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1055 Seminole Rd (vault) _ 1 JOB ADDRF..SS PROPERTY OWN CONTRACTOR�mr /�/ P(,r.C��C�C�1gO1�lE -7 3-7 , 3 G) 5 DATE PERWTM7WF-R /99��� INSPECTIONS.- F007T7NNG SLAB nE BEAM LL= NAILI7VGl9M=G _2,/ /4 0-b FP?AAiING'COVHR LVS17LA17ON FLVAL BUILDING oZ0 0 L CER=C-ITE OF OCt'�PANCY�� o �; =cnu AL PERMIT# ' LWEMONS ROUGE' ANAL INSPECTIONS ROUGH FINAL PL0dGMVG PERUM C' .INSPECTIONS ROUE WNDER SLAB � TOPOUT �;- 3 o -`t) WAMTR/SEVEER FINAL NOTES.• �0/" jv�l _ . MAP SHOWING BOUNDARY S UR VEY OF NORTH I/2 OF LOTS 44, 46 AND 48, BLOCK 13, PLAT NUMBER 1, SUBDIVISION A' A TLANTIC BEACH , ACCORDING TO THE PLA T THEREOF AS RECORDED IN PLA T BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 0• 5' 10' 25" 50' 100' NO TES 1. ANGLES ESTABLISHED IN THE FIELD. GRAPHIC 2. FIELD WORK COMPLETED 11/17/92 ADDENDUM SCALE 1' 30' lt; 1 2��U 1. To REVISE LEGAL DISCR;PTION, DATED 11/23/92 is Beach Bl�i�din Zoning I� LOT 47 LOT 45 I LOT 43 I LOT 41 ' I I ON LINE FOUND 1/2' f I.P. � 150.00'PLAT & COMPUTED FOUND I/2' NORTH I/20F LOT I.P. NORTH 1/2 OF1 LOT ..SOS 2,3• 907g'3T 46, BLOCK 13'X WooD 44,BLOCK 13, g0 11 SHED V (11 J 24.94' .20' ;�,. .4 60 O � a p ONE STORY BRICK RESIDENCE 4•' NORTH 1/2 a NUMB 1055 a D OF LOT 48 0 14.10 :a' p BLOCK 13 26.20' -4, X10 .. 2 1 4. z.. WELL 0- m c D O .. ;. o A' , 4'. .'a O U CONCRETE a a0 ,•O 28.00' 17.80' 2.1' LOT 42 O / --'tc �0 56.80' -� e9• /// !89.44•j�r - v a ALL 4'C AIN LINK FENCE AL �9 - u w K ti 150.00'PLAT _ 150.65'COMPUTE 0.4' FOUND FOUND 1/2' �� 1/2' I.P. I.P. O C 'O D v C7 � SOUTH 1/2 f o v SOUTH I/2 SOUTH OF LOTl12 46 ✓ OF LOT 44 K OF LOT48 C D no O m u C � I 151.23'COMPUTED 150.00'PLAT FOUND 1/2' IP. TENTH (50 'R/W) STREET JOB NUMBER 920696 FIELD BOOK 20/92 ABBREVIATIONS P.C.C. POINT OF COMPOUND CURVE T TANGENT p.R.P. PERMANENT REFERENCE POINT P.I. POINT OF INTERSECTION L ARC. ' P.C.P. PERMANENT CONTROL POINT R/W RIGHT OF WAY A/C NR CONDITIONER L DELTA ANGLE P.O.C. POINT OF COMMENCEMENT O.R.V. OFFICIAL RECORDS VOLUME P.T. POINT OF TANGENCY R RADIUS P.O.B. POINT OF BEGINNING D.B. DEED BOOK N.G.V.D, NATIONAL GEODETIC VERTICAL DATUM BLK BLOCK P.C. POINT OF CURVE R.LS. REGISTERED LAND SURVEYOR P.R.C. POINT OF REVERSE CURVE LB. LICENSE BUSINESS _ R 0 0 NE Y & SO S 00 BO,- 6.95,' ,I.l.I,"" 92296-6 7 6855-8 WILSON BOULEVARD, JACKSONVILLE, FLORIDA. 32210- , 904-772-0702 (FAX N0.) 904-772-9006 1 HEREBY CERTIFY TO HU60 J.J DEBBIE A ROSSIGNOL I FIRST UNION NATIONAL BANK OF FLORIDA AND 5T_EWART TITLE OF JACKSONVILLE THAT THIS SURVEY IS A TRUE AND CORRECT REPRESENTATION OF LANDS DESCRIBED IN THE ABOVE CAPTION; THAT THIS SURVEY PROPERLY AND ACCURATELY INDICATES THE LOCATION OF ALL IMPROVEMENTS ON SAID PROPERTY; THAT THIS SURVEY WAS PREPARED UNDER MY DIRECT SUPERVISION, AND THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS, IN CHAPTER 21HH-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION .472.027 FLORIDA STATUTES. X AS SHO I HEREBY CERTIFY THAT THE ABOVE LOT SHOWN HEREON LIES WITHIN FLOOD HAZARD AREA:-ZONE PRIL 7. 1989 ON FLOOD INSURANCE RATE MAP 120075 0001 D DUVAL ATL.BCH. COUNTY, DATE — _ NOVEMBER 23. 1992 LEGEND FENCE CONCRETE MONUMENT SET— DENOTES SET 5/8' DATE IGNED SPH REBAR WER P 5 ASPHALT CONCRETE Q IRON PIPE (I.P.) `IIS POWER POLE (P/P) " '.` '� �•= JURISDICTIONAL WETLANDS WERE NOT LOCATED ON THIS SURVEY CITY OF /j ?--, c O a O3 Office of Building Official n aO i REQUEST FOR INSPECTION Date 14/,q 12, Permit No. Time A.M. Received P.M. 10 SC'�'�'t�'r�Ot,�- Job Address Locality Ma Owner's / S��QnA V77 1T 1- t) Name 1L,•�� Contractor UILDIN CONCRETE `.J ELECTRICAL PLUMBING ❑ ECHANICAL raming ❑ Footing ❑ mng ❑ Re Roofing ❑ Slab ❑ Temp Pole [:] Top Out ❑ Heating ❑ Final ❑ Sewer ❑ Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION M /'� Tues. Wed. Thurs. Friday oM n. (©1 A.M. Inspection Made ` l/ Final Inspection F Inspector Certificate of occu\`pancy ❑ Date CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX (904)247-5805 \ SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS � j ,q -2 _ 21 ------------ Please call me at 904-247-5826 if you have any questions. Sin_ rely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028174 Date 4/29/04 Property Address . . . . . . 1055 SEMINOLE RD Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- ROSSINGNOL, HUGO RUDY MURRAY MECHANICAL, INC. 1055 SEMINOLE ROAD 5859 LONGBRANCH RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32234 (904) 695-1552 ----------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc Permit Fee 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------------- -- ---------- ------ ---- ---------- -- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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. 4t. C - qmk..� BUIL DING OFFICIAL s� ftp CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: o SS ���1/ V m- Owner: AL) C o /eDSS I &A)VL - Telephone #: Contractor: PaPy A4vtI J24 y &cNAvicAL j7we Telephone#: -jot/- &,9S- '70 ,9S- Contractor Address: '70©x' Pe I't9/4 XJ M D J�,�c 3�zLa Fax#:(n0-aRV 1g1P(8 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heatin uel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP Natural _Central Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BWent LLED NATURE OF WORK Heat _Space _Recessedl _Floor t Residential CK Conditioning: _Room l ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin C3 Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpM E • ing Building El Fire Sprinklers:Number of Heads C2 Elevator: _- Manlift Escalator ❑(Number) Replacement of Existing System C3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel, ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency 1 1 W61"o L�',v�rA 3 fes- 1��. $�n,4SP� HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency M10 0 -y c EVa®X Ww TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us i Jeffrey K. Hulsberg, P.E. 3015 Hartley Rd., Suite 10 Jacksonville,Florida 32257 (904)886-2401 4/28/00 CMT Mr. Jim Stahlman 2017 Shadow Lane Neptune Beach, Florida 32266 PROJECT: Permit No. 19918 Rosignol residence /DS"� ScFc�Nfl`� 2� N. 1/2 of Lots 44, 46& 48,Block 13 Subdivision A Dear Mr. Stahlman: I have received the soil report on the subject project from AGES. Based on this report, the 12" helical piers required for this project shall be installed to a depth of 13'to 14'below existing grade. The allowable load at this depth is 7.6 kips. Care should be taken not to install the piles below 14'as a layer of loose soil exists from 17'to 21'below the surface. The helical bearing plate on the pile shall be placed a minimum of 3' above this layer. If the required pile capacity is not acheived at the 13'to 14' level based on the,torque vs. capacity, table of the pile being driven,you should notify me immediately and the piles will need to be driven to a depth of 23'. f'y� uestions please contact me. REC „ Ic 4(op�, ♦ i � 1 t � � ��QY C'4' of Atlantic Baactt Building and Zuning %eff sj E. \N\♦ FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations&Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008-97 or 600A-97. PROJECT NAME: 4(AG0 fZnSSlCrn90 I BUILDER: C .lh- 13k1L0VU6_ C;0n)_12AC1_bnS -rl^.)C- AND ADDRESS: Io S[mDK)oLE PERMITTING At LPgvzTC. CLIMATE El ATL,rtru G i C Q FL 1433 OFFICE: G CY4Gµ FL ZONE: 1 El 2 3 OWNER: j+U ,-O (Z 0 5 5 j 6--)0 PERMIT NO. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. A O R%TTor%) 2. Single family detached or Multifamily attached 2. S ir0 C LC FA-n=L Y 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 14. I a G 7 5. Predominant eave overhang (ft.) 5• J. 6, 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. 3 5- sq. ft. tO 3 sq.ft. b. Tint, film or solar screen 6b. sq.ft. sq.ft. 7. Percentage of glass to floor area 7• 09 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= O 1 G74-Zlin. ft. b. Wood, raised (R-value) 8b. R= Imo_ s sq.ft. C. Wood, common (R-value) 8c. R= sq.ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= �_ 1331 33sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= O 8 sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9C 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= f a sq. ft. b. Single assembly (Insulation R-value) 10b. R= sq. ft. 11. Cooling system* CCA)T2 q L (Types:central, room unit, package terminal A.C., gas,existing, none) 11. Type: SEER/EER: I 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: 14 S P r gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: 7. a 13. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: J� 0 GAL. CLCCT��- (Types:elec.,natural gas,other,existing,none) EF: e *Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the FloridEnergy Code. with the Florida Energy Code. re construction(10)5m�l pl this building will be SAM l3 5 f 1�.M DATE: Y 2 inspected for compliance in a cord ce with Sect .90 F. PREPARED BY: I hereby certify that this with the Florida Energy Co BUILDING OFFICIAL: _ OWNER AGENT: DATE: DATE: Revised 1998 i _ ' PAGE 1 Date : 10/05/99 MANNING BUILDING SUPPLY LOG #: I0858T TRUSS DIVISION JOB #: JACKSONVILLE 'Salesman: RANDY ENGLAND Pitch: 16"/12 Customer: STAHLMAN & HOLMES Job Name: ROSIGNOL RESIDENCE ' Address : Address : NEPTUNE BEACH Designer: KS FLOOR SYSTEM --------------------------------------------------------------------------- Left Right ' Qtyl Span I O.H. O.H. Description -------------------------------------------------------------------------------- ** TJI ' s ** 11 21 F1 TJI35 - 16" 1 18 F2 TJI35 - 16" ** TimberStrand ** 4 1 16" TimberStrand ® 1 . 75 x 16' ' 0 - Trusses 0 # of Hardware 12 # of TJI s 0 - Piggy' s 0 - Jacks 0 - # of Beams 4 - # of TBS -------------- 0 - Total Trusses E C ` 5""'. APR 1 1 2000 City of Atlantic Beach Building and Zoning �26' -'- - - 28'—x}5'6'�0 —+1 T I I I T m N� a� �U -- n u �a m �m nu c'Sa m a 1 20,2, s y aVrL N xU Z �FRg 'S >o_ ' m Z D09D D Zm O N D 2 si- 1--1 zai m NO i a m 9x12 z ��n<mo =7m^ Zn (C7 m NO m m= iN o m cZim�rr-my m C13 Fmx^ m <rm'NnymsCnC$ C3 G) vrxc> m m ' vmN�o�� ' z <zamm m Z� N �> N r DV m F"'S n vNi m g N o PAGE 1 Date: 09/30/99 MANNING BUILDING SUPPLY LOG #: I0858 TRUSS DIVISION JOB #: JACKSONVILLE Lsalesman: RANDY ENGLAND Pitch: VARIES/12 Customer: STAHLMAN & HOLMES Job Name: ROSIGNOL RESIDENCE ' Address : Address : NEPTUNE BEACH Designer: KS ROOF SYSTEM ------------------------------------------------------------------------------- Qtyl Span I peHt I ORiHht I Description - ---------------------_------------------------------------------------------- 1 13 21 p 1 Al f B1 1 146 , 6 0 , 1 46 ' 6" 2' 0 ' B2 1 46 ' 6" 2 ' 0 ' B3 4 46 ' 6" 2' 0 ' B4 , 5 , 6 4 46 ' 6" 2 ' 0 ' B7 ' 15 52' 4" 2' 2' B8 , 9 , 10 1 52 ' 4" 2 ' 2 ' B11 1' 52' 4" 2' 2' B12 ' 1 52 ' 4" 2 ' 2 ' B13 2 11 ' 2" 6 0 ' 0 ' 2 ' 9"9 SB PIGGY B5 , 9 19 11 ' 2"6 0 ' 0 ' PEAK PIGGY B7 , 8 4 1 ' 2' 0 ' 1 ' C/J Al ' 5 3 ' 2' 0 ' 3 ' E/J Al 2 4 ' 2"3 2' 10"11 0 ' 3 ' H/J Al -------- --------------------------- 30 Trusses 0 # of Hardware 0 - # of TJI' s 21 - Piggy' s 11 - Jacks 0 - # of Beams 0 - # of TBS 62 - Total Trusses Ir —26 29' I I I EIS I I ' B i s Be m �20,2,�,'fo•1 46.6. J nN Z G�2 d v �ncav� O< ID-IID9aD.tt `m`z JC GI I,Z, py y a —nz >on T � G-) o NN V• m= .N m O m ^ cz'ksmurm-C+ m �Slmm/12C> < C3 m Z NI'SmDNT N=Nr 009 > Ta a- Ln Zc m �T im�vm in NN �J Ga'fN ti> CC H � m N $ ' to < 0 CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING �T C Owner(s) : 1 Address:10 15� Z �ne: Vl— 2(� U 6 Lot # Block or Unit # Subdivision Address: Phone: State License No. Describe work to be done: i Materials to be used: Signature OWNER: C Signature CONTRACTOR: r 5� J?S( EP U i i99(1 Building and Zoning /CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Date Time A.D/(J Received /0575 Locality Job ddress Owner's / Contract Name CONCRETE ELECTRICAL PLU MECHANICAL BUILDING _ Air Cond. & FramingFooting ❑ Rough Wiring ou C C Temp Pole _ Top Out Heating Re Roofing L Slab -' Sewer '� Fire Place — Insulation ❑ Lintel C Final — Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday PIVI _ A.M. P.M. Inspection ads specti inspect(7-- Certificate of Occupancy C Date PSR-3844 8288 rt ' DEPARTMENT OF BUILDING . • CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ LOCATION INFORMATION -------- Permit Number: 8238 Address : 1055 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH : FLORIDA 3223_ Class of Work: ALTERATION -- - - --- LEGAL DESCRIPTION --------- Constr . Type: N/A Lot , Block : Section: Propgosed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 0 Code: 0 Subdivision: Estimated Value : SO .00 Improv . (- "st : $0 . 00 Total Fe,:-F : S37 .00 Amount Pai•-4 : 537 . 00 n existing xvstem OWNER INFORMATION ------- - ---- APPLICATION FEES ----- Nar , ROSSIGNAL: PERMIT Address : 1055 SEMINOLE ROAD WATER IMPACT FEE gn , nn r_TLANTIC EEACH . FLORirA 2, t' SEWER IMPACT FEE 5 . Phone- WATER METER/TAP SQ . 00 RADON GAS-H.R. S . 50 .00 ------- CONTRACTOR INFORMATION ----- - RADON CAB 5% $0 .00 'dame: ^(-'ERN STATE ;TEAT & AIR CAPITAL IMPROVE. $0 .00 Address : 24-6 ATLANTIC RT.VT1 _ SEWER TAP $0 . 00 yFpmttwE �FArLt FLORIDA 3223 HYDRAULIC SHARE 90 .00 License : MHAR-786 Type: 3 CROSS CONNECTION 50 .00 SEC .H IMPACT FEE Sn? .0}1 -nNST . SU}{l.HAM32 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." 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 Erwo*o*� ,� "10 $37JW) 14 Daus 5;34/94 til Rcpt: 004TI61 By. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address:41 SC21 1 4.40LC OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attaclLeci plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of Property Owner Signature of Ow Signature of or Authorized Cy Architect or Engineer Ill. GENERA NFOR ON A, Type of heati fuel: B• i. IS OTHER CONSTRUCTION BEING DOBE ON Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) �( Residential or ❑ Commercial at ❑ Space ❑ Recessed Central O Floor L3 New Building Air Conditioning: ❑ Room ( Cantrell X Existing Building ict System: Material"v v Thickneu .x Replacement of existing system �— Maximum capacity c.f.m.- ElNew installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ElCooling tower. Capacity q.p.m. El Other — Specify ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) ❑ Tank. (number) Remarks ❑ LPG contain*K (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Data- E3 am❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ty Aroving Number Unites Description Yodel Number Manufacturer ( I AJT�CY HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approvi Number Unita Description Yodel Number Idanufacturer (BTU) dlsetac� TANKS Hose Many Naerinal Capacity Type LQuId Name of Serial Ap roving and Dimensions Contained Manufacturer No. �►gency ©7A PSR-3844 8369 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - -- PERMIT INFORMATION ------ ----- LOCATION INFORMATION -- ----- I ie it Nuunh(-r. . f?.369 Address : Ince SEMINOLE R'DAD Pprir<it. Tyle. PLUMB 1NIG ATLANTIC BEA''H . FLORIDA :522� '. lass of Work : ADDT'TI�-,N ---------- LEGAL DESCRIPTION ------____ y `" nst TYPe: WOOD FRAME Lot Bloch : Sect.icn` f Proposed Use : SINGLE FAM;LY Township: RNO n 1:wel 1 i ngs ` 1 -'ode Estimated Value: sg 11r,-F,r 4' . {:ontlip n 1F �tISMATION ~- - APPLICATION FEES ----- I NAL PEP-MIT ddre� i SOLE ROAD WA IMPACT FEE B "I3, FLS'; SE i _TO T FEE 1 . 4 T4;42 n 4r; WAtER METER f TAP S0 RADON GAS--H.R . S - 50 . _ "TOh" NF!�RMAT ( N - - RADON CAB 5% $0 -n'? _ ,INC: �"" lP�1� ' CAPITAL TMPR�OVE . �a0 U�r AUCUSTINE R'DAD SEWER TAF $a `L,T,E . FL 32207 HYDRAULIC SHARE SO Y Type, CROSS CONNECTION CONST _ SURCHAR^E 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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ("100000 000000000 $18.50 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 5/20/94 01 Rcpt: 005558 CHECKS 606 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /0-5S OWNER OF PROPERTY: 17e 66,' BUILDING CONTRACTOR: PLUMBING CONTRACTORryc- AND ADDRESS: _ 3 S c�3 s7L ,�✓�,�.l�,'L r (/� .' i�a /� �.ZCf TELEPHONE NUMBER: -2o3,, STATE LICENSE NO: G G C�S 6 ?o TYPE OF BUILDING: TYPE OF WORK: t; Sn/ Ila 1,c,w HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 = $ ---------------------------------------------------------------- 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 BEFORE COVERING UP - (904) 247-5834 0002932 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PLrRMST rN}rpt'iMATION ---- - - - -- - - - L.OUATSON rNrannATrON ------- - •er &it Humber ' Ada ens: loMn SEnTNOLE ROAD P rmit- Type: 1`ioOr ATLANTfC BEACH, MORIDA--3223'3 -183& oX Kor k: REPAS1t LEUAL DE!5CftXr-rTOH - Co str. Type: WOOD FRAME Lot: Block: Section: Pr posed "Bet 'BjHt3L.E lrAnTLY ToitnSriip: RNO s O >we lings: 1 Code: ) Isu ivisior,: sat mated value: 150.00 mprov. rest: GAO.OC Total r&&8: fir. !'n Amount Peed: � O �ar -- ��litilStB ZT�fMClRTiATfCfH --- -- APPLICATION rEEZ --_-- %'?. noame: CHARLE'S MC L..AC.HLAN PP:Rl7XT pAdd eSs : .jont) 'ai l7INC)LE E3DAD WATER Xf'tPACT rELr 'AL1, tlt7 one! ATLANTIC "EACH, frLUAZDA "4`?-2'x'3 �EKL*R IMPACT !°UC '3O•V'110 !° k�fY3q):2131�-TBBb 'MATER HETER !30. V-110 RADON 0A`3-H. 00 - -- --- +COHT"AK:TOR INPURnAT10" RADON OAS - -F7. `3+0.010 eme: t'14C)FSRTY CIKN;t;:t� WATER TAP c4O• 100 SEWER TAP 1A0. ao had ess: 0. 00 nrDRAVLY't:. !SHARE Type: 1 RE-I M-RPECT F tonBet gst3. CSCti SEC. » xnPACr rEIS OV OTHER 15fo• OO NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE =BUILDINGIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE HAULED AWAY BY EITHER CONTRACTOR OR OWNER. LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICS' ING IMPROV MENTS!N THE PROPERTY OWNER PAYING TWICE FOR BUILDT. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIJAWUBJECT TO,R EOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC EACH BUIL ING D PARTMENT By: �� FOR OFFICE USESNLJ ►t Date-------�--/ 19 Permit # JyFe - - CITY OF ATLANTIC BEACH ILIA Valuation $ t ................ FLORIDAHouse #------. •--•---- .................................... APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ! Q-------- 'eAi✓ �01�5� �� 6Date.. / / 44 Owner--- R- -=- ----- - i--/ -----Address. . _ /l......... -----Telephone No----------------------------- Architectl �1�Q/. i / A/5//---------------------•-•--•--------•---Address------------------------------------------------------------Telephone No.----------------------- Con ro,�tor Builder__R)5---- r_ -/s_N-. Cd n/�s7 -----------Address------------------n-----• ---- -------------------------Telephone No.---------------------- lz- Lo1Vo._`7- � 7 7 ) .Block No. Sub Division 1 Zone ------------- -----------•-----------------------------------------------Street_---------------------Side Between---_-----------------------------•---------------and---------------------------------------------•--------Sts. Valuation 10 JJ_ what purpose will building be used-.2).5`/ALL/_ L._.....Type of constructiongs�./Ll--�................. Dimensions of Building_-7V___1(----��--.--._-_-_-Dimensions of Lot---7 __-..-X.../_4 ----------_---------Size of Footingsy�_.O-.f/ Dimensions of PiersC__)X__s�d________Size of .......Greatest Sill Span in ft..._1_P-----------_Type How will Building be Heated?---� _t`f.. /--------------------------Will Building be on Solid or Filled Ground?----!4�P_�4-n �v2 ................... Greatest Span " Size of Ceiling Joists._ _1___�___ip_L___.....___.______, Distance on Centers___________________�. ----/---------------------- Size of Floor Joists__ .X__ _____________________________Distance on Centers..-.......1_ _.___-----__---_----_.---., Greatest Span--------- ..._-__----_-..-_______-.-. " � �............ /---------------- Size of Rafters---------c�--�---�P--------------- ___---------, This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 04 ►i 4. When framing is completed. �7 .7 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksonville. V2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with th attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of ntic Beach. Signature of Builder,- .... -•---------------•---------•-- Address Signatureof Owner- --------------------------------------•-•------------------•-------------- Address-------•--••-----------•--------------------------------------------------------------------- CITY OF ��i°aut�c �eacl - ��Cvuda 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 DATE & `'� /—D 2-- JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRES. ao � 0�3 C) s Please call me at 904-247-5826 if you have any questions. Sing rely, ATLANTIC BEACH BUILDING DEPARTMENT RECEIVED APIR 1 1 2000 CITY OF ATLANTIC BEACH GI'Y Of Atlantic Beach PERMIT APPLICATION REMODEL, ADDITIONS, OR '1 �'Jh'dNi$� MOVING, DEMOLITIONS Owner (s) ,-d OC30/i-AH 12USS=(Tn,oL II nn rI C� Job Address: 109,9- .5Q�1-ia /2 I� Phone: a 7( -73 U� /0o4j, *At.F Lot #`M'10(8Elock or Unit # (3 Subdivision: A Contractor: CmT 3tisL��y(:— � � CIt�ecense # C=3C OS"9 S7 $ Address:— .9- 00 S MAQC.)LJ LA) Phone No: a? "S �3 G LSA City &) Q..p+L ng. 'JnnQcC �N State FL Zip Code 3-�-yZ(c(o Describe work to be done: A 41� 4ei`^� S t -► -r�, 1 s'�S L&ate c e- . 1�-Ps�ov 01� 2 ac e r"\QJ-4 o� o'r o-� cx,cl. a-%-�ss2� Present use of building: S Lr LC Y 2CS�C�C( Valuation of Proposed Construction: k /3 O oD Proposed use: S K:AD &L FAr,TI..`f 2CS%� Ct= Is this an addition? Y�5 If yes, what are the dimensions of the added space: PBX ft. X 58• C7 ft. will the added area be heated and cooled? \ek:--5 New electrical (or increase) ? =NX2G-4S 1 New plumbing fixtures?\? S New fireplace? ODNew Heat/AC?—YC--5 SUBMIT TIEUX (COADIERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF ComMVCEIENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: ey // 00 Signature CONTRACTOR: ate: P,© AS TO OWNER: Sworn to and subscribed before me this day of ►tet ' 2000. (?4, r, 6&� (M NO Y PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this day of d'( _,2000. amen R. JOhws, NOTARY PUBLIC 9 Commisslon#CC 87691 Expires Oct. 5,2003 Bonded Thru Atlantic Bonding Co.,Inc CITY OF ATLANTIC BEACH DF FITMENT OF BUILDING 00108020008100 r_tryj � 6, Al 800 YEMOXWROAD-U&NTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 m 09901eldtaaaa t8 �/68/S :app u►omo ��0 IL LV_S1 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19945 Address: 1055 SEMINOLE ROAD Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 322; Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: 1267 m Subdivision: Est. Value: � Parcel Number: m .. Improv. Cost: 130,000.00 OWNER INFORMATION cm Date Issued: 4/25/2000 �(0m Name: DEBBIE ROSSIGNALM Total Fees: RNM $702.68AL� Address: 1055 SEMINOLE ROADCD Amount Paid: ��6702.68 ATLANTIC BEACH, FLORIDA 32 � Date Paid: 4/25/2000 Phone: (904)448-2040 Work Desc: CONSTRUCT ROOM ADDITION/REMODEL PER PLANS HSF 1267 CONTRACTORS APPLICATION FEES CMT BUILDING CONTRACTORS, INC. PERMIT 570.00 WATER IMPACT FEE 120.00 RADON/ State 5.87 RADON AB .47 SURCHARGE/State 5.71 SURCHARBE AB .63 I I Ins 'ons Required FOOTING TREE BARRICADES SLAB COVER UP FRAMING FINAL BUILDING INSULATION NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONST RUC T ION LIED LAW (:GAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUFjVCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR'IjWION OF APPLICABLE PROVISIONS OF LAW. w co m m D U "rLQ51N0'-QEPT. �U f5.7172 �f578.00[14 Receipt: 0055b 100Date: 5/09/88 01 R[ lpt: 0055055 AT00100003 labs Q, CITY OF ATLANTIC BEACH Fixture Unic Worksheet for Water ImpaCc Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE!ENT OF WATTR O .kND FCR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO T,-iE Ci'Y WA7_7R SYSTEM- THE' WATER SUPPLY CH_A.RGE IS HEREBY FIXED AT 7,;ENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CI% WATER BATHROOM GROUP CONSISTING OF SERVICE c_Vx TR,a? SAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) WATER CLOSE" WA= CLOSET, TANX OPERATED (4) VALVE O?ERaTED (8) BATH7jB/SHOUTR (2) URINAL WALL L:? (�) SHCWE.R CROUP PER HEAD (3) FLOOR ORA-7.N (!) SHOWER STALL DON.ES,I C (2) LAUNDRY ,.•.Y (_) LAVATORY (I) CC!l_3:NA7I0N S:NK A:iC _?aY ) (3 WASHING MACHINE (3) OCT DISHWASHER (2) WAST.' SINK E:kCE Sr: C= :AUC: rITCHEx SIn (2) -y -� DENTAL LAVATORY (1) LZTC3Lli SINK WI73 WASTE CRIXDE3 (3) DENTAL UNI:' CR CUSPIDOR (I) BIDS a URINAL STALL, :+AS'r.CUT (4,) FLIISHLXG 1.14 SINK (8) COMKNATI ON S I.Y.{ AND TR.a Y W i T FOOD DISPOS. (4) URINAL. P=ESTAL, SYPHON JET BLOWOUT (2) DRINKING FOUNTAZ?I (1/2) LAVA-,OR-., Lk"ER/BEAUT': SHOP (2) ICE MAK-ER (1/2) SURGEONS SINK (3) LAVATORY, SURGEONS (_) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL PZXiJRE UNITS (-kE' $20.00 EACR $ 1.20, 0 JOB IAFOfLwATION QS J /Y//J0 c c �i� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _10 Permit Number: 19918 _ Address: 1055 SEMINOLE ROAD Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: T_ Improv. Cost: Date Issued: 4/20/2000 Name: . DEBBIE ROSSIGNAL Total Fees: 25.00 Address: 1055 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 w?r Date Paid: 4/20/2000 Phone: (904)448-2040 Work Desc: FOUNDATION PERMIT ONLY FOR,ROOM ADDITION CMT BUILDING CONTRACTORS, INC PERMIT 25.00 2R1. ZOk a t _iP r qi 11 FOOTING UNDER SLAB PLUMBING h 1 N NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. X25.88 14 Date: 4/28/08 91 Receipt:C885131 CHECKS AT TIC B ABUIL ING DEPT. 991aeea322199a FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 20 Small Additions,Renovations&Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600G97 for additions of 600 square feet or less,site-installer components of manufactured homes,and renovations to single and mul ifamily residences. Alternative methods are provided for addtions by use of Form 6008-97 or 600A-97. PROJECT NAME: oSSi �� �00=i rt,. BUILDER: C,-?i7- 3LLmZD1'v6_ Co.,,-,-ZAC-rVeS Iw AND ADDRESS: /p :,,.TWt, L- RD, PERMITTING AT-j_4Nv T'TC. CLIMATE r�= a"rLAnr-Tc CAC4 3�qr zy; OFFICE: C it G ZONE: 1 2 ��3 OWNER: ,1 U&-o 2�!S SZ��L PERMIT ND. JURISDICTION NO.: i SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feetorless of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 avp'y orly to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is instaaea specifically to serve the addition or is being Installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements In Tables 6C-1 and 6C-2 apply only to the components and equlpment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Onlysile- Installed compcnents and features are covered by this form.BUILDING SYS?EMS Comply when complete new system is installed. Please Print CK 1. Renovation,Addition, New System or Manufactured Home 1. ADD-_r-T' 2. Single family detached or Multifamily attached 2. 3. If Multifamily--No.of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4, /-1 7 _ 5. Predominant eave overhang (ft.) 5. j , Z5- 6. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. 13 ,- sq. ft. I o - sq. ft. _ b. Tint, film or solar screen 6b, sq. ft. sq.ft. 7. Percentage of glass to floor area 7, �- off, 8. Floor type and insulation: a. Slab-an-grade (R-value) 8a. R= © �5�4 2-�;'_lin. ft, b. Wood, raised (R-value) 8b. R= t n1 d 5-3 sq. ft. c. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq, ft. e. Concrete, common (R-value) Se. R= _ sq, ft. 9. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= _I�_ t 339.33 sq, ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= ao8 sq. ft. c, Marriage Walls of Multiple Units" (Yesi 9c _ 10. Ceiling type and insulation: a. Under attic(Insulation R-value) 10a, R= 3o I Z 6 sq. ft. _ b. Single assembly (Insulation R-value) 10b. R= sq. ft. 11. Cooling system* - (Types:central, room unit, package terminal A.C., gas,existing, none) 11. Type: C<' -j�L _ SEER/EER: PD _ 12. Heating system*: (Types:heat pump,elec,strip,natural gas,L.P,gas, 12. Type: 115, P F: gas h,ii room or PTAC,existing,none) HSPF/COP/AFUE: 71 a 13. Air Distribution System*: - a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed' (Yes/No) 13b. 14. Hot water system: 14. Type: P IR (-VL--C 6?p CAL (Types:.eleo.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. _ I hereby certifyy that the fans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates comp;iance compliance tMtft the Ener Code, with the Florida Energy Code ore construction is completed,this building wdi be PREPARED 8Y: ' �-^1 DATE: T�� inspected for compliance in cc dance with tion 3.906,F.S. I hereby certify that this b t i o p c Florida Energy Cod@, 9 BUILDING OFFICIAL OWNER AGENT: DATE. ` DAT _ 2`- -' E -' - Revised 1998 I- EL � v - o C V a cD ON r UCD U 0 0) m E 0) 8 y V H H `r° r 0 aCL4_ N } E co d o ~ CL o Q Co d Q pU 0 U O V d @d con 3 v to aC: co k� o �, a Z 0- c� Go c N ~ a m cu R► v N Oca ? c J J J C N y 4 t.0 N Z W v CL CL oa con Q o Q Z N= _ c cmW CL C] - cc F— U o VJ p C o o = O cr- J J J \ 6- ] JJ J Ud p cn O O H 75 CO 2 2 2 2 aD v �C Y V � .� Z V N 00 00 co �+ - _ 0 M O 0 .- J J C `= 3 L p a a U o-J cu -' v 0000 co 2 c U LL U N 0. M - co In N Co c0 m Lc) cn cN v �. U t— Z aCD . N o M � Z iO V) H _ O IJi d O O 1 "m LO CL r.+ 00 to '' N U.j = 00 co �0 � D N 0) N _ N n LO Q. CN o o x O +� coO m J v v v v �, cm o c v U U co a w W M "in U D y cn r� m 00 m = o ca N � a N o CL a ° a o ~ j o c coo m ai O -1 ao`) a E cn s a co m m Q H 2 v> Q o co CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address`LOs� J FPt/�mL 6fPVt71oj F-,-1D FC- Date Heated Square Footage (Q T _@ $,_p e r sa it = S Garage/Shed �@ $ per sq ft = $ Carport/Parch _Ea $ per sq ft = Deck @ $ per sq ft = CC Iv � Patioe r tI f t _�G s S.r TOTAL VALUATION: S-130 / 30,, 600 �-Ga oa s. 0 Total Valuation 1st $ / ,00, On d L? 0, o0y _ -/20- 00 S / ZU Remaining Value $L/. oaper thousand or portion thereof TOTAL BUILDING FEE S Spa + 1 '22 Filing Fee $ { } Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE WATER IMPACT FEE $_... .2 0. SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP M91) RADON (HRS) . 0050 _ - SECTION H PAVING -( $ HYDRAULIC SHARES S CROSS CONNECTION $ 26 SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S ADDITIONAL PERMITS OR FEES : Mechanical Plumbino Electric/New Electric/Temp ; SwiriminaPool Septic Tank Weii Sian_ Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : o D to 2 ,� Dr co CA) oNo --Ii m O to OD � CD r --i _ rX m oo rn N m A y to Sao a m o w Qo Cf) (n -v a) N' o iv n0 oCL 0) � a ` cm - A -N � O O N � C O 000 O 1 0 Q a N -0 O CA 1 - c�0 -4 = CCD = O O 00 3 C O UA D W O O O CD 'C .. r Z N N o Z v •-• IV A N C)1 WCil W J Q C c A) -n O g- n co � N = _ n n r r -• N •G C- -4 OD coOD �:v n _ M CD N � � GvCD rrC- � O y N = C) o 11) w " m i _ v m D -tea 0 0n 0 m = � w m O r r -o Z CD oUa N O C-) = 'O n — tD Q Z •� °' t7 �•. .: Ch T � @ O O � OD 0n o r O n •�+; Cr O A - - V n n O CL f3 C7 p 0) D h O =• - = CO) N � W O J -74.83) h c � Lno F LL� .� fin• c & "� co o VQ n rn CD -� Ln cCDr 4.13 H D o� Z C C3 Vi O C/) 0 C/) S'�.�1a — io�►17' � N ADDITI �,.zs�,ZZ, ol z O N .� y r r 0 0 IN&izo4tv9 Poo L O -� 00 1 1 \ 1 �\ 1 \ 1 1 jl 1 `,� � 1 , �1 1 '',I '�r 1 i 1 1 1 I � � > o ao -i O _0 m O O _ m -4- -� r r o =.m E i= m NA DR moo m m70 r - ; A O N D O x N TJ Z T A A A O a m z pp I'n < N NN C Ln CD 1\ N r 4 7 W N 5) O o zz O NCD m C7% CA n z A n C W Z Mz O O W N r z O 0 U' o W x Ln Ul W ➢ no �> O o I O O O O v W O Cn LaN III •nom -- - _- - (n C* O CD -3 • N f m �. - - -- " (n •- zo - _ _ U' X zno cn inn o zo oomo /I/ -i C X —_ N O C O — � �;'�� ..��.•��'r c oW -0 on o A (D � ➢ O m � 3 -AL L O 1 _ r • Q �� _ N J Cl III .-• ➢ 3 3 =fSy.y d J Z z > Lr Cl co N W � � 1 II z N ➢ � -� m co N z n Ln r r r r r o 0 0 - Z ➢ O m J s m N — N t-• A• �--• OW 3 ? v O O v m = W O C O O O J O W V) V7 cn N (n O 3 N _ T (/1 S I O O ;D 17 m C'7 ;o ➢ m N — O O IX: � m n —_ 3 z m l m (n W C- A Ln u = O n = O W r p \I \ V l v O '•� O N U'1 3 \ v - l0 O m U a_ Co N n E Co -I -i N CID --I M xo D � r, � v Oo r -»zz m --I � _� ro ov -_4z o _n _`1 D E xx in n z r m o0 0 Dz m 3 3 3 3O C(n OC7 W D N N N N m C x x x N A A A L w0 < _ v 2 T N O CO a 0 (n (n(n m 1 C cD d II N [� 2 C -a _0 - r Ly (D III �-- r D T m T T w N N m � N r C n o T M z - Ln O Z O 0 0 0 a n 3 m W m A O C O O) O W N -- U'I S O N O O O � (n - x v co cm r A r N n o n m N -4 E • 4 m m n m m w F n N N V V II OD �"� m m o OD a o •• Ul o mo -a rrr x mCx mm Tm O v z m n �+ 111 � z .. �+ �•. �-. . - ici -- .nom ➢ G') Z ,b. 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CJI = t A p ? O N _ V m HURRICANE AN EMCC3 n�Ign.Faat�re$; ANCHOR'^-�<��• -�•• METAL CONNECTORS Technical Su rtles�ada ort 800 SE SPECS - (800) 737 32; esfstar>ce to wind PP ( ) • El�fT11t18"2es.bde y �� �y ""^��(7� /•{Mo}orf r•`^;YY� 88)! -8' x1�SgT19ntr '-' Iles in �Iled dla__oan�11� u,�_ 4'_+� aCf033 ifOm Bern r� !1�5 1$bs,(seflef� 1 1 .•Vl: I 11 0. TOP TOP PLATECOcis,C `_Report' 96.jOQ3A4r' Z.Wi yb�i � __ d oR s�cl� side of _PLATE�._ —.- r• - �.wJU• _ _ l 'AV ..•wI a1 o4AVOiia m*. 2 .��Im4 In- V2.', DUNENSIpNS FINER SCHEDULE ALLOW&U)ADS .•_ ' DESCRipT(m PRODUCT _ _. 1. _ - ~_COQ GAUGE ,: : LATERALWPERPLATE . STUD (SeeInstallat3on - MHCPR 1 20 1112 d =ry 5 4 ! 4 1 4• 145 ! 95 1 400j 510 HCPL 20 +80 1520 i 500 ' ! l 12 5 4 '*pt l 20 , 12 s 4 4' slo I <ao il5 ► 95 40o I :so I:5w! '- Long-rig HC?LL ( 20 i i trz 16 I 4 I 4 1 ,• 1 145 1 95 1400 i 510 480 ! 520 1100 4 <'` rT0 95 U.lonie 12 10 12 5x, 1/1- B . - t1o4o t 70 480 S0_ ti0 peesbe R5z11rz115 95 500 ! 55 555 555 100T12 2 4 r�ie 3o Sao HCPTA 18 212 20 8 1 380 sao. .loo _ am 1! 990 ' 960 1 990 50 • \ REVERSIBLE \ REGULAR �• RT12 I TRUSS ' HCPR/L LONGTIE TIE " HCPLRILL Ava, —� )an+e�,�e)t or ngrn) (Avauade in Ierl or nqm) H ' - Al - I• • HCPTA -`\ \ Al Ai i, I .v Az �'� r ,,;� `y DOUBLE A2 ! I v �`'�L �•'' I A2 't,'\1 LONGTIE � ✓ .t� RT10 •� 1H aRftLA22WAS120 Al RT12 � I 1. DO NOT CUT OR ALTER TRUSSES, UNLESS APPROVED BY TRUSS OFFICE 2. VERIFY ALL SPANS AND AMOUNTS, AS TRUSSES WILL BE BUILT IN STRICT ACCORDANCE WITH THIS LAYOUT 3. NO BACKCHARGES ALLOWED, UNLESS APPROVED IN WRITING BY TRUSS PLANT MANAGER 4. APPROVED BY : APPROVAL DATE: DEL. DATE PITCH 5/12 OHANG 24' is Lo JOB: I0858 JIM STAHLMAN c LOC: NEPTUNE BEACH PLAN: ROSIGNOL RESIDENCE DESIGNER: KEN STIGLETTS MANNING BLDG . SUPPLIES 11155 PHILLIPS PKWAY PH# 268-8225 JAX. FLA. 32256 0 J N O N L A L 54'S' m Lo m N F F2 TJI 35 SERIES 16' DEEP D / 24' O.C. SPACING UNLEES NOT F1 �►4' 21' 33'8" 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 CITY OF p 14&4A4.0 AMCA-0; Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received RM Jo r s Locality Owner's Name Contractor �J BUILDING CONC E ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab C Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION _ Mon. Tues. Wed. Thurs. Friday P.M. �/ A.M. Inspectio de — A.M Insp for Final Inspection ❑ Certificate of Occupancy ❑ �t�� Date ` �-� -- Ad CITY OF e /3e4i"- 1 4 4� Office of Bwlding O la 02 3 REQUEST FOR I PECTIONC 2038Z Permit No.P 2c)/-30 '6�te V A.M. 3 !) me P.M. /►�(� © Rt7��/ /J_ �OQ �/ 1�! �--/ 1 `�" " ".CJ Locality :;Osl 31.E I/ Job A Owner's Contractor Name PLUMBING MECHANICAL BUILDIN �,( C CRETE ELECTRIC 1a Rough ❑ Air ting & r in Footing ❑ Rough POein9 Out Heating g ❑ , Slab ❑ Temp ❑ Top ❑� Fire Place ❑ in Roofing �7n`/ ❑ Final ❑ Sewer Pre Fab Insulation Lintel READY FOR INSPECTIONA.M: Wed. Thurs. y Mon. Tues. ® ea Q4 � ✓ P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy❑ Date CITY OF �fto crfi�c '�eac� - �Gvuala 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 DATE 0'30-00 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS Please call me at 904-247-5826 if you have any questions. Sincei ely, ATLANTIC BERCf t BUILDING DEPARTMENT CITY OF Office of Building Official REQUEST FOR INSPE(TI / m Permit No Time P.M. Received ocality Job Addre �� Contractor MECHANICAL Owner's PLUMBING Name ELECTRICAL ❑ Air Cond. & ❑ NCRE E h Wiring Rough Heating BUILDING Li Rough Top Out Fire Place ❑ ❑ `/ _` Temp Pole $ewer Framing ❑ Slab ❑ Final Pre Fab Re Rooting Insulation ❑ Lintel PM. READY FOR INSPECTIO Friday--- T rs. Wed. Tues. A.M, Mon. 0-Z-) Final Inspection ❑ Inspection Made ancy Certificate of Occup Inspector Date CITY OF �O�`" c e�� fficial 7� O of Building REQUEST FOR INSPECTION permit No- A.M. Date (� 0d Time � J Crk -L- Ft J i eceived � O f� Locality, `-136/- 9��GJ� rU fob Address S� MECHANICAL • Contractor � pICAL PLUMBING 0 Air Cond.& Owners ELECT Rough Heating Name CONCRETE ! Rough Miring Top Out Fire place BUILDING Footing /`- Temp pole 0 $ewer Pre Fab Framing Slab ❑ Final A.M Re Roof.ing Lintel INSPEC710N Friday— insulation VIE FOR Thurs. Wed. Tues. A. P.M. Mon. - ( d Final Inspection Inspection Made Certificate of Occupancy❑ Date Inspector 2 CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. r„ - -Ob Date A.M. Time P.M. Received l 5 Loc ty Job ess c Owner's �' Contractor MECHANICAL Name ELECTRICAL P CAir Cond. & CO RETE � BUILDING 13Rough Wiring ❑ Rough ❑ Heating Footing Pole F, Top Out ❑ Fire Place ❑ Framing ❑ Slab ❑ Temp ❑ $ewer Pre Fab Re Rooting ❑ ❑ Final ❑ Lintel A.M. Insulation PM READY FOR INSPECTION Frida Wed. Thurs. Mon. Tues. A.M. © � P.M. Inspection Made r I Final Inspection 11Certificate of Occupancy Inspector Date CITY OF �QI l LC Be=A- Office of Building Official REQUEST FOR INSPECTI N Permit No. Date A.M. Time P.M. Received O� Locality �o ress ^ Owner's Contractor Name PLUMBING MECHANICAL CONCRETE ELECTRICAL BUILDING Rough ❑ Air ting & ❑ ❑ Footing ❑ ❑ Top Out ❑ Heating ❑ Framing ❑ Slab ❑ Temp Pole ❑ Fire Place Re Roofing ❑ Final ❑ Sewer Pre Fab Insulation ❑ Lintel READY FOR INSPECTION M. Tues. Wed. Thurs. Friday Mon. A.M. Jf f z Q d P.M. ction Made /(/ final Inspection 13Inspector /�►t S D certificate of Occupancy ❑ //Date CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: i O 375- sem-1; Ao(-e K OWNER OF PROPERTY:'­�o ()aA TELEPHONE NO. PLUMBING CONTRACTORi 3 1` CONTRACTOR' S ADDRESS: - o, STATE LICENSE NUMBER: elreor TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: egg,.. z----------------------------------------------------------------- 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 PLUMBING PERMIT LOCATION INFORMATION : IFQRMEtTION — Permit Number: 20436 Address: 1055 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: .:. Improv. Cost: Date Issued: 8/02/2000 Name: DEBBIE ROSSIGNAL Total Fees: 25.00 Address: 1055 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/02/2000 Phone: (904)448-2040 _ Work Desc: INSTALL PLUMBING (ADDENDUM - . . CHRISTY FIRST COAST PLUMBING PERMIT 25.00 ,I. NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION IT NOT BE PLACED IN PUBLIC BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUS 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_ �,.;, ., $25.0014 C\1 C , / Date: 8/02/00 01 Receipt: 0077593 CHECKS 5932 00100003221800 ATLANTIC BEACH BUILD G DEPT. ��// -- ��,,{{..-- /CITY OF 9 44104- Office of Building Official REQUEST FOR INSPECTION Date U_ Permit No. _� Time ReceivedP.M. P—qLocali ob Aress 237 3�� S owner' SS l Name Contractor—� ' , BUILDING CONCRETE ELECTRICAL PLU G MECHANICAL Framing Footing ❑ Rough Wiring C ❑ Air Cond. & ❑ s Re Roofing Slab ❑ Temp Pole C Top Out ❑ Heating Insulation Lintel ❑ Final [ Sewer ❑ Fire Place ❑ READY FOR INSPECTI Pre Fab � A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made / V P.M. Inspector Final Inspection Certificate of Occupancy Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ---- - -- - - ._ .__- - ----- --- --- __ PERMIT INFORMATION �J--�.:.._. _LOCATION INFORMATION -------- Permit Number: 22357 Address: 1055 SEMINOLE ROAD Permit Type: DRIVEWAY ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: j Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _ ____ __ OWNER INFORMATION _ Date Issued: 7/20/2001 Name: DEBBIE ROSSIGNAL - Total Fees: 25.00 Address: 1055 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/20/2001 Phone: (904)448-2040 Work Desc: REMOVE OLD DRIVEWAY AND"POUR NEW _— - APP CATION FEES CONTRACTOR(% PROPERTY OWNER sir ERMIT M - 25.00 "a, y '" a > e `, .5.tv^�...'t a - R NOTICE> INSPECT"1QNS" ST BE 11'.. =D AT LEAST 224 tlPVR PRI R T41NSF CTION BUILDING MATERIALRUBBISt=P — Q.DEBRIS�f:2OM THIS WORK MUST NOT BE FL�10ED IN PUBLIC SPACE,AND : MUST BE CLEARED UP AND}HA. AWAY BY EITHER CONTRACTOR OR O ER "FAILURE TO COMPL V1fITM S't TION LIEN SCAN RESULT IN THE PROPERTY OWNER PA ING VE%1je- ISSUED ACCORDING TO APPRO�;* PI §,,WF4.CH R RT� F F AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRS .ONSIGF.A AT TIC . CH BUILDING DEPT. Date: 7/28/91 81 Receipt:8874721 t�rxa - — — --- _ 8818811IM18N • CRY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS DATE !(* v PERMIT NO. ISSUED BY THE CITY JOB ADDRESS 5?,_x;4d4L_ ,4 VALUATION $ Ic y PERMITTEE (�+� d� t PERMRTEE ADDRESS TELEPHONE NO. REQUESTING PERMISSION FROM THE CITY OF ATL/ANTIC BEACH TO CONSTRUCT IVOW V&j we. aw V� Ov�V O A rRo o,(- N 4416--+ AJ LOCATIONS: (REFERENCE TO CROSS-STREET) Sic:: p- TAS I APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE SKETCHES. * . A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIES: JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE: FERRELL GAS YES ( ) NO ( ) DATE: MEDIA ONE CABLE TV YES ( ) NO ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. 5. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN is DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN /0 DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. J. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMMEDIATELY UPON COMPLETION. SUBMITTED BY: I (PLACE CORPORATE SEAL IF APPLICABLE) SWO TO AND SUBSCRIBED BEFORE ME THIS / 4 DAY OF GEORA^ / IAA.HORN NOTARY PUBLIC .s 1�1 WY COMMISSION#DD M0526 EXPIRES:Jule 3,200 5 I' 09R"g Tft Nob q Public Undmftm CITY OF Veatc - � 800 SE:vMFOLG ROAD ATLAN IZC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES. PART I 'CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SEcnoN 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT Be BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT FT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. ,i i5 YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND eY COUNTY OR MUNICIPAL LICENSING ORDINANCES. QoD,NANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT 15 FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPccncNS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER DIRECT SUPERVISION OF THE OWNER, WHO MUST HE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE_a THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS MT)4HOLDINO TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT m $5,000 ?£MALTY UNDER FLORIDA STATUTE NO. 455-22-8(1). AN OCCUPATIONAL LICENSE IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 55826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNEFt-BUILDER PCRMIT. /4tt�z — - - PROP W R/SUILDER Zy4�731r�� ADDRESS -TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS D O /:AL oh EMN i DID 030526 NOTE: PHRASES UNDERLINED AOVE COMING �dUnff7�"ES• B =onded Thru Notary Public Underw ter ARE EMPHASIZED BY THE BUILDING DEPARTMENT. r. CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 _ PERMIT INFORMATION LOCATION INFORMAT-IOI ! , Permit Number: 20382 Address: 1055 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number• Improv. Cost: :OWtailEjillt ; Date Issued: 7/19/2000 Name: DEBBIE ROSSIGNAL Total Fees: 47.00 Address: 1055 SEMINOLE ROAD Amount Paid: 47.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/19/2000 j Phone: (904)448-2040 Work Desc: EXTENSION OF EXISTING SYSTEM / REMOCATE EXIST 17 m BIG D AIR CONDITIONING PERMIT 47.00 f tift'� Ir ROUGH MECHANICAL I FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER _-- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $47.0614 Date: 7/19/08 01 Receipt: M74714 CHECKS 4061 88100883221080 A NTIC BEACHJOUILDI EPT. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. �t LOCATION Street Address: r G/ J� L rn r e OF Intersecting Streets: Between And BUILDING Su6-division il. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are pa part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. - `c�6 (� Z— 1 1- Name of Mechanicalr 1, 7 r ! Contractors Contractor (Print) �y ��/^/ Mester Name of Property Owner L t Signature of O r Signature of or Authorise Agent 1 Architeet or Engineer III. GENERAL INFORMATION A. Type of heating fuel: B' _ IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? L ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER /O1F/CONSTRUCTION ❑ Oil I PERMIT ©- Other — Specify IV. IsllCHANICAL EQUIPMENT TO BE INSTALLED N7RE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial ' E Heat ❑ Space ❑ Recessed M/%C ntnl O Floor ❑ New Building Air Conditioning: ❑ Room [R CenfroLr ��X El Existing Building 7 i El Replacement of existing system Duct System: MsNrield [LC�t.,'�.�r: --/Tlrickne ❑ view Installation(No system previously installed) Maximum capacity c.f.m. C`J/ Extenslon or add-on to existing system ❑ Refrigeration ❑ Other — Specify 0 Cooling tower: Capacity 9•pjn• 0 Fire sprinklers: Number of heads — ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) (Rec'ivedI ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Pa►mii! Approved by Defe ❑ boilers Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Craty APS Number Unita DeSerlptiots II[ al Number Manufacturer (TOW HEATING - FURNACES, BOILERS, FIREPLACES Capacity AWS Number Units Description Model Number I/ Manufacturer (BTU) d✓6 e` 1 f sC.4' >f TANKS ng Haw Many NawbW Capacity Type Liquid Name of �� Ap�LO Cy and DimwAlons Contained Manufacturer No. R f :# /� 9 Ll �y CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:.�P—'- 'L9 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS: S �' ��`�''"� RFD 80X BLDG.SIZE BETWEEN: RES. ( ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ) OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER 1 AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE L� AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLESL CONCEALED OPEN TOTAL 10,30MPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS *AMPSCEIL HEAT: KW-HEAT 0-1 VER MOTORS H.P. VOLTAGE PHS NO. 1H. P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN ] -------------I- - i I -7- FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION _ i`— _ LOCATION INFORMATION Permit Number: 20130 Address: 1055 SEMINOLE ROAD Permit Type. PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/26/2000 Name: DEBBIE ROSSIGNAL Total Fees: 25.00 Address: 1055 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/26/2000 I Phone: (904)448-2040 Work Desc: INSTALL PLUMBING _ CONTRACTOR(S) APPLICATION FEES CHRISTY FIRST COAST PLUMBING PERMIT 25.00 inspections Required TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER___ "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.88 14 u= Date: 5/26/88 81 Receipt: 8868771 ATLANTIC BEACH UILDI DEPT. CHECKS 5881 88188883221888 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: OWNER OF PROPERTY: TELEPHONE PLUMBING CONTRACTOR nc CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: BOW MANY OF THE FOLLOWING FIXTURES INSTALLED Y\a SINKS A,_ l�� SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS I SEWER WATER REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: � INSTALLATION OF PLUMBING AND FIXTURES MUST BEI PLUMBINGCE C WITH THE MOST RECENT EDITION OF THE SOUTHERN STA CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION