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925 Seminole rd (vault) PERMIT WORKSHEET Certificate of Occupancyl Job Address: 9-Z S Type Work: Property Owner: -�POGEQS , Phone # Z49- Contractor: �dE FLOPP^ Phone # 7—L41 - -7455 Permit#: 1 04- -Z-7 GO Date Issued: 4-(-A Building Inspections: Footing -4-1,4.0 q C)z-1 Slab Tie Beam Lintel Nailing Sheathing 15-,7-1-0 to 1-04 Framing Cover Up Insulation Final Building Tree Permit# YES Electrical Permit# Date Copy to I OL4- 7-7�oL,0 JEA � G- Zi -04 Temp, Pole Permit# Date/ Copy 0 � 0 4- C>�7, JE� 4- Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA te- Temp. Power Released to JEA Temp. Pole Released to JEA L4- tc?-o4— Final Released to JEA Mechanical Permit# o Kj - o2--[Cc U 0 5R 10 Inspections: Roughl Final Plumbing Permit# (-4��Topout Inspections: Rough Underslab Water Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028573 Date 6/30/04 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . FIREPLACE Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ROGERS, BRENT FIRST CHOICE SUPPLY INC. 925 SEMINOLE ROAD 1116 EDGEWOOD AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 781-0081 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C lm-k BUILDING OFFICIAL CITY OF ATLANTIC BEACH M CHANICAL PERMIT APPLICATION E Date: (P—30—o Property Address: C\ Owner: Telephone #: Contractor: Telephone 0 0 9> 1 Contractor Address: jj 2,,,k Fax 0 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 �ood practice listed therein. Type of Heating Fuel: If other construction is being done on this building C3 Electric or site,list the building permit number: C3 Gas: —LP —Natural —Central Utility 0 Oil C2 Wr-Dther-Specify L^3 CDO ok MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF W—ORK -- El Heat Space _Recessed Central Floor (�57 Residential • Air Con�—ditioning: —Room Central — • Duct System: Material Thickness— 0 Commercial • Refrigeration Maximum capacity—cfm �8- New Building • Cooling Tower: Capacity gpm Q Existing Building El Fire Sprinklers:Number of Heads • Elevator: —- Manlifl: Escalator (Number) Q Replacement of Existing System • Gasoline Pumps —(Number) • Tanks _(Number) J�5- New Installation C3 LPG Containers (Number) (No system previously installed) C] Unfired Pressure Vessel— Q Boilers E3 Extension or Add-on to Existing System C3 Gas Piping C3 Other-Speci a— Other-Specify_J�-Q-"tA&� fy— LIST ALL EQUIP 4ENT AIR CONDITIONING,REFRIGERATION EQUIPMEENT&CONDENSORIS Approving Number Units Description Model# Manufacturer Ton's Agency HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency V A,- LA, TANKS Nominal Capacity Type Liquid Serial Approving How Man' &Dimensions Contained Manufacturer No. Agency 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - htti)://www.ei.atiantic-be2ch.n.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 3/31/05 Parcel Number . . . . . 170060-0000- - Property Address . . . 925 SEMINOLE RD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . ROGERS, BRENT Contractor . . . . . . NORTHEAST FLORIDA CONTRACTING 904 241-7455 Application number 04-00027660 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL OCT-12-2004 16:00 FROM:BRRKOSKIE ELECTRIC 904-249-8017 TO:2475845 P.1 R E 0 E I V E D C 0 717YOF'A11ANTIC BEACH U1 BUILDING &ZONING RELEASE REQUEST& EARLY OCI POWER AGREEMENT OCT 12 2004 For Residential Use Only BY: Electric power is requested now under conditions and terms of this fully executed Agreement&Rele&sc SITE/JOB EDEMITIV Sel-11A/�Ole_ BUILDING PERMIT NO. ELECTRIC PERMIT NO.04/,60rd P?7a47 POWER COMPANY —Service: Overhead r underground (C,rce� We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early Power"is purely for our construction convenience,is not required by codes,does not substitute for Final Inspection or the C/O(Certificate of Occupancy)that must be issued before occupancy;and 2. Later final inspection for a C/O requires a"hot check"of wiring by the Building Inspector,and I Occupancy or use of the new construction before a formal CIO constitutes fraudulent use of the early Electric service,is expressly prohibited and penalized by the County Ordinances,would be a violation Of this Agreement and remit in a County request for prompt removal of electric service; and 4. "Early Power"release authority is the Electrician and must not occur before: A. Equipment,devices and fixtures are installed(or blanked off) safely,and B. Panel is complete with breakers and cover,and C. Service connection and grounding is complete,and D. The electric system has safely passed a thorough electrical check;and 5. Any unpaid fees and unsatisfied requirements may block release; and 6. The County will make no special inspection prior to early power energizing,but Rough inspection Must have prior"Approval,"including meter base connections;and 7. This fully completed form is to be submitted to the County as the Release Request for Early Power By hand,via mail or fax to by the Electrician when energizing is wanted. S. Future such Agreements will not be accepted from those who violate Items 1-7 above. GENERAL CONTRACTOR DATE Sig it re of Builder ELECTRICIAN DATE_Z!��IIVJ ignalu/e of Matter �'A � PERSONAL NAME OF MASTER Print it,I se APPROVED' CITY OF ATLANTIC BEACH BUILDING OFFICE OCT 2004 FYAL�:= R E C E I V DID OF ATLANTIC BEACH A-DJNG 3arhajAe i6le' etirk Sem(ee 9YL P, 7r,'WNG At�.T SERVING DUVAL & ST. JOHNS COUNTIES SINCE 1954 RFP 3 0 Pau POST OFFICE BOX 50325 JACKSONVILLE BEACH, FLORIDA 32240' BY: Release Request and Early Power Aprreement - Z:3p Electric power is requested now under conditions and terms of flLis fully executed Agreement&- Release -lTy SITE/JOB IDENI 5�7 <)r,&7� BUIT.DING P1---RMIT NO 04/- 2 Z44�2 ELECTRIC PERMIT NO 28 / ok SLRVICr-- (CHECKONE) 0 OVEYjiF-AD W�-' UNDERGROUND We,the undersigned General Conmctor-and Electrician,understand and allee: I "Early Power"is purely for our constructiou convenience,is Mot required by Codes,does Voj substitute for Final Inspections or the C/O (Certificate of Occupancy) that must be issued before occupancy;and such is it the discrcdon of the Building Official; and 2. 'Me City, will make a speci4inspectiion prior to early power energizing,and rough inspection must have prior"Approval".including meter base connections;and 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early electric service,is expressly prohibited and penaUed by ne City, ordinances,would be a violation of this Ageement and shall result in a request for prompt removal of electric service after twenty four(24) hour notice;and 4. "Early Power"release authority is the Electrician and must not occur before: A. Equlpment�devices and fixtures are installed (or blanked ofo safety,and B. Panel is complete with breakers and cover,and 0abeling required at final inspection) C. Service connection and grounding is complete,and D. nc electric system has safety passed through electrical check,and E. Meter can permanently marLed with address,and F. Tempor-ary address numbers displayed (Permanent numbers are required for C/O),and G. Fire Protection systems approved by the Fire Marshal;and S. Any unpaid fees and any outstanding requirements must be satisfied prior to release;and 6. This fully completed form is to be submined to the Building Department as the Request Release for Early Power by hand,via ma�or fax 7. Future such Agreements will not be accepted from those who violate any one of items 1-6 above. CONTRACTOR R-T7+-8A I�D !S�TZA- eA-C--rp DATE ----\ (S1!gn%Ke of Builder) �LECTRICIAN DATE 2ZZ-7 (Sif#rure of Elecuician) P F M A STER (f, BUILDING OFFICE (Please Print) Master No. 7A SEP 3 0 2004 Lcerise No. 0 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027660 Date 6/22/04 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . 2ND FLR ADD/1924SCHG ORAD Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 180000 Owner Contractor ------------------------ ------------------------ ROGERS, BRENT NORTHEAST FLORIDA CONTRACTING 925 SEMINOLE ROAD P 0 BOX 33039 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL (904) 249-3359 ATLANTIC BEACH FL 32233 (904) 241-7455 - --------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Sub Contractor . . LANDRUM AC, INC. Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/22/04 ---------------------------------------------------------------------------- Special Notes and Comments DOWNSTAIRS KITCHEN IS TO BE REMOVED FROM PLANS, NOT ALLOWED. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES BUILDING OFFICIAL ob�j S1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027660 Date 3/04/04 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . 2ND FLR ADD/1924SCHG ORAD Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property. Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 180000 Owner Contractor ------------ ------ ------ -------- ---------------- ROGERS, BRENT NORTHEAST FLORIDA CONTRACTING 925 SEMINOLE ROAD P 0 BOX 33039 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL (904) 249-3359 ATLANTIC BEACH FL 32233 (904) 241-7455 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 735 . 00 Plan Check Fee 367 . 50 Issue Date Valuation . . . . 180000 -------------------------------------------- -------- ------------------------ Special Notes and Comments DOWNSTAIRS KITCHEN IS TO BE REMOVED FROM PLANS, NOT ALLOWED. ---------------- ---- -------------------------------------------------------- Other Fees . . . . . . . . . ST CONSTRUCTION SURCHARGE 8 . 65 AB CONSTRUCTION SURCHARGE . 96 WATER IMPACT FEE 230 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 735 . 00 735 . 00 . 00 . 00 Plan Check Total 367 . 50 367 . 50 . 00 . 00 Other Fee Total 274 . 61 274 . 61 . 00 . 00 Grand Total 1377 . 11 1377 . 11 . 00 . 00 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH C F Ford BUILDING / ZONING DEPARTMENT L. Higgins S. 800 Seminole Road S. oerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax FEB 0 5 2004 PLAN REVIEW COMMENTS Permit Application # z lCo4oO Property Address: 'T 7-S K-XL� 'RD Applicant: Q f Zq� EA--S-f Project: This permit application has been: fv-,�Approved Reviewed and the following items need attention: Please re-subm- our a plicati&hen these items have been completed. Reviewed By: Date: R E C E I V E D CITY OF A`-L.ANTIC BEACH BL-')!1.-,—,iNG &ZONING F-EB 0 5 2004 CITY OF ATLANTIC BEACH -6", BUILDING PERMIT APPLICATION (ALTERATION S/ADDITIONS) Date: 0Lk Job Address: . q)3 sty-'i"evoc RoaA Owner of Property: Rv-p-")+ P,096YI5 Address: 9A5 Seu-n,i-iz V 9-scLA Telephone: qQL1--1qJ-33,59 Legal Description: Block Number: 1�21 Lot Number: Ll Lo Zoning District: 5-601 .14 Contractor: V&.-;O� rl-. 6-,,,�/—�,`5state License Number: C (5,<5 Contractor's Address: -PQ-3px 330339 Telephone: 91D 9,--AA)- -7 Ll 55 Fax: It) - -1q)- -7L471 Describe proposed use and work to be done: oA&*,t�fn as pe�r pr-',of Present use of land or buiiding(s): ReS i C(Py)U, Valuation of proposed construction: $ 1 So,oc C) What are the dimensions of the added space: 7.1' 7� " ketxQ? F' 91� TeAet Will the added area be heated and cooled? 4 New electrical or increase in service? New plumbing fixtures? 9es New fireplace? ge.5. New heating/air conditioning? Ve S Is approval of Homeowner's Association or other private entity required? NO If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? 50 NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. KZ t:r 1770060 0000 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page I Revised 1/14/03 RkTUrs-�-i'N` Book 11618 Page 1661 ',.ONE -2L 441-7454:!� NOTICE OF COMMENCEMENT State of RD,-'aa- Tax Folio No, Countyof by-two To Whom it May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 5-tc8 I tp-:)S-a-9 E ILI Aj 14 y Hc. 6�0-,Q,:.A7 Li)t- 4112 81 ler Q' Address of property being improved: 9.?5 -';v-mriD General description of improvements: jjd4j� f4'm tqg ;2'*� 4:�Uo.-- U Owner: P)jrpyi-t- A j!Cg-4e-y--S Address: PQ 1'23n X 356 6 6!�j PL -322-3-3 Qlddi Owner's interest in site of the improvement:-Re CA en t-e- Fee Simple Titleholder(if other than owner): Name: Address: Contractor: TIQV'+,�WaSt: P7[.hvieleL C&)ty-AC;r�c-q V1<I Address: PoAp% 330339 4+u-1-6c C-)-?, F-t- 3 2,233- 03 3 el Phone No:' --)Hl- -N55 Fax No: L41- -7L4-7 1 Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan fo r the construction of the improvements. Name: Address: Phone No: Fax No: -t--* Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: ?I I (-,)D-,-tj ,,,l Address: PV go x 3 3 0 3��'1 6*14,,t1C_ BeQe-A. 3223-3-033'? Phone No:- ALA I--)LLS-5 FaxNo: :?L))- -7V'71 In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 3.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: (,-jf)V k4L-1 Address:-PQ Rn)c 3W331 MIT14ndc- 264A. FL 322-3 3 - D-33 'i PhoneNo: ;LL41- -7455 Fax No: J'-//- -7 14-7/ Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Signed:- og BeforeW wl _el--cv day '4 in the County of Duval,State of Florida,has pe ally appe J _9,,-9A-1f- — ?,3CA&y-$ —j ., Z'd DOC Notarylublic at Large,State of Fl((A�,C�unty of Duval. :1064 B0% 10e9059 My commission expires: 1-7 j ;LQ UP Pa e: 1661 Personally Known: V-' Filed & Recorded Produced Identification: 02/05/2004 10:33:57 AN JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $ 5.00 Jodi Kratme TRUST FUND $ 1.00 61%tV my c4nvrAum OM3419 J,/ Epm J,*V 2005 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OB-01 Residential Component Prescriptive Method B NORTH 1 2 3 Compliance with Melficid B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600B for single and multifamily residences of 3 stories or less in height,nd ddbonis to existing residential buildings.To comply,a building must meet oir exceed all of the energy efficiency prescrIptives;in any one of the prescriptive component packages Ind comply with the prewriptive measures listed in Table 6B.1 of this form.An alternative method is provided for additions of 600 square feet or less by use of Form 6DDC.It a building does not comply with this method,it may still comply under other sections in Chapter 6 of the Code. PROJECTNAME: �-e BUILDER: AND ADDRESS: PERMITTING C OFFICE: ZONE: 1 D 2 11 3 OWNER: PERMIT NO. JURISDICTION NO.: , (e-A GENERAL DIRECTIONS 1.New construction inducting acklitions which iroorporates any of the lollowing features cannot comply using this method:steel stud walls,single assembly rocifficeiling constrUictIon,or skylights or other nort-yerticall roof gilass. 2.Choose one of the component packages'A'through'E'komTa*68-1 by which you intend to comoy with the Code.Circle the column of the package you have chosen, 3.R in all the applicable spaces of the'To Be Installecr column on Table 68-1 with the information requested.All'To Be InsWe(f values must be equal to or more efficient than the required levels. 4.Cornoele page I based on the'To Be Installecr column information. 5.Read Winimum Requirements to(All Packages',Table 6B-2 and check each box to indicate your intent to compty wrth all applickle Items. 6.Read,sign and date the'Prepafed By'certification statement at the bottom of page 1.The owner or owners agent must also siign and date the lorrn. Please Print CK 1. Compliance package chosen (A-F) 1. 2. New construction or addition 2. "C V1 3. Single family detached or Multifamily attached 3. y 4. If Multifamily-No. of units covered by this submission 4. 5. Is this a worst case? (yes/no) 5. 6. Conditioned floor area (sq. ft.) �F ATLANTIC BEACH 6. 7. Predominant eave overhang (ft.)_' NG &ZONiNG 7. 8. Glass type and area : Single Pane Double Pane a. Clear glass FFB 2 3 2004 8a. sq. ft. 7 9 sq. ft. b. Tint, film or solar screen lEllb. sq. ft. _sq. ft. 9. Percentage of glass to floor are 9. �o % 10. Floor type,area or perimeter-,-end4naufation. a. Slab on grade (Fl-valuii)- 1 Oa. R= fin. ft. b. Wood, raised (R-value) 1 Ob. R= L1 Sq. ft. c. Wood, common (R-value) 1 Oc. R= sq. ft. d. Concrete, raised (R-value) 1 Od. R= sq. ft. e. Concrete, common (R-value) 1 Oe. R= sq. ft. 11. Wall type, area and insulation: a. Exterior: 1. Masonry (insulation R-value) 11a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 11a-2 R= sq. ft. b, Adjacent.- 1. Masonry (insulation R-value) 11b-1 R= sq. ft, 2. Wood frame (Insulation R-value) 11b-2 R= sq. ft. 12. Ceiling type, area and insulation: a. Under attic (insulation R-value) 12a. R= 3o sq. ft. b. Single assembly (insulation R-value) 12b. R= sq. ft. 13. Air Distribution System: Duct insulation, location 13. R= Test report (attach if required) 14a. Type: k-,v 14. Cooling system 14b. SEER/EER: il (Types:central,room unit,package terminal A.C.,gas,none) 14c. Capacity: 't 14V M 15. Heating system: 15a. Type: Eev (Types:heat pump,elec.strip,nat.gas, L.P.gas,gas h.p.,room or PTAC,none) 1 5b. HSPF/COP/AFUE: 15c. Capacity: 1�10.4'0'' 16. Hot water system: 1 6a. Type: i- (Types:efec.,nat.gas,L.P.gas,solar,heat rec.,ded.heat pump,other,none) 16b. EF: Ct .1 I hereby certify that the cificatio overed by the calculation are in compliance with the Review of plans and specifications Covered by this calculation indicates compliance with Florida Energy Code the Florida Energy Code. Before C ion is completed th b ilding will be inspected BUILDING OFFICIAL: &_3 for compliance in accordance wit S n 553.9 8. to REPAIRED BY: 1 hereby certify that this building,as d is in compliance with the Florida Energy Cod.. OWNER AGENT: DATE: DATE: FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.195 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: -2 - 2 V- 0 Address 2 S' /0 0 o� !S T"Oez AAV27-1 It) Heated Square Footage ?,2 @ per sq ft= $ Garage Shed @ . 15- per sq ft= $ Carport Porch tj t per sq ft = Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ /?o 0oo Total Valuation Ist Remaining Value $ perthousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: r, E- 2- + 1/2 Filing Fee $ FLOOD ZONE: — X (I) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ -to SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ - 0- SEWER TAP $ -10 - C ( 0 ) RADON HRS .0050 $ - 6 - SECTION H PAVING ( ) $ - 0 - CROSS CONNECTION $ -7 STW.2�-) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: S DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic ciothes washers,commercial 3 Automatic clothes washers, residential 2 —�`athroom group consisting of water close� lavatory, Bidet, and bathtub or shower 6 Bathtub (with orwithout overhead shoWr or—whidpool — allachments) 2 Bidet 2 Combination sink a nd tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Z— Drinking fountel=cemaker Y2 5-- Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 f�lt—chen sink, domestic with food waste grinder andlor dishwasher 2 Laundry tray (I or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or mulfiple)each set of faucets 2 Water closet, flushometer tank, public or private 4 L W _Y�ater closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPUED X 20 _LTOTAL$ 1 ?,0 .0() FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OB-01 Residential Component Prescriptive Method B NORTH 1 30 Compliance with Method 8 Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600B for single and multifamily residences of 3 stories or less in height,and ad'difions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any one of dv prescriptive component packages Lnd comply Mh the prescriptive measures listed in Tade 66.1 of this form.An aftemative method is provided for additions of 6400 square feet or)ess by use of Form 600C.if a building does not comply with this method,It may still comply under other w-tions in Chapter 6 of the Code. PROJECT NAME: f-1), BUILDER: AND ADDRESS: (i- PERMITTING CLIMATE OFFICE: ZONE: 1 112 03 OWNER: PERMrr NO. URISDICTION NO.: (�re,,A I I I I I , i I 74! j, GENERAL DIREOONS 1.New construction including additions which Incorporates any of the lollowing features cannot comply using this method:steel stud walls,single assembly roof/ceiling construction,or skylights or other norrvertical roof oss. 2.Choose one of the component packages'A'through*E`frorriTabie 68-1 by which you intend to comfoly with the Code.Circle the column of the package you have chosen. 3.Fig in all the applicable spaces of the'To Be Installed'column on Table 68-1 with the information requested.All'To Be lnsWe(f vadues must be equal to of more efficient than the required levels. 4.Comoete page I basM on the'To Be Instahed*column iniormabori. 5�Read"Minmum Requilrements for AJI Packages'.Table 6B-2 and check each box to indicate your intent to comply with all applimbie items. 6.Read,sign and date the nepafed By'certification statement at tie bottom of page 1.The owner or owner's agent must also sJign and date the form. Please Print CK 1. Compliance package chosen (A-F) 1. Q 2. New construction or addition 2. �C-v1 3. Single family detached or Multifamily attached 3. 1 J �7�I y 4. If Multifamily-No. of units covered by this submission 4. 5. Is this a worst case? 65 5. 6. Conditioned floor ar'ea (sq.�ft.) 6. �.2 Ll 7. Predominant eave overhang-(ft.) 7. �2 8. Glass type and area�- Single Pane Double Pane a. Clear glass FEB 2 3 010 4 8a. sq. ft. 7 9 sq. ft. b. Tint, film or solar screen 8b. sq. ft. _sq. ft. 9. Percentage of glass.to floor are 9. 90 % 10. Floor type, area or p6riri�terj-ancl insulation: a. Slab on grade 1 Oa. R= lin. ft. b. Wood, raised (R-value) 1 Ob. R= sq. c. Wood, common (R-value) 1 Oc. R= sq. d. Concrete, raised (R-value) 1 Od. R= sq. e. Concrete, common (R-value) I 0e, R= sq. 11. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 11a-1 R= sq. 2. Wood frame (Insulation R-value) 11a-2 R= sq. b. Adjacent: 1. Masonry (Insulation R-value) 11b-1 R= sq. 2. Wood frame (insulation R-value) 11b-2 R= sq. 12. Ceiling type, area and insulation: a. Under attic (insulation R-value) 1 2a. R= 3 o sq. ft. b. Single assembly (insulation R-value) 12b. R= sq. ft. 13. Air Distribution System: Duct insulation, location 13. R= (jo Test report (attach if required) 14a. Type: d�e,%k 14. Cooling system 14b. SEER/EER: (Types:central,room unit,package terminal A.C.,gas,none) 14c. Capacity: 15. Heating system: 15a. Type: I V t 41,Lev (Types:heat pump,elec.strip,nat.gas, L.P.gas,gas h.p.,room or PTAC,none) 15b. HSPF/COP/AFUE: 15c. Capacity: 11�10,4vo 16. Hot water system: 1 6a. Type: (,e (Types:elec.,nat.gas,L.P.gas, solar,heat rec.,ded.heat pump,other,none) I 6b. EF: I hereby certify that the Xp; Review of plans and specifications Covered by this calculation indicates compliance win Florida Energy Code 1//and 5.Acificatif overed by the calculation are in compliance with the be I sp ,�g IngT the Florida Energy Code. Selo, Ir Ll d.lh.�Ip n acted for compliance in accordance PREPARE BY: BUILDING OFFICIAL: I hereby Carol fy that this building.as��.is in compliance win the Florida rE' argy Code. OWNER AGENT: DATE: DATE:_ FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.195 P. -nut 12 03 04: 22p Mcnean or ear. rtq an ata SM q 1W and DOOn COMFIAN' MADE IN THE U.S-,A- 0.60 0.33 2110 Single I-lung 3611 x 62'1 nP45 130 MP'ff 5211 x 73tv DP25 too MPH 0.60 0.33 27 10 Single 1jung 52" x 73" OP60 150 MPH N/A 0.30 2900 SlIxgle 14ving, 3611 x 62" OP50 140 MPH 0.60 0.33 44 62 It DP45 130 NIPH 0.60 0-3-) 4811 x 72" DP301 110 MPH 0.60 0.33 7500 Casement 56" x 48" DP40 Izo MPH 0.40 0.22 8500 TL),Ouble 14ung 44" 60" DP45 130 MjjH N/A 0.31 110 ml:,H N/A 0.31 DP30 48 80" 0.31 130 MPH N/A 73" DP45 8520 L)ouble Runcv 571" x 170 MFJJ 0.56 DP35 72" x 48" 8700 Slider 0.35 5500 patio Door 14411 x SO" DP35 120 MPH 0.6' Meets Florida Building Code Requirements for- Residential Buildings less 'N[ean Roof Height of 30 ft. or hxposure "B" (morc than 1500 ft. intand frQLL'L Lhe coast) Wait Zone "4" or "5" (any location on the wall) -I Ply for structural loadb, water iLLCts- M11 roL on the M re.s.iscance, and air Ulfiltvatiork as inclicarcd CtrLiClcavian Label. attacheLl AAMA G and Florida Building insuilted per T11alft1facr-urcr's instruction3 Code requirernelitb. SHGC 1�al:illcv! nimiini Solar Beat To nieei ti-ie Thermal Req�iirevvkents for C-Tain Cnefficienz (SHOO �' canng of 0.40 or lcz:3 is requITed. Aut 12 03 04i22p p- 2 W WDA 101/1-S-2-97 TES'I' F,EpCjR-r SVINMLAJ�tY R-.adered to: SILVER LLNE 13 u jLLDINIG PRODUCTS C0RI!0PLXTIQN SERIES/TvIODEL: 2110/2160 TWE: PVC Single kiun" Results 112 est specimc Test S ecim.en 42 'fitle ofTest Ic R' 6 _ H-R'275 52 x '13 H-F,-�45 36 x 62* ?-S sf 4�5 nsf Overall Design Pressure.- El er-aLiU9 )rcc 27 Ib m2x- NZ/=A. Air Infiltration 0.1,1 L;a-a/fV N/A Water Resis=ce ().'15 Ipsr Structural Test Press"rP. ±37.5 sf ±67.5 sf lazin-- Passed N/A Grade 10 NIA ReFerence should be made to RePort No 0 1-3 9 1 4.01 for complatt;tcst sPr-cimcn cescrPt'on and data- For ARC' CTURAL TESTING, INC. CT Ad;;m Fodor, Technician AF,-nlb Au'C '12 03 04: 22p P. 3 Architectural testing 71P W%VDA 101/1-S-2-91 -ST�P-EPORT Rendered to: SILVER LLNI RIJILDLNG PRODUCTS CORPOR-A.TMN Otic SlIver Luile Driyc North Brunswick,New Jer5cv. 08902 Report No: 0 1-39154.01 Test Date: 03126/01 R-Ppc)rr T)attr 05/07/01 Expira[ion Date; 03/26/05 t Summary: Archi[ectural -I-estina, Inc. (ATI) Was colirracted LO Wl�jjcSS tC5t5 Oil Projec er L-uie Building Products' tes: facility S en'es[Modtl 2110/2 t 60., PVC sin.gle hung window at 3 i1v rmariC2 in North Brunswick, New JezSeY. The SamPles tested successfully met the perfo requirements for the falIQNvizA--4 Vatir-Ss: Test Spccixnen ��I �T,?25 .52 x 73- Test Spez=ien '-2 H-R45 36 x 62-. T st Specu-r1cli dcsciiLnions and rrsults are reported herein. reseed ur General -?Vote: An asterisk (-) next to the perlbrmance grade indicate-Y 111ar rILe s.z q1tional performance was smaller than tAe GarewaY resr sizelor the product type and class. I Test Specification: The test spec�nen was evaluated in accordance 'Aith A-AIILVN"�V�VDA 10 I/I.S.2-97, Voluntary Spcc�fi cations for 41uminum,,,Vin)II(PVC) and Wood Windows and Glass Doors. Test Specimen Description: Series/Model: 2110/2160 Type: PVC SingIc KLMa,Wi-U60w Test Specivacu 41: L-P-2-5 52 x 7':1 Overall Si2e: 4' 4" wide by 6' 1 higb Active Sash Size.- 4' 2-1/8" wId--'0Y 2' 1 I-M" fti-qtl Fixed Daylight Openiag Size: 4'0" wide by2' 9-1/27" high Screen Size: 4' 1" wide by 3'0" high 130 Derry court York, PA 17402-9ACS phone:717.764./JUU fax:717.76-4.4129 Www.temad.com AU'C 12 03 04: 22p p. 4 01-39154.01 Pagc 2 or 5 'Test�pecimen Description: (Ccritmiued) Test$pccimcn MZ: H-R45 3 6 x 62� 1 Overall Size: 3, o,, wide by 5' 2" high j%,ctive Sash SUe: 2' lo,, wide by 2' 6-1/4" high Fixed Daylight Opening SIZe: 2' 7-3/4" wide by 2' 3-3/4" high Thefollowirl*-descriptions app(y to all specimens. Finisb: All ?V(.� was whitc. Gla7lnga I)etails: The window utilized 518" quck sealed insulating glass units fabricated from two sheets of 1/8" thick clear annealed glass and a spacer system. The lites were interior-lazed onto silicone bedding and secured with PVC snap fit glazing beads. "Weatherstripping: D eLch I a_6�0 Ouanti -Location 0.250" 4)-Zh bY 0-70" b"C'd 2 Rowe Stilec of actilre C=11 poly pile with center fin Active sash meeting rail 0.250" high by 0.270" backtd IROW potypile with center En 0.170" LLi---Ii by 0.187" 'DacII=d IROW Sill polypile with center fn 0.250" wide co-extruded IROW Bottom MI single lezif g=ket Frame Construction: The frame was constructed of extruded PVC m=br=i wLtL LaitU-Lcd _41L 1jill le- was scalcd to cach jamb. 'i,kic t�xcd rxicctin- rail and welded comers. The upri 0 0 was coped, butted, sealed and fastened to thtjambs with four screws per end. Sash Construction: The sash was camtructed of ex=ded PVC members with mitered and welded comers. Screen Constructioia: The Screen was constructed of roll-formed aluminum members with plastic keyed comers. The fiberglass mesh screen was secured with a flexible spline. .... ....... .......... AUC 12 03 04: 22p P. 5 01-39154,01 P*Sc 3 of 5 Test Specimen Description: (Continued) Hardivarc: Descricicton Ouind Location Metal lack and ke .7.er 2 One 9" &om each end of active/fixed assembly mnpring rails Balance assembly 2 One in each jar-ib Plastic tilt larrh One in each end of active sa-sh Metal pivot bar 2 Ont in cach aud UrbOIT0111 fail Drainage: Dc5criptio _Quantity Location 7/16" wide by 1-1/4" 2 One at eacti end of interior sill deep weepslot pocket draining into the interior sill hollow V wide by 1/4" high 2 onc in cach cnd of intermediate sill weepslot leg draining the iilLal iUL bill liwllu w into the --xterior sill hollow 3/8" wide by 1/8" hi�;h 2 Onet. in enc.h end nf the sill Face Wt:r.pblUL drairuing the exterior 5111 hollow Reinforcement: All active sash members utilized a 5/8" X 1/4" solid al=irium bar. The fi,.<c!d rrit-prinZ rail Utili7ed a custom roll formed 0.032" thick galvardzed steel reinforcement. Installation- 'Flic tcst unit waz ilistalled into the 21 x 10 wood test buck with 2" long installation scrcw3. The scre%.Ws were spaced 6" from each comer and midsp;"i ur LLt:JaLL, s and head. The 3/8" long brick mould flange was set against a Eller block. The exterior pe=ecer was sealed with silicone. Auj 12 03 04: 22P P. 6 01-39154.01 Pagc 4 of 5 Test Results: The rcsults arc tabulated as folio-s' Parazray ' Title i[lesr -TesiNferhod Rc5uIL5 Alluwcd Test Specimen Al.: H-R-75 52 x 73 2.2.1.6.1 Operating Force 27 Ibs 30 [bs max. 2.1.2 Air Infiltration per ASTM E 233 (Sve NuIc 41) @ 1.57 psf(25 mph) 0,1 CEM/ft, 0.3 cfin/ft� max- [yote #J: 7he rested specfrnen meets (6r e.xcecds) t1tc performance lvvels Spec',fzcd in AAAVX711TVA 1011r.S. 2-97for air infilcration. 2.1.3 Water Resistance per ASTNI E 547 (See Note ",2) -Vore-,"2: ne client opred to srar* at a restpressure higher than the minimum rpquir,-2 Text results are listed under "Oprional Per1rormance". j Z.1.4.2 Unifurm Luad Struc;tLuftl Ivel:ASTM 1: 3'0 (Sec N- Otc 2.2.1.6.2 Deglazing Tesc per ASTM E 987 In operating,direction at 70 lbs 0.04"/80'/G 0.50"1100% 13olmorn rail In remaininc directicr a-L 50 Ibs Left stile 0.04"18'/'o 0.50,11100% Right stile 0.04"/8% 0.50,11100% 2.1.7 welded Comer Test Meets as stated Meets as stated Forc,.d FnrryRP..-,I.,,rnnre per ASTNt F 588-97 Typc: A Gradc: 10 Lock Manipulation Tc3t No entry No entry Test Al through A5 No entry No eatry Test A7 No entry No entry Lock Maruipulation,Test No entry No eatry p. 7 '12 03 04i23p 01-3915A 01 Page 5 Gr5 of Tcst -Tc5t Method Rcsuln _r\ilc--d Test SaSI�M,,:n�jlrj: K-P-25 52 x 73 (Continued) 4.j Water pesistance per ASTIM E 547 (with and without scree--i) No leak-age No leakage WTP = 6.75 psf 4.4.2 U rutb rm Lo ad S tructuxal p cr AS T-M E 3 3 0 z rail) (NIcasuremenrs repo,-ted were taken on the f-xed meetin- 0..19" max. 37.5 Psf(ext'zri0r) 0.15" 0.19" max. 3-1.5 Psf(inceri0r) 0.191, Test SPecimen#2: 6 x 62 Opzional PerforMlAce 4.4.2 Uniform Load Structural per ASTM F.1110 Lh, (Mco2urcmontz roportcd,,vere taken QrL od=aeting rZ) @ 67.5 Psf(exterior) 0.021, 0,14" max 67.5 pst*(interior) 0.01" 0.14" MaX. Incl .2 copy of this report will bP lm.gs, rcprzasontative =nple,- of the. test s'P&'cl-,n Dratailca The- abovc rcsulta wcrc se-�urad by using the ret1ijacd by ATI for a pciLud of four Years, witb the performance requirt:mauLs ur air. d:sjg,ated test methods and they indicate compliance above referenced specitication. *Ibis report does not cons-tinite certification Cf d-lis producL, wl�'c-.h may only he 9. 1nted hY the certification program adminisirator. FUL ApCj=ECTUFAL TZ,STNG,INC: D-dvid G. Muy;:r,Vice Presi-dcrit Adam Fodor Director of Testing Services Tcchnician AF:nlb 0 E-39154-01 P. Fjua i2 03 04: 23p DOCUNIENIT CONTROL ADDENDUM 901-39154.00 Current Issue Date: 05107101 Repart No.: 01-39154-01 Requested by: Peter Thornton, SlIver Lire %ilding Products, Corpora6an /2160, PVC Purpose: A v��A 101fI.S.2-97 tesainR of Senie-.�.;/Mndel 2110 single hung winduw. Issued D2te: 05/07/01 Camrnents: Certification copy of test report to JeAn' 12 03 04: 23p P. 9 n ---------------J � PEV T)F5�(r?7PT70N 2 y APP i SiLVERIJNE DRNE .5&tM L I N E NORTH E3RUNSWlCK, NJ 08-3:)2 liull.a-m- -PQ-=XTS =;P. SZALE ASSY W17H v OW N JIA 7 PRODUCT 'a-03-00 2110 SiNGLE HUNG G 2 S APR nATF- MATERIAL V:NYL V. PAPT HEAD -FA-1 1)1./G NO. P. 10 12 03 04: 23P R EE V ny DATE APP- MU N E I SILVEHUNL UKIVE 6531rr TITIC, F'RrMr-M =SZP �,H W14UNSWICK, NJ 08902 c 1:1 - S ALE Ass'� WITH DWN ;�IRODUCT 2110 SINULE HUNG G3S APP DATE ',-iATERIAL VINYL RE DWG No- PART JAMB lAl P. Rue 12 03 04: 23p ED nWFL - -------------- APP z_SC7RpTr.,, Dy 'DATE REV rESCRIPTrilm I SILVERUNE DRIVI &ie&L IN F- NORTH EIRUNSWICK, NJ UtiUU-' -m nm�c TC—ALE ASSY WITH Irl —fA T�F- PRODUF-T DVN 2110 SINGLE HUNG GBS LO 03 APP DATE -i�ATERIAL VINYL ,T)\./(-, NO. PART A SILL .......... ........ P. 12 Rue 12 03 04i24p R TIATF APP SCPIPT PIFV DFSCPIPTION BY 1 SIL.VERLINE DRIVE NORTH RRUNSWICK, NJ 08902 7S C=RF, -§C-ALE ASSY WITH D\JN ATE PRODUCT C;]3& in-ni-nn F HUNG APF DATF- M TERIAL rATE:RIAL V.INYL DWG NO.. R V PART MEETING RAILS A ............. ............... A6C 12 03 04 : 24P P. 13 -CSIT, X, 0 C==0 Li < ci Li C? LLJ 0 :2 L LZ ED �—A LLI Luj u cy cl Lij L6j U4. p. 14 Aue 12 03 04i24p American Craftsman Windows "F�91CM CuAFTUm.1yoo SEPIES.MODEL 21 19 9VIM11MM VJVYl WIMHAT MALI IMI�M�LA." SEE QUILKAL N()i�. I UtLUW- Z' OVERALL FRAME WfJTH !2'MAX. cvElzA.L ,LLL SINGLE uNtr worm FACE 52 SINGLE 2; HL .2 -26 "D 19 '35 -;z 73- -33 136 -36 +1 To I 7 1" 7 -27 - I- I 2 -28 11 -511 �15 -351 +33 -33 29 -29 +: -30 -331 38 -34 GrEqERAL NOTES 1.J�ry PWMVCr iS OES0JFD TO COMPLY W"rK'WAG"aM>10 CODE I VWyL qMCLC KM WWOQW WN WTZR(D ArQ WELDED CMVM. 2,PAWVCT ANCHCAS SKALL SE AS USrCO WO SPACM AS"N ON OETAUL Z. t<WA3 AN2 SO[AMES AAE arRV=WM*IT'I CMFWq".L.nCMCSS OF 0 070- Q.009� , , , L2 ,3� , , i 1"li I.I.Ti SL I VAE,,4 rHo pgCtLX?IS USE0 N AN AREA REDURNC WNISOFWE CESW 3.ALL ACTUE Sk*;M UIMERS f?0WOKED W"3OUD)tLUWMUU w 4.7H(PXED WEEING TAiL VrU.V;A ROLLED Ff-WO rMEL 4.UASWy ANCKWK vOR 1, OUCK SEE SMQ7 OF k REWFORCLOLMI A.-.1,20/r2 a, j"IS USE ShvEF.UNr wj-Xt4 12711 m0 1,712 IRV.LK*CXR, ..I . .!;� .-. MA20,49y.11CwCQ.0 laq 1, rucr. �%t t.t;l Q. OCT.r, ALAm 7.o �ww" 00-Cr-rC Qr.,u0C0 4=3-fc Tj" C.* ,,VpUmg .CW0,.0 M.11'E 1270 AAT- (11 Ora Wl'lfl� F Seh,;,t 7 oouo�-utj SK�w btE/Anom Aeov, F.,iaa E. No, 431k;. aw ar COkFxLnE w wzrpLr R A14? uNas. SINCLE L"I MIM L�UQ'?At�,gu /j 9.r; F1 4 Aug' iij 03 04: 24p P. 2 y/:, I/its' urm TADCON Wr w/l."S. wiro. Fogs =L FURRIN-1 FRAmE 7 RYWALI MASONRY LINT f.97V Aucp "CZ SIUCCO SILICONE SILICONE CAULK 5'UCCN"D wiv 4 1/2-A I/16.CAP CAVLX MAx 0.23, W rRAAW MEAD rAPC HEAD SMU $PACE I e,- LAr SEE NOTE T* ; x 2 2 112' ruall": MCAO CN, T'rP. SEE CAP SEL mare A �IA(71;v OETAIL S.15H TRACK I or 4 S1.15-aLiCK N(AO TAPCO Yt� MEAD &'SICE . SILICONE CAUU( SEE NOTE I CETINC RAfL SEE III)TE 1 C-UW /-See CAP DrTAIL o� H Sioc jAme .1,4 cc SEE NOTE I c -= SEE NOTE 1 2 112* wN -_J m EXTERIOR SASH TPACK TAIPCON rfK AMCNOR 0,26* J�- w/,I..I'mt.. c.d SHIM Z 2 1/2- r-AP v, I y/2, j/fal FLAT -7 L I, lc 11/�.',rA I/ ErL SEE NOTE HEAO rAPC0N TYP. SILICCNE CAVLF( HEAD TAPCON. 1W. SEE NOTE 4 CENrERED 8ETWUN it: SEE -GTE az CMO SCREW A MTG. MASONRY STUCCO RAIL SChLW 2 6' APPLY A COCRIDVOI OG4; ALI ccA.V Ptinim age C,�FiSTRUCTION AOKSrVE TO 6014 .,? �w nvF2 T,,r. MACK Oe TFie�"L� Nc L rai: -11� Bony OF THE WtdQQw�IVAIC SEE CAP �CC�L Fljoi,PERIMMot AS SHO^ 5: v, L,` E SILICZ2,NE CAULK ZC STOOL SiUCONE CAULK `V STVCCO 111.04.9,97 Z ?LrI4j1,w, MASONRY :;IUL Z_ _j 1. Adj..t roocw oncriae locations. IF mcefs4ly. Is '"G-to" Q wN ratjm n4C ANC.HcR a j,,,Cmo,plotot. Tha o,lc-al to'. F'a— Th. 1.375' 1— 111.11d1l'It C""t ;I 4X3 Al SoldC -n 3 00 c Q.k NOMA" Cnm-p4l L -m,uomiw OuOq IfA S%3uos 0", , n;c W.W WA C.AlliwA k X at; Z) KLJk NGMrWl Z/1 13)1"3PU H411V J I/ J3>3"e �,4LLNno� 06 a Ncilinyl I It.'# q wrl 3m*� mOON6m �3AOD ED 21 ZnU CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027660 Date 4/08/04 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . 2ND FLR ADD/1924SCHG ORAD Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 180000 Owner Contractor ------------------------ ---------------- -------- ROGERS, BRENT NORTHEAST FLORIDA CONTRACTING 925 SEMINOLE ROAD P 0 BOX 33039 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL (904) 249-3359 ATLANTIC BEACH FL 32233 (904) 241-7455 ------------------ -------------------- ------ -------------------------------- Permit PLUMBING PERMIT Additional desc 11 FIXTURES Sub Contractor CANADAY PLUMBING Plan Check Fee . 00 Permit Fee . . . . 112 . 00 Valuation . . . . 0 Issue Date . . . . ----------------------- -------------------------------------- --------------- Special Notes and Comments DOWNSTAIRS KITCHEN IS TO BE REMOVED FROM PLANS, NOT ALLOWED. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 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 RAPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WH:Z� OF THIS PE SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. yy AN"i V-f mjx%� BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: Telephone #: Owner: &C6=.j klo C/o' �Ij Telephone #: Contractor: 'fr 6(ct 1^0 Fax#: Contractor Address: Jr_ n - 6e Z in consideration of permit given for doing the work as describe in e 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, 0 New list the buildin permit n riber: Q Re-Pipe C) Number of Fixtures: /_ Bath Tubs Showers LClosets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800- Fax: (904) 247-5845- http:/Iwww.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027660 Date 6/16/04 Property Address . . . . . . 925 SEMINOLE RD 1924SCHG ORAD Tenant nbr, name . . . . . . 2ND FLR ADD/ Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 180000 Owner Contractor ------------------------ ------------------------ ROGERS, BRENT NORTHEAST FLORIDA CONTRACTING 925 SEMINOLE ROAD P 0 BOX 33039 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL (904) 249-3359 ATLANTIC BEACH FL 32233 (904) 241-7455 ---------------------------------------------------------------------------- Permit W/W/O ELECTRICAL PERMIT Additional desc WORK DONE WITHOUT PERMIT Sub Contractor BARKOSKIE ELECTRIC . 00 Permit Fee . . . . 250 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments DOWNSTAIRS KITCHEN IS TO BE REMOVED FROM PLANS, NOT ALLOWED. Fee summary Charged Paid Credited Due ----------------- -- -------- -------- -- ---------- ---------- Permit Fee Total 250 . 00 250 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 250 . 00 250 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO S. C 4K BUILDING OFFICIAL CITY OF ATLANTIC BEACH LICATION ELECTRICAL PERMIT APP U V\1 V\�D Date: Property Address: Telephone Owner: Xt/V 7- X" ees Contractor: Telephone 4: Contractor Address: Fax 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 ordinance and standards of good practice listed therein. [f other construction is Building: Building Type: ZI Trailer Service: being done on this budding New .2r Residence U Temp. New Or site,list the building Ll Old ci Commercial E3 Signs C3 Increase Permit number: Q Re-wire Q Addition Sq. Ft. U Repair Conductor Size: AMPS: -kj—o aey COPP -R ALUMINUM ER RACE Switch or -3 VOLT WAY AMPS 7PH Breaker W RACL Existing Service Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting OutFeTs— CONCEALED OPEN Receptacles CONCEALED OPEN Q 30 AMPS Switches Incandescent Fluorescent & M.V. Fixed s OVER BELL Appliances 3 TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP. MOTOR3 OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS LNDER600V OVED411AII KVA Transformers NO. KVA NO. No.Neon—Transf Ea._Sign Miscellaneous 800 Seminole Road—i-Atlantic Beach;-Rprida 32233-5445 Phone: (904)247-5800 ('IFnx: (904)247_5845 ://www.ei.atlantic-beach.fl.us A P P L I C A T 1 0 H F 0 R B U I L D I H 0 P E R M I T CITY OF REQUIRED SUBMITTALS g7caelc - Each application for building 716 OCFAN POULFVARD P.0.BOX 25 permit will be accompanied by ATLANTIC 13FACII,FLORIDA 32233 two complete sets of plans, including TELEPHONE(904)249-2395 a detailed site plan indicating location of Utilities, parking, size of yards and Other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction ) SCIIEDULE OF 111SPECTIOU Requests for inspectiona will be accept ed from 8:00 AM until 4 : 30 PH. All inspectione will be made the following working day. Fouting Rough Plumbing/Sewer 3. Slab CALL IN WITH PERMIT NUMBER FOR EACH 4. Fxaming, Rough Electric, TRADE HE-Chaijical, Top Out Plumbing 5. Insulation 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR Ila INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. 110 fee is required for all re-inspections. I U1 ?OPERTY DESCRIPTION 716 OCEAN BOUI,EVARD 2 6, '4da f rec C Fea elt - ';6 'r Lot 061- 47 Block # 1'.0.BOX 25 7-1 ----- __Z��_Section ATLANTIC BEACH,FLORIDA 32233 TE LENIONE(904)249-2395 Subdivisions 11102? ----------- Street flame DESCRIPTION OF WORK or Addressi lfirdt/_--- If in a FLOOD HAZARD Flood Zones---- .......area complete page 3. Brief D e a c r i p t i a n C1:88 9*r'�I W/lremodrk/ ddition) Z011ING INFORMATION Type of Constructions ------------- Zoning Propos Districts _A_(5__L__Usei Estimated Value /5-',9600 ---------------- Exceptions or Matorials:-------------------------- Vitrintict?n ElrnisLnds------------------------- Solid or Filled Ground: ---RD a f OWNER INFORMATION H*thod of 11ratingo Property Owner:_j - ------------ ----- Phones Moiling /I Address ---All-- ---- 5-3 --------------- Zips---------------- CONTRACTOR INFORM TIOH Contractor:- Phone 1 Mailing zl'd Address: --------- Zips--------------- �a Expiration License Numbers --------- Dates ----------- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KHOW THE SAME TO PE TnUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERHINO THIS TYPE OF WOnK WILL BE conrLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE ORANTINa or A PERMIT DOES NOT PRESUME TO CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE On LOCAL nULES, REOULATIONS, ORDrNAHCFS, OR LAWS IN ANY MANNER, XHCLUDINO THE GOVERNING OF CONSTRUCTION OR THE ISSUANCE (IF THIS PERMIT IS PEnFonMAHCE OF CONSTRUCTION OF THE PnojECT. I UNDERSTAND THAT THE 1"A CONTINGENT UPON THE ABOVE INFORMATION BEI"O TRUE AND CORRECT AND THAT THE PLANS AND suprORTINO DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature ........ ----- ---- - - --Date------------ 'A_ t e Contractor Signatul -- ----- --- - ----- ------------ <1 -e'41, FLOODPLAIII DEVELOPHEUT I11FORMATIOU Type of Development :..... ---------------------- Flood "-one : (�!--------------- Required Lowest Floor Elevation:--- k�-------- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEE14 POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for, that zone. flo final inspection will be made and no certificate of occupancy will be Issued until the survey Is on file with the Building Department. COMMITS : Applicant Acknowledgement : I understand that- the Issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable proviuiolIR of Ordinance Ho. 25-7-11 and all other laws or ordinances affecting the proposed development. U (2- Date Applicant's Signature ------------ ---------------------------------------------------- Department Use Required Lowest Floor Elevation .... !�--------- As Built Lowest Floor Elevation --- - ---------- Survey Filed with Building Department ---------- ------- - ------------------------- Building Department Representative page 3 Address Heated Saiin e Footage (a $ L-,!---.Ver sq f t = $ Garage/Shled @ $ Der sq ft = $ Carport/Porch @ $-----Per sq ft = Deck @ $ Der sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ "7 Tot4l Valuation ist $ RWiainder Valuation $Z..._S0,0er thousand or Dortion thereof -------------------------------------------- Total Building Fee ITIONAL PERMITS and/or FE��,UIRED + �i Filing Fee jc Fireplaces @ 15.00 lechan al BUILDING!PER�vaT =j .,Electric/Naq ------------------------------------------------- Electric/Tenp BUILDING PERMIT $ Jr� Septic Tank WATER METER CHARGE $ ,%Tell SEWER IMPACT' FEE, $ &dmning Pool Sign WATER IMPACT FEE MISCELLANEOUS �,Iater Connection Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCUI-ATIONS and/or NOTES PLANS REVIEW CHECK LIST ------------------ Address Legal Description lt�-Y-Z"-Xde-------Contractor- License Number--029D�-a-!Z�/-�-"3------- --------------- License on F'ile (IES__,) NO ions Section 24:-IQI * Zoning R99111-at- Zoning District---'L�LL----- Proposed Usea�6�- Actual Lot Size/.�4M2--- Required Lot Size Setbacks Required vided Section 24-17 1 111-2- ----- L T INTERIOR LOT �-CORNER LOT front - - ----- rear - --- ---- Flood Zone-----4�A side-1 Required Elevation -2 "go, side V Max. Height Allowed--.K5—'-4f proposed Height Section 24-82 * minimum Lot Coveragg Required Heated Area Proposed Area--4��------ Section 24-161 * Offstreet Parking Number Spaces Required__--�' /---- Spaces Provided_ Section 24-82 * Duplicate Buildingg Is there a similar building within 500' of Proposed building?YES Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities private Sour#,ceEPTIC TANK WELL r Date- - -------- Plans Reviewed by : � ---------------- ISSUED DENI D Building Permit �J6 Yl 11 cc)t -C j\j G C, r0 KITC�-[C 0 L4 4a J-1 00 T J1,c CIA IFICS G ov: 1 ul 3 72, -SC A L 'IS A R 0 VE BD y pp TLA14TIC EACH CIT of A UtLDING OFFI Ey- �JG J AN Cl 2 989 �JG 00 00 NIL vj (-A T-Jeruflu'cf- Cc 47 Moulllrol boh� f2ece In C(C Z 2.0 V, , q singf," Pl, kwl Mwolccl b#4 so L WALL + O'V NI t;4\ 0 -bat ANN 07-5 ROO: DU-7 A I- sc flL�- 07yi Y? /7'-4-e �Ae 6-t"f?- Z A16- P,1p 1p IR OV E Njt�tA-m cill of 0,FIFICS r OT z� S Z_ OT q3 --LO7 C7.6' 4LOCK VVA L J- 0A1 /-/A/,E cz5. r P ------4- 0 / 00- 00 Z_ OT L� 6 fL OT 1-/ 1� 2.6 �j Q) Q� Q) Cj /57. ro, rl 2 46 Q) 41 v U 46 /0.ro .�j YO 0 /00- 00 0 L C Al / Al T/-/. -5 TI?EE T APPROVED CITY OF ATLANTIC BEACII BU DIN I 0;r�lr!15 M /� p 'TO SHO W 5L)p VEY NO 2 189 TS '-/ Y 6 A� TLA A/ T/ C BEA �f H q C C OR'D/A,1 6 TO .7 H E PL,,9 T ECO A'- A�L A 7- 3 00 P/0 6 ,E 0 Lj R PEIAIT RU13LI (f REC,�>RZD3 4n/c_ 0 0 VA L (�f 0 LJ&l _/_ K "a-6/R A Al T01/VE 7- TZ , J7 A/R A/ 0 7-7- THIIS- IS 70, CERTIFY thmt"' this asp is a true % irtpr.wwatstion of an., actuai -Jiald survey made uadav,_ my supervisi-dsi �iu-7-accord"ce with the daf S: a, \a rjutliaed in Chapter ILOOD CERTIFICATION qio��technical st.g�h F.A.C. pursuant��,to Soccior. 472.027, F.S.; that there are no-sacrbicbmantf, azcept as may be Examination of Flood 11;17Rrd BounJary Map. thai�.- -to - the best of Community No. 6 7 Janel oc�IC shown hereon; my knowledge and bel4af, said-survay is "irect. dated q-le-s_T--Tn—XrF&-Te—s—thaf the p—Toper—ty' shown and. described hereon lies �.ithin a Zone C area.' Date: --IF- _te� wffa e*1 5urveyor 001886 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Address% 925 SEMINOLE ROAD Permit Humber 1886 Permit Typet BUILDING ATLANTIC BEACH, FLORIDA 32232 Class of Worki ADDITION LEGAL DESCRIPTION Constr. Type% WOOD FRAME Lot % Block. Sectio"T proposed Use-. SINGLE FAMILi Townohipi RHO-z Ovellings: 0 Code- 0 Subdivision2 Estimated Value% $26001- 00 Improv. Cost % $0. 00 To t a I Fees 1 $364. 92 Pai'A ! $0. 00 i roNSTRUCT NEW ADDITION FMOV OWNER INFORMATION APPLICATION FEES ANN ARNOTT PERMIT $118. 50 SEMINOLE ROAD WATER IMPACT FEE 11240,. 00 SEZWER IMPACT FEE 1�0. 00 ATLANTIC RZACH, FLOP $f 01'% 904)2415 1639 WATER tw,mr� RAb0t4 6AS-H. R. S. Cntll'PACTOR INFORMATION RADON GAS - 5% $0. 32 j_Ls(7..VjjN cONISTRUCTION WATER TAP $0. 00 2`41 ATLANTIC BLVD. SEWER TAP $0. 00 ATLANTIC BRACHr FLORIDA 32' HYDRAULIC SHARE $0. 00 Ck('04482-3 Type% 7 RE-INSPECT FEE 4DO. 00 ENGINEERING $0. 00 OTHER $0. 00 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.95 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING De'PARTK�ENT By: 001865 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PEP"IT INFORHATTOtl -Lill,Ufiflilj lot4 i�evmit number : 1865 'IddresB: 925 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC REACH, FLORIDA 1886 of Work: ADDITION LEGAL DESCRIPTION 4--orletv. Type: N/A B I oc k: 9 PrOPOaed Use; SINGLE FAMILY Township: RNG-. 0 �'Welllfjqe. 0 Code- 0 �ubdi-v isiort atimated Valkle: $0. 00 Improv. Cost . $0. 00 Total Fees: $41. 50 Amoun t $41. 50 D a t-#* 'd 1 ' 41 n ;-1HU '11f) FIXTORt "Of? ROOM ADDITION OWNER -INFORMATION APPLICATION i-f,L'jz�i �14tl AkftETT PERMIT $41. 5o 925 SEMINOLE ROAD WATER I"PACT FEE .7"�, CACH, FLORri, SEVI 4- 1 1. - *0. 00 -ItIPACTi 'FEE 10. Ot VA ,,4 5!§1 T pt RADON GAS--H, P, ,-,. $0. 00 41 . 0 FORMATIO RADON GAS - 5% N In e GARY 'T PLUMBING Co. , I � 0 1 WATER TAP ,b 0 Adi eiss 1 18 SA,"RA DRIVE SEWER TAP :Iko. 00 3ACKSONVILLE, FLORIDA 32250 7� 'I HYDRAULIC SHARE *b. oo CFC044213 Type: 4 RE- INSPECT FEE $0. 00 ENGINEERING $0. 00 OTHER 5n. 0C NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSF ECTED 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.13 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 7, P L U l' A lT-'P i j0S I-OCAT ION: ------------ ------------------- PLUMBING CONTRACTOR: -) 11 Ll I ICE NUHBERS , CGHTRACTOR : --liX&R�" ------ -------------------- 7 y T,E' 7 F,U I'-D I N G -------------- SINKS l�__-SIHOWERS ____Z .----LAVATORY ....WATER HEATERS TUBS DTSPOSALS URINALS ---- CLOSE-TS .....1_____WAZ-)HING MACHINE DRAINS ____________OTHER TOTAL FIXTURE COUNT ------------------------------------------------------------------------------ X U S 'F IH ACCORDA1,110E WITH THE lll�-JST 114STA'-LAT1011, G."' PLUM B I I-T G APID FI 11U S T 13 L OF THE, SOUTHE'liff STI.NDAR- PLUllfllrill%fS CODE. 4c W4 4dr too', 0 0 tgo CITY OF ATLANTIC BEACH BUILDING DEPARTMENT lu/ INSPECTION REPORT PERMIT# JOB LOCATION 925 SEMINOLE ROAD PHONE SUBDIVISION 1886 OWNER NAME ATLANTIC: BEACH, FLORIDA 32233 Pf"AWF4 6 6 3 9 LEGALDESC� AtMTARNOTjtOCK SECTION CLASS OF WORK PROPOSED USE BUILDING ADDITION CONTRACTOR SINGLE FAMILY LUCKIN C:CINSTRUCTION WORKDESCRIPTION ION AND REMlbb��TOIIER PLANS STRUCT NEW ADDIT z 'w INSPECTION REQUIREIZON 5 FtINGLL APPROITED REJECTED DATEINSPECTED BY /& COMMENTS CITY OF ATLANTIC BEACH Ao BUILDING DEPARTMENT 4 LA INSPECTION REPORT 925 SEMINOLE ROAD ATLANTIC fiPhPli; F-I-PRTPA q;��'qq PERMIT# JOB LOCATION SUBDIVISION ANN ARNOTT PHONE (904)399-3600 OWNERNAME ELECTRICAL PERMIT TYPE REPAIR LEGAL DESC: LOT BLOCK SECTION CLASS OF WORK SINGLE FAMILY U) A&E ELECTRICAL SERVICES Lu PROPOSED USE L > CONTRACTOR Lu (n EXIST 200 AMPS IPH 3W 240V SEV RCWY z Lu�w WORK DESCRIPTION UGH ELECTRICAL < 6 Ro z INSPECTOR INSPECTION REQUIRED z < REJECTED cr ECTED APPROVED LO, . DATEINSP BY COMMENTS CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT ��"000'4t:� TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_yj --jowl" dd�y__ 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 SPECIFICATIONSt PART HEREOFAND IN ACCORDANCE W' TH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WI THE ELECTRICAL REGULATIONS, CODES AND CITY OF C 0 1 C S ATLANTIC, BEACH ORDINANCES. r".rjjt L a r-1 Fr -' -'-"A'TURE JOURNEYMAN arr _TA N SIGN- ELECTRICAL FIRM: STIER-ELECTRICIA NAME ffim P;�' -ADDRESS: C7 f?-Ij RFD BOX- BLDG.SIZE /C77 BETWEEN: RES.W APT. ( COMMA I PUBLIC INDUS. NEW ( OLD ( REW. ADDITION 1\/l TRAILER ( TEMP. SIGNS SQ. F FEE SERVICE: NEW( INCREASE ( REPAIR Pj CONDUCTOR SIZE AMPS COPPER ALUMA SWITCH IR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE C)() AMPS PH 3w 2 L�Cj VOLT -5f,-0 RACEWAY FEEDERS NO. siz NO. SIZE NO. SIZE LIGHTING OUTLETS -5- CONCEALED OPEN TOTAL RECEPTACLES VR CONCEALED OPEN TOTAL s 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. - 0.100 AMPS. OVER FIYED BELL TRAN F. APPLIANCES 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 _ql'SCELLANEOUS C, TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO.-- - KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 03-00026067 Date 5/14/03 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . SEWER Application description . . . PLUMBING ONLY Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor-------------- ---------- B & G PLUMBING CORNELIUS, PEGGY 13997 BEACH BOULEVARD 925 SEMINOLE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-3S85 -- ------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc 42 . 00 Plan Check Fee . 00 Permit Fee . . . . valuation . . . . 0 Issue Date . . . . Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 .00 42 . 00 .00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 t 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. BUIL )ING OFFICIAL 2CPo07 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Job Address: S --mijocrc- P-0 Owner of Property: PE66 ,1 coewEucj Telephone: Plumbing Contractor: u^i ts ij 6 C 0 Contractor's Address: 13 9 9 jet V,6 Telephone: 2 ;L 3 - 3 Sz?S Fax: d.;13 - 3-7so State License Number: -3 How many of the following fixtures (re-piped or new): S inks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans —Floor Drains -Re-Pipe (List fixtures being re-piped) Total Fixtures: I x $7.00 + $35.00 0 0 (Minimum Permit Fee: $35.00) Signature of Contractor: _6LeA__ (Z &tll Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. 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Value: 4,000.00 Parcel Number: Improv. Cost: - OWNER INFORMATION Date Issued: 4/03/2002 Name: CORNELIUS, MARGARET J. Total Fees: 10.00 Address: 71 19TH STREET Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/02/2002 Phone: (904)249-9706 Work Desc: INSTALL FENCE CONTRACTOR(S) APPLICATION FEES 01 10.00 -P-ROPERTY OWNER Is, I.VPSI- ,�17z, -%..N Ng rg� -1*5 wwo-so Al My pq�if- s 5, �'7 S !%Mk,,MNV AIR g Aw Lat, ...... LION NOTICE . ......... ........ P LiC SPACE, AND BUILDING MATERI MUST BE CLEARE "FAILURE TO IN THE NER PA 'FAN PROPERTY 0 ND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPRO FOR VIOLATION OF APPLICABI E FR, oper: CHERYLE Type: OC Drawer: I Date; 4/05/02 91 Receipt na: 47276 14 PERMITS-BUILDING 1 $10.00 Trans numbeT: 801814 CK CHECKS 3455 $10.08 ATLA IC BEAC BUI DEPT. Trans date: 4/95/82 Time: 15:15:11 CITY OF ATLANTIC BEACH APPLICATION FOR FENCE PERMIT Owners- ��1-/61---5 Phone q 7,9(, Address- Lot __Y�Block andlor Unit#__—Z2- Subdivision Contractor if Different From Owner AV rinteriorLot Valuation of Fence Type of Construction Attach Survey Showing location and height of fence as well as location of street(s). Owners Signature—.J-*�/ Contractors Signature entertainment for which a Use-by-Exception has been issued constitutes a public or private nuisance, is not in the best interests of the public, is contrary to the general welfare or has an adverse effect upon the public health, safety, comfort, good order, appearance or value of property in the immediate or surrounding vicinity, then the City Comrmission may, upon such determination,revoke, cancel or suspend such Use-by-Exception and related Occupational License, and any person or party applying for and receiving a Use-by-Exception for live entertainment is hereby placed on notice that the Use-by-Exception may be canceled, revoked or suspended at any time pursuant to the provisions of this section. Every Use- by-Exception hereafter granted for live entertainment shall contain a recitation upon the face thereof that the same is subject to revocation, cancellation or suspension for the reasons stated in this section. See. 24-156. Exceptions to Height Limitations. Upon specific application, the City Commission may make exceptions to the limitations and restrictions on Height of Buildings or Structures in the CL, CG and CB and ILW Zoning Districts, provided that in any instance wherein such an exception is granted, the City Commission shall prescribe the maximum allowable Height of the Building or Structures involved. Sec. 24-157. Allowable Height of Fences and Walls. (a) Within Required Front Yards, the maximum height of any fence or wall, including posts or columns, shall be four(4) feet. (b) Within Required Side or Rear Yards, the maximum height of any fence or wall, including posts or columns, shall be six(6)feet. (c) On Comer Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed within fifteen(15)feet of any Lot Line which abuts a Street. (A minimum twenty-five(25) foot Sight Triangle shall be maintained.) (d)The height of fences and walls shall be measured from grade to the top of the fence or wall, including posts or columns. Where a fence or wall is erected at the junction of properties with varying elevations, the height of the fence or wall shall be measured from the side with the lowest elevation. rht of a fence or wall on a mound is The use of dirt, sand,rocks or similar materials to elevate the heig prohibited. (e) The maximum height of a retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet shall separate retaining walls designed to add cumulative height or increase site elevation. See. 24-158. Guardhouses and Security Buildings. (a) Guardhouse or security Building shall mean any Structure designed, built or used exclusively for the shelter and on-duty accommodation of persons engaged in the protection, guarding and security of persons and property. (b) Upon specific approval of an application for a Building Permit to install, construct or place guardhouse or security Building and issuance of a Building Permit, a guardhouse or security Building may be erected, installed,placed or constructed within any Zoning District. Ordinance Number: 90-01-172 Effective Date: January 01,2002 Adopted: November 26,2001 66 CITY OF oq&4r*x& BeacA-0;&"*d4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. 03 -27 Time A�.M. Received&— ,M Locality Job Address Owner's Contractor Name ELECTRICAL MBIN- MECHANICAL BUILDING CONCRETE El Air Cond. & El Framing 11 Footing 0 Rough Wiring [i Rough E] Heating Re Roofing F] Slab 1-1 Temp Pole El T Out Insulation Lintel 0 Final �—Z.er Ei Fire Place El Pre Fab READY-E-9-F! INSPECTION A.M. Mon. Tues. Thurs. Friday—RM. A.M. Inspection Made PM.Final Inspection F� Inspector— Certificate of occupancy E Date CITY 01: 4&44,& Beaelt-0;&U,/& Office of Building Ici I REQUEST FOR INSP TION Date Permit No. 17 Time A.M. P h� eEE��L Received P.M. /.,Jy e? Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL MECHANICAL Framing 0 Footing I Rough Wiring Cj Rough E] Air Cond. & Re Roofing 0 Slab 1-i Temp Pole 0 Top Out Heating Insulation E) Lintel 17 Final E Sewer X0 Fire Place El Pre Fab READY FOR INSPECTION X Mon. Tues. Wed. :Th,u�-r.�. Friday A. Inspection Made Final Inspection Inspector Certificate of Occupancy E Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FIL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23811 Address: 925 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: 0 Range: Book: Proposed Use: GARAGE/CARPORT Lot(s):44 Block: 12 Section: Square Feet: Subdivision: ATLANTIC BECH "A" Est. Value: 4,000.00 Parcel Number: Improv. Cost: OWNER INFO WATION Date Issued: 4/09/2002 Name: CORNELIUS, MARGARET J. Total Fees: 25.50 Address: 71 19TH STREET Amount Paid: 25.50 ATLANTIC BEACH, FL 32233 Date Paid: 4/09/2002 Phone: (904)249-9706 Work Desc: INSTALL THREE FIXTURES CONTRACTOR(S ---------- ..... APPLICATION FEES iz!t 25.50 B & G PLUMBING ........... u kc A. R's-g-1- 22- V" A. ........... IN, M—N ft a N-z V9?Z- NOTICE - I PECTION ........... I A BUILDING MATERIAU D IN PUBLIC SPACE, AND MUST OR OWNER "FAILURE TO COMPLY OLT IN THE ER PAYI PROPERTY OWN ISSUED ACCORDING TO APPROVED P MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO Type: OC Drawer. QpeT- CHERILE Receipt no: 47972 Date: 4/99/92 01 t25.50 14 pERAITS-BUILDING I gg2564 Trans nusbeT: $25.50 CK CHECKS UILDI 11*58:94 41891g? Tise, CITY OF ATLANTIC BEACH APPLICATION yoR PLU�MBIWG PEP-MIT JOB LOCATION:_ 916' s6L, ,Ajo(-4 IZ 44 0 OWNER OF PROPERTY: Plgc,6:./ -cozje(.lv4 TELEPHONE NO. PLUMBING CONTRACTOR A&ev PLvmalv& <0 CONTRACTOR' S ADDRESS : JZ'lq-7 654c'm dcvo STATE LICENSE NUMBER:—.4#c<6,Z 2.C"l I ___TELEPHONE: ;123- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS --WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 is-so MINIMUM PERMIT FEE $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------- ------------------------ 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904 ) 247-5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERM1171NIFOR LO AT i Permit-Number 23799� _fQN RMATION Address: 925 SEMINOLE RO—AD --- Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: 0 Range: Book: Proposed Use: GARAGE/CARPORT Lot(s):44 Block: 12 Section: Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: 4,000.00 rcel Number: Improv. Cost: 6,500,00 N Date Issued: 4/05/20 1VL-a_1VQ, MARGARET J Total Fees: STREET Amount Paid: BEACH, FL 32233 Date Paid: 4/ ---Work—Desc.—INTE I ,,.,CONT 0 I CORPVEIJI NSz.. PAJ*Y 68.00 XV, M'. .mt�:' 0 ...... ------- A 4, NOTICE X", TO INSPECTION BUILDING MATERIAL, RUBBIS LACED IN PUBLIC SPACE AND MUST BE CLEARED UP AND HA NER "FAILURE TO COMPLY WITH THE C NST`11; 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. Oper: CHERYLE Type: OC Drawer: I Date: 4/09/02 81 Receipt no: 47875 14 PERMITS-BUILDING 1 $68.00 AT TIC B KBUIL G DEPT. Trans number: 802439 CK CHECKS 3462 $68.00 Trans date: 4/09/02 Time: 9:33:07 - .RECEIVED Im MAR 2 0, 21102 !i c C. of Atlantic 004§11 CiUff Atl!antic Be 11ding and Zonlng City of Atlantic Beach - 800 Serninole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION A4 DATE APPLICANT,66y&6,o9,e,Qr ADDRESS - * PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED Y4Jr LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER +�4P ZONING DISTRICT CONTRACTOR STATE LICENSE NUMBER ADDRESS PHONE �P.!�;706 CITY 411 S TATE zip )W-f—q FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE 611 PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as aDP opriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 11 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 40 61 Z_-7e.2 IV— In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I- Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE g 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. SIGNATURE OF CONTRACTOR __�4 Ai�,Z_�_DATE _/ el I ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME ell, MAILING ADD SS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF )Va-,1LC_A e4�0 STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE(�t��. AS TO OWNER: Ctr�Personally known 04..,. Produced identification -4, Pokkid 14" , ": my comwZ4 Moftft Type of identification pro uc ,4.1' # d A—- _CC947012 EMW FAIN C..wo, 80NDEMW y"'ZU04 WC AS TO CONTRACTOR: a-rersonally known Produced identificatio Type of ide�Ton �edt- Pcgr'cia Amonettq My COP4 N# CC947012 EV" 01/02/02 Aug vst 27,2004 SONDED THRU 1 WY FAW WSUIANC4 1,,C 5 MIN. RETURN iONE#2�L�— r70(p Book 10430 Page 1202 Lo je :2 (095336 19 0!& 0 0 Pi e: 1202 Filed Recorded 04/tS/2002 12:40:36 PM JIM FULLER CLERK CIRCUIT COURT NOTICE OF COMMENCEMENT DUVAL COUNTY TRUST FUND $ 1.00 RECORDING S 5.00 TO WHOM IT IMAY CONCE:RN- The undersigned hereby informs all cancemed that improvements will be made to certain real propeftl, and in accordance with Section 713.13 of the Florida Statutes, the following information is Stated in this NOTICE OF COMMENCENIENT. Cescription of Property___1aL__q—in A-rLA unc --�Bctv -6iocK 10A 11 General Desc;jptian of Improvements Owne- ATL� -3 22-8 E� Address: rr) I Q E:T Owner's interest in site of improvements- Fee Simple T-itle Haider(if other than owner) Name Address �oj Con acto r Address— I IJ F—T E-E LIM+ r-, A—IL- e 4-� F) 2-7-�3 Surety (if an Address Amount of aGnd Name of person within the State of Rohda designated by owner upon whom-notices or other documents may be served: Name ( QR MEL I 1_1-5 Address Q10EAr_-EF-ojT" 67-. - ATL_ J3 3Z2:5 3 In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.1 3(l)(F). Florida Statutes. (Fill in' at Owner's option). Name Address: 77-- Ownir ATIkk Swam to and SUN f IRA- 8 "Oe CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address P =N*11-1k�- - le"? - r Date S-- O "Z— ) Heated Square Footage @ $—per sq ft = $ Garage/Shed @ $ per sq ft = $I Carport/Porch @ $ per sq ft = $ Deck @ $—per sq f t = $ Patio @ $_per sq ft = $ TOTAL VALUATION: $-6—Eo—0 $ Total Valuation 1st $ � 0.0 0 C-) C) -3 0 $ Remaining Value $)— per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 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 CAL !ULATIONS and/or NOTES : el CITY OF - ;7&Ud4 800 SEMINOLE ROAD TELEPHONE(9N)247-58M - ATLANTIC BEACH,FLORIDA 32233-5445 FAX(%4)247-5805 April 8 , 1994 Ms . Antoinette J . Arnott 92-51 Seminole Road Atlantic Beach, FL 32233 Dear Ms . Arnott : Our records indicate that you are the owner of the following property In the City of Atlantic Beach, Florida : 925 Seminole Road a/k/a Lots 44 and 46 , Block 12 , Atlantic Beach RE#170060-0000-5 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 12-1-3 (high weeds and grass ) . You are herebv notified that unless the condition above described is remedied within fifteen ( 15 ) days from the date hereof , the city will remedy this condition at a cost of the work Plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the Property owner or occupant . If not paid within thirty ( 30 ) days after receipt of billing , the invoice amount Plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15 ) days from the date hereof , You may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance . Sincerely , �=ald k-/pa Code Enforcement Officer cc : City Manager Don Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED . CITY OF' 4&4rlM& office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. Time t No. P.M. Disjnc Received Locality Job Address ly owner's Contractor��'(� Name CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING 1-i Rough Air.Cond.& Framing Footing Rough wiring Heating Re Roofing El Slab Temp Pole Top Out Fire Place Lintel Pre Fab, A.Nt. READY FOR INSPECTION Thurs. Friday Mon. ues. Wed. C—A-19D lnspection�Made Final inspection El inspector Certificate of occupancy Date CITY OF ATLANTIC BEACH RCIPDUILDING DEPARTMENT 925 SEMINOLE INSPECTION REPORT 1865 ATLANTIC BEACH, FLORIDA 32233 PERMIT# JOB LOCATION SUBDIVIJI�N ANN ARNETT 04)246-1557 OWNERNAME PHONE PLUMBING 1w PERMIT TYPE ADDITION LEGAL DESC� LOT13ARY VA&KPELT PLcUffWMG CO. , INC CLASS OF WORK SINGLE FAMILY PROPOSED USE CONTRACTOR INSTALL NEW LINES AND FIXTURES FOR ROOM ADDITION WORKIDESCRIPTION 8 ROUGH PLUMBING FM INSPECTION REQUIRED INSPECTOR APR2 7 199p A- URBER APPROVED REJECTED DATEINSPECTIED "ENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION 9215 SEMINOLE ROAD PHONE JL886 OWNERNAME ATLANTIC BEACH, FLORIDA 32233 BLOCK SECTION PERMIT TYPE LEGAL DESC� A�W ARNOTT CLvqo4F)vWlfi-1639 PROPOSED USE CONTRACTOR BUILDING ADDITION WORK DESCRAWKIN CONSTRUCTION SINGLE FAMILY INSPECTOR INSPECTION REQUIRED CONSTRUCT N AD T�"O��N�DREMODL�E PER P�LAt�IS 'C REJECTED �A-'�O�LF MAN APPROYM DATEINSPECTED B '4MENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT PERMIT# liJOB LOCATION afe",j,- AP 130 ,- —.4%— PHONE SUBDIVISION JL886 OWNERNAME 925 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 PERMIT TYPE LEGAL DESC: LOT BLOCK SECTION CLASS0964T246-1639 ANN ARNOTT Lu PROPOSED USE 24m, > CONTRACTOR 13UILDING cc w ADDITION U) z SINGLE FAMILY W%v '2 CRIPTIONLUCKIN CONSTRUCTION WORKDES z INSPECTOR z INSPECTION REQUIRED 0 CONSTRUCT W ADDIT ON AND REMODLE PER P NS REJECTED APPROVED Cc 0 ECTED BY DATEINSP COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT --wow~ PERMIT# JOB LOCATION SUBDIVISION HINOLE ROAD PHONE ui OWNERNAME 9-25 3 E 9 2233 ATLANTIC BEACH, FLORIDA 3 PERMIT TYPE (r SECTION w rn LEGAL DESC: LOT BLOCK CLASS OFWP§64)246-1.633 z ANN ARNOTT PROPOSED USE w CONTRACTOR BUILDING z ADDITION SINGLE FAMILl- z 0 WORK DESCRIPTION LUCKIN CONSTRUCTION INSPECTOR cc 0 INSPECTION REQUIRED LL Z CONSTRUCT NEW ADDI)rIOH AND REMODLE PER PLANS ID BY APPROVED REJECTED DATEINSPECTED 9J6 -------PAD A COMMENTS City of Atlantic Beach Fixture Unit Worksheet for Water Impact �ee FIXTURE UNITS ARE ESTABLIS14ED 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. -_()_-BATIIROOH GROUP CONSISTING OF SERVICE S114K TRAP STAND WATER CLOSET, LAVATORY & BATH TUB OR SHOWER STALL (6) WATER CLOSET VALVE _-L-WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) 0 BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PEI? HEAD (3) FLOOR DRAIN ( 1 ) U SHOWER STALL DOMESTIC (2) . LAUNDRY TRAY (2) __LLAVATORY ( 1 ) ------COMBINATION SINK AND TRAY (3) , WASHING MACHINE (3) POT SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF : FAUCETS (2) KITC14EN SINK (2) DENTAL LAVATORY ( 1 ) 0--HITCIIEN SINK WITH WASTE GRINDER (3): DENTAL UNIT OR CUSPIDOR ( 1 ) BIDGET (3) ----URINAL STALLP WASHOUT (4) _0__FLUSHING RIM SINK (8) COMBINAT10N SINK AND TRAY WITI FOOD DISPOS. (4) Q__URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _-DRINKING FOUNTAIN, ( 1/2) -0__LAVATonY, DARBER/13EAUTY SHOP (2) --LAVATORY, SURGEONS (2) SURGEONS SINK (3) :ICE !MAXER ( 1/2) WET , BAR (2) TOTAL FIXTURE UNITS @ $20. 00 EACH JOB INFORMATION --- ----------- FLORIDA ENERGY EFFICIENCY CODE FORM 1000-C-89 FOR BUILDING CONSTRUCTION SMALL ADDITIONS SECTION 10 —RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONgS AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 GV COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 100OC-89 FOR ADDITIONS OF 600 SQUARE FEET OR LESS,AND RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES.ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 100OA-89 OR 90OA-89 PROJECT NAME BUILDER: AND ADDRESS: PERMITTING CLIMATE 1 2 3 71FICE: ZONE: JURISDICTION OWNER: PERMIT J= NO.: NO.: RENOVATION CONDITIONED[]]�M SO NEW GLASS AREA AND TYPE IF MULTIFAMILY, NUMBER OF FLOOR AREA FT CLEAR TINTFILM.SOLAR SCREEN ADDITION PREDOMINANT SINGLE- =SO —= FQ PANE UNITS COVERED BY EAVE OVERHANG SINGLE- S MULTIFAMILY ATTACHED THIS SUBMITTAL: LENGTH FT PANE [ FT PORCH OVERHANG DOUBLE- []:n SO DOUBLE- so SINGLE-FAMILY DETACHED LENGTH FT PANE FT I PANE FT WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNDER ATTIC: WOOD MASONRY PERCENTAGE EXTERIOR: EXTERIOR: R P�n RAISED: RAISED: OF GLASS R = R = SINGLE ASSEMBLY: R R TO FLOOR: ADJACENT: ADJACENT� COMMON COMMON� R = R = R R =EQ[1 R COMMON: COMMON: COMMON: /1513-11� R = R = R GRADE: DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCONDITIONED E CENTRAL E NONE ELECTRIC STRIP [:1 HEAT PUMP ELECTRIC SOLAR SPACE� R 1Z ROOM (�7/ El NATURAL GAS >t'ROOM/PTHP El NATURAL GAS HEAT RECOVERY M1� F� PTAC El OTHER FUELS [_1 NONE El OTHER FUELS El DED. HEAT PUMP IN COND17IONED El NO NEW SYSTEM NO NEW SYSTEM NO NEW 0'� >�rSYSTEM EF � LE I SF/EF � [ILE SPACE R J� SEER/EER COIJ/HSPF/AFUE rNUMBER OF BEDROOMS In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans nd specifi �ions covered by this calcu n i dicates t and specifications covered by this calculation in 1*1 ith the compliance with the Florida E er y ode.Before/z&8truction is leted,this 'truc is S S 9 3 p c , " Florida Energy Code, building will be inspected f r m Ii ce in ac dance,with S ion . F.S. OWNER/AGENT: BUILDING OFFICIAL: cot DATE: DATE: /, 3 - 9 TABLE10A MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. SOLE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED._ INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS. INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS,GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH INTEGRAL EXHAUST DUCTWORK, COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES. MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE . PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH HOT WATER PIPES 904.4 CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHINICAL CODE.JOINTS IN UNCONDITIONED CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2. HVAC CONTROLS 904.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. RENOVATIONS ONLY GLASS 1003.0 . MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM. 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00028106 Date 4/15/04 Property Address . . . . . . 925 SEMINOLE RD Tenant nbr, name . . . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- -------------------- BARKOSKIE ELECTRIC ROGERS BRENT po BOX 50325 925 SEMINOLE ROAD FL 32240 ATLANTIC BEACH FL 32233 JAX BEACH (904) 246-4731 -- ------------- ------------------------- - ---------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . - 70 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Fee summary Charged Paid Credited ----Due--- ---------------- - ---------- ---------- ---------- --- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 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. 10 BUILDING OFFICIAL 1?1��e��)9�' :;A_Y 13167 CITY OF ATLANTIC BEACH, FLORIDA i�� 7 droo APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR.- DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TH13 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. MASTER ELECTRI AN SIGNATURE: ELECTRICAL FIRM: OWNERS NAMEE: An Z7- Iiii-I ADDRESS:_AC,��D_Box_ BLDG. SIZE I —BETWEEN: RES.( ) APT.( COMM.( PUBLIC( INDUS.( ) NEW( OLD( REW-( ADDITION( ) TRAILER( ) TEMP4,00 SIGNS( _&,K-_sQ.Fr. SERVICE: NEW( ) INCREASE( .. REP FEES ONDUCTOR SIZE AMPS: COPPER A-LUUM.1 VOLT SWITCH OR BREAKER AMPS PH W VOLT RACEWAY VOLT 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 S SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES H.P. RATING H.P. RATING _TCE KW-HEAT I HEILi AIR A CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHIS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. NO VA MA MOTOR SIZE SWITCH IFLASHERS EACH SIGN Updated 5/20/2002