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415 Sargo Rd (vault) FLORIDA ENERGY EFFICIENCY CODE FO BUILDING CONSTRUCTION FORM 600C-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3� Small Additions,Renovations&Building Systems Chhrnpliance with Metal C of Chapter 6 of the Florida Energy Ettidehcy Code maybe demonstratedby lire use of Form 6DOC-01 for addlions d 6D0 square feet or We,std installed components of manufactured MM and renovations to angle and maltif residences.Altemalive methods are provided for addihm by use ofFan 60OB-01 or 600 V. PROJECT NAME: /.�1, i p BUILDER: AND ADDRESS: i�j 6 t'Zt:� PERMITTINGCLIMATE L. OFFICE: T(, �,�„� ZONE: 1 M 2 3� OWNER: Ake. PERMIT NO. JURISDICTION NO.: SMALLADDITIONS TO EXISTING RESIDENCES(600 -feet feet o less of Cendlhoned areal.Prescriptive regdremerris in Ta ks 6C-1,6C-2 and 6C-3 apply only to the cornporWs of the addition,not to the Space healing, g.and crater healing eghipmerd ettidenry levels must be met only when equipmerht is metalled ' seperetirg unc�arhhiitianed spaces from ocrhdtoned spaces=d meet!he apedficatiyt save ria addton r is bang insatied m coryhrdon with the addlim conslRdm. Componeds presaibed mnm n irhsulation levels.RENOVATIONS Residential buildings rhrd&M rerhovatons c0sling more than 30%of the assessed vWus of the buWO.Presaip"requirehhents in Tabes 6CG1 and 6G2 apply only to the conpona*and muipment being rermated or rei aced.MANUFACTURED HOMES AND BUILDINGS.Only siteeinsalled components and feahm are covered by this form.BUILDING SYSTEMS Comply when cornplea now system is msated. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. 5 F 3. If Multifamily-No.of units Covered by this submission 3. -- 4. Conditioned floor area(sq. ft.) 4. ) $a 5. Predominant save overhang(ft.) S. (, O 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a _6_ sq ft sq ft b. Tint,film or solar screen 6b. sq. ft. sq.ft. 7. Percentage of glass to floor area 7. �_ % 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= /_-3 - 54 lin.ft. b. Wood, raised (R-value) 8b. R= sq.ft. c. Wood, common (R-value) 8C. R= sq.ft. d. Concrete, raised(R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq.ft. 9. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= 11 _ 33(o sq. ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= S _sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic(Insulation R-value) 1Oa. R= sq.ft. b. Single assembly(Insulation R-value) 10b. R= _ _ a sq,ft 11. Cooling system* (Types:central,room unit,package terminal A.C.,gas,existing,none 11. Type: 12G i 5T SEER/EER: --- 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: -F-'-Vt tri- gas %gas h,p.,room or PTAC,existing,none) HSPF/COP/AFUE: 1 13.Air Distribution System*: a. Backflow damper or single package systems*(Yes/No) 13a. A- b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. N 14. Hot water system: 14. Type: - S7 (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. I hereby ce ' e plans and specifications covered by the calculation are in Re ew of plans and specifications covered by this calculation indicates compliance compliance t p Energy Code, the Florida Energy Code.Before construction is completed this building will be PREFAB s DATE.: 3 in ed for compliance in accordance with Section 553.li08,�.S. I certi (ding is in compliance with the Florida Energy au DING o�rcuu.: OWNER DATE: DA : _1_ p, Climate Zones 1 2 3 TABLE 6C-I:PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq,Ft and Less RENOVATIONS TO I XISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION SMINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY (n Came,2" look R-7 Central A/C-Split SEER = 10.0 SEER = a I - -Single Pkg. SEER = 9.7 SEER 3 Common,Frame R-11 m unit or PTAC EER = 8.5' Common,Masonry R-3 = Under Attic R-30 ElectricNorH ANY cU) Single AssEnclosed eat pHSPF - 6.8 HSPF = z Fra � -� Metal Pans HSP = 6.6 HSPF = j Single Assembly;Open R-i0 x loomOP = 2.7' HSPF/ _ Common,Frame R-11 `vQ" COP a on-grad o inim v°i as,nUE _ .78 AFUEp - 9 uel OAFU = 78 AFUE 8 Raised Concrete R_7 LL Comm R-11 F x lectri asistance EF = EF = In un a _6 3 Natural or L.P. EF = EF = n conditioned space No minimum uel Oil EF = .54 EF = : PRESCRIPTIVEREQUIREM TSFORGWMAgEASIN 's°°Tawe s•a,6-7 Maximum percents a Qlass to floor area allowed is selected by Wpe,overhan len th and solar eat in coefficient Maximum%= Installed% GLASS E,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT QUIRED FOR GLASS PERCENTAGE ALLOWED T % UP TO 30°k ° UP TO 40/o UP TO 50% S g uble Single Double Sin lie Double Single Double 1"-• 0'-.78 2-.87 1 -.78 2-.78 3'-.78 5 1"-.75 0"-.61 NO 1 -.61 NOT 2"-.61 0'-.57 ALLO ED 0'-.44 ALLOWED l'-.44 0'-.35 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC=.87,double clear SHGC=.78,and single tint SHGC=.75 TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION CHIEC rior Joints&Cracks 606.1 To be caulked, a k ted weather-stripped or o herwise sealed Exterior Windows&Doors 606.1Max.0.3 cfm/sq.ft.window area;.5 cfm/s .ft. oor area. Sole&Top Plates 606.1 Sole plates and penetrations through top plat s of exterior walls must be sealed. Recessed Lighting 606.1 Type IC rated with no penetrations two alter fives allowed). Mullimstory Houses 606.1 Air barrier on perimeter of floor cavity betwee floors. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space hail have dampers,except for combustion devices with into ral exhaust ductwork. Combustion 606.1 Combustion space and water heating system must be provided with outside combustion air, Heatina except for direct vent appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 12. Switch or clearly marked circuit breaker(electric) or 0 (Gas)must be l2rovi 2d. Exter ilt-in heat tw a uired for vertical p 0 pe risers, Swimming 612.1 Spas&heated pools must have covers(axes t solar heated). Non-commercial pools must have a Spas - u timer.Gas a& I heaters must he minimum thermal efficiency of 78%. Hot Water PIDes 612.1 Insulation is required for hot water circulatin tems(including heat recovery units. Shower Heads 612.1 Water flow must be restricted to no more than 2.5 oallons per minute at 80 PSIG. HVAC Duct 610.1 All ducts,fittings,mechanical equipment and l4enum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance lth the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to o minimum of R-6. HVAC Controls 607.1 Separate readily accessible manual or automi tic thermostat for each system. GENERAL DIRECTIONS: 1.OnTabls6C-Iklimlethe R•velueoftheirmiaVonbe%added toeach car"wandlbedl iswylevsisofteN"pram irsialed.AUR•m sanderykmffW lledmustmedorexosedihemifnamvalumiisbd. Components and agdpmerd neer being added nor reravated may be left blank 2 ADDITIONS ONLY.Ddennine the pmertage of new glass to midillaned On an in the addition as Wows.Total the areas of A glass windows,sliding glass does and glass door panels.DWA ft area of all nan verticil root glassandaddittalbepmmustoal.When glassherisligextenarwalsisbeing mmovedoradwedbytmaddilim.an mw e010tlnetotelareaoflhis&mmaybesubb.*dhom8netofel OwareatoalbyaecandtiorWlooraread#madditm MuN*by100Pogetthepement Findtheargestgasspermnage wttichyourcalaAaad a bythe*ofgsad (Single or Data pane)and Nine o percenage taus an Table 6G2.ResaipNves are given bytlle type of glass vedlang(OH)paired with a solar heat gam coeMderd(SHGC).Fora given gags type and ova ,the mininam soar heat gain welkient allowed is spedlied.pdual preNlousl h#*OAmiorwalsofenehonueandbekgrexnsaMinbWdi mdonothavetomnioywhhdmov tw@andsoar ll dowr*mmas fa am of b oOm m ttb g�ss penwbp ca<egory you mdmted•The mss ang(OH)disim is measured �e ON 10 a s an Tabl00Y w&he ott nnAd eag dol tie m Jiang.a requirer�nt s.RENOVATIONSONLY.Repacanemglass nreedslomeetthe PedY �raceaUne�eaaaapoi�daedlyundern,eoaemwstedgeaureoved,arg. 9�•Anygass y"and may be used for glass areas Mich amunderatleast alwofcotowha ngardWxselowestadge dose not mond tudherihan 8 feetfram Nine owharg.Glass areas being mwmed that do not meet#vs cnU m must be et w ' Nnted,double-pane dear or dmble•pane tinted. 4.BUILDING SYSTEMS.Canply when new system is insMaj for system insaled. a Calpbls ft in Imnalon requested an the top hal of page 1. 6.Read ldhm n Reqursnems for Stinal Addlians and Renovations°,Table K4,and dick all applkaba Nems. 7.Read sign and date fhe'Omr/Agenr wffralon statement an page 1. -2- �i CITY OF ATLANr rIC BEACH BUILDING / ZONING DEPARTMENT 800 Seminole Ioad + e s) Atlantic Beach,Flor da 32233 (904)247-58)0 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: 4 �5 D -- Applicant: ,� 11v1w �Q1 C• J ��C,� � 1-� Project: 0-s OA911 This permit application has been: Lid' Approved Reviewed and the following tems need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: G Z-q��` CITY OF ATLANTIC BEACH r ��; BUILDING PERMIT APPLICATION �� (Alterations Additions) Da to a Job Address: ? , ' ,. �- �� tr. 4 Owner of Property t lddress: l elephone: Legal Description: Block Number: Lot Number: Zoning District: tom, Con tractor: i_.A�_� ' �� - I State License Number: a - =- (contractor Address: , , Telephone �� r _� — - Fax: ---- Describe proposed use and work to be done: �� `� "- __ -- Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space.: � � :) feet :X �"� -` feet Will the added area be heated and cooled? New electrical or increase in service? z,> Add plumbing fixtures? Add fireplace? �t.; _-- Add heating/air conditionings_ Is approval of Homeowner's Association or other private entity required? � — If yes, please submit with this application. 7Wil this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or till 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. [Q 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 C'onservation 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. Verity 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 Lo correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Bcach 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 he provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lime, Atlantic Beach, Fl. 32233 Telephone.(904)247-5834 STEP 3, Submit Tree Removal Application if trees are to he removed or relocated. STEP 4. Please submit Building Permit Application, t?nergy 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 Ifall, 800 Seminole Road,Atlantic Bcach, 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 1/04 In addition to construction and engineering detail,plans must contain the b1lowing information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required inf)rmation in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distanes 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 wet ds,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalls, 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 cone Signature of owner: i ' Date:A : 0 I hereby certify that I have read and examined 's application and kno 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 loc 1 rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the propero,. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and su rting data have been or shall be provided as required. Signature of Contractor: (/v • - Date: z Address and contact information of person to rec ive all correspondence regarding this application(please print). Name: A&PkjAc- 61 o e Mailing Address: ,3 D } Telephone: 4571 Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this_ k day of 2p4. State of Florida,County of Duval Notary's Signatur �"•�fG' JENNIFER SCHLUEM k MY COMMISSION#DD 121301 ❑ Personally known EXPIRES:May 27,2006 'produced identification M$f r Eiorcde0 Tnru Notary Puc Ur�lerwrilers fJ Type of id r ntification produced!r ��- � ✓h'J, AS TO CONTRACTOR: -� Sworn to and subscribed before me this � day of Pt,`-f, 20� State of Florida,County of Duval c Notary's Signa e: JENNIFER SCHLUETER ❑ Personally known MY COMMlSr'10N#Df.)121301 []Produced i lentification 2 r d a: ExplNr_S:May 27,zoos Type of identification produced FLi'>'1 ZlrE3 5�C' j 4' 1;jid °!•`, Bonded Thru Notary Public Underwriters 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 •Fax: (904)2 1 7-5845 •http://www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONIN(', I)EPARTINIENT ' S it goo tiClnkll le l)�oud oerr J aE Atlantic Bc lch E to ida (904) ' X800 PLAN REVIEW CONMIMENTS Permit Application #Lf �-� -�� � Property Address: C- Applicant: e Ct CLC r �yJ, j Project: This perrnit application has been: IR Approved Reviewed and the following items need attention: Please re-submit you/applicati �yyhen these items have been completed. Reviewed By: Date: I MAP SHOWING SURVEY OF LOT 11, BLOCK 17, REPLAT OF. ROYAL PALMS' NIT TWO - A AS RECORDED IN PLAT BOOK 31 PAGES 16, 16A, 16B, 16C AND 16DOF THE CURRENT PUBLIC RECORDS OF DUVAL CO NTY, ; PLORIDA. . ' Ii LOT 10 , 1�FND 2"1.P p 4'CNAIN LANK FENCE M FNDV2 °4358°E. 93.00 r d 0.2' in - W 29.1, > z a.i' aCID o h C OD r _ Cc w Ocy PORcM 4.dO tV o ■ m W a ~O 3?4F? N O z 2 16.0' 9.2 ~ Q t y A� CONC. 00' g ': - DRIVE O I 3.7 x 3.7'CONC.PAD N x M 4' A F CLJ FN 2��' P 0.2 I S. 2°4358"W. 93.00 s V2., .. W N ai LOT 12 S' i s' r W' 0 Wn Q2W M. I WQ3 J. CUrILASS 0 •.NOTES • RIVE i. BEARINGS AS PER PLAT. kx`D.R.L. AS'PER PLAT.' IiEREBY `CERTIFY THAT THE PROPERTY SHOW HEREON LIES IN FLOOD ZONE "C" A. $MOWN ON THE , FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH,- FLORIDA. T HEREBY CERTIFY TO PlIILGIP G. & LUCIND MCKNIGHT THAT :I HAVE SURVEYED TH LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORREC REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEET E'.' MINIMUM STANDARD REQUIRMENTS ADOPTED BY THE FLORIDA' STATE BOARD OF PRO FESSIONAL: LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIA'T'ION. THIS SURVEY NOT VALID UNLESS • SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON. DONN W. BOATWRIGHT, L.S, FLORIDA REO. LAND SURVEYOR No. 3295 �- BOATWRIGHT LAND SURV YOBS, INC. DA tlAWN eY• °' 1301 PENMAN ROAD SUIT D 1s JACKSONVILLE BEACH, FL RIGA 241-8660 SHEETS OF I b. x CITY OF ATLANTIC BEACH 800 SEMIN LE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHO E LINE 247-5826 Application Number . . . . . 03 - 0027350 Date 12/05/03 Property Address . . . . . . 415 SARGO RD Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 240V, Application description . . . ELE TRIC ONLY Property Zoning . . . . . . . TO 3E UPDATED Application valuation . . . . 0 Owner Contractor ------- - --- -- ---- --- ---- - - -- --- - --- - ---- --- - - - -- MCKNIGHT AMERICAN ELECTRICAL CONTRACTOR 415 SARGO ROAD 5065 ST.AUGUSTINE RD #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 737-7770 ------------ -------------------- ------- ---------- ---- - --- - ----- ------------ Permit ELECTRICAL PE MIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---- ----- -- ------ ----- - - - -- -- - - - --- - - -- -- - - -- - -- --- -- - - - Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NO r BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPR VEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VI DLATION OF APPLICABLE PROVISIONS OF LAW. 6 BUILDING OFFICIAL k i Sep 22 Q3 02: 51p Information Systems 247-5845 P• 1 i CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION p.. rATEdaTO THE CHIEF ELECTRICAL INSPECTOR ATE: nD 3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TIIS WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECLFICATIONS, WHICH ARE A PART HEREOF, A. IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: MASTER ELECTRICIANS SIGXIATURE:4��fc OWNER OF PROPERTY: JOB ADDRESS: '`o � RES.(/►) APT.( ) CONVLM.( ) PUBLIC( ) INDU .( } NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEW.( ) SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE REPAIR( CONDUCTOR SIZE AMPS: COPPER( ALUM. ) FEES I I ' SWITCH OR BREAKER AMPStPH W OLRACEWAYEXIST. SERV. SIZE AMPS W4LT RACEWAY 1 i FEEDERS NO, SIZE N0, SIZE NO. SIZE a LIGHTING OUTLETS I CONCEALED k OPEN TOTAL RECEPTACLES CONCEALED ` OPEN ITOTAL 0.30ANIPS 31.10 AMPS SWITCHES j INCANDESCENT I FLOLRESCENT&M.V. FIXED 0.100 AMPS. ovBR l APPLIANCES I BELL TRANSF. AIR H.P.RATING H P.RATIN CEIL. KW-HEAT j CONDITIONING COMP.MOTOR OTHER MO ORS � AN2S HEAT E i i 0-I I OVER `` MOTORS ? H.P. I VOLTAGE PHS NO. 1 H.P. f VOLTAGE PHS i MISCELLANEOUS _ . ER 600V OVER 600V 1 TRANSFORMERS: 1 NO- KVA ' NO KVA NO.NEON TRANSF. NO VA # MA ' MOTOR SIZ SWITCH FLASHERS + i EACH SIGN ' 800 Seminole Road•Atlantic each, Florida 32233-5445 Phone:(904)247-5800 • Fax: (904)247- 45• http:l/www.cLatlantiic-be�ach.fi.us I' CITY OF ATLANTIC BEACH 800 SEMIN LE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03 -()0027343 Date 12/04/03 Property Address . . . . . . 415 SARGO RD Tenant nbr, name . . . . . . REPL HVAC Application description . . . MECIIANICAL ONLY Property Zoning . . . . . . . TO 1E UPDATED Application valuation . . . . 0 Owner Contractor -- --- ------ - - ----- - ----- -- - - --- --- - --- ----- - - -- - MCKNIGHT, PHILLIS OCEAN STATE HEAT & AIR 415 SARGO ROAD 1476 ATLANTIC BLVD . ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 246-7865 (904) 249-8251 -- -------------- -- ------- --- ----------- ----- ---------- -- ------ - ------------ Permit . . . . . . MECHANICAL PE MIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged laid Credited Due --- - -- --- - -- - --- - - - - ---- - -- - -- - - - --- - - - -- - -- -- - - - - - --- - - Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOr BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS- ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 6. ., C . BUILMG OFFICIAL i, YYIW ! 3 s CITY OF ATLANTIC BEACH 12/51105 C MECHANICAL PERmrr APPLICATION JF3 Date: Property dress: A �Json(gn T.., Owner: C Telephone#: Contractor: Telephone Contractor Address: l--. Fax#: In consideration of permit given for doing t5e work as described m the fitemiEnt,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accorch nee with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building Electric 16Vor site,list the building permit number: Gas: _LP Natural _Central Utility �n ❑ Oil lel ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space Recessed X Central _Floor Residential Air Conditioning: _Room Central Duct System: Material Thickness ❑ Commercial Maximum capacity cfm Cl Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number ❑ New Installation ❑ LPG Containers (Number (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSORIS Approving Number Units Description Model# Manufacturer Ton's Agency i cz HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Bea h,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us r, r. CITY OF ATLANTIC BEACH 4s� 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028926 Date 11/15/04 Property Address . . . . . . 415 SARGO RD Tenant nbr, name . . . MASTER BATH/CLOSET ADD. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor ------------------------ ------------------------ MCKNIGHT, PHILLIP & LUCINDY JACKSONVILLE HOME IMPROVEMENT 415 SARGO ROAD 6653 POWERS AVE 417 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 246-7865 (904) 733-0710 ------ --------------- ------------- ----- ----------- ------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 4 FIXTURES Sub Contractor QUALITY FIRST PLUMBING INC Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------- ------- - ---------- ----------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERNHr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY F ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD DES BUILDING OFFICIAL ITY OF ATLANTIC BEACH PLUM13ING PERMIT APPLICATION �Hw- Date: Property Address AlS� so'C!2�'n �A' Owner: Telephone #: Contractor: \1 x -�nc�.e- .�—rv.chr✓�• Telephone#: 33 -6716 aITY OF ATLANTIC BEACH r' PLUMB NG PERMIT APPLICATION Sr Date: 7 Property Address: S Sof Owner: C Telephone #: Contractor: n rv, Telephone#: 33 -d 716 Contractor Address: 1 Fax#: In consideration of permit given for doing the work as described in th above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a pai hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with d most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If oth r construction is being done on this building or site, KNew list tl building permit number: C3 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine 1 Lavatory Water Sewer i Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: 1' _ X$7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-584 - http://www.ci.atlantic-beach.fl.us Revised 1/04 i J 4 � 3 � h ,S 3.. i.Q n F Wt .. 7.11 O to PSAs as DEPARTMeNirovilELDI iQ • CITY OF ATLANTI BEACH' HERMIT INFTIO*„------- e .- t Berl'; " LOCATION NroRMAT I ON „P A I aAR00' R } i ? l `+EL '”` AL• R I , • R + «? t MICR ,TLAB'TM BEACH, `LORIDA' 23 , onstr, TS e.WO � P .� , . _ LEGAL DESCRIPTION r rosed Uit BIM LE ' `� .L" " rx Lot :12 .,.c.., Twp f I eti cin. I9 Scb Rae's Est ., Vag0.00 u Viii p ':ROYAL ALMS gr . . ?(? Amount 0 � b, iek C , : . APPLICATION P . . 00 FLOOIZA ak" ` °tsS ��" t^a C LION { B BIVI' I : C01NI) S' RLRT ACS� � 0 clf,. ? � t .. NOT P j N©TICEI+ISPEC ONS INUS`'1'BE REQUESTi~D AT EAST 24 H,00R8 PRIOR 10;INSPECT19N } SUI DING MATERIA,;RUBBIS AND DEBRIS FROM THIS WORK MUST NOT BE PLACEp IN PUBLIC SPACE,AND MUST,I�E Cl RED UP AND HAULED A AY BY EITHER CONTRACTOR OR OW ER { { P IL.URE TCJ COMRESULTr WITH THE MECHA ICS' LIEN LA W CAN � IN PROPERTY O NER PAYING TWICE F R BUILDING 1 PRG EMENT�S x; © ALCOR©IN{ TO APP OVEU PLANS WHICH ARE PART OF HIS PERMIT AND S SJ EV TION OF APPLICABLE P OVISIONS OF LAW. .M 14- { V19 AWA � X4 7 ICCH BUILDING [� ARTMENT { d. i CITY OF ATLANTIC EACHs FLORIDA nW;;rd w APPLICAITION /OR OCTRkCAL IRRM IT E _. TO TME CHIEF ELECTRICAL INVECTgR: DATE. mo,QRTANT NOTICE: IN CONSIDERATION OF PERMIT GI K IN CCORDANC WITH THE ATTACHED PLANS ANDSPECIFICATIONS. FOR DOING "HE WORK AS DESCRIBED IN THE WE WORK AGREE TO PERFORM SAID WHICH ARE A PART HEREOF. AND IN ACCOROMCE WITH Ng EI�WRICAL REOt)� ATIQNS, 0QOEz AND CITY OF AT4ANT1 t�actriRcDCoNANCES. 1004 SOLM Second SI JWAGW i Eich FL32250 , �4 FIRM: _ r11Fq ,tl!OX,�.,.s.. NAME AWRESi. SI„pQ.Site BETWEEN: _ _.. . . ...- I REli•1 �.t 1 GGiMM1,t I PWLIC l ! , .1 1 NEW 1 I OLD REW.! ! AWTgN TRAILER t 1 TEMP.1 1 SIGNS 1 I S0;FT. AERVWAL* New 1 INCREASE 1 1 REP AR( 1 F -- IgT.SERV.SIZE /5 6 AMPS W FEEDER$ NO. SIZE NO. SIZE NO. $12E CONCEALED OPEN TOTAL LIGHTING OUTLETS CONCEALED., . . _ .. R ACLES CON E L OPEN MAL 0.80 AMM• f. SWITCNi• INCANDESCENT FLUORESCENT - /IX[D ARAN. OV[11 APPLIANC&o BELL TR F. ' AIR H.P.RATING H.P. Rot i"d CONDITIONING COMP.MOTOR OTHER MOTORS MAPS EIL HEAT: KW-HEAT id OVER MOTH.P. VOLTAGE VOTAQF PHS ORS MISCELLANE •,, TRANSF RS: N, R V• OVIA NOV. r.-.� KVA j. VA NO.NEON TRANSF. .NO. VA. MA. JIxE lhr A PLASMIN_. EACH SIGN 'AWARDED • ' TOTAL FEES i ' FOR OFFICE USE ONLY Permit 1A.1-4.-Fes FLORIDA House 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 ini compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws cif 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 Buildinp Permit is automdtically responsible to ascertain that all Sub- contractors engaged by him are duly licensed in the City of Atlande Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sup-contractors be submitted to this office so that licenses can be verified. 1 -1 L.,�:64 ' This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall e!� be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 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. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. U2 8. Final inspection. LA Note: In case of any rejection,re-inspection MUST be called for after IN corrections are made. FRONT OF LOT =L__J In consideration— of permit given_ for doing_ the '_— as described— to perform s aid work in accordance with the attached plans and specifications, with the building regulations of the City of-4malitwi ~°n~~^ ~ .^ B.~—_ '----'--- ........ ---------------------------------------------------------- --------------- P5R- � DEPARTMNT I9t »tN .� CITY OF ATLANTIC I 115ACH, PES! fii1'O I( AT I�3Pt _. IaOC A'I~I41!I Itl € RIAfi'I.OPI s S ROADR Numbet: Adu t FLORIDA 0 A 223 y -- EMO LIINATLAI.C'BEAC of work REMa LEGAL DESCRj, PT1,ON nstr. T P .-V4OO "I`RAMR . S c ek 3,7 Lot ll Twp t 'E d 4MiHiaLz S tion.: bd.ibdivisionlROYAL PALMS Rn . Est ., valil`* 0..'00 i b�npro r b ost : i ,5"00 ;00 Total F��a��� : gaunt Psid. 67 ,50, /1997 ( 1 mg Ai 'S, lkmm A,r4 +44 67 . 50 NIA too PAT- Dy )4C11(N ea,4 s e Ft r' S PbRMATI0IR Aix e r.' s� �sr +„�a w f ' ,.�'� � � "�. ^,�SN4S,n{9$' •C,�S+.��,R,:.Tm,J�&,r "saanw��m�g�"z�,.w,w .�,.� em,� � { S" I k { I .: r " NOTICE INSPECTIONS MUST BE REQUESTED A LEAST'24 f1p.1,10 `PRIOR Tt7 INSPECTION g i S nILDING MATERIAL,RUBBISH AND DEBRiS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SP*bE,AND MUST BE' t ' `EARED UP AND'HAULED WAY BY Et?H-ERtONTRACTOR OR O NER' AILURE`T© .0 tPLY WITH THE MECH NIcs" LIEN L.AW'CAN' RESULT IN E PA0Pg,RTV- WNER PAYING TWICE OR OUIL01140' IMPOOVENIENTS." f EQ.'ACCORpNG TOA PROVE PLANS WHICH ARE PART F'THIS PERM t7 AND SUB.lECt rtC� l AOR r I:kTION OF AP t�IGABLE PROVISIONS OF LAW. `.,¢s ` f yy`u�y• t e k law" AAANTIpr BEACH 4PILJPtNG EP RT.MEIVT B , K r ,._ FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2�3'; Small Additions and Renovations Department of Community51 ' Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or iess,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are pro i ed for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: (Y -_' v<n t R rS BUILDER: AND ADDRESS: Is SA s c 02. PERMITTIN CLIMATE i- , h -)A 3??_33 OFFICE: f��"' �< h ZONE: 1 ❑2 [13 L/ OWNER: PERMIT NO.F�l I I i I S JURISDICTION NO.: ('S , vyi + SMALL ADDITIONS TO EXISTING RESIDE CES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heatirg equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. omponents separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoin renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment bei g renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 1. (addleion 2. Single family detached or Multifamily attached 2. S!2Nt, 3. If Multifamily-No. of units covered by this submission 3. NIP+ 4. Conditioned floor area (sq. ft.) 4. Inc. 5. Predominant eave overhang (ft.) 5. 1.0 6. Porch overhang length (ft.) 6. N 1 A 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. 1 sq. ft. b. Tint, film or solar screen i 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. iC % 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R=�_ 3� ft. b. Wood, raised (R-value) 9b. R= sq. ft. c. Wood, common (R-value) 9C. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= 1�' _ 189 sq. ft. b. Adjacent: 1. Masonry (insulation R-value) 10b-1 R= 19 sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units' (Yes/No) 10C 11. Ceiling type and insulation: a. Under attic (Insulation R-value) 1la. R= 30 1"1t4 sq. ft. b. Single assembly (Insulation R-value) 11b. R= sq. ft. 12. Cooling system* (Types: central, room unit, package terminal A.C., none) 12. Type: Cen-Y111-t SEER/EER: 10 13. Heating system*: 13. Type: Neo-t Ru, j? (Types:heat pump,elec.strip,natural gas, L.P.gas, room or PTAC, none) HSPF/COP/AFUE: 14. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 14a. tJ b. Ducts on marriage walls adequately sealed* (Yes/No) 14b. N I A 15. Hot water system: 15. Type: N I Ar (Types:elec.,natural gas, other,none) EF: Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in eview of plans and specific covered by this calculation indicate ompliance compliance with a Florida E erg e - �- ith the Florida Energy Co . Bef, a constructio omplet this b'i ing will be 1 31 spected for compliance i ccord'ance with Se tion.553.908, .S. PREPARED aY: DATE: i I hereby certify th t�iis building i$sinco i ce with the Fl�tida',Energy Code. uILDING OFFICIAL: 1 OWNER AGEN1. . .�.t,�`��, ,' (� \�C. bATE: .�� ~�.�� ''ATE: E FLA. 1667 LAWS BOOK NUMBER ? 4,;� pgOF D3/s11AMCo ronin 409 FS 71].17 afire o ` ,waxxt�ert,r�rrt xt IF11[►Ama III OUMICAT61 QIn ft,110111 it mud tuxtrertt: I' �?S The undersigned hereby informs all concernfid that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, 1 � ` Y4-1 _) yv� Description of prop ..... B & / . ... 1 extY ...... . ..... ................. �(� 5 .1. ............. r- ..................................:..................................................................................... ........................................................................................... �1 ........ 1�a ......... � ............ General descriptjpn of improvements......... ........ L C1 r ) .......... .. ....... ........... ................... ................................................................»...»........................................... ............................... Owner1l�/. .........V........ ���/..I. ......�1.L�✓/.....�E' ........................... Address... `: ....� � ...... ........... � �.. �. ». .......2..... ._ ..». .. .. ................... COwne _ ..L..':L /V rs interest in site of the improvement••••. .................... ....L... ............................................».................................. Fee Simple Title holder (if other than owner) Name............................................................................................... Address....................................................................................................... Contractor...... �G1 .— .......................... Bk: 87621���• �............... . ................................... ................P-0.1...........31.5............................................ Doc# 97243695 Filed R Recorded Address................................. 02:55:35 P.M. Surety (if any)....... . .. `.............................................. HENRY W. COOK .......................EEERp....GI DUVAL COUNTY, FL Address.. ....................................................................................................... ........I............ of bond $.................I............. Name of person within the State of Florida designated b be :*rued: upon owner u whom notices or other doCuments may Z I ^ ` Name........,...V... ................ ... ............................................................. ............................................................».................................................. FUj-" Address.. ................................................................ � � .................................... II ............................................................................,...............,........ In addition to himself, owner ......... designates the following;person to receive a copy of the Lienors Notice Uj as provided i Se tion 713.13 (1) (F), Florida Statute . (Fill in at Owner's option). te'>A Name..................... ......................... X .............................................. . .........................................................................»................................... Address....................................................... THIS *PACs x011 RRCOItOIiR'e U*[ ONLY ...... .._. .............. .............................................. _ Sworn to and subscribed before me tltxs......... 7............... ...... ...............day10(-..(c- -.... ................................19. ,,/ al .c,-41e.. .... ........... ......... ,:,.,,, ��• r", Sda m [XPIREryP„ MYCOtON August 27,2000 BDNM THRU TROY FAIN INSURANCE,INC. I' P, i i i CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 1`t 12(a o CA iq ecez f Dates l l- �( '� Heated Square Footage @ $ per sq it = 5 Garage/Shed --.4 r @ $ per sq Al �l Carport/Porch Ais S per sc t = S - Deck C9 a per spa L' - S Patio Fl @ S per sus `t - o TOTAL VALUATION : S go f_ (0 CD Total Val�uution 1st $ v S S'©a Remaining Value c -.bane- thousand Aportion Jhereof TOTAL BUILDING FEE S + 1,' Fil ing Fee $ S�' ( ) Fireplaces @ $15 . 00 a BUILDING PERMIT FEE S en WATER IMPAC FEE $_ SEWER IMPAC FEE $ WATER METER TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( 1 RADON (HRS ) QQSQ S SECTION H PAVING ( ; $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHJ,kRGE . 0050 S OTHER $ GRAND TOTAL DUE Co �5 0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_ Electric/New Electric/Temp : SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey : Other CALCULATIONS and/or NOTES : RECEIVED t1CT 2 7 1997 CITY OF ATLANT C BEACH ITIONS OR wilding and iV�"achg PERMIT APPLICATION REMODEL, , MOVING,DEMOL TIONS Building and Zoning Owner (s) : , 1_ 4 Address:_ yff Lot # Block or Unit # Subdivision: Contractor: a�)We r State License # Address: I —Phone No: � City State Zip Code,�r, Describe work to be done: e UaE� (tel J 6hp Present use of building: Valuation of Proposed Construction: Proposed use: U A�q Is this an addition? If yes, what Are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled?T= New electrical (or increase) ? AS New plumbing fixtures? �_V New fireplace? New Heat/AC? D SUBMIT TMUX (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CON TOR. Signature OWN ate: tO Signature CONTRACTOR: Date: Sworn to and subscribed before me this � / day of 19� NOTARY PUBLIC STATE OF FLORIDA AT LARGE S ;.. env COWASSION a CC553881 EXPIRES %• c August 27,2000 BONGED THRU TROY FAIN INSURANCE,INC. it i CITY OF (, r�'�'a�c�ic �eacl - ��YrLLC�6t k 800 SEIiINOLE ROAD ATLANTIC BEACH. TELEPHONE 19041247-5800 FAX�90-4)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTIOISII CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIIPA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICEN ED 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. YOL 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 ESS. 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 I.AW 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 BUILD NG 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 WORKERSTHEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE OMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND OULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON HEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UN ER 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 CONTRAC 10R. 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 PE RMIT. r PROPS OWN UILDER 1 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS %JBLIC low( I NOTE: PHRASES UNDERLINED ABOVE MY COMM SSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. 1?.4Mr P`,L�' Patrkla rymorottn *= MY COMMISSION M CC5MI EXPIRE: ='•. '� August 27,2000 BONDED TNRU TROY FAIN INSURANCE,INC. MAP SHOWING BO ARY SURVEY OF LOT /Z BLOCK i7 AS SHOWN ON MAA OF O 7 AS RECORDED /N PLAT BOOK J'/ 1(a /G D F THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER 71Fl ED FOR:Nle-e-/,on/O OS O /rte.• q L '' FE�/cEs LI,PE �(o 4 ' 1-14/A/ Z,11,X. 0-1 93 00 � lin ks� 29.0' is � )41 `� m 0 �4 I G 0 0 V• a•2' ml m 0.4 ,a S 8Z°43' 8"vj• 9,?•00'a 3' m IVED ��3-' OCT 2 7 1997 CitY Of Atlantic Beach �6: Building and Zoning NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON UNE AS SHOWN THE PROPERTY SHOWN HEREON APPEARS TO LIE WI7HIN FLOOL HAZARD ZONE_AS SCALED FROM FLOOD INSURANCE RATE MAPonn/ FOR gre-d^ TIG -86-4c-4; FLORIDA, DA7ED ¢ -i7 l-9 TRI-STATE LAND $IURVEYORS., INC. 8411 SA YMEADOWS WAY SUITE #2, JACKSON' LLE, FLORIDA 32256 (904) 7,31-72.35 LEGEND I HEREBY CER77FY THAT THE ABOVE DS WERE SURVEYED UNDER MY •� oo"G aRESPONSIBILE SUPERVISION AND D/REC ON, THAT THERE ARE NO wcw capt ENCROACHMENTS EXCEPT AS SHOWN D THAT THE SURVEY SHOWN fs+ "�"�W s Ls'f"7 HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY 0 - �'� THE FLORIDA BOARD OF LAND SURVEY RS PURSUANT TO SECTION ° APQN°04 IDI 472.027, FLORIDA STATUTES ® own aT ML MUM;REST MIM UW ' VM7 C430O T LAP,.R I G. EDDY, P.L.S. No. 4144 RIW MWT-QF WAY COV. 00MUMD AREA SCALE. Z 0 � aeHrtieLWE A/c Aff QaMna NC PADEG/S ,€ RVE'YOR, STA OF FLORIDA (R) RAaML wsrmGE DA TF: I- 9Y Q cavamw C A 2i C7 O/` 7 7 nonce n yam. PERMIT WORKSHEET Certificate of occupancy Job Address: � _ Type Work: 1� Property Owner: MCK-n1 l Phone # _ r71105 ht LLA t Contractor: Phone # 133 -O"1 10 Permit#: Date Issued: q21104 Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing I IG 19S Framing / Cover Up p Insulation Final Building Tree Permit# YES O Electrical Permit# , 2 Date/ Copy to O 3 5 JEA Z� S 103 Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES I i qO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# 3 Inspections: Rough Final Plumbing Permit# Q Inspections: Rough / Underslab Topout Water/Sewer Final Drainage Inspection: �- Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing 1 26 Qty -i Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: s n wc, ADDRESS BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER ..LAB _Dt�JMBING � SLAB /Z-Z-d`� F � _ RAMI.1r� Z - 2 COVER-Up 2- Z 5; INSULATIO?`I FINAL BUILDING !' q-. 9 CERTIFICATE OF 0C(-T72� ^ : ELECTRICAL PERMIT INSP^ TI✓'1U ROUGH FINAL MECHANICAL PERMIT PLUMBTN PERMIT # NC,TES : Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATEOF OCCUPANCY WORKSHEET Date Requested: Contractor Name: _ Y1-, —1 J,53O-71 (� Permit#: a� Property Address: , Legal Description; Improvements to the above-described prope have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Gz( Single-Family Residen e ❑ Commercial*. ❑ Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Elate Approved Approved B P Y Fire Dept. Public Works Public Utilities Planning Dept. t. Building Dept. Final Survey with FIFE ❑ Yes ❑ No All Re-Inspect Fees Paid Yes No 1 O tnri r� '�tn +- H QQ� ..: N—`P IOW- J `.^}- 111lu wed � �D' to �a t=LD (- ° zz q VID DU to zC .a �uu S ua °- m� t7 U. tL mOp�tl w J X � U O..m� ~ rXQrDTS�Q m N mp ��� Q.D� SS9 N{L . to W �-t7D ULLmm � QQS1—,to 00v n�4 J LLii \ 4<� + o co ' I ro N N N 111 C n N co N N R Ll 130 1 p m( If1 I 00 N N N Z z w \ , 00Ao W vLil N N N �p \ lu to m O w t7 V N 11 ,Z m� � ..� X_ [ DDttyo \ \\ _Om � 9 X`D V SUV ° zI-- 1 >op N m cF- p p K 0 a a a N nn>ZI �m�Q UujQ Vtn m m X m w Q.�—U1 X; G UU1 LL QO N t N FI O n t'jjt— i 0 N N N N m ► (/ _f pZOM LL v Z LL, Z _ L al .�- U20 uw r j �d) to f-�IL r �Q Z D Q —� X = U = N X. W trumu� 11__ �U J r , �IL z W Z x Jo LL. LU r = W w M U. Q PTU- 9Lt,6$#'3'd `131UEIV ��Z�bU'6 :#3NONd SII101 :aa033U d0 a33NIJl L9ZZE 8�XV0 N3N0 e M6r 'ON' ON1833NION3 Oil i o Q LUCDW Q am W - --- �I o� �o cr K1 r Tn r: m b 0 0 Y N f0 NIA y§ W N N N N O N CIO ° ' N •v�^+ � � O �' a ^ S O O N N N S y. (mp � O S O ^ n O 01 vj m �D O �- '.' h l N fO �G °p En Q U- a Q O Q W = .- fCN /� F'- � C _ ' N � � �S O O 01 •- ' n n A 1{rLL N C V fQ O `'� y N N k N Q� d H c K N N K N f . CITY OF ATLANTIC BEACH R s5 800 SEMINOLE ROAD .. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 ��Jl#l1r Application Number . . • 04_ 0029228 Date 11/04/04Pro Property Address 415ISARGO RD Tenant nbr, name INSTALL PTCH RF OVER FLAT Application description . . . RES DENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO EE UPDATED Application valuation . . . . 14000 Owner Contractor --------------- ----- ---- ----------- MCKNIGHT, PHILIP DAVID MERRITT CONSTRUCTION 415 SARGO ROAD 1930 RIVER OAKS RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 651-1259 (904) 398-8537 --- ----------- -- ---------------------------- Permit . . BUILDING PERMIT Additional desc Permit Fee . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation • 14000 Fee summary------ - Charged -- - -P' id Credited Due ---- -- ------ ---------- ---------- Permit Fee Total 100 . 00i 100 . 00 . 00 Plan Check Total 50 . 00 . 00 ' 50 . 00 . 00 . 00 Grand Total 150 . 00 50 . 00 . 00 . 00 PERMIT IS,NVED ONLY IN ACC RDANCE WITH ALL CITY Of ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING BUILDING OFFICIAL r i �i!J.-Lr`lj�V NOV f ,:. , CITY OF ATLANTIC BEACH Sys B ILDING PERMIT APPLICATION ~' (New/Residential & Commercial) Date: ( C) Job Address: (jl Owner's Name: M el hll� Address: Phone: one: Legal Description: Block ,/Number: Lot LIM be Zoning District: Contractor: nnvl f�l�l f2% Q � State License Number: C —Q Address: L�0515-Z Phone: 8151?"9elob City:Ja_ ach State: ip: Describe proposed use and work to be done; (J . A � 1. Present use of land or building(s): R-P51 d eri-47_ Valuation of proposed construction: 14 0oo�a Is approval of Homeowner's Association or other private enti required? 001f yes,please submit with this application. Will this project involve changes in elevation,site grade or any tj se of fill material,addition of 5% or more to the original imp��roApplicant "r the removal of any trees? certifies that no change in site gra , impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Wor Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed or this project. ❑YES. Removal of Trees will be required for this proj t. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Coin servation 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 prop i osed 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 PublicWorks 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 Sandpipei Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed o' relocated. 800 Seminole Road -Atlantic ach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247 845 • http://www.ci.atlantic-beach.fLus Page 2 ! Revised 8/04 G 5 MIN. RET�URN, / PHONE#.SQL.S�� '7f Boot~ 12123 Fuge 841 NOTICE OF COMME NCEMENT State of ^ O Kl (G Tax Folio No. County of V1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information i stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: J� �Qr 0Z3 3 Address of property being improved: .SR./•' "'(�3223 General description of improvements: , Ste( l LO 4-' 'S V Ri- ao ((Iu f Owner: ckni hd- !' Address: f5' L4<yo OZ4a ZL 3 Owner's interest in site of the improvement: d Fee Simple Titleholder(if other than owner): Name: Address: Contractor: T-r C Address: PoOo&�-IlZee 322w- Phone No: 9 4 Fax No: Y�,-(.31. 7 Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any lierson making a loan for the construction Df the improvements. Name: Address: Phone No: Fix No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents maybe served: �qti Name: a'�N Address: Phone No: Fax No: „4 o QIn addition to himself, owner designates the following person to rectjive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owners option). �► Name: Address: Phone No: F x No: Expiration date of Notice of Commencement(the expiration date is ne(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLYO N Signed Date- 7e071 -0 r Doc# 2004A48165 Before me thi I _ ay b ��0� _ the County Book: 12123 of Duval, Stat of Floridh p rso all a ea ed— Pa ge: 641 Filed & Recorded 11/02/2004 10:10:45 AM Notary Public it Large, Stat of Florida, ounty of Duva. JIM FULLER My commissi n expires: CLERK CIRCUIT COURT Personally Kn'wn: DUUAL COUNTY or RECORDING 3 5.00 Produced Iden ification: .••'' " TRUST FUND f 1.00 : .12 _ COPY FEE # 1.00 •• _ )a „ 2006 ROC ADDITIONAL 1.00 pFfyQ' BONDED THRUIROYFAININSURANCE,INC 8 CITY OF ATLANI IC BEACH D. Ford s r 1r BUILDING / ZONINGDEPARTMENT ted $00 Seminole R' ad S. Doerr Atlantic Beach,Florii a 32233 ` (904)247-58 (904)247-5845 Fax PLAN REVIEW C MMENTS ` Permit Application # ()y - 29,220 Property Address: 141 5 SA RGO ROAD Applicant: D ip ME RRi CTN 5 Ru CT I0 Project: 1 N 57A is PITC F00 V 'E/"15TIN & FLAT 8001' This permit application has been: LVApproved 0 Reviewed and the following Hems need attention: i Please re-submit your application when these ite s have been completed. Reviewed By: l Date: i //�� � ����� CITY OF 4&4A14C Office of Building Offici I REQUEST FOR INSPECtION Date r _ Peri it No. Time +,/ A M Received l � pM 79 Job Address Locality Owner's Ptractor Nam � C a /1 BUILDING CONCRETELECTRICAL LUMBING MECHANICAL Footing ❑ ❑ 'lough 1:1 Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ rop Out ❑ Heating Ins lation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ add f�� 7 Pre Fab READY FOR INSPECTION Mon. Tues Wed. A.M. q hurs. Frida Inspection Made ` ` A' '—" P.fel. � Inspector Final Inspection K/ Certificate of Occupancy ❑ Date i I, CITY OF . ,*&oe4e Fead - 574uud4 800 SFMINOLF ROAD \TLANTIC BEACH. FLORIDA :122:,:;-5445 TELEPHONF 904L 3-17-+5800 I 1,AX i 90-1-1 2 17-5805 Sl'WO1l 8:52-:5800 June 4, 19c.10 Phillip and Lucindy McKnight 415 Sargo Road Atlantic Beach, FL 32233 Re: 415 Sargo Road Permit Number 15521 ' Dear Sir: Please be advised that there has been no f,inal inspection of the remodeling at the above address. Our records reveal that the I st inspection was insulation on December 5, 1997. Please contact me at 247-5826 to schedul 0, the final inspection of this construction. Sincerely, Don C. Ford Building Officia DCF/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED � ,Ly.y- !, �Y CITY OF ATLANTIC BEACH s} 800 SEMIN LE ROAD J m ATLANTIC BEACH!' FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-01,0028926 Date 9/21/04 Property Address . . . . 415 ',SARGO RD Tenant nbr, name . . . . MASTER BATH/CLOSET ADD. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor --------------------- MCKNIGHT, PHILLIP & LUCINDY JACKSONVILLE HOME IMPROVEMENT 415 SARGO ROAD -6653 POWERS AVE #17 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 246-7865 (904) 733-0710 ------- ---------------------------- ----------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 30000 Fee summary Charged Paid Credited Due ---- - ----- ---------- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Grand Total 270 . 00 170 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTI BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILD G OFFICIAL MAP SHOWJNGSURVEY OF LOT 11, BLOCK 17, REI'LAT O1'. ROYAL PALMS [ NIT TWO — A AS RECORDED IN PLAT 31 PAGES ' 16, `' 16A, 16;13, 16C AND 16D' OF THE CURRENT PUBLIC RECORDS OF DBOOK UVVAL COINTY, FLORIDA . � IILOT 10 'J FND 2"I.P p 4'CHAIN I.iNK FENCE � F NPD V2 %°43 58°E. 93,00 K nj N N h W 29.1 /S o > z4,C • a .. 3 -- (D C w Y ps o - OD$ u Q §!2o OD PORCH Ch C) O N 4 0' p u C O —�� <_,, ac z II N c o — mwcr to o ���. 0 OZ 29.2 ��� 6.0' Q o n _ N 2 ,0 r - CONC. � - H ♦� DRIVE O v, d; 3.T�3.T_CONC.FAO K M 4' A FN 2" p 0.2' S:8 043'58"W. 93 00 St, V2" J 40 o I I'P{ f N J c ch ' rLO Deparbnent 5, s' es with applicable (D d --- OW ether focal land a >b�' .blA doss 1W constitute z w M Of Pwm b.. Compliance a 3 MET 006 NXI sN other app►lcable o regUlromenta w w City of Atlantic of a CUT -NOTE3 • /V Ii BEARINGS AS PER PLAT. 2:B:R.L. AS'PER PLAT."1 T •;HEREBY CERTIFY THAT THE PROPERTY Slft74IN EIERE014 LIES IN FLOOD ZONE "C" A. SHOWN ON THEFLOOD FLOOD HAZARD BOUNDARY MAP FOR HE CITY OF ATLANTIC BEACH, Fi.,ORI[?A I -,HERE;BY CERTIFY TO PHILf-IP G. & LfJCINI)Y Me KNIGHT THAT I HAVE SURVEYED TH HANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORREC REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEET TRE MINIMUM STANDARD REQUIRMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PRO FESSIONAL- LAND SURVEYORS CHAPTER 21-HH AND 7HE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALIDUNLESS SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON. ONN W. BOATWRIGHT L.3. REG. LAND SURVEYOR No. 329 ' 801AL t o[ /tM1iN B 301 ENMAN ROADSUITE;�"LORIDA R3. INC. D JACKSONVILLE BEACH, FL6 IDA '241-8560 SHEET OF