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1816 Selva Grande Dr (vault) JOBADDRESSI Flo: TYPE WORK PROPERTY TM-E PH ONE- CT, CONTRA OR.,,__ PERWTNUWER DATE EVSPECTIONS.---- FOOTING SLAB rLE BFAM LIN= NAu-wG1sHEATWTvG FRAM17VGICOVF-R UP INSULATION 190, FIVAL BUILDLVG -75 -a 8 CERTIFIC4 TE OF OCCUPANCY E I.FC!nUC4L PERAJM INSpEcrioNS ROUGH F17VAL MECHANIC4L PERWTA EVSPEC77OArS ROUGH FEVAL PL LT3017VG PERWT9 EVSPEC77ONS ROUGHAWDER SLAB Topo WATERISE FEVAL Ael NOTES: N C, SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 .ro) INSPECTION EMAIL REQUEST: Building-dept2coab.us Application Number . . . . . 07-00000861 Date 6/26/07 Property Address . . . . . . 1816 SELVA GRANDE DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7736 ---------------------------------------------------------------------------- Application desc POOL SCREEN ENCLOSURE (NO ADDED FOOTPRINT) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BURTON SCREENWORKS, INC 1816 SELVA GRANDE DR. 7560 COMMERCE CT ATLANTIC BEACH FL 32233 SARASOTA FL 34243 -------------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL 2 Flood Zone . . . . . . . . ZONE X ------------------------------------------------------------------------ ---- Permit " * * . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 140 . 00 Plan Check Fee 70 . 00 Issue Date . . . . Valuation . . . . 7736 Expiration Date . . 12/23/07 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB .US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total 70 . 00 70 . 00 . 00 . 00 Grand Total 210 . 00 210 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I-$)bj�jj A CITY OF ATLANTIC DC CH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: —0) lit Building-deptg, coab.us Application Number . . . . . 07-00000814 Date 6/12/07 Property Address . . . . . . 1816 SELVA GRANDE DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SWIMMING POOL ELEC ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BURTON DAVID PRUETTES ELECTRICAL SVC. 1816 SELVA GRANDE DR. 331-8 PARKRIDGE AVE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7225 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0A\ C) CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner: Cn 4� Telephone#: �Eo _n� 6 kc Cif( Isev I v Contractor:. 'k- l,�( Telephone#: z_1 z Contractor Address: Fax 4: Z' 7z?-g Contractor SiLynature: statement, we hereby agree to perform said work in In consideratim o?;-ermit given fefdoing the work as described in e accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach i ordinance and standards of good pTkct �icc listed therein.L] Trader Service: If other construction is Building: B ilding Type: El New being done on this building 0 New 7Residence L) Temp. U Increase or site,list the building a Old u Commercial U Sips Permit n L) Re-wire El Addition Sq.Ft. El Repair n 4 C-onductor Size: AMPS: COPPER ALUMINUM E D RACE _§witch or VOLTZ4C WAY Breaker AMIPS PH W RACE Existing Service VOLT WAY Size AMPS PH W Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles.. CONCEALED OPEN J)-An AXVq 11 jOn AMPS Switches Incandescent fl—uorescent & M.V. S OVER BELL Fixed TRANSFER. Appliances... Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AWS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER6_00V OVER600V Transformers NO. KVA NO. KVA No.Neon—Transf Ea._Sign Miscellaneous V-,)Cv;)l 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800* Fax: (904)247-5845* http://www.ci.atlan tic-beach.fl.us D-4-4 1 InA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 INSPECTION EMAIL REQUEST: Building-degna ,coab.us_ Application -Number . . . . . 07-00000451 Date 4/16/07 Property Address . . . . . . 1816SELVA GRANDE DR Application type description SWIMMING POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 36000 ---------------------------------------------------------------------------- Application desc new swimming pool/spa construction ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ BURTON, MIKE B.A.P. POOLS 1816 SELVA GRANDE DR. BURTON PIERCE ATLANTIC BEACH FL 32233 PO BOX 16507 JACKSONVILLE FL 32245 (904) 821-9195 ---------------------------------------------------------------------------- Permit * * * * ' ' BUILDING PERMIT Additional desc 105.00 Permit Fee . . . . 210 . 00 Plan Check Fee 36000 Issue Date . . . . Valuation . . . . Expiration Date . - 10/13/07 ------ --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 210 . 00 210 . 00 . 00 . 00 Plan Check Total 105 . 00 105 . 00 . 00 . 00 Grand Total 315 . 00 315 . 00 . 00 . 00 pERMIT IS APPRO I VED ONLY IN ACCORDANCE wrrH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLAN, REVIEW SHEET Routed to: -wruTsTeret) Building Department Public Works&Public Utilities Departments 0)ji 19 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # — 6 1 — 00 k15_1 PropertyAddress VA, qrfu Applicant: Project: 01A1 060 &2!L" FyV V . 1 01-1 Review Result (Circle o 4e !��r��Disapproved Approved w/Conditions Review Initials/Date Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group _ Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load. Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH I R E I V E 0 800 Seminole Road,Atlantic Beach FL 32233 C'T OF NTfC BEACH F�T Office: (904)247-5826 9 Fax: (904)247-5845 AW a ; Job Address: -Sed v ens . GOA U)(3-f 14jeL- Saka�2233PermitNwnber: Legal Description Valuation of Work(Replacement Cost) $-3�-i • Class of)�o�rk(Circle one): 19Z-y) Addition Alteration Repair d • Use of existing/proposed structure(s) Circle one): Commercial A=�;p 0 stem installed?(Circle one Yes No If an existing structure, is a fire sprink er sy �1, 0 Is approval of homeowner's association or other private entity require ?(Circle one): Yes No Describe in detail the type of work to be performed: C) Property Owner Information Nam Address:— city State��-t Zip 3,?2 ?5 Phone Contractor Information: Name of Company:_ 0 �_�C Qualifying Agent: A L41—,24-bli City ;5 State fcc. Zip Address: P,9L-.jq 6eaeJ,%, 61vea. 'O—Jar Office Phone 8,2 1. q IqS— Job Site/Contact Number State Certification/Registration# C.PC So,7 Ig q Office Fax Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certi that no work or .fy installation has commencedprior to the issuance ofapermit and that all workwill be perfqrmed to meet ihe standards ofall laws regulating constructionin this.jurisdiction. Thispermit becomes null and void ijwork is not commenced within six(6) months', or if construction or work is suspended or abandonedfor a period 9f six (6), months at any time after work is commenced I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanb andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certify that I have read and examined this a 1*cation and know the same to be true and correct. Allprovisions9f laws and ordinances governing this type ofworkwi be complied with whether specified herein or not. Thegrantingofa permit does not presume to give authority to v-late or cancel the provisions ipf any other federal, state, or local raw regulating construction or the perfi nce o onstruction. Signature of Property Owner: Signature of Contractor-� I S d subscribed before Me swomto and subscribed before me tbisWayof URC Atn this 4ff"Day of Por',k Notary Public: NotaryPub 'c: LAURA OZAMKO LAY GENE H RCHILL ....... My COMMISSION#DO 460774 )MMISSION#DO 278985 MY C, 16,2008 Q., EXPIRES:Oecember 3,2007 REVISED 03.05.07 EXPIRES:Januat ....... . Bmded Thru Wary pumc underwriterS ca W nl n < cn (!n 9 0 0 CA m CA m c ar ;u 0 z W MAP SHOWING SURVEY OF LOT 3,'SELVA TIERRAj AS RECORDED IN PLAT BOOK .38, PAGES 28 AND 28A OF THE CURRENT PUBLIC �ECORDS OF DUVAL COUNTY, FLORIDA, Z- 7- 1ence- �/z /AlOIA/"0"'fv. 9/'k 1-1--5 4 V 35'0 7 13:5. o6 , PlIZ11115 310IN N w000 )�Acl col CPI 34' A -r -,C7 7 qcll, V—c .64) 14-' to �j In p 38. N 14 q) ,�OQC" 1,\X //F. 07' 5'el Al o// NOTES THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT APE NOT ';HOWN ON THIS SURVEY. BEARINGS ARE BASED ON THE NORTH LINE OF LOT 3 AS BEING N.89*35'07"E.BY PLAT. I HEREBY CERTIFY TO:MICHAEL P. 8 LYNN A. BURTON: FIRST TH15 PROPERTY LIES IN FLOOD ZONE "X"BY FLOOD MAPS AMERICAN TITLE INS. CO. :PHH MORTGAGE SERVICE CORP. : REVISED 4/17/1989, COMMUHITY PANEL NO.120075 0001 D. CHRISTOPHER J. HURST, P.A. THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD,OF L R A -kiAPP�R-�S,-'--P--U--R--S-U--AN-T TO -PilortSsidW stjkilbb-S N6 SECTION 472.027 FLORIDA STATUTES AND CHAPTER 11111-6 FLORIDA ADMINISTR�TIVE CODE. IN (DIE[ OU"MOVEV(D"no 8 INC. PROFESSIONAL LAND SURVEYOR- NO.1674 FLORIDA LB 6645 H. BRUCE DURDEN, SR. 1103 SOUTH THIRD STREET DATE: JUNE 27, 199G JACKSONVILLE BEACH, FLORIDA 32250 1"=30' (904) 249-7261 FAX (904) 241-1252 SCALE: j THIS MAP OF SURYEY IS NOT VALID AND MAY BE USED FOR INVORMARONAL PURPOSES ONLY UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED LAND SURYEYOR WHOSE NAME 15 PRINTED HEREON. E;()70 / THE CPC1457184 Comp4iny, Jnc. 14286-19 Beach Blvd#309 Office(904)821-9195 Jacksonville, n 32250 Fax (904)619-5341 Pool Barrier Details: Mike Burton 1816 Selva Grande Atlantic Beach, F1.32233 In compliance with Florida Building Code residentiall-sec 403.2.17.1 through 17.3 Mr. Burton will be securing his swimming pool area by the following means: • Screen Enclosure for the outter perimeter of the pool deck (Noted on the pool plan enclosed.) • The windows and doors will be alarmed with UL 2017 alarms per code.(Aftached below is the model & specifics on the alarm that Mr. Burton will be using on securing his home.) T M ,,' Safe Pool MODEL $088 0 5 5 8 1 Tj*&Am poOL PWA*S MARM PROTS010M.lro OUTIMM G&M OR HOME DOM LEAVING TO POT84n4LLy POOL AND WAARFA&7W&#n POOL FEAUM vm EKn M RES ISTANT C ON STRUC I pi 11 AN 0 MOUNTS OWtECTLYTO EMIER WOW OR METAL MPSWINDOINSIGATE& UNITwlLLsOUMD WWA CMDREM OPEN THE PROTECTED OOOMWOMOWIGATE BY MORE THM I RXK TK "S gULT-M III a MN OUTPUT ALAWL MOTIy"MENSY ADMTS OF IM ATTROMM Omm IM Bwm MAN WTTOM ALLOM BM OR EAT FOR ADULIS WMKW SOUMUM THE MAML ONCE THE U%^M- 19 CLOM IM UNT WLL NEW WWWWA0 TO RMW PROTECTM. all" FEATUPES rH QuW 110 DB AWm sir8n I =dVq="wa! 100mA AC Oon r kuJudw both wood or fomw doomomm a weaw sw waw rssrstwd cwwkuclion BYPASS WOW PtOvid" amwerAwd sduR pass4wough a 3py=mwmlanty fJL2"7 SCREWS&TAPE LOCATED INSIDE SENSOR HOUSING cJwTm THE=== =1!mLow ,UN'T VO"'t�%='Vxw AkAW. 0"t9mr" AM*W9 LENGTH AM ACTNAIT. mLammommmm nod powcua Is pRoncTm Um" Fep0wLpNWr TOADEMAW APO c4pymew Lom ME)LAWS mveawaummoAcampufflom. No DUpUrAyIOW OR SORLATUM OF THE,ppDOUCT 19 FENOWTIEP 9=w0="An"0FV7ATl3h TECHW No THE Q0wommAro" OFTMPRODUCYARE . TK^DGAAF4(9 0VTOC100 NO' copyRIOM IN2 TECHKO.INC. ALL maHM RESMA0 �J[Ecxw 0 TECHKO,INC: LAGUNA HILLS,CA 02653 MADE IN C~ ILE COPY 03106/2001 12:03 381-0647 NEIGHBORHOOD PARTNER PAGE 02 do MkAm xw ar. —rj— sc i-aw Aw WW.W Flo Aix-"4.,- 4wm* IT,rors m&M-3-em FILE COPY �RCVEID SLO"�ING FOOL 4 5FA L �141N DRA[N A710ef=�4EfRJC: VENT (6VRe) IFLIANT LUIT�4 5ECTION 424.2.ro,ro, FLORIDA 5UILIDiNG )E FOR RESiIDENTIAL AFFLISATION15. ENTRAF*-1ENT AVOIDANCE ,�T F�FE LENGTH AV=RAc-F_ V= LCC;IT'r VENT FIFE tj,4X�t-jljj,-j f=Lauj GF111 F7. FER SEC. 51ZE LENGT�4 FT. ro 0 5.74 1 1/2 32 75 117 1 1/211 41 100 rol 1 1/211 54 1110 -137 1 1/211 60 135 _�5,a go 1 1/2" 73 145 role 1 1/211 7 Cj 1-115 _7511 1 112111 e5 5.11B 1 1/211 17-1 ----------------------- '95ad upon mairtairine t�le lemeth of pipe below the operatine level of the pool, zortal, to vacate within 3 seconds based on the size or the pump and tHeaveraee the h"Jalraullic eradlent caused b� the pwmp and PTq1'1!@, the vent line should be to tl`�e tee at tHe dua I main dra in, 65 Possible with a fmaximum distance of 12". �he lrt�,sllectual propert� of �4c;E and carrot be reprodLiced in whole or part ssed writ tan approval or �4CE. This documert is not valid without the seal of FE COURTESY OF: FILE COP 'TEAM Hh'0WRN'ER BAP POOLS/ WILLIAM ROBINSON 3630 MARSH PARK CT. jACKSONVILLE, FLORIDA 32250 DUVAL COUNTY CP-0056839 -TING ENGINEERS.INC EB*58,4a PHONE NO: (9154) 772-4940 J0�4N r11 cAnRoLL JQ_-E. LF ROAD. FT. LAUDERDALE FL. 35309 FAX NO: (Q%,L) -T'7V-fALr1 1. THIS SAFETY VACUUM RELIEF SYSTEM 15 A NON-MECHANICAL VENT SYSTEM THAT WILL LIMIT THE AFf TRANSMISSION OF SUCTION AT THE OUTLET TO A r 0 1 MAXIMUM OF 4.5 INCHES OF: MERCURY. 2. THIS SYSTEM 15 A 5ACKUP TO PROVIDE SUCTION RELIEF SHOULD -=N-,RAPM=-NT C-CUR, ALL PIPES AND NATIONAL SPA&Pf)()L FITTINGS MUST 5E INSTALLED IN CONFANCE WITH 1955C POOL PI_UM5ING, 1.�STJTUTE r 3. POOL AND SPA SLZCTION INLETS 544ALL 5= PRDVIDED WITH A COVER THAT COM`PLIES afTH ANSI/ASMIE A112.1esM 4. THE VELOCITY ON THE SUCTION SIDE OF THE CIRCULATION SYSTEM 5644ALL NOT EXCEED SIX (6)FPS. VEI 5. THE VENT LINE LENGTH MUST NOT EXCEED THE TOTAL LENGTH OF THE MAIN DRAIN LINE. 6. VENT OPENING MUST BE COVERED WITH WIFE MESH FIFE SIZE5 SCREEN TO PREVENT NISECTS, DE15RIS COLLECTION INCHES AND 5ACTERIAL 211 I. LA5EL VENT: POOL SAFETY DEVICE- DO NOT 11 HANDLE 2 2 Ir.,11 2 (2) So' 5ENDS 311 A TEE 311 2 311 411 THe amal�blb Is, 6� 1 1/2 VENT LINE > vertical am6 horl 'BO' 5END flow rate. Lu located ab alc's'e THis document !a r"11AIN DRAIN without the expre JO�r t1l. Carroll Jr. POOL z AIN, DR-AIN 1 112" V ENT LINE C= C-2 TF VAC_,j'-� RELH,45E 5'r87EM (SVRS) HORNER CONSUI KTA 5755 POWENLIN rL 77- IF V) 1- IF q I -i _J 0 < 0 LLJ n U u ZZ< rp- IF— LIJ L CL: Fr 0 0 IJJY (D uj�r�,j -i cr) (D @j OLfi CO Cro.ZLJj <>o OLj 0 mu,< 0- > 0� L- a L,jLz,9 wco4wca D c).j 0(D CD Do 00 b CC_j Lr� _J, 7-� < ML,. co ui !x m �-j CQ I wl Z: if < C u r < U) CO LLJ M < A 0 V E PLA", 0,./ Jou D NOTICE OF COMNIENCEMENT State of Floi;Li oft Tax Folio No. County of PVV1q1- 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 is stated in this NOTICE OF COMMENCEN1ENT. Legal Description of property being improved: Address of property being improved: /06/4 SICI-VA 41rA0j04E 04e. General description of improvements: YCW P"( I/ 90--eft4,J 6011C� Owner: I!/.Cr 6 Uer a, J Address: /R/0* 591 VA �&AAPC a& Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: �T tractor: 7-� e- P GwO&O-, Z?J e- C8UQA-(,j A. —nj Address: 11y-RA0-1q 5 TelephoneNo.: 2AP11115 Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Doc#2007111371,OR 13K 13904 Page 189, Number Pages: 1 Name and address of any person makin a loan for the construction of tt Filed&Recorded 04104/2007 at 02:40 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served. Name: Address: nit Telephone No: Fax No: 16 Ll 0 1- f In addition to himself, owner designates the following person to receive a copy fthe Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) 'Pi- Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: 2 CLAY GENE CHURCHILL Before me this day bf in the County of Duval,State MY COMMISSION#DD 278985 Of Florida,has personally appeared EXPIRES:January 6,20M Notary Public at Large,State of Fl 1da,County of Duval. agr4pd ThfU Notary Pubbo tjndarwril;�.'s My commission expires: Personally Known: 464WA&4 2�� or Produced Identifica ion- 20hL. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application 4 — 00 tit/ Property Address Qf IV,a_ Applicant: Project: Aliv,.l 060 /W�,' V_rMthh'\1 - pro Review Result (Circle on�- A proved isapproved Approved w/Conditions Review Initials/Date J�,404e'0 7 Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group _ Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ole Road,Atlantic Beach FL 32233 800 Semin Office: (904)247-5826 e Fax: (904)247-5845 Job Address C, U)ot Me L Se,4/_)R,12233Permit Number: Legal Description Valuation of Work(Replacement Cost) $ 3�i 01*0 • Class of Work(Circle one): Addition Alteration Repair • Use of existing/proposed structure(�s)�Circle one): Commercial 9=de 0 e, is a fire spri er system installed? (Circle one): Yes No 46D? • If an existing structur private entity required? (Circle one): Yes No Is approval of homeowner's association or other Describe in detail the type of work to be performed: S F�L__ Cc>ro C-H ID�J Property Owner Information Name: Address:- 11, .7 3 hone 2�' 7 City 47Z11 VTZ' j5�e�,,-f State�--LZip 32zf3 Contractor Information: Name of Company: -Tjl'. 6.A P combi�� pkle- QualiBling Agent: Address: 114.19L-19 . 62M�% 61ve�. Ja4 ' - city �s W4 State Zip Office Phone 12 1- 9 IqT-- Job Site/Contact Number Office Fax I q -5-14 State Certification/Registration# C.FC1q:5211ki Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance ofapermit andthat all workwill be performedto meetihe standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void ifyork is not commencedwithin six(6) or a period of siVx6) months at any time after work is months, or if construction or work is suspended or abandonedf trical ork, Plumbing,Signs, Wells,Pools, commenced I understand that separate permits must be securedfor Elec Furnaces,Boilers,Heaters, Tanks andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certify that I have read and examined th*s application and know the same to be true and correct. Allprovisions9f I f The granting ofa laws and ordinances governing this type ofwork will be complied with whetherspeci led herein or not. permit does not presume to give authority to v-late or cancel the provisions 6f any other federal, state, or local law ive regulating construction or thgeperfio ance o onstruction. Signature of Property Owner: Signature of Contractor. �S 0 and subscribed before iNe swornto and subscribed before me Nwil,s,wayof -).060 this 4ftv"Day of-ea-k Notary Public: Notary Pub -C. iA LAURA DZAfVIKO LAY GENE CHU CHILL M Y Co"MISSMN#DD 460774 my C()MMISSION#DD 278985 :)IRES-january 6,2008 EXPIRES:Dec,mber 3,2007 REVISED 03.05.07 EXI ry Public Underwriters 13onded Thru Nola CD CJ In M. m cn r ;mu C" CA vp cm, .0 t" -n w , m a m C? M ;Do �01 2 C:j cn CA) 6 nl co m NOTICE OF COMMENCEMENT State of— FIcAj oft Tax Folio No. County of pyV141- To Whom It May Concern: The undersigned I here.by informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMNIENCEMENT. Legal Description of property being improved: Address of property being improved: /9/4 srwh 4�n 414E General description of improvements:_ AA2W 5t,_>itAM1dWj Poo( ew Owner:_&ZE Lqverb.,Oj . Address: VA MAAIPf-. a& Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: C ct : 71� e. P G._!nvaml. or Address: IVRLY(a-lf Fax No: Rzl- TelephoneNo.: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Doc#2007111371,OR BK 13904 Page 189, Number Pages:1 Name and address of any person maldng a loan for the construction of ti Filed&Recorded M04/2007 at 02:40 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Nam RECORDING$10.00 Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Fax No: Telephone No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No:ne(1)year from the date of recording unless a different date is Expiration date of Notice of Commencement(the expiration date is o specified): USE ONLY OWNER TIHS SPACE FOR RECORDER'S- Sigpned:'n; Date: e da CLAY GENE CHUR-CHILL Before in'this 2 y f in the county of Duval,State Of Florida,has personally appeared -low yw S M COMMISSION#DD 278985 EXPIRES:January 6,2008 Notary Public at Large,State of Floi ida,County of Duval. �ondgd Thru Notaily Public UnderwrdGrs My commission expires: or Personally Known: Produced Identification: MAP SHOWING SURVEY OF LOT 3,. SELVA TIERRAj AS RECORDED IN PLAT BOOK 38, PAGES 26 AND 28A OF THE CURRENT PUBL.IC RECORDS OF DUVAL COUNTY, FLORIDA4 Z- 7- /0) X 1691135 o 2",E. 135, 06 ' N - k-- F �77-4& 6 + 34' �'v TI -r W A7 Acllyle V- 'J Z 5 roq Y 0 9. 77 J. In 'b 38. NI 5_eel I-.fl 7 C C 07' 5'el Alail Z- �9 7- 2 �ity of Atlantic Beach Plalng and Zoning Department ThIs approvat erifies compliance With applicable zoning, su vision and other local land development gulations, but does not constitute :approval for th Issuance of permits. Compliance oth Florida Igul Ing Code and all other applicable Ibco!I.State a Fede I permitting requirements J47 ffmt y si ure of the City of Ationlic Beach son ww to of a le ' a er zonin u vi eval id t gu oppro r th is th 0 1 11 ral wMil, net ad t" PWWg Per NOTES I.-�7* THIS IS A BOUNDARY SURVEY. vep"NMI DOW— NO BUILDING RESTRICTION LINE BY PLAT, 13UT THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. BEARINGS ARE BASED ON THE NORTH LINE OF LOT 3 AS BEING N,89*35'07"E. BY PLAT. I HERE13Y CERTIFY TO.-.MIC14AEL P. a LYNN A. BURTON : FIRST THIS PROPERTY LIES IN FLOOD 20HE ")(" BY FLOOD MAPS AMERICAN TITLE INS. Co. : PHH MORTGAGE SERVICE CORP. ; RFVI.',FD 4/17/1989'. COMMUNITY PAIJFI NO 120075 0001 D. CHRISTOPHER J HI IP.IZT P A , :�F,ovrzE:) eUJT�INC- FOOL 4 ef=A AL t"IAIN r�)FAIN A7-105FHEfRIC VENT (eVfRe) �r�FLIANT LUITH eECTION 424.2.6.6, �=LOF,[�)A 5U1LDiNG- )17,)E FOR fRE511DENTIAL AFFLiCATIONe- ENTF,Af=��IENIT AVOilDANGE :-NT 4N,4L"re1e-t*�,4X1r-1Jt-1 LENGTH AVEFASE VELOCIT'�' VENT FIFE t'14XIt�Url FLC)UJ G=it"l FT. FER 5F-C:. eIZE LENGT�4 FT. (00 F�,.'1,4 1 1/2" 32 7 E7 1.17 1 1/2" 41 100 (0.1 1 1/211 54 110 '137 1 1/211 (00 135 5.a& 1 1/211 73 1-4-!:� &.213 1 1/2 113 ME7 I.E�e 1 1/2 ee; 5.1 e 1 1/211 171 ba-5eci upon maintainine the leneth of pipe below the operatIne level of the pool, iorizontal, to vacate within 3 seconds based or the size of the pump and the averaec to the h�draulic eraclient caused b� the PumP and PIPIrS the vent line should be :,se to the tee at the dual main drain, as possibie with a maximum distance of 12". is the intellectual propert� of �4ci=- and cannot be reproduced in whole or part ,pressed written approval of HC:=. This documext Is not valid without the seal Of 11 Jr. FE. COURTESY OF: (T AEA4 !H-!ORNVE!R�) V BAP POOLS/ WILLIAM ROBINSON 3630 MARSH PARK CT. JACKSONVILLE, FLORIDA 52250 DUVAL COUNTY CP-0056839 0NSULTING ENGINEERS,INC EB*5845 PHONE NO: (954) 772-4940 JOHN M.CARV-OLL JP-FE. ZRLINE ROAD. FT. LAUDERDALE FL. 33509 FAX NO: (954) 772-6840 LICES5E 4 411610 r=x=1W& : mnanCOB 1. THIS SAFETY VACUUM RELIEF 5-T-5TEM 15 A AF NoN-MEcHANICAL VENT SYSTEM THAT WILL LIMIT THE 0 TRANSMISSION OF SUCTION AT THE OUTLET TO A MAXIMUM OF 4B INCHES OF MERCURY. 2. THIS SYSTEM 15 A BACKUP TO PROVIDE SUCTION NATIONAL REI-IEF SHOULD ENTRA9-1ENT OCCUR- ALL I=lf=ES AND SPA&POOL PITTIN-5 MUST BE INSTALLED IN CONPOFZ-1ANCE WITH INSTITUTE F5C POOL PLUMBING. 3. f-OOL AND SPA SUCTION IN.LIET5 SHALL BE PROVIDED WITH A COVER THAT COMPLIES WITH ANSI/ASME A112.IeStl 4. THE VELOCITY ON THE 5UC71ON SIDE OF THE CIRCULATION SYSTEM SZALl- NOT EXCEED ISIX (91) r-f-S. 5. THE VENT LINE LENGTH MUST NOT EXCEED THE TOTAL LENGTI,4 OF THE MAIN DRAIN LINE. FIFE 51ZF ro. VENT OPENNG MUST BE COVERED LUIT1,4 LUIRE MESH INCHES ScIZEEN TO PREVENT INSECTS, DEBRIS COLLECTION 211 AND BACTERIA. 1. LABEL VENT: POOL SAFETY DEVICE- Do NOT 211 HANDLE 2 1/2' 2 1/2' (2) eO' 5END6 A TE= 211 LU TH15 amal�ele > vertical arol 1 11,21, VENT LINE Flow rate. Due lor-ateb a5 r- �1,41N IDRAIN Lulthout the 6, John rl. Garrc 1 1/2 VENT LIN-E IAIN DRA�N F-:---LE,45z—= 5�T57ET 1 (eVRS) HORNER C 5755 POW CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: H—uFsne Tm--, Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # — 00 41tJ PropertyAddress Applicant: \9M . Project: ftVy Review Result (Circle on _�_.A ro d I)* pro, tdl Approvedw/Conditions Review Initials/]Date _W�0� q111417 Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group _ Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone ' Provide impervious surface area calculations. Provide erosion and sediment control plans with details. Well point dewatering discharge must include silt sock or be run to grass 10 ' from curb line. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. ('ampe 41610 7 4.,(q -S 3 qf OC-d"t—q Iq BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 9 Fax: (904)247-5845 P JobAddress: ../ M Saive,. CyTgoo-e 4k L- &e,4 R. 3 2233Permit Number: Legal Description Valuation of Work(Replacement Cost) $ 3(*1 OVID Class of Work(Circle one): IC� Addition Alteration Repair de Use of existing/proposed structure(�s)�Circle one): Commercial X=iLip If an existing structure, is a fire spr er system installed?(Circle one): Yes No 49D� Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: We-Lo SuuimmitoVop� / SP4L C0N)54-1ejr_Hoj Property Owner Information N _-1 CZ:Al�� i 11" 1 L Contractor Information: Name of Company: -�111" 6-A 6_0MP81�� P�5_ Qualifying Agent: 3"ZAtw A ?i%e4UC Address: jY@9(.-iq _Ibeg�� 6lue4. 4ja0l ' City -,I Q�� State. (U-. Zip Office Phone &2 1. q IqS,- Job Site/Contact Number State Certification/Registration# CPC /q:S1"7/,*y —Office Fax#_ 6,11 -S,3 9 1 Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated I certif that no work or y installation has commencedprior to the issuance qfapermit and that all workwill be performedto meetthe standards ofall laws regulating construction in thisjurisdiction, Thispermit becomes null and void ifyork is not commencedwithin six(6) months-, or If construction or work is suspended or abandonedfor a period 9f six (6) months at any time qfter work is commenced. I understand that sqparate permits must be securedfor Electri6al Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanld andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMTROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certify that I have read and examined this a U tion and know the same to be true and correct. Allprovisions9f laws and ordinances governing this type of work w%7bliccomplied with whether specified herein or not. Thegrantin o a a. permit does not presume to give authority to v Wate or cancel the provisions bf any other federal, state, or local x1w regulating construction or the perfiq ance o onstruction. Sigiiature of Property Owner: Signature of contractor:�� lwS d subscribed beflore isWay of MAR Swomjo and subscribed before me 44 this LM Day of Notary Public: 666 Ale- Notary Public: V N CLAY GENE CHURCHILL LAURA OZAPVIKO '0 My COMMISSION#DD 278985 My COMMISSION#DID 460774 REVISED 03.05.07 EXPIRES:January 6,2008 EXPIRES-'December 31J,2007 Bonded Thru Notary Pubiic undenwiters THE P CPC1457184 Company, Inc. 14286-19 Beach Blvd#309 Office(904)821-9195 Jacksonville, Fl.32250 Fax (904)619-5341 New Swimming Pool Construction-. Mike Burton 1816 Selva Grande Atlantic Beach, FI.32233 Occupancy Class: Group R-3 Estimated Lot Coverage (Per Survey) (Per Survey) Lot size app. 12,500 sq. ft. Slab or Impervious Area Coverage Estimate 4,000 sq. ft. Estimated lot Coverage per Survey app. 32% Index Pool Drawing to Scale (Location Noted for Pool Equipment, Screen Enclosure, Trench Drain location, and Deck Plan to be constructed of Pavers) Pool Barrier Details (Screen Enclosure and UL 2017 compliant Information) Engineered Anti-Entrapment Drawings Engineered Pool Steel Drawing A 0 U3 149 21 a) (in a ;mu cn- Cn VP o o C." A 611- P R C:j CO CPI MAP SHOWING SURVEY OF LOT. 3,3ELVA TIERRAj AS RECORDED IN PLAT BOOK 38, PAGES 26 AND 28A OF THE CURRENT PUBLIC RE-CORDS OF DUVAL COUNTY, FLORIDA, -Z- 7- 1ence- 5-1 r �lz "1A'0A1 9/,t /0) 35 0 7 13 5, 0 c-o —01PC(693101)\� + '4 - F,- AV� I-- -— � - ---:, �q "t, - j 34' c� A7-rqC1,'(5-.c7 n".. 6-AA?A6 6 : . V-c A, 14, v, 9. 'N 38. j /"cc t s 6(F 3`5 7 07' se/ /vo// z- �9 7- 2 iL V-f NOTES L/C- THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT APE NOT SHOWN ON-THIS SURVEY. BEARINGS ARE BASED ON THE NORTH LINE OF LOT 3 AS BEING N.89*35'.07"E. BY PLAT. I HEREBY CERTIFY, TO.-.MICHAEL P. a LYNN A. BURTON : FIRST THIS PROPERTY LIES IN FLOOD ZONE ")(" BY FLOOD MAPS AMERICAN TITLE INS. CO. : PHH MORTGAGE SERVICE CORP. ; RFVI,',FD 4/17/19R9* COMMUNITY P.OIJFI N0120075 0001 1) CHRISTOPHER J HI JPRT P A UAL t'*1,41N DR,41N 4Tr*10ef=HEfR[c, VENT (SvfRa) 0�-IFLIANT UJITH SECTION 424.2.6,ro, PLCR[�)A 5UILIDINGi 3�)E FOfR fRE51DENTIAL AfzFL1C,4T[0Ne- ENTF,4f=t-1ENT 4VC[DANc;;= /ENT FIFE- LENG;TH 'E6 AVEFAGE VE L 0 C.I TT' VENT PIFE IIIAXtl-lu�l FLOW FT. F=E!R SEC, ejZE LENG;TH. FT. (00 E;.74 1 1/211 32 7.17 1 1/2111 41 100 ro.1 1 1/211 54 110 -1-37 1 1/2'' (00 13E; E�36 1 1/211 73 14-5 (a.213 1 1/211 le 17E� 1.513 1 1/211 135 325 a.113 1 1/211 171 'S based upon maintaining the length of Pipe below the operating level or the pool, horizontal, to vacate within 3 5erands based on the size of the pump a nal the average 0 to the h�draulic gradient caused bQ the pump and piping, the vent line should b e lose to the tee at the dual main dral�' as Possible with a maximum distance of 12". ' Is the intellectual propertS of �4GE and cannot be reproduced in whole or part (pressed written approval of �4C;E, This document Is not Valid without the sea] of 11 Jr. COURTESY OF: TEAM,HORATR BAP POOLS/ WILLIAM ROBINSON 3630 MARSH PARK CT. JACKSONVILLE, FLORIDA 32250 DUVAL COUNTY CP-0056839 NSULTING ENGINEERS,INC EB*5848 PHONE NO: (954) 772-4940 JOHN M,CARROLL JR, RLINE ROAD. FT. LAUDERDALE FL. 33509 FAX NO: (954) 772-6840 LICES5E &41610 r=xmwe , =;naacm 1. THIS SAFETY VAC:UU?�j FRELIEF SYSTEM 15 A NON-MECHANICAL VENT SYSTEM THAT WILL LIMIT TH=- TRANSMISSION O�= SUCTION' AT THE OUTLET TO A 0 MAXIMUM OF 4-5 INCHES OF MERCURY. 2. THIS 5Y5TEt-1 15 A 54CKUP TO FRovjr,>E SUCTION WA--T I-ON A L REELIEF SHOULD ENTRAPMENT OCCUR ALL PIPES ANI:) ZIANCE WITH !=-ITTIN,-�5 MUST 5E INSTALLED IN CONF:0F �-PA-8,POOL F5C POOL PLUrl5fNcz, FNS T I-TU T F B. POOL AND SPA SUCTION INLETS SHALL BE PROVIDED WITH A COVER THAT COMPLIES WITH ANSI/ASME A112.1e.SM 4. THE VELOCITY ON THE SUCTION SIDE OF THE CIRCULATION SYSTEM SHALL NOT r=XCr=EC) SIX (b) F-f=15. 5. THE VENT LINE LENGT�4 MUST NOT EXCEED THE TOTAL LENGTH 0:= THE M41N IDR41N LINE. ro. VENT OFr=NING MUST 5= CoVr- FIFE 51- 4 SCREEN TO PREVENT IN - _RED WITH WIFZE,- tIlESH INC�4Ee ANr:� 9,4CTEFIA SECTS, C)E5iRI5 COLLECTION 211 1. LAE5=-L VE�NT- POOL SA�=ETY DEVICE- PO NOT 11 HANDLE 2 2 112 (2) c3o, BENDS OR A TE F- cQ J CN 411 TH15 anaIS515 1/2" Vr=NT I.-INE > vertic;al am6 5END :r flow rate. IDL located as THis clocume t'lAIN DRAIN Lulthout the 6 JOHM rl, Carn POOL z 1/2" VENT LINE E AIN DRAIN .54f=ET'-- VAC:UU,'l FRELEAS— 5'IeTEt�l (SVR5) KTIB, HORNER ' 5755 PO� CITY OF ATLANTIC BEACH PERMIT BUILDING ZONING DEPARTMENT APPLICATION # Atlantic Beach 800 Seminole Road Florida 32233 �7 (904)247-5800 (904)247-5845 Fax 'IV 01 www.coab.us — '2 APPLICATION TRACKING FORM I n 1,n) y Property Address: z N z P: Y N `P__U�LICWORKS Applicant: 51 ri 0-Y) a)0 0 0 Y N PUBLIC UTILITIES Y N FIRE DEPT- Project: �'IV' e- F_YN I PUBLIC SAFETY Ne .,#I h Jfb )r—4qo r?nwr U) APPROVAL w 0 . REQUIRED AGENCY: RECEIVED BY: INITIALi —DATE: Z W UJ Y N D.E.P HUFSTETLER < Y N S.J.R.W.M. CARPER CY UJ LVC� Y N ARMY CORPS of ENG —CARPER 5 Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: EI 1 ST REV �Lzl�d PLANNING 12NDREV �Dl G PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY D 3RD REV ci <,o 1 -3 Return this form to the Building Department once you have entered your comments into the'AS400. d2 A BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 0j119 -5845 Office: (904)247-5826 Fax: (904)247 1.54141 R. 57-253 PermitNumber: gelVa, Gr Job Address Legal Description LO-1- Valuation of Work(Replacement Cost) $ • Class of Work(Circle one): New d[diu ): Alteration epair iden R I 0 C*irce oie�l) Z 4e id!en Use of existing/proposed structure(�) 1 Commere ts iiop s es • If an.existing structure, is a fire sprinkler system installed? (Circle one): • Is approval of homeowner's association or other private entity required?(Circle one): Pes Describe in detail the e of work to be performed: M -5ard Awt S�-recpr ErcloSure-, Property Owner Information t36 Name: AN-le— &jy� Address: city ej-r I C 13 C(4 State r-CZip 7 ,�47- 3�Phone Contractor Information: Name of Company: '3�rZeti work-5 T�� —Quali��ing Agent A 4t 4o-3 Citv Qr6m e- tate zip 3z ?6-- Address:031 in,& 570q q6 Office Phone M041 72 2- 8&04: _Job Site/Contact Numbel State Certification/Registration# — 50(,060774 —Office Fax Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated I certi that no work or .fy installation has commencedprior to the issuance ofapermit andthat all workwill be perfqrmedto meetihe standards ofall laws regulating construction in thisjurisdiction, This permit becomes nulland void ij')�ork is not commenced within six(6) pended or abandonedfor a period of s%6) months at any time after work is months, or if construction or work is sus al- ork, Plumbing, Signs, Wells,Pools, commenced I understand that separatepermits must be securedfor Electric Furnaces,Boilers,Heaters, Tanks andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECOR D A,MOTIC74 ()-FLD.J�MIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEK I y- IV YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certif _plication and know the same to be true and correct. Allprovisions 9f y that I have read and examined this ap laws and ordinances governing this type ofwork will be complied with whether specified herein ornot' The grantinj ofa I permit dbes not presume to give authority t-7vi la or cancel the provision nf a ntherjederO tate; or loca law �, . 101-te -s regulating construction or the perfi ance c n. s e f c!"e a -v otrhe"4fre'lerrrau�" r n" Signature of Property Owner- Signature of Conttractor: Sworn twand s bScrj*bDPd before me S 0 and subscr*bed be e me 200 Day of 7007 this_��ay �Ufl .4 -7 is 9! �77 -0 :)N 0 D FL V L 4# 13 65 &3 3 Notary Public: M Aolr- Notary Public- MYCOM I ]aN-013 5 BA G ATHERINECBA G 7F% EXP R 0 R D528266 yC�_�:,jMISSION (*1)7)3W01 53 Ruida ary Sarvloe.com -———————— —————— EXPIRES: Mar.14,2010 REVISED 03.015.0 (407)39"163 Rvida NotarY Swvi--Wm fir NOTICE OF COMMENCEMENT State of Tax Folio No. county of a Vi? I It May oncern To Whom=: The undcrsigned 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 is stated in this NOTICE OF COMMENCENENT. Legal description of property being improved: L-crf- 3, Se,I vot —1 ter ra Address of prope y being 'improved: 181& 561va Grjj.04e_ DriVe. `1 Art-lonhe- P5each , 1:7L. ?Izz3-3 General description of improvements: main sap-61 Owner: �e 156;4o—kn ajvl Yin tt;%�" Address: 1816 5,-,Iv& rw-ande_'1��rtye— Owner's interest in site of the improvement: Fee Swple— Fee Simple Titleh)lder(if other than owner): Name: Address: T Contractor: AI-Tohn Address—: to I Ik-;A 81 Va 4t 403 QngAj�jf R", PL .3ZC�(057 Phone No: Fdx No: C104-11 2.M�15k;�Z Surety (if any): Address. Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may b( served: Name: Address: Phone No: Fax No: In addition to him elf, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)lb),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is s ecified): TIUS SPACE FO�RECORDER'S USE ONLY R Signed: 7 Before me this WjjRl the C6unty of Duval, State IIN)jfet 07t - EXPIRES: ar 2010 Doc#2007196r:>43,OR BK 14035 Page 2451, OF VV- Number PageS:1 15/2007 at 01:49 PM, Notary Public a val. Fited&Recorded 06/ Ty My commission expires: JIM FULLER CLERK CIRCUIT COURT DUVAL COLIN W 10 RECORDING$10-00 Personally Known: or Produced Identification: EL 044*563 5-5755 U-7 C53-0 ' Ma�j 25 07 03: 26p Rdele Pierce 904-223-3346 P. 1 MAP SHOWING1 SURV F-Jr OF LOT 3, 5ELVA TIERRA, A5 RECORDED IN PLAT BOOK 38, PAGES 28 AND 28A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Z- o 7- 1,q41A.1 9,1 13 5. N 0 t 95 ARA r,I'- AV d S. 4 191-1 11 V� V� N �R lk I'D z "4- 3-5 07"ll //51 07' z- 54 OQ NOTES : vc- THIS IS A BOUNDARYSURVEY. NO BUILDING RESTRICTION LINE BY PLAT.BUT THE-RE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC:RECORDS OF THIS COUNTY THAT APE NOT SHOWN ON THIS SURVEY. BEARINGS ARE BASED ON THE NORTH LINE OF:LOT 3 AS BEING N.89'35'07"E.BY PLAT. I HEREBY CERTIFY TO:MJCHAEL P. a LYNN A. BURTON:FIRST CORP, THIS PROPERTY L)ES IN FLOOD ZOHE"'X-' UY I'LOOD MAPS: AMERICAN TITLE INS.Co.:PHH MORTGAGE SERVICE CHRISTOPHER J.HLJR5T, P.A. REVISED 4/17/1989,tOMMUfJIlY PAIJEL WO.120075 0001 D. rI4AT Tj4jS SURVEy MEETS THE MjN/A4UW TECHNICAL rj4F F'jnPlr)A RC)ARr) OF I-RUrESSidNAL SURVEYORS AND MAPPERS, PURSUANT To SECTION 472,027 F'LORIDA STATUTES AND CHAPTFR GIG47-6 FLORIDA ADMINISTJ?�TIVE CODE. ODMOF152 0 FI-,H LAND SURVET0.1-01 I N C PROFESSIONAL LAND SURVEYOR- NO.1674 FLGRIDA LO 6645 H. BRVCE DURDEN, SR. 1103 SOUTH THIRD STREET DATE: jUNE 27, 199G jAcKSONVILLE SEACH, FLORIDA 32250 SCALE: 1"�30' . (904) 249-7.26-1 F-AX (go4) 241-1-252 NAL PURPOSES ONLY UNLESS IT IS SIGNED- tS ,-WAp OF SURVEY 15 NOT VALID AND MAY BE u5ED FOR INFORMATIO - TH ISED LAND SURyEYOR WHOSE NAME 15 PRINTED AND HAS THE ORIGINAL RAISED SEAL OF THE FLORIDA LICEI �50 70 i 5A G3 67 NJ 7:- tv ---————————— ?Z 40 C. 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P43-1 lc�i ±N� 1z" U) t3 r3 " ;; " w C) cl 10 0 m cl U) ;u zi Z; :4 2; �2 m C/) li cl It 4 U) N -t% n N 'i > ——————— —u > 0 V OR ci U) C, C-2 i� 6- CJ; C-0 c: ——————— — c: — — - C, - :1 4� 4 cz —I CZ c 0 cl 9 — 5g rn C, m C', 'I K Z FY -u 10 jj; 7U x ± - c!I ;i: 0 E-2 ff! -n cl) c) M cl) RAVANG VALID"III MISED IMMESSION ENGINEER SEAL V4EDDRAftIGVALvFtflo iE PROJECT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING el. (904) 247-5826 800 Seminole Road - Atlantic Beach, FI 32233 -T ROOFING PERMIT LOCATION INFORMATION PERMIT RMATION__ jil-6SE�L—VA GRANDE DRIVE Permit N mber—: 22-247 Address: ATLANTIC BEACH, FLORIDA 32233 Permit Type: RE-ROOF Township: 0 Range: 0 Book: 38 Class of Work: NEW Lot(s):3 Block: Section:0 Proposed Use: SINGLE FAMILY Subdivision: SELVA TIERRA Square Feet: Parcel Number: M Ti Est Value: OWNER INI �O[QN .— R E PERMIT INFORMATJ!Q_ N_ D IV em t Nu iD 32 q33 i u Permit Class of Propose( Squ re Improv. Cost: 1,300-00 N, MIKE Date issued: 6/28/2001 Nam 816 ELVA GRANDE DRIVE Total Fees: 30.00 Addrme s: T NTIC B CH, FL 32233 Amount Paid: 30-00 Phone: (000)000-_0�000 --------- Date Paid: 6/28/2001 ork Desc: RE-ROOF ES APPLICATION FE S ERMIT SH--ROOORG ORE 3� 7'170- RS R TO 1 , PECTION___j NOTICE- INSPECTIONS M BE,REQUESTED,ATLEAST 24 HOU --PLACED IN JiUBLIC SPACE, AND WORK MUST NOT B5 BUILDING MATERIAL, RUBBISH��bEBRIS FROM THIS ER AULE"WAY BY EITHER CONTRACTOR OR OWN W MUST BE CLEARED Up AND H w1c, RESOLT IN THE -RUQ FAILURE TO COMPLY WITH Tf 4 CONST I (3 fWCe'FORMIMLIDING IMPRO PROPERTY OWNER PAYIN tRMIT AND SUBJECT To REVOCATION ISSUED ACCORDING TO APPROVED P -,WHt0tfAR1&pART-,6F FOR VIOLATION OF APPLICABLE PROVISION8r-�60N-- "N 2 6 21COO $30.00 14 Date: 6/28/01 81 Receipt; affq121-- ITY OF, TLANTIC BEACH — 7095 00100003221@00 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION:-/ OWNER OF PROPERTY: TELEPHONE.-: _f yl I V_�_ CONTRACTOR: CONTRACTOR'S ADDRESS: ZIP:- STATE LICENSE NUMBER: TELEPHONE: ED: DESCRIBE WORK TO BE PERFORM C��- Y_(� Prrr'_1':) rt-fqxA' -(� VALUATION OF PROPOSED CONSTRUCTION 3 MATERIALS TO BE USED: P�q(_ST�cr� SIGNATURE OF OWNER: SIGN4TvWRE(QFoCONTRACTOR: my COMMSION# CC907357 EXPIRES lei h. FebruarY 19,2004 SONDEL)THRU TROY FAIN INSURANCE INC T-AY THE 0 EROF SWORN TO AND S�YEP� 'HE 0 �NE THIS C_� DAY OF 'd-P12 263 038 FOR DEP T ONLY AS TO oWNERCASTRO MORT GE ERVICES,IN 0000 00098 a NGTA PUBLIC SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19 AS TO CONTRACTOR NOTARY PUBLIC Liability Insurance Supplied Workers Compensation insurance Supplied Contractor License Information Supplied Occupational License Infcn-naton Supplied CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - ________7__1LOCATION INFORMATION OR PERMIT INFORMATION GRANDE DRIVE rm Address: r'Perinit'Numbir: 20629 it T NJ( ATLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL �f W r TI Township: 0 Range: 0 Book: 38 Class of Work: ALT�ERATION LotI['s):3 Block: Section:0 �roposed Use- SINGLE FAMILY Subdivision: SELVA TIERRA Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: ____Name-_13URTOK,—MIKE Date Issued: 9114/2000 Address: 1816 SELVA GRANDE DRIVE Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: 25.00 4/2 te 9/1 ' 6� 1 Phone: (000)000-0000 Date Paid: 9/14/2000 D s CE ,E W_oT k c: REPLACE R RE I A0 T To APPLIC ON FEES C NTRACTOR(S) 25.00 _T_r� R _r S L I ei _-AE—RMIT NO–RTHE-X�T FLORIDA HEATIN(3 AIR, _p_,_ctions Required NOTICE-INSPECTIONS-MUST-BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER-CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN.D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. S25.a 14 Date: 9/15/06 01 Receivt: UN749 CHi CKS 969 D� NIOM3221M AT NTIC B CH U11-133ING D 1VI49ING AAIDZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT —&ALL-lN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION Strost Address: t 1 vo— ir a-"d� OF lntfr$*Cfing Sfre*fs: Between—_ And BUILDING is; r L, Sub-diyi9;an__ 11. IDENTIFICATION — To be completed by all applicants In consideration of perrnif given for doing the work as described in the above statement we hereby agree to perform said work in accorda n ce with the affac�Led Plans and SpeCif;Cafions are a part i,ereof and in accordance with fl'a C;tY of Jacksonville ordinances and stand a rds of good practice listed therein, Nome of Mechanical Comtracilort Contregfor (Print) F—by-do-, 40-fln, Master C�-jCo q4?,3-1 Nome of Property Own or bu r +0-n Signaturo of Owner signature of or Autherited Agent oa Arch;tocf or Engineer GMEM INFORMATION A, Typo of hosting fuel: E3. Bectric IS OTHER CONSTRUCTION BEING DOME ON .1j3- THIS BUILDING OR SITE? C3 Gal El LP El Natural [I Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0-1 PERMIT 13 Other — Specify IV. 111111WHANICAL SQUIPMINT TO It INSTALLED NATURE OF WORK lllisrovicisr complete list of compoeterits on back of this form) Residential or n Commercial .,Erl most 0 space 0 1111tocetwd -0- Control 0 How Now Building AEr AJr Conditioning: 0 Room ,a Control Existing BuIlding • Duct. System: Material Thickness— Replacement of existing system mamifflum capacity New Installation(No system previously installed) • Refrigeration Extension or add-on to existing system • Cooling tower: Capacity g.pm. ri Other — Specify (3 Rre sprinkle": Numbor of koad% C3 Elevator 0 msnl;ff 0 Escaleto - (number) THIS SPACE POR OFFWA USE ONLY 0 64600F4 pumps number) 0 TsRk. 0 LPG co"fainers (number) 0 Unfired pressyre vessost C) polillons Permit Approyed by Do+&- 0 Other — sp*ci+v Porrmif II LIST ALL EQUIPMENT ADt CONDITIONING AND REFRIGERATION FQUIPMENT C-Iss ty A Number Unilts Dewription Model Number Mmutsebirer .7- Lcmc 5 HEATING - FURNACES, BOILERS, FIREPLACES Number Unfts Description Model Number K"Ufacturer TANKS Flow Many Nowbw Cgpaety Ty" Liquild Name of Serial Ap AM DbUGOAlOnN Contained MAnUffttt9W No. 1P Z9 cy r-f'% T eN-n -N f-N OF �-T Office of Building Off! 1 &-7 a REQUEST FOR IN CTIONEr Date Permit N8. —LP Y-k-(0 Time A.M. Received 4 PM. Job Address ocality Owner's 19 N Ca 1,aclo, PWMBING M ANICAL IN CONCRETE Rough Footing 0 Rough Wiring Air Cond. & Re Roofing L1 Slab 0 Temp Pole n Top Out 7- Heating Insulation D Lintel 0 Final EJ Sewe El Fire Place F1 Pre Fab READY FOR INSPEC TI Mon. Tues. Wed. X A.M. Inspection Made RM. Inspector-- C� Final Inspection E N"", Certificate of Occupancy 0 C C Date CITY OF 4&444c Be"A-A;& Office of Building Official REQUEST FOR INSPE ON 7 Date Permit No. Time A.M. Received P,M( lel,,� 15�;�-e z Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PI-UMBING MECHANICAL Framing El Footing Rough Wiring D Rough El Air Cond. & El Re Roofing El Slab E Temp Pole El Top Out El Heating Insulation El Lintel I- Final El Sewer E Fire Place El Pre Fab READY FOR INSPECTION Mon. Tues. Wed Thurs. �ction Mact�-7— A, 7 A.M. InSPE, —RM. Inspector— Final Inspection El Certificate of Occupancy El Date CITY OF tqdaa& Be4cA-47&uda Office of Building Of i I ial ce of B 1 Iding Lci ra I REQUEST FOR IN ECTION Date 9 Permit No. Time A.M. Received M. /ff/"6 fo _/;0� Job Address Loc/ity Owner's Contractor rzvxx—� - J, — BUIL CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 1:1 Footing Rough Wiring Fj Rough E Air Cond. & Re Roofing 1:1 Slab Temp Pole El Top Out E Heating Insulation E Lintel E Final E Sewer El Fire Place 1 — --If I EADY FOR INSPECTION Pre Fab 12W-4g Mon.. es. Wed. Thurs. Friday A.M. Inspection Made e\ PM. Final Inspection F-, Inspector 0M, Certificate of Occupancy El Date CITY OF 4&4#z4-0 Office of Building ficial REQUEST FOR INS EC ON Date ermit No,3 Time A.M. Rprpivpri -1 �ld RM. so—l"rll giiii�4 li�- Job Address Locality Owner's Name Z)4,-/7� Contractor BUILDING C—C�NCREL� , ELECTRICAL PLUMBING MECHANICAL Framing E Footing El Rough Wiring El Rough Air Cond. & El Re Roofing El Slab Temp Pole El Top Out Heating Insulation 1:1 Lintel I-- Final 1-1 Sewer E Fire Place 7-1 Pre Fab READY FOR INSPECTION Mon. T.e�. ' Wed. Thurs. Friday A.M. Inspection Made 7- -PM. Inspector— in E Certificate of Occupancy E Date CITY OF 4&4m,4& BewA-0716 office of Building Official REOUEST FOR INSPECTION Date Permit No. Time A.M. Received f Z�ajzle PM -410171,0 Ole— bz,* Locality ,16b Adar6ss Owner's Name Contractor B UIL PWMBING MECHANICAL UILDING CONCRETE ELECTRICAL Framing 11 Footing 0 Rough Wiring Ej Rough 0 Air Cond. & 0 Re Roofing 0 Slab D, Temp Pole E Top Out 0 Heating t Insulation Lintel L1 Final El Sewer C Fire Place Pre Fab READY FOR INSPECTION ,�5Dn— Tues. Wed. Thurs. Friday A.M. PM. Inspection Made Inspector Final Inspection 11 Certificate of Occupancy El Date CITY OF 7& 4&4a& Office of Building Official REQUEST FOR INSPECTION C--Ig,67� Date 7 10 15' Permit No. Time Received AMMID Locality Job Address Owner's E L W Contractor Name PW G E ICA IRUILD TE E3 'r n Framing D Foo' 0 ugh Wr,6g Ej R 0 Air T 11 Out 0 ting Re Roofing 11 Sl E) Temp Pole _�ut F1 I einsulationE el 0 Final 0 Sewer 0 ire Place El Pre Fab READY FOR INSPECTION Mon. =ue s Wed. Thurs. Friday P.M. A M nspectio ade Final Inspection n ��c�upancy Ej Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION )CATION INFORMATION Permit Number: 18679 Address: 1816 SELVA GRANDE DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: 38 Proposed Use: SINGLE FAMILY Lot(s):3 Block: Section:0 Square Feet: Subdivision: SELVA TIERRA Est. Value: Parcel Number: - Improv. Cost: OWNER INFORMATION Date Issued: 8/18/1999 Name: BURTON, W-KE Total Fees: 50.00 Address: 1816 SELVA GRANDE DRIVE Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/18/1999 Phone: _(000)000-0000 Work Desc: WIRE FOR ROOM ADDITION CONTRACTOR(S) APPLICATION FEES - MCCLURE ELECTRIC SERVICE PERMIT 50.00 PERMIT FEE DOUBLED/WORK COMMENCED PRIOR TO PERMITTING. Inspections Required ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 8/18/99 01 Receipt: 0080735 CHECKS 9825 ATLANTIC BEACH UILDIN PT. 00100003221000 CITY OF ATLANTIC BEACH, FLORIDA Appr ved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 0 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN 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 A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. S�; t b� v c ELECTRICAL FIRM: MASTWILECTRICIAN SIGNAfg`RE JOURNEYMAN NAME- A v A D D R E SS: L RFD_BOX_ BLDG.SIZE BETWEEN: RES. (\/\) APT. ( comm. ( PUBLIC INDUS. I I NEW ( OLD ( REW. ADDITION (x TRAILER TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUM. ( SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 2-oo AM PH '� W VO LT RACEWAY FEEDERS NO. SIZE INO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED -OPEN TOTAL SWITCHES 0.30 AMPSI 00 AMPS. � 41- INCANDESCENT FLUORESCENT &M. V. FIXED -102A M PS OVER BELL T RANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I II.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. INO. KVA NO------- iKVA NO. NEON TRANSF. N 0. VA. MA_ MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PeR—mar-NNF—ORMATION -- LOCATION INFORMATION Permit Num 18480 Address: 1816 SELVA GRA Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Parcel Number, E s t. %V1-0 11 u^W OWNER INFORMATION . improv. Cost: 19,960.00 -9U—RTON, MIKE Date Issued: 7/01911999 Total Fees: 247.50 Address: 1816 SELVA GRANDE DRIVE IA-7 =n ATLANTIC BEACH, FL 32233 Amount Paid� 4-t 1 .'JU Phone: (000)000-0000 Date Paid: 7/09/1999 Wo:r�k D�esc-�FAN��ILL-Y-W�901—�O�M—Ali-DI-T-10 CONTRACTOR(Sj --K—R—MIT APPLICA ION FEES 24r5O -R—ERBENICK%—�ONTkXC--TING INC. InsMtions Required OVER Up L �OO T-IN—G SLAB C VER UP FRAMING INSULATION FINAL BUILDING NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ^lkl4-,rnl lf%lrlr%Ki I 1=N I AW CAN RESULT IN THE PROPERTY "FAILURE TO COMPLY 'VNIT I-ITHE C%jl-4,1 I a owl's I..I&- �—. 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. $247.50 14 Dite: 7/13/99 81 Receipt: 8071033 f1EA&CH 6DIN4G--DEPT. CHECKS121,..— 247P FLA 1967 LAWS RAMCO FORM 400 FS 7 1,.13 T "trio I-mururrmnit iN 13firr of V.P 4PRUPAR9 sm ourLICAT.) 0 Za fullont it nwV wiment: cr) The undersigned hereby informs all concerned that improvements will be made to certain real 0) r-i property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. CL Description of property........................ RZ...............�> ...... . ........ ................................................................. ...... ........ B If.- 9348 co 119: 1990 ............................................................................. ......................................................................................................... Filed & Recorded ...........................................................................................................................................................................................Q. U 1.1.rl.................. 09:39:58 A.11. 0 HENRY W. COOK 0 .............................................................................................................................................................................................CLERK...C.L.R C,U.J..T...GOURT 4 . DUVO � COU1,11-Y, FL General description of improvements................... ......./o ai!........... .......... .........................................................................................................-............................................................................................................... .................. Owner .. ........./�............I........... ... .............................................................................................. ........................................... 0 Address......................a/ ..........6L ...........6�L.................&-...I...........1-1............ ........ ............ Owner's interest in silo of the improvement ...............A'64t�........ze . .......................................I.......... Fee Simple Tills Wder (if other than owner) Name .............................................................................................................................................................................................................................. Q -,,,Addre&s .......................................................................................................................................................................................................................... Contractor ............ L ................ ................................................ .C. ....................... ................................................................ Address.....................................................................................01.1..;...... /t,"t t< ......................................................................................... ....... Surety (if any)................................................................................................................................................................................................................. Address.........................................................................................................................................................krylok" of 1. Name of person wftNn the State of Florida designated by owner upon whom nolk*s or other docunenits may 6* ser-ved: Name .........:... ... Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option), Name Address .................................................................................................................................. THIS *PACK FOR NRCOMORR-6 USIE ONLY ........... ............................................. Ownw 01 put LINDA S. HUGHES Sworn to and su6scri6*d before me INs.... ........................ A, Ye CoMmISSION 0 CC726560 EXpIRES jUV4 01,2002 BONDED 1HROUGH ..... .......dayo(.,..-. ................................. X0VW,,Gt.W)T*"OF FLORIDA ............ ................. ............................ Notary Public RECFIVED CITY OF AMAYTIC BEACH JUN 9 tI 1999 PZRWT APPLXCATXOX REWDEL, ADDIMMS, 04R..A .MATXM8r-h MV2WG .,LEMIXTICKS Building and Zoning owner(s) 7-6 Job Address: Mx 5,elo- &,Ck zv- Phone: Lot # -3 Block or Unit # Subdivision: Contractor: &A/It/Y' Ve-State License # Address:__ 0,4ka,49-0,8 jej Phone No:X-W 3 - OAC -7'r/e— �7,lr 7 City -JAY --/��C/1�— State Zip Code -37Z Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use: 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?- �4!5 New electrical (or increase) ?—4L New plumbing fixtures?_tL6L, New fireplace?_&I New Heat/AC? Ale) SUBMT "Mr =110MMAX) MO 0MSXDZXTXAZ) CCAVZV= SXrS OF PX"S, MMUDZY0 SXTZ FX", SUR79r, EMMWr 0=9 YOMM, NDTZC:C Or CC8dMNCZMMT, AND o Wcoxmac=Rl Arr:rnavxr, zr X3 CM taCTOR. Signature OWNE&: Pate:— e�� no Signature CONTRACTOR: Date: AS TO OWNER: 0-1000' Sworn to and subscribed before me this C�) day o f 19 T MOTART- PUBLIC U AS TO CONTRACTOR: Sworn to and subscribed before me this_g?, 5 day o f 19 z P& LINDA S.HUGHES NOTARY Pt CoMmISSiON *CC7265W EXPIRES JUN 01,2002 BONDED THROUGH ADVANTAGE NOTARY OF FLORIDA OF 0-r CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address— J�r c V A 4-(-" 0 r2-- Date Heated Sauare Footage tl @ Q p e r s a - L L. Garage/Shed @ s per sa --:-z S— Ca.rport/Porch @ 8 per sq Deck e r s a f t Patio per Sa TOTAL VALUATION : S q) 960 Tota' 1 ist $ / 600 uation 0 160 ,& S Remainina Value per thousand or Dortion thereof TOTAL BUILDING FEE + 1/ 2 Filing Fee ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE 8 WATER IMPACT FEE $ ev SEWER IMPACT FEE S WATER METER/T.A? CAPITAL IMPROVEMENT SEWER TAF S RADON (HRS ) . 0050 8 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ ) SURCHARGE . 0050 8 OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey other CALCULATIONS and/or NOTES : '06/03/1938 15:16 9042411252 DLRDEN LAND SL;R�,�LYOR URVEY OF '..... MAPISHOWING S OF THE-CURRENT.PU8L1C .P StLVX ,I.ERiRg, DED,ig pLAT.BWK 38' PAGES:28 AND 28A T 3e S. Ale /As.0& 45LS' v,41 uj S) v .10 1 x 1A S N z 4 W.q its IT 119 Z7' Z IV, 1 9 1999 ft/Alail JUN City L -indc B It. f AtI, each Al Buil ling and Zoning CIO- NOTES: A427 owp/j/ .THS I.a A V.UNDA#t*-SURY E+V;, MawLDwo'k3TNCTkM tj.je6jnff,OUT:fKk M4Y BE 1AE;TP�(7nOMA:DIEV10A i4-1fiXe.AFFECT:THIS MOPeRTY Jay ZO��-104i AECC;A*;=jN1 P-rL*L1C WCOAD4 OF TW&COUNTY bt0*"-APS Do-A00M-04*w LVO CO'L'OT i'AS i hmwuy CEST(FY T0,1MUCH"L P. LMN A.ITURTON!FIRST AMERICCAN TITLE Wk CO.;RM*QRTGAKAK�-. CHRATOPW-R.1.HLAST,PA� rMT THIS SLIAVEY W271 TW WMW-W TMW&CAL sumaAws As srT rcm BY Tw rL 110AW OF pqOfESS"AL SUAVErOMS AND A"fr= RAMANT TO ftremaid A".&rl FLOMMA STAIUMS AWO CHAP= Location Mapi FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions.Renovations&Building Systems Department of Community Affairs I Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovaVns to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-97 or600A-97. PROJECT NAME: 17#o j- toA r BUILDER: AND ADDRESS: PERMITTING CLIMATE OFFICE- e 1, ZONE: 1 2 E3 C OWNER: PERMIT NO.CE�[:��2 JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(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 heating 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. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 301%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS-Onlysite- installed components and features are covered by this form.BUILDING SYSTEMS Comply when compleV new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. a-)(J 4;1)V) 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. 7C> sq. ft. b. Tint, film or solar screen 6b. sq. _sq. ft. 7. Percentage of glass to floor area 7. % 8. Floor type and insulation: 8a. R= lin. ft. a. Slab-on-grade (R-vaiue) b. Wood, raised (R-value) 8b. R= sq. C. Wood. common (R-value) 8c. R= s q. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-vaiue) 8e. R= sq. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. 2. Wood frame (insulation R-value) 9a-2 R= 7f 7- sq. ft. b. Adjacent: 9b-1 R= sq. 1. Masonry (insulation R-value) 2. Wood frame (Insulation R-value) 9b-2 R= sq. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: 1 Oa. R= sq. a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 1 Ob. R= sq. 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: Ck,;J ri- gas h.p.,room or PTAC,existing,none) HSPFICOP/AFUE: 13. Air Distribution Systerrj a. Backflow dam'oer or single package systems' (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: -f-)( ;3 (Types:elec..natural gas,other, existing,none) EF: Perta:ns to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and soecifications covered by this calculation indicates compliance compliance with the F�erida EneWy Cod with the Florida Energy Code.,BlNore construction is completed,this building will be PREPARED BY: *W= DATE: inspected for com'Did6ce in accord ance with Selo on 553 08,F.S. CA4^0144 BUILDING OFFICIAL, L, I hereby certify thaTtFthi) if A[f, in; Florida Energy Cocie. DATE: DATE: OWNER AGENT: .OT: MEOW I CAI.: vAyC*I R I CAI.: 'IC 'SBEET iml,DING 41T vOla, @ per sq. ft. lfl_,ATED SQUARE FOOTAGE: per sq. f t- �ARAGE (J,Rlk'ATE/S)iED): @ @ per sq. f t- CARPORT: C7 per sq. f t- POYCHES: @ $ DECK: @ per sq f t- PATIO: @ per sq- ft. TOTAL VALUATION: PERMIT FEES TOTAL _�'ALUATION DATA ist 0 12�1 @ .0() per thousand VALUA-11ON or portion thereof 00 7_� TOT.kL BUILDING PEFMIT FEE. . . . . . . . . . . . . . . . . . . . . . $ PLUS 1� THE BUILDING PE101IT FOR PLAN FILING FEE- - - - - - - - - - - $_ 5_0 TOTAL FEE DUE- - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -$ --Lq ------------------------------------ --------------------------------------------------------- $ I.T,Cp -F PLC-'BIN-G PERMIT FEE: ��NICAL P; 341T FEE: $ ELECIRIC-AL RESIDENTIA.L: $ ELECTRICA-1 $ FEE: $ V'ATER METER SIZE: SEWER CO\NECTJON CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION MARGE: FIXTURE l,'NITS $10-00 PER UNIT: $ ACCOUNT NO- : TOTAL BUILDING/PLAN FILING FEES: $ APPROVED BY: _,:R CHARGE: $ , ,, pRoVE:0 TOTAL !�AIER TLAMIC BEACH OFFICF- TOTAL WATER co'.-NECTION' Cp-kRGE: $--- -ECTION CF_-%�RGE: $ 0 19S4 TOTAL SEWER Co,:�. GP_,kND TOTAL DUE: Date----------- *4t(I/I CITY OF ATLANTIC BEACH Permit t--—-------- Valuation $................------------------------ FLORIDA .......... ................................. APPLICATION FOR BUILDING PERM11r ................................ .............. ......... 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 compiled, 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 Atlanfic 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 licens" can beverified. DxtL................................... .................. log-C Owner.. A�tnxc&'d' Kn�l.................................Address.... ...QLM.P.--e—Telephone No.____....... A ..... ..Telepbow x*2!.!-�eL-24 Architect.......C,- I kKzl:j............................................Ad&es&..e Contractor Builder.�.7-_�. . ...............Telepho= No...2 1Z Z. Lot No......2�......................................Block No................................Sub DiJalon...1.&.kc&.. ....................................YOOM................ ......... ..........street..........................Side Between.....................................................andL.................------------------- Valuation $...............................Yor what purpose will building be ...Type Of construction.M.O. Adl Dimensions of Building.-..,r..�zR/;-a--ez"*,,--Dimensions of .....Sin of Footings..................................... Size of Piers.........r.........................�Size of Sills................................Greatest Sill Span in ft...........................Type Roof------------------------------------- How will Building be Heated?._1V._0J1_.'C............................................Will Building be an Solid or Filled Ground?.... .................................. Size of Ceiling Mato........................................... Distance on Centers..........................................., Greatest Span----------------------------------- Size of Floor Joiste_:;�L.YJ.................................. Distance on Centers.... ..........................., Greatest Spun....12.................................. /.1/ Size of Rafters............. ...............................Distance on Centers..;�.Y................................., Greskest Span........................................... This rectaiWe Is to represent the lot. Locate the buildinx or buildings in the ht position. Give distance in feet from lot-lines and existinx building& REAR LOT LIKE Two copies of plans and specifications ahall 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. 14,_-P1%6'4e"7 S. 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. APPROVED 04 6. When septic tank drain field oi- st-wer is laid but before it in covered. !TY �'r_ UILAWIC BEACH DUILDING OFFICE 7. Electrical inspection by City of Jacksonville. S. Final inspection. 131 3 13 119 8 Note: In ease of any rejection,re-inspection MUST be called for after corrections are made. OF LOT In consideration of permit given for doing the work as described in the above stateAwe he'nby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in meordance-with the building regulations of the City f1tiantic 1)"ch. ................. ............. Signature of Builder.. ------ "- 4- . ....... Addren.....41 f_2_2�'�01 06:'Je................... ...................... AddrOM..... Signature of ;114 4t 4 0 o 'p ixil L8 Cr I A Ww MAP SHOW11kic- 921 IRVEY (W CORDED 19 PIAT 28 AND 28A Of THE CURRENT PUBLIC LoT 3w sELvA TIE"A AS RE "Dom RECORD3 (W DUVAL COUNTYI, FLORIDA. C47 01V57"Re-lCrI01"I CO, Z- e>-r ler lAr.0 YZ A/ 9 9 35 07 0,5. -012" N -171AP M 0) A774 Sj f7 I YJ YJ N N 9' N Z' IVA% Ns (74) 14 1AJ //5� Z7' -Aj-4& lc� Z- o7- N 1.5 A 4A&1,9 -5-41'RV&Y 4Dq V 7r 924.4 r Zle5 roql$ 1:5 /A/ AR-CA. 6A5eq OA/ IVAr101V.44 V,6,q77,1A1- a4rzlo,,,? AVa ARe _-r�.OWAI 7-A1415 I hereby certify that this survey meets the minimum technical st"ards as set forth by the Florida Board of Land Surveyors,pursuant to Section 472.07 Florida SWUW& H. A. DURDEN & ASSOCIATESINC. -TXF'" LAND SIGNSD-- 1993 poet C)Mcq Box 604570 830 Boach SoOevard *CA": jaCkson�oje 8"Ch.Flodde 32260 T"Ig quRVKY NOT VALID UNLKSS TH'* P"'N'r IS gMgo*SKV WIT14 THIL GIEAL OF T149 ADOVIA PSR-3844 134 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION I '�ddress : 1816 SELVA GRANDE DRI --ermit Number � 13489 ATLANTIC BEACH . FLORIDA 32211 Permit Type:WELL lass of Work:NEW ---------- LEGAL DESCRIPTION Twp- : Constr . Type :WOOD FRAME Block: Lot : Rna , Proposed Use ' SINGLE* F&MILY Section7 Subd- Dwellinas : Subdivision! 0 . ()ri Est . Value : Improv . cost ! 0 .00 Total Fees - 10 .00 Arr.�Llnt Pair-, 00 wNER 1Nt _iki4ArION APPLICATION FEES -------- -Name - MIKE BULTCN PERMIT Addr * 1-�--115' SELVIt t-41RANDE DRIVE TVIL'LANTIC BER-l' . FLORIDA �22 Phone 90 4 ! 2 41-- 1-1,18 9 - - -- -- (_'�_'�NTRACTQF. !NFI�RMATIC)N Name , L !A w [L'ILIRMS M_+Jr , P. , ATLANTIC REr,"H Exr - NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR $10.00 14 VIOLATION OF APPLICABLE PROVISIONS OF LAW. r al al 2mn2iptz AAARPS5 CASH ATLANTIC BEACH BUILDING DEPARTMENT By: FT,F, $10.no AP-MICATIM FUR VML PERUT CI1Y OF ATLAWIC MACH PROPEM MER Nane: 111,4, Ir � I !�� -/- 0-tj Phone- Addresse Z i -3 APPLICkW, IF MUR nM WER Nane: T)�r Phone Address., e!�11" ZiP2 LZ JOB Address or Location:-Z�L4' Li�gal Description: Is well to be used for drinking purposes? 11r,16) 'Any person, individual, corporation or other entity receiving a perudt as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the perniitted well for drinking purposes, n.1st first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building departamt of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: agree to camly with regulations stated herein: 1)a Ce- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT-Appl;cent to complete all iforns in scd;om 1, 11, 111, and IV. I G, CZr- L JA St. a St. LO OF CATIC INOA, South. East. W&O) (Intersactiftq Strisets) ZUIUNNG Lot No- No (State portion Of 6t if 6U 0411 full Sol,Attea 6gal douripi;on per deed in duplicate if necessary) 11. TM Or- PROPOSED hAECHMICAL WORK - AJI epplicants cormplofe Rbrfs A - D A. USE OF SUILDINCr L PIWNEUMP k-.e RESIDENTIAL Is.^ Private ctirpareGoo, 1. On* family 11. 0 Utility "o-%prOfit ;"t;tUfio-ft' &fc.) X, 14. 0 PuSI;c (Fedisrisi. State or local goveirism"t) 2. 0 Two or map* f4mily 12. 0 Sc". Ilb-nary, Entw number of rooms other G&C660"I C. NATURE OF WORK 3. 0 Trans 7;isht. hotel. motel. 13. [] Store. mv-carvillis 17. New 6y;1d;nq rooming howsa - X Enter num6ar of units- Of+'W It. 0 Existing Bw;td;%g 4. 0 Other residential 14. 0 OTHER-SPECIFY It. 0 Replacism"t of qx;0;6g systians 20. k N. ;mt.1taiti.ri (No.9yoom pt*v;owjy "WI NON-RESIDENTIAL 21. 0 Ext"s;on or odcl-an to existing rfs+om. S. 0 Amussment. recr&&Gonal 22. 0 Othw-Specify 6. 0 Chu'rch. other religious 7. 0 Industrial 1. 0 Garogit. service station 9. 0 Hoipiial. insfifu6cirial L TYPE OF BUIU)MG 10. 0 Office, bank. professional 36. lj� Number of s+ori. D. MECHANICAL EQUIPMENT TO 9E INSTALLED 37. 5 Wood frame 38. 0 Mgmhy and wood (Provide complete list of cornpoAents on bock of this form) 39. 0 Poinfortod concrete 23. Furnace: 0 Space 0 Recessed X Central 0 Flow 40. 0 Structural steel 24. Air Conditioning: 0 Room 0 Central 41. 0 Other 25. 0 Duct System: Material Thick Maximum capacity c.fm. 26. 0 Refrigeration 27. 0 Cooling tower: Capacity 9-pin. THIS SPACE FOR OFFICE USE ONLY 28. 0 F�r* sprinklers: Number of Iwad 29. 0 Elevator 0 M4ft1;ft C3 Escal6fo (number) 30. 0 Gesorine pumps 31. 0 Tanks (Aumbeir) 32. 0 LPG contain (number) 33. 0 Ufif;e*d pmsure wouel Permit Approved by 34. 0 Boilers 35. 0 Other - Specify Permit F**._ 111. GENULAL INPORMATION A. Typo of-Eiiiating fuel: B. IS OTHER CONSTRUCTION BEING GONE ON visctric 4Z. K THIS BUILDING OR SITE? 43. 0 Gas-0 LP C] Natwral Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 44. 0 Oil PERMIT 4S. 0 Other - Specify IV. IDENTIRCATION - To be complatod by all appNicants In ccns;def&tion of f."rMit * d woei in accordance ,ron fw doing th,* work as described in the above statement we "reby agreo to p"rm sa* wiA the attached joami &p*cificat;9fts which are a part horecif and ;a accordance w;tfl A* City Of Jacksonville 0-rdift4inces; and standards of good practice listed thierein. Name of M c h a m;CA I S;qnaturs of Coritra0or 6(Print) Contractor Agent Nap"of Owner (Print) Addms Signature of 0.fter S;qn4tvr* of or Authorized Agent Architect or Engineer Form EI-51-1 DEPARTMENT OF BUILDING r: 0 CITY OF ATLANTIC BEACH,FLORIDA RMIT NO. J 020 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5/23/83 _19- 469UO T . Valuation$ MCIIAIiICAL Fee$ 46.00 46*OOCKT ) 3677 1 A 5/23/8 3 This permit not valid until above fee has been paid to City Treasurer,and is 5d2U *UUCAC subject to revocation for violation of applicable provisions of law. 3 t-I 7 7 1 1 5/23/83 This is to certify that 039'_� I nnn i - i has permission to build INSTALL CENTRAL HEAT & AIR (HEAT PUMP) Classification SINGLE FA14ILY Zone PUD Owned by Q & M CONSTRUCTION CO. Lot 3 Block ————— S/D Selva Tierra House No. rive 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 AFTER DATE OF ISSUE 4 1111 4 10 0 Building material, rubbish and debris z i from this work must not be placed in public space, and must be cleared up—and hauled away by either con- �aci '�Vwuer. J'/ -,g Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER ___��ATER VOW CITY OF ATLANTIC BEACH, FLORIDA v*d by I APPLICATION FOR ELECTRICAL PERMIT ov ?0 THE nCHIEFF ELECTRICAL INSPECTOR: DATE: z_3 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN 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 A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Fa ELECTRICAL FIRM: MASTER ELECTRICIA hNATURE JOURNEYMAN NAME( '\ ADDRESS: &-BOX- BLDG.SIZE BETWEEN: RES. ( -r-----APT. ( I comm. ( PUBLIC INDUS. I I NEW (_r� OLD ( REW. ADDITION ( TRAILER ( I TEMPA SIGNS I SO. FT. SERVICE: NEW (Ir- INCREASE REPAIR FEE -1 CONDUCTOR SIZE zy-- 6_1 AMPS-2 COPPER ALUM. SWITCH OR BREAKER 0 AMPS W PH Z-2-VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W - VOLT RACEWAY FEEDERS NO. SIZE INO. SIZEL NO. SIZE OP LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL SWITCHES 0.30 AMPS, INCANDESCENT FLUORESCENT&M.V. FIXED 0.100�AMPS. OVER t4p APPLIANCES f�� f BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO-. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA lKVA NO. NEON TRANSF. N MA.- MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES CITY OF Fead - 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 July 7, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Fl, 32202 Dear Sirs: The following final inspection has been made and is satisfactory: Permit #3907 - 1816 Selva Grande Drive, Atlantic Beach Permit issued to Ferris Electric Co. Sincerely, ?John 1-1. Widdows Building Inspection Supervisor rrutiratt Wrrupaurg CITY OF A"S& 13ppartinrnt of ed pursuant to the requirements of Section log of the Southern Standard This Certificate issti time of issuance this structure was in compliance with the Building Code Certifying that at the or use. For the following: var,ous ordinances regulating building construct"' Bldg.Pertnit No. Use Classification Type CO3,Strucbon5aerU—Fir istrict. L Group— Addre 0,,ne, f Building ct A Locality 4 C rmesns .iiding A dres, y q Bui ding official 'M COMOPICUOUG PI'^Cz CI'j-Y OF ATLANTIC BEACH FLORIDA INSPECTIONS ELECTRICAL PERMIT NO.11, BUILDING PERMIT PLLM�BING PERMIT NO.11____- MECHANICAL PERMIT JOB ADDRESS CONJRACTOR 0',.,T,N'ER CALLED IN INSPECTED REINSPECTED JEA APPROVED REJECTED FOLT-NDATION FOOTING Sl_kB PLI:'-IBING (R) TOP-OUT S E'.-.'E R TD-T-POLE ELECTRICAL (R) ELECTRI CAL (F) FRAMING PLU'�IBING (F) LINTELIBEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER FINAL IN'SPECTIONS DEPARTMENT OF BUILDING PERMIT No._ 5822 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 2/28 19 lq'� 31091 316,7 Iw-'L� Valuation$ 82,189.90—F,e$ 318.75 ;'J7 1A 14/11 ' ��6 2 2 s UUL This permit not valid until above fee has been paid to City Treasurer,and is 937 1 A 4/11 ! subject to revocation for violation of applicable provisions of law. This is to certify that G & IJ CONSTRUCTION CO. 9AI ATT.ATJ--n -Tlt— has permission to build SINGLE FAMILY 140TIF AS PER PT ANS -IITRMTTTML-- Classification SINGLE FAMILY —Zone PUD Owned by C� & _M_r -'TRIICTT0N -C() Lot 3 Block- S/DSelvq Tierrn House No. 1316 Selva Grande Drive 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 AFTER DATE OF ISSUE lop 4-- 110, 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up Aq hauled away b ther con- "y ,,7frac owner. Auilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING 5821 ELECTRICAL '1907 SEWER WATER MECH 14'1 ) D INC I'l L."NANG: Yolk 'kIJ-'j:jIAN I CAI ELECIRICAL: BUILDING PEIC-11T WORKSHEET per sq. ft. = HEATED SQUARE FOOTAGE: @ $ 3-4—,Ligl CARAGE (IIRIVATE/SHED) : @ $ per sq. ft. = s-4-5c)§. -r sq. ft. = $ CARPORT: @ $ pc PORCHES: @ $ per sq. ft. = DECK: @ $ per sq. ft. = $ 0� PATIO: @ $ per sq. ft. = $-- TOTAL VALUATION: $ PERMIT FEES TOTAL 'VALUATION DATA (0(0, REMAINbER VALUATION @ $ a.(:yo per tbousand or portion tbereof SD TOTAL BUILDING PEP-MIT FEE. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . PLUS THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . ... . . . . $ 0),a!� / -A-repk4u- / I -- TOTAL FEE DUE. . . . . . . . . . . . ... . . . . . . . . . . . . . . . * , * * * . . . . . . . . -31?-L-T�L- ------------------------------------------------------------------------------------------------- PLUMBING PERMIT FEE: $ MEcHANICAL PERMIT FEE: ELECTRICAL RESIDENTIAL: $_ ELECTRICAL TEI-TORAAY: WATER 'METER SIZE: 3)4 .11 FEE: SEWER COINTNECTION CHARGE; SQUARE FOOTAGE: 4- 60C)() 5� . FEE $ 00 WATER CONNNECTION CHARGE: FIXTURE UNITS 3 c-;L- @ $10.00 PER UNIT; ACCOUNT NO. : a?sooq(p TOTAL BUILDING/PLAN FILING FEES: $ 3 S APPROVED BY: TOTAL WATER '"IETER CHARGE: $ APPROVED TOTAL WATER CONNECTION CHARGE: $ 3ac) CITY OF ATI;INTIC BEACH 'Fj�9�,- BUILDING �'FFIC= TOTAL SEWER CONNECTION CHARGE: F E Pi 2 8 *12'93 GRAIND TOTAL DUE: $ Date----------------- permft*----------------------Y"$............ CITY OF ATLANTIC BEACH Valuation$................-----------------------------— FLORIDA ....... ........................... 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 IAws 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 to automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-eontractors be submitted to this office so that licenses Can be veribed. DxtL-...-/:-*3 f...............------------------., IS. ? ... .... .... .. Owner...C!: ....... Telephone Architect.... A�L.2-.�x..................................................Addresa..... ...Telephone Contractor Builder...61 ...... 41 .................Telephone No---------------------------- r 11;� Lot No.......3.......................................Block No...............................Sub Diviaion--.12-�.. .0.. ..................................Zone................ .... 0.... 4L..........ip-129z=........Street...........................Side Between....................;r,*.......... ........Ant.................-------------------—--------ShL Valuation ...............For what purpose will building be used...G-16 Type of constructiaL....A=2��-42 Dimensions of Building.LX-Ji. ...Dimensions of Lot...L44. .........Size of Footings... ................. Size of Piers....................................Size of Sills�)............................Greatest SM Span in ft...........................lype Root..J./6-4-9------------ How will Building be Heated?--- .... ...... Mill BMIAIn be an Solid or Filled Ground?... ..................... Size of Ceiling Joists..14.�............................ Dist"ce on Centers...... .......................... Greatest Span.-------- Size of Floor Joists..... .......................Distance on Centers.........;-.il...41........................ Greatest SpalL Size of Rafters... ......................................Distance on Centers_lt(.."'............................ Greatest SpM..... ........... This rectangle is to represent the lot. 1,ocate the buildins or buildings in the ht position. Give distance in feet from lot-Unes mid existinx buildinal. RFAR 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. 2. When steel is in place and ready to pour columns and/or lintel. 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. M 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-ingpection 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 an a part hereof, and in accordance with the building regulations of the City/,,Of#tianti y'of Citp-. ............ Signature of Builder. Addrem ......Z/. ............................................................... Signatureof Owner...............................................................................— Addrem.................................................................................................... 1),41 E o-. 1. 2 I I'E K c'3 1 kL AM)) T) 01; co.-mii(CIAL 'A'j 101; A P P 4Z-0-��----- - - Q'Ty OF f,"fl;.NTIC BEACH print BUILDING OFFiCE OCCjjpAj'jONAl_ LIC;7-,,.'SE NO. 2 8 _:y, ,TE Ci:RTIFICATE 140. �ID7y. oy Co,..-'.F��_ACTOR --- --- ------ -------- ---------------- -- -- -- - - - - --- --- -------- ------------------------------ )_AVAI ORY BATH TUBS UR]NIALS FLOOR DF-AlNS S], 1"s VAIER HE-41ERS DISH1,7ASBERS D)Sjl0SALS C' i,SETS sl'O--'r'Dc L OTIiER TOTA RE COUNT .-:t S-Ajj�G Cji I NE ;Z-LLLAl I ON' ()y Al%"D FI);TUXES �-MIST I'; ACCC!F�D.1-NCE W]7H T-h E "JOST I-_'7C;:-NT EDITION S]G,:,t.TU-PE OF 1-_t.S7_FR PLL7-'—RER rp,-; STA";D;tRD PLU--LBI�'�G CODE. FIXTURE I_TNIT BRE_�J!D- Olv-rN 'IT S THE OF WATER FOR Er#tCF 'r.'--"-:ER F'�E 17N fS ATY-E ESTJ'_BLlS-,lv_D A F XED AT r%TTR SYSTEM. THE WATER SLTePLy C,:- r. -ND CO'.71-ECTED 10 THE CITY V" - ARGr IS ER BY j UNIT CON-N-ECTED TO T'riE CITY !�'ATZR SYSTE21- SEC. 27-3 (c) -I-A-RS PER ---eX7'u BA_FhTUB (W/OR W/O OVER GROUP CO� Sl STING OF FEAD (2 UNITS) (2 U CLOSET, LAVATORY b BA':"P, TUB OR S-HOWER STA—IL (6 UN'I TS) BIDCZT (3 UNITS) 'LAUNDRY TPAT COMBINATIO'N SINK & TRAY DENTAL 1_kVATORY (2 ITN I TS) (3 UNITS) (i MIT) KIT PEN SINY, CONIBINIATION SIN`K & TRAY Wl DENTAL UNIT OR CUSPI- (2 UNITS) 'K FOOD DIS_ (4 UNITS) DOR (I lj!�IT) KITChEN SIN WASTE GRINDEF DR1-NKING FOUNTAIN ('� UNIT) DlSlrlv.ASHER (2 UNITS) FLOOR MAINS (1 UNM I-AVATORY (I UNIT) I-AVATORY, FA-F I-EAUTY PA RLOT LAVATORY, SURGEONS (2 UNITS) SHOWERS GROUP PER P EAD (2 171N.)TS) SURGEONS SINY, (3 UNITS) (3 UNITS) POT, SCITILER) FLUSHING RIF, SINK (8 UNITS) S--,:'RVI CE SINIK TP-AP SIN- l', (4 I-NIT! URINIAL, PEDESTAL, SYPHON JET STAND (3 UNITS) URINAL STALL, WALL LIP IVASIHIOUT (4 U' BLC-.-'OI)T (8 UNITS) b A'-AL i (4 UNITS) wA.SH Sl,'.'I: EA L-,Rll:.kL TROUGH EACH 21 WASH114G R-ES- OF nAIlCETS SECTION (2 UNITS) (3 UN I TS) (2 UN j TS) !:A!'_E'R CLOSETS, WAT ER C--- (,S-;:TS, V-�'t.LXTE . -�R-TED (4 UNI TS) TS AVP a OP 4- ow/7 0"f Po'q ic /AVS4 cc ia I OW /V �11 CIO a , 'e "es, (J/4o 'Ala 190 1900 19 P.",i"v &- I—F3 CO'V Ilict "loll 84b 4i'?t "t' et 14 CO Jy. ;..,c /6- P4U 'go, 4-1, &/A( PO.9 gi5 a P41 Out dc:kc:r r/oN 7w Al"'-( co"�'�Af/ C-"""c�'te Of tio" 00t, CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 INSPECTION LOG 7e' BUILDING PERMIT# ELECTRICAL PERMIT# PLUMBING PERMIT# MECHANICAL PERMIT# JOB ADDRESS CONTRACTOR OWNER Called In Inspected JEA Approved Temp-Pole Slab %w Footing Foundation Framing Plumbing(R) Electrical(R) Mechanical Fire Place Top Out Electrical Final FINAL INSPECTION Comments : CITY OF' Ur 4&aa& Bew.4-IM office of Building Official REQUEST FOR INSPECTION Permit No -?F7Z Date Time A.M. District No. Received P.M. oefxi— Locality —T.b Address Owner's Contractor Name MECHANICAL BUILDING CONCRETE ELECTRICAL PLUMBING RoughWiring 0 Rough 0 Air.Cond.& El Framing 0 Footing 11 Heating Re Roofing 0 Slab El Temp Pole Ej, Top Out 0 Fire Place Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. A.M. Friday—P.M. Inspection Made— — 9 �c P.M. Inspector Final Inspection 0 Certificate of Occupancy Date CITY OF APANTIC BEACH APPLICAT10N FOR WATER CUT-INS. . . . "-�, -*- � it APPLICATION IS HEREBY ll-!�ADE FOR WATER CUT-IN AT THE FOLLOWING ADDRESS FOR UNITS. CUT-IN CHARGE OF STREET NO. S5 LOT BLOCK SUBDIVISION ACCOU-N'T NLZIBER MASTER PLUMBER MAILING AiDDR.ESS D-PiTE METER NO. MATE INSTALLED------ CM OF ATIAIIIFIC APPLJCATI'ON F-OR SD-ER-OD`-NDCTICNS ACCO,2qr No. 10--ATION, iDr 11,YD. BIDCK 140. SLJBDIVISION:� CF.-NER TYPE OF BUII-DLNG— 'S NASTER PLAY-f3M D7�TE_ D,6PECIDED BY DEP4RTMENT OF E31JILDING PERMIT No. 582 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 4/5 19 69.50 Date 69,50 690buCK7 -PLUNBING Fee$ i JL4 4/05/ Valuation' City Treasurer,and is .0)3CAC This perrn't not valid until above fee has been paid 11 of law- I ( violation of applicable provisions subject to revocation Or FAIR PLU�IBING This is to certify that 2 tubs C osets lission to ba� n has pern dish, i disP, I shower, Zone classification G & 1,1 C0NSr-�PtTjT-j0N CO- owned by Lot— House No. IF,16 Sej_Va Grande t of this permit According to approved plans which are par NOTICE—ALL CONCRETE FORMS FOOTINGS MUST BE IN- AND pOURING. SPECTED BEFORE ) SIX MONTHS PERMIT VOI1 ISSUE -n AFTER DATE OF and debris 1) material, rubbish 0 Building rk Inust not be placed fron, this w(ce and njust be cleared in public spa up and hauled away by either con tractor Or�owner. CONTRACTOR PERMIT oATE FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL SFwER VVATER CITY OF ATLANTIC BEACH CATI ON FOR PLU-131 NG PERIM I DATE Md" LOCAT I ON— PLU-131 NG FI P.M---. l,'.n,STER PLLMER CITY/C0'JNTY OCCU3ATIO,'4AL LICENSE No, STATE CERTI FI CATE NO.- 0JILDER OR C94TRACTOR 101- iYPE OF BUILDING— v S I 14KS S H O,,,E RS YLI-11VATORY WATER K:-:.ATERS B,�TH TU3S DI ShN,ASHERS -U,:D,l !,ALS J DI S,POSALS CLOSETS ',,,ASHI NGG IA;CIil NE FLOOR D-.-�A I NS OTHER TOTAL FIXTURE Cou,ff I NSTALLATI ON OF PLU-31 NIG AND FI XTURES M.UST BE I N ACCORDANCE WI TH THE IMOST RECENT EDITION OF THE SOUTHERN STANDARD PLLr.,BING CODE. The EAergy Pedormance Index(EPI)rating can help you judge how energy efficient a new home is. This card states both the EPI ALLOWED by the Model Energy Efficiency Code for this new home and its EPI rating at this location and orientation, The lower the EPI is, the more energy efficient the house will be and the less it should cost to operate. Different homes can be compared by their EPI ratings if they are approximately the same size. EPI THIS HOUSE:_&?�,,q MAXIMUM EPI ALLOWED: HOUSE SIZE RANGE: —aNt—A 77!-�-3eX:) EPI is unknown; Code compliance calculated under Section EPI might be higher than the maximum allowable for a home this size. Compliance by Section 9 Prescriptive Approach (Sec. 903,11). EPI represents the maximum a!lowed for compliance: tt)e calculated EPI rpay be lower than shown. EPI was calculated under "worst case"conditions to include several ur�ts and may be lower than the number posted. Location of house. Builder/Owner Date: (Signature) Building Official: Date: (Signature) 10E$,, FLORIDA MODEL ENERGY EFFICIENCY CODE LICTION FOR BUILDING CONSTR FORM 902 BOB GRAHAM SECTION 9, 9H POINTS METHOD CLIMATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 g� -2 'ZEI� > PROJECT NAME JURISDICTION AND ADDRESS zip ZONE I AV-Atlrr B U I L D E R rN-., PERMIT NO. 777FT] OWNER JURISDICTION NO. F rry S T A T I S T I C 5 IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE El RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM F-1 ADDITION (SEPARATE CALCULATIONS REQUIRED E]SGL[l H_ I I _�G L[] El MULTI-FAMILY FOR EACH WORST CASE UNIT B DBL[] I TYPE.) SEC. H901.1 190��D LPfl . Fi I I I GROSS WALL AREA AND INSULATION CONDITIONED - CEILING I SULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY R= -77 _F1 El,�q I I �=,- MR= ri I c)I ssil kT, E(E COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE F-1 STRIP GAS NONE 91 RESISTANCE SOLAR UNITARY OIL SOLAR El HEAT RECOVERY GAS EER-SEER FTUN M HEAT PUMP: COP DED. HEAT PUMP: COP E] OTHER: OTHER:- MAX. E.P.I. ALLOWED (from 9A): El�-R�l CALCULATED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* El DATE LF=ORM COMPL�ETION DATE CERTIFIED BY: CHECKED BY: (building official) (owner/agent) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 902 SECTION 9, 9H POINTS METHOD CLIMATE ZONES BOB GRAHAM GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH i tD ;P PROJECT N A M E V,,,(NT JURISDICTION AND ADDRESS 1A-_VL_A"T4t4C__ 9C_�tA ZIP ZONE BUILDER PERMIT NO. OWNER rv� JURISDICTION NO. T7F= S T A T I S T I C S IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE F-1 RENOVATION COVERED BY THIS CALCULATION: CLEAR TINT OR FILM F-1 ADDITION (SEPARATE CALCULATIONS REQUIRED I]SGL[j FT_FT_�GL[] F-1 MULTI-FAMILY FOR EACH WORST CASE UNIT %t. TYPE.) SEC. H901.1 tDBLRI [I MDBL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING I SULATION CBS R= FRAME R= I FLOOR AREA UNDER ATTIC SGL, ASSEMBLY r Ej�� R= I a 1-7.151 F i DRI[i] R= Eal-2 COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM KCENTRAL NONE F� STRIP F-1 GAS NONE K RESISTANCE SOLAR UNITARY OIL El SOLAR 0 HEAT RECOVERY GAS E -SEER ER HEAT PUMP: COP DED. HEAT PUMP: COP =F].= OTHER:-- OTHER.*- MAX. E.P.I. ALLOWED (from 9A): E�.E] I CALCULATED E.P.I.: -h] CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* 0 - DATE DATE FORM CO�MPLETION CERTIFIED BY: CHECKED BY: �101\1 (building official) (owner/agent) _C THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOW N BE-LOW) 71701 1901- 1 �310 1- i �:�01 1701- 1 01- 2301- CONDITIONED 901- 110 15 " 1!�00 9 FLOOR AREA 0-900 1100 1 1700 1900 2100 2300 ABOVE 9 9C� 8 80 BASE E P 1 120 115 110 105 100 95 90 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 JC> IF MJLTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5- DEDUCTIONS IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 Fib- TOTAL DEDUCTIONS BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. t C) E.P.I. ALLOWED 9S e= . CRIPTIVE COMPLIANCE RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRIES S ET OR EXCEED ALL MINIMUM PRESCRIPTIVE APPROACH" (SEC. 903.11) ARE REQUIRED TO ME PLIC APPLICABLE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER P.I. FOR A HOUSE COMPLYING PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E. E.P.I. ALLOWED FOR UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM BOVE SHALL BE THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION A T. AND SUBMITTED TO THE LOCAL BUILDING IDEPARTMEN COMPLETED X 903.5 INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION - WATER HEATER - ASHRAE LABEL t90 3.2 PIPING INSULATION 903.6 ISWIMMING POOLS 903.3 HVAC CONTROLS 903.7 go N 903.8 SHOWER FLOW RESTRICTORS 90 3.4 HVAC SYSTEM EFFICIENCY SECTIO 903.10 CEILING INSULATION CLIMATE ZONES 123 FF 0 R M 902 WINTER OVERHANG FACTOR (WOF� SUMMER OVERHANG FACTOR (SOF)l 9 F I FEET N NE E SE s sw w Nw FEET N NE E SE s sw w Nw ------- ---- ---- ---- ---- ---- ---- ---- ---- ------- ---- --- ---- ---- ---- ---- ---- ---- 0-0.9 00 .9<�. 74 0.71 0.82(:�.00 0-0.9 1�,o 1.00(�.00 1.00 1.00C,-�0 --00 (L:� 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0 1 .00 9 1 2-2.9 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 98 1 .00 0.98 0.99 0.77 0.76 0.84(�94 00 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 077914- 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5,9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0�93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0. 77 0.68 0. 70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0�99 0.99 0.99 1.00 10-10.9 0.98 0. 77 0.66 0.66 0.76 0.66 0.66 0.77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1 .00 1.00 11-11.9 0.97 0. 76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 HEATING SYSTEM MULTIPLIER (HSM) COP k.2-2.3 T.-4---2-5-*"1 2.6-2.7 2.8-2.9 3.0-3. 1 3.2-3.3 3.4 & UP HEAT PUMP H-SM .�.45' :LQ.�4 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.00 NATURAL-GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) COOLING SYSTEM MULTIPLIER (CSM) 9H -9.4 9.5-9 0-5-10.911D-11.9 12.0-UP -7�0-7.4 7.5-7.9 8.0- 4 EER/ 6� 11 .8-6.9 8. 8.5-8.9 9.0 .9 10.0-10.A4 1 ELEC. SEZ--/ -- 0.�66 5 0.62 0.59 0.54 C S �_�g 3 0.87 0.81 0.76 0.72 0.68 9 'o 0.65-0.69 70 & UP COP 0.40-0.44 0.45-0.4910,50-0.54 0.5 5-0.5 9 0.60-0.6 4 - 1 0. - GAS 1.20 1.09 1.00 0.92 0.89 'S CSM 1.50 1.25 1 *ALTERN.ATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. �NOTE: EER = COOLING MODE COP x 3.4 1 3= ARI RATED COOLING OUTPUT IN BTUH TOTAL WATTS CONSUMED 9-1 HOT WATER CREDIT POINTS (HWCP) 0 ELECTRIC RESISTANCE WATER HEATER 10 GAS WATER HEATER INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 6.7 HRU (A/C) WATER HEATER ELECTRIC BACKUP 13.9 GAS BACKUP ---- ELECTRIC BACKUP 9.7 HRU (HP) WATER HEATER GAS BACKUP --- 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 :2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 1 14.4 15.4 OVERALL SOLAR FRACTION' 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 SOLAR V. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 JA A lco HOT WATER S '-- I I � 1 22.6, 1 24.0 Lu z P 11.4 12.8 15.6 1 17. 1 1 11 i 1� a GAS BACKU U PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM -* 100 = OVERALL SOLAR FRACTION 4