PLAT. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" COMMUNITY-PANEL NUMBER 120075 0001 D, REVISED JULY 17, 1989 FOR DUVAL COUNTY, FLORIDA. OONN W. BOATWRIGHT, P.S.M. "NOT VALID WITHOUT THE SIGNATURE AND THE FLA. LIC, SURVEYOR AND MAPPER No. LS 3295 ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER." REVISED TO ADD BUILDING: 11-25-2002 FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DATE: NOVEMBER 14, 2002 DRAWN BY: AJ 1711 5th STREET SOUTH SHEET 1 OF 1 FILE #: 2002-1270 JACKSONVILLE BEACH, FLORIDA 241-8550