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Permit 318 Royal Palm (vault) r� CITY OF ATLANTIC BEACH S�1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032793 Date 5/04/06 Property Address . . . . . . 318 ROYAL PALMS DR Tenant nbr, name . . . . . . DECK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ------------------------ MAYO OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 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 PERWF IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINC,�CODES �4u BUILDING OFFICIAL CITY OF ATLANTIC BEACH r BUILDING /ZONING DEPARTMENT D. Ford j � 800 Seminole Road Atlantic Beach,Florida 32233 oe r j31 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 66 - -?2 793 "Pn V r Property Address: -5 r .0d h L-n Applicant: M Project: C r This permit application has been: Approved � - Reviewed and the following items need attention: (� t Please re-submit your application when these items have been completed. / Reviewed By: I'LL �AV Date: Date Contractor Notified: �s r CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations&Additions) Date:_ _� ti -x, l CD Job Address. �J �C?`fQi� iA l 1-t CS-1 .J Owner of Property: , T Address: "�,( C� �l � i f+r Telephone: -%((..�-_,`J`��i -06 Legal Description: Block Number: Lot Number: r 1-; Zoning District: Contractor: V:' State License Number: Contractor Address: _ ,, Telephone: q 0 L, Fax: Describe proposed use and work to be done: Present use of land or building(s): c' Valuation of proposed construction: What are the dimensions of the added space: '-i ' feet x feet Will the added area be heated and cooled? �`�,('� New electrical or increase in service? Add plumbing fixtures? G Add fireplace? . Add heating/air conditioning?. C J Is approval of Homeowner's Association or other private entity required? kko — If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? XNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.stiantic-beach.fl.us Page 2 Revised 8104 } 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 an structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner:—. S �z�C�_. ��t'��\� -�� Date: 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 propefty. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of (r 20� State of Florida,County of Du�val�, Notary Pubk.!lb d F� Notary's Signature: • `'� W Commbsim Expine Fab U,2010 >;F _ Commission I QD 518533 ❑ Personally known idea 3y Na anai Not Aam. Produced identification Type of identification produced ao f -Z AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us Revised 8/04 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Q( ( Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRESs owNE` /Bv`U-ILDER 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 CONSTRUCTIO& 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 rr 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. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. NGWLOWW Nfty PMNs-Um d 141i a • ,fir Coen wN�Pub U, �" °b 00 5"Sx PROPERTY OWNER/BUILDER Bonded 8 Nations A�Mn. /� By # 000 -z- SWORN TO AND SUBSCRIBED BEFORE ME THIS eDAY Qf 2011.4 NOTARY PUBL C MY COMMISSION E S: NOTE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT Y om t J 0 1200 Sandpiper Lane l�v• h / Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax �•a r r www.coab.us / PLAN REVIEW COMMENTS Permit Application N " 3 Property Address: 16 V&/ -5 Applicant: Project: 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: Work already started - can see new root from road. Show all impervious areas on plans . 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. Review d ick Carper, P.E.,Public Works Director Date Signatur Contractor Notified Date 1 0 a d } CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) f Date: ' , ®C_ Job Address: V fA Owner of Property: %-A,'f Address: Telephone: 0 �, f r-- , Legal Description: Block Number: 1 Lot Number: --1 "1 Zoning District: Contractor: �1�_ L_ V" State License Number: Contractor Address: Telephone: St 0 CA _ �' 06 0, Fax: Describe proposed use and work to be done: `t�� _ 0 Present use of land or building(s): Gj � Valuation of proposed construction: (Dc-_�o,cc-') What are the dimensions of the added space: V ' feet x feet Will the added area be heated and cooled? i ,('� New electrical or increase in service? Add plumbing fixtures? NG Add fireplace? _ Add heating/air conditioning?. 1 Is approval of Homeowner's Association or other private entity required? \kr) _ If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? XNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (Lf not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 8/04 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. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: `. j ,CsC4 �` � 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 propehy. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: 1 ! Sworn to and subscribed before me this day of �'i� 20 Q State of Florida,County of Duval , SNIRLEY L.GRAHAM r` Notary Public_Sfsle a Fbrids Notary's Signature: ' My Commission Expires Feb 14,2010 Commission#00 518533 ❑ Personally known a'nded 3y National Notary Assn. Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 8/04 \�s % fps CITY OF ATLANTIC BEACH Ca BUILDING /ZONING DEPARTMENT D. For i CC 800 Seminole Road �' t Atlantic Beach,Florida 32233 W (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # d - c3,:,)7g 3 —P Property Address: P /nS Applicant: 6Y4 Project: �c� This permit application has been: Ap oved Reviewed and the following items need attention: 77t� 20- o Please re-submit you ication when these items have been completed. Reviewed By: Date: D / 0 Date Contractor Notified: CCTY OF ATLANTIC BEACH cG: .-"1 D. F � L� ,� ti� _`�t BUILDING ZONING DEPARTMENT 00 — 8Semin4Jz Road jKJ Maroc Beach,Florida 32233 Y,.. t((904;247-5800 (904,247-5845 Fax .r1��a.coab.us SAN REVIEW COMMENTS ~mit Appiicatiou #_66 - 3�7g 3 perty Address: vr, d� Aicant: A ,ject: _ a✓�C ` yt,o C o YGR eoQ- t'ac•`f l T;7roved t application has been: P� �S 0 Z D�0 S!�/ Reviewed and the Mowing items need attention: _r -- � I ase re-submit your,xpp-lication whpp t ese items have been completed. iewed By: Date: — :e Contractor Notified: ,S r CITY OF ATLANTIC BEACH s� BILDING PERMIT APPLICATION t (Alterations & Additions) Date: l ' , C, _ L Job Address: ®°`fCQ l [� 1 h-1 Owner of Property: �'t ) Address: 1 ��` �- 2`C-` ! , Telephone: `2 fi'"i - Legal Description: Block Number: _Lot Number: ~ k Zoning District: Contractor: �J_ L, IC:' State License Number: Contractor Address: _ �� ,,�B�.:. Telephone: Ct©k-\ - t w L CC Fax: (At I Describe proposed use and work to be donee Present use of land or building(s): Valuation of proposed construction: ,L-)t c,cc" , What are the dimensions of the added space: ti V ' feet x feet Will the added area be heated and cooled? , New electrical or increase in service? Add plumbing fixtures? KQ Add fireplace?, Add heating/air conditioning? 1 Is approval of 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, or the addition of 5% or more to the original impervious area or the removal of any trees? XNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: _ � Date: t`� � icy 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 properly. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 1 day of �'i� .20 Q State of Florida,County of Duval SHRLE r�. SHIRLEY L.GRAHAM r� Notary Public-S%W of Florida Notary's Signature: -MY Commission Expires Feb 14,2010 Commission#DD 518533 ❑ Personally known a �ded 8v Na^onal Notary Assn. Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 8104 I I AK ; I I I , i I ` DEPgRT CITY oFq M NNc OF BUILDING11 � - BEACH,FLORIDA r TH►sPERMIT TO BUILD PERMIT No MUST BE POSTED ON JOB j DateJa22 .Valuation$ 31 2 , 98Q. 00 19--84 This Permit not Fee$ 137,25 ry valid until above fee has been 137. g �+ j subject to revocationYu� C� F for violation Of paid to City Treasurer, i This is to Certif that M applicable provisions and is Y dt I(' of law. 7€ ii •fl(lCq 318 Ro �IAEL SEylfop i ? !/�6f� Ya l palms 1f7C? i has permission to build Ad DriVe di tion � o home � Classi£cation Owned by Residential Lot 14 MIchael $e, re Zone ... amo House No I Accor Block ding to a 2--S/D approved plans which are part of this permit NOTICE—ALL CO SPD FOOTINGS MUST E FORMS PERMIT V BEFO� PO URING E IN ER OID SIX MONTHS AFT D Z Building material TE OF ISSUE 1 in Public work rnu tbno h and debris ace, and must be Placed tr led akra be cleared r owne , Y bq either co n. POR FF USE ONLY PERMIT NUMBER ' Build PLUMBING DATE �8 Official. CONTRACTOR ELECTRICAL SEWER WATER AIIR K s FOR OFFICE USE ONLY Date ..........___..................19 Permit #----..._......--....Fee $....................... CITY OF ATLANTIC BEACH Valuation $-..................... FLORIDA ----_ '_�...,..✓'" House #-----....................-............-............. ----- - •-----•-••-•----•--•.................._.._. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date ,A. �... ..._-- Owner.-- �_Ik:l. . __.�4 C, 'r)- .�� -t.t i`---..Address... ---J l. Telephone Architect......----------------- --------------------------------....Address..................... ---------------_---------------•--.Telephone No............---- -- Contractor Builder. . -_. _---... ..__. _- --- .. ------Address----- Telephone No...... . Lot No.. _. . L/- --- -- ... .. Block No. .. �... ..._. .. Sub Division. � Lu�S r � J ......- Zone ---.C�c'r sti -.-Street_.._.......- Side Between_- ------------ ----------__----------------and---------- ---- - - - te. ,'. '4-C Valuation $............. ... ......_._.- �r�.r _ _ For what purpose will building be used. �. .._ Type of construction---------------..__._......_. __.... CC�� _t'i t Dimensions of Building- 19) _"_.Dimensions of Lot_ ,. L ---------- .Size of Footings '_xt _ L: Size of Piers------------ ---------------------Size of Sills.___.-- ._-. . __. ....Greatest Sill Span in ft..-..-----__---------_Type Roof--- �-'�`'-I--II'-�--.-•�'�,?--.---- How will Building be Heated?.._ {+ _-------- ....._.._.._. ---_-------------_Will Building be on Solid or Filled Ground?_.---_ .......d .. Size of Ceiling Jo sts ------- -----------_........ .-------_, Distance on Centers- __..... _.... .......................... Greatest Span-----__------------------------.._._---. " Size of Floor Joists_ ....------------------------_-------..., Distance on Centers. - ---. - -----------------------.-, Greatest Span--------------............................ " Size of Rafters----------------- - - ------- - --. - -- - Distance on Centers _.. .... ..-- ... --. -- Greatest Span........-----------•--------------•-----•- „ Contractors ' Lisence No.. This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from Expiration Date': _ all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 04 4. When framing is completed. p p 5. When rough plumbing is completed,and ready to cover up. a a 6. When septic tank drain field or sewer is laid but before it is covered. q q M H 7. Electrical inspection by City of Jacksor.ville. oz 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signatureof Builder. -- ----------------------------------- --- --- Address--_---------_--- -------------- ---------- ---------------------------------- Sig-nature --- --- .Signature of Owner.../ .. . ..... C .L Address .'3l - �w NrCHANI CAL: BUILDING PFJ'—IIT 1dOI;kSHEET HEATED SQUARE FOOTAGE: $ t _ � . ga0 @ -- y ts-- _ — Per sq. ft. = CARAGE (PR1\'ATE/SHED) : DO @ $ 2 q' pc s ft. _ $ Q� - - - - - - ------ p � CAT'PORT: $ — - -------- - ----- ----- Per sq. ft. = $ PORCHES: @ - --- $ -----____.__ __ --------- Per sq. ft. = $ llf_CK: @per sq. ft. _ $ PA'I I0: @ $ sq = $ -- --- ------- - — ----- -- ----__ — Per . f t. TOTAL VALUATION: $ PEP.'MIT FEES TU A (A TION DATA 1st -- REIf- - -- ------ - -- ( � -- NAIN ER VALUATION @ $ 1 er thousand or porti-o thereof ' U v TOTAL BUILDI'.\-G PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . $_ . PLUS 2 THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _--_--- ----------------------------------------------------------------------------------------------------- PLL_,'BING PrR'MIT FEE: $ -- — M7-C'n'_ARICAL P_KMIT FEE: $ FLECIRICAL R=SIDENTIAL: $------ ---_--- ELECTRICAL ''--dORARY: $ WATER 'METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CHARGE: FIXTURE UNITS @ $10.00 PER UNIT: $ ACCOL-NT NO. : APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $ APPROVED TOTAL l..ATER 'METER CHARGE: $ CITY (;.F kT9..".id {0 BEAN EjUILDING OFFICE TOTAL WATER CO'l-NECTION C ARGE: $ �? G TOTAL SEVER CO':';ECTION C"aRGE: $ GPA-ND TOTAL DUE: $ s 3 i t l F k i � I r' 4 i i A i ------------ loop 9}� ddd t d i $ Z t 1 \ � I . 1 y� d { 1 4 )o„x t� C111301113 gam. k ;Axf- i i a � r , �-• ,� �.. „ ,r'C4 Y� i ”; :. wJ:f� w.�. to d} door n -------------- J �T{ JJ1 � I hJ e t,v t ,4 y. MAIJ.,SHOW. ING SU�t1/I�' � � w ,. •��'�'��•�- � �� ,� _......�,�K. N'MAr''`QF t � , r'. ,.FOR G ��,. t �KIQ RRCQ11M OR DLJYAt,,,CQ�.1�#.A • .i r . Y ,/y _ N 77 l .ay l any w -�. _ A.. � �•t{.s` 1 X:�. w J . 1. CV ; . tea• t �" , 4. �iL t N '�• -ter � . , . _ ,� x r a 9 � a 77 � t x ,..� • { �'.�l.3Rw: i'. A� iltl�ti�r i i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT 1 NO. V' 265 PERMIT TO BUILD V THIS PERMIT MUST BE POSTED ON JOB Date_ 1111 t, 19 87 Valuation$ 1,405.00 Fee$ 7.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that ARLINGTON ROOFING has permission to buifd RE ROOF i 7: 0c�T Classification T e t Zone Owned by JOHN MILLER ,� Lot 1017 In 1 1/16/rF3 Block__________S/D 1 ont) House No. VE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS 'TI AFTER DATE OF ISSUE �♦ 0 Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up and hauled away by either con. r or owner, �^ I Bui n Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE � CONTRACTOR PLUMBING ELECTRICAL f SEWER WATER i r% CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER PHONE JOB ADDRESS LOI'N__`BLOCK Ott UNIT N SUBDIVISION ------------- CONTRACTOR • f/ � �?IIONE � -�� ADDRESS LICENSE- NUMBL' JOB VALUEXPIRnriON ATION MATERIALS: SIGNATURE OWNER SIGNATURE CONTRACT' DATE DAT- CITY OF - ' r� Seacl-jlloncda Office of Building Official REQUEST FOR INSPECTION Date "4 Permit No. C Time A.M. Received PM, District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ / Top Out ❑ Heating Lintel ❑ Final IV S e y) ❑ Fire Place ❑ READY FOR INSPECTION v, FA Pre Fab c. .f . A.M. Mon Tues, Wed. Thurs. Friday P.M. nspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA A1>arowd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �/ 1 19 fff IMPORTANT NOTICE: IN CONSIDERATION OF PERMITGIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE APART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. G ELECTRICAL FJRM M ER ELECTRICIAN 1 NAME ty'O J1 �LLG'�� ADDRESS: �POr !AL/�lS' RFD EWX SLOG.SIZE BETWEEN; RES.( 4 APT.t ) COMM.( 1 PUBLIC l 1 INDUS.( 1 NEW( 1 OLD(- -' REW.( ADDITION( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW ) INCREASE(A(' REPAIR ( 1 FEE COUDUCTORSIZE AMPS-20 COPPER I I ALUM. `I SWITCH OR BREAKER AMPS Z PH d W P VOLT BGG RACEWAY EXIST.SERV.SIZE 2,0 d AMPS PH W W PM? VOLT SZG RACEWAY r FEEDERS NO. SIZE NO: SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS GEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS CITY OF ATLANTIC BEACH k4�� 800 SENIINOLE ROAD 1{ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032781 Date 6/07/06 Property Address . . . . . . 318 ROYAL PALMS DR Tenant nbr, name . . . . . . GARAGE ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 Owner Contractor ------------------------ OWNER i'ee summary Charycu ---------- -----"'^T-ANTIC BEACH FL 32233 Permit Fee Total 230 . 00 230 . 00 _--- "� Plan Check Total 115 . 00 115 . 00 . 00 .\J\j 200 . 00 200 . 00 . 00 . 00 other Fee Total 545 . 00 545 . 00 . 00 . 00 Grand Total PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TY FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PUBLIC WORKS I)EPAR'I'MENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 --- (904)247-5843 Fax www.coab.us PIAN REVIEW COMMENTS \(� Permit Application # Property Address: Applicant: ia Il Q Project: a ❑ 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: '/Provide erosion and sediment control plans with details . ✓1?rovide building site management plan. YPlans do not show proposed driveway addition. Provide plan and material proposd. Include proposed deck in impervious calculations (permit application #06-32793) . 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 Rick Carper, P.E., Public Works Director ---- Date Signature Contractor Notified Date I _ I - —max — iG c /C1v _- f y"%j,j `1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date 26, Permit Number _ 6 3 Q- 7,Q/ Address Contact Name Phone Heated Square Footage @ $ 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 1 s` $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/Z Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ RvIPERVIOUS SURFACE: AB CONSTRUCTION SURCHARGE $ CAPITAL INIPROVEMENT $ CITY RADON SURCHARGE $ SECTION H IMPACT FEE $ SEWER IMPACT FEES $ SEWER TAP FEES $ ST CONSTRUCTION SURCHARGE $ STATE RADON SURCHARGE $ WATER CONNECT/METER ONLY $ WATER CONNECT/TAP&METER $ WATER CROSS CONNECTION $ WATER IMPACT FEE $ po OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH Cc: J 1 Is BUILDING / ZONING DEPARTMENT D. For -.- 800 800 Seminole Road oe r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0 c.Q— 781 t(&-� Property Address: L Applicant: I r L oLf QJ Ll Project: Off• o ,( Q.Q n —h yA This p it application has been: Approved Revi the following items need attention: e rw r ICL rx-5 L(Jr Please re-submit your application when these items have been completed. Reviewed By: _ Date: 511 (o(,- Date Contractor Notified: e CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations &Additions) Date: Job Address: 313 ?O Y Pt L 'V A 1 Nl S Dr frt� , s �, � � �— �� 11 Owner of Property: ,kAy\R 1 f-N n Address: 31$ IRk:,y pt L Q R L 1A,s U r KL BCh - C-L3��3 Telephone: 9 04 -- 'A I- O 6 Q 5 Legal Description: Block Number: tr/ Lot Number: Af—Zoning District: Contractor: S E L F State License Number: Contractor Address: S e t: C Pv)p a 1&� Telephone:904- _aLk t (3 G d 5 Fax: 904 -- (5-y*V1 !T S A Describe proposed use and work to be done: ie>o i L CL6nsLS A r Y kAoo S c g12n1*i o 1A w f r---A fi C.,F,r>,1-E.- Present use of land or building(s): S F 9, �l Valuation of proposed construction: 12` Dimensions of the added space: feet x tA*A' V) feet Will this project involve: Heating&Air- Plumbing Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? N\Z�D If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to thn nriain-A imnervionc-Area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. IZ/YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Properly Appraiser's Real Estate Number available. P, ::ESTP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: t.AiP►%41 R 0 . !-t PlYQ Mailing Address: 3l$ VCp-J Telephone: q0 — qn- Q h© rJ Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: kA Q C AS TO OWNER: Sworn to and subscribed before me this l`� day of ,206L_. State of Florida,County of Duval " Notary's Signature: c �Q.lG�G4 • My Commission DDI 42431 Expires August 15,2006 ❑ Personally known Produced identification Type of identification produced _F1_. D-ri uez -ff-M Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 J = CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: 0(-1 1 2 0 Job Address: 3 `A gco!j pl.- p o 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 DC1.„YORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WO KERS BE UNDER"DIRECT',UPERVISION OF THE OWNER, WHO MUST BE,ON THE JOB AT ALL TIMES WHILE°:;DIRK IS IN PROGRESS BY U1,111 ICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CON"RkCTORS. 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 EMI'-LAY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER Helen RWilson •My Commission DD142431 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20rj,,, '` Wires August 15,2008 NO/ARY PUBLIC R-), �,`L— MY COMMISSION EXPIRES: Vr)TF. PT4PAQ17Q7TATnPIZT TATFTI ARl1VV 610213 MAP SHOWING BOUNDARY SURVEY OF LOT—Z4- BLOCK Z-45 AS SHOWN ON MAP OF 2E/-1AT O,c" P/-/27" U,c_ RU'/',LLJA-)JT 7-1-c/0 A AS RECORDED /N PLAT BOOK PAGES �v/lv /ly U_OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR:14MC19 M/aYU; ,c1Z 7c�2iU= Zi�C i�yS_u�2�ticC �U�cJU. i,yC. ; N��cJ F/.V{9AJG/A L nJC.l�f3 / [ TD ' W C EI`1.2T..�S L TJE.e7/U L7/C7 G o2.VL-7Z F/-1C.C.S /N F0v7&-C UTc E51I'7 N � x ON tom.. 1 N � � U 7. ' f ST m /ge-,o /3 m Ntg �lovo o �' 'd 3 1 �a 15 oi, c V V 2 25 v 9 N N V o• 2UY/-�L /moi-�C_�7� /�,2/✓E XFV, cEraTs U-I Z-�y THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE _AS SCALED FROM FLOOD INSURANCE RATE MAPS_ FOR THE CITY OF FLORIDA, DA TED �f- !�- 8`� AND c- 1,1 ,,1 cunuw,l AC' e nnl lDTrcv nn eii v AAM ncc WIT rn n7T1- d I-rPT79'i d 77nA1 nL' Cdur APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CMO hod C CONSTRUCTION NORTH 12 3 Residential Limited Applications proscriptive FORM 6dditio rb of Small Addklons,Renovations&Building Systems Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600004 for additions of 600 square feet or less,site-installed comDone manufactured homes,and renovations m single-and multiple•famlly residences.Alternative methods are provided for additions by use of Form 6008.04 or 600A BUILDER: }�1`FA CLIMATE PROJECT NAME: -,AL 1�� PERMITTING ZONE: 1 ❑ 2 ❑ 3 AND ADDRESS: 31 OFFICE: G- JURISDICTION NO.:Z. I PERMIT NO.: OWNER: �("� at meetthe pres°ribed minimum Insulation levels.REENOVATIOnents �NeS(Res bela0 ui ment efficiency levels must be mat onN when r�uipmem is installed speclficaly to serve the eddftio�or is being installed in SMALL ADDITIONS TO EXISTING RESIDENCES(600 squarelast a or I of conditloned area).Prescriptive requarce�mems In Tables 6C-1,6C-2,and 6C-3 apply only the n or Is beets in the addition,not the existing building 16 Space ha�tinq,cooling,and water heating the eA ting whh the add16 cbnatrocthm Componefrts separating uncondhioned spaces from condition spa buiconldings undergoing dd onti costing more than 30%of the assessed value of the building).Prescriptive requlremerds In Tables 6C 1 and fiC 2 apply on ly to�er renovates or replaced-Movatl ,CTURED HOMES AND BUILDINGS.Only sfte Installed componerds and features are covered by this form•BUILDING SYSTEMS.Comply when complete new sysbeK s installed. Please print 1 � � 1. Renovation,Adoklon,New System or Manufactured Home 2. Single-family detached or Mukiple-family attached 3. a,�ciG n7 3. If Muklpie famlN No.of units covered by this submission 5.La-S- 4. Conditioned flodr area(sq.ft.) 5. Predominant save overhang(ft.) Single Pane Do�u�blte�Pane e. Glass type and area: 6a. sq.ft. —sq ft a.Clear glass 6b. Sq-ft• Sq-fL b.Tint,film or solar screen 7, _%, 7. Percentage of glass to floor area S. Floor type and insulation: R=__(__ _Iln.ft. a.Slab-on-tirade(R-value) 8b. R n sq.ft. b.Wood,raised(R-value) ac. R= sq.ft. c.Wood,common(R-value) Bd. R= sq.ft. d.Concrete`raised(R-value) Be. R= —sq-ft- a. q,ft.e.Concretel common(R-value) 9. Wali type and iniulstion: 9a-1 R= sq•ft. a. Exterior: 1 1. Masonry(insulation R-value) 9a-2 R= sq.ft. 2. Wood frame(Insulation R-value) 9b-1 R= sq.ft. b. Adjacent: 1. Masonry(Insulation R-value) gb-2 R- a4 2. Wood frame(Insulation R-value) c. Marriage Walls of Multiple Units*(Yes/No) 9c i 10. Ceiling type and insulation: a.Under attic(Insulation R-value) 100. P" b.Single assembly(Insulation R-value) 10b, R zZa::SRI, flq tL 11. Cooling system*. 11, Type: �� (Types:central,room unit,package terminal A.C.,gas,existing,none) 12. Heating system* JUERNER: (Types:heat pump,elec.strip,natural gas,LP-gas, as h, , ��, 'Jhh existing,nude) 9 A,room or PTAC HS 13. Air distribution system" a.Backflow er Or ��i APPENDIX 13-D TABLE SC-1:PRESCRIPTIVE REOUIREMENTS FOR SMALL ADDITIONS(800 Bq.Ft.end Len),RENOVATIONS TO E708TING BUILOINOS ANp SITE INSTALLED COMPONENTS Climate MMIUF onesD HOMES COMPONENT MINIMUM INSULATION INSTALLED MINIMUM INSULATION INSTALLED EQUIPMENT EFFICIENCYlumEFFICIENCY Concrete Block R-7 Frame,2'x 4' R-11 z Central A/C -Split SEER=10.0 SEER= Frame,2'x 8' R-19 - Single Pkg. SEER=9.7 SEER- 3 Common,Frame R-11 8 Room unit or PTAC EER =8.5* EER = Common,Masonry R-3 Under Attic R-30 Electric Resistance ANY ( Q Single Assembly;Enclosed Z Heat pump-Split HSPF=6.8 HSPF= W,, �- Frame R-19 Single Pkg. HSPF=6.6 HSPF.- Metal Pana Room unit or PTHP COP=2.7' HSPF/COP= U Single Assembly;Open R-10 = Common,Frame R-17 Lu U Gas,natural or propane AFUE=.78 AFUE_ Slab o cc Fuel Oil AFUE=.78 AFUE_ n-grede No Minimum _ co 8 Raised Wood R-19 Raised Concrete R-7 Common,Frame R-11 o Electric Resistance EF-.92 EF= Nf A In unconditioned space R-6 " =a Gas;natural or LP EF..s9 EF= Q In conditioned space No minimum 3 Fuel Oil EF-.54 EF= TABLE 6C-2:PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY 'See Table 13-607.1.ABC.3.2 and 13-608.1.ABC.3.2 Maximum percentage gum to floor area allowed is selected by type,overhang le and solar heat em coefficient Maximum%- installed%_X2 GLASS TYPE,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC V-87.87 V- 78 2'..87 V-78.78 NOT 2'-.78 NOT ALLOWED V-.78 V-.75 V-.75 V-.61 ALLOWED 1'-.61 -.61 0'-.57 V -44 0'-.35 Get certified SHGC from the manufacturer or use defaults:Single clear SHGC=.75,double clear SHGC=.66,and single tint SHGC=.84 TABLE SC-8 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints&Cracks 606.1 To be caulked,gesketed,weather-stripped or otherwise sealed. ti Exterior Windows&Doors 606.1 Max.0.3 cfm/sq.k.window,area;.5 cfMsq.R.door area. V Sols&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. 11�r Recessed Lighting 606.1 i Type IC rated with no penetrations(two alternatives allowed). V Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. Exhaust Fans 606.1 Exhaust fans vented to unconditioned apace shag have dampers,except for combustion devices with Integral \, exhaust ductwork. v Combustion Heating 606.1 Combustion apace and water heating systems must be provided with outside combustion air,except for direct vent appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2.Switch or clearly marred circuit breaker electric or cutoff(gas)must be provided.External or built-in heat trap required for vertical pipe risers. swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Noncommercial pools must have a pump timer.Gas spa&pool heaters must have minimum thermal effiolency of 78%. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems(including heat recovery units). Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. HVAC Dud Construction, 610.1 All ducts,fittings,mechanical equipment and plenum chambers shell be mechanically attached,sealed,Insulated Insulation&Installation and Installed in accordance with the criteria of Section 810.1.Ducts in attics must be insulated to a minimum of R-6. HVAC Controls 607.1 Separate readily accessible Manuel or automatic themtostat for each system. GENERAL DIRECTIONS: 1. On Table 6C-1 Indicate the R-value of the Insulation being added to each component and the efficiency levels of the equipment being Installed.All R-values and efficiencies Installed must meet or exceed the minimum values listed.Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass door panels.Double the am of all nonverlcal roof glass and add it to the previous total.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area Divide the adjusted glass am total by the conditioned floor area of the addition.Multiply by 100 to get the percent.Find the largest glass percentage under which your calculated percentage fells on Table 6C-2.PrescriptWes are given by the type of glass(single or double pane)and the overhang(OH)paired with a solar heat gain coefficient(SHGC).For a given glass type and overhang,the minimum solar heat gain coefficient allowed Is specified.Actual glass windows and doors previously In the exterior walls of the house and being reinstalled In the addition do not have to comply with the overhang and solar heat gain coefflclent requirements on Table 613-2.All new glass in the addition must meet the requirement for one of the options in the glass percentage category you Indicated.The overhang(OH)distance Is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Replacement glass needs to meet the following requirements.Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2-foot overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meet this criteria must be either single-pane tired,double-pane clear or double-pane tinted. 4. BUILDING SYSTEMS.Comply when new system is Installed for system Installed. 5. Complete the infomtatlon requested on the top bait of page 1. 6 Read'Minimum Requirements for Small Additions and Renovations;Table 6C-3,and check all applicable Rams. 7. Read,sign and date the'Owner/Agent'certification statement on page 1. 13-D.34 FLORIDA BUILDING CODE-BUILDING RIGHT-J BUILDING ANALYSIS REPORT Entire House Energy Design Systems Job: 12/21/05 1065 Oak Vale Rd,Jacksonville,FI 32259 Phone:904287-5339 Fax:904-287.1258 Email:energydesignsystemsegmail.com For: Maria addition 318 Royal Palm Dr,Atlantic Beach, FI R • Is M • j Htg Clg Infiltration Outside db °F) 39 92 Method Inside db(° ) 72 72 Construction quality SAverage Design TD(°F) 33 20 Fireplaces g Daily range - L 0 Inside humidity(%) - 50 Moisture difference(gr/Ib) - 65 Heating Walls, vela Component Btuh/ftz Btuh 15.8 Walls 3.0 1553 Windows 23.9 2488 v" dom Doors 15.2 319 Ceilings 1.1 653 Floors 26.7 2165 19.3 Infiltration 27.9 3490 31.2 Ducts 533 4.8 Total 11202 100.0 i • • 'Component Btuh/ft2 Btuh %of load Wa lrl�rtlm a8ltls Walls 2.5 1299 11.8 Duc° Windows 57.7 5998 54.6 Doors 12.7 267 2.4 Ceilings 1.6 950 8.6 � � ,. Ceilings Floors 0.0 0 0.0 Infiltration 71 881 8.0 Doom„ . Ducts 1000 9.1s Internal gains 600 5.5 "Andawc Total 10995 100.0 Cooling at 83% SHR= 1.1 ton Cooling air flow=490 cfm/ton Cooling at 70%SHR= 1.3 ton Cooling at 400 cfm/ton= 1.3 ton Overall U-Value=0.164 Btuh/ftz-°F Data entries checked. Wr7ghtsC)ft Right-Sulte Residential TM 5.0.66 RSR29784 C:1Documents and settingslcustomeWy Documents\wrightsottWlaria Add 318 Royal Palms Dr At]Bch.rsr 2005-Dec-21 18:32:07 Page 1 RIGHT-J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job: 12/21/05 1065 Oak Vale Rd,Jacksonville,FI 32259 Phone:904-287-5338 Fax:904.287-1258 Email:energydealgnsystem9®gmall.com For: Maria addition 318 Royal Palm Dr,Atlantic Beach, FI Notes: MTN • Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 39 OF Outside db Inside db Inside db 92 OF Design TD 33 °F Design b 72 °F 2 Daily range L° F Relative humidity 50 % Moisture difference 65 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 11.202 Btuh Structure Ventilation air Ventilation 10995 Btuh Ventilation air loss 0 Bt h Design temperature swing3.0 BFuh Design heat load 11202 Btuh Use mfg. data Rate/swing multiplier 0.97 Infiltration Total sens. equip, load 10665 Btuh Method Simplified Latent Coolie Equipment Load Sizing Construction quality Average 9 Fireplaces 0 Internal gains 460 Btuh Ventilation 0 Btuh Area(ft2) Hea inCoolliinng Infiltration 1758 Btuh 609 Volume(ft3) 4798. 479008 Total latent equip, load 2218 Btuh Air changes/hour 1.20 0.50 Total equipment load 12883 Btuh Equiv.AVF(cfm) 96 40 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency 0.0 EER Heating input Sensible cooling 0 Stuh Heating output 0 Btuh @ 47°F Latent cooling Heating temp rise 0 °F Total cooling 0 Btuh Actual heating fan 526 cfm Actual cooling fan 526 cBftrn Heating air flow factor 0.047 cfm/Btuh Cooling air flow factor 0.048 cfm/Btuh Space thermostat Load sensible heat~ratio83 /o 0 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wnghtsoft Right-State Residential",5.0.66 RSR29784 C:1Documents and Settingslcustomerwy Documents\wrights0ltWeria Add 318 Royal Palms Dr Atl Bch.rsr 2005-Dec,21 18:32:07 Page 1 I I i i I L ---1 MOI 4-, . APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C-04 Residential Limited Applications Prescriptive Method C NORTH 12 3 Small Additions,Renovations&Building Systems Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-04 for additions o1600 square feet or less,sh installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided for additions by use of Form 60OB-04 or 600A-04. PROJECT NAME: T% BUILDER: ?T-,VA AND ADDRESS: .3\a F07AL. V%,T�W- PERMITTINGCLIMATE �iG OFFICE: \�,r'�i ZONE, 1 2 3 OWNER: PERMIT NO.: JURISDICTION NO.. Z1611 SMALL ADDITIONS TOppEXISTING RESIDENCES(600 square feet or fess of conditioned area).Prescriptive requirements in Tables 60-1,6C-2,and 6C-3 appy onlyto the components of the addition,not to the conjunction with the addition clinaaoe tfructlonn Co poand nents epargatingiunconditionent ied spaces from condls must be rit oned et spaces when equipment meet the Prescribed mint umo serve Insulation ale ells RENOVATIONS(Residential buildingsbuildings undergoing renovati" costing more than 30%of the assessed value of the building).Prescriptive requirements In Tables 60-1 and 6G2 apply only to the components and equipment being renovated or replaced.MANUF,CTURED HOMES AND BUILDINGS.Only site-Installed components and features are covered by this form.BUILDING SYSTEMS.Comply when complete new system is Installed. i Please Print CK 1. Renovation,Addition,New System or Manufactured Home i.Bd„a*� 2. Single-family detached or Multiple-family attached 2a +1�-- 3. If Multiple-family-No.of units covered by this submission 3• ` 4. 4. Conditioned floor area(sq.ft.) .5 5. 5. Predominant save overhang(ft.) 6. Glass type and area: Single Pane Double Pane a.Clear glass 6e. sq.ft. t bsq.ft. b.Tint,film Or solar screen gb sq.it 7. Percentage of glass to floor area 7. .= % 6. Floor type and insulation: a.Slab-on-rade(R-value) Ba R= _lin.ft. b.Wood,raised(R-value) Bb. R c.Wood,comq.ft,mon(R-value) Be.8R= sq.ft, d.Concrete!raised(R-value) Bd. R= q. .. e.Concreted common(R-value) Be. R= sq.ft. 9. Wall type and ingulation: a. Exterior. 1. Masonry(Insulation R-value) 9a-1 R 72 sq'ft. 2. Wood frame(Insulation R-value) 9a-2 R= sq.ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= s9 ft 2. Wood frame(Insulation R-value) 9b-2 R= sq ft, c. Marriage Wills of Multiple Units*(Yes/No) ac 10. Ceiling type and Insulation: a.Under attic(Insulation R-value) 100, R= sq ft b.Single assembly(Insulation R-value) 10b, R= T sqft 11. Cooling system* 11. Type; \-- (Types:central,room unit,package terminal A.C.,gas,existing,none) SERR ER: ) 12. Heating system* 12. Type: �� (Types:heat pump,elec,strip,natural gas,LP-gas,gas h.p.,room or PTAC _HOPF/COP/AFUE:_ �+ existing,none) 13. Air distribution system* a.Backflow damper or single package systems*(Yes/No) 13a. b.Ducts on Marriage walls adequately sealed*(Yes/No) 13b. 14. Hot water system: 14. Type: (Types:elect,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site-installed components. I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and spectfications covered by this calculation indicates compliance with the Florida the Florida Energy-C-08. Energy Code.Before construction'Is completed,this building will be inspected for compXsnoe/n PREPARED accordance with Section 553.908,F.S. ,.. DATE: I hereby certify that this building is in compliance with the Florida Energy Code: BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: FLORIDA BUILDING CODE-BUILDING 13-D.33 CITY OF ATLANTIC BEACH t f PUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application #__(o Property Address: 51 F-) k- I POL I ( . Applicant: a f(,.- C) ry (-O (D Project: �'OT to [ LTK 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: a i � RM Please submit these requi, im"'!U , `" '` ' ", 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 a aluzniak, Public Utilities Director Date Signature Contractor Notified Date ' CITY OF ATLANTIC BEACH r BUILDING PERMIT APPLICATION (Alternations&Additions) Date: Job Address: C" Owner of Property: Pt R 1 fA C t7A ICA `t Address: `?jig tic-4Ar tz t_ 39' Telephone: Legal Description: Block Number: Lot Number:_Zoning District: Contractor: 1�E�-y State License Number: Contractor Address: 5 A t:�=ie— �r E Telephone:90 - aLk) C3 Fax: ` 1 l 5s, A LI Describe proposed use and work to be done: , i i-U---Lc.C - Present use of land or building(s):—:5 R Valuation of proposed construction: I`1 Dimensions of the added space: ' -y feet x t-t ' "?s� feet Will this project involve: I/Heating&Air- Plumbing Electrical o Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? OCD If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the oripi.,a►irr.nerviolls?ren or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this projeet. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as aonroariate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic each,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida)32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 •http:J/www.ci.atlantic-beach.fl.us Revised 8104 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 char and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways,sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: (4 t R . \_-i ip\y Mailing Address: -3L s Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: � � i r,, Date: l AS TO OWNER: Sworn to and subscribed before me this � day of- 11? 20i. State of Florida,County of Duval t / • Commission DD142431 Notary's Signature: ,xrn XV600 Expires August 15,2406 ❑ Personally known [k Produced identification Type of identification produced _E1_ D-riU&i-) Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://Www.cLatiantic-beach.fl.us Page 3 Revised 8/04 r� Ly,Js CITY OF ATLANTIC BEACH Cc: SS' BUILDING /ZONING DEPARTMENT D. Ford l 800 Seminole Road 9k". Atlantic Beach,Florida 32233 oe r (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # b(0- f)LC7& 1 Property Address: Applicant: Project: This permit application has been: � Approved Reviewed and the following items need attention: 1 C-r Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: s, CITY OF ATLANTIC BEACH J "fir BUILDING PERMIT APPLICATION �. (Alterations&Additions) ` Date: Job Address: ► R 'Y f't L €�iC' Owner of Property: Address: '51� 17A.+`113 LV k' K S Telephone: 11 G�1 •- Legal Description: Block Number: Lot Number: Zoning District: Contractor: E L rr State License Number: Contractor Address: 5 A Telephone: q- Fax: �IOL`t 6 Li Describe proposed use and work to be done: 912.12 A i 0 ty 'C t t". A P_ t:.D r 1�,6- � Present use of land or building(s): S F `w; Valuation of proposed construction: 1`l ` - -4 V, cco Dimensions of the added space: feet x Lk*1 3 '} feet Will this project involve: Heating&Air- V Plumbing Electrical v Fireplace Conditioning Is approval of 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, or the addition of 5% or more to the original im_Perv;ovvc area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. fO/YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 8104 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 properly boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. S. Impervious Surface area calculations: include driveways,sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: __tj. (t a C Mailing Address: Telephone: + j ._ sl k-k o(s e, �_5 Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,(whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: .. 4 Date: 1-� AS TO OWNER Sworn to and subscribed before me this day of 12d 20__�L_. State of Florida,County of Duval r � MyrCamm DD142431 Notary's Signature: 1"L4, /o. UJ,;,f, m +a' Expires August t 3,2006 Personally known ER Produced identification Type of identification produced 7--t- fj- iU&L—s ktc is _ -&M pc0 Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida,32233-5445 Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http:✓/Www.ci.atlantic-beach.fl.us Revised 8/04 APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6000.04 Residential Limited Applications Prescriptive Method C Small Additions,Renovations&Building Systema NORTH 12 3 Compliance with Method C of Sub-Chapter 6 of the Flodda Energy Efficiency Code may be demonstrated by the use of Form 60OC-04 for additions of 600 square feet or less,she-installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided for additions by use of Form 6008-04 or 600A-04. PROJECT NAME: ` T= BUILDER: AND ADDRESS: 3� E A L LT,n r-V., PERMITTING i G OFFICE: I CLIMATE `� C-- ZONE: 1 � 2 3 OWNER: PERMIT NO.: JURISDICTION NO.: LAI , the SMALL ADDITIONS TO EXISTING RESIDENCand ES(600 square feet or less of Conditioned area).Prescriptive requirements in Tables 6C-1,6C-2,and 6G3 aDPN only the components of the addition,not to onlunalon with the addition cdrtnshuctlon Compownerttaheating atinp iunconditlfonled spaces from conditioned be met spaces hen equipment meet the preaiic�ribad m,namuto se vo th ale els RENS being NSRlled In mlal buildings undergoing renovatldhs costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 60-1 and 60,2 apply only to the components and equipment being renovated or replaced.MANUF, REO HOMES AND BUILDINGS.Only site Installed components and Natures are covered by this form.BUILDING SYSTEMS.Comply when complete new system is Installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1-(�y=�-. 2. Single-family detached or Multiple-family attached 2- __T ck"-1 3. If Multiple-famil�-No.of units covered by this submission 3• 4. Conditioned floor area(sq.ft.) 4.�-�g CL7 5. Predominant e84e overhang(ft.) 5. 6. Glass type and area: Single Pane Double Pane a.Clear glass 60. sq.ft. 10q sq.ft, b.Tint,film Or soiar screen fib sq ft sq,ft.7. Percentage of glass to floor area 7. L_% 8. Floor type and insulation: a.Slab-on-rade(R-value) SaR= �_lin.ft. b.Wood,raised(R-value) Sb R= sq ft C.Wood,common(R-value) \(,!j $C R= sq ft d.Concrete'raised(R-value) 8d R= sq ft e.Concrete!common(R-value) 8e R= sq ft S. Wall type and insulation: a. Exterior. 1. Masonry(Insulation R-value) 98-1 R sq.ft. 2. Wood frame(Insulation R-value) 98-2 R= sq,ft, b. Adjacent: 1. Masonry(Insulation R-value) 916-1 R= sq ft 2. Wood frame(Insulation R-value) 91}2 R= sq.ft. C. Marriage Walls of Multiple Units"(Yes/No) 9c 10. Ceiling type and insulation: a.Under attic(Insulation R-value) 108, FI= sq ft b.Single assembly(Insulation R-value) 1016. R =_M__: 1 sq,ft, 11. Cooling system*, 11. Type: l.. (Types:central,room unit,package terminal A.C.,gas,existing,none) CI EMER: 1 12. Heating system* 12. Type:'A (Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or PTAC _HSPF/COP/AFUE: existing,none) 13. Air distribution system* a.Backflow damper or single package systems*(Yes/No) 13a. b.Ducts on marriage walls adequately sealed*(Yes/No) 13b. 14. Hot water system: 14. Type:�� (Types:elec.,natural gas,other,existing,none) EF: Pertains to manufactured homes with site-installed components. I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation Indicates compliance with the Florida the Florida Ene e. Energy Code.Before construction is completed,this building will be Inspected for compliance in PREPARED BY: accordance with Seaton 553.908,F.S. ., DATE: I hereby certify that this building Is In compliance with the Florida Energy Code: BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: FLORIDA BUILDING CODE-BUILDING 13-0.33 610213 -I41P SHOWING BOUNDARY SURVEY OF LOT / BLOCK 25 AS SHOWN ON MAP OF 2EP[A T Oc- P/-�27" yc- ,rZU`l4L 2,40-1 1� uti l T 7�c/O A AS RECORDED IN PLAT BOOK PAGES (vL(v /lo D_OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FDR:/N7AC I A-) MA YU,'_,e7 T7-o 24,�,- Tim- i�vS_urzp�vcC ,c:L1 �JQ�,v�. ; ��-k /-1M�7�ie� Fi,v�,�JcI✓aL n�C.l�fS / LTp ' c /3 EI9RT.�SL- DE�1/�.JO/O /Z D /Co U2 !�/ �'�.!n5' (,04A%) IU U 2 3 2 '' 9,/ g0- G a.2,vL-7L F/ac.L s ° /,v FauTb� V uTC 'Y ESM 7 3 kj 2-7. 57 ly\ 'oA/ IN N Q • v o• �. C) 7° /e ' v2" E. e0- 6o'5 �0'y'-A)L /�i�LM /x,21✓, THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE�_AS SCALtD FROM FLOOD INSURANCE RATE MAPS_ FOR THE CITY OF FLORIDA, DATED -7- 8 9 AND 5._ C ,71 G�, -- -.._. . _ ..,�...__. . ....� .. ..... ,.... I-. ,rr- . nrnnrnA nnA, nc CAI/C a APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6000.04 Residential Limited Applications Prescriptive Method C Smali AddBione,Renovations&Buildln Systems =NORTH Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-04 for additions of 600 square feet or less,she-Installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided for additions by use of Form 6006.04 or 60OA-04, PROJECT NAME: "T: BUILDER: AND ADDRESS: 1 g 7 q l.rIN TJ►.,PERMITTING w G OFFICE: tk � i C_ CLIMATE OWNER: � PERMIT NO.: JURISDICTION NO.: Z, t SMALL ADDITIONS T3DpMe heNG RESIDENCand water ES(600 square feet or less equipment conditioned area).prescriptive requirements In Tables 6C-1,6C-2,and 6C-3 appy only to the components of the addition,not to conlun�on with the addition c6nnstruction.Compo nts separatiuco unconditioned spaces frolevels mconditioned be met only must meet thment Is e Prescribed m0lnmuto serve m Insulation aleevvels RENIGVATIONS(Riled in(Residential buildings undergoing renovatiofia costing more than 30%of the assessed value of the building).Prescriptive requirements In Tables 6C-1 and 60-2 apply onlyto the components and equipment being renovated or replaced.MANUF,CTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS.Compry when complete new system Is Installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1, 2. Single-family detached or Multiple-family attached 3. If Multiple-family'—No.of units covered by this submission 3• , 4. Conditioned flodr area(sq.ft.) S. Predominant ear a overhang(it) 5 t e S. Glass type and area: Single Pane Double pane a.Clear glass 6a. sq.ft. sq.ft. b.Tint,film br solar screen 6b sq.ft sq.fL 7. Percentage of glass to floor area 7. _% S. Floor type and in a.Slab-on-rade(R-value) 8aR= �_lin.ft. b.Wood,raised(R-value) 8b. R= sq.ft. C.Wood,common(R-value) fpm 8c. R= d.Concrete]raised(R-value) �" sq,ft. 8d. R= sq.ft. e.Concrete)common(R-value) 8e. R a sq,ft. 9. Wall type and insulation: a. Exterior. 1. Masonry(Insulation R-value) ea-1 R= sq,ft. 2. Wood frame(Insulation R-value) 9a•2 R= sq,ft b. Adjacent: 1. Masonry(Insulation R-value) 9b.1 R= 2. Wood frame(Insulation R-value) 9b-2 R= sq sq,fL c. Marriage Wails of Multiple Units*(Yes/No) 9c 10. Ceiling type and insulation: a.Under attic(Insulation R-value) 108, R= sq ft b.Single assembly(Insulation R-value) 1 Ob. R= i sq ft 11. Cooling system*, 11. Type: �— (Types:central,room unit,package terminal A.C.,gas,existing,none) ...BEEFI/EER: 12. Heating system* 12. Type: (Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or PTAC "HBPF/COP/AFUE: existing,none) 13. Air distribution system* a.Backtiow damper or single package systems*(Yes/No) 13a, b.Ducts on marriage walls adequately sealed*(Yes/No) 13b. 14. Hot water system: 14 Type:_._..V0 (Types:elect,natural gas,other,existing,none) EF: Pertains to manufactured homes with site-installed components. I hereby certhy that the plans and specifications covered by the calculation are In compliance with Review of plans and specifications covered by this calculation Indicates compliance with the Florida the Florida Enerp . Energy Code.Before construction)is completed,this building will be inspected for compliance In accordance with Section 553.908;F.S. PREPARED BY: DATE: I hereby certify that this building is In compliance with the Florida Energy Code: 'BUILDING OFFICIAL; OWNER AGENT: DATE: DATE: FLORIDA BUILDING CODE—BUILDING 13-D.33 APPENDIX 13-D TABLE SC 1: Cste PRESCRIPTIVE REOUIREMENTS FOR SMALL ADDITIONS(ON Sq.R.and Lou),RENOVATIONS TO EXISTING BUILDINGS AND SITE•INSTALLEO COMPONENTSIOFtCTU MANUFARED HOMES COMPONENT MINIMUM INSULATION INSULATION INSTALLED EQUIPMENT MINIMUM INSTALLED Concrete Block R-7 EFFICIENCY EFFICIENCY Frame,2'x 4' R-11 Frame,2'x 6' R-19 Central A/C -Split SEER=10.0 _ $ Common,Frame SEER= o Sile Pkg. SEER=9.7 SEER= CommonR-11 ng .Masonry R_3 8 Room unit or PTAC EER =84* EER = Under Attic q_30 Electric Resistance Single Assembly;Enclosed Heat m Split ANY Frame R-19 Z pump pf HSPF=6.8 HSPF= Molal Pena R-13 Single Pkg. HSPF=6.6 HSPF= Single Assembly,OpenR-10 = Room unit or PTHP COP-2.7• HSPF/COP= Common,Frame R-11 tWj Gas,natural orro p pane AFUE:=..;7.8 AFUE_ Slab-on-grada No Minimum a Fuel 06 AFUE AFUE= Raised Wood R-19 Raised Concrete R-7 f LL Common,Frame R-11 o ElecMc Resistance EF=.92 EF In unconditioned space q-g .� =a Gas;natural or LP EF=.59 EF= In conditioned space No minimum s" Fuel Oil EF-.54 EF= TABLE 611 PRESCRIPTIVE REQUIREMENTS FOR BUSS AREAS IN ADDITIONS ONLY •See Table 13-6012 and 13.606.1.ABC.3.2 Maximum percentage to floor area allowed is selected b e,overhang la and solar heat gain coefficient Maximum% installed GLASS TYPE,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UPTO50k Single Double Single Double Single Double Single Double OH-SHGC OH-SHGC OH-SHGC OH-3HGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC V-87.87 O' .78 2' .87 1'-.78 NOT 2' .78 V-715.75 ALLOWED NOT ALLOWED &..78 1'-.75 0'-.61 0'-.57 V-.61 0' '� V-.44 0'•.35 Get oertifle I SHGC from the manufacturer or use defaults:Single dear SHGC=.75,double dear SHGC=.68,and single tint SHGC=.64 TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK ExWor Jolrrts&Cracks 606.1 To be caulked,Basketed,weather-stripped or otherwise sealed. ti Exftdor Windows&Doom 606.1 Max.0.3 oim/sq.f.window area;.5 dm/aq.fl.door area. V Sola&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be aereled. �v Recessed Ughting 606.1 Type IC rated with no penetrations(two alternatives allowed). MWtlstory Houses 606.1 Air barrier on perimeter of floor cavity between floors. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion d exhaust ductwork. devices with integral v Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion air,except for dined vent appliances. Watsr Hestano 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2.Switch or dearly marked circuit breaker electric or cutoff(gas)must be provided.External or built-in heat trap required for vertical pipe risers. swimming Pools&Spas 612.1 Spas 8,heated pools must have covens(except solar heated).Noncommercial pools must have a pump timer,Gas spa&pod heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation is required for hit water circulating systems(including heat recovery units). Showa►Needle 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. HVAC Dud Construction, 610.1 All duds,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated Insulatlon&insWMUon and installed in accordance with the criteria of Section 610.1.Duds In attics must be insulated to a minimum of R-6. HVAC Controls 607.1 1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS: 1. On Table 60-1 Indicate the R-value of the Insulation being added to each component and the efficiency levels of the equipment being Installed.All Fl-values and efficiencies Installed must meet or exceed the minimum values listed.Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass door panels.Double the area of all nonvertkal roof glass and add it to the previous total.When glass in existing exterior walls Is being removed or enclosed by the addition,an amourd equal to the total area of this glass may be subtracted from the total glass area Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to got the percent.Find the largest glass percentage under which your calculated percentage falls on Table(I Prescriptives are ghren by the type of glass(single or double pane)and the overhang(OH)paired with a solar heat gain coefficient(SHGC).For a given glass type and overhang,the minimum soler haat gain coefficient allowed Is specified.Actual glass windows and doors previously In the exterior wall$of the house and being reinstalled in the addition do not have to comply with the overhang and solar heat gain coaiflclent requirements on Table II All new glass in the addition must meet the requirement for one of the options in the glass percentage category you Indicated.The overhang(OH)distance b measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Replacement glass needs to most the following requirements.Any glass type and solar heat gain coefficient may be used for glass areas which are under ot least a 2-foci overhang and whose lowest edge does not extend further then 8 feet from the overhang.Glass areas being renovated that do not meet this criteria most be either single-pane tinted,double-pane clear or double-pane timed. 4. BUILDING SYSTEMS.Comply when new system is Installed for system installed. 5. Complete the Information requested on the top heti of page 1. 6 Read*Minimum Requirements for Small Additions and Renovations;Table 6C-3,and check all applicable items. 7. Read,sign and date the'Owner/Ager certification statement on page 1. 13-D.34 FLORIDA BUILDING CODE-BUILDING RIGHT-J BUILDING ANALYSIS REPORT Entire House Energy Design Systems Job: 12/21/05 1065 Oak Vale Rd,Jacksonville,FI 32259 Phone;904.287_5339 Fax:904-287-1258 Email:energydesignsyatema®pmall.com • - • • For: Maria addition 318 Royal Palm Dr,Atlantic Beach, FI Outside db °F) gt i Infiltration (O Inside db b 72 72 Method Simplified Construction quality Average Design TD(°F) 33 20 Fireplaces Daily range - L0 Inside humidity(%) - 50 Moisture difference(gr/Ib) - 65 Heating Component Btuh/ftZ Btuh %of load Weld °w Walls 3.0 1553 13.9 Windows 23.9 2488 22.2 ;�d°, �nm< Doors 15.2 319 2,8 Ceilings 1.1 653 5.8 Floors 26.7 2165 19.3 Infiltration 27.9 3490 31.2 Doors Ducts 533 4.8 �" Total 11202 100.0 • • • Component Btuh/ft2 Btuh %of load Wars axre Walls 2.5 1299 11.8 p°� Windows 57.7 5998 54.6 InflMon Doors 12.7 267 Ceilings 1.6 950 8.6 Floors 0.0 0 0.0 '�"��' � ` CeAngs� Infiltration 7.1 881 8.0 , : Doors Ducts 1000 9.18 Internal gains 600 5.5 Total 10995 100.0 Cooling at 83% SHR= 1.1 ton Cooling air flow=490 cfm/ton Cooling at 70%SHR= 1.3 ton Cooling at 400 cfm/ton= 1.3 ton Overall U-Value=0.164 Btuh/ftz-OF. Data entries checked. C vvriQli'7'tSOft Right-Sulte Residentiarm 5.0.66 RSR29784 C:Dowments and setNngs%oustomerWy DocumentslWrightsoftWlaria Add 318 Royal Palms Dr Atl Bch.rsr 2005-Dec-21 18:32:07 Page 1 RIGHT-,J LOAD AND EQUIPMENT SUMMARY Entire House Energy Design Systems Job: 12/21/05 1065 Oak Vale Rd,Jacksonville,FI 32259 Phone:904287-5339 Fax:904-287-1258 Emall:energydesignsy stems®gmeil.com e For: Maria addition 318 Royal Palm Dr,Atlantic Beach, FI Notes: Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside dbG Inside db 72 39 of Outside db o Design TD 33 F Inside db 72 °F Design TD 20 OF Daily range Relative humidity 50 % Moisture difference 65 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 11.202 Btuh Structure Ventilation air 0 cfmVentilation 10995 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 Btuh Design heat load 11202 Btuh Use mfg. data Rate/swing multiplier 0.97 Infiltration Total sens. equip, load 10665 Btuh Method Simplified Latent Cooling Equipment Construction quality Average 9 q pment Load Sizing Fireplaces 0 Internal gains 460 Btuh Ventilation 0 Btuh Area ft2 Heating Cooling Infiltration 1758 Btuh ( ) 600 600 Total latent equip. load 2218 Btuh Volume(ft3) 4798, 4798 Air changes/hour 1.20 0.50 Total equipment load 12883 Btuh Equiv.AVF(cfm) 96 40 Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Efficiency 0.0 HSPF Efficiency Heating Input Sensible Coolin 0.0 EER Heating output 0 Btuh @ 47°F Latent cooling g 0 Btuh Heating temp rise 0 OF Total cooling Actual heating fan 526 cfm Actl cooling fan 526 cfm Actual Heating air flow factor 0.047 cfm/Btuh Cooling air flow factor 0.048 cfm/Btuh Space thermostat Load sensible heat ratio83 /o 0 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. _ wngHtsoff Right-SuRe Residential-5.0.88 RSR29784 �1G(� C:1Documents and Settingslcustomerwy Documents\WrlghtsoRlMaria Add 318 Royal Palms Dr Ali Bch.rsr 2006"Dec-21 18:32:07 Page 1 MAP SHOEING BOUNDARY LOT-----.:/� BLOCK z� SURVEY OF 0� A� SHOWN ON .11�AB OF FCER RECORDED IN PLAT BOOK 3 T 7-�/U A �_PAGES _OF IHE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA D FOR:NI/-I,C'/p M/.�� ),'_,�'1 ZTU 2�t,/_� � � F/.v .vclr�� .��c. og �TD ivSc� �ucE E/`I.2JJSL DE.e71L)0 Q f I /Z D ° C a2vCaz F/dLL S h• v O, 2-7. C9' 24.7' rri a ETA t ST' 0 C UivC, ' FLjN V V Z 5 19 J N N v o� ✓6- 2P✓ c c--QTS /- i s -9 9 ��`�,-�..� � � �; ._ THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE_�_AS SCALED FROM FLOOD INSURANCE RATE MAPS_ FOR THE CITY OF /97l-,qN�' FLORIDA, DATED 4- I-7- 8`� AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CO ST77TJTF A cFR77FcannA1 nF SAAIF CITY OF ATLANTlC BEACH BUILDING/ZONLNG DEPARTMENT I Q. FOriL_ R00,Seminole Road i Atlantic Beach,Florid4 32233 X904)247-580© X904)247-$845 Fax ',4,%Nrw.10ab.es AN REVIFW COMMENTS 'Mit Application # •' � j' perty Address: ,AD— plicant: ) U) This permit application has been: 4;"-"Reviewed E Approved 4;/Reviewed and the fallowing items need attention: 1 ase re-submit your application when these items have been completed. dewed By: ------ . nate: zt. to Contractor Notified: 7-d 9689-LbZ-b06 suaeis,�r S uaiaeuuaiul dZZ ZO qC 9l adv WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE' FIXTURE UNIT F1"TURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower g Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountairiAcemaker %_ Floor drains 2' Hose bib 1 Kitchen sink, domestic 2 Kitchen.sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 -Lavatory I Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 41 Water closet, public installation g TOTAL NUMBER OF UNITS= Q MULTIPUED X 20 TOTAL$ p CITY OF ATLANTIC BEACH - —; a, PUBLIC WORKS DEPARTMENT � 1200 Sandpiper Lane (� '. J / Atlantic Beach,Florida 32233 -- --. ! (904)247-5834 T — " (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Per-mit Applicatio® -No�8 Property Address: O /�0 /� r!. �A /M Applicant: p V Q Proj a Your application is approved as noted by the Public Works Department. Final application approval must comae from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: ®Provide erosion and sediment control plans with details . Of---Provide building site management plan. Plans do not show proposed driveway addition. Provide plan and material proposed. Include proposed covered deck in impervious calculations �. V (permit application #06-32793) . 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 ick Carper, P.L., Public Works Director Date 7 d" Signature Contractor Notified Date Maj_Ud L/haf CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations&Additions) Date: Job Address: tA ; L Aa -3 - - Owner of Property. �92 ` tY� y� &� Address: i y t Ur loci- E�r 1 (7-L 3 Telephone: ltc r' Legal Description: Block Number: Lot Number: Zoning District: Contractor: E,L EState License Number: Contractor Address:��p�g- �.�.,t-.��, Telephone:srC14- 1 o ts Fax: Describe proposed use and work to be done ,; 3.0 C: 43 to:Z4- r� A 'C `Y' Present use of land or building(s): , Valuation of proposed construction: `) ` - ? '' -4 Dimensions of the added space: ' - ,' feet x Lk 3 'j feet Will this project involve: Heating&Air- Plumbing Electrical Conditioning ❑ Fireplace Is approval of Homeowner's Association or other private entity required? �,t,�--'� application. l` If yes, please submit with this Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to fhP`"r"""-sl js"^Q� or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this project. ❑YES- Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information ro Incomplete applications may result in delay in issuance of permit. as annnriate. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctlyverify zoning designation, Property Appraiser's Real Estate Number available. g gn n, Please have STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction The topographical rpmt survey or grading plan is required. (If not required, written verification must be provided with this application.) 4�^ Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www,ci.atlantic-beach.fl.us Revised 8/04 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,buildin e any existing structures and uses. g ht number of stories and square footage. Identify 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways,sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: A 3L� C S` ©�-,, s t-._ Telephone: _ @ j 0 C-1 C ° Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied p with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,',state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner- ` Date:��r � AS TO OWNER (— Sworn to and subscribed before me this day of �� 20_go_ State of Florida,County of Duval �� Helen R Wilson • • WCommissionDD142431 Notary's Signature: a Expires August 15,2006 ❑ Personally known Produced identification Type of identification produced `EI- J)yl il�il5 Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 .Fax: (904)247-5845 •http://Www.ci.atiantic-beach.fl.us Revised 8/04 1 DEPARTMENT OF BUILDING I CITY OF ATLANTIC BEACH.FLORIDA 9 PERMIT TO BUILD PERMIT NO. Q THIS PERMIT MUST BE POSTED ON JOB Date November S, 19 87 I Valuation$ Fee$ �_ 24. '+ T This permit not valid until above fee has been paid to Cit subject to revocation for violation of applicable Y Trmurer,and is 2 t 0 10rKT 4 E A ! t/r a/B � provisions of law. i This is to certify that n R 001"A COAST PLUMBING CORP i has permission to bitid I Classification pSIj1EN'j'Igj, Owned by Zone Lot House No. 318 ROY Block______—____ S/D AL PALMS DRIVE According to approved l ( Pans which are part of this permit iI ANDNOTICF—ALL CONCRETE FORMS ( OTINGS MUST B SPECTED BEFORE POURING. IN- PERMIT VOID SIX MONTHS �'—"� �♦ AFTER DATE OF ISSUE z Building material, rubbish and debris-► rom this work must not be placed in public space, and must be cleared aad uled away by either con- r owper, FOR OFFICE PERMIT Buildofficial. USE ONLY NUMBER DATE CONTRACTOR �. PLUMBING 1 ELECTRICAL I SEWER F WATER .Y . .+ww it CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR A 0ii iti C (2,6A-57f �es Y LICENSE NUMBERS OWNER BUILDING CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY 1 WATER HEATERS i BATH TUBS URINALS DISHWASHERS DISPOSALS WASHING MACHINE FLOOR DRAINS OTHER r TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .