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128-3 Seminole Rd (vault) (2) CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ LOCATION INFORMATION_ __ PERMIT- FMATION I Address: 128-3 SEMINOLE ROAD Permit Number: 22617 ATLANTIC BEACH, FL 32233 Permit Type: MECHANICAL Township: Range: Book: Class of Work: NEW � Lot(s):604 Block: Section: 1 Proposed Use: SINGLE FAMILY Subdivision: SALTAIR Es Sg Number: Est.. Value: — Parcel OWNER INFORMATION -- Improv. Cost: — Name: ARMSTRONG PROPERTIES Date Issued: 9/05/2001 Address: 128-1 SEMINOLE ROAD Total Fees: 42.00 ATLANTIC BEACH, FL 32233 42.00 Paid: (904)707-9672 Amount Phone: (904)70796 Date Paid: 9/05/2001 Work Desc: INSTALL HVAC DONOVAN HEATING AND AIR t, 1 ,may ` ��.«. �� .,:-tea,$~ 'S�-� s .-n ,, f',- . 4 rh '", mo 4: - y�?a 4 .t 1.1/4_ .a M'''i - ,,., -s- «aft •'. -r - . # '* � . T '. ., r- a ;;rte^ ` ` . . 'fir_-. ?1 r ROUGH MEC .-� . . �� A �a ,} ti•4 �-. s � �-- NOTICE-INSPECTIQNS "STS f� s� '�6 TAT 24149 � 1• TO INSFICTION _ BUILDING MATERIA :RUBBISH 1D Ty1S WORkkMUST NO'I' .I+'_. OED IN PtLIC SPACE, AND MUST BE CLEARED `- AND.. ` -! :C AWAY BY EITHONTRACTOR OR O R -------- "FAILURE TO COMP YWITH,T ON'ST . C ICI LIEN AN RE_SU4: ' IN THE PROPERTY OWNER PA NG s. '" LDIN_ ' -- . Em' TSN • p :,q P 11 ISSUED ACCORDING TO APPR S H #i 1 '''AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P- ` a: `'� S -- i l�t I - I Pli ATLANTIC BEACH BUILDING DEPT. Date: 4/85t81 8} Receipt4B8A6211 CHECKS 825K 881883221888 CITY OF ATLANTIC BEACH, FLORIDA APPfov.d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -'6 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TILE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDAN WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ._1 (00.k.-,5 dAN-1076iii 1 I / .. tog , ELECTRICAL FIRM: MASTER ELECTRI IAN SIGNATURE ' JOURNEYMAN NAME - _ �� ADDRESS:Pe- 3 �� I/1�� ' _ . . . — nrD BOX BLDG.SIZE BETWEEN: RES. ( APT. ( ) COMM. ( ) PUBLIC ( 1 INDUS. ( I NEW ( ) OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW ( NC IREASE ( ) REPAIR ( I FEE CONDUCTOR SIZE 4-/1 0 2-0e)v COPPER ( 1 ALUM.P \ SWITCH OR BREAKER g-,00 AMPS / P{{ t W `1(7-- OLT S6€ RACEWAY EXIST.SERV. SIZE AMPS PH W.- VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE - NO. SIZE_ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED _ OPEN _ TOTAL 0 30 AMPS 1 31 100 AMPS SWITCHES �/ ._____ i INCANDESCENT FLUORESCENT & M. V. FIXED ` 0.100 AMPS ovE APPLIANCES I I AIR BELL TRANSF. H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 MOTORS H.P. VOLTAGE PHS OVER NO. 1 H.P. VOLTAGE PI{g MISCELLANEOUS //e 'ivtm 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 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC SUCH.FLORIDA 31231 APPLICATION FOR MECHANICAL PERMIT aALLrN NUMBER IMPORTANT—Applicant ha complete all items in sections I, II, Ill, and IY. 1 . LOUTION Sh..l Acad.. Z%-3s.,^V 1 p . OF I,Ln..Nw, SL..t.I I.�.., t I VW t I C p I�� WILDING l4 0( 2 A.d C/I s.wl.lrl.w 5� l • 11. IDENTIFICATION —To be completed by all applicants. - in cow.:d•r•r:ew { permit q:... For de:wq t . ...sell ., rt Ie.. .r.r..w.wl .•br.6Y •q••• re P •r(w.. told..w1 Co•ec.rd•we• New. .! i•,Ld i'Ih ta pions and P.c{Ic•rlen. n:ch . P ea h.... .,d w •< .d.,<• ..:1111 ►. CY of.1.clr.w.:11• wdG.,e.. •wd .•.d.rd.e( q.ed.p•cge• lid•dIF...m. Noma of Pro"arty a.w.. fit I J 0 V •.A.Ih«Ir.d Aq•wl S:gw.1.r. of . L A,..,•.. •r ugh... VI III. CEN RAL INFORMATION A. Typo of h..nwq h..l; a. .. g.,tlds I!OTH IN CONSTRUCTION afINC DON[ON TNI! au1LOIsO OR 1ITX 1 y .w S ❑ 6...---❑. LP ❑ N•lerel ❑ c.wlr.l u1m17 If Yl], ov NUM• O/ STNUCTION❑ Oq z 24-a(QMe.—Specify.IV. NECNIWc SIQUIPMHNT TO 111 INSTALS° MATURE GM WORK (Pre.;de e.w.plel.Hat of cerwpo...wh•w!Nei.1 this fern.( ,a�RR// Residential or 0 Commercial Hatt a Sp... ❑ Rs...ed A.C.wnel ❑ New New aulldlnq • N.C.e fll..I,q: Q irons l� C.w ll�(__ ❑ Existing!Wilding ❑ [fact. System: M•h^.1 �` n7.kiw... ❑ A•plawm.nt al eal.11np.y.l.r.I 6° • Mu{.we.w capacity �� ❑ s..Installation(No system pr..lou.1y In.lalt.d( • 1. •CI Ealmdon or.dtl-0n la misting system • .❑ ltefrbqr.Mew ❑ On.r—Specify C.dtrp ...r Capacity • ❑ Are rprlwil.n. N..wh« .f heal. Q Suet.. Q IA smith a Ew7wr (..wl—I Q.G.—a.. THIS STAG kilt O 4J usa ONLY • pampa (,erh...) D,•T..i� (wew.L.l (� I • • • • ❑ llC . R.rnori. . (we wb..i . ❑ U.ftr.d pressure.err ❑ teller. Peaty.:) Approved by 1:61....-- .. ❑ ON..-•Sp.dfy P.r.Rll ie. ISBT AIL SQQIPMENT /Alf omatONINC ALID ERIGEAAT(ON [QUDS4ENT 2ctmnber Volta De.erIOtfon ][add Number Itam..taebar.r )Y ,.►f..oT / • :9A�(�Ia,t�.Ci]=ARIW.Mlrt�Il_— L_-\ ✓✓ . . __ __ _ _ . HEATING • PURNACES, HOLLERS. PTREPLAQr3 - O►p�d. Number Volta D—ertpttea Yodel fuber Y.autaetur . I TU) JryY TANS-1 Mows Yamy, Ntl.rp..1 Capacity •Iyg. 1.1.tukt Name of Serial A pso.la sad Dtm�dme. Cantalaed YaaotaaKtrar Na. P i CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION --r-- rPermit Number: 22631 LOCA'IN{NFA-SON Permit Type: ELECTRICAL Address: 128-3 SEMfNOLE ROAD Class of Work: NEW ATLANTIC BEACH, FL 32233 Proposed Use: SINGLE FAMILY Township: Range: Book: Square Feet: Lot(s):604 Block: Section: 1 Est. Value: Subdivision: SALTAIR Improv. Cost: Parcel Number: Date Issued: 9/06/2001 I;. — OWNER INFORMATION_ _ Total Fees: ' @• • - ■ STRONG PROPERTIES Amount Fees: 50 +I.• dd ss MINOLE ROAD Date Paid: 9/06 0 :, .---;- '"' TL -.0 -,• EACH, FL 32233 Work Desc: CS4/0 +OAIIIIPS ' 0� :`�� • , a ' '40V SER V,l — i I CON N . C _ r BROOKS LI CON - -- -" -` - �` ELECT 'PERMIT . -_._ w - _ - 50.00 �'• .[ k`ti"9 t - * SY. $ y, � V °� vas -t. �y .' .. :.Y C.i i Iit . 4.6i14 ICA 74/.1?,;:.4ff=.4g.,,,;'- '7'..%,1';P;'';;Tf.4.;.r4Z- '' :4'' ,7`rF,,-.4.3..Ovir:,;,7-NA*, : ,,•,If , r„1. ,-,.,_--, ---: .. ::::,l'F,_,.-*--7-71-__;-„wy ---:. - .tz.--z,:--:.o.tot't4.,Z„:,.i.;$:4Iat , i.„imeasa.sr,62ar..if y.,31,:-. .,v,-3k;_ '4aa.. ,4r 3tc -5A ..s.. r4 t _1' ' ` "- rr -1*- 3' . ev e_. - ,•y^ .•w a } a Gtion ROUGH ELECTRIC._,R 3 r �,� FINAL ELECTRIC 4 . � J '��-Via.=s`z �' `` ,..w+' .� 4:4-.., �x�,i ,s t ay" p ' . NOTICE- INSPECTION A U$T BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH DEBRIS FROM'T14I$ WORK MUST NOT,BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULQR1 /AY ELS,kI1HER QONTR4CTOR R Q`iVN—._ER--_. "FAILURE TO COMPLY WITH THE CONSTRUCT PROPERTY OWNER PAYING TWICE FOR BUILDING CAN RESULT IN THE G IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATiON '- _:t ic &U-1:41)ATLANTIC BEACH BUILDING DEPT. (58.88 14 Date: 9/86/81 81 Receipt: 8886586 81 CHECKS 146 88188883221888- 8818880 .,.._ - CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT LOCATION_iNFORMATION PERMIT INFORMATION — ddress: 128-3 ROAD Permit N A SEMINOLE umber: 22403 ATLANTIC BEACH, FL 32233 Permit Type: PLUMBING Book: Class of Work: NEW Township: Range: Lot(s):604 Block: Section: 1 Proposed Use: SINGLE FAMILY Subdivision: SALTAIR Square Feet: Est. Value: Parcel Number: —__ — 1 OWNER INFORMATION Improv. Cost: Date Issued: 7/25/2001 Name: ARMSTRONG PROPERTIES Total Fees: 60.50 Address: 128-1 SEMINOLE ROAD Amount Paid: 60.50 ATLANTIC BEACH, FL 32233 Date Paid: 7/25/2001 __ Phone: (904)707-9672 Work Desc_ NEW PLUMBING APPLICATION FEES __ _ CONTRACTOf�(S�___ .- - - ERMIT , ''-� 60.5Q I ARMSTRONG CONSTRUCTION =. ., t°,„ yr s •' _ifs` .. s v, -'4,,,t. �-y i* 'fit y> £ -�_ • ` sib f I\ ,..".:), _ ::::;tl,::,.,:de:::f 3.. ,,,,,,,,,... °` 4 ,k,\ .�y, i• 1 I ✓r a EFL alp- �.' it IJk X14 `� K -,2:4,, 4y .yf. A - 1 9 i.i. �1 _. _.. y y j S [4e•¢ 4.. --- �� •_ 404: 4 v, n ( ri *, .4:4* -' 11-4:--4-',0- : '°:...413.% Ig c,: t +,- t tits' .��t' aE '7 .N''' It NOTICE- IN4SPECTIOA�IS MT BE REQUEST' ATT 2 HQURS IOR TO INSPECTION F , • �w MATERIAL�'. RUBBISH° ND DEBRIS FROM THIS WORK MUS •OT BE P ED IN PUBLIC BUILDING MA �-,_ ONTRAC R OR OWNER SPACE, AND MUST BE CLEARED AND HAk1E 13;}�iW Y BY EITH ,.� i- "FAILURE TO COMPLY'' i ( NSTR Ott N•lA V11 RESULT IN THE AYI TVVi FOR bUiLEMN! I flP OVE 1 wt., ---- PROPERTY OWNER P N :cf � - ,-„ ISSUED ACCORDING TO APPROVED PLANS- tl.,r Af P fbE S'PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS Ois' 9d'--" "` _-________------------ — l / r ///r--) f r t- 148.58 14 v, _ ' ; D�&7/25/11 61 Receipt: 8876161 ATLANTIC B CH BUILDING DEP 11111113221116 A CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 70? F S mwr) Ie OWNER OF PROPERTY: ,� A 94 TELEPHONE NO. /' PLUMBING CONTRACTOR jqm s 0//y k ,,,, n h CONTRACTOR' S ADDRESS : /10 8 t) / S fee a 4' f7l STATE LICENSE NUMBER: C-PCa Wd TELEPHONE: p / W",0 3 HOW MANY OF THE FOLLOWING FIXTURES / RE-PIPED OR NEW SINKS ! SHOWERS 3 LAVATORY .I WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS 3` CLOSETS / WASHING MACHINE FLOOR DRAINS SHOWER PANS l SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES : O x $3 . 50 + $15 . 00 LAD-12) MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: , A INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22186 Address: 128-3 SEMINOLE ROAD Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):604 Block: Section: 1 Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: _ lmprov. Cost: 137,846.00 t _ OWNER INFORMATION Date Issued: 6/16/2001 Name: ARMSTRONG PROPERTIES Total Fees: 3,137.34 Address: 128-1 SEMINOLE ROAD Amount Paid: 3,137.34 ATLANTIC BEACH, FL 32233 Date Paid: 6/16/2001 Phone: (904)707-9672 Work Desc: NEW SINGLE FAMILY HOME . •-. CONTRACTOR S r ; ___-__: APPLICATION FEES Dane Armstrong r PERMIT 876.00 IMPACT FEE,„; 550.00 �; � � ..,,ter ,_ k : t : -� . ... SEWER IMPACT FEE 1,250.00 '�' 7 WATER'METER/TAP. ; �., 85.00 �' i . RADON GAS-H.R.S. ., 4.99 r `' RADON CAB 5% ... .. 0.26 -`o''K CAPITAL IMPROVEi 325.00 1 k. ` . CROSS CONNECTION''X; „,--1' . 35.00 J- ch- , 4 ." i 4.,A -, °"` . ONST.SURCHARGE 9.98 `.:h' .•},n SCHARGEATLBCH , 1 . 1.11.447F,'..„,,,—,41:1-k4-5!4°: " . ,,, te It. a : s ,{ � " Z � r J4 r,.ue � ' g ,+� t °r � , z x+ x v. :776i-;?-'1. 1 r3 _y T` ,, : e ` , k.... Ae ,n,in - d;. _ ,r Y -J �firj 3 j '' - Y - �L �a: x `?t,? r ,&= I .y`g *Y," . i I.: :1- .::41, g c "., . 4g .:c` Y IQ' ,, Y .. t a tiF ''}a 4:`,::;';.''''.‘-:'..4: sq e4is=f °'y . � C NOTICE':INSPECTIONS 1. ST BE REQUESTED AT LEAST=24-HOURS PRI TO INSPECTION BUILDING MATERIALS RUBBISH All''AD 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 T • •NSTRUCTION LIEN CAN RES T IN THE PROPERTY OWNER PAYING '''''r«.: F F. - BU1. y _, VEIENTS t ' ISSUED ACCORDING TO APPROVED,PLANS WHICH ARE,PARTIF TH1,$P AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF, VW,, ,,._, '` .___—_-_ ^^ Operator: CHERYLE A A' TIC BEAC BUILDING DEPT. Date: 6/29/81 81 Receipt: 8869359 Total Payment _ $3137.34 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /.-i YEif-i/4JOLte Arr.. -S/cr� Date 6 -16 -0/ Heated Square Footage r 7S @ $ '7O,OO per sq ft = $ /2.?S00 Garage/Shed (0 @ $ 30.00 per sq ft = $ / 4/0/0 Carport/Porch @ $ 0 per sq ft = $ Deck C) @ $ 0 per sq ft = $ 0 Patio ��` @ $ e per sq ft = $ / 33 (Q TOTAL VALUATION: $ / 7 k Yp /37 8c/‘ y6. o $ 460 Total 3V��Valuation 1st $ / Do mot, $ / / �. l / ci Remaining Value $3. per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ tea' ( 0 Fireplaces @ $15 . 00 $ /414 BUILDING PRMIT FEE $ ? 7 WATER IMPACT FEE $ S�a SEWER IMPACT FEE $ WATER METER/TAP $ r CAPITAL IMPROVEMENT $ 3 2_) SEWER TAP $ yUSo) RADON (HRS) .0050 $ Y.77/ 2C- SECTION H PAVING ( ) $ -a - HYDRAULIC SHARES $ c ' CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ ' 7 WAI, OTHER $ GRAND TOTAL DUE $ 3(3 -7. 3 ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : PLAN REVIEW CHECKLIST PROPERTY DESCRIPTION: �� e-- St-'01//(90e[- Y7. J E OWNER: RMST,'O,'J b ( E/tl/,EJ' [vr 1. Determine Occupancy Classification of the structure. Select occupancy classification 04• s which most accurately fits the use of the Building. (Chapter B3) [vr 2. Determine actual physical properties of building. V]' a. Determine building area each floor. (Area definition Chapter B2) [v}-- b. Determine grade elevation for building. (Grade definition Chapter B2) [. 1- c. Determine building height in feet above grade. (Height definition Chapter B2) b--r- d. Determine building height in stories. (Story definition Chapter B2) [v]' e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter B2) [ 4 f. Determine percent of exterior openings per floor. [t 3. Determine minimum Type of Construction necessary to accommodate proposed structure. if (Chapter B6) k/]" a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table B500) [`], b. Check allowable height and area increases permitted. (Chapter B5) [‘-r- 4. Check detailed Occupancy requirements. (Chapter B4) [tomf 5. Check detailed Construction requirements [ ] a. Fire Protection of Structural Members (Chapter B6 &Table B600) [Ur b. Fire Protection Requirements (Chapter B7 and Table B700) [0/ c. Means of Egress Requirements (Chapter B10) [ ] d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) [rj' 6. Review design as related to standards. (Chapters B16 - B26) [,a-- 7. Check other requirements as necessary. [ ] a. Construction projecting into public property(chapter B32) [ ] b. Elevators and conveying systems (Chapter B30) [14 c. Sprinklers, standpipes and alarm systems (Chapter B9) [vr d. Use of combustible materials on the interior(Chapter B8) e. Roofs and roof structures (Chapter B15) [ f. Light,ventilation and sanitation (Chapter B12) [ ] g. Other 6, `( 6 c' / CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date 7 � By: L 1 �-- ( ` 2,r------___ Don C. Ford, Building Official don/sb.1 CITY OF ATLANTIC BEACH Fixture Unic Worksheet for tracer Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE'•!ENT 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 CITC WATER SYSTEM!. 2 BATHROOM CROUP CONSISTING OF SE. !R. IC S=;?K TRAP STAND WATER CLOSET. LAVATORY & BATH (3) TUB OR SHOWER STALL (6) /2 r WATER CLOSET WATE3 CLOSET, TANK OPERATED (4) VALVE OPE°ATE_D (q) BATHTUB/SHOWER (2) WALL LI? (-.)SHOWER CROUP PER HEAD (3) FLOOR Dxa=N (1) SHCWE3 STALL DOMESTIC (2) LAUNDRY TRAY (2) _> LAVATORY (:) 3 CO R INATION SINK ANC T. (3 ) ( WASHING "ACH:NE (3) POT, SCULLERY SINK (-.) ( DISHWASHER (2) 2. _ WASH SINK EACH SET OF FAUCETS (2) rITCHEti SIN): (2) DENTAL LAVATORY (1) LIT '^I SI2TX WITS WAST_! _� DENTAL UNIT CR CUSPIDOR (1) GRINDER (3) BIDE' (22,) URINAL STALL, WASHOUT (4) --_!—(1. FLUSHING I SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL. SYPHON Jr:. BLOWOUT (2) c., DRINKING FOUNTAIN (1/2) LAVATORY, aARBc:�i 3EAUT': / , SHOP (2) ICE MAKER (1/2) SURGEONS SINK (3) ® LAVATORY, SURGEONS (2) JACUZZI (2) CD URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 22 T. :5 A $20.00 EACH $ SS-0 JOB INFO RHATION /,..l e 3 -� ci /4,0 z.,(_-_- Pt7 Rr„ ,•-.:rav ffl f P.- ,7--N j .:s..s. PROPERTY DESCRIPTION JUN 4 S 64A •t #tCc/, Block # , Section # / City p, r't.1- 1., ;each ikily.Ddivision: 'S /fll,',— fhiii4:iipg 404 zyr11F1, Street Name � DESCRIPTION OF WORK or Address: /9.ai l 3 Se,^.iA./— )Zd (If in a FLOOD HAZARD Flood Zone: area complete page 3) Brief Description a 5,11,ry Lvovcf ;-au....- Class of Work: (New/ Remodel/Addition: �44_t../ ZONING INFORMATION Type of Construction: G✓aac-( A-7-0.M- I v.•f 4 44,„ ,1 5 ,,"„f ot, / i?s9 4 if Roo{ Zoning Proposed //� District: Use: S7l Fow..'1/ f�°"'t. Estimated Value $ / cc) Exceptions or Variances Materials: £1/0ec4, 0q,6ck/ o /7A,,,, L SJ,, Granted: / Solid or Filled Ground: Roof: Method of Heating: OWNER INFORMATION Property Owner: ,4/`M57ran /ur e ems/,.4 Phone: 9'0 c/ 707- 7 , / Z' Mailing Address , r- - .._ ,',.. i Ard k /- 7i/vnn ,i„ ,6c-A / / Zip: 3Z33 CONTRACTOR INFORMATION 0 �/6 o S Contractor: ,�/`/yi.51, -1,, f� e ..cr" Phone: 9 V 7 ,/ 5 Mailing Address: /ag-/ e—',..e Z /2d ,4%1/4.-1.9//c_. /3cl- Zip: '3L2. 33 /� Expiration STATE LICENSE NO: --�-3 '- C74/67g376— Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE 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 Signature <�'� ���!�e/ DATE 6 // °/ g .r,.G.;�i� Contractor Signatu - Al,! DATE //_ off l 'N TO,AND SUBSCRIBED BEFORE ME BY ,J_ V \Vk C...r.e (—1'-e e-, THIS 15 L DAY V 1 200 — 4 6 , ia NOTARY PUBLIC `' ` EXPIRES:February 8,2002 1.800.3 NOTARY Fla.Notes Santa a Bonding Co. i FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Hunt residence Builder: Address: Private Dr Permitting Office: City, State: Permit Number: Owner: Hunt Jurisdiction Number: Climate Zone: North 1. New construction or existing New 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:42.0 kBtu/hr _ 3. Number of units,if multi.family 1 SEER: 10.00 - 4. Number of Bedrooms 3 _ b.N/A 5. Is this a worst case? No - - 6. Conditioned floor area 412) 1750 f12 . N/A 7. Glass area&type - - a. Clear-single pane 0.0 t1-- 13. Heating systems b.Clear-double pane 284.0 f- a. Electric Heat Pump Cap:42.0 kBtu/hr - c. Tint/other SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 d. Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A 8. Floor types -a. Slab-On-Grade Edge Insulation R=0.0, 137.0(p)ft - c. N/A - b.N/A - - c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:50.0 gallons - a. Frame,Wood,Exterior R=11.0,886.0 ft- EF:0.91 b. Frame,Wood,Exterior R=11.0, 1125.0 ft2 - b.N/A - c. Frame,Wood,Adjacent R=11.0, 125.0 ft2 d.N/A _ c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0, 1050.0 ft= 15. HVAC credits - b. N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan., 11. Ducts _ PT-Programmable Thermostat, a. Sup:Um. Ret:Unc. AR Garage Sup.R=6.0, 150.0 ft - MZ.GMultizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.16 Total as-built points: 24635.00 PASS � Total base points: 24954.00 I hereby certify that the plans and specifications covered Review of the plans and THE S by this calculation are in compliance with the Florida specifications covered by this Energy Code. calculation indicates compliance ,. • with the Florida Energy Code. `_4-� PREPARED BY: � Before construction is completed { l{ Y E. DATE: this building will be inspected for ../ I hereby certify that this building, as designed, is in compliance with Section 553.908 "I • compliance with the Florida Energy Code. Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: ^ ,_ 1 -O I --EnergyGauge®(Version: FLR1PA 2.02) FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Private Dr, , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .19 1750.0 33.06 10412.2 Double,Clear SE 1.0 6.0 12.0 40.86 0.96 472.0 Double,Clear E 1.0 6.0 18.0 40.22 0.97 702.1 Double,Clear NE 1.0 6.0 12.0 28.72 0.97 335.4 Double,Clear E 2.0 6.0 4.0 40.22 0.85 136.4 Double, Clear N 2.0 14.0 6.0 19.22 0.98 113.5 Double,Clear N 2.0 16.0 15.0 19.22 0.99 285.7 Double,Clear W 1.5 6.0 39.0 36.99 0.91 1317.5 Double,Clear W 2.0 18.0 49.0 36.99 0.99 1803.0 Double,Clear S 2.0 18.0 18.0 34.50 0.99 614.6 Double,Clear S 2.0 16.0 9.0 34.50 0.98 305.6 Double,Clear E 2.0 6.0 42.0 40.22 0.85 1432.6 Double,Clear N 2.0 6.0 15.0 19.22 0.90 259.5 Double,Clear W 2.0 6.0 36.0 36.99 0.85 1131.0 Double,Clear S 2.0 6.0 9.0 34.50 0.78 240.9 As-Built Total: 284.0 9149.9 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 125.0 0.7 87.5 Frame,Wood,Exterior 11.0 886.0 1.70 1506.2 Exterior 2011.0 1.70 3418.7 Frame,Wood,Exterior 11.0 1125.0 1.70 1912.5 Frame,Wood,Adjacent 11.0 125.0 0.70 87.5 Base Total: 2136.0 3506.2 As-Built Total: 2136.0 3506.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 19.0 2.40 45.6 Exterior Wood 21.0 6.10 128.1 Exterior 21.0 6.10 128.1 Adjacent Wood 19.0 2.40 45.6 Base Total: 40.0 173.7 As-Built Total: 40.0 173.7 ■ CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 1050.0 0.60 630.0 Under Attic 30.0 1050.0 0.60 630.0 Base Total: 1060.0 630.0 As-Built Total: 1060.0 630.0 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 137.0(p) -37.0 -5069.0 Slab-On-Grade Edge Insulation 0.0 137.0(p) -41.20 -5644.4 Raised 0.0 0.00 0.0 Base Total: -5069.0 As-Built Total: -5644.4 EnergyGauge®DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Private Dr, , , PERMIT#: BASE AS-BUILT INFILTRATION Area X BSPM = Points Area X SPM = Points 1750.0 10,21 17667.5 1750.0 10.21 17867.5 Summer Base Points: 27520.6 Summer As-Built Points: 25682.9 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 25682.9 1.000 1.047 0.341 1.000 9177.6 27520.6 0.3573 9833.1 25682.9 1.00 1.047 0.341 1.000 9177.6 • EnergyGaugeTM DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Private Dr, , , PERMIT#: I BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Points .18 1760.0 9.76 3075.9 Double, Clear SE 1.0 6.0 12.0 5.33 1.04 66.4 Double, Clear E 1.0 6.0 18.0 9.09 1.02 166.2 Double, Clear NE 1.0 6.0 12.0 13.40 1.00 160.9 Double,Clear E 2.0 6.0 4.0 9.09 1.06 38.6 Double,Clear N 2.0 14.0 6.0 14.30 1.00 85.8 Double,Clear N 2.0 16.0 15.0 14.30 1.00 214.5 Double, Clear W 1.5 6.0 39.0 10.77 1.02 429.7 Double,Clear W 2.0 18.0 49.0 10.77 1.00 528.4 Double,Clear S 2.0 18.0 18.0 4.03 0.99 72.1 Double,Clear S 2.0 16.0 9.0 4.03 1.00 36.2 Double,Clear E 2.0 6.0 42.0 9.09 1.06 404.9 Double,Clear N 2.0 6.0 15.0 14.30 1.00 215.6 Double,Clear W 2.0 6.0 36.0 10.77 1.04 404.1 Double,Clear S 2.0 6.0 9.0 4.03 1.26 45.7 As-Built Total: 284.0 2869.0 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 125.0 3.6 450.0 Frame,Wood,Exterior 11.0 886.0 3.70 3278.2 Exterior 2011.0 3.70 7440.7 Frame,Wood,Exterior 11.0 1125.0 3.70 4162.5 Frame,Wood,Adjacent 11.0 125.0 3.60 450.0 Base Total: 2136.0 7890.7 As-Built Total: 2136.0 7890.7 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 19.0 11.50 218.5 Exterior Wood 21.0 12.30 258.3 Exterior 21.0 12.30 258.3 Adjacent Wood 19.0 11.50 218.5 Base Total: 40.0 476.9 As-Built Total: 40.0 476.8 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 1050.0 1.20 1260.0 Under Attic 30.0 1050.0 1.20 1260.0 Base Total: 1050.0 1260.0 As-Built Total: 1050.0 1260.0 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 137.0(p) 8.9 1219.3 Slab-On-Grade Edge Insulation 0.0 137.0(p) 18.80 2575.6 Raised 0.0 0.00 0.0 Base Total: 1219.3 As-Built Total: 2675.6 EnergyGauge®DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: Private Dr, , , PERMIT#: BASE AS-BUILT INFILTRATION Area X BWPM = Points Area X WPM = Points 175C.0 -0.59 -1032.5 1750.0 -0.59 -1032.5 Winter Base Points: 12890.2 Winter As-Built Points: 14039.6 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 14039.6 1.000 1.064 0.501 1.000 7491.0 12890.2 0.5340 6883.4 14039.6 1.00 1.064 0.501 1.000 7491.0 EnergyGauge^" DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 FORM 600A-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: Private Dr, , , PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 50.0 0.91 3 1.00 2655.47 1.00 7966.4 As-Built Total: 7966.4 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 9833.1 6883.4 8238.0 24954.5 9177.6 7491.0 7966.4 24635.0 PASS .sOQ THB STqiFO... 'y, . 1=" i . I,,,,. `1 Y I l , . EnergyGaugeTM DCA Form 600A-97 EnergyGauge®IResFREE'97 FLR1PA 2.02 FORM 600A-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Private Dr, , , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS __ SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Windows&Doors 606.1.ABC_1.1 Maximum:.3 cfm/sq_ft.window area;.5 cfm/sq.R.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame waits where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. j , Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier,gaps in gyp board&top plate; attic access. EXCEPTION:Frame ceilings where a continuous infiltration barrier is _ installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from — —.— conditioned space,tested. —� Multi-story Houses 608.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, _ have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) I COMPONENTS __— _SECTION REQUIREMENTS r CHECK Water Heaters 612.1 Comply with efficiency requirements 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&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. _ Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGauge'M DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 81.5 The higher the score,the more efficient the home. Hunt, Private Dr, , , 1. New construction or existing New 12. Cooling systems 2. Single family or multi-family Single family a. Central Unit Cap:42.0 kBtu/hr __ 3. Number of units,if multi-family 1 SEER: 10.00 _ 4. Number of Bedrooms 3 - b.N/A - 5. Is this a worst case? No - - 6. Conditioned floor area(R2) 1750 if c. N/A - 7. Glass area&type - - a. Clear-single pane 0.0 ft2 _ 13. Heating systems b. Clear-double pane 284.0 ill - a. Electric Heat Pump Cap:42.0 kBtu/hr _ c. Tint/other SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 - d. Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A - 8. Floor types a. Slab-On-Grade Edge Insulation R :).0,137.0(p)11 _ c. N/A - b.N/A - - c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:50.0 gallons a. Frame,Wood,Exterior R=11.0,886.0 ft2 _ EF:0.91 b. Frame,Wood,Exterior R=11.0, 1125.0 112 b.N/A c. Frame,Wood,Adjacent R=11.0, 125.0 112 _ - d.N/A _ c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R---30.0,1050.0 ft' _ 15. HVAC credits - b.N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. All:Garage Sup.R=6.0, 150.0 ft - RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building . through the above energy saving features which will be installed(or exceeded) oQ in this home before final inspection. Otherwise, a new EPL Display Card will be completed 'e =s O,r''••. based on installed Code compliant features. ;t: °ti�.^,„e ,.:0 1 .i,�- Builder Signature: Date: �1' _ E "r •mot. -!jam ° Address of New Home: City/FL Zip: -•cop wglv•: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. 1f your score is 80 or greater(or 86 for a US EPA/DOE EnergyStaf" designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version: FLR1PA 2.02) DATE: 6/5/01 MANUAL "J" SUMMARY REPORT Prepared For: Prepared By: Hunt res R.B. Ellis Energy Design Systems Job Name: Private Dr *********************************************************************** DESIGN CONDITIONS For Duval OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 32 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (%) 5 Latent Factor (%) 29 *********************************************************************** Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM WHOLE HOUSE 36884 1229 34005 1417 HEATING COOLING DELTA T 40 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 I I DATE: 6/5/01 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Hunt res R.B. Ellis Energy Design Systems Job Name: Private Dr ************************************************************************ EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL AREA 36 36 64 124 12 12 284 COOLING 900 1440 4736 9176 636 780 17668 HEATING 1152 1152 2048 3968 384 384 9088 WALLS TOTAL AREA 2136 2136 COOLING 5340 5340 HEATING 8544 8544 DOORS TOTAL AREA 40 40 COOLING 528 528 HEATING 828 828 FLOOR AREA COOLING HEATING SLAB 137 4987 RAISED WOOD CEILING AREA COOLING HEATING UNDER ATTIC 1050 1628 1575 SGL ASSEMBLY KNEE WALL 60 138 162 MISCELLANEOUS COOLING LOADS People Sensible Load 1200 Latent Load 3488 Lights & Appl. Load 1200 Latent Safety Btuh 174 Ventilation Load Duct Heat Gain 2738 Infiltration Load 2077 Sensible Safety Btuh 1489 TOTAL SENSIBLE LOAD 34005 TOTAL LATENT LOAD 3662 Summer ACH 0. 4 Temp. Swing Mult. 1.00 *** Total Cooling Load 41434 BTUH Or 3 .45 Tons *** MISCELLANEOUS HEATING LOADS Infiltration Load 8744 Ventilation Load Duct Heat Loss 1259 Safety Btuh 1696 Winter ACH 0. 8 *** Total Heating Load 36884 BTUH Or 3 . 07 Tons*** �� CITY OF 14IlIfuiC 1 each-1lmucla Office of Building Official REQUEST FOR INSPECTION Date r7 / a g Time 81.tom\ Permit No. Received CJ�✓ • /(9 6-3 Job Address Locality Owner's3-6---07?) Cy l�r i-- Name Contractor BUILDING CONCRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ ��Fo,�ot.i�ng ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing El ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. Thurs. Friday AA P.M. ilk Inspection Made _ —© A.M. I/ r P.M. Inspector r Final Inspection ❑ I — Certificate of Occupancy ❑ C74t-i- ' 7g- /7 l Date 4 Beach of e4#ta.>titic Beach-lloftscla office of Builefiffg ®ffw �j �y REQUEST FOR INSPECTION Date 7/ ! C// Permit No iCic / 2 0 Time A.M. Received ir--re..,\-__.Z,,.,,, .2 (S7— it A Joss ocality �}� Owner's __ \�/0–5" , Name //i i ,/L�/�A - Contractor BUILDING CONCRETE , ELECTRICAL PLUMBING M ANICAL Framing ❑ Footing • Rough Wiring ❑ Rough ❑ Air Cond. & r' Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insu io Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ ----- Pre Fab READY FOR INSPECTION •.■ . on. Tues. Wed. Thurs. Friday Inspection Made �.% A.M.P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date