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Permit 1102 - 1104 Rose St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000834 Date 6/10/09 Property Address . . . . . . 1102 ROSE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4945 ---------------------------------------------------------------------------- Application desc REROOF --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RUSSEL CONSTR. , DEAN MILLBROOK CONSTRUCTION CO. 1415 SOUTH 3RD STREET 2605 SOUTHSIDE BLVD JAX BEACH FL 32250 JACKSONVILLE FL 32216 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4945 Expiration Date . . 12/07/09 ------------------------------------------------- --------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH - O" s 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 4 I I ( I I OFFICE:(904)247-5626•FAXNO.:(904)247-5845 BUILDING-DEPTQCOAB.US =rf = BUILDING PERMIT APPLICATION DUVAL COUNTY ;1:'JOBADDRESS :!, ,•- h„ ._.a I,r .. : * 2.VALUATION OF;WORK, "•: 3 SO:FT,UNDER ROOF„ , �. �� �� aZ ba90S e N"V14 c 6rc.tll G'.>1.?3 � DO 0 �T d1:EGAL DESCRIPTION;n •.ri "' ': '^, ,:. .5.CLASS O,FVNORK 4"-! .4`:!� _,.:- •-� 61U E,OFSTRUCTURE r ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL S1,5,'1,DESCRIPTION OF WQRK ❑ALTERATION ❑ACCESSORY BLDG. 8:FIRE'SPRINKLER . ❑REPAIR ❑POOL/SPA ❑YES ❑N/A �O O ❑MOVE ❑OTHER 113 NO + r' PROPERTY OWNER x' .' : "s CONTRACTOR_ ARCHITECT/ENGINEER V. 9.NAME: 15.COMP NY NAME: 23.COMPANY NAME: MilhfooK C44 n d� slob 1 tp� 16.NAME: 24.LICENSEE NAME: 1✓ 'L 10.ADDRESS: 17.STATE OF FLORIDA LICENSE )' 25.STATE OF FLORIDA LICENSE NO.: o rase- � 3 18.ADDRESS: C ,(,Os j J e 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFIC HONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE '5y5- q-7- l 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: r6r--�K Col57 rA0-j .(-o 9 FEE S MPnL TITLEo HOLD s BONDING COMPAN_ MORTGAGE LENDER 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 worts 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 r CONT (If Agent P wer of Attorney or Agency Letter Required) IY) per/ Sign�� Date:'5 1 0 BUY Signed: Before me this day of �C"{ 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida has personally appe red 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 t v�^u1,County Of fJL"j,,+ Notary Public at Large,State of fgO'f-�A,County of KPersonally Known El Personally Known ^, `` ProducedIdent�ca'on- ProducedIdentifice' n- rL c�Cx?�7 '" t 5 Notary Signature: N"v hike•VAN so Hetltte • woe.I mm1111Ab«Atl�w. Commis"r a N>fiN BLDG01 Permit Application Bldg:REVISED:12/18/2008 so" I.f- f J J� 800 Seminole Road s41 Atlantic Beach,Florida 32233 j Telephone(904)247-5800 j " FAX(904)247-5805 Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6-18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan--parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. 3. Location of construction trailers,loading/unloading area and material storage area. 4. Location of chemical toilet area.(chemical toilets must be kept out of City right-of-way and not further than 15 feet from structure under construction) 5. Location of dumpster.Dumpster must be from an approved waste company (in accordance with Chapter 16 City Code)as of 2009 the permitted dumpsters are Advanced Disposal, ReaIco Recycling, and Shappells. Dumpsters will have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy. 6. Traffic control plan, showing access with dimensions,area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 7. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber,concrete remnants and other such construction debris including cans,metal,plastic and paper. 8. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion& Sediment Control Plan(silt fence,catch basin filters,etc.) until sod or other stabilization has been placed and approved by Public Works. 9. Other activities,where special conditions are identified by the Building Oficial. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6-17 (3) Revised 5/2009 CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(914)237-588 FAX(904)247-5805 NOTICE To: Water Department City of Atlantic Beach Date: 6--r7-4?--3----_ ---- Please be advised that the final building inspection has been completed on each of the folioring addresses and construction rater is no longer required: Permit Number Address & 416 / //0 �_ 16s4e dtuvt- ----- ------- ------------------ _ y� - ----------- _51/a11----- �? _ - - - - - ---------------- _ 932 99----- � � Z _ /La'-4-------------- -------------- ------------------------------------------- Sincerely, � P i f _ � Don C. Ford s Building Official DCF/pahj cc: Ci�y Manager I i i Tatiftrate of Myrruparg (situ of Atlantic +N=4 — Ylariba Department of 'Nuilbing 'Jnopation This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard ` Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Duplc!x Uu-Lt Bldg. Permit No. 6461 4 Group W/frainC Type Construction dtipl :Tire District Atlantic Beach Owner of Building Dew, Busse, 1. Street 1 Address rcis icko Tzsca— c 4r�z 1-2250 . Byitding Address 2 Ro, Str£?c=t Locality Atlantic Buac h. W1, 2233 By: DOIN G. r ORD Building Official" Date: Pr kk� POST IN A CONSPICUOUS PLACE P IA;w; :`.i «a<1 _c.a...'<,: i. _r : n6.Fa.^•,i;„dei. e,. MIIIMf ;IM*oathr,. . 4 '. .” M. _? SHOWING UR EA ?'NE Sourer 4o F'E4,r of tor Ga► tlC.ocw /`J Z j EG7'/0A/ ,._ r/-AA/r/r/-AA/r/c 43CA cN AS RECORDED IN PLAT BOOK i8 PAGES 3a OF THE CURRENT PUSLIC RECORDS OF OU VA L COUNTY,FLORIDA. CERTIFIED TO P�OptE S ,�eik'Sr Fid[vGl.4 L, ,q Vnt,tSS 40,dAt AS50c xQ4,6 : 20 JUN - 31993 Building and Zoning LO T GpT 40.0 � D C 40 �9 3 . 1•e 4 0 eco 1,0•'" 00�7—T N •,,rare; N 4.4. r�i � LSpp�plt.� ry ✓ A10.114)z Lj 1'n 0 � A SToaY V �, ;� 1 uno�v s�c►�,v�y e' v V ala:•�j: :A�•x;, 30, 4o•of Roses jv,,,N 7-R65 e,r M u 11l� l � � 3 t i j C�Etft Of 04,91CCULUMICU ` + — �lvri�tt �tlttntit ettcl� t�tE nt of liuilding Jnspectilan Boar a the Southern Standard This Certificate issued pursuant to the requirements of Section 103.8 of Mance with the in Code certifying that at the time of issuance this structure was in compliance ry1' Building various ordinances regulating or use. building cons For the following. j6462 Bldg Permit No. 4 use Classification L tlTa.f- /a t 3 a;tL i s `<� L w Fire District r 7';;vvzt Type Construction - 1 y 1 7 1 LX c �s t ,a. 122 50 Group r, t i.l Address �!�, 32933e xt Ru hf 1 a-f t l C l Owner of Building 1 t R Cr tm e L' Locality �4 FORD Address lt9 rtCiw � Buil •h9 �i � By: Date: , r: � r— t, Building Official, POST IN A CONSPICUOUS PLACE Ma SHOWING SURVEY L. r"s iE Sov rAv /0 <"Ee-r CJF G O r 3' , -rYXa er'M,s z. W/rf./ r".E NO R rf4 30 EE T' c,-- G D r 6, 6 C oc,4r /9 Z, SEC'rlau "N " A 7 4A al7 /C /3 AC 4 AS RECORDED IN PLAT BOOK It PAGES -3 OF THE CURRENT PUBLIC RECORDS OF OvyAL COUNTY.FLORIDA. CERTIFIEU TO 09AV eU06dLL ��srtt�ncriav, /��• Pzop4es F/RS'r F1ddVC1AL SAVIOGS5 !'� 66A,1 , ,ASSCG• 3 my SUN - 3 193 Building and Zon'i ng GO r- C.07' 5 60 4- 45 B r., a C K 193 1 0 A G'k�OCo ��l .0 4p Ok 4,0,S) o Q N4 J cane. .' 4 1 w IG sueLK •,1'47'Ib� q Gov.C� 7 a.l' n ?.S, �; 6N �4.4, 9z 1-�PY^ d+, r✓sroay sruccp (L\J Cw.�l.(l4•gd) o N eta! 0 ,w /4. , _ j 4p L-1tvcoyta� ¢p, 40.0 , T R45-C T A CITY OF office Official �a ✓, Office of Building t"� `� P REQUEST FOR INSPECTION C� _� Permit No. L- - Date A.M. Time Received / )S'e LocalitY Job A ress Contractor MECHANICAL Owner's x ELECTRICAL PLUMBING'S Air Cond. & M Name ELECT Heating CONCRETE h Wiring �-J -- � "� �' �-i Rough C� Top Out Fire Place BUILDING C Footing Temp pole Sewer pre Fab Framing ❑ Slab r, Final Re Roofing LintelINSPECTION P.M� Insulation READY FOR Friday Thurs. Wed. Tues. A.M. Mon. Final Inspection Inspection Made --— Certificate of Occupancy -- Inspector Date y 11��__ �& //CITY OF fYI�LGif13eal:A-99& Office of Building Official r REQUEST FOR INSPECTION Date_ Z/ Permit Permit No. Time i ASM. . Received ' P.M. Jo ddress `Locality Owner'sl- % '(� Name '1�- C/�-�c,2 ContractorL BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing El Rough Wiring ❑ Rough F1 Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel Ci Final ❑ Sewer I Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. 4� Tues. Wed. Thurs. Friday P.M. - Z A.M. 1 Inspection Made / -- Inspector �- _tll, _ _ Final Inspection Ll t Certificate of Occupancy Date ,I CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. C Time Received PM' /p Locality J A dress Owner's Contractor at ' Name _._._ -- • l 9CfR C— PLUMBING " MECWANICAL ILDING — C h Footle Il Rough Wiring L_i Rough ❑ r--Cond. & ) Framing J g C Heatiri--- Re Roofing C,, Slab I Temp Pole C Top Out ❑ Sewer ❑ Fire Place 0 Insulation C Lintel El Final Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday P.M) Mon. T $ A.M. Inspection Made a nspecfio 11 _ ,., Inspector- — Certificate of Occupancy r I Ift zs_ ae CITY OF Office of Building Official REQUEST FOR INSPECTION C, 1-16 Y _ � - > J 3 Date_ �� Permit No. Time rj A.M- Received — RM. Job A r s L ality Owner's Contractor ' Name___ _ — -- N�' ��'ELECTRICAL_ , PLUMBING` ,.`' CMECHANICAL BUiCDIiGCONCRETE ' El Framing Footing F] Rough Wiring _I Rough I�' Air Cond& 9 Re Roofing ❑ Slab C' Temp Pole I Top Out ❑ Heating Insulation ❑ Lintel ❑ Final Fi Sewer ❑ Fire lace Pre Fab READY FOR INSPECTION Wed. Thurs. Friday Mon. Tues. A.M. Inspection Made — _..P.M. Fi Inspector._ , h' --- Certificate of Occupancy��-,, > Date OFFICIAL. RECO [Space Above This line for Recording Data] ERMIT NO. TAX FOLIO NO. 171007-0100 NOTICE OF COMMENCEMENT :ate of Florida ounty of Dural �„_."� �E UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with iapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Street address, if available) U/A Rose Street, Atlantic Beach, Fl 32233 LEGAL DESCRIPTION OF PROPERTY South 10 feet of Lot 5, and all of Lot 6, Block 192, SECTION "H" ATLANTIC BEACH, according to the plat thereof, as recorded in Plat Book 18, page 34, of the current public records of Duval County, Florida. GENERAL DESCRIPTION OF IMPROVEMENT construction of a single family dwelling kAA C' 00RESS OF OWNER r 3(b). OWNER'S INTERE=ST IN PROPERTY DEAN RUSSELL CONSTRUCTION, INC. _ 1415 South 3rd Street fee aithple Jacksonville Beach, Fl 32250 +�ME'KDURE5S 9F FEE 91tPLE TirLENOCOER 111 olhet then ewnep 4.NAME/AOORESS OP CONTRACTOR DEAN RUSSELL CONSTRUCTION, INC. 1415 South 3rd Street 'S Jacksonville Beach, Fl 32250 I I 40 i" ._hit i 21� :LS,64 &•;�`>`._- `,L44 tyAMg,ADORESS OF 9URETv P sFOPt+ S t?`xltit">, FINANCIAL SAVINGS 4 LOAN ASSOC. OFF1CIAt 1111115 14333-104. BQEkch B lVd. Jacksonville Beach, Fl 32250 NA "a�u�ar o*'aonro Person(s) within the State of Florida designated by Owner upon whom notices or other documents may be served as vided by Section 713.13(1)(a)(7), Florida Statutes are shown below: ,M&ADDREss F,kN RUSSELL CONSTRUCTION, INC. 415 South 3rd Street acksonville Beach, F1 32250 - 8,-NAWADDRESS OFISSRSON TO RE V COPY OF I-It NOR S NOTICE in addition to himself, Owner designates the person whose PEOPLES FIRST FINANCIAL SAVINGS & LOAN ASSOC. ne and address appear In the box at the right to receive a 14333-104 Beach Blvd. )y of the Lienor's Notice as provided in Section 713-1$(1)(b), Jacksonville Beach, Fl 32250 hda Statutes. Expiration of date of Notice of Commencement (the 9. EXPIRATION DATE )iration date is 1 year from the date of recording unless a erent date is specified) is shown in box at right. DEAN RUSSELL CONSTRUCTION, INC Signature of Owner X Name By; Dean Russell of Owner- ITARIZA , •°•°•- The foregoing notice was acknowledged before me this Ile of `. day of ' ,March 24, 1993 --- by 40 Dean Russell, President of DEAN RUSSELL CONST UTON, INC. a S. /' Notary Public's Signature x Notary p'ublic's Name: _ ,',''w' 3 t 0 h For the County of: :44 VBA, State of:.. - m Y C v t t• M Commission Expires: EXPIRES G-26. 4 Y KC E R TURN To: DRAFTED 9Y: OFLES FIRST FINANCIAL, SAVINGS & LOAN ASSOC. WATSON & O5BORNE ADDRESS,tITY,STATE 4333-104 Beach Blvd.' 372-36th Avenue South acksonville Beach, F1 32250 Jacksonville Beach, F1 32250 93 - 009134 93APR - 1 AM 11: 55 FILED IZ-"C, :;0ttl ttECCiit. ',' i',ii IEt) i!i P631.1C RE;t;ORos r•1 fK 01' r1,71',111T r,r1i1R7 � cL ` � .�® row rs��, .� r CITY OF 4&wtr& /3eaIcA-&7&uA �,6 3 3_J Office of Building Official -=6r REQUEST FOR INS�ECTI y� Date _ Permit No. r �,- 13 Time A.M. it— y > Rece/ived S7-- 3 d G L •� Job Address Locality Owner's Contractor �G tir L Name BUILDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL rami Footing ❑ Rough� inng� Rough d`—'Air ond. & Re Roofing ❑ Slab CI Temp Pole Top Out ❑ Heating Insulation 1-1 Lintel O Final Cl Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. /4/"4, Thurs. Friday _P.M. / . A.M. Inspection Made _ —PM' Inspector—__ �7L _ Final Inspection 11 Certificate of Occupancy Date TRANSMITTAL DOCUMENT FOR JEA DATE:: Z I'lle- following permits have passed "rough" inspection: Permit No. Address -� 4, Enclosed--are our ( blue.)- copies of the permits. Please update your records accordingly. Thank) you, . BUILDING CLERK CITY OF ATLANTIC BEACH • /vcb 65,65 DEpARTMENT OF BUILDING CITY OF ATLANTIC.SEACH :.. . . PERMIT 000 ATION -_- � _.._.. _..,. , 'Tom I NFORMAT ON ---------- PERMIT _-. ..,�_�. . Permit Nu er 8$6 'Address:" 1 + ROSH:8TRUT it, Type PLC3MBINC AT NTIC BEACH FLORIDA 32233 s Class of Wart: NEW _.. ��.»..., .� aAL D'ESCRIPTION ----,.-.�--- 'Constr. Type-, T400 ? FRAME Lot : lack: Set on: y Pr4ol1rosedy Use: DUPLyEXt j^� �f N{ ply kTowy h�ikp: RNG: 0 Tovell (► f3 M Code: 0 �ubdi 1l isio A• SECT;ON H Atl tilt Value: $0 .00 Improv. Cost : ►0 .00 Total $53.50 Amaur�� �` a`� ,``'►53.. 8' TION APPLICATION FEES _,..._.. ��. PER $53.50 A+ d e rgs s • TRRR r WAT IMI►ACT FEE �� $0 00 � FLt�RIT)A N "` POSw Ph „a. c w .xM" ASS: ' RADON GAS-H.R.S. $0 .00 - --�--�-- RADON GAS - 5V $0..00 Name W R P UMB INO N' _. TAS' .. ��._, __ �. ._. $0 .00 Sl"E ". 'SAP $0..t�0 ACC LLE BCH,FL322,40-15 8 HYD UL I C SBAR� $0 .00 Lice �. ��� �� Tg e;: t� RE; SPBCT: PIKE SSC. TMACT nt $0,Q , b, a F�FCaTES F " NOTICE ALL CONCRETE FOAMS'AND FOOTINGS MUST BE'INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE Of ISSUE r BUILDING MATERIAL,RUBE#SH AND 04BRIS FROM THIS 1NORK MUST NOT B PLACED'IN PUBLIC SPACE,AND MUST BE LEAR"ED UP AND HAULED AWVAY.BY EITHER CONTRACTOR OR OWNER RA LURE TC) COMPLY WITH THE MECHANIC$►' LIEN `LAW, CAN RESULT IN THE PROPERTY 6WN.E�# PAYING TWICE fOR BUILDING DING IMPROVEMENT& . , F # EQ A C{?R©1NG To APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN IBJECT �EION FORl 0 QF APPLICABLE PROVISIONS OF LAWN. $ylfthat � ATLANTIC EACH B ILDING DEPARTMENT /Z AL � IC B U PEFORE /U.' 0() �x��b CITY OF Office of � y` wilding04uc4�Z Official Cate REQUEST FpR �NSPE _ CTION_ - __ Time �n q--3 Received C�—_�--� A.M. Permit No. 7 G Address J� M. Owner's Name BUILDING _ �'.L� Locality Framing Co Contractor Contractor ns Roofing ELE Insulation Slab CTRICgL Lintel .�,! Rough Wiring PLUMBING Temp Pole Rough MECHANICALd / -� Final ❑ 70p Out n Air d ❑ ❑ COn & Tues. 1, READY FpR 1 Sealer Heating ❑ NS Heating Fire Place Inspection Made Wed Pre Fab C_] Inspector Thurs. A.M. Friday A.M. —PM. --Ct_C_e _ PM. - Final Inspection -1r.`� Certificate of occupancy _ ■ Cate i-; DEPA*TMENt OF BUILDING CITY,OF ATLANTIC 05ACH .. PERM T INPORMATION LO ATION INFO ATION - - I?ei �Yxtmbr. ; 53Q Adds m 11 2 ROSE STREET Perm n t '" MECHANICAL ATLANTIC, BEACH, �'LOF��I7A 3 2 C1 cif wo d Nom( 1�a�1 `DESCRIPTION C r t Ty a WOOD FAME Lc� a. Section: Qn: Rr ped 'UJ; ; DUPLE T ow�nshi�.= RNO � ] Code €3 su):Aiviern; 'SECTION R Improv Cbm-t: Total Fees . ,O Am un w � $43 .00 D93 ,r.,rk 13es . TOL HEAD' AND ATR IN NEW % ESIDENCE _- --- �� TION �, � � � a� �, - *1*�I► CATS ON `EES �, `` N �. 4a � PERMIT 4' . A d `, -STREET NATE IMPACT FEE � $0.00 a I y SIT EI�t IDA }� Nato Ate h, 4 ,o- �n r',p i rw?n4o ,^ r (3, E R.S. $0.00, O P"ORMA' N RAIN AS 5$ .C4 Name:, R WATE� TAP 50 .00 Add ...-0BI ..,, �' ,�.;I,OtB...., 1�3� `�`'� SERE TAI' ' JACE LLE, FLORIDA :32216 HYDRAULIC- SHARE $0 ,00 La C Type:, RE°�I SREC'T:�'EE �. SEC.I IMPACT . FEE � w 40NdTES; 44TICt —ALL4CONGRET19FORMS AND FOOTINGS MUST BE IN$ ECTIED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE O ISSUE I BUILDING MATERIAL,RUBBISH AND DEWSFROM THIS WORK MUST NOT SE,PLACFQ IN PUBLIC SPACE,AND MUST BE CLEARED UP AND,HAULED AWAY BY EITHERCONTRACTOR OR OWNER 16FAILURE TO I OMPLY)KITH THE MECHA►NIGS' LIEN LAW CAN RESULT IN ,,THE PROPERTY OWNER PAYING TWICe FOR BU LDiN IMPROVEMENTS." J$Stj CORDING TO APPROVED.PLANS WHICH ARE FART of THIS PEI IIT AND SUBJQWTO1, REV6&I ►: ,1 QF"AIPLICARLE.PRflVISIOIS 4F LAW. TEMM • � :I }: ATLANTIC BEA H BUiLDINCa DEPARTMENT RY" ,. *fF®U 1 6631 T } N,ti D PARTM A Q Ci TY OF ATLANTIC BEACH �_.... PERMIT INFORMATION LOCATION INFORMATION Permit Number: 6 AdIres 4 ROSE STREET Permit Types MECHANICAL ATLANTIC.', SEA,C'N, FLORIDA 32233; class of, Work* NEW ,..� ,. _ ECAL 'nE13RIPTION ,.w__ .. �.. Constr .. Tyve: WOOD FRAME , Lot: section, Proposed Use: I?t3PLEX �+�w hila:' RNtI f? Dwelling s I Cade: Qubdivis. n; S CTS O H 'Estimated Value: > $0 .00 lm prr> Gast : '$0 .10 Total 43 . o Amou ..." 'It IONAPPLICATION FEES PERMIT $43.00 A:dd&vs R TREET WA's IMPACT PEE � � ° 0 (�4 p e INA` ` x RAAO CA.S�N".R, ► .to FORMA�`1'f �RADON A �� �€ � $0,,00 TAP JACK LGA, FLORIDA ,32216 XYDR `ULIC SHARE woo3 RE I SPECT FEE pC 010 *�jy`��'i'a aFY-g,� +ir t�i'k.e°!p'.YM� H I i NOTES. I ' 1 NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST SE`IN$ ECTED BEFORE POURING PERMIT VOIDSIX'MONTHS AFTER DATE O 1SSUE BUILDING MATERIAL,RUSB{SH';AND DEBRIS FROM THIS WORK MUST NOT B PLACED IN PUBLIC"SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER`CONTRACTOR OR OWNER FAILURE T0C®MPLY 'I�VVITH THE. MECHANICS' LIEN LAW CAN RESULT �N PROPERTY t'?IA�N`ER PAYING TWICE.FOR BIJ I QING" IMPROVEMENTSO ' *M*1101 SVC! AT ` IS Stl a ACC TO APPROVED PIANS WHICH ARE FART OF THIS PE MIT.AND SUBJI����TO REv6&t1+[�N�FF t, TIOI+It)F"AfPLICARLE PROVISIONS Of LAW. 11 ATLANTIC BE H BUILOt�1G.DEPARTMENT By, 7_ Ael ' a t ,a P � BUILDING AND ZONING INSPECTION DIVISION -� x` CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Subdivision 11. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the Cof Jacksonville ordinance and standards of good practice listed therein. None of Mechanical Contractors Contractor (Print) A Master Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. GGENEI AL INFOR ATI N i 5 Axr, of hosting fuel: B• IS OTHER CONSTRUCTION BEING DONE ON <.•;;� E�ectrio THIS BUILDING OR SITE? Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTIO W Q Oh PERMIT / Q Other — Specify IV. MICNANICAL EQUIPMENT TO BE INSTALLED N TORE OF WORK ( rovide complete list of components on back of this form) Residential or ❑ Commercial Heat 13 Space 13Rocess d Central O Floor New Building �C /V �t Air Conditioning: [3Room Control ❑ Existing Building Duct System: Material -- pen— ❑ Replacement of existing system ` Maximum capacity : c.f.m. New InstallatioJ t.61 system previously installed) Q ❑ Extension or add-on to existing system Refrigeration C) Cooling tower. Capacity 9-pin. 0 Other— Specify (3 Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS StACE FOR OFFICE USE ONLY Q . Gasoline pumps (number) (fid) Q Tanks (number) Remarks ❑ LPG containers (number) Unfind pressure vessel Q br7en Permil Approved by Dor+ Q O"w- Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENTacipp Number Unita Description 310del Number Xa•nutacturer c(Tennx) cA1�P_ Icy nr ", 41 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION —To be completed by all applicants, In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in eccordanca with the Cof Jacksonville ordinance and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) J A Master ' Name of } Property Owner Signafun of Owner signature of or Aulh.ind Agent Architect or Engineer Ill. GENERAL INFOR TI N A' Ty of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? C3Gas—❑ LP ❑ Natural (3 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTIO , ❑ 03 PERMIT VJ ❑ Other — Specify IV. MECH/LAICAL EQUIPMENT TO BE INSTALLED N TORE OF WORK ( rovide complete list of components on back of this form) A. Residential or ❑ Commercial Heat ❑ Space ❑ Recess" Central O sow New Building Air Conditioning: ❑ Room Central ❑ Existing Building Duct Systems Material :: ❑ Replacement of existing system Masimum capacity.— c.f m. New Installatlo&A6 system previously Installed) 1r ❑ Rafrigeation ❑ Extension or add-on to existing system ❑ Other— Specify ❑ Cooling tower: Capacity 9-pin. ❑ Fin sprinklers: Number of head. ❑ Elwafor ❑ Manlift ❑ Escalator (number) y. C1 Gasoline pumps (number) THIS VACE FOR OFFICE USE ONLY (R"'i") :." Q• Ta t@ (number) Remarks "❑ LPG coatainis (number) ry. . O Usfired pressure vsusl ti Q bi{art Permit' Approved by Data Q Other- Specify Permit Fe• LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Modal Number 1f nufacturer Capacity Approving (Tons) -%9=cY 4^ x �09PAR'1`UENT I"!F BUILDING CITY OF ATLANTIC BEACH 4 FT ItFITMTIIIV ' N x LOCATION INFORMATION Add i 2 R���sR STREET j{'P x �.p ' pgMk: 3U`.�`Lk� #�O� T`LANT I Cy��}B..EAY-'}C�y H, PLOR I D.A..` .� �.� A akss �L 4+ir 11:P'• NEW Wl xw.0 va.wr'M.Ylpt NNVYi 3/ irk VlUW ff Const 'Tgs C4tSD OR Lit : BIC�e'ks + 3 Sctt3 � __— . — F ' ' + Ute: DUF F °T van �a Ps Fcl f + I Ca Subvi s i c n., SHCT ION H � �• ed u e , Tot 3 Ar�016 MAL it,ll Air.. vtYrrj!X ..� TION APPLICATION REFS 14 PERMIT Addy OE BO LEVAR1 "E J.r ��� k 4, a, ..4, ry, RAD GAS--H ,R. S, N _ . RADON AS ,, 5% Std 5"R t ... .._01C C �.�"AF p 143, TH THIRD STREET, TAP ,{' JACK ILLS BRACH, P 225 H D lJLI� SHARE � ,DCS T RE�- SPECT PER F D0 r Cs °H� IyO., EB NOTICE—ALL CONC IRTE FORMS AND FOOTINGS MUST BE INS CTL©SEP RE POURING i PERMIT VOID?SIX MONTHS AFTER DATE OF i SUE BUILONG MATERIAL,RUBBISH AND DEBRISFR I OM THIS WORK MUST NOT'BE LACE©IN PUBLIC SPACE,AND MUST BE CLI*A'RED UR AND HAULED'AWAY BY EITHER CONTRACTOR OR OWNER : F #.URE TQ: CQMI�LY WITH THE MECHANICS? L1Etw1 LAW CAN RESULT-,IN TH Rt RERTX WNE� "Pw1 1G TWICE FOR BUILDING IIUIPR©VE,IIIIENTs," WT MOK � p AS.►CaDRQIJV0, O APPROVED PLANS WHICH ARE PART OF PHIS PERMIT AND"SUBJECT TOT ATION IAc'b.lx.3 TqKRED Vim. r N t APPLICABLE PROV SIGNS OF LAW,. RECEIPT NLPW-,o8401 4tNTj ,BEACH Bl91LDG DEPARTMENT Y `x I �4 6 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMITT N O 'I ON � �- LOCATION I NFORM , T I ON w_ Perm t lb+ `. Address ICtQ E `RIS' Type,` P II,I?INO �,�'LANTI'C' BEACH, FLORIDA ;322233fer at ., LEGAL its otH - _M » ' EGAL DES RIPTION -- q rType. WOOD FRAME loot . II I+� k. 1 � �I ion. H P sp as d Use,, DUPLEXT��rn�h�P. TtI�O Est t d Vral,ue $411R5650 Tafel. s , 346p1*6 6. 3 63 �� J/// H w (409 'dor , n ' '� °NEW DUPLEX UN I' P 6 �a ,yu APPLICATION )SEES nia , AT I off Ad w .GNU L76:rV Al4 AA 1Mt'A+, ,G d:,�+. d .VL3 3 � u RAM I GABS H.H. S. I� a .... '' NFO) ► ?fAT4N RADON AS a� SDk N t� L N"5 Wa m 'N :` WATE4.1 � , h.. SEWER TAP JAC' IL F RICAQU FL 2 2 5 IIYI�E�CItBHA�E � .�?t� Type 14? P �I SPEC ` ��tI EECH IMPACT FEES a� $.00 B, mri aMass.,e.,wx 4 NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST SE INSIPIECTED-BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE O ISSUE DING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT 00'PLAC€C3 IN PUBLIC SPACE,AND MUSTSE #'ED llR ANC HAULED AWAY BY EITH€R COINTRACTOR OR OWNER ZiLA >� 11LURE TO COMPLY WITH THE MEG7777777 HANICS' LIEN k.A1At. CAN RESULT IN TH- PRC PERTY'OWN.ER PAYINGTWICE FOR G iMPR0YEMENTS." Troy. 10z20 P fSS ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUSJWB.TO REVOC4jjQ . R VtLA�IiC3t OF APPLICABLE]PA tWiSfOWS Of LAW. I� I`I,466.b3 #&CEIPT MMKR. €! t}1I ATLANTIC I$EACH BUILDING D€PARTMENT' BX, CITY OF ATLANTIC BEACH, FLORIDA l _ pppro"d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 4- r 19,� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK A DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THEAACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Munson and Bryan Electric Co. ER-0008471 ELECTRICAL FIRM: TE ELEC ICIA IG ATU R Eli JOURNEYMAN NAME Fri ►J R05SC,6-4_ ADDRESS:-(___1.002 RDSc 'T. RFD BOX BLDG.SIZE E' BETWEEN: U I OLLT S l O Gt E 1� 5� . RES.(✓► APT.( 1 COMM.( ► PUBLIC ( 1 INDUS. ( l NEW(-!" OLD ( 1 REW.( ) ADDITION ( 1 TRAILER( 1 TEMP. ( 1 SIGNS ( I j SO. FT. SERVICE: NEW( 1 INCREASE ( ► REPAIR ( ► FEE CONDUCTOR SIZE Z AMPS 1O 0 COPPERf ALUM.04 aia "--� _o SWITCH OR BREAKER 0 AMPS I PH 3 W iia VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS, 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED0.100 AMPS. OVER APPLIANCES I I BELL T"ANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS I CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Li 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK A DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ; unson and Bryan Electric Co. ER-0008471 ELECTRICAL FIRM: TER LECT CI IG ATU1RJ JOURNEYMAN NAME -DCA 0 L)S-Se L,L-- ADDRESS: 1 (014- ROSE. Si RFD BOX BLDG.SIZE St f-144 ..6 >FAQ"i L,-1 R.eS . BETWEEN:.�i tol-GT ST'_ OiZZ.G:rti p CT• RES.i `7 APT.( 1 COMM.1 1 PUBLIC I i INDUS. EW(--K OLD ( l REW.f ADDITION ( 1 TRAILER( 1 TEMP.f 1 SIGNS ( P SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE .azo, CONDUCTOR SIZE -tL- Z.- AMPS 1 O COPPER f I ALUM. -- SWITCH OR BREAKER 1 Q O AMPS I PH --S W f-fO VOLT SE V RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS, 91.100 AMPS' SWITCHES i INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRBA AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MO'*"` zo �3o N N N C OO. 4 c�3. r 7 N j CD (o ° O.1 MOTORS H.P. VOL' n CD It" MISCELLANEOUS c Q o 0 ._.. 6564 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH I r ..... '064 NI.Q INFORMATION IAp�IT INFORMATION TAddress: ROE STREE permit Y rnber 5 4 AFIC HEACH, FLORIDA 3`233 Permit ' YP PLUMBING Class of work; N1 W ---» V----- _ �EOAI► DESCRIPTION ---- r Ctrl qtr . ' myg+ WOOD FRAME Lot •, i vk« Section: PrOpO� d UIQ+ : DUPLE Taw i; hiti« RN{�: " - SECTION H Iiaell"inns- 1 Code: # Subdvi�iQn� E tip et+ d > e. � 0 .00 7777777-7 $53 50 Amo m. k SINGI �� � I ,P �` °UNIT TICI i ., - «.. PLICATC ,Add r + V REIT P k A FEE v.0 ACH,, FLORIDA° 3 2 2 3 SSE IMPACT FEE 4"� WAVE " METER0 .00 Ptt0ne: RADON GAS C N to: F.W PLUMBIN+� 'CSS. WATER, TAP $0 .00 �� Add 7URS ° SSE SAY? SSI O0 T SCH w F"L 32240-155SL HXDR fi+L I.C+� SHARxE So . i PUC ;NATES: QTHE +7.4.a s QQ- NOTICE--ALL CONCRETE FORMSAND FOOTINGS MUST BE'INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE Of ISSUE c BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THI&WORK MUST NOT BE PLACER IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ULT I N 44,AILURE Td COMPLY WITH THE MECHANICS LIEN LAW CAN RES THE PROPERTY OWNER PAYING TWICE,FOR Oul WING IMPROVEMENTS. • ,� ISSUED ACCORDING TO APPROVED RLANS'WHICH ARE PART OF THIS PEI MIT ANIS SUBJKa,TO AEVOCAT I BQR fIQLATION OF APPLICABLE PROVISIONS OF LAW. iu# E�:� '"zIP1 RTI:ANTIC BEACH BUILDING DEPARTMENT . n ssy CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY :--------+ota-______,__ BUILDING CONTRACTOR:......ootl- PLUMBING CONTRACTOR 1_11 _ f ,____.-_ AND ADDRESS: fay TELEPHONE NUMBER: -____Z Q STATE LICENSE NO: ' r--�U - --------------------- TYPE OF BUILDING: /----SINKS SHOWER S LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS ------- _--_WASHING hACHINE " FLOOR DRAINS SHOWER PANS OTHER-- ---- ---------- TOTAL FIXTURE 7UNT: 1� x 53. 50 4 $15. 00 = 5__�5 ----------------------------------------- ----------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WI-H THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - t904 > 247-5826 ^ ' ' CITY OF A7l ��7�C Q��[}� ^ | APPLICATION V()6 Pl.UMUIBG P28�l3 JUS LOCATIUU - OW&i'R OF PROPEB?Y : _______ �/Q��-___________ GUILDING CONTBACTOB:_____ ���/�� � PLUM8lNQ CONTRACTOR AND ADDRESS: x�� ^� --------------'---------- --' q / TELEPHONE NUMBER: STATE LICENSE NO: ' �� /y) '. TYPE OF BUILDING: ^ SINKS ____ S8UNCk L�; �> ---- TUBS ' � _-__-__ , . --CLOSETS / _____ � ----------- DRAINS ' _____ PANS i / TOTAL FIXTURE ' ]UNT :--_____-_- � �3~ 0 �i25^ +UO = �57 --------------------------------������������� INSTALLATION OF P1.UNBI0o AND FIXTURES BUST -------------------- THE MOST RECENT EDITION OF THE. SOUTHERNU� IN �CCOB0�DC� WI�V �T8WDA8l/ P1.1.1pl8I^lS C0w-. CALL A DAY AHEAD TO SCQEDULj-_, INSPE-CTIONS - <�U4 > CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address_ //Dil �o s� J T`• Date_ 3 3 9-3 - Heated Square Footage , () per sq ft = $ Garage/Shed `7� @ $ f` �� per sq ft = $ 33Ex-vo Carport/Porch �� @ $ /3 .C1� per sq ft = $ Deck @ $ _per sq ft = $ Patio @ $ per sq ft = $ TOTAL ,VALUATION: $ $ _� r �> Total Valuation 1st $_L O (- v Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ � + 1/2 Filing Fee (1 ) Fireplaces @ $15.00 BUILDING PERMIT FEE $ J-3 BUILDING PERMIT $ 3`« WATER CONNECTION $�rf r SEWER CONNECTION $ e�-S'O,O0 WATER METER/TAP $ d%5 60 CAPITAL IMPROVEMENT $ 3 a .�T,06 (1/63) RADON (HRS) . 0095 $ 'n -S- (//&3) (//&3) RADON (CAB) . 0005 $ S8 SECTION H PAVING ( y� ') $���� , ,a o�-`- HYDRAULIC SHARES $ OTHER $ GRAND TOTAL DUE $ �- . 63 ADDITIONAL PERMITS OR FEES: Mechanical- jZ � ; Plumbing L,—' Electric/New t% Electric/Temp__'✓ _;SwimmingPool _ Septic Tank�; Ot_; Well • Sign Survey her_ Finish Floor Elevation ✓ CALCULATIONS and/or NOTES: �� --- 5 192) I I :M ` f "`•�-- „�,,.�.» . �.. �... . .,,��, y._mow, CISm,z y /f w J- CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address Date 3 ` 3 - �-3 Heated Square Footage L/6—5@ $ 3S. S G�per sq ft Garage/Shed per sq ft Carport/Porch 3 . Ci per sq f t z � Deck @ $ per sq ft = $ Patio _ @ $ per sq ft = $ /��++( / TOTAL •VALUATION: Total Valuation 1st $% --- --- </a, Z�56 .6�' Remaining Value S 5. per thousand or portion thereof TOTAL BUILDING FEE $ 2 Zc>•c�' �� + 1/2 Filing Fee $ ��• �� -- (1 ) Fireplaces @ $15 .00 BUILDING PERMIT FEE BUILDING PERMIT $ -y�5 WATER CONNECTION SEWER CONNECTION $ 0,0 � WATER METER/TAP $ S.z GU CAPITAL IMPROVEMENT 3 1� -��- (/� -�) RADON (HRS) .0095 $� s RADON (CAB) . 0005 $� t SECTION H PAVING HYDRAULIC SHARES - OTHER $ ----- GRAND TOTAL DUE ADDITIONAL PERMITS 4R FEES: Mechanical--Az--; Electric/New_ Electric/Temp­ �,f Septic Tank _____-_—;SwimmingPool_�_ ; Well � __._; Sign__.._.__ _._ ''iaiish Floor Elevation Survey l/ Other CALCULATIONS and/or NOTES: v T'�- :'ROPERTY DESCRIPTION CITY OF ALL dF Ld (o T-,0-r,4EIe WITH 'f4 SaJtNEW'N a' OF LOT IaR4CL_ 716 OCEAN BOULEVARD .at r �Bloak #__ ��_Section /__ `-- P.O.BOX 25 ° ATLANTIC BEACH.FLORIDA 32273 iubdiviwion s TELEPHONE 1104124WU96 Street Nagle sr Address s �o�j� ST DESCRIPTION OF WORK _ Itin a FLOOD HAZARD 'load Zones_____ --------area complete page 3. Brief D•scriptions__�L�L�xa C:�S_T�LJC."TIv� Claws of Works ' (New/Renodel/Addition)__ :OHING INFORMATION Type of ' Construgtions_ h�o_f7 ��AM� _ :oning IQG 1A Proposed _ ---_-- -__- listricts DU, c--_�_ Estimated Value _e? ------1----- :xceptions or A Materials ariances Granteds -------------------------- ------------------------- Solid or --------------------------------.._.._------ Filled OWNER IHFQRMATION Ground s ��L��1�----Root s_TeLL,6-k2_ Method of Neat lags Property Owners___ E_A_l k'USS L L Phon - ' ----=------------------ z 5. 3 5 Mailing ----_--- - _-_ Address__3j__S`_/_C-�c:?_�_r_��r1�P.....--------------•..._ __ , PL — z1 s -Z x $4 f------------------------- p ------ -----. 60HTRACTOR INFORMATION Contractors—1� a�_�USS isJ,____ Phones ---- ------------------ --- 4 Mailing Addr•sas__ i zips License Numbers_ L � 6� Dat&I Expiration ---- -� --,_S?_�1s:2-------------------- Dates I HEREBY CCRTIFY TWAT I NAVE MCAD AND EXAMINCO THIS APPLICATION AND KNOW THE TAMC TO SC TRUE AND CORACCT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TVPC of woRN WILL !C ' COMPLIED WITH, WHETHER SPECIFIED NEREIM OR Noy. TNC GRANTING OF A PERMIT DOEs NOT PXZSUMC TO r OIVC AUTHORITY TO VIOLATE ON CANCEL THE PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RULES. � � rt• REGULATIONS. ONDINANCCW. OR LAWS IN ANY MANNER, INCLUDING, THC GOVERNING OF CONSTRUCTION OR THE .�/ . PERFORMANCE OF CONSTRUCTION OF THE /ROJCCT. I UNDERSTAND TIIAT THE ISSUANCE OF THIS PERMIT IS �( y' AX.- CONTINGENT UPON TML A8QVC INFORMATION SEING TRUE AND CORNCCT AND THAT TUC PI.AN9 AND 5UtPORTING �!j• DATA HAV! SEEN OR SHALL ME PROVIDED AS REQUIRED. / Owner Signature ____---Date.........2e Contractor Signature pate �-- CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FQR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER ' SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 1 -,7, WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) ,WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) Z WASH-SINK EACH SET OF FAUCETS (2) U KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE Zj DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY _ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS s2 @ $20.00 EACH $ JOB INFORMATION CITY OF ATLAN'T'IC BEACH Fixture Unit Worksheet for Water Impact. Fee 1 FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ;j 2-- BATHROOM GROUP CONSISTING OF _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) / Z c) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) —tSHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) —LAVATORY (L) COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) 3 _POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE J _DENTAL. UNIT OR CUSPIDOR (1) GRINDER (3) �) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET _DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTYM , Ste_ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) V LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 2 $20,00 EACH JOB INFORMATION116 e1r i bepartment of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH 1 2 3 r . PROJECT NAME: BUILDER.-D ►,. 101, AND ADDRESS: 037 jr, PERMITTIOFFICE: NG •� ZONE:TE 1 ❑2 ❑3XQ OWNER: PERMIT NO.1 I I I I I I I I JURISDICTION NO.:Lit, I I I I O Toff Please Print CK 1. New construction or addition 2. Single-family detached or Multifamily attached 2. •,rn� l+t 3. If Multifamily-No.of units covered by this submission 3. tom_ 4. If Multifamily, Is this a worst case(yes/no) 4. 5. Conditioned floor area (sq. ft.) 5. �- 6. Predominant eave overhang (ft.) 6. 1. S 7. Porch overhang length (ft.) 7. 8. Glass area and type: Single Pane Double Pane a. Clear glass 8a. sq.ft. o sq.ft. b. Tint, film or solar screen 8b. sq. ft. sq.ft. 9. Floor type and insulation: a. Slab on grade (R-value +perimeter) 9a. R= _p , 135 t.ft. b. Wood, raised (R-value + sq.ft.) 9b. R= sq.ft. c. Concrete, raised (R-value) 9c. R= sq.ft. 10. Net Wall type area and Insulation: a. Exterior: 1. Concrete (insulation R-value) 10a-1 R_ sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= 11 QA J sq. ft. 3. Steel (Insulation R-value) 10a-3 R= sq.ft. 4. Log (Insulation R-value) 10a-4 R= sq. ft. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq.It. 3. Steel (Insulation Fl-value) 1Ob-3 R= sq.ft. 4. Log (Insulation R-value) 10b-4 R= sq.ft. 11. Ceiling type area and insulation: a. Under attic (Insulation R-value) 11a. R= - 3os -111 .- q• ft. b. Single assembly(Insulation R-value) 11b. R=. sq. ft: 12. Air distribution systems a. Ducts (Insulation +Location) 12a. R= Cond b. Air Handler( Insulation + Location) 12b. R= c 13. Cooling system �a�nd � (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Type:_Penfe-& .S n L-P SEER/EER/COP: lD,D- . 14. Heating system: 14. Type• ko,,4 121 . (Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) HSPF/COP/AFtI : 110 15. Hot water system: 15. Type: �le�frl'c (Types:elec.,natural gas,solar,L.P.gas,none) EF: 16..Hot Water Credits: a. Heat Recovery(HR) 16a. , b. Dedicated Heat Pump(DHP) 16a. 17. Infiltration practice: 1,2 or 3 17. 0, 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RS-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 19. qq, a.Total As-Built points EPI =TotalAs•Buitpointt x 100 19a. -P 9`50 tal b.Total Base points ToBaso pants 19b. .2459,n 459_ 1 hereby canny that the plant and specilicationt covered by the calculation are in compliance with the Review of plant and tprdlicatiom covered by this cakulation indlcalet compliance with Florida Energy code, the Florida Energy Code.Before construction is comtpleted.it"building will be intpeaed PREPARED BY: DATE:2LI 2 l to corrpiance n aacorduwe with section 553.09.F.S. 1 hereby certify'fiat shitbuil ing s tliartce IMIh tM Florida Energy Code. BUILDING OFFCIAL: OWNER AGENT: / /Cti4��' DATE: % DATE: r l Department of Community Affairs-FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Component Prescriptive Method A NORTH 1 2 3 r. PROJECT NAME: BUILDER:T� ' AND ADDRESS: �- rZO PERMITTING ATEOFFICE: E: 1 2 ❑3OWNER: PERtJRDICTION NO.: D 0 1 1. New construction or addition Please Print CK ►1P t.1 2. Single-family detached or Multifamily attached 2. , 3. If Multlfamily-No.of units covered by this submission 3. 4. If Multifamily,Is this a worst case(yes/no) 4, 5. Conditioned floor area (sq. ft.) 5. 6. Predominant eave overhang (tt.) 6. )- s- 7. Porch overhang length (ft.) 7. - -_ 8. Glass area and type: Single Pane Double Pane a. Clear glass 8a. b. Tint, film or solar screen sq.ft. /o sq.ft. Sb. sq. ft. sq.ft. 9. Floor type and Insulation: a. Slab on grade (R-value +perimeter) 9a. R_ �_ J 3S I.ft. b. Wood, raised (R-value +sq. ft.) 9b. R_ C. Concrete, raised (R-value) sq. ft.sq.ft. 10. Net Wall type area and Insulation: 9c. R= a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= __sq.ft. 2. Wood frame (Insulation R-value) 10a-2 R= 1 L_ G�sq,ft, 3. Steel (insulation R-value) 10a-3 R= `sq.ft. 4. Log (Insulation R-value) 10a-4 R= sq.It. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= �sq.ft. 3. Steel (Insulation R-value) 10b-3 R_ sq.ft. 4. Log (Insulation R-value) 10b-4 R= sq.ft. 11. Ceiling type area and insulation: a. Under attic(Insulation R-value) 11a. R- °'1_j_sq. ft. b. Single assembly(Insulation R-value) 11b. R sq.ft. 12. Air distribution systems a. Ducts (Insulation+ Location) 12a. R= b. Air Handler( Insulation + Location) 12b. R= . 9 YT-Sig tend un�na. 13Coolin system (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Type:_0e,4r-nJ_s n 14. Heating system: SEER/EER/COP:14. Type: 6p.4 _ (Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) HSPF/COP1AFUEf. 15. Hot water system: 15. Type: ccfrr'c (Types:elec.,natural gas,solar,L.P.gas,none) EF- 9 16. Hot Water Credits: a. Heat Recovery(HR) 16a. 01 b. Dedicated Heat Pump(DHP) 16a. 17. Infiltration practice: 1,2 or 3 17. 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RS-Attic radiant barrier,MZ-Multizone) 19. EPI (must not exceed 100 points) 19. a.Total As-Built points EPI =Total Al.sua p0irw.x 100 19a. YSo 7 b.Total Base points C Total Base IS 19b. .2#5g lo I hereby eMily that the pias and specUiahone CONered by the cakulatlon are in compliance with the Review of plana and apediiw*m owered by this cakulasgn inditatw corrpYana wish Florida Energy Code. the Florida Energy Code. Before conuuction is co"Aled,this 104CM4building wit a inspected PREPARED 6Y: C// Q DATE:��. for oorrp6artce in iwcordenwe with$Oman 6W.a0a.F.S.. I hereby certify that this bwputg is 0000artoe with the Florida Energy code. WILDING OFFICIAL: OWNER AGENT: DATE: DATE: _t_ Department of Community Affairs- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OA-93 Residential Component Prescriptive Method A NORTH 1 2 3 [AND ROJECT NAME: ADDRESS: BUILDER:DPERMITTING CLIMATE OFFICE: i±'I ZONE: 1 2 ❑3WNER: PERMR N0. JURISDICTION NO.: 0 0 1. New construction or addition Please Pint CK 2. Single family detached or Multifamily attached 1. rlP 1 �- 2. �1+� 3. If Multlfamily-No.of units covered by this submission 3, _ 4. If Multifamily, Is this a worst case(yes/no) 4, 5. Conditioned floor area (sq. ft.) 5. -' - 6. Predominant eave overhang (ft.) 6. I- s 7. Porch overhang length (ft.) 7. 8. Glass area and type: Single Pane Double Pane a. Clear glass 8a. b. Tint, film or solar screen sq.ft. /o sq.ft. 8b. sq. ft. sq.ft. 9. Floor type and insulation: a. Slab on grade (R-value +perimeter) 9a. R= pJ 3S I.ft. b. Wood, raised (R-value + sq. ft.) 9b. R= sq.ft. C. Concrete, raised (R-value) 9c. R= , -sq. ft. 10. Net Wall type area and Insulation: a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= 2. Wood frame (Insulation R-value) 10a-2 R= 1! sq ft 3. Steel (Insulation R-value) 10a-3 R= RQ l sq ft. 4. Log (Insulation R-value) 10a-4 R= sq ft. sq. ft. b. Adjacent: 1. Concrete (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. 3. Steel (Insulation R-value) 10b-3 R= sq.ft. _ 4. Log (Insulation R-value) 10b-4 R= sq. ft. 11. Ceiling type area and insulation: a. Under attic (Insulation R-value) 11a. R= 30 I1/)�) sq. ft. b. Single assembly (Insulation R-value) 11b, R= sq ft 12. Air distribution systems a. Ducts (Insulation+Location) 12a. R= b. Air Handler( Insulation + Location) 12b, R= y, �2 , Icond uncond 13. Cooling system (Types:central-split,central-single pkg.,room unit,PTAC.,none) 13. Type: n�'✓�SEER/EER/COP: 1,'4 14. Heating system: 14. Type: (Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTHC,none) HSPF/COP/AFU - 7,Q 15. Hot water system: 15. Type: 8/e�frt c (Types:elec.,natural gas,solar,LP.gas,none) EF: , Gj 16. Hot Water Credits: a. Heat Recovery (HR) 16a. b. Dedicated Heat Pump(DHP) 16a- 17. Infiltration practice: 1, 2 or 3 17. 18. HVAC Credits(Type in Letter designation:CF-Ceiling Fan,CV-Cross vent, 18. HF-Whole house fan,RB-Attic radiant barrier,MZ-Multizone) 19. EPI(must not exceed 100 points) 19. a.Total As-Built points EPI=Taal As-llwl lnla x 10 19a a 9so b.Total Base points Taal Base points 0 19b. I hereby cemy that the plans and epecificatione covered by the calculation are in compliance with the Review of plansand specifications covered by this cakulatron ndicata aDMiance with Florida Energy Code. the Florida Energy Code,Betore constructions completed,this building wttl be inspected PREPARED BY: DATE:Q/1-) Gfor compliance in aceadance with section W.9N,F.S. I hereby Canity that 11116 buildings t corrpllanoe with the Florida Enwgy Code. rI,� BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: EPI= 99. 70% ENERGY CODE SECTION 6 NORTH ZONE 1, 2, 3 600-93 DEAN RUSSELL SUMMER CALCULATIONS MASTER DUPLEX SMR. GLASS BASE SUMMER AS BLT ORNT. AREA SPM BASE PTS ORIENT. AREA DBLCLR SOF GLASS N 65.8 N ' (9B) SMR PTS NE65.8 38. 3 E 55 65.8 3619 NE 57.7 SE E 55 79.7 0.92 4033 65.8 SE 79. 1 S 22 65.8 1448 S 22 66. 2 0.86 1253 SW 65.8 SW 79. 1 W 26 65.8 1711 W 26 79.7 0. 92 1906 NW 65.8 NW 57.7 H 65.8 H 267. 0 1. 00 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL .15 1163 103 1.69 6778 11480 7192 AS BLT COMP. SUM PT BASE COMP. MULT. SUMMER DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . WALL WALLS . . . . . . . . . . . . . . . . . . . . . . EXT. 991 0. 90 892 ADJ. 0. 70 2X4WDFR Rll 991 1.7 1685 DOORS DOORS EXT. 44 6. 10 268 EXT WD 44 6. 1 268 ADJ. 2.40 ADJ WD 2 . 4 CEILINGS CEILINGS UN.ATC. 1163 0. 60 698 UNDRATC R30 1179 0. 6 707 SGL.AS 0. 60 KNEE R19 54 1. 1 59 FLOOR FLOOR SLAB 135 -37. 00 -4995 PERIM. R-0 135 -41.2 -5562 RAISED -3 .99 INFIL. 1163 8. 00 9304 # 2 1163 8 . 0 9304 . . . . . . . . . . TOTALCOMPONENTBASESUMMER POINTS� � � � � � �TOTAL�AS�BUILT�SUMMER�POINTS TOTAL 17647 TOTAL 13654 COOLING TOTAL BASE AS BLT DM CSM CCM AS BLT SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS 0. 37 17647 6529 13654 1. 10 0. 34 1.00 5107 HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9M) (9N) HW PTS 3 3803 11409 ELECT. .91 3 3678 1. 00 11034 WINTER CALCULATIONS WTR. GLASS BASE WINTER ORIENT. GLASS WOF AS-BLT. GLA ORNT. AREA WPM BASE PTS ' (9B WTR.S AREA DBLCLR ) PTS -10. 6 NE N 7. 3 -10. 6 NE 4 . 6 E 55 -10. 6 -583 E 55 -9.2 0.77 SE -10. 6 SE -390 -22 .7 S 22 -10.6 -233 S SW 22 -28. 4 0.94 -587 -10. 6 SW -22 .7 W 26 -10. 6 -276 W 26 -9. 2 0.77 -184 NW -10. 6 NW 4 . 6 H -10. 6 H -57. 7 1. 00 COND TOTAL BASE BASE ADJUSTED AS BUILT FLOOR GLASS ADJ GLASS GLASS GLASS AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL . 15 1163 103 1. 69 -1092 -1850 -1161 AS BLT COMP. WTR PT BASE COMP. MULT. WINTER DESC. AREA MULT. WTR.PTS. DESC. AREA (9C-9G) POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WALL WALLS. . . . . . . . . . . . . . . . . . . . . . . EXT. 991 2.2 2180 ADJ. 3 .6 2X4WDFR Rll 991 3 .7 3667 DOORS DOORS EXT. 44 12 . 3 541 EXT WD 44 12 . 3 541 ADJ. 11. 5 AW WD 11. 5 CEILING CEILINGS UN.ATC. 1163 1.2 1396 UNDRATC R30 1179 1.2 1415 SGL.AS KNEE R19 54 2 . 0 108 FLOOR FLOOR SLAB 135 8.9 1202 PERIM. R-0 135 18. 8 2538 RAISED 0.96 INFIL. 1163 7.4 8606 # 2 1163 7.4 8606 TOTAL. . .COMP. BASE. . . .WINTER. .POINTS. . . . .TOTAL. . .AS.BUILT. .WINTER. POINTS TOTAL 12075 TOTAL 15714 HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT SYSTEM BSC HSM BS PTS HTG P WTR PTS ' (9H) (9I) (91) HTG. PTS. 0. 55 12075 6641 15714 1. 10 0. 48 1.00 8366 TOTAL BASE BASE BASE TOTAL AS-BLT AS-BLT AS-BL TOTAL COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS 6529 6641 11409 24580 51078366 11034 24507 PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 ADDITIONAL TABLES CLIMATE ZONES 1 2 3 6A-18 HEATING CREDITMULTIPLIERS HC SYSTEM TYPE HEATING CREDIT MULTIPLIERS HC Attic Radiant Barrier HCM g8 Multizone HCM .90 Natural Gas AFUE .66-.72 1 .73.77 1 .713.82 1 x3.87 .6&.92 .93&U HCM 59 .55 St .48 .45 .43 P Gas HCM 79 65- 1 9 6A-19 COOLING CREDIT MULTIPLIERS CCM SYSTEM TYPE COOLING CREDIT MULTIPLIERS(CCLq Ceiling Fans .86• Cross Ventilation Whole House Fan .90• 'Credit may betaken for only Multizone .95 one of these system types concurrently. Attic Radiant rrier .g 6A-20 HOT WATER CREDIT MULTIPLIERS HWCM SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS HWCM Heat Recovery Unit With Air Conditioner Heat Pum HWCM ,6Y .58 Dedicated Heat Pump EF 2.02.49 2.5299 3.0.3.49 3.5&U HWCM .44 .35 .29 .25 A HWM MUST BE USED IN CONJUNCTION WITH ALL HWCM.SEE TABLE 6A-9.EF MEANS ENERGY FACTOR 6A.21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE 01 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. t/ Windows 606.1 Maximum of 0.34 CFM_per linear foot of operable sash crack includes sliding lass doors). v Exterior&Adjacent Doors 606.1 Maximum of 0.5 CFM persq.ft.of door area,solid care wood panel,insulated or cilass doors onl . L.- Exterior Joints&Cracks 606.1 To be caulked asketed weatherstri ed or-otherwise sealed. PRACTICE#2 606.1 COMPLY WITH#1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed. Sole late/floor joint caulked or sealed. ✓ Exterior Walls&Ceilings Penetrations joints and cracks on interior surface caulked sealed or gasketed. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces E quipped with outside combustion air,doors and flue dam ers. Exhaust Fans Equipped with dampers.Combustion devices see 606.1.A.2 �- Combustion Heating Combustion space and water heating systems provided with outside combustion air, exce t direct vent appliances PRACTICE#3 606.1 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Too penetrations sealed or joints&cracks on interior walls caulked sealed or clasketed. Recessed Lights Sealed from conditioned&insulated from ventilated attics aces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust to outside. Cooking appliances shall be dampered and use intermittent ignition. 6A•22 OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS -SECTION REQUIREMENTS -MECK- Water Heaters 612.1 Comply with efficiency requirements in Table 6-11.Switch or clearly marked circuit breaker(electric) or cutoff s must be provided.Extemal 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 3 gallons per minute at 80 PSIG. HVAC DuctConstruction- 610.1 All ducts,fittings,me anlca equipment and plenum chambers s a e mechanically attached. Insulation&Installation sealed,insulated,and installed in accordance with the criteria of Section 610.Duct in unconditioned space must be insulated to a minimum of R-6.Air handlers shall not be installed in attics unless in mechanical closet. HVAC Controls 607.1 1 Separate readily accessible manual or automatic thermostat for each systema Insulation 604.1,602.1Ceilings-Min. -19.Common wall rams -11 or CBS -3 both sides.Common ceiling&floors -11. g 9 43 t Z,; For detailed informpflorl Af thePl rating rjumOor of 1pr any ITM lVol"I'l z s yoyr Puildor y . Q m QOQA-90rfp U1 "� .�a� QFr �N excellent 90 gopd accgpt,�ble N 0 10 20 30 40 50 60 70 80 10Q + 01Y The maximum allowable EPI is 100.The lower the EPI the more effiaier7t the home '` RESIDENTIAL ENERGY PERFORMANCE RATING SHEET �t IT Hp U E �� T Y 'fyN .. DBLCLR SINGLCLR ,Y DRLTINT.....•. .....� pQW$. t ¢# UNDRATC R30 t+ t ? :IN ULATION .x r KNEE R19 I � +wiling R-Valpp R,o Rao wall, R-1/11PQ,•. ............. •...... 2X4WDFR R11 R-o r R7 Floor R-Value... . ..... .......... . . FRIM R�9 R-0 R-19 ,p a C9 .1'n T 'R"'I �. + ;!�•?I IwoI 1 I Fl..•.....................•...... g, R p 10.0 SEER 17.0 �PEI 9.7 EER 1�Q HiATI NGl(STM bac riG 99P H P 7 Q R— 6.8 IiSPF 12 0 x x t HgA ry .. � tlecfric ELECT. .91 Ees ?,.... , t. ......:..... .54 M �...... ......... .. � E, f 1 t ,W".A J nr . .r.....'ef e,•................e............ �....�! ••.. ..�.. r•... .�....... .. ..r ' 47aw,a t f� a Ng. t," R r• l ferti th t th?1Q(j�e ongf��yy �avmp futures required for the Florida Energy Code have been�n t 1 �C Builder MAS TER DUPLEX Signature:DEAN RUSSELL 2 17 93 " 4 ��,, n r o tst� ctiQn-19 3 Flo dp 0eppf1m9p(gf 9! !!n# ff 'F4- p? QW �� f FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments... u C�, �+ ---------------------- Flood ' Zonesx Required Lowest Floor slwsrtigs s -r---rr------N Zf building is located within a flood hazard zone, a survey must be made AFTER THE GLAD HAS DEEM POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the bast► flood elevation established for that mow. No final inspection will be made and no oerlltioste of occupancy will be issued until the survey is on *file with the Building Department. f (;OMMBNTS s Applicant Acknowledgements I understand that the issuance of this permit it oonttWoont upon the above information being correct and that the plans and mu Ung data have been or shall be provided an required. I agree to comply with all applicable provisions of Ordinanos No. 23-7-11 and all other laws or iLi ordinances affecting the proposed development. Date---- ____-Applicant•n Signature.... .................--- ------------- --------------------------- ------ Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation ---__---_r--_--__ Survey Filed with Building Department ........... 0 Building-Department Representative t page 3 . TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDN&PAY MORE TU MEETING: Nopaq Ownwy Name AdftuT�Mphatw 2. ALL-or- LoT7 Ila Localfon d Tinro Removal/8tMr Mlwalbrt 5rze-r, .j t-4 Arz SECTION 8 (To be oars Wod by Vocontr wto"pn"dy N bawd MOWWWA k"Wes an OxhA p dweMrt&and which N not prrwrt>Illy owtlwr-0=04 I-Wh t dial V"are proposed b ow abow WodW db7 2.wrest 18#ww puNpowr d Ow"pmpomW o wVos? 3.Spedy trees proposed I"rwnwW as follows: TREE COUNT SPECIEB. 817.E(WH x tiEKW CONDITION A <:55,k k:- 6 .� A L I PoNe- 10 AL, \/F- 4.Wig Vim bus be rokxWed on ON sWft pmpW �v 5.If not,will raplawamt Imes be ptw*od7 6.Specsy proposed aoaow wA bv"as tokens: TREE COUNT SPECIES WE(D6H x ICW22 IV 7.Attach 64a plan. ' fsKiP SECTION C AND COMPLFTE SECTION D) SECTION 8 - (All other Applicants) 1 . Property Zoning: O le,&I A 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Sit* topography b) Existing and proposed structures c) Location of all trees w/ DBH Of •ix d) Tres species and sixes inQM• Or more •) Trees to be removed should be clearly f) Trees to be relocated should be clearly markd g) Location of any proposed replacement trees h) Identify trees of special or unique ch i ) Identify trees within 10 feet ofconstructioniareas J ) Show location and type of tree p k) location of utilities, accessesands044 barriers 1 ) location of vehicle travel corridors amts• M) Location of commercial sprinkler/irrigation Systema n) Landscape Maintenance plan (Commercial o) Staging areas for equipment and material storage SECTION C I agree to c in Chapter 23,p•1Y with Articl• therules of ethrn Codi Cotic44 established Atlantic Beach. f OfdinanCes of Owners S1 gnature • Date • CITY USr~ nus v '' Applicant has complied with all provisions of Ch4pter 23 and , requirements of the Tree Conservation Board. Tree Conservation Board Designee QeAte NOTE; "Tree Protection for. Builders and Developers" is available at City Hall or from the Division' of Forestry, 871'9 West Beaver Street, Jacksonville, FL. 32220. (781-1434) S CITY OF ATLANTIC MECgANICA , pERMIT BEACH APpEICATIoIv Owner 0-fl)roperty: Date: Job Address: / pa Contractor: In consideration of accordance with the attached Permrt given for doin ordinances and plans and g the work as described in the above standards of ood sl�cificat'as which are a statement we here 'as therein. Part hereof in accordance agree totO 1—omtsaid work in III. GENERAL INFO with the City ofAtlantic Beach A T—beating�eRMATION �+ Electric ❑ Gas: B. ❑ —LP lural IS OTHER CONSTRU Oil —Na ._Central Utility CTION EI�1 ❑ Other–Specify ty BUILDING pR SITE? 0 U G DONE ON THIS J IV. IF YES,GIVE NUMBER OF CONS ¢ MECHANICAL E PERMIT TRUCTION I INSTALLED Q UIPII�ENT TO BE /NATURE OF WORK t?Tovide complete list of com 1� Residential or € ❑ t Ponents on back of this form) El New Building CDmmercial _Space _Recessed _Central j Air Conditioning: lour Existing Building 0 Duct S Room Central Placement ofexistin System: Material ❑ Newlnstallation(No g system } Ma7cim�stll�-------may Ttuc ess 0 system previously installed) [) Refrigeration Extension or add-on to existing ❑ Other-Specify g system O Cooling tower: Capacity 0 Fire sprinklers; Numberofheads m st),101, 1 Jy p�J _ gt0�_(Nunik) THIS SPACE FOR OFFICE USE ONLY �(Jwflber) (Received) �SO�Ine N�ps''J(Numixc) Remarks umber) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030795 Date 7/22/05 Property Address . . . . . . 1102 ROSE ST Tenant nbr, name . . . . . . INSTALL 31 /6 ' FENCE/GATE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200 Owner Contractor - --- - - - --- - - -- ---- - - - -- - - - -- - -- - -- - --- - - - -- - - -- - STARLING, LINDA OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -- --- -- - -- --- -- -- -- - -- -- - - -- -- - - -- - - --- -- - - ----- - -- - -- -- - --- -- ------- - -- ---- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 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 q PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING FFICIAL ri?: riI CITY OF ATLANTIC BEACH Cc. i BUILDING / ZONING DEPARTMENT LD. Hi rd s� 800 Seminole Road fS. Doerr J Atlantic Beach,Florida 32233 to W »� (904)247-5800 P Jilt} (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # D6 Property Address: lip cr�- Applicant: Li V 1 ( K Project: T�`ll�a- �� �i LO' 'F-CK Of, a Q-tc-) This permit application has been: � Approved ❑ Reviewed and the following items need attention: Please re-submit your ap lication when these items have been completed. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH JS � T %� FENCE PERMIT APPLICATION s3 Date: br (Q Job Address: Owner's Name: U (o& Address: OSS S C'�Q t Phone: a q \ 4 �. Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Address: f Phone: City: State: Zip: Fax: O- Type of fence and materials to be used: W Yl f� Valuation Of Fence: I dao Interior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? NO If yes,please submit with this application. Tree Protection: [Ko. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: a�Phone: c� Q Z�L Fax: E-Mail: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-.5800 • Fax: (904)247-5845 - http //www.ci.atiantic-beach.fl.us Page 1 Revised 3/04/04 1 a� N j1 ? CITY OF ATLANTIC BEACH 1 J OWNER/BUILDER AFFIDAVIT Date: Job Address: C O a e -Z� 'e.e CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PkOPERTY O BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF SL 20. L_f�a"v f•">o s4,^ JENNIFERSCH ETEoLU �v� �Svt� SIONu12 �«rua N T Y PUBLI ES May z7,2C 7h ,uhf NfBia aM OMMISSION EXPIsRES: -- NOTE: P CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT ', ra 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: L l I VL Project: T,K + 11 511 F 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: 09 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. Re igwe by Donna K 'ak, Public Utilities Director Date ' -7-22-66 Signature Contractor Notified Date CITY OF ATLANTIC BEACH :1 FENCE PERMIT APPLICATION Date. Job Address: Owner's Name: 1.l fo& ��q r t i r%)C-, Address: ISVr —,P—t Phone: Z Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: (`)W De 12 Address: r Phone: City: State: Zip: Fax: Type of fence and materials to be used: � to r264. LA7% Lk TQ Valuation Of Fence: 4 ado Interior Lot ❑ Comer Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? ('JO If yes,please submit with this application. Tree Protection: <0. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact,information of person to receive all correspondence regarding this application(please print). Name: l (lJ C�'Q� S—k 1�0(" ` l N C Mailing Address: U v� 9,n e S C �12 Phone: a� c �4 9 Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 . Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: 4=!R-0 C 4 ZL :R cOS,e CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOREVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR ROPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR WROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISST DANCE OF AN OWNER-BUILDER PERMIT. _ P�PELRTY�OW','N�l�OJ-B-Ual-L-D-EZR SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF SL 20 QS JENNIFER SCHLUETER My CQMMISSON N DD 121301 EXPIRES:May 27,2006 N T Y PUBLI Thru Notary public Underwriters M OMMISSION EXPIRES: NOTE: P t d CITY OF ATLANTIC BEACH J s f PUBLIC WORKS DEPARTMENT 1 rj 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS n Permit Application # Property Address: —11 D Applicant: L pyL '+ Project: -T-k l I (-5 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: i N r C C ltf t P r 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. ReviewAb Carper, P.E.,Public Works Director C Date Signature Contractor Notified Date CITY OF ATLANTIC BEACH q v, FENCE PERMIT APPLICATION ixyu17J �ne'�.'" Date: �} I Q DSS Job Address: V A2, 0 ,S Owner's Name: L d- - Address: S�c,L�-t- Phone: Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Address: F Phone: City: State: Zip: Fax: Type offence and materials to be used: W OC� 11 T,rin, Valuation Of Fence: -f�o Interior Lot ❑ Comer Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required?N If yes,please submit with this application. Tree Protection: EK0. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of persontoreceive all correspondence regarding this application(please print). Name: ( lV C�'a� R I- l l N C1- Mailing Mailing Address: 1 `U n�� r ,p -�- Phone: �� �� Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 3/04/04 J " r Sl CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: D1!0 Job Address: ) C O". '�Z per{ `z_:A re_'e.4 CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MTJNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THF.ISST JANCR OF AN OWNER-BUILDER PERMIT. P PERTY OWNWBUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF Sv I 20_ �J JENNIFER SCHLUETER i COMMISSION#DD 121301 EXPIRES:May 27,2006 N T Y PUBLI NOTE: P Bonded ihru Notary p blir.underwriters M OMMISSION EXPIRES: '�'�� - ��o M x 11J� _� a �� �� M �� a� n �- � � ' II hoz _ { �— --- I-- ----- 1 d � rN & A T ` A 71 R, - � I 11 0 t 1J In __:� _ Ci i i , i I 1 i 1 '~0 x, ' 1 m .: �i I m I x U I11 I in i 4LADDRESS__Z(( BUILDING PERMIT NUMBER Z/ INSPECTIONS: UNDER SLAB PLUMBING___ SLAB------------------------------------------------ FRAMING------ _____........-____-_:__..._-_.___-.---_-__-_____--.____--FRAMING______ .___--_-__ COYER-UP____ INSULATION____ �__-_-__--_--_.___________.____ FINAL BUILDING--------------------------------------- CERTIFICATE _- -_-------------------.--.__-__-_CERTIFICATE OF OCCUPANCY_ ____.____w_.._.___. ELECTRICAL PERMIT #_____-___ INSPECTIONS ROUGH_______-_ .-_. FINAL_____________________.____���___._______.__.____._.___-- MECHANICAL PERMIT #______ '_------.__--___----- PLUMBING PERMIT NOTES: IN, fl 0 L �p - < 13 -o fi � rn 71 LO 3 ' I O r. } I it 1 and lonk* Dspa . -- ---- - -- ----- —- ----�--- This approval verilias aoMPbanoe ww jp_p able zoning, subdivisioro and other local tend development rogu Inti(A, bud does not constitute approval for tl>w kiriSW*01 permits. Compliance with Florida BuARding Code and all other applicable local, State and F era► pern4itting requirements must be verified nture of the City of Atlantic Beach Building 1 prior to issuance of n Building Permit. (�-- Approved By: u BeO1 ireCtof Date: i 1 1 i0_ ! x, i R o � , 14 m l k 1 t j±,rL'Jr 40 J�' a CITY OF ATLANTIC BEACH �S 800 SEMINOLE ROAD J � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030649 Date 6/24/05 Property Address . . . . . . 1102 ROSE ST Tenant nbr, name . . . . . . REPL AIR HANDLER Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STARLING, LINDA ADMIRAL AIR If 514 EDGEWOOD AV S JACKSONVILLE FL 32205 (904) 908-5252 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 51 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Q�.. C- 4, & BUILDING OFFICIAL I fif �A� �,�-.. .. ....� � f � �� fu>>a�.,r,. i ( ��� i � � � � ��� i j i � � �' I' , i