Permit Addition 717 Triton 2012 ell
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
oil
Application Number . . . . . 12-00000743 Date 6/21/12
Property Address . . . . . . 717 TRITON RD
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO ME UPDATED
Application valuation . . . . 8000
-----------------------------------------------------------------------------
Application desc
addition
--------------------------------------- -------------------------------------
Owner Contractor
------------------------
------------------------
FORE, STUART ASHBY HOMEOWNER BLDG SVCS, INC (RC)
717 TRITON ROAD 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
--- Structure Information 000 000 ADDETION 9 X 20 ROOM
Construction Type . . . . . TYPE :-)-A
Occupancy Type . . . . . . RESID�NTIAL
Flood Zone . . . . . . . . ZONE K
--------------------------------------- -------------------------------------
Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . -
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 8000
Expiration Date . . 12/18/12
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
Full right-of-way restoration, including sod, is required.
If used, roll off container company must be on City
approved list and container cannot be placed on City
right-of-way. (Approved: Advanc d Disposal, Realco,
Shappelle ' s and Waste management: --------
FERMMIS-APPROVEV 011W-f-IN-ACCORD-ANCT-VVM 7ALL-CM-0Y'A-1MXr-TnC IREX-CTt-(:FRT)fN-AFNi7Cs-,%�-Nr)-Tiff 2 . 00
BUILDMGMftew Fees . . . . . . . . . STATE DCA SURCHARGE
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000743 Date 6/21/12
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . ENG REV PRE APP > 3 HRS 2S . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV PRE APP >3 HRS 2S . 00
---------------------------------------- ------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ----------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Other Fee Total 54 . 00 54 . 00 . 00 . 00
Grand Total 189 . 00 189 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF kTLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904) 247-5826 FA(904) 247-5845
Job Address: '?j `7 T[Z_j:ZL,,�&j ��Aao Perqnit Number:
X40*
Legal Description 91-nl4g Ag—es —g4a RgfugoF Vdfe arcel#
Floor Area ot Sq.Ft Sq.Ft
Valuation of Work$ 9_,nez, Proposed Work heated/cooled non-heated/cooled
I
Class of Work(circle one): New Alteration Repir Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 9 900 (Akio 0 lw�_2
:10 C- On, L-C ol�10 r_e_r�e_E:
Property Owner Information:
Name: I —ta&z Address:--W 14 6-1�aa &A&S.&9
City A-7i-Aj Tt,�_ EjFA&Ih- StaturL_ZipA2j_Z9 Phone
E-Mail or Fax 4 (Optional T_
Contractor Information:
Coinpany Narne:i4o, Qualil�i�n Agent: 6fg,7�
Address:-729&cyxe�- 41Lq,- jE City -3 pq-V. State P-,C Zip X4?a /Z
Office Phone '10Y-5Z2-j 65'V Job Site/Contact Number z2--16ZX Fax# 4,oV- 7tt0
State Certification/Registration# C_qt C_ -AD 3,:7
Architect Name&Phone#
Engineer's Name & Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
e made' a' a ermit to do the work and installations as indicated I certify that no work or installation has commencedprior to the
i ca'io is" Y d ih to k 11 he performed to meet the standards of all law 5 regulating construction in thisjurisdiction. This permit becomes nyfl
"pp' re' O't " p
'ssuan e o a e mit an a all wor w
3 not com ,
and void f P k n d 'thin six(6)months, or if construction or work i's si ispended or abandonedfor aWeriod of six(6)months at ony time after
is co ' ,i in c' w
ii, c . I ,
'r, , t at s
k e ed d ta d eparale permits must be securedfor Electric,ir Work,Plumbing,Signs, WsPdolsFtirnaces, Boileis, Heaters.
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILUI4E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO 0 TAIN FINANCING.) CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE ENT.
I hereby certf�that I have read and examined this application and know the same to be rrue and correct. All provisions of laws and ordinances governin�z 1/71's
ope of work'W11 be complied with whether specified herein or not. The granting of a permit does not presume to" authority to violate or cancel the
or local law
pi-ovisionsofai�vother,fead?eral,.StaL,, regulating construction or the PeFformance ofconstruction.
Signature of Owner Signature of Contract
............... ......... ......................................................... .................
Print Name 14
Pri it Name
Swo e Sw n t and subscribe b fore, me
in / V I - 201a
this 20 ( ,), thi f1w
_LA ay of
,int.,
7
Notary Publ PUbt1_Cft"M*_
CINDIE HERNANDEZ W"Nk-swalFba
my COMMISSION#PEE148600 Revised 0 1.26.10
My Coffm EOM hb 19,2018
EXPIRES�NOvcamrbcar 27'2015
Cr Fl.N�,.,Diwmnt Aum-Co' CWdWM#EE17=
14IW3-NOTARY
DO NOT WRYrR BELOW- OE FICE USE ONLY
zg Co le w/21109 ions
)I)li =IaEb-S�'
e-view Result (circle One)
pproved Disapproved A-pproved w/ Conditions
eviewInitials/Date:
,evelopment Size
[abitable Space 6r,0 S F Non-Habitable
mpervious area
�adon/DCAJDBPRJ__
disceRaneow Information
)ccupancy Group
'ype of Construction_ L,,LL�_
qumber of Stories
-7,oning District- k S
,lax. Occupancy Load
Fire Sprinklers Required
Flood Zone,
E
Conditions/Comments:
MAP SHOWING SU RVEY OF
LOT 26, BLOCK 10, REPLAT OF PART OF �ROYAL PALMS UNIT TWO A,
AS REC'ORDED IN PLAT BOOK 31, -PAGES 16, 16A, 16B, 16C and 16D
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
E . Cq p y
LOT 25 5.0.
0 D IRON
V F'0'p+ CAP
It t4863'5e`E 0. 93-00 6. WOOD FENCE PIP NO LOT 2
FOUNI) 1/2* IRON
PIPE, NO CAP
10
dOOMW c rn
0
m
13.2 im C:)l
-31
CONCRETE !0 lc:: Ln
PATIO -
12.3' SP
0 -1 . 0
J CD 1 0 0.
0 20. 1_<�K
Q0
STORY BLOCK &
I g
BRICK RESIDENCE I
No. 717 A/C
PAD
20 0'
_0 LOT I
G
0) 20.0' 16.1'
G Ln
-0
c:.
030 1 WE
I L4
_—T
b
0
m 0 C\i
0> m
'p,
FOUND 1/2' IRON 0.2'
PIM- NO N85-37 27"W 0.3'
N '45'14"W 94.88' FIELD FOUND 1/2 IRON
85 9� .95
T R T PIPE. NO CAP
0 N
60 RIGHT OF WAY R 0
PAVED P JIBLIC ROAD
1106.2
3'
NOTES
1. THIS IS A BOUNDARY SURVEY.
2. BEARINGS ARE BASED ON THE NORTHERLY LINE
OFLOT !6, BLOCK 10 BEING NORTH 82-43'58" EAST, AS
10 4 PER PLkT.
3. BUIL)ING RESTRIC11ON LINE AS PER PLAT.
SCALE: 1" 20' 4. EASNENT SHOWN AS PER PLAT.
TWE r)POPCPTY CHOWN HEREON
PPFAR� TO LIE IN FLOOD ZONE
"V" 111097A I'l ITCn-17 -TUC' SO() YEAR
W7 I,
FORMS
FLORIDA SUILDNQ CODE, COMBERVA71ON ALL 16
FORM 402-2010 Reddlerrilail 111110111ding Thermal Err4ok.pe Approach MATEZONES
Compliance with Section 402 at the florkli BW*.ft Code,ftgy Coosenoaft shell be dernons�ad by the use of Form 402 for ft_*-and multiple-family residences of three
or a In heW additions to aislino residential buildings,renwallons to existing oMW builklincl,new heating coding and water heating Ttsm In 51T b d as
Vilcabls�
To u==d
c - 0 W mn:0:110%a I 10"s
8 ornply,a building must meet or exceed all of the energy efficiency requ onVA4DManddarkiV*iiiUo�requiremens 402B R this
form.It a building does not comply with this method or Afternate Form 402,ft may still comply under 405 of a RWIds Suflft ocla.En&W Consenoolm.
PROJECT NWE: Tbaz ADO t-7 t ot'( BULM:
ANDADDREW: '717 74J To" mqmmm
ja-7jAj_r-rtC (gF,4.d[ OFFICE:
OWNER: PERMIT NO.: JURMDL"nON NO.:
Gomm lostnallost
1.Now construction which ine the followinjIMros cannot comply using this method:I lass arm in excess of 20 parent of conditioned floor area,eftft resistance
hog and air handlers located In TatUm"."AMeal!;60 all. .,rIWWMMNWSW*rafdgklngmbmmysomptikyOftmsftdwNhe=ploosgftn.
2.Fill In all Me applicable spaces of the'To Be Installed"column on Table 402A with the information requ isted.All'Ib Be Installed"values must be equal to or more efficient than the
required levels.
3.Domplete pap I based on the'b ille inslaW column 4iftmetlen.
4.Road the requirements of Table 4020 and check each box to Indicate your intent to comply with all Opp Wig items,
5,Read,sign and date the'Preparsd By*certification statement at the bottom of pap 1.The owner or oy mees agent must also sign and date the form.
PNNM Print CK
1. Now construction,addlitlon,or exisli building 1. At)oj:2 tot-(
2. Siniiiile-fornilly dwisched or rnuMplo-lanft attached 2. -,9 164&C-E E04-yj i Ly
3. N mulliplegamil"o.af unft covered by this subinission 3. -
4. Is this a worst am?(yeallno) 4. - I
5. Conditioned Illow was(sq.111.) 5. 1 A0
8. Glow type and arm:
a.U-factor
b�SHOC 6b. e0
c.Gins am sq.fl.
7. Parcentap of glan I&floor ar"
%
& Floor in*,was or Wnwftr,and Insulation:
a.Slab-on-grade(R-vatut) a&R -lIn.fL
b.Wood,raised(It-vallue) Ob.Ra -sqfL
c.Wood,common(R-value) ftRw -sq.fL
d.Concrete,raised(R-value) Od.Ru -acift.
c.Concrete,common(It-value) Be.An -sq.ft
9. Wall type,am ancl insulertion:
a.Exterior: 1. Masonry(Insulation It-value) 981-1. R -sq.tL
2. WbW trame(Insulation it-value) go-2. R -sci.ft.
b.Adjacent: 1. Masonry(Insulation lit-value) Qb-1. Aw- -sq.ft.
2. Wood frame(Insulation R-value) 9b-2. A w- -sq.I'L
10. Calling type,am&and Insulation:
a.Under aric(Insdation R-value) 10&a. 30 sq.1L
b.Single assembly(Insulation It-value) l0bRW- -*%ft.
11. Air diliallibudw sysftm*Duct Insulation,l000llon,On
a.Duct location,insulation lie. R- fo
b.AHU location 11b.
c.Qn,Test report auac1W(<0.03;yest'no) I I c3last report attached? Yes No
I L Cooling systown:
a.TMx 12L Type:
b.Efficiency 12b.SEERAEER:
13. Heating syslim 13a.Tirps:
a.Type l3b.HSPFYCOPIAFUE:
b.Efficiency
114. NVAC shft calatilation:ottached! 14. Yes No
III. Hlotwaterarystern:
a.Type 15&7vw. ScEe-vur,
b.Efficiency 15b.EF:
I 1weby certly that ft pea aW spwAkabons C&ININVIN am in compieva wfth ft Roft RsWw 4 1 pWm ax!speofficstion;cmwod by tMs c*Wstion' ownplara wNh ft RwO
Ef Emrpy C oft.Before cwstrucbm Is comMM.this bulfing YA be kepedW for ownpaince In
It DATE: Z- accuft ce whh Soolm 563.908,F.S.
I I ft=vftdeFkx 9MW*dlr GODE 01 FICIAL, 71 Df
OWNER AGENT: DAM DATE.,_ ff 671'eV-f 2--
CA 20111 FLORIDA BUILDING CODE-ENERGY CONSERVATION
FORMS
TABLE 402A
OULIDING COMPONEW PERFORMANC I CNMW IWAU"MUM
U+Acw<0.85 U*sclor.
Windows(an Nole 2). SHW-0.30 SHW.
I%OfCFA<-n% %01CFA-
SkAlaft <0.'M
Dow Exterior door U-FacW C 0.65 U+scW.
FWm, Sleb-w� 1 No nxtuirernard fl-Value-
Over unconditioned speces(am NoW 3) R-13
Weft-Ext.and A4.(ses NOW 3);
Frarm R-13 R-Valuv-
Mess (am Note 3)
Iftleflor Of wait R-71 R-Value-
Edeft of wall: R-0 R-Valus-
CeWnp(see NoW 3&4) R-30 fj�vow. TW report
Aflached?
RetecUm 0.25 Reflecterm YU/NO
AW disiftoon systern("a Nab 4)
Dtotwork&air handling urit Location: Tostraw
Untordboriad space Not Mowed Aftechad?
Conditioned space y"No
Duct A-valus R-V&bA k 6 R-Value
Air Walap On On s 0.03 on.
ArOURANDA1011-PY010—W MASS SUR-13.0 BEER-
H"""GNM
Host pump(an We 6) CAX*V: SEER-13.0 SEER-
Heating: HSPF-7.7 HSPF-
G"furnace AFUE 78% AFUE-
00 fumeos AFUE70% AFUE-
Electric remstanoe;Not stowed(we Now 5)
Wiser hosting system(slorblif Mrs)
40 Wk EF.0.92 Gallons
50 9W:EF-0.90 EF.
Gas fhed(ses Note 7) 40 gid:EF-0.59 Oak".
Other(descrUrs): 50 gW:EF-0.58 EF.
(1)Each Component pmgo in On AS proposed hom must meet or mcceed each of the apt le"performance crileft In order to comply with this code using this method,
olharwM Section 406 cornpliance must be used.
(2)Windows and docre qu&Mft as&Zed fenestration arms must comply with both the m idmurn 1.1-Fisclor and the ma)dmum SHGC(solar Host Gain Coefficient)crbft
and hm a miudmum total window amis a"to or less than 20%of the cond#WW, Dor area(CFA);otherwise Section 406 must be used for compliance
Exception: Addlilons of OW square bet(W me)or low may farve a nmkyPjm Von i 10FA o(50 pwcwvL
(3)R-yalues are for InsuktIon material orty as applied In accordance wfth mmawm0fasocturers' liallon instructions.For mesa wells,the Imterior of weir"Irement must be
met amW I d best 50%of to R-6 Insulation required for the"tuderlor of war is tied moderlor of,or Integrd to,the wall.
(4)Ducts&AHU installed substantially leak fm par Section 403.2.2.1.Test by Class 1 AS rater required.
Exception:Ducts 1.stalled onto an ads"air dialirbition system as pWad odf an or renovation;duct nass!be R-6 Installec!per Sam 503.2.7.2.
or 1p
(5)For all conventional units with capacities weeter than 30.000 SbAr. For other tMypnes equipment,we Tables 503.2.3(1-8).
'Z'ps, :q
Exception:The prohibition an slecirt resistance had does not apply to addition*,re and new heading systems Installed in adelingi buildblis.
(6)For other electric storage volumdd6 minimum EF-0.97-(0.00132 x volume).
M For other natural gas storap volumes,rninimurn EF-0.67�0.OMS x volurne).
TAK9 4W MANIATMT RRQLNPMWXTB
CHECK
To be o@Wk@A,gasicelod, @011 %:p o or Ww me sawe&pAcemod"IC-roW a Postint;AMU E
Alrieskop 402.4 —...—and dwrs 0.30 drrvlbc�k Testing; r YWW inspection required Fireplaces:gadcow dours&
%Odcor combustion sk.
CearQafteewsk 4052-1 -R-19 speas permidirg.
ProgrammWe*Mn"M 40&1.1 Whom tom"furnace is p*rdry sydarn,proMmobb 11mmodst Is rs**W
Air dWt~systern 403.2 Ducts In sales or an "I Woulaw to 114;cow dlxft R-8.Duca- ,to Q..0.03 by a Ohm I SERS mW.
Hest Wap nKOW for voft*P108 fibers.CWW"01 I In Table 403.4.3.2.PrcvkJ6 wAM of clearly
Waterhoiders 403A UNAW doo Wasker(Olsout)or shuilon"(gu). system pipse Insulated to-R-2+access*nmnW
OFF#Wtch.
Speg a*' - I pools rnust have vaporrefardantkovers or a NWW wvw of cow mams proven to reduce hest
gwknn*q pod& 403.9 loss mw*chroqWM.Qnhwbrsn**numtwmal
ellidervy-M(82%after 4116113).How purnp OW hestm mk*nkvn COP-4.0.
Slav performed&&#whsd Mk hru i elliclencles per Tables 503.23.EqWpwnt allidency verification
COONAMB"swone"I 403.8 hgwg Cos*y requires-p-A Wdsm-vwMb capedly systam.
ElgoifthesIA"Mustbodividedinblivoormys n
404.1 otp-rin-n@Op'rAMlbdOgtftkbmm"batigh4ffiawykwnps.
2010 FLORIDA BUILDING CODE ENERGY CONSERVATION CA
FILE COP
ha
75.77
w9b
ol
44-
66,126
Fli M�2z
00 �,7
�5.ro
Vermey Archito As rwrl 1
420 Third Street JAcksonville Beach FI FILE COPY
BeamChek v2OO8 licensed to: Vertney Architect Reg#8551-66750
Fore Addition ghr Beam
B-1 Prepared by: PBC Date: 6/08/12
Selection (2)1-314x.14 1.9E WF West Fraser LVL Lu= 12.33 Ft
Conditions NDS 2005, DL adj: 3:12 pitch
MinBearingArea R1=4.7in 2 R2=47 in 2 (- .5) DL DO= 0.08 in
Data Beam Span 12.33 ft Reaction 1 LL 2589# Reaction 2 LL 2589#
Beam Wt per ft 12.98# Reaction 1 TL 3559# Reaction 2 TL 3559#
Bm Wt Included 160# Maximum V 3559#
Max Moment 109704 Max V(Reduced) 2890#
TIL Max Defl L/240 TL Actual Defl L/667
LL Max Defl L/30 LL Actual Defl L/>1000
Attributes Section(W) Shear(in 2 TL DO (in) LL Defl
Actual 114.33 49.00 0.22 0.14
Critical 57.32 12.17 0.62 4.93
Status OK OK OK OK
Ratio 50% 25% 36% 3%
Flb(psi) Fv(psi) E(psfx mil) Fc-L(psi)
Values Reference Values 2600 285 1,9:, 750
Adjusted Values 2297 356 1.9 750
Adjustments CF Size Factor 0.983
Cd Duration 1.25 1.25
Cr Repetitive 1.00
Ch Shear Stress N/A
Cm Wet Use 1.00 1.00 1.00 1.00
Cl Stability 0.7067 Rb= 17.99 D 23.60 Ft
Loads Uniform LL 420 Uni-orm TL 560 =A
Uniform Load A
R1 =3559 R2=3559
SPAN= 12.33 FT
Uniform and partial uniform loads are I)s per lineal ft.
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assVned by On Building Depadnynt)
800 Seminole Road
Atlantic Beedi,Florida 32233-5"5 -141,
Phone(904)247-W26 - Fax(gk247-584�,/
f Date routed:
E-mail: building-dept@wab.us 40,
citywa&r.Re-. htIp:1A~eoab.ur.
APPLICATION REVIEE"WA RACKING FORM
Yes No
Property Address: -Department review required
Eu
Planning&Zoning
Applicant:
Tree Adminisb-ator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Ri oview or Receipt Date
of I lermit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STIMS
Reviowing Department Fimt Review: VApproved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: E]Approved as revised. E
]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revisL-d. E]Denied.
Comments:
Reviewed I y: Date:
RevlaW 07WMO
A919 City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Departniert.)
Building Department
800 Seminole Road /4
Atlantic Beach,Flonde 32233-5445
Z.-
Phone(904)247-5828 - Fax(904)247-5845
E-mail: building-deptCcoab.us Date routed:
Cifyvmb-site! htfp:1A~.coab.ua
APPLICATION REVIEW AND TRACKING FORM
9 Depad Yes No
Property Address: __Mont review required
Building_
Planning&Zoning
Applicant: At L Tree Adminish-ator —V—
Public Worics
Project.- Public Utilities
Public Safety
Fire Services
Other Agency Review or Perink Required Ri ivilew or Receipt Date
of I lermit VerHied By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Dhoislon of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: D�P'roved. E]Denied.
(Circle one.) Comments:
1-4JUA 2012,
PLANNING&ZONING Reviewed )Y: Date:
TREE ADMIN. Second Review: DApproved as revi�ed. []Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed :)y: Date:—
FIRE SERVICES Third Review: ElApproved as revi-.ed. F]Denied.
Comments:
Reviewed )y: Date:
Revised 07127nO
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Deparbnent.)
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
I V E-mail: building-dept@coab.us Date routed:
City vmb-sitw HpAmm-coaKus
APPLICATION REVIEW AND TRACKING FORM
Property Address: Building ent review required Yw'No
Applicant: 114172,�,QW17kZ A'1116�17e aj2r�--n ing CZ611W
I ree Administrator
Project:
4 F131511c:Smtr-
1 Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of P armft Verffied By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPL!PATION STMUS
Reviewing Department First Review: M�P'proved. FIDenied.
(Circle one.) Comments:
CBUILDIN
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [-]Approved as revisk E]Dgied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. F]Denied.
Comments:
Reviewed b 1: Date:
Revised 07127110
City of Atlantic Beach
/991 - APPLICATION NUMBER
Building Department (To be assigned by#0 Su&&v Departmwt)
800 Seminole Road
Adentic Beach,FWda 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@wab.us Date routed:
Cifyweb-site.- hftp!JA~.cwb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Pepar"ent review required Yes No
Planning&Zoning
Applicant: 7 " Tree Adminisbator
Project: Public Works
Public Utilities
Public Safety
Fire Services
=WAS
Other Agency Review or Permit Required Ri view or Receipt Date
of F annit VerMed By
Florida Dept.of Environmental Protection
Florida DepL of Tran3portation
St.Johns Ptiver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Departnient First Review: Mpproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed bV: Date:
TREE ADMIN. Second Review: DApproved as revised. []Denied.
I p /C?mM6Jft:
ILI
5SAMFP Reviewed 6f: Date:
FIRE SERVICES Third Review: ElApproved as revised. DDenied.
Comments:
Reviewed b1r: Date:
ReviwA 07127110
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000743 Date 7/11/12
Property Address . . . . . . 717 TRITON RD
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
----------------------------------------------------------------------------
Application desc
addition
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FORE, STUART ASHBY HOMEOWNER BLDG SVCS, INC (RC)
717 TRITON ROAD 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
--- Structure Information 000 000 ADDITION 9 X 20 ROOM
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc SEE NOTES/5 SMOKE DETECTORS
Sub Contractor BILL THOMPSON ELECTRIC CO, INC
Permit Fee . . . . 58 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/07/13
----------------------------------------------------------------------------
Special Notes and Comments
REWIRE 1/2 ALIUMINUM WIRING AND
INSTALLING ALIUMI-CONN CONNECTORS ON
REMAINING WIRING IN HOME
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
Full right-of-way restoration, including sod, is required.
kl
PERMIT IS;&P]Rfffil ONROI AAAAWF��W� (qfFWR1YLA%"F'MA& @&"HYS AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.. ......I ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000743 Date 7/11/12
----------------------------------------------------------------------------
Special Notes and Comments
approved list and container cannot be placed on City
right-of-way. (Approved: Advanced Disposal, Realco,
Shappelle ' s and Waste Management)
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58 . 00 58 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 62 . 00 62 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) ),17-5845
JOB ADDRESS: ZY, PERMIT# 12-
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS Z -PHASE
VALUE OF WORK$
— �':%
NEW SERVICE F-1 Overhead Fj Underground ED Underground up Pole
DResidential (Main) Service
E10-100 amps [1101-150amps Ll 151-200amps El______.,amps of Meters
0 Commercial(Main) Service
E10-100 amps 0 10 1-1 50amps [I 151-200amps 0—amps 0 CT Service amps
Conductor Type Size
OMulti-Family(Main) Service
[10-100 amps 0 101-150amps 0 151-200amps El—amps of Unit Meters
0 Temporary Pole El ___amps
SERVICE UPGRADE 0______amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 11150amps 0200amps 0 amps 0 CT Service amps
� ODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
utletslSwitMs: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool El Sign Asmoke Detectors b Qty 11 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VAL UE OF WORK$
REPAI[RSIMISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection E]Panel Change 0OH to UG
[]Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances goveming this work will be complied with whether
specified or not, The permit does not give authority to violate the provisions of any othe?,aAor I ct ce of
construction.
Property Owners Name Phone Number
Electrical Company 22 Office Phone2-�F SX071 Fax2-70
Co. Address: A62,el&yx -'324u=je*� City/�W' State;-r::(,—ziW207-33
License Holder (Print):
State Certification/Registration
4F
Notarized 1"Iffin r
My CommiSSION�OD 95776'
EXPIRE&February d subscribe efore in is day of 20
onded Thru Notary Publi-Al
Signature of NotaQ-Rublic ------
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000743 Date 6/21/12
Property Address . . . . . . 717 TRITON RD
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO EE UPDATED
Application valuation . . . . 8000
-----------------------------------------------------------------------------
Application desc
addition
-----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FORE, STUART ASHBY HOMEOWNER BLDG SVCS, INC (RC)
717 TRITON ROAD 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 322-1054
--- Structure Information 000 000 ADD-TION 9 X 20 ROOM
Construction Type . . . . . TYPE -A
Occupancy Type . . . . . . RESIDIENTIAL
Flood Zone . . . . . . . . ZONE X
--------------------------------------- -------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc REPIPE 11 FIX-URES
Sub Contractor CHRISTY FIRST COAST PLUMBING
Permit Fee . . . . 132 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/18/12
--------------------------------------- -------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 ZATIONAl ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL )AMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water 'sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination s needed, call 247-5834 .
Ensure all meter boxes, sewer cle nouts and valve covers
are set to grade and visible .
Full right-of-way restoration, in luding sod, is required.
If used, roll off container compaiy must be on City
approved list and container canno : be placed on City
right-of-way. (Approved: Advancel Disposal, Realco,
PERMIT IS-VPidiV��19L'Y8lNaR4Oi&9A§�FUWRde(-W,�d LTLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
SS CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oil
Page 2
Application Number . . . . . 12-00000743 Date 6/21/12
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 132 . 00 132 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 136 . 00 136 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT,%,PPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic leach,FL 32233 T)
Ph(904)247-5826 Fax(9D4)247-5845
JoB ADDRFss:
#
NEW OR REPLACEMENT INSTALLATION: Projed Value$
TYPE oF Fvcrujw QTY T rpE oF Fvcrujw QTY
Bathtub i S 'c Tank&Pit
Clothes Washer S r
er
Dishwasher S owl Pan
S ow
' r
Drinking Fountain S Sink
owe
Owl
4
)p'
4
Floor Drain p I-Compartment Sink
.let
Floor Sink T 1i
T �
Hose Bibs . al
vuttj
Kitchen Sink uum Breakers
Laundry Tray A ater Connected Appliances
Lavatory A ater Heater
Other Fixtures A ater Treating System
RE-P11PE:
TYPE oF Fvarum QTY T TE oF Fmum QTY
Bathtub -Sc ptic Tank&Pit
Clothes Washer S1 ower
Dishwasher S1 ower Pan
Drinking Fountain S1101)Sink
Floor Drain e Compartment
Sink
Floor Sink T" ilet
Hose Bibs U al
Kitchen Sink uum.Breakers
U
V
Laundry Tray littler Connected Appliances
Lavatory W Aar Heater
Other Fixtures W iter Treating System
MISCELLANEOUS:
• Sewer Replacement o Back Flow Preventer o Grease Inteiceptor(Trap)_gallons(Requims 3 sets of plans)
• Lawn Sprinkler System-Number of Heads 1:1 Well
**VR WD Well Completion Form.Completed—form to be submitt ed to the—Building Department for f inal inspection.
o Other
Permit becomes void if work does not commence within a six month period or work is:upended or abandoned for six months.I hereby certify that I have read
this application and lmow the same tDbe true and correcL All provisions of laws and or linances governing this work will be cornplied with whether specified
or not. The permit does not give authority to i late the provisions of any other ftate OF local law regulation construction or the performance of construction.
1 9 —
Property Owners Name C6�u(;�)ba Phone Number
/7h
Plumbing CompanyL41 1651 Maypod Road -Office Phone,Qdj'AIO�j Faxj2?jjC—W1 .1 D
Co.Address: � Manfic Beach
a�Et - , I FL 322-�%3 city State—zip
License Holder(Print): k141j,Al)r7 j
11 U'A-Azl vi State CertificAOn/Registration#
Z t41-
Notarized Signature ofLicense ko-Lr , Z
JUUE YO" day of 20
CHRISTY Sworn and SUbscri
�'4y COMMISSION#DD 873293
Signature of Notary Public
�,.-K� EXPIRES:July 21,21013
Bondea Thru Notary Public underwriters