1495 Selva Marina Dr (vault) TYPE WORi��Z
JOBADDRFM
PAOPERTY O.,.��� Y
MEPHONE 9
CONTRACTOR
1
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PERWT NUMBER ? DATE 12-11014
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RE
f CF-TVED
AUG 1 9 2007
OFFICE OF THE CITY CLERK
CHANGE OF ADDRESS NOTIFICATION
Date: August 15, 2007
Please be advised that the following address(s) have been changed and adjust
your records accordingly.
x Residential F-1 Commercial
OLD ADDRESS NEW ADDRESS
1. 1170 Seminole Road 1495 Selva Marina Dr
2.
3.
4.
5
Sincerely,
Dave K. &tiler
Building Official
cc..
Jacksonville Electric Authority Attn- Jack Davis, Pre-Service Dept.
21 W. Church St. —Tower 4
Jacksonville, FL 32202
Property Appraisers Office Attn: Sandy Carver
231 E. Forsyth Street
Room. 360
Jacksonville, FL 32202
911 Emergency Coordinator Attn' Pat Welte
501 E. Bay Street
Room 312
Jacksonville, FL 32202
United States Postal Service Attn: Wayne Holt
1001 Mayport Road
Atlantic Beach, FL 32233
City of Atlantic Beach —City Hall Atlantic Beach City Clerk
Atlantic Beach Police Department
Atlantic Beach Water Department
CHANGE OF ADDRESS NOTIFICATION
Date- August 15, 2007
Please be advised that the following address(s) have been changed and adjust
your records accordingly.
x Residential F-I Commercial
OLD ADDRESS NEW ADDRESS
1. 1170 Seminole Road 1495 Selva Marina Dr
2.
3.
4.
5
Sincerely,
All-
U st) TQ414
Dave K. stetler
Building Official
cc..
Jacksonville Electric Authority Attn- Jack Davis, Pre-Service Dept.
21 W. Church St. —Tower 4
Jacksonville, FL 32202
Property Appraisers Office Attn- Sandy Carver
231 E. Forsyth Street
Room. 360
Jacksonville, FL 32202
911 Emergency Coordinator Attn: Pat Welte
501 E. Bay Street
Room 312
Jacksonville, FL 32202
United States Postal Service Attn: Wayne Holt
1001 Mayport Road
Atlantic Beach, FL 32233
City of Atlantic Beach —City Hall Atlantic Beach City Clerk
Atlantic Beach Police Department
Atlantic Beach Water Department
CHANGE OF ADDRESS NOTIFICATION
Date: August 28, 2007
Please be advised that the following address(s) have been changed and adjust
your records accordingly.
XX Residential Commercial
OLD ADDRESS NEW ADDRESS
1. 1495 Selva Marina Dr 1490 Selva Marina Dr
2.
3.
4.
5
Sincerely,
Dave Hufstetler.
Building Officl�/----t
Cc:
Jacksonville Electric Authority Attn: Jack Davis, Pre-Service Dept.
21 W. Church St. —Tower 4
Jacksonville, FL 32202
Property Appraisers Office Attn: Sandy Carver
231 E. Forsyth Street
Room. 360
Jacksonville, FL 32202
911 Emergency Coordinator Attn: Pat Welte
50i E. Bay Street
Room 312
Jacksonville, FIL 32202
United States Postal Service Attn: Wayne Holt
1001 Mayport Road
Atlantic Beach, FL 32233
City of Atlantic Beach—City Hall Atlantic Beach City Clerk
Atlantic Beach Police Department
Atlantic Beach Water Department
LMBC0401 City of Atlantic Beach 8/15/07
Address Misc. Information Maintenance 11:13:49
Location ID . . . . . . 14794
RE_-Pumber . . . . . . . 171981-0000- -
NCR OLD ACCOUNT NUMBERS
Location address . . . . 1495 SELVA MARINA DR
Primary related party FASARELLI DEV. , INC.
Type information, press Enter. Special
Sequence Code(F4) App Free-form information Date notes
1.00 NOTE UT PER LETTER FROM BLDG.DEPT. 1/14/97 11797
2.00 ONE UTT REQUESTING CHANGE OF ADDRESS FROM 1170 11797
_7_.U_0 NOTE UT SELVA MARINA DR. TO 1170 SEMINOLE ROAD. -IT-79-7
4.00
5.00
__T_._0D — —
7.00
8.00
9.00
10.00 More. . .
F2=Address F3=Exit F5=Notes display F6=Change display F9=Parcel Notes
F10=Subdivsion Notes F12=Cancel F16=Related pty data
2007
BY
CHANGE OF ADDRESS NOTIFICATION
Date: August 15, 2007
Please be advised that the following address(s) have been changed and adjust
your records accordingly.
x Residential F-I Commercial
OLD ADDRESS NEW ADDRESS
1. 1170 Seminole Road 1495 Selva Marina Dr
2.
3.
4.
5
Sincerely,
Dave K. Hufstetler
Building Official
Cc:
Jacksonville Electric Authority Attn: Jack Davis, Pre-Service Dept.
21 W. Church St. —Tower 4
Jacksonville, FL 32202
Property Appraisers Office Attn: Sandy Carver
231 E. Forsyth Street
Room. 360
Jacksonville, FL 32202
911 Emergency Coordinator Attn i Pat Welte
501 E. Bay Street
Room 312
Jacksonville, FL 32202
United States Postal Service Attn- Wayne Holt
1001 Mayport Road
Atlantic Beach, FL 32233
City of Atlantic Beach —City Hall Atlantic Beach City Clerk
Atlantic Beach Police Department
Atlantic Beach Water Department
14
8.15.07
R E: C E I V E: D
CIT'Y OF ATLANTIC BEACH
AUG 1 2007
City of Atlantic Beach
800 Seminole Road
BY:
Atlantic Beach, F1 32233
RE: Address Change: 1170 Seminole Road to 1495 Selva Marina Drive,Atlantic Beach,
FL 32233
To Whom It May Concern:
Please allow this letter to serve as authorization to change my residential address from
1170 Seminole Road to 1495 Selva Marina Drive.
Sin rely,
in rely,
EL
ellyy Diaz
Page I of I
Graham Shirley R E C E I V E L-5-
G 14;111 Q 0-
LI�N I R- HEAUH
From: Hufstetler, David
Sent: Wednesday, July 25, 2007 8:05 AM
2007
To: Graham Shirley
Subject: address change
BY:'
Shirley,
Kelly Diaz (247-1873) lives at 1170 Seminole Road. She has asked me to change her address because
people/deliveries can not find her house.
New address: 1495 Selva Marina Drive
Do you know how to accomplish the change? I know we have to consider the post office, 911, bellsouth etc.
Dave
8/15/2007
bll-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Dills)
Application Number . . . . . 04-00028383 Date 5/27/04
Property Address . . . . . . 1170 SEMINOLE RD
Tenant nbr, name . . . . . . REPLACE HEAT PUMP
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DIAZ, MIKE AIR SYSTEMS OF FLORIDA INC
2815 ST.JOHNS BLUFF
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 642-9700
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 51 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 51 . 00 51 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 51 . 00 51 . 00 . 00 . 00
PEX�IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
BUILDING OFFICIAL
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLOEUDA32233
APPLICATION FOR MECHANICAL PERMIT
1MPORTANT —Applicant to complete all items in sections 1, 11, 111, and IV.
Str et Address: /176 ::;j�&/,I,i/
LOCATION OF Intersecting Streets:Between And
BUILDING Sub-division
11. INDENTIFICATION—To be completed by all applicants.
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good p!2ctice listed therein.
Name of Mechanical Contractors
Contractor(Print) AIR SYSTEMS OF FL Master
Name of Property CAC058757 KENNETH ERIC CAVEND'-,R
Owner -D
Signature of Owner Signature of
Or Authorized Agent Architect or Engineer
111. GENERAL INFORMATION
A- Type of heating fuel: B.
Q Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
C3 Gas: —LP —Natural —Central Utility BUILDING OR SITE? AJ
0 Oil
El Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION
PER-NUT
IV. NATURE OF WORK
MECHANICAL EQUIPMENT TO BE El Residential or Commercial
INSTALLED Q New Building
(Provide complete list of components on back of thLis form) C] Existing Building
EI Heat _Space _Recessed 1-6entral Floor R'— Replacement of existing system
Za'Air Conditioning: Room <�� Q New Installation(No system previously installed)
• Duct System: Material Thickness 0 Extension or add-on to existing system
Maximum capacity —cfm El Other- Specify
• Refrigeration
L3 Cooling tower: Capacity
C3 Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY
C3 Elevator: — Manlift—Escalator_(Number) (Received)
0 Gasoline pumps�__(Number)
C3 Tanks _(Number) Remarks
Q LPG containers (Number)
C3 Unfired pressure vessel Permit Approved by Date—
C3 Boilers
C3 Other-Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
A,'A,'VX (Tons) Agency
z 627"'
HEATING-FURNACES,BOILERS,FIREPLACES Manufacturer Capacity Approving
Number Units Description Model Number (BTU) Agency
TANKS Approving
How Many Nominal Capacity Type Liquid Nameof Serial
And Dimensions Contained Manufacturer No. Agency
CITY OF
-d
13,a4C,'A–0;&U a
office of Building official
REQUEST FOR INSPECTIO
Permit No.
Date
Time b%0— tISFA-�
R---ived
11-7 LocalitY
J0 dress
i's t,r
Owner's I
Niarne PLUMBING MECHANICAL
CONCRETE ELECTRICA 0 Air Cond. & 0
iring C) Rough
<IEEiD Footing Top Out 0 Heating
Framing 0 ol 0 0
Re Rooting 0 Slab Temp P a Sewer C] Fire Place
11 Lintel 0 Pre Fab
Insulation .01=::4
READY FOR INSPECTION
�A
rt'A Ot Thurs. CFriday
Tues. Wed.
Mon. A.M.
P.M.
inspection Made Final inspection
inspector Certificate of Occu cy
Date
CITY OF
BeacA-07
office of Building OffiCi I
"ici I
REQUEST FOR INSPEr6N 77
Date Permit No.
A.M.
Time P.
Received
o lity,
Job Address
Owner's
Contractor
Name MECHANICAL
ELECTRICAL PLUMBING
BUILDIN NCRETE _/ � 0 Air Cond.& 0
D Rough
Framing El Footing Rough Wiring F- Top Out El Heating
.I
Re Roofing El Stab 1-4 Temp Pole C Sewer 0 Fire Place 0
Insulation 11 Lintel 0 Final Pre Fab
READY FOR INSPECTION ;M1
Mon. Tues. Wed. Thurs. (�FridDay
A.M.
Inspection Made S Final Inspection El
Inspector Certificate of occupancy Ij
Date
CITY OF
Be4aA
Office of Building official
Ic
REQUEST FOR INSPECT N
Permit No.
A.M.
Time P.
Received ----------
ocality
Jolf-A'�dress
Owner's
�tePLUMBING MECHANICAL
UILDING CdNCRETE ELECTRICAL 1:1 Air Cond. &
Framing El Footing El Rough Wiring D Rough
Re Roofing 11 Slab El Temp Pole F1 Top Out El Heating
insulation Lintel D Final El Sewer El Fire Place
x REC INSPECTION Pre Fab
Mon. We Thurs. Friday
Inspection,Made P.M.
Final Inspection 1:1
Inspector Certificat f occupancy E
Date
CITY OF
4&4a&a 13e4c.4-q&U614
ly
Office of Building official
REQUEST FOR INSP T
Date G- 1-7,01 Permit No.
Tim co A.M.
Received
L0(;d111Y
owner's b Address -,7 /z, 6
Name' 4 Contractor PLUMBING MECHANICAL
B ILDING CONCRETE ELECTRICAL El Air Cond. & D
Framing D] Footing El Rough Wiring [j Rough El Heating
Slab 11 Temp Pole Ei Top Out Fire Place
Re Rooting 0 Sewer
Insulation Lintel 71 Final Pre Fab
READY FOR INSPECTION AM
Tues. Wed. T(,5rs i� Frii-;, —PM1
6D A M
Inspe Mlade FinaL4Q���
Inspector— Certificate of occupancy
Date
Date OP
7/./?7e OY,.
lee c4
Of aq.7
Po 0
O�V, 'JOb
/V,
c7t?7 SS
pe
rf?v
0.
oting
/17SIOLIcti",
194, 117a/
11,SlDftt-r L4
IWVL.",,.010 op IIJ
elwver
r
re p
44f rhurs� pre ce
P4f. PrIbla
e
A Of r)-
--�71TY
Office of Building official
Date REQUEST FOR INSPECTION
T me
'r 2017-7
Received AAJ Permit No.
1176) PM:
Job Address
Owner's Locality
Name
BUILDING
Framing CONCRETE ELECTRICAL
Re Roofing 0 Footing 0 PLUMBING MECHANICAL
In 0 Slab Rough Wiring E Rough
sulation 0
TemP Pole El Air Cond. &
a, —
Final Top out Heating El
Sewer
El Fire Place Ej
9s —7ELECT Localitv
NG CONCRETE
F
Mon. ues RE PECTION Pre Fab
Thurs.
inspection Made Friday
<=>
Inspector P.M.
Final Inspection 0
Certificate Of Occupancy E-j
Date /— 4,117— 4�-1
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
800
ELECTRICAL PERMIT
ON
PERMIT INFOR
L Address-
I nPATION-INFORMATION .'
Permit Number: 21288
rm it Typ . C Address: 11 tu sEMINOLE ROAD
Permit Type: ELECTRICAL
ss of W ur ATLANTIC BEACH, FL 32233
v
PCIass of Work: REMODEL v Township: Range: Book:
IfLA11
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued: 1/16/2001 Name: DV�, MIK?EAN�DKELLY
Total Fees: 25.00 Address: 1170 SEMINOLE ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 1/16/2001 Phone: -1873
-��EFOR ROOM ADDIT— (904)2471
Work Desc. WIR 'ION REMO EL
CONTRA R
imp.
UNITED ELECTRIC COMPANY OF JAX PERMIT 25.0-0-
specti n
–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
42FAILURE 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-
!25-M 14
Date: 1/16/61 @1 Receipt. MU487
CHECKS 45916
TIC BEACH I§UILDI�G DEP
CITY OF ATLANTIC BEACH. FLORIDA
F= APPLICATION FOR ELECTRICAL PERMIT
I I i Qool
TO TtIE CIIIEF ELECTRICAL INSPECTOR: DATE: Jw_
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.
Ujj, 4eJ
ELECTRICAL Fonm- MIAASTER ALECTRICIA 1�2NAT�UR JQURNEYMAN
NAME ))I,c� Z_ Ji dzo u-,_ ADDRESS:__Ll RFD_BOX_
BLDG.SIZE BETWEEN:
RES. APT.( comm.( PUBLIC INDUS. NEW( OLD(I REW.
) 5G,
ADDITION TRAILER TEMP. SIGNS SO.FT.— _
SERVICE: NEW( INCREASE REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUM.( )
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH 3 w /-'VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEAL L/ OPEN ETOTAL
CONCEA TOT
RECEPTACLES I OPEN TOTAL
0.30 AMPS. _3_1.100 AMPN_
SWITCHES
INCANDESCENT
FLUORESCENT M.V.
0 00 AMPS 0
FIXED BELL TRANSF.
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 H.P. VOLTAGE PHS
MISCELLANEOUS r-,L b 0- /
_c,(,(Ck a7,77 5
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
NO.NEON TRANSF. NO, VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
s
TOTAL FEES
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATIONINFORINATION
Permit Number: 21292 Address: 1170 SEMINOLE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est Value: Parcel,Number:
Improv. Cost: OWNER INFORMATION-
Da te Issued: `1116/2001 Name: DIAZ, MIKE AND KELLY
Total Fees: 25.00 Address: 1170 SEMINOLE ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 1/16/2001 Phone: _t��247-j873
Work Desc: DUCT SYSTEM
C 0 N T R A 9 R 3 1 k *FEES ,;;
AIR ENGINEERS INC. AT%W PERMIT �z', 25.00—
V
FINAL
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 IMPROVEMENTS11
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 1/16/61 It Receipt: OW497
AMNTIC BEACH 4BUIL6*Ia--QEPT. DECKS 32212
06IMM3221NO
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC DEAC11-11
AILA"TIC DRACA, FLORIDA 3243J
APPLICATI ON FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to cornplefe all iferns in sections 1, 11, 111, and IV.
LOCATION And
OF latersatGAI Streetv 11�01.0@n Al 611, aZgtltV—�
DUILDING 0
11. IDENTI I FICATION — To be completed by all apPlicants 'a by agree to.pIrform said wort in 6ccordance
to com0cisraflon of permit given for doing the wo(i as described in the above tiaternent we he y
with The C;t of Jacksonville ordinances and ilandardi
�i—
.ith #kj dfischyd plant &1,d Spec;(;cal;ons which are 8 port hereof end in accordance
of qc�crj practice Jilted therein.
c """'are
El;
44 Contrast*($ &A
C'***ar4f*-r llt�r;od) _TAJC Master
C 112 0
Pre,por+y ow a 6 r
tv=a04 C�Waft Architect or Engineer
aeel Aveal
60401 INFORMATION 3 43 is-
A* Ty" V�"NA9 sw*l: IS OTf(1n CONSTRUCTION BEING OONK ON
0 00ciiie THIS BUILDING OR SITE T
0 0 LIP 0 Nahifill C*"IIIj UI;vty
if YES, GIV! NUMBER OF CONSTRUCTIO14
-7
El 04 PERMIT /02
0 ot�� ift,
WM0kMJICAj WUWMWT TO N 04STALLM NATURE OF WORK
of.traffilaosioall on b4clit*1 Ak "I FJ Residential or El Co"ImOrcist
13 C�veilpell C3 FUw Ll New BUIIdInq
Space [3 karts,"44
Lj Existing 80ding
A;r C6'44;*96V 13 Ill— 13 C�**" -
I'VA — 1111111clases— 1-1 Riplacement ot existing system sly installed).
'300 El Now Installation(No system PferviOu
mosimiam cop*dfy
tj Extension or add-on to existing system
0 Other — Specify
13 Fw* 011110tihisio": ku""' cj
0 ttaoiw t3 M#aulf 0 TIJUS WACO �011111 OMM UN ONLY
0 —law I
[3 LPG comr4lbon—
(3 U*#;"W A"mv*J 6y— 011111111111—
(3 &*Aws
13 0*- Permit vs.
LIST ALL XQUIPMEN,r
AIR COMXUONM AND P"RIGEILATIOti EQUIll'U"If Cavele" Ang"teg
MOM Number mmufacturse (TOM) Ag*W
MAJING , FUANAC", SOILE", PIP"LAM
Ji,tr�tram vestelr4aft Xc4M rfumbitr (*IV) Aglow
TANILS saw ArpmIng
XvvF X"T Newma cespacitty of
Saw Vbmo"60" No. Ar"y
:alep 5u,"',
lua§4" lelol
80 pajapual jejol
q@jw$ )04D H3
00*Wt 1jejap -AapUaJ
Q@,W-$ sell olb-mll" wn
aera
junovu I'M
D *aleo
u 101a3av is L61911, .,lane
10 XTKN
M-Lawlz
*" Idl
IA
CITY OF ATLANTIC BEACH
r-r-%A r%-r R A r-k i-T' -%r-
ur-r'/Am 1 ivir-N I Ur BUMUDIINK.3%
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAK 247-5877
PERMIT INFORMATION LOCATION INFORMAT16N
Permit Number: 21077 Address: 1170 SEMINOLE ROAD
Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 34,000.00 --k—FORMATI-0-4--
OWNER
Date Issued: 12/01/2000 Name: DIAZ, MIKE AND KELLY
Total Fees: 270.00 Address: 1170 SEMINOLE ROAD
Amount Paid: 270.00 ATLANTIC BEACH, FL 32233
Date Paid: 12/01/2000 Phone: (904)247-1873
Work Desc: CONSTRUCT ROOM ADDITION
—------------
C�ONTRACTOR(S) APPLICATION FEES
'CORNELIUS CONSTRUCTION COMPANY PERMIT 270.00
-.1rispections,Required
FOOTING/SLAB FRAN I NG/COVER-UP FINAL BUILDING
INSULATION
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: 12/81/00 81 Receipt: 0015578
CHECKS 2625
881OM3221M
ATLANTIC BEACH BLALDING DEPT.
CITY OF ATLANTIC BEACH PER14IT CALCULATION SHEET
Address
Date
Heated Square Footage rP @ $_per sq f t = $
Garage/Shed V1 @ $_per sq ft = $
Carport/Porch K A @ $_per sq ft = $
Deck @ $_per sq ft = $
Patio @ $_per sq ft = $ 0c)
TOTAL VALUATION : $
J4, coo $
Tota /Valuation ist s 10'ro
'3.j /6 77,
,7 I&r $
Remaining Value J-- per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ C?O
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $ 0
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ L)
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp_ ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES:
RECEIVED
NOV 13 2000
City of Atlantic Beach
Building and Zoning
CITY OF ATLANTIC BEACH
PEP-MIT APPLzcAT:rolv RENODEL, ADDITIONS, OR ALTERATIONS
MOVING, DEWLXTIONS
owner(s)
Job Address: 1170 SW1A161F-.Ri2 - Phone:
Lot # Block or Unit # subdivision:
Contractor: rrA 2 State License #e-f3Co49%q
,-
Address: L.-Phone No:
City State El- Zip Code
Describe work to be done: ATTACIAV12 216ifO-"S
Present use of building: 6
Valuation of Proposed Construction:
Proposed use: AL—
Is this' an addition? 11"F_5 If yes, what arethe dimensions of the added
I
ft. X ft. will the added area be heated and
sp.ace;_ )�
cooled? cal (o<in rease) ?)
New alectri i n_=c
_AkNew Heat/AC?-dO--
New plumbing fixtures?_&[D_ New fireplace?
SUBIaT TM= (CoMkERCIAL) FWO .CRESjj=TjAZ) CCWLETE SETS OF PLANS, INC.LVDING
Z;OrZCE or 4�-OMKWCENW, AND
Z19RGY C01717 -FOPMS,
L;�DAfjT-v
OWIMICON r. ONIMR ZS CONnUXTM
Date
Signature OWNER. CA
Date:
Signature CONTRACTOR:
AS TO OWNER: f 2000.
sworn to and subscribed before me this 0
ette
L/ CC9 12 ExPiRES
N6��YPUBLIC 470
MY COMMISSION#
August 27,2004
AS TO CONTRACTOR: BONDED THRU TROY FAWNSURANCE.INC,
2000.
Sworn to and subscribed before me this/-3 day o;l/,
A
0 Y PUBLIC
"W"I Patricia Amonette
:q MY COMMISSION i CC947012 EXPIRES
August 27,2004
BONDED THRU TROY FAIN INSURANCE INC.
I II,
FORM tOOA-97
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Builder: GERALD BISHOP
Project Name: 256 ADDI-TI&N Permitting Office:
Address: Lot: , Sub: Plat: Permit Number:
City, State: Jurisdiction Number:
Owner:
Climate Zone: North
1. New construction or existing New 12. Cooling systems Cap: 12.0 kBtu/hr
Single family a. Central Unit
2. Single family or multi-family SEER: 10-00
�:of u
3. Number of units,if multi-family
4. Number of Bedrooms b.N/A
Yes
5. is this a worst case?
256 IF c. N/A
6. Conditioned floor area(ft)
7. Glass area&type 0.o fe 13. Heating systems
a. Clear-single pane 15.0 ft2 a. Electric Heat Pump Cap: 12.0 kBtu/hr
b. Clear-double pane .0 ft2 HSPF:6.80
c. Tint/other SC/SHGC-single pane 0.0 f12 - b.NIA
0
d. Tint/other SC/SHCYC-double pane
8. Floor types -
R=0.0, 16.0(p)It - c. N/A
a. Slab-On-Grade Edge Insulation
b.Nit,
14. Hot water systems
c. N/A Cap:50.0 gallons _
9. Wall types .0 ft2 - a. Electric Resistance EF:0.88 -
a. Frame,Wood,Exterior R=19.0'128 - b.NIA -
b-N/A
c. N/A c. Conservation credits
d.N/A (HR-Heat recovery�Solar
e. N/A DHP-Dedicated heat pump)
10. Ceiling types R=30.0,268.0 IF 15. HVAC credits
a. Under Attic (CF-Ceiling fan,CV-Cross ventilation,
b.N/A
HF-Whole house fan.
c. N/A PT-Programmable Thermostat.
11. Ducts RB-Attic radiant barrier,
a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0, 1.0 ft Mz-C-Multizone cooling,
b.N/A MZ-H-Multizone heating)
-. 0-06 Total as-built points: 4214.70 PASS
Glass/Floor Area Total base points: 4797.80
nd specifications covered Review of the plans and jVItE S7_4y,
I hereby certify that the plans a
liance with the Florida specifications covered by this
by this calculation are in comp pliance
calculation indicates com
Energy Code. with the Florida Energy Code.
y- Air ENGINEERS, Inc.
Before construction is completed
PREPARED B .
he eb e that the P'
tion are in c
is I
by th ca Gul
Energy Code
y
RE ARED B
t4fl V
this building will be inspected for
DATE: NOV 13 ZUUU compliance with Section 553.908
I hereby certify that this building, as designed, is in Florida Statutes.
compliance with the Florida E ergy Code.
41�1'�" BUILDING OFFICIAL:
OWNERIAGENT: _A41`1I 11 1, "1,,,
DATE:
DATE:
EnerovGauae(g) (Version: FLRCNA-200)
F
I
F 0 RM tOOA-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
PERMIT#:
[ADDRESS: Lot: , Sub: , Plat: , I I
BASE- AS-BUILT
FG;LASS TYPES F
.18 X Conditioned X BSPM Points Overhang X SpM X SOF Points
Floor Area Type./SC Ornt Len Hgt Area
.18 256.0 33.06 1623.2 Double,Clear E 1.3 5.0 15.0 40.22 0.90 543.5
As-Built Total: 16.0 643.5
- R-Value Area X SPM Points
WA7LL TYPES Area X 6SPM = Points Type
19.0 1? '0 0.90 115.2
FAdajcent 0.0 0.0 0.0 Frame.Wood,Exterior
Exterior 128.0 1.70 217.6 128.0 115.2
Base Total: 128.0 217.6 As-Built Total:
- - Area X SPM Points
FD070RTYPES Area X BSPM Points Type
Adlacent 0.0 0.00 0.0
IExterior 0.0 O.OD 0.0 0.0 0.0
u.0 As-Buift Total: -
Base Total: 0.0
R-Value Area X SPM Points
FcEILING TYPES Area X BSPM Points Type 4 So Q
rea
0
X BSPM Po
0
in
0
tS
.0
Type
00 0 00 00
0-0 0-u AsZuilt Total-
Area X BSPM Points Type
L 30-0 0.60
0 J-
-,r-=.o 0, Jnd
Under Attic 2- 0.6ac 1,531.6 Under Att�_- 268.0 160.8
Base Total: 256.0 163.6 As-Built Total:
FLOOR TYPES Area X BSPM Points Type R-Vaiue Area X SPIVI Points
Slab 16,0(p) -37.0 _592 0 Slab-On-Grade Edge insulation on 16 ON!"') -41,20 -659.2
163*6
M P:
0 tj
in S
_0
70
0-00 0.0
Raised u_u -669.2
Base Total: -692.0 As-Built Total:
Points
I =7PoinjS Area X SPIVI
!NFiLTRATiON Area X:B:S:PM = Podints ?56 0 10,21 26,13.8
256.0 '021 26138 11
2774.0
Summer Base Points: 3916.1 Summer As-Built Points:
X System Coofingj Total X Cap X Duct X System X Credit Cooling
Total Summer C po Multiplier Multiplier Points
Multiplier Points Component Ratio Multiplier
Points
DOC,
3916.1 0.3573 1399.2 2774.0 1.00 1.047 0.341 1.000 99 .3
EneravGauaeTm DCA Form 60DA-97
F 0 RM WOA-97
WINTER CALCULATIONS
d A L a i I 5__
dal imtho N - De.
Residential Whole- Buil no PeitorrnCan c%e Me
i
ADDRESS: Lot: , Sub: , Plat: . . . PERMIT#:
r BASE AS-BUILT
A GLASz-S TYPES
I I Overhang
18 X cond t oned X BWPM Points Type/SC Orrit Len Hgt Area X WpM X WOF 1
--- Floor Area 41.8
450 Double,Clear E 1.3 5.0 15o 909 1,04
256.0
10 16.0 141.8
As-Buiit Total:
R-Value Area X WPM Points
WALL TYPES Area X BWPM Points Type
28,
n' Frame.Wood,Inxterior
Adaicent U.;
Exterior 128-0 3.70 4-73.6
128.0 281.6
473.6 As43uiit Total:
Base Total- 1128.0
DOOR TYPES Area X BWPM Points Type Area X WPM Points
Exterior 0_0 0.00 O.C)
0 0
0.0 As-Buiii Total:
Base Total: 0.0
pM Points
CEILING TYPESArea X BWPM Points Type R-Value Area X W
Z7,
A
3 0 7,2
AtUr-
307.2 As-Built Total: 268.0 321.6 1,
Base Total: 256.0 1 - I
Y �jrj P R A C?
P p;=S- Ar a Y B"APRA Points
TV e
-300.13
Viab 6.01D) 8.9 14Z4 Slat,-on-Grade EdCayelinsuillation Q-a,U` 16.60
0-00 0.0
0_0 3010.8
542.4 As-Buzin Totak
aase ToUl!
Area X WPM
inis
iL7,RA-1 i0ki Area X BWPkii PO'
25Z_0 -0.59
V -151.0
4
91.7
1222.1 1 Winter As-Built Points:
i Winter Base Points:
Credit Heating
Heating 1 1 ntal X Cap X Duct X SYS-e X
Total Winter X Sly'stern Multiplier Multiplier Multiplier Poinis
Points -ornponent Ratio
Points Multiplier U - .. -.
I.Wo 41 f.4
894.7
1.000 4-17.4
U.Sul
894.7 1-00 1-064
1222.1 0.6340
EnerovGauaeT- DC-Alzorm 6"-97
cORNIN! b"OOA-97
A
INC N G &
W AT H PA On.,D G-,-C)IM P A N S T
A
er"form
fini Deta
Rallici, —, P ance- Me- o
,�Rlcl%ld n a. h le
VV
------------------ P PER.?0 1 r
otai
f PP Number of X TanK y Multiplier X Credit T
Number of X muiliplier Totai all Multiplier
volul-rie Bedrooms Ratio
Bedrooms
27746.001 2705-5
27746.0 -50.0 OM
2746.OD
A*43uNt Total:
C 0 D E-
11" T
T-4
W—f -M.
Total C U,o r! + i e a tir n g
W�
Heat;— + W k�. Points
v i mot a4 Points Points Points Points
Points Points Points
2, 42,
4.- -4
�,-5 A
A
P PAS
�'IM S7A
0
ZA
4;�
RE2 51.
W.1
EneravGa1jQPTm DOA Form 6MA-97
ClivheCki-st
Uckdap'� x—t-nmrm 92nca-
nfi LJp
ormanc
t -
ADDRFRS: L -Sub: Plat*
GA=21 INFILTRATION' REDUCTION COMPLIANCE CHECK
XmENTS FOR EACH PRACTICE
COMPONTIrrs ---FSECTION REQUIp ft.window area:.5 ctmfto-fL dOw wea-
Dderior WOKkms&Doors mawum-.3 ctmigg
iramea,
—uwald
sea! i4ii
I
tit 6fty,
vdenior w-a"I panefs a',C^-Mz-'3,
30!e- -fl,
i ;nda+
son tw
ipen-��".�.�ons:be,vieen,,rr-"Daneis&toproatkomPhtm:be ven"Wsandf
Mn;-As
to,Ihe ITU7114�afion to thm-�t-
and is swfed -kd by truss or Imnt members.
_4 C.1.2-2 �'l ff'sea�un'b'
Floors .AB I Pem is sca!Zv
L -;;;� --i-1--azi .�d
1 to t1he eer,pq.T�p_�iand
r6D6 1ABC-11-2-3 Between waft&cedinQ-s:Pm&a*m of cefing Plane Or mp rKKK'km
board-St
Qhim
barneris
Fmame ceffiInp a confinumminfiftation
affic wcess-EXCEPTIO
#%t is a&-Lw at ftwe penmeter Www-ftm and smm.
--S!a
�4 T
i
Lign! ures or pe C ed 2.0 cifin fre.
MUM-, Ty rat
I sea-!ed
.ghpped s
0A
%gum-s:�onv Hcus
A dditi-onall 11 n cqts AB 1.4.3 Ex-hau-st,fla—M VentedtO da..per-
haw combushon air
--ences.)
a A E5CF!PT'1'VE &qEASURES (-..Iu--*-be met or exceeded b�
-02 OTHER PR CmCm
REQUIREMENTS
SECTION
_0m
.-OM-p-
al—
Extc
is
--------------------- ac.-ept solarheasted).Nlon-cOri-nlercia-Pw
43-must-"--,ie
Spas&.14ated Dim
1612.4
c'7S%
nan --,,--s per rr&AAe at 80 PS1
6�4121 Water Pm mUs!be- to no Frowe 11
Wisps
m==dancc the crftc�Gf Sccta, elf!
mir
viManed attics:R-B.
Mcts m imcon
R-3
DL; corm.a=-- -,,era -200
X
I V
Z_S E
A
Thehia r the sCore_thW'more e
Lot' PIAf
Cap: 12-0 kBtuihr —
Singie tamily, a- Centoul Unit
I Singie tafflAY Or Inulti-ii"n"y I SEER:IOAX) —
3, NuznbcrDf unitS,if mulfi-&-dly
4.
is dus a Worst Gaise� 256 if c. NA
(;ondmonca U001 ar-,a Of)
7 Gftm;--r=&t%—.--
..A.R_
a ;'A tw-sz.-.19W PRt a. &MYxic HeaT PUMP
'D.cleu-doale pane L3.ij ir go
Or,
Wi NIA
r.9d A
a. E&e or.
C. Ejectne Resmistanec Cap:50.0 ga-flons
9. W_-fi 1mix—,
h NIA
h. WA
N/A
A XVA
, ,�:� (HR-Heat reoovetY�S4118r
e- NA j)HP_Dc&catcd hcat pump)
10. Ceihng 1)�- lit.
R=�310.10 wljjc.�w " �
ed
tV-Cruss VendiaLlon-
b.NA HE--*how hou-tan,
c. NA Thcrml-stat
Owt.- U�;1-acLiain!
Uric "amp�
b.!,;!A MZ-7ti-Mulfizone h-ting)
t-_nry Co_�de_FL%r RI!i1ifina
vLit I Finrifin
rprtifv th thic hnmt�has -h -he- ------ -W ------
-OnSM"--on ftrougii gy savmg features mhichwiR be maalled(or exceeded)
the above en--'
Display Card will be completed
in thiS home before final inSpeCtion.cAberwi,,se, a new EPL
basea on im-ta-lied Code co-MVIMM iemtwres.
Date'.
_9_E
Bm"I&I Sig=-MM'
C.ityJTL Zip: W-t
Address Of New Home:
.. ......
W F 'rgv degignation).
is 80 or Preater(or 86.for a [,,. TAIDOF Fn-
This is not a Buildin.Q pnerny Rating- If vourscore da EnerV Gauge Rating
�,rficjenry mnrtgage(E—F"incentives ifyou obtiin a Flor!
your home-MOY Vafifi;far e"ew W-- -------- ---
cvC
nyarmati,-j"about Floridas Fnerpv Ffficien ode For Building Construction;
in.fi)rmation and a list o.feertified Raters. For i -1824
the Derw t 0
t 8501487
contact fC (Version:-FLRCNA-2001
EnerP_vGr.IuPeW
4
RIGHT-i LOAD AND EQUIPWNT SUMMARY
File name: 256ADD—l.RSR
For: Gerald Bishop Inc-
Po Box. 2703 FL 32067
orange Park
635-1811
By: AIR ENGINEERS, INC.
10947 BEACH BLVD
JACKSONVILLE FL 32246
904-646-9037
Job#: Jacksonville AP FL
Wthr:
Zone: Entire House
W11,1TER DESIGN CONDITIONS SUMNER DESIGN CONDITIONS
outside db: 32 OF outside db: 94 OF
Inside db: 70 OF Inside db: 75 OF
38 OF Design TD: 19 OF
Design TD: Daily Range M
Rel.Hum. : 50 %
Grains Water 49 gr
HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING
3993 Btuh structure 3417 Btuh
Bldg.Heat Loss 0 CFM Ventilation 0 Btuh
Ventilation Air 0 Btuh Design Temp. Swing 3.0 OF
Vent Air Loss Use Mfg.Data n
Design Heat Load 3993 Btuh Rate/Swing Mult. 0.99
INFILTRATION Total Sens Equip Load 3383 Btuh
Method simplified LATENT COOLING EQUIP LOAD SIZING
Construction Quality Average
1 Internal Gains 4 6 0 Btuh
Fireplaces Ventilation 0 Btuh
BEATING COOLING infiltration 570 Btuh
Area(sq.ft.) 256 256 Tot Latent Equip Load 1030 Btuh
Volume(cu.ft.) 2048 2048 4413 Btuh
Air Changes/Hour 1.4 0.5 Total Equip Load
Equivalent CFM 48 17
BEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY
Make
Make Trade
Trade
0.0 HSPF Efficiency 0.0 EER
Efficiency 0 Btuh Sensible Cooling 0 Btuh
Heating Input 0 Btuh Latent Cooling 0 Btuh
Heating Output 0 OF Total Cooling 0 Btuh
Heating Temp Rise Actual Cooling Fan 148 CFM
Actual Heating Fan 148 CFM 0.043 CFM/Btuh
Htg Air Flow Factor 0.037 CFM/Btuh Cig Air Flow Factor
Space Thermostat Load Sens Heat Ratio 77
MANUAL J: 7th Ed� Right-Suite: Ver 4.1.2 0 S/N RSR22649
printout certified by ACCA to meet all requirements of Manual Form J
Alf
RIG,-rF_j CALCULAUON PROCEDURES A,B, C, D
Job#: File name: 256ADD-l.RSR
Zone� Entire House
Procedure A-Winter Infiltration HTM Calculation*
1. Winter Infiltration CFM 48 CFM
1.4 AC/HR x 2048 Cu.Ft. x 0.0167=
2. Winter hifiltratiOn Btuh
1.1 x 48 CFM x 38 Winter TD 2001 Btuh
3. Winter hifiltration HTM
2001 Btuh 15 Total Window 133.4 HTM
and Door Area
Procedure B-Summer hifiltration HTM Calculation*
1. Summer hifiltration CFM
0.5 AC/HR x 2048 CuXt. x 0.0167= 17 CFM
2. Summer hifiltration Btuh 19 Summer TD 357 Btuh
1.1 x 17 CFM x
3. Summer Infiltration RTM
357 Btuh 15 Total Window 23.8 HTM
and Door Area
Procedure C-Latent Infiltration Gain
068 x 49 gr.diff. x 17 CFM 570 Btuh
I -
Procedure D-Equipment Sizing Loads
F1. Sensible Sizing Load
S j
ensible=mtilation Load
1.1 19 Summer TD 0 Btuh
1.1 x 0 Vent.CFM x I
+ 3417 Btuh
Sensible Load for Structure(Line 19) 3417 Btuh
Sum of Ventilation and Structure Loads '1
M
Rating and Temperature Swing Multiplier x 0.99 RS �]4
Equipment Sizing Load-Sensible + 3383 Btuh
2. Latent Sizing Load
Latent Ventilation Load 49 gr.diff. 0 Btuh
0.68 x 0 Vent.CFM x + 460 Btuh
internal Loads = 230 x 2 No.People + 570 Btuh
Infdtration Load From Procedure C 1030 Btuh
Equipment Sizing Load-Latent
*Construction Quality is: a No.of Fireplaces is: 1
MANUALY 7th Ed. Right-Suite: Ver 4.1.2 0 SIN RSR22649
printout certified by ACCA to meet all requirements of Manual Form J
256ADD-l.RSR job#
MANUAL I 7th Fd. Right-Suite 4.1.20 - SIN RSR2264
I Entire House ADDITION 0 Ft
I Name ofRoom 16.0 Ft 16.0 Ft 0.0 Ft
2 Rumung Ft Exposed Wall 128.0 x 1.0 ft 0.0 x 0.0 ft
3 Room Dimensions,Ft 8.0 he d 8.0 heat/cool 8.0 heat/co,01
4 Ceilngs,Ft Condit option Btuh Area Btuh Ana Btuh Area Btuh
TYPE OF CST Area Iength Mg, CIg Ixngth Htg Clg
EXPOSURE NO- Ht9 Cig L-1gth Htg Cig Length Htg Clg
5 Gross 4 2.0 128 ... 128 0
a 12C 3.
Exposed b 13C 1.4 1.3 0 0
Walls aw c 0.0 0.0 0 0
Partitions d 0.0 0.0 0 ()
e 0.0 0.0 0 0
f 0.0 0.0 0 0
15 413 15 413 0
6 windows and a 3C 27.6 0 0 0 0
Glass Doors b 3C 27.6 0 0
Heafing c 7H 27.9 0 0
d 0.0 0 0 0
() 0 0 0 0
c ().0 0 0 0
f 0.0 0 0 0
339 0 0
7 windows and North 22.6 15 339 15 0
Glass Doors NFJNW 0.0 0 0 0
cooling EfW 0.0 () 0 0
SFJSW 0.0 0 0 0
South 0.0 0 0 0
Harz 0.0 () 0 0
8 other doors a IOD 17.5 10.4 0 0 0 0
b 0.0 0.0 0 0 0 0
113 386 230 113 386 230 0 0 0
9 Net a 12C 3.4 2.0 0 0 0 0 0 0
Exposed b 13C 1.4 1.3 0 0 0
Walls and c 0.0 0.0 0 0 0 0
0 0 0 0 0 0 0 0 0
Partitions d 0.0 0"o 0 0 0 0
e 0.0 0.0 0 0 0
f 0.0 0.0 0 0 0 0
10 Ceilings a 16G 1.3 1.4 268 336 380 268 336 380 0 0 0
b 16D 2.0 2,3 0 0 0 0
0 0 0 0 0 0 0 0 0
.9 .1
c 18C 1.9 2.1
6 492 0 16 492 0 0 0 0
11 Floors a 22A 30.8 0.0 0 0 0
b 19D 1.0 0.0 0 0 0 0
c 0.0 0.0 0 0 0 0
12 Infiltration a 133 23.8 15 2001 357 15 2001 357 0 0 0
.*** 3630 ... **" 3630 0
13 Subtot Btuh Loss=6+8..+11+12 10 363 10 363 10 0
14 Duct Btuh Loss 3993 3993 "** ()
15 Total Btuh Loss=13+14 600 0 0
16 Int.Gaaw People @ 300 2 600 2 1200 0 0
Appl. @ 1200 1 2 00 1 *.** *.*. *.*.
1 0
Subtot RSH Gain=7+8..+12+16 *70 3 07 3107
17 311 10* 311 0 0
18 Duct Btub Gain 3417 1.00 3417 1.00 0
19 Total RSHGam=(17+18)*PLF 1.00 0 0
20 CYM Air Requurd -- 148 148 148 148
p,,,,t.ut tfied by ACCA to meet all requnemmts of Manual J Form
Right-Suite: Ver 4.1.20 S/N RSR22649
NLANUAL J: 7th Ed.
RIGHT-j Wn4DOW DATA
Job# File name 256ADD-l.RSR
w S D W G L S S 0 N A S 0 0 w c w S
A L 0 T H V G N H v v H H N H
N K I H L G c R R G T A A
D y R L A W R A G z L 0 x y T m R R
w L z E M D
ADDITION
c n n n y 2 90 1.0 1.0 0.0 1.0 37.6 15.0 15.0
0
ADDRESS- //70
BUILDING PERMIT NUMBER
INSPECTIONS: FOOTING 2- 9-9
UNDER SLAB PLUMBING
SLAB
FRAMING 9 - 9 6
COVER-UP_ o/
INSULATION
FINAL BUILDING
CERTIFICATE OF OCC�PANCY
2L......
ELECTRICAL PERMIT # 6 7a'51
INSPECTIONS ROUGH
FINAL
MECHANICAL PERMIT #
PLUMBING PERMIT #
NOTES :
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
January 9, 1997
Mrs. Helen Rose
459 Inland Way
Atlantic Beach, F] 32233
Dear Mrs. Rose;
It has been brought to my attention that on or about December 12, 1996 a motor vehicle bearing
license plate number LRU- 71X a four door gray possible Chevrolet was observed dumping
broken concrete on a construction site at 1170 Selva Marina Drive. The occupant of this vehicle
was approached by the home owner and observed by the police department allegedly committing
this violation of city code Sec.12-1-2 and Fl S.S. 403-414 Litter Law.
The home owner does not want to pursue any further action at this time and the City of Atlantic
Beach wishes only to make you aware of the situation so that there will be no recurrence .
Sincerely
Karl W. Grunewald
Code Enforcement Officer
cc: Public Safety Director
C"l CD
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CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
JANUARY 14, 1997
TO- UNITED STATES POSTAL SERVICE
JACKSONVILLE ELECTRIC AUTHORITY
PROPERTY APPRAISER'S OFFICE
CITY OF ATLANTIC BEACH WATER DEPARTMENT
SOUTHERN BELL
PLEASE BE ADVISED THAT THE FOLLOWING ADDRESS HAS BEEN CHANGED:
Old Address New Address
1170 Selva Marina Drive 1170 Seminole Road
PLEASE CHANGE YOUR RECORDS ACCORDINGLY.
SINCERELY,
c
DON C. FORD
BUILDING OFFICIAL
DCF/ph
CC' City Manager
Kelly Diaz
I jj��111
Q.�xrtifiratt of Orrupancu
(fitu of
Atlantic Tkac4 — Ylariba
Department of Nuilbing 3nspertion
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time ofissuance this structure was in compliance with the
vari.ous ordinances regulating building construction or use. For the IbIlowing.
Use Classification Single Family Residence Bldg. Permit No. 117 9 8
Group W-fr;Me Type Construction S/f Fire District AtIantic Beach
Owner of Building Michael & Kelly DiaAdress 1170 Selva Marina Drive
a Marina DzL"�ty Atlantic Beach, FL 32233
By: DON C. FORD
Building Official Date: 12 C?
POST IN A CONSPICUOUS PLACE
CITY OF
4&6d41C he=A—99&U-46,-
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No. 117�2g
Time
Received 4 P.
L
1170
Job Add ss Locality
Owner's
Name Contractor
:ItL:D 17N G5 CONCREZ!r ELECTRICAL PLLIMEIING MECHANICAL
ng E Footing Rough Wiring Rough Air Cond. &
Re Roofing F Slab Temp Pole Top Out
Heating
Insulation I—. Lintei Final Sewer Fire Place
Pre Fab
READY FOR INSPECTION
Tues Wed. s Friday—CD
A G
P:M�
Inspection Made
Fina
inspector--, I Ins -dion
te of ccup
Date
PSR-3844
13065
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- --- PERMIT INFORMATION --- - ------- LOCATION INFORMATION ----
Permit Number : 13065 Address : 1170 SELVA MARINA DRIVE
Permit Type:UTILITIES ATLANTIC BEACH . FLORIDA 3223 -
Class of Work :NEW -------- LEGAL DESCRIPTION ----------
onstr T6je �lg� : 8 Lot : 4 Twp*
ropos�-d e:W?0RMR§UILY -ec ion: 4 Subd: Rnn '
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value : 182 , 904 . 00
improv. Cost : 0 . 00
Total Fees - 25 . 00
Amount Pai�-' 25 . 00
OWSER INFQaMATION -------- APPLICATION FEES ---- --- --
Name : MICHAEL K. & KELLY A. DIAZ PERMIT
Addr - 1�: 14 SEA OATS DRIVE
ATLANTI ' BEA:714 , FLORIDA 3.
Phone ' ?�),411 '22-1,-�21(7,
-- COTRACTOR IN'FORMATION ---
Aaxie : AMERICAN WELL & IRRIGATION !N
Addr : 2157 THE WC(�nS DRIVE
JACKSONVILLE , FL 32246
Exp:
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
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14
n-ts-
CAECkS 178,
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s)
Address: 70 SAAA2 ,57-���Phone: y V—15Y5z,
Lot # ;Blak or Unit # Subdivision:_
Contractor:
)r
State Licen
Address:
02 t 5:Z 'tjt,- WC�T�6Q&2 Phone No:
Describe work to be done:
Present use of building: -4-3 J .
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? New electrical (or increase) ?
New plumbing fixtures? New fireplace? New Heat/AC?
SUB141T TBREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLAYS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORM, NOTICE OF COMMENCEMENT, AND
OWNERICONTRACTOR AF71DAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: 4 Date:
Signature CONTRACTOR: Date:
License Supplied:]&
Liability Insurance:
Worker's Compensation Insurance:
D A T E zz_ '2?
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
<fl---- -- -- - ---- - -- - ----------------
----------
--------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
1;
SINCERELY,
INSPECTION DIVISION
?D I I
cc:FILE
CITY OF
8W SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 322-13-5445
TELEPHONE(904)247-5800
..... ..... FAX(904)U7-SN5
NOTICE
TO: Water Department
FROM: Bui,lding Department
DATE:
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
-7 9 76
Since�k�plyl
ctz 7
Building Department
Treo Reraqval Appvtd
"Cl-TY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION Rgm
A R 2 C, 19 9 6 D
All applications must be received by 5 P.M. on the Tuesday prior to the scW0,yl@d
meeting in order to be placed on the acienda for consideration. INCOMPLemullig and Zoning
APPLICATIONS WILL NOT BE PROCESSED.
1. HiLe, � &I IV Va-E 1&44 Se� 00J5 -Dv-�+lcrTtl'c 84)l 1�1 aq-4-
APPLICANT NAME ADDRESS TELEPHONE 1 S�+3
2. Lcr+ 41 &K. S I so-Wa may(*no— Unii q (Corn-pr c� cerr�mje
ADDREss6R LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL 5P_IVO- M ciltv,
DV%)
3. DESCRIBE PURPOSE OF TREE REMOVAL: Lu'ld home 0L
4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS-
NUMBER SPECIES DIAMETER (DBH) CONDITION
Pa) m 5 f - vs
4
rn r)61 i 0,-- 2cod
5. TOTAL NUMBER OF TREES TO BE REMOVED:
6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED:
7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS:
NUMBER SPECIES DIAMETER (DBH)_
s e Se e- 7v�e_e_ &-L Y�j e
8. ATTACH SITE PLAN INDICATING THE FOLLOWING-
a) Site topography, including proposed grade changes
b) Existing and proposed buildings with dimensions and required setbacks
c) Tree protection zones as applicable
d) Location, DBH and species of all trees with a DBH of six inches or greater
e) Location, DBH and species of all trees with DBH of less than six inches
proposed to be used for mitigation
f) Specify trees of unique or special character
g) Each tree proposed for removal clearly marked with a "X"
h) All existing and new trees proposed to be used for mitigation clearly marked
with brackets "[ ]"
1) Location of utilities, easements and material storage areas
9. ALL TREES PROPOSED FOR REMOVAL MUS BE CLEARLY MARKED ON SITE
BY RED SURVEYORS RIBBON.
10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE
CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON.
11. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE
11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES
OF THE CITY OF ATLANTIC BEACH:
— _P tf-u a. k�f 1 3 L--�('�9&
AP4PLICAN*fS SIGNATURE(_) DATE
OWNERS 9IGNATURE 0 DATE
APPROVED :
TREE CONSERVATION BOARD CHAIRMAN DATE
APR 4 jJ96 aITY OF
Building and Zo6g 1*4U&C
NO SEMINOLE ROAD
PROPERTY DESCRIPTION ATLANTIC BEACH,FLO"M 3U33-S"5
TELEPHONE")247-SM
Lo t FAX(904)247-SM
Block # Section #
-1
Subdivision: 15ZF' 74-;'14 /;t/4
Street Name
or Address DESCRIPTION OF WORK
If in a FLOOD HAZARD
Flood Zone : / area complete page 3 . Brief Description &6�5
-_ 511L)e-e-6F /-74-/-7/7 7
Class Of Work: (
ZONING INFORMATION Remodel/Addition:!:�/�—a/�
Type of Construction: 1(1620D
Zoning Proposed
District : Use: Estimated Value
Exceptions or Variances Materials :
Granted : _
Solid or Filled
Ground:_Roof :
OWNER INFORMATION Method of Heating:
Property Owner:. Mchoej k. 5,,' VeN 4. T)i'
Mailing I ---------#_0 Phone: c',N -f - 1 �73
Address Li,"L Se(2 CW.-_2 L e7t_
zip:
CONTRACTOR INFORMATION
Contractor : /41.
_2�T
Mailing 221-321
Address :
�Zip:
License Number : ?LJ ) :2,2 Expiration
---Date: a/?1/1P
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEREIN
OR NOT . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES ,
REGULATIONS , ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF
CONSTRUCTION OR THE PERFORMANCE OF CbNSTRUCTION OF THE PROPERTY. I
UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE
INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA
HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
owner Si gnat ur e_I�"a" Date
Contractor Signature )a t e__3/14z&__
CITY OF
AeacA-
Office Of Building Official
REQUEST FOR INSPECTION
Date
Time Permit No..
Received
- 11:7d
Job Address
Owner's Locality
Name Contractor
fc� CONCRETE ELECTRICAL PLUMBING
Framing Footing MECHANICAL
Re Roofing Slab Rough Wiring E Rough Air Cond. &
Insulation Lintel TemP Pole Top Out
Final Heating
F� Sewer Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. 4Le Thurs. Friday A.M.
Inspection Made
A.M. `9s /07ss/.84
-cor
InsPC ---RM.
Final Inspection L
Certificate Of Occupancy
D�,,tc
CITY OF 0
N- 19738
ATLANTIC BEACH
FLORIDA 9 19 <��
NAME—SZ�N
ADDRESS 71,2
'1-14946 Q
ae bona� . 32223
CiTY
//-70
$15.00 4
Date: 8/29/96 01 Receipt: 0083208
CHECKS
When Signed, Dated and Numbered, This Becomes an MW 3 Nopt
Received Payment
MAKE CHECKS PAYABLE TO
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
CITY OF
104121,K& /,;Lo3
office of Building Off�lcial
REQUEST FOFi INSPECTION
9 Permit No.
Date-------
Time A�.M,
.M.
Received
0
cality
Job ress tea�,-�CH
77 CME AN&16AL
owner's Contractor
Nam I?
MBIN MECHAN16AC--)
CONC (:::!�LECTRirCAL 0
n i
BUI DI G
L Cond. &
ou�
ing
L7ra g Footing ough Wiring
i�n L Temp Pole E", Top Out Heating
in
Re Roofing Slab Final F- Sewer Fire Place
Insulation Lintel Pre Fab
READY FOR INSPECTION
Mori. Tues. Wed. LTh3ur Friday
A
Inspection Made
Final inspection F I
;i,spectol Certificate of occupancy I
Date
TRANSMITTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
LZ70 aL2rc-- malu� Z-/�-
e-xxx=xX)b"e*xm3pixmxccfxxtdiaxpemmA>bs. Please update
your records accordingly.
:]tUI..ANGuC"ERK
CITY OF ATLANTIC BEACH
/vcb
CITY OF
4&,,&a 13 eaz-4-q
office of Building official
REOUEST FOR INSPECTION
Date 12- Permit No.
Time D PM*.
Received
// �Locahty��
Job Address
owner's ontractor L
pLUMBING MECHANICA
J��COMRETIE CTRICAL
ELE
0 Rough Wiring 0 Rough Air Cond. &
0 Footing Ternp Pole C] Top Out F- Heatingr r-1
Framing 0 F Sewer E-� Fir.Pla_e
Re Roofing 0 Slab Final Pre Fab
-In ilation Untel P-
READY FOR INSPECTION A.M:,'
Wed. Thurs. Friday-RM.
Mon. A.M-
Inspection Made Final inspection 0
Inspector Certificate of Occupancy
Date
PSR-3844 12328
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION -------
Permit Number : 12328 %ddress : 1170 SELVA MARINA DRIVE
Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233
'-lass of Work :NEW --------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME Block: 8 Lot : 4 Twp :
Proposed Use : SINGLE FAMILY Section: 4 Subd: Rng:
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value: 182 , 904 .00
Improv . Cost : 0 . 00
Total Fe"; , 55 .00
Amount �,V*�W 55 . 00
T jj P A:v A
T R_ TU NIZW Hobdiz - PATT) TINn7r, tdTq(
AT I ON APPLICATION FEES -----------
N a m e i.ZLLY A. DIA,'_7 PERMIT $65.00
Addr , �11W�DRIVE
FLORIDA IV27-2'�
BAV;
I_Dhor.�
"FORMAT""'
Name, AIR" SYS
I...........
JACKSON , FLORIDA 32211b
L i Exp :
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
2 Ir
r"'-mc-im
BUILDISTMATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARFED UF AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS95
$55.00 14
V96Tel REV%t�Tw"FTR
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN"01374
VIOLATIO�,taF APPLICABLE PROVISIONS OF LAW. CHECKS 2997
cr,
ATLANT4�-BEACH BUILDING DEPARTMENT
co
By:
BUILDING AND ZONING INSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA :122121
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complefe all itenis in secfions 1, 11, 111, and IV.
Street Addrem. // 76 S�ak-rs_
LOCATION
OF Intersecting Streets: Between Sc-e,-7 e- 126-e- And
BUILDING
Sub-divislom
11. IDENTIFICATION — To be completed by all applicanfs
In comideraflon of permit given for 'doing the work as described in the above statement we hereby aigree to perform said work in accordance
with the s0tachfd plant and specifications which a parl keroof and ;n accord��nc,! with fh,9 City of Jtc1%cnv;ll* ordinances at;d standards
of good p(act;co listed therein.
Name of Mechanical Contractors
Contractor (Print) Master Z-
Name of
Property Owner rose,,-,e-M
Signature of 6wnor Signature of
w Authorized Agoftt- Architect or Engineer
III. rr:NERAL INF6ROATION
A. Type of hooting fuelt is�OR CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?
0 Gas—0 LP 0 Natural Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION,
0 03 PERMIT ? 9 9
Other — Specify
IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WOnK
(Provide complete list of components an back of this form) Residential or 0 Commercial
Host 0 Space [I Recessed �M Central 0 Floot Now Building
**Jr Condif;aningi 0 Room b:,. Control C1 Existing BuIldin g
)P3- C�vq, Syoom: Material /,Ar,�,oC-16,s�� Thicine,1 Replacemeni ul existing system
'Et Now Installatlo&(ho, system previously Installed)
Maximum capacity 45
0 Refrigeration Extension or add-on to existing system
0 Cooling towor: Capacity g.pm. 0 Other — Specify
[3 Rre sprinklers: Number of heads
13 Elovsw 13 Mortliff C1 Escalato (number)
THIS SPACE FOR OFFICE USE ONLY
0 . Gasoline pumps (number)
Remarks
Task (number)
.[3 LPG containers (numb-or)
E3 VArw*d pressure vessoi
Formil Approyed b
E3 9001"
Dal-
Othor Specify Y-)
Permit Fo
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Ca act ty
Number Xlnitx 1>"Cription Model Number Manufacturer (Wns) Approving
Agency
A/P 8__47�
__76�117
REATING - FURNACES, BOILERS, F)iREEACES
Number Uzkltx 1)"cripUon Model Number M&nufacturisr Capacity Approving
(BTU) Agency
TANKS
Faw Xany Noedn&l Capadty T)(;-t LAquId Name a, SerW Ap roving
Lnd Dimeintions Mmufacturer No. gtncy
11798
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH 00
18891kERANTAR Mz I
HSU3 Hsu
%/91/s :a4va
-411" ()N OCAT 10 INFOR14ATZ'k --------
P,I.mit NumbeL : ii798 Address : 1170 SELVA MARINA4"m1*DRIVE
Permit Type:BUILDING ATLANTIC BEACH . FLO*IDA 32233
'"lass of Work:NEW --------- LEGAL DESCRIPTION ----------
7onstr . Type:WOOD FRAME Lot : 4 Block: 8 -.Section: 4
Proposed Use * SINGLE FAMILY Plat Book : Paae *=
5e
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value : 182 , 904 . 00 --------- OWNER INFORMATION,,, -X --------
Improv . Cost : 182 , 904 . 00 Name :MI(-'HAEL K. & KELLY P,. A7
Total F%es : d- 0"M
4i318 . 14 Address : 1644 SEA OATS DRIVE ...-,
Amouw 0 .00 ATLANTIC BEACH , FLOAff
Phone ! ( 904 ) "11-3216
SINGLE FAMI
RESIDENCE PE 2 - RADON 1A
- -' -'NTRACTOR�' i) ------ -------- APPLICATION FEES ----------
FAE .,-,EVFL�-'�PMENT- CO . TN PLr-RM I T 1 , 093 . 50,
712 atch Dr.- ve Eaat WATER IMPAC'T FEE 610 .00
Jaci W-" I MpjkqT-- ruo
�--OATLPR- METTAY-TAV
lie, ',v'L
(904) W3216
RADON GAS-H .R . S. 7 . 0"
RADON CAB 5% 0 . 3-
CAPITAL IMPROVE. ' -3-25.OC
L'EWER TAP"'
61�
CROSS CONNECTION 35 . 00 L
SEC H !MPACT FEE 6.00
CONST . SURCHARGE 6,.63
-StIkHARGE/A 74'---
NOTES:
--pections Required Inspections Required Inspections RW%uired
IBM
FOOTING SLAB COVER UP
FRAMING FINAL BUILDING CERTIF/OCCUPA`6-n
INSULATION
'W CO
9L1314S. WIN
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT,VOIQ SIX MONTHS AFTER DATE OkUBWE
BUILDINSMSFERIAL, RUBBISH AND DEBRI8'FPt0M THIS WORK MUST NOT BE W-AM-ED IN PUBLIC SPACE, AND MUST BE
C- -
CLEAREF BY EITHE;R 1C. cr,
,UP,AND HAULED AWAY -aNTRACTOR OR OWNER
iE
"FAILBF& TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99
ISSUED ACA2piNQ/[DAFIRROVR4FLANfzWHICH ARE PART OF THIS PER
FOR
VIOLATION "fbR PLICABLE PROVISIONS OF LAW.
MAY 1%
ATLANTIC BEAC9 BUILDING DEPARTMENT
City ot Allanfic W�
By:
------------- -
PLOODPLAXU DEVELOP"c"r INFORMATZOU
ype Of Devv1OPmentj.__.
Flood Zones X
--------—-----
R*quired Lowest irloor Clwv&tlon#_--�L�
Xf bullding in located WAth,n a
be made AFTER TUC gjLA8 X flood hOzard zone,
LOwEsr FLOOR CLEVArzon AS OCCU pCKIRED, C;ertjryIm ourvuy- ftU,t
*1*v4tIon established XOX' t'h8Qa`qxUon'Le." or above th ng that tho
W boair 1100d
NO fInal Inspection will
v111 be Issued b1W oade and no cortliftcots, 0
Department. until the survey In on gji%; with 9 Occupancy
the BUSIdInU
COMHENTS:
APPlIcant Acknowl0d9vownts
thlo permit x understand that the
correct and ihat Issuance of
In 00""aw"'t UPo* the ftbOvO Information bOing
be provIded On requIrod,
proviglon, the plans MW suppor"IM d"As have been or shall
Of Ordinanan, jq0.
ordInancog &ggectin, oar*& *00MWly WAth OJLJL *PP41cable
23�7�11 and all Other
*'h4v Proposed devolop...t. love or
Date PP110SAt's SAgnUture'
---------- ----------- ------------ --------
Department Use
R*qutrwd Lowest F*joor jcjtevatA
AN SuAlt Lowest ploeW ,,,,,t,On
Survey on
with Building Deport-m-e-n-i------------
Sul -------
Onontative
PUUQ 3
CITY HALL ATL BCH TEL No .2475805 Apr 18 ,96 8 :42 No .005 P .01
APPLICATION FOR WATER AND/OR SEVER TAP
APPLICANT pro" 2-21 rJ-,1?,r 'a", -At�,
MAILING "PRISS LIE
PHONE NU11zR9L/ T L2 DAT
Z RZOV
SERVIC19 RSQUZSTXDQ
SERVICE LOCATI
DATE SMT TO PUBLIC
DATE RETURNED TO BUILDING DEPARTMENT_
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE
WATER:
SEXLFR:_ co
OTHRR
PRICE QUOTE PREPARED By: -
sigz#ture Title
DATE OWNER NOT1712D
15:413 5047Glolel P. 01
379383
DIAZ 372363 NOTICE OF COMMENCEMENT
Tod Fells,No. O�ok 45337 Pg 1 43r,12
Pormly No, -rr--
state of -uu—ve-r—
County of
To whom It May COM001 M! Rk.0 &337
Pat 1962
The undaralgried hereby given notice that improvernomils will be made to certain real property, Doem 96090&49-3
and In acoordamoo with Crispier 7113,Florida Stalvies,trio following Information is provided In Filed A Recorded
05/03/96
0,3118131 P.M.
U/A$ELVA MARINA.M.TANTIC BEACH.FL 32233 HENRY We COOK
CLERK CIRCUIT COURT
DUVAL COUNTY, FL
IPFWQ,ly edld'vael REC. S 6.00
Lot 4. Block 8, SELVA MARINA. UNIT NO. 4.
according to plat thereof as recorded in
Plat Book 30, Page 28, of the current
public records of Duval Countyp Florida.
70:Des,,,)
1L.O.j oewpo-1 r-0-a-, : F"g,
General 096611014A of construccion of single family dwelling
Ow%or MICHAEL IC DIAZ 4-F:
16"SFA OATS Del ATLAN710 BRACH,FL 32233
000981'aftemel l",vim Wip 0"me I�Prubmrrlerm jw ohm ihmn F"sirmalim Uwe hewer):
me-of 11l..elffelm We hold&otmhw qhw owneril
Papanelli, Development Company rL
712 ShLpwacch Drive East
JacksonvIlle, FL 32225
00AW"tor
OeMr"101
Addre-
am"am wY pok-We alm"i
N&O"41
Addible
A—of morid 6
Marna of"Lwellf WANno a low for Ihs moneirmeda,,i eflhe Barnett Bank ofiacksonvil*N.A.
Addme- 112 West Adams guess,2nd Mr.Jacksonville,FL 02
Persons within the State of Friatids,designated by owner upon whom nations or other documents may be served sal provided by section 713.13(l)(A)7,
Florida Statute*:
Add—
In addltlon to himself,owner designates the(allowing person to receive a copy of in*Ilerior's notice an provided In section 713.113(l)(b),Florida Stalutse:
45
'�ks. CARRIE BURLETTE Barnett Barik of Jacksonville,N.A
100 LAURA STREET, JACKSONVILLE, FLORIDA 32202
Tills Notice of Commencement
&hall expire swrowr M LK.0
Prepared by: Jeannine Yvlgkha- - C, -Ij"-t'4
pmml healblill sa,� KELLY A.MAZ
Name., M A
Guest Address: -1 tneert 2nd Fit
City,Similt.ZIP!
STATE Oil Florida
LPUVA.L
COUNTY OF
The laragoing instrument. Commencement was acknowledged before me thin 25th clevall
K. Diaz and Kelly A. DiaZ
w who has prodwood —as Identillostion,a d UN
ho Is peFsonally known to mq�of,
who, did E:1 did not take an .th,
(Official Notary Goal) OCIIIII U21 EVVF4S
kiwvh 3012=
4N&m-of Askrwa%MW-Tw,-Fqv!pm IMMUM001111111,40S
W a 411 MW Lee QW/ft
LPO NCMCK OP COMMENCIMMUT 1-4 (C.A.1,h=r'N ffo
CDs NC7rCN OP COMMEW-41WIRNT 1-4 awo oomrm PAN.410111
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address_- // 70
Date q - ( ff -,9
Heated Square Footage -7 -2- @ 20per sq ft = $ t/6
Garage/Shed @ $ A-2,00..-per sq f t = $ 1 2 ,
Carport/Porch
@ $-2:.L,-Cper sq ft = $
..............
Deck @ $ per sq ft = $
Patio
@ s. per sq ft = $
TOTAL VALUATION: $ 192-;
Total Valuation 1st $ 100,6-co
9 0 V ::� a�Lo- $
Remaining 'Value $.B. per thousand
or portion thereof
TOTAL BUILDING FEE $ '7 0 9.6,,
+ 1/2 Filing Fee $ 3 5y.S-73
(.2-) Fireplaces @ $15 .00 $ 30.00
BUILDING PERMIT FEE $ /0 93�s -3
WATER IMPACT FEE $- & /()..Oo
SEWER IMPACT FEE ;2,_S-0,0
WATER METER/TAP -r�s-�b
CAPITAL IMPROVEMENT 3 a S-.oo
SEWER TAP $ 465-00,
(N-7.3) RADON (HRS) .0050 $ 9. ()o
SECTION H PAVING C)-
HYDRAULIC SHARES $
CROSS CONNECTION $
(N73) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE 3 1
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp mmi
Septic Tank Well _; Swi ngPool
Survey ; other Sign_Finish Floor Elevation
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE -SINK TRAP STAND
WATER CLOSET. LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) r )
W
WATER CLOSET, TANK OPERATED (4) L- ± ATER CLOSET
VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) 2- WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (2) URINAL STALL, WASHOUT (4)
FLUSHING JIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112)
BLOWOUT (2)
T
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
1.
--JACUZZI (2) URINAL STALL. WASHOUT
TOTAL FIXTURE UNITS $20-00 EACH $ C)
JOB INFORMATION CC rJU
�
** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST **
===============================================================================
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
===============================================================================
PRACTICE #1 606. 1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES.
.
_______________________________________________________________________________
Windows 606. 1 Maximum of 0.34 CFM per linear foot of operable sash
crack ( includes sliding glass doors) .
_______________________________________________________________________________
Exterior & 606. 1 Maximum of 0. 5 CFM per sq . ft. of door area: solid
Adjacent Doors core, wood panel , insulated or glass doors only.
_______________________________________________________________________________
Exterior Joints 606. 1 To be caulked , gasketed , weather-stripped or other
-
& Cracks wise sealed .
_______________________________________________________________________________
PRACTICE #2 606. 1 COMPLY WITH PRACTICE #1 AND THE FOLLOWING:
_______________________________________________________________________________
Exterior Walls 606. 1 Top plate penetrations sealed . Infiltration barrier
& Floors installed . Sole plate/floor joint caulked or sealed .
_______________________________________________________________________________
Exterior Walls 606. 1 Penetrations, joints and cracks on interior surface
& Ceilings caulked , sealed or gasketed . �
__________________________________V____________________________________________ �
�
DuctWork 606. 1 Ductwork in unconditioned space must be sealed .
_______________________________________________________________________________
Fireplaces 606. 1 Equipped with outside combustion air, doors and flue
dampers.
_______________________________________________________________________________
Exhaust Fans 606. 1 Equipped with dampers. Combustion devices see
606. 1 .A. 2.
_______________________________________________________________________________
Combustion 606. 1 Be in unconditioned space (except direct vent) , draw
Appliances air from unconditioned space, exhaust to outside.
Cooking appliances shall be dampered and use
intermittent ignition .
_______________________________________________________________________________
** OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. ) **
_______________________________________________________________________________
Water Heaters 612. 1 Comply with efficiency requiremqnts in Table 6-12.
Switch or clearly marked circuit breaker (electric )
or cutoff (gas) must be provided . External or built-
in heat trap required .
_______________________________________________________________________________
Swimming Pools 612. 1 Spas and heated pools must have covers (except solar
& Spas heated ) . Non-commercial pools must have a pump timer.
Gas spa & pool heaters must have a minimum thermal
efficiency of 78 percent.
_______________________________________________________________________________
Shower Heads 612. 1 Water flow must be restricted to no more than 3 gal-
lons per minute at 80 PSIG.
_______________________________________________________________________________
HVAC Duct 610. 1 All ducts, fittings, mechanical equipment and plenum
Construction chambers shall be mechanically attached , sealed , ins
insulation & ulated and installed in accordance with the criteria
Installation of Section 610. 1 .ABC.2 & 610. 1 .ABC.3. Duct in attics
must be insulated to a minimum of R-6. Air handlers
shall not be installed in attics unless in mechanical
closet.
_______________________________________________________________________________
HVAC Controls 607 . 1 Separate readily accessible manual or automatic
thermostat for each system.
_______________________________________________________________________________
Insulation 604. 1 Ceilings minimum R-19. Common Walls - Frame R-11 or
� 602. 1 CBS R-3 both sides. Common ceiling & floors R-11 .
7_-7-1-�17_7'_______________________________________________________________________
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === | === AS-BUILT ===
===============================================================================
GLASS---------------- |
ORIEN AREA x BSPM = POINTS | TYPE SC ORIEN AREA x SPM x SOF = POINTS
--------------------------------------------------_____________________________
N 85.00 65.8 5593.0 | DBL CLR N 8.0 38.3 .95 291 . 1
| DBL CLR N 15.0 38.3 .95 545.8
| DBL CLR N 15.0 38.3 .91 52O.9
| DBL CLR N 15 .0 38.3 .91 520.9
' DBL CLR N 8.0 38.3 .91 277. 8
| DBL CLR N 8.0 38.3 .91 277.8
| DBL CLR N 4.0 38.3 .91 138.9
| DBL CLR N 12.0 38.3 .91 416.7
E 79.00 65.8 5198.2 | DBL CLR E 20.0 79.7 .92 1458. 5
| DBL CLR E 15.0 79.7 .92 1093.9
| DBL CLR E 24.0 79.7 .96 1833. 1
| DBL CLR E 20.0 79.7 .96 1527.6
S 88.00 65.8 5790. 4 | DBL CLR S 56.0 66.2 .49 1822.2 �
| DBL CLR S 32.0 66.2 .85 1805.9
W 142.00 65. 8 9343.6 | DBL CLR W 30.0 79.7 .92 2187.8
| DBL CLR W 6.0 79.7 .92 437.6
| DBL CLR W 8.0 79.7 .92 583.4
| DBL CLR W 20.0 79.7 .92 1458. 5
| DBL CLR W 30.0 79.7 .44 1058.2
| DBL CLR W 6.0 79.7 .44 211 .6
| DBL CLR W 12.0 79.7 .44 423.3
| DBL CLR W 30.0 79.7 .44 1058.2
_______________________________________________________________________________
. 15 x COND. FLOOR / TOTAL GLASS = ADJ . x GLASS = ADJ GLASS | GLASS
AREA AREA FACTOR POINTS POINTS | POINTS
_______________________________________________________________________________
. 15 2,672.00 394.00 1 .017 25,925.20 26,372. 64 | 19,949. 72
===============================================================================
NON GLASS------�----- |
AREA x BSPM = POINTS | TYPE R-VALUFH: AREA x SPM = POINTS
_______________________________________________________________________________
WALLS---------------- |
Ext 2178.0 . 9 1960.2 | Ext Wood Frame 11 .0 2178.0 1 .70 3702.6
Adj 54.0 .7 37.8 | Adj Wood Frame 11 .0 54.0 .70 37.8
DOORS---------------- |
Ext 20.0 6. 1 122. 0 | Ext Wood 20.0 6. 10 122.0
Adj 18.0 2.4 43.2 | Adj Wood 18.0 2.40 43.2
CEILINGS------------- |
UA 1473.0 .6 883.8 | Under Attic 30.0 1473.0 .60 883.8
FLOORS--------------- |
Slb 184.0 -37 .0 -6808.0 | Slab-on-Grade .0 184.0 -41 .20 -7580.8
INFILTRATION--------- |
2672.0 8.0 21376.0 | Practice #2 2672.0 8.00 21376.0
===============================================================================
TOTAL SUMMER POINTS |
� 43,987.64 | 38, 534.32
TOTAL x SYSTEM = COOLING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING
SUM PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS
_______________________________________________________________________________
� 43,987.64 .37 16,275.43 | 38, 534.32 1 .00 1 . 100 .340 .860 12,394. 18
! ===============================================================================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE === | === AS-BUILT ===
===============================================================================
GLASS---------------- |
ORIEN AREA x BWPM = POINTS | TYPE SC ORIEN AREA x WPM x WOF = POINTS
_______________________________________________________________________________
N 85.00 -10.6 -901 .0 | DBL CLR N 8. 0 7.3 1 .08 62.8
| DBL CLR N 15.0 7.3 1 .08 117.7
| DBL CLR N 15.0 7.3 1 . 13 124.3 �
| DBL CLR N 15.0 7.3 1 . 13 124.3 �
| DBL CLR N 8.0 7 .3 1 . 13 66.3
| DBL CLR N 8.0 7 .3 1 . 13 66.3
| DBL CLR N 4.0 7.3 1. 13 33. 1
| DBL CLR N 12.0 7.3 1 . 13 99.4
E 79.00 -10.6 -837.4 | DBL CLR E 20.0 -9.2 .76 -139.4
| DBL CLR E 15.0 -9.2 .76 -104. 5
| DBL CLR E 24.0 -9. 2 .88 -193.2
' DBL CLR E 20.0 -9.2 .88 -161 .0
S 88.00 -10.6 -932.8 | DBL CLR S 56.0 -28.4 .37 -583.6
| DBL CLR S 32.0 -28.4 .93 -849.0
W 142.00 -10.6 -1505.2 DBL CLR W 30.0 -9.2 .76 -209. 1
| DBL CLR W 6.0 -9.2 .76 -41 .8
' DBL CLR W 8.0 -9.2 .76 -55.8
| DBL CLR W 20.0 -9.2 .76 -139.4
| DBL CLR W 30.0 -9.2 -.72 197.B
| DBL CLR W 6.0 -9.2 -.72 39.6
| DBL CLR W 12.0 -9.2 -.72 79. 1
| DBL CLR W 30.0 -9.2 -.72 197.8
_______________________________________________________________________________
. 15 x COND. FLOOR / TOTAL GLASS = ADJ . x GLASS = ADJ GLASS | GLASS
AREA AREA FACTOR POINTS POINTS | POINTS
_______________________________________________________________________________
. 15 2,672.00 394.00 1 .017 -4, 176.40 -4,248.48 | -1 ,268. 12
===============================================================================
NON GLASS------------ |
AREA x BWPM = POINTS | TYPE R-VALUE AREA x WPM = POINTS
_______________________________________________________________________________
WALLS---------------- |
Ext 2178.0 2.2 4791 .6 | Ext Wood Frame 11 .0 2178.0 3.70 8058.6
Adj 54.0 3. 6 194.4 | Adj Wood Frame 11 .0 54.0 3.60 194.4
DOORS---------------- |
Ext 20.0 12.3 246. 0 | Ext Wood 20.0 12.30 246.0
Adj 18.0 11 . 5 207.0 | Adj Wood 18.0 11 . 50 207.0
CEILINGS------------- |
UA 1473.0 1 .2 1767. 6 | Under Attic 30.0 1473.0 1 .20 1767.6
FLOORS--------------- |
Slb 184.0 8.9 1637 . 6 | Slab-on-Grade .0 184.0 18.80 3459.2
INFILTRATION--------- |
� 2672.0 7 .4 19772.8 | Practice #2 2672.0 7. 40 19772.8
===============================================================================
TOTAL WINTER POINTS |
24,368. 52 | 32,437.48
===============================================================================
TOTAL x SYSTEM = HEATING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING
WIN PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS
_______________________________________________________________________________
24,368. 52 . 55 13,402.69 | 32,437.48 1 .00 1 . 100 . 500 1 .000 17,840.62
| ===============================================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE === | === AS-BUILT ===
===============================================================================
NUM OF x MULT = TOTAL | TANK VOLUME EF TANK x MULT x CREDIT = TOTAL
BEDRMS | RATIO MULT
_______________________________________________________________________________
4 3803.0 15,212.00 | 50 .92 1 .000 3638.7 1 .00 14, 554.67
===============================================================================
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === | === AS-BUILT ===
===============================================================================
COOLING HEATING HOT WATER TOTAL | COOLING HEATING HOT WATER TOTAL
POINTS + POINTS + POINTS = POINTS | POINTS + POINTS + POINTS = POINTS
_______________________________________________________________________________
16275.4 13402.7 15212.0 44,890. 12 | 12394.2 17840.6 14554.7 44,789.46
===============================================================================
*****************
* EPI = 99.78 *
*****************
ENERGY GUIDE
For detailed information
of the EPI rating number-
or
umberor for any ITEM listed ,
ask your Builder for EPI= 99.8
DCA Form 600A-93
or Form 600B-93
0 10 20 30 40 50 60 70 80 90 100
---------------------------------------X_ |
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM HOME VALUE Low Efficiency High Efficiency
SINGL CLR DBL TINT
WINDOWS. . . . . . . . . . . . . . . . . . . . .Double Clear | -------------X-------
INSULATION. . . . . . . . . . . . . . . . . .
------INSULATION. . . . . . . . . . . . . . . . . .
R-10 R-30
Ceiling R-Value. . . . . . . . . 30.0 | --------------------X |
R-0 R-7
Wall R-Value. . . . . . . . . 11 .0 : --------------------X |
R-0 R-19
Floor R-Value. . . . . . . . . 0.0 | X-------------------- |
AIR CONDITIONER. . . . . . . . . . . . .
10.0 SEER 17 .O
SEER/EER. . . . . . . . . . . . . . . . . . 10.0 | X-------------------- | �
�
9.7 EER 16.0
HEATING SYSTEM. . . . . . . . . . . . . .
6.8 HSPF 12.0
Electric COP/HSPF. . . . . . . . 6.8 | X-------------------- |
0.78 AFUE 0.90
Gas AFUE. . . . . . . . . . . . 0.00 | --------------------- |
WATER HEATER. . . . . . . . . . . . . . . .
0.88 0.96
Electric EF. . . . . . . . . . . . . . 0.92 | ----------X---------- |
0. 54 0.9O
Gas EF. . . . . . . . . . . . . . 0.00 | --------------------- |
0. 40 0.80
Solar EF. . . . . . . . . . . . . . | --------------------- |
OTHER FEATURES. . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder
Address: ignature: ate:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs FL-EPL CARD93
SERIAL # 5304
* RESMANUJ (c > * 03-27-1996
WHOLE HOUSE
HEAT GAIN / HEAT LOSS CALCULATION USING FLA/RES(c ) DATA FILES
(BASED ON A.C.C.A. MANUAL J - SEVENTH EDITION (c > 1986 by A.C.C.A. )
_.........________............. ___... .......______________________............................._________
q.. Climatic Conditions & Design Conditions *
_...................__________......................._________________..............______..............._________........................................__..............
Geographical Location : Florida | Jacksonville
_..........................._.........______________________..............
North Latitude / Elevation | 30 Deg . / 24 Ft. Above Sea Level
Outdoor Winter Dry Bulb
Indoor Winter Dry Bulb | 70 Deg . F
Winter (Actual ) TeEr,p.Diff .
Winter Temp. Diff . (wTd > | 40 Deg . F
Outdoor Summer Dry Bulb | 94 Deg . F
Outdoor Summer Wet Bulb | 77 De-
0 i-A o c)r
eOutdoor Summer Hum. Ratio Gr/Lb | 114 �
Indoor Summer Relaltive Hum.
Indoor Summer Design Gr/Lb. | 49
Indoor Summer Dry Bulb | 75 Deg . F
Indoor Summer Wet Bulb Deg . F @ 64 Gr/Lb
Summer Daily Range | 19 Deg . F - L
Summer (Actual ) Temp.Diff . | 19 Deg . F
Summer (User Sel ) Temp. Diff . (sTd ) | 20 Deg . F
........._____________________..................................._.......................... .....____________..................
_____________________
* HEATING SUMMARY * DIAZ .DAT * COOLING SUMMARY *
SUBTOTAL : 41068. 58 | STRUCTURE SENSIBLE : 24895.44
| MECH.VENT- 200 Cfm : 4180.00
MECH.VENT : 29075.44
| TEMP.SWING @ 3 DEG.
| OCCUPANT/APPLIANCE : 36O0.00
DUCT LOSS : 2053.43 | DUCT GAIN : 3267.54
TOTAL LOSS/BTUH : 43122.01 | TOTAL SENSIBLE : 35942.98
| TOTAL LATENT : 24506.40
| SENSIBLE + LATENT : 60449.38
20% OVERSIZE FACTOR : 8624.40 | 20% SENS.OVRSZE FTR: 7188.60
ACTUAL + 20% OVERSIZE: 51746.42 | SENS. + 20% OVERSIZE: 43131 . 58
* EQUIPMENT SELECTION *
EQT MANUF U MOD # HU MOD #
HTG INPUT TG OUTPUT TG CFM_______AFUE/HSPF
SENSLG IBLE CATENT CLG OTAL ONAGE...._ ......
_
(S)EER LG CFM YPE_-_-____
� NOTES: __....................__........._ ...-.................... .......--......................... __'.................. .................____............... _____ .....
. ^ .. «
* LOAD CALCULATION *
TYPE Inside Shade Sc Area Loss/Btuh Gain/Btuh
GLASS N
South Double Clr Drapes/Blinds 1 56.00 1624.00 1400.00
South Double Clr Drapes/Blinds 1 32.00 928.00 800.00
East Double Clr Drapes/Blinds 1 20.00 580.00 920.00
East Double Clr Drapes/Blinds 1 15.00 435.00 690.00
East Double Clr Drapes/Blinds 1 24.00 696.00 1104.00
East Double Clr Drapes/Blinds 1 20.00 580.00 920.00
West Double Clr Drapes/Blinds 1 30.00 870.00 1380.00
West Double Clr Drapes/Blinds 1 6.00 174.00 276.00
West Double Clr Drapes/Blinds 1 8.00 232.00 368.00
West Double Clr Drapes/Blinds 1 20.00 580.00 920.00
West Double Clr Drapes/Blinds 1 30.00 870.00 1380.00
West Double Clr Drapes/Blinds 1 6.00 174.00 276.00
West Double Clr Drapes/Blinds 1 12.00 348.00 552.00
West Double Clr Drapes/Blinds 1 30.00 870.00 1380.00
North Double Clr Drapes/Blinds 1 8.00 232.00 128.00
North Double Clr Drapes/Blinds 1 15.00 435.00 240.00
North Double Clr Drapes/Blinds 1 15.00 435.00 240.O0
North Double Clr Drapes/Blinds 1 15.00 435.00 240.00
North Double Clr Drapes/Blinds 1 8.00 232.00 128.00
North Double Clr Drapes/Blinds 1 8.00 232.00 128.00
North Double Clr Drapes/Blinds 1 4.00 116.00 64.0O
North Double Clr Drapes/Blinds 1 12.00 348.00 192.00 |
�
Infiltration : Winter Htm ( 29 . 54 ) x 394.00 11638.76
Infiltration : Summer Htm ( 6.82 ) x 394.00 2687.08
R-Value Area Loss/Btuh Gain/Btuh
WA L L S----------------------------------------------------------------------
Wood Stud - Ext. 11 2178.00 7840.80 5445.00
Wood Stud - Adj . 11 54.00 194.40 91 .80
_.......................___ ____..........___
SUBTOTALS: 2232.00 8035.20 5536.80
DO O R S----------------------------------------------------------------------
Solid Core/Wood - Ext. 0 20.00 570.00 254.00
Solid Core/Wood - Adj . 0 18.00 399.60 75.60
Infiltration :Winter Htm( 29. 54 ) x 38.00 1122. 52
Infiltration :Summer Htm( 6.82 ) x 38.00 259. 16
_________ _________ _________
SUBTOTALS: 38.00 2092. 12 588.76
CE I L I N G S----------------------------------------------------------------
Under Attic 30 1473.00 1914.90 2356.80
FL O O R S---------------------------------------------------------------------
Slab on Grade 0 184.00 Lin .Ft. 5961 .60 000.00
* TOTAL STRUCTURE SENSIBLE *
_______________________________________________________________________________
41068. 58 24895.44
_______________________________________________________________________________
Notice of Commencement
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713.13, Florida Statutes,the following information is stated in this Notice of
Commencement.
I. Descri n of Real Property to be Improved:
�-- V 7�;el -3
2. General Description of Improvements:
A16;0 51'N6,�-e!F r-14-MI&Y
3. Owner:
16 Lill D.--
,4 7--�-RJ 7-1*,-- [3 c—Af-�q, 3 2-2-
4. Owner's Interest in the Site of the Improvements: F,,Ft—� —S
5. Fee Simple Title Holder(if other then Owner):
6. Contractor: Pa- of,�Ai
7/z
0,V V L I_ 5
Z 2-2-5
7. Surety on any Payment Bond:
8. Any person making a loan for the construction of the improvements:
9. Any person within the State of Florida designated by Owner upon whom notices or other
documents may be served under Part I of Chapter 713, Florida Statutes,which service shall
constitute service upon owner:
10. 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 Statutes:
STATE OF FLORIDA
COUNTY OF DUVAL
Tlie;Zfo eg�ing instrument was acknowledged befom-=this day of 199
I "I A A- Z- 4He k ly knownl
by L �ersona�l t�me or produced
as identification and did not take an oath.
(Signature)
(Print Name)
Notary Public, State of Florida
PATRICIA ANIONETTE
'�'-LORIQA
,f(UITA 'TAT6 ()F,
SLJC)C�
%ly Comm E P8/27/96
OM�l �JaR CC220017
0
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /1,4�4 3 0 19 ,76
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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNE
NAME did ADDR ESS: '/0 3ej�-q h�'J RFD_BOX_
BLDG.SIZE BETWEEN: 1?7-,q C/4 Z.O.-
RES. APT.( COMM. ( PUBLIC INDUS. NEWfi6 OLD REW.
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW(A INCREASE ( REPAIR FEE
L-1c
CONDUCTOR SIZE AMPS ?-00 COPPER ALUM.-(>0 _.�J'
SWITCH OR BREAKER A'?, AMPS I PH 3 W /1-l;VOLT St RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OCIEN TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
SWITCHES 0.30 AMPS. 31-100 APAP�
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMM OVE-R
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V, OVER 600 V.
NO. I KVA INO. 1KVA
NO. NEON TRANSF. NO. IVA. MA. MOTOR SIZE SWITCH LASHER
EACH SIGN
FORWARDED
0 0
TOTAL FEES 0
Allstate Electrical Contractors, Inc.
7447 Salisbury Road
P'0. i3ox 19008
JACKSONViLLE, FLA. 32245
ECO000113
?, I/ of
CITY OF ATLANTIC BEACH, FLORIDA
Appro"d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Hqx 30 19
IMP013TANT 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 SPECIFICATIONSP
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: WASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME 122L -ADDRESS:.L/70 rjA_iL'"Q, RFQ-BOX-
BLDG.SIZE BETWEEN: 1�7-'v
RES. APT. ( COMM. ( PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ( TRAILER TEMP. (V) SIGNS SQ. FT.
SERVICE: NEW 00 INCREASE ( REPAIR ( FEE
CONDUCTOR SIZE Jill AMPS 0 COPPER I ALUM. 1 C I
SWITCH OR BREAKER AMPS PH W "/'/,:VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED1 OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMP8. 31-100 AMt�
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. 0 V r"R
APPLIANCES 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. VOLTAGE PHS NO. I H.P. VOLTAGE- PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVERIH)OV.
AM' NO. KVA 11NO. IKVA
NO. NEON TRANSF. NO. VA. MA� OR SIZE SWI CH FLASHER
A EACH SIGN
FORWARDED /S- 00
TOTAL FEES
2S .co
Allstate Electrical Contractors, Inc.
7447 Salisbury Road
P.O. Box 19008
JACKSONVILLE, FLA. 32245
11 ECO000113
PSR-3844 12054
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION ----
Permit Number: 12054 Address : 1170 SELVA MARINA DRIVE
Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233
7lass of Work:NEW --------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME Block : 8 Lot : 4 Twp: r
Proposed Use : SINGLE FAMILY Section: 4 Subd, Rng:
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value : ' 182 , 904 . 00
Improv . Cost : 0 . 00
T o t a I F e WA, 78 . 00
Amount 78 . 00
.-I.L4NER INFORM&TION APPLICATION FEES ---------
flame,* MTCHAEL K. I XE PERMIT 78 .0,'
LLY A. DIAZ
Addr : 1 ,44 SFA 1ATS DRIVE
TTLANT117 FET " , FLORIDA
Phone 9,14 ) 21_ 1 �� ?lt
CONTRACTOR INFORMATIC-1,
.4ame : R. JbWON PLUMBIN17, r'-TIT
11%4A,�',
TRE- T'
x
A d 4'r"- 1 4_4-06 1 N
Kft I N S E
,,JACKSON FLORIDA 32218
Lio,' "" Exp ;
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS55
$78.00 14
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AW:SL0WG6T8[O RQ%WPSQ"TOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 17952
ATLANTIC BEACH BUILDING DEPARTMENT
By:
JUN 06 '96 09:57 P.?,/2
GITY OF A-FLANTIC DEACH
AW'LICATION FOR PIA)MOING PFFIMIT
JOB LOCATION.
y
OWNER OF PROPERT ........
BUILDING CONTRAC i2w.
TORz
C.
_0C-_'
PLUMBING CONTRACTOR
AND ADDRESSs
A ov- e-
TELEPHONE NUMBER,
o
STATE LICENSE NOs' --------
TYPE OF BUILDIXG�.
SINKS SH UWERS
------------
Hf.. I-rRs
------LAVATORY
BAIH TUBS
------------
URINALS -------
CLOSETS
7-----------
SHE)WEN F4N!' :
DRAINS
dos�5
OTHER.&,
TOTAL FIXTURE flUNTs----------- x Co. 50
----- ------------i-----------------7:7----------------------------f-
INSTALLATION OF PLUMBINCY AND FIXTURES MUST HE IN ACCORDANCE WIT.11
THE MOST RECgNT EDITION OF THE SOUTHERN STANDARD PLUMIJINU Cn- DE.
CALL A DAY AHEAD, TO SC)iEDULE, INSPECTIONS (904) 2CI-5826
f% rl%.I t777 T T77 ON -1-41
JUN 06 '96 09:56 P. 11/2
STATE CERTIFICATION CFCO25592
14403 N. MAIN STRUT
JACKSONVILLE, FLORIDA 32218
TELEPHONE (904) -751-1380
Datez
TLme : (\tyll�
The foLlowing-a--Pages are beLng transmitted via our
FAX machine , ( including our cover sheet) .
1110 ! po�r a4�-f -
Of C- en-
ZQ f-)
-11B A ZP(
C)
FAU 1904) 757-6368
Coinientsi G- 7-qL0
Should there be a problem with this transmisSLOn . pLease
call us Lmmedlatley at ( 904) ., 751-1380
Thank You
DATE:
PRE-SERVlCE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECT10N ( S) HAVE BEEN MADE AND ARE
SATISFACTORY :
-------------------- -----------------------------
------------- ----------------------------
--------------------------------------
----------------------------------------------
Enclosed are the blue copies of the permits.
Y'
BUILDING. INIDPECTION L41VISION
cc: FILE
CITY OF
Office of Building official
REQUEST FOR INSPECTION
Date Permit No.
Time RIM.
Received -M
V7 .
Job aAss
Owner's c -t-r
Name PWMBING MECHANICAL
BUILDING CONCRETE CT ICAL 0 Air Cond.& 0
Framing El Footing El Rough Wiring r; Rough
Re Rc!ofing 0 Slab 0 Ternp Pole Top Out [I Heating
Insulation El Final Sewer [I Fire Place
Lintel 11 P
READY FOR INSPECT;ON
Mon. Tues. Wed. 6huD Friday
M.
Inspection Made Final Inspecti
Inspector certificate of�c�upancy C
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247�5826-FAX: 247-58T7
N
IN 'ATIO
PERMIT INF 0 SEMIN ROAD
Permit umber: 21954 ji�ikddriess: ''I''17 Lff I
ATLANTIC BEACH, FL 32233
OUREMARCITE 0
Permit Type: PO Township: Range: Book:
Class of Work: NEW Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est. Value:
improv. Cost: 18,000-00 OWNE INI MATION
Date issued: 5/14/2001 ame: DIAZ, MIKE AND KELLY
Total Fees: 150.00 dress: 1170 SEMINOLE ROAD
Amount Paid: 150.00 ATLANTIC BEACH, FL 32233
- 904)247-1873
Date Pai�du: �51�14/200
C6=
P
Work DeSC: NEW POOL S
C
ATION F E
C 150-00
�SURFSIDE POOL6
low 0
.... . ....
_AL
I IT Tm_,&
G OUNDING P
PECTION
ST BE"UESTED AT LEAST 24 :P R TO INS,
NOTICE ANSPECT1651N.
'T NOT 131;# BLIC SPACE, AND
ANO DEBRIS FROM THIS WORK MUS LACED IN PIIJ
BUILDING MATERIAL, RUBBISH
AULED�AWAY BY EITHER CONTRACTOR OR QVVNER
MUST BE CLEARED Up AND H
jjWWaWiCAk4 RE$ULT IN THE
FAILURE TO COMPLY H T CT10I
IMPRO
E, OR� 4_4E_14T1f1
__t7 4.
PROPERTY OWNER P
MIT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPROVED_0�� R
FOR VIOLATION OF APPLICABLE PROVISIO"5`QF--LAW-
$150.00 14
-546
Date: 5/15/01 01 Receipt: 0051 71 Di
TLA IC B H BUILDI G DEPT. CHECKS"
MIN. KLIU1614 VIAMCO FvIXIVI A09
PVi(qNE #aL--J—A& Book 9988 Page 2338
1W
,aattrr of
WnErAne IN DUPLICATE1
The undersigned hereby informs all concerned that Improvements will be made to certain real
property, and in accordance with section 7 13.13 of the Florida Statutes, the following Information
is stated in this NOTICE OF COMMENCEMENT,
'e,
Description of properly..... y..... ........ 7-4.......
.................
.......... ......I......I........................ ................I........ .......................................................................................................................................................
........................I......................................I.............I.................... .........................................................................................................................
...............................................................I.................................................................... ........................................................................
Generaldescription of Imp rove m e ni s. ....... ..................................................................I....................
...........I.................................................. ....................................... .1.1........................................................................................ ........................
............................................................................................I................. ..............I..............................................................................................................
Owner... ........
.........I.......................................................... .................................................................................................
..........417RAJYV.�...... ........Et
......................I........I.......I....... .......I.........
Owner's interest In silo of the improvement...................................................................................................................................................
Fee Simple Title holder (if other than owner)
Name
Address
7
Contractor....yp/j
A ddr a s s ............. -S
..........................t-1-
.............. ......... .................................................
Surely (if any)..................................................................................................................................................................................................................
Address.......................................................................................................................................................Amount of bond $...............................
Name of person within the State of Florida designated by owner upon whom notices or other documents may
be served,
Name..............:.............I........I................
Address.......................:.....*'***......I......
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 SPACE ron nEconorn,s USE ONLY
4. ....................... A........................................
P Owner
5 JR
ru
�4 M C-7 r—�A- ru I.D.
= rm= " --
6 WC010 Sworn to and subscribed before me this..................................
A
............dayof.. ........................................
%J 4
Ln
C. ....................................e���t.w4e.................
E�YER
KESSELM�
10 CC7 59
Nly COMMISSION#CC 788659
bru.ry 1.
FXpIRES February 1.2003
I
ary �_., .
1.800.3-NOTAMY FlaL Wary SWIM 81 80rdr'g Go
CITY OF ATLANTIC BEACH PERMIT CALCULATION
'I
Address 11 -70 sl"PluotE 19-D, C_7ET
Date �-/ - (
Heated Square Footage @ $ per sq ft
Garage/Shed per sq ft
Carport/Porch $_p e r s q f t
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION : $
/J $
To a 1 t
aea ion 1st $
0 0 J--�j - $
Remaiding Value per thousand
or portion thereof
TOTAL BUILDING FEE $ 70
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ f-o
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING (
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
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 :
RECEIVED
CITY OF ATLANTIC BEACH
MAY ' 7 2UU1
APPLICATION FOR POOL PER'47ity of Atlanflc Beach
Building and Zoning
Job Address. //7b� S�IkI044E� /U 47-1-4mcc &�t iz:�
Lot # Block Sub.division
Owner
Address //10
Contractor �z-pqkl f;60-(TOT 454'�F-Clbc--
Address -3/7
License Number
--7S9
.Valuation* $ L4 ig-d Gallons
SITE PLAN
0�/
M
J.
rear
Signature Owner— �,, �Date-
or
Signature Contract Date -57,31ol
G
0-
N, O�_60,
lap nO 33
'eQ I t4o
0 1800y'.
.......... C
Ss.
-ToWnswilp.. \G
A I�Tm 0 1. . 0,
1-0tv- - to -
Su 0
pjkokA el UT 00AS
pe -A.T'ge. \jeg MIK
W S\,NG\-S e'
DIP, p\OAD
_15 R
S�_-'WNO� 32233
Oass 01\Nof AA70
Proposed k3se' ress'. tgAj\C 5
feet: pd Pj 1873
sckuare ajue-- 47
est.\J sr. ,,,1200 ke tC3
mproV. co 350) 3
Issued'. L CA!
Date
re.ees*
t pal rojo P0
P,moun
�* -�tr
Date
oeK De S
ICA
E:sk
10 P
P
10 10 P
-w.0
J,
4i�"
-7,77
J�
!S
G EL
114SPECTION
'T 24 H
OURS P OR TO
- 4 ST5) AT
SPECTIO JST NOT BE �ACED IN PUBLIC SPACE, AND
NO-TICE- IN 40�jjg FROM-111"\JV!TOR OR OWNER
_�FUBB'S AVVAY BY El-r"ER CC�
BUILDING MATERIXL A N
F_ARED UOk-AND LAWCANRESUETINTHE
MUST 13E CL ST -r10s(
Ruc 6VEfAtzNTS",0"
COMPLY\IVITVJ T 0
F AND SUBJECT TO REVOCATION
ovvt4
11FAILURE To Fp.PAYINI
OPF-P-Ty
PR
p,pPRO= ONS
DING TO
wED ACCOR
ISS OF APPLICABLE pR
FOR VIOLATION OF ApPLI
$35.80 14
Date: 6/01/@1 01 Receipt: 0@61882
&
Lol G DEPT- --Ewa -----------------Qv_
CH B
AT CH
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
T 0 THE CHIEF ELECTRICAL INSPECTOR. DATE:
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 T E A CHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELE I REGLI TIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTE LE ICIAFU
NAME -D C-C'— ADDRESS: —RFD
BLDG.SIZE __BOX_
BETWEEN:
RES. AFT.( I comm. ( PUBLIC( INDUS.( NEW( OLD REW I c'
ADDITION ( ) TRAILER ( TEMP.( SIGNS ( ) SQ. FT.
SERVICE: NEW( INCREASE( REPAIR ( FEE
ecEiv ., NDUCTOR SIZE AMPS COPPER ALUM. ( )
TCH OR REAKER AMPS PH W VOLT . RACEWA�Y:
')(11 L
'ZONXIST.SERV.SIZE AMPS PH 3W ACEWAY
Oj fEEPERS NO. SIZE SIZE NO. SIZE
�ulldlncuy and 4AdHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
T,x—im
APPLIANCES _2 l0q_AMPS OVER -7-
I -- i BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
PS CEIL=HEAT, KW-HEAT
MOTORS 0.1 OVER
HP VOLTAGE __EHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
-1 IPA
TRANSFORMERS: UNDER 600 V.
k OVER 600 V.
NO. KVA NO. _jKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWI CH FLASHER
EACHSIGN
FORWARDED
TOTAL FEES
CITY OF
4&6a&c BeacA-Qo"
Office of Building Official
REQUEST FOR INSPECTION
Date
Permit No.
Time
Received
'v'lu
Job ress cality
Owner's
Name Contractor
BUILDING CONCRETE `ELECTR`lCAL � PLUMBING MECHANICAL
Framing F1 Footing El Rough Wiring 7— Rough 11 Air Cond. &
Re Roofing E Slab El Temp Pole E, Top Out El Heating
Insulation E Lintel El Final El Sewer 0 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. (:!e7d. ) Thurs. Friday A.M.
711 A.M. —RM.
Inspection Made
—P.M.
Final Inspection E
Certificate of Occupancy El
Date
CITY OF
4&4ot4b BeacA-0;&u-J,
Office of Building Official
Date REQUEST FOR INSPECTION
Time Permit No.
Received b�p. -
t7Q
Jo ddress;
Locality
Owner's c
Na;me / C<–Z— Contractor
UIL CO
BUILD'ING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing El
Re Roofing Rough Wiring F- Rough Air Cond. & J
Slab 0 Temp Pole El Top Out Heating
Insulation Lintel F Final F� Sewer Fire Place
READY FOR INSPECTION� Pre Fab
�Ir A.M.
Mon, Tues. Wed. hurs. Friday—RM.
Inspection Made QA.
Inspector__
�Final Inspection E3
C
r Certificate o,f Occupancy 7
Date
JOBADDRFM TYPE WORK
PROPERTY OWNEi" rE r-EPff ONE
CONMACTOR, TELEPHONE
PERMMNUMBER -DATE
IMPEC77ONS. FOOTING
SUB
TIE BEAM
FlUAdW"OVER UP
INSULATION
F17VAL BUILDLVG
CFJZ7MC4TE OF
ELECTVCAL PERAHIV
17VSPECTIONS ROUGU
FINAL
Aff CUA2V-TC4L PF.RAdM
INSPEC77ONS Rouaff
FPUL
PLEMBING PER&M
LVSPEC77ONS ROUGHMNDER MAB
TOPOUT
WA
FIM4L