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1345 Seminole Rd (vault) t-' 1. e{ TYPE WOR%— JOB ADDRESS PROPERTY o - 2q—2,1 I �PSONE CONrRACI'o ,v, DATE r_ PERMI3'� � t© I q a2- INSPECTIONS: F007!TVG ! ads 0 3 TIE BF.� LIlVT'F� "OVER UP q.d C INSULA 3 �vs FINAL BUILDING .b CATE OF pCL'L7PAN b ELECTtICAL P� EVSPEC'ONS RoUG� FINAL 'MECE4mc L PERMM ROUGH' �SpEC170NS PLG S SLAB EVSPE�rOWS ROUGHUND� T'OPOUr WA FINAL S'a' 3 NOTES: U TIC BEACH CITY OF ATLAN 800 SEMINOLE ROAD ATLANTIC BEACH9 FLORIDA 32233 -5826 ONE LINE 247 INSPECTION PH Application Number . . . . . 02-00024958 LE RD Date 10/09/02 Property Address . . . . . . 1345 SEMINO Tenant nbr, name . . . . . . RENEW PERMIT # 23679 Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Contractor Owner ----- ------------------- --------- --------------- SMITH, DAN OWNER 1345 SEMINOLE ROAD ATLANTIC BEACH FL 32233 (904) 247-4983 -------------- ------------------- Permit . . . . . . REINSPECTION FEE Additional desc REISSUE PERMIT #23679 Permit Fee 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ----- ---- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED OR OR OWNER- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN UP AND HAULED AWAY BY EITHER CONTRACT VEMENTS" ISSUED ACCORDING TO APPROVED PLANS RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025550 Date 2/20/03 Property Address . . . . . . 1345 SEMINOLE RD Tenant nbr, name . . . . . . NEW ROOF&RE-ROOF EXISTING Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 Owner Contractor ------------------------ ------ -- ------ ---------- SMITH, DEAN S . AXIOM CONTRACTORS, INC. 1345 SEMINOLE ROAD 4773 LENOX AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32206 (904) 981-9882 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 158 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 15000 Fee summary Charged Paid Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total 158 . 00 158 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 158 . 00 158 . 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. BUILDING OFFICIAL CHILDERS R00FINQ 904696eSG1 02/19/02 10:49am P. 002 FROM : SIPLAST DISTRICT OFFICE PHOME �U. : 904 ?%. 6?2? Feb. 16 2003 04:413PM P2 Commenial Product Data Sheet fskgast 100"PARADIENE 20 slow Product Doscription COMMERCia PRODUCT INFORMATION Paradlene 20 is a high performance modifiet!bitumen base ply Unit Roll designed for use in hom"aneous multi-layer modifmd bilurrion ront membrane system. Paradiene 20 consista of a r'WPrA0PP� 1-6 Squarer, (113-9 m?) bgittwaiot Yandom fibrous glass mat imWegn8ted and coated vvdh high quality istyrere-butadiewstyrene 188S) mortified coveraw We0l bitumen. Per scl"We. Min- 02 fh (3.0 kgtml #3v*dwt Uses Roll LanglIK PAn- SD ft (15-24 i6) Pwadiem 20 is the fifM W ot 31111 Nandard PaWiene 20130 syrAerns.and is lopped 3 Inchon side and emd. Pamadiene 20 Roll WM-. Avg: 3 28 ft (I�01)m) Can be GWW in approved Type IV asprialt or Siplert PA�3111 Adh&sjVia, Contpcj SiplaM for SPOCiAC 2PPMval On 04W17 Thickness: Avg: 91 rnft (2_3 mm) ploduct Uses. Min; 87 mill (2.2 Product AW*vafs smvage Width: NVA PN*"m6 20 is a"rov" by Facilory Wtual Rwowch (FM Standard 4470) for w* in Paradime 20M, Paradione "vage Surractng� r*A 20M FIR, and Pari0ene 20120 PR Class I Mulated steal roof deck Constructions and insuJAW wd nwinsullMed Top Sufteing. SHildo Partinq Aaerd concrete r6of deck coristructions,subject to FM cond0ions antl limagio". Back Surfming- Sw"Parting Agent Peraerme,2o-is approved by Ljrdervwrvterr.LabOtalorias for use in UL Classified Pawadierwe 20/30, Parackerie 2D/30 FR, and Line,�r Two laying lines are placed 3 in(7-0 cm)and 4 In(10.2 Paradiene 20/20 PIR roof systerris, Patadione 2WO M har. cm)*m eacri edge of the rnatedal. The line color for this been classified by Underwriftm Laboratories as a Class A matenal is while. roopirig system over non-combustibW. inft4iled non- Packaging: Roft are w3und onto a compressod paper bAie. combustible.and in3ulated wirribtAtible decks,and as a Class 8 moft system over cwnbusfible decks. Parsdone The rags are phiced tgwight an Pallets cuwhiOned with 20120 PR has been classilled by Vinderwders Laboratcut"as cornAgoled Ca"llboard ?jvd are adhered wAth adhe*iwe at the a CASS A rootirg syStani oval non-combustible and insulatod labels- The lop of lhe pil"Od ro0a is covemd With fogized nor-com.bustible dwAs when 3urtmed with tooling gravak Kraft paW. The palleted material is protWed by a heat Painlidiene 20/30 has been classified OaSs C roofing shrink ip*ethyleine shroud, woftm ever combustible, "on and ir4ulaip.-d Pallet: 41 in X 48 in(104 CM?(122 crn)w%wen pallet- Combustible dw*s. Number Rolls Par Pallet 25 roquirwmenft o ASTM Numbw PaNts Per'truddoad: 18 rl gets of exceeds the Rob WeigtW 93 lb(42.2 kg) P' M �_U!6163 Ty=:ptei)G(W* S. fair SOS-modified bltumiriou(.�'&eet late: n M, maten ussVg1asafterraWorcerrients. Siowage and HariAng: U Siplast roll roofing pyodiods should SVOSX roo" systarr�s alaD have received the approval ot ho owed an and an a clean flat Stalace� Care stwKdd be many regional ancl locel authoralles. Please contact Sipl­t taken that Folls are not dropped 00 efwJ%or edges and are not for M=Oic W"ation as reWired- sjomd in a legning pos&n, Wormation rewlting from tMea actions Will Make proper installation difficult Ali roofing should APPROVED be stored in a dry Place, out of dircct exposure ID the CITY 01- ATLANTIC BEACH elements, and should not be double stacked, MaWriall 0ould BUILDING OFFICE be handled to such a annar as to pnsw"it rGmaku dry ptioir to and during installation FLEB 19 2003 By Siplast 1000 E Ructiede Blvd . WwinD.7exas 7s062-39413 480-296e-22W - Tog Free 1 600-922-8MG # wWwSiPlasi-cwn CI.TY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Date Heated Square Footage per sq f t ..= Garage/shed @ per .sq ft $ Carport/Porch per sq ft Deck 10� per sq ft .Patio 'Per sq ft $ TOTAL VALUATION : 3S. $ Total Valuation ist $ CZ) 14, tQLY Remiining Value $Sft)per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ Firepla-ces @ , $15 .00 06 B UILDING PERMIT FEE $ WATER IMPACTFEE $ SEWER IMPACT FEE WATER METER/TAP CAPITAL ,IMPROVEMENT. SEWER TAP $ RADON (HRS) .0050i $ SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE .0050 OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : ..Mechanical-; -.Plumbing_ Electric/New Electric/Temp_; SwimmingPool evation ' Septic Tank Well Sign Finish Floor El Survey other CALCULATIONS and/or NOTES : CITY OFATIANTIC BEACH 800 SEMINOLE ROAD �11 js� ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 t) SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 0,-3 - Applicant: (C VI/I 0 C v- +I-& C+c) JE fT 0- Address: 13q �5 7eM1/-70 (C Project:- ycno-r e-G�J V/Your application is approved ll/ o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed byuk� Signed Date 46 Contractor Notified Date R E C E I V E D NT " 5EA�CH CITY OF ATLA I 7C BOLDNG & ZONING CITY OF ATLANTIC BEACH FEB 18 2003 ROOFING PERMIT APPLICATION Date- Job Address: ..] 6fvniv\o�e, POA�, Owner of Property: TN-\ NAA 1X\,-\IA�N Address: GLI 5� !�bn lAile-1 0 A A Telephone: qM--��q -)))6 Contractor: CWOM nkA(A� Ta StateLicenseN ber: U, Contractor's Address: qr?'-73 �evibN,-- Aije J�azonwilie, F). 3- Telephone: em-ctyl—qn4— Fax: PD11- Scope of Work: Pek) Aulo Deck Slope: —Gr r than 2:12 Less than 2:12 Valuation of work: ow Product Name and Material to use: ASTM Designation(s): 5ee- Required Inspections: Sheathi,,��nd Fiy& Signature of Owner- Date: 0/�-7 Signature of Contractor-llcr� - Date: �-O 3 AS TO OWNER: Sworn to and subscribed before me this day of '20 0 State of Florida,County of Duval Notary's Signature: EfizaWth H MOWW My Cwm*Ww C0129M 2/Personally known -1 Produced identification ExpWas June 30,2M F Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of JW40�� '2003 . State of Florida,County of Duval Notary's Signature: ENzW)eth H MOWW E(Personally known iek.Alk My Cmm*ow W129M El Produced identification �4TOFV Exp"s June 30,2006 Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Page I Revised 1/14/03 02/17/2003 08:18 9D47242D27 SMITH MCCRARY PA6E D1 P-b a? 02 09%20a Duildinr, Dt:VMrt% Post-it*Fax NOte 7&71 !TLW 56 7* Phone# Fax# Fax 0 NOTICE OF COMMENCEMENT TO WHOM MAY CICN C�_RNi 'Friew under0gned heraby ir.-CMIS all cv-,cernea that imgroverne,=will be.rnzde 1,-- ceriln real p.-opeml. srt in amrrmancz -y4kh Sedcn T13,1� Q� Lne. Far�da 'Staultda, U�e foucWin(A in,�:rmatcn ;5 st.—Ed ir, L�,,iz NOTiCE OF COMMENCEVENT, Qar fits jeral Deacnphcn of Improverpe TDe rnni 1C MOTO- calAk:5 Owner's irterast in site of improvements., FetSIMPle tie Hc-Ider(ifad-iertfian cmreri Nam — FOX Address Address Surety (?f any) Address of Bond Nam e a f o e r*on within the State of Flcrfda dezigrated by awner upcn wJ10M-i"Cdces or anar aar.umentA may be�5ervei_': Name. Mdrers In addition to hjr-ieff, awner deslgrmte5 Me!ollcvong person. to fece'Ne a rmpy qt the k_X�Mt % fia '. Nctic_e as, Z_'-C�ian lla.13(iffj,Flcrtda Starute5. (Fll(iria! 04sner's QP' n' N2me Addra3*: Swwn to anc sczscnbed befcre me t1lis ayC I _E-day 0, E A,jum"Ey VA_�, ) Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 bil . ,Oil Application Number . . . . . 03-00026588 Date 7/30/03 Property Address . . . . . . 1345 SEMINOLE RD Tenant nbr, name GAS PIPING 60 GALLON TANK Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SMITH, DEAN S . WESTERN NATURAL GAS 1345 SEMINOLE ROAD 2960 STRICKLAND STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 387-3511 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 74 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74 . 00 74 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 74 . 00 74 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES 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 TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL BUILDING AND ZONING !"NSPECTION DIYISICN CITY OF.ATLANTIC EiEACH ATLANTfC ICACH. OqIO^ APPLICATION FOR MECHANICAL P-L'RMIT —c—ALL.,, IMPORTANT Applic,,t to I ! ;1 — carnf`18t8 all items in sections 1, 11, Ill, and IV. LOCATION Sh' �5" JAI 0 LC WILDING .......If" sl—w S46-1— INA X. 11. IDENTIFICATION —To be ccmPle�ed by all dPPlicants 1h.CIT fj. N-: .4f... 't-j—d. C-- t4lES7-EXA) - K 51 4 /v "ATION A. Typ..4 6.ft., &.11 13 QT)4ZA CONZITRUCTIom sXIXC W.0 0 C3 L.? (3 N.N�j C3 C_,,.,U101ty rmt3 MU'Lo'MG OR SITt? F, Q fir YES ;Ivt MU?44"Opr STRUC-.IqM 01+-, PrAmj� IV. 1411CHAN)CAL. 9QUjpWW4T to 11 NrTAL.LW f?—.44' —P--h—6-1.1 thf.f;_1 MATUAE OF WOFIX Gel Realdentlal or C3 Commercial Cl' Hv4t C3 SP." C3 1—.-4 C F6— 0 N--BUIlding C3 Air C..4dI_j.q: C3 A— CL c..tQ 0 Sr-t-1 M Ft-p'.G-M�t of.44flng a'Tatem U in.tg.tIon(No cystm P"-10"tY In-141f.dI Q C-4" r_p.4t, E..14..Jon W add-on to q.44jing sygj� [3 X-6—'d "al C 01h-r—Sp-cify 13 C3 C3.Q—t6.p.-pg__ THIS 3r^cOolt Vu oNLT (it 0"'LM b 13 &-4—, P-1 App�j w, 14ET ALL ADL counrnaKiN GERATION ZQUrP3,fE21rr AXIU X-4-4 Xumb.� X�Id-Abw-r C=tY AjV HEATING FURNAM, MUILERS, Ftsurt-ACES 3C.4.1 N`�b— (=11 Ajpg� TANX3 29�X-47 &=4 Dt= TYPO LARUW X-MA of A? -int Cylry OF ATLANTIC BEACH 800 SEMINOLE ROAD AnANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 COM Application Number . . . . . 03-00025493 Date 2/05/03 Property Address . . . . . . 1345 SEMINOLE RD T WORK INSTALL HEAT DUC Tenant nbr, name . . . . . . Application description - - . MECHANICAL ONLY Property Zoning . . . . . . . To BE UPDATED Application valuation 0 Contractor Owner ------------------- --------------- -------- SNYDER HEATING & AIR SMITH, DEAN S. P.O. BOX 16826 1345 SEMINOLE ROAD jACKSONVILLE FL 32245 ATLANTIC BEACH FL 32233 (904) 641-0600 ------ ---------------------------- ----------------------------------------- Permit . . . . . . MECHANICAL PERMIT .00 Additional desc 89 - 00 Plan Check Fee 0 Permit Fee valuation . . . . Issue Date Fee summary Charged Paid Credited ----Due--- -------------- -- ---------- -----89 .00 00 . 00 Permit Fee Total 89.00 .00 . 00 Plan Check Total .00 . 00 . 00 Grand Total 89.00 89 . 00 .00 ARED THIS Wop BUILDING MATERIAL,RUBBISH AND DEBRIS FROM K MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLE -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- IMpROVEMENTr ISSUED ACCORDING TO APPROVED PLANS RESVkT IN THE PKOPERTY OWNER PAYING TWICE FOR BUILD114G W c I IN P OP HIS TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �Tel_ �_ I BUILD 6 OFFICIAL '7 9(, - 3 V 3 3 --7 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEAC.U, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT-Applicant to complete all iterns in sections 1, 11, 111, and IV. St eet Address: /3 X P I '* Aift IC r &3 LOCATION OF Intersectina,Streets:Between X/,jA.And_ -Ke j14 , BUILDING Sub-division IL INDENTIFICATION-To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice I isted therein. Name of't�vlechaaical Contractors Contractor Print) 1�1,vA-(,,�s R Tr,-i Ale] Master Name of Property r Owner �Om.i-�k S ignacure of Owner Signature of Or Authorized Agent Architect or Engineer III. GENE R�j�jf(IR NI,,kTj'Cfj%T A. Ty7of heating fuel: B. Ur Electric IS OTHER CONSTRUCTION BEING 0_(�UE 0-61 TIES Cl Gas: —LP —Natural —Central Utility BUILDING OR SUE? S, Cl Oil Cl Other–Specify IF YES,GIVE NUMBER OF CONSTUCTION PERMIT 91 IV. rVIECHA (.<AT.URE OF WORK _,NICAL EQUIPMENT TO BE Re INSP:.1 sidcn�al or Commercial jLED C3 w B 'di" lents this form) /f Provi e complete list of compor _,�o �ck if xistinu ilgd,,, Space Central j� gB J;L Recessed Central Floor Replacement of existing system �Q �A!,,Conditioning: Room Central stallation(No system previously installed) Duct System: Material rje_2� Tickn—j_fQ_ ,Extcns1on oradd-on to xisting,syst M Maximum capacity__________cfm (V Other- Specify i r Hcl V- C3 Refrigeration 4 C)u,� :t ujr)v Q Cooling tower Capacity Q Fire sprinklers: Number of heads C3 Elevator: Manlift_Escalator_(Numbcr) THIS SPACE FOR OFFICF,USE ONLY (Received) 0 Gasuline pumps --(Number) 0 Tanks -—(Number) Remarks Q LPG containers (Number) 0 Unficed pressure vessel Permit Approved by_ Date 0 Boilers Q Other–Specify Permit Fee LIST ALL EQUIFNIENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTU) Agenc A/F1 -77w J Z-CO sytc:gy A7qY7z't'M7LJ777_ ZLuAe Zoiru_) TANKS How Many Nominal Capacity Type Liquid Namcof Serial Approving And Dimensions Contained Manuacturer No. Agency 41 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025279 Date 12/09/02 Property Address . . . . . . 1345 SEMINOLE RD Tenant nbr, name . . . . . . CHG EXTG OvERHD TO UNDRGR Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor-------------- ---------- ------------------------ VILANO ELECTRIC, INC. SMITH, DEAN S. 14286-19 BEACH BLVD, #394 1345 SEMINOLE ROAD FL 32250 ATLANTIC BEACH FL 32233 JAX BEACH (904) 641-0868 ----------- ---------------------------------------------------------------- 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 MATERIAI-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 TX)COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMpROVEMF 2�ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUU,DING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _2001- 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: MAS7TE CT S NATURE: Vi �()aQ cc+c I Tmc , OWNERS NAME: 5WAAJA ADDRESSI-N]155�%-1 ol RFD BOX BLDG. SIZE 2,7-oci �5q, 4�j,, BET ?A:sr;K_ft 9pqjjjN_ L", RES.W APT.( COMM.( PUBLIC( INDUS.( NEW( OLD>< REW.K ADDITION>< TRAILER( ) TEMP.( ) SIGNS( 7-2-M SQ.FT. SERVICE: EW( INCREASE( PP13ATR( w -CO-NTDUCTO COPPE ALU SWITCH OR BREAKER 2-4oC) AMPS PH 13 w EXIST. SERV. SIZE 2-C)C) AMPS PH W FEEDERS NO. I sizE2_00 -NO. SIZE (pt) N LIGHTING OUTLETS CONCEALED c F7- RECEPTACLES 0.30AMPS CONCEALED 31.100AMPS 0' SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED _L_ 0.100 AMPS. OVER APPLIANCES C)r BELL TRANSF. AIR H.P.RATING H.P.RATING CE KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I BEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS v v TRANSFORMERS: UNDER 600V OVER 600V NO. IKVA [NO. IKVA NO.NEON TRANSF. 0 A JSWF LKACH SIGN MOTOR SIZE Updated 5/2012002 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025263 Date 12/03/02 Property Address . . . . . . 1345 SEMINOLE RD Tenant nbr, name . . . . . . INSTALL 13 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Contractor Owner ------------------------ ------- ---------------- TRIPLE "S" PLUMBING CO. , INC. SMITH, DEAN S . 987 S.E.S.R. 100 1345 SEMINOLE ROAD FL 32656 ATLANTIC BEACH FL 32233 KEYSTONE HEIGHTS (352) 473-0083 ------------ --------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - 126 . 00 plan Check Fee . 00 Permit Fee . . . . valuation . . . . 0 Issue Date . . . . Fee summary Charged Paid Credited ----Due--- ----------------- ---------- - -------- ---- ----- Permit Fee Total 126 .00 126 . 00 .00 . 00 Plan Check Total . 00 . 00 .00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 �6 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN UP AND HAULED AWAY By EITHER TO AP VE AN ERTy OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING PRO D PL S RESULT IN THE PROP To REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. WHICH ARE PART OF THIS PERMIT AND SUBJECT T3T Tff T-%TkTr-rWVTrT Al. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: S �.JC.I'jCyX.tJl U R-Oa Q.`�-�Q/jL(f j(� 6,tacA--, OWNER OF PROPERTY: � ,j � TELEPHONE NO ROV-&qI -DWO PLUMBING CONTRACTOR 0111trxbilx Co . CONTRACTOR' S ADDRESS * "'�'� A./ eajrx d L 3a2jl STATE LICENSE NUMBER: ionCA TELEPHONE: 5�'Y7.3-OO 93 Q*7 w cm HOW MANY OF THE FOLLOWING FIXTURES INSTALLED 12- SINKS SHOWERS �. LAVATORY I WATER HEATERS BATH TUBS i DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS 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 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 Qk w�- J-�� Lp , -72, Ire CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025134 Date 11/06/02 Property Address . . . . . . 1345 SEMINOLE RD Tenant nbr, name . . . . . . NEW TEMP. 100AMP SVC Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ VILANO ELECTRIC, INC. SMITH, DEAN S. 14286-19 BEACH BLVD, #394 1345 SEMINOLE ROAD FL 32250 ATLANTIC BEACH FL 32233 JAX BEACH (904) 641-0868 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . TEMP. SVC 100AMP, lPH, 3W, 240V Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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"PROVED PLANS THI WHICZ PART OF C S pERTK TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Pil-NO OFFICIAL NOV-06-02 08 :36 AM VILANOIELECTRIC 9046419288 P. 01 CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT 6 20 0 Z- TO THE CRIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE, IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWrNG,WE HEREBY AGW TO PERFORM SAID WORK IN ACCORDANCE WITH THt ATTACHED PLANS AND SPECIFICATIONS,WW04 ARE A PART AND IN ACCORDANCE WTM THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES ELECTRICAL FIRM: JL MASTE EC S NATURE: WrAnn 74, ( .L OWNERS NAME: T- )4 ADDRESS: 13q5' Sf,, jeoLeRFD BOX BLDG. SIZE BETWEEN:_---- RES.(Y4 AFT.( ) COMM,( ) PUBLIC( ) INDUS.( ) NEW( OLD( REW-( ADDITION( ), TRArLER( TEMF,L>4 ' SIGNS( SQ.Fr SERVICE: REPAIR( CONDUCTOR SIZE AMPS: COPPER" AL .()Q ES L.4 0 SWITCH OR BREAKER 0 0 AMPS IIPH 13W VOLT RACEWAY SIZE AMPS PH W VOLT RACEWAY EXIST. SERV. FEEDERS NO. SIZE No. SIZE NO. SIZE LIGHTING OUTLETS T- CONCEALED OPEN TOTAL RECEPTACLES CONCEALED IOPEN TOTAL 0,30AMN 31,100 SWITCHES INCANDESCENT FLOURESCENT&M.Y. FIXED I o,I oo AWS. I OVER I APPLIANCES BELL TRANSF. KW-HEAT AIR 1�—P.RATING H.P.RATING CEIL. CONDITIONTNO COMP.MOTOR OTHER MOTORS AMPS HEAT OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE pHs NOSCELLANEOUS UNDER 600V L)Vt 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. NO VA MA OTOR SIZE SWITCH FLASHERS Updated 5120/2002 -------------------------------------- SHION aNV SIKHNNOO --------------- ---------------------- EsOo-ELHSE — -- --:11,tT 00:80 awls Hra Zolso/ZT To U MI %V -------------------------- ----- slRawwoolsiansu sansaH aaiaaawoo asldai AkA NO NOIZdIHOSRa dSNI aBilg8d 9gISild'Id 00 9fl4d :iIfldBd ---------------------- - ---------------------------- I�ZN ISWn'Id E9ZSZ000-ZO :jagWIlN 'IddY -0000-L68TLT : HOW s Rua HIIWS HaNMO E800-EL6 (M) : flNOHd 'JNI ''OJ 9NIHWn'Id �S, a'IdIHs : HOZO�'HZNOO fix# 1 SWIM ET ggvlSNI :HHN 'INYNas :AIaH(1S Ha'IONIwaS SM : SSaHQa� } ----- --------- - ----------------------------- ----- - -- --- -- SNI99IH r �[ Eyq :HOZJadSNI HOvaH 011mZy dO WO Zo1SOIZT alVG ZE:bE:8 'zo/sou R4vwaHa 9 fl9Vd ZaaOIZ NOIZOadSNI "Yr, q 9 9V Jan Jan and Dean Smith 1345 Seminole Road Atlantic Beach, FL 32233 October 1, 2002 Mr. Don Ford Atlantic Beach City Hall 800 Seminole Road - +a.,tic Beach,, FL Re: Building Permit Residence at 1345 Seminole Road Dear Mr. Ford: I would like to request an extension to my existing permit. I have been unable to start construction due to the extreme difficulty in finding a contractor. Thank you for this consideration. Sincerely, �..,1Smith Home Owner Attachment I IVILAN i Ut- IJUILLANG 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 M MMIN e I e Permit Type: BUILDING R Class of Work: ADDITION ATLANTIC BEACH, FLORIDA 32233 Proposed Use: Township: 0 Range: 0 Book: Square Feet: Lot(s): Block: Section: 0 Est. Value: Subdivision: Improv, Cost: 62,000.00 Parcel Number: Date Issued: 3/19/2002 a UAN b0lil Total Fees: 644.26 Addresus: 1345 SEMINOLE ROAD Amount Paid: 644.26 ATLANTIC BEACH, FLORIDA 3223 Date Paid: 3/19/2002 Phone: -f9&4)644-060-Q__ ADDITION/RENOVATI .2-t-1-7- ONTfM-uh 4bz.uu WATER IMPACT FEE 140.00 RADON GAS-H.R.S. 2.94 RADON CAB 5% 0.i CROSS CONNECTION CONST.SURCHARGE 35.00 3.75 SCHARGE/ATL.BCH. 0.42 UM 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.-- ?002 CK# -4 N—S—BE 'C� BEA UILDIN�_____PT._ CITY OF �N'\e, �"�e' N 0- 4056 ATLANTIC BEACH FLORIDA DECEMBER 18 , _19 91 NAME LAW OFFICES OF KEITH WATSON REAL ESTATE TRUST ACCOUNT NO. 2 ADDRESS 6825 L T L' IAN ROAD JACKSONVILLE, FLORIDA 32211 CITY PAYMENT OF SPECIAL ASSESSMENT: LOTS 10 & 11 , BLOCK 1 , SELVA MARINA (FAYE E. ELLIAS , 1345 SEMINOLE ROAD, ATLANTIC BEACH, FL. 32233) CHARGES FOR REMOVAL OF WEEDS, GRASSES , AND OTHER GROWTH 559 . 52 DETERMINED TO BE A NUISANCE IN ACCORDANCE WITH ORDINANCE NO. 55-82-19 . T; When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER z Te.. -k. CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 December 18, 1991 Law Offices of Keith Watson Real Estate Trust Account No. 2 6825 Lillian Road Jacksonville, Florida 32211 Subject: Assessment of $559 .02 Lots 10 & 11, Block 1, Selva Marina (Faye E. Ellias, 1345 Seminole Road, Atlantic Beach, F1 ) Dear Sir: We have received your check in the amount of $559 .02 representing the assessment referenced above. This lien has been paid in full and there are no other unpaid special assessments due the City of Atlantic Beach regarding this property. Sincerely, Maureen King City Clerk MK:tl • CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 STATE OF FLORIDA COUNTY OF DUVAL CITY OF ATLANTIC BEACH I , Maureen King, the undersigned City Clerk for the City of Atlantic Beach, Duval County, Florida, DO HEREBY certify there are unpaid special assessments due the City of Atlantic Beach against NE 85FT LOT 10 , LOT 11 (EX NE 60FT) , SELVA MARINA UNIT NO. 1 , BLOCK 1 Amount Due: $559 . 52 (see attached invoice) as recorded in Plat Book - 23 Page 004 Duval County Public Records. IN WITNESS WHEREOF I have hereunto set my hand and affixed the official seal of the City of Atlantic Beach, Duval County, Florida at the City Hall this 25th day of November 1991 . '�n k7l—ng maure City Clerk S e al' CITY OF No 5 148 ATLANTIC BEACH FLORIDA July 2S, I 9E NAME FAYE E. ELLIAS ADDRESS 1345 Seminole Road CITY Atlantic Beach, Florida 32233 LOTS 10 & 11, BLOCK 1, SELVA MARINA RE: 171897 CHARGES FOR REMOVAL OF WEEDS, GRASSES, AND OTHER GROWTH DETERMINED TO BE A NUISANCE IN ACCORDANCE WITH ORDINANCE NO. 55-82-19. FAILURE TO MAKE PAYMENT WITHIN FIFTEEN (15) DAYS FROM THE DATE OF BILL WILL RESULT IN A SPECIAL ASSESSMENT LIEN BEING PLACED ON THE ABOVE REFERENCED PROPERTY. CREDIT ACCOUNT NO. 01-363-1000 $SS9,52 1%w When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER N 0 T I C E T 0 A B A T E TO PUBLIC WORKS DEPARTMENT Date:--�/7 ............ WEED ABATEMENT NUSIANCE ABATEMENT 1 3 /"� ,t)o Property Address: ---- -- ---------------------------- Legal Description: ---0" Z -------- Property Owner: ------------------------------------------ Mailing Address: -------------------------- --------------------------------------------------------- Type of Work: C4L------------------------------------------- - Lot Size: Ordered By:-&- f----- ------------------------------------------- ------ ------7---------- TO ZONING DEPARTMENT Date Work Performed:—,* ------Is EQUIPMENT EMPLOYEES JL. -Yq tj ty) iq JL hro. ------------- 2. ------ # hrs,. 3. # hrs. ... -------- 4. * hrs Comments: ---------------------- - v---9-- ---------- Signed llo-Works -------------------------------------------------- --------------------- COST COMPUTATION ------------------------------------------------------------------------- I No. of I Equipment I No. I Amount I Sub- I Admin. I I Employees I Used I Hours I Per Hour I Total 1 100% 1 TOTAL I I I I I I I 1 1 1-77------I------------- - I I I 76 r(7, --- -------- I I I I to OC2 I I C5 . L 20,00, ------------ ---- ----I I I -- I I I -41 Z/ ------------ --/----------- --- ---- ZtZ .cl, ------------ ----- -------- TOTAL BILLED: ----- -- ----------------------- ------ Date Billed:----- .... Date Payment Received: e A4 0 70, A IV rh V 0 i a 13 3 5 e'i 55 N 4'Z.4f4 c, w b c) �o 0H tr ►-� (� a ^ H adz C N ro J O a w O G7 nt > 7C G7 7d A. H0 0 I'<7 0 m .4 :j H � (D r 10 � u < n xpor r• (D t1. O 1.0r* fi K (D 'd�c zLn H • ►C `C (D < wjn o r r* K a yi•/ rn H rn r 0 n m (D �' Cn (n t w z r Nr+ H £ w rr � K O O za O !n r* (D 0~0 0 -1H -n n H r~� r� r r* a vF- n o n n � K (D /•. L d A w r ::f ? N (D K F-+ > C O rt M W F R7 OJ A) — O r7 [u N S ,q a F..'7q 23 m o Ln 0 O O I< ;-I N 7r m x x o AL � V, � rri o r+ � o` G� tr C � :o N A 0.t M w n N � O to r a b r* 0 /7V// �•,✓v -�i m b � roa o to ro ow ;rt,t-h ftPAi d rr to q ' v •.. . . O p ..C (:11DC rt,N d mQ= co � o A)_cr O mar. e�h A ph O J q Ah O D.cr x 50-B O N•A•O a 230• s' 'e i:.b••- � � o K fl. rt+ty O. to c+ 0 n. �r ►� ro o 00 w 0 0i » J MH. b ►' :a/c.PEr 9�c� h/i4GG e N a n Q N' (D � cr r• (D (D w °" Cr 0 co n C: o n o n �• x N pt fr 01 (D o n• o 0 0 0 10 T 1 Z /,�.1✓�E � DEPARTMENT OF BUILDING FOR OFFICE USE ONLY Date 19 CITY OF ATLANTIC BEACH, FjL,0RIDA W Permit # Fee $ Application for Permit for Valuation Miscellaneous Alterations, HOUSE #_2 and Repairs DESCRIBE:- r--, A #,j!, e^ & &tso# :pcb lo blEOCIE (State if to repair, alter, add to or move building, erect awwings, signs, etc. ) M ni Building on: Lot No. 19>41IBlk No. Sub.Div.5ELOA Address 1-1*5 -5ffM1t40L&- h Valuation Owner 's Name A 19 1 - L I &C, BUILDINGS AND OCCUPANCY Building Use - Residential or Business a qSfbE#j7!1&L What Plumbing work to be done? r4pt-jr, -- - W -- j�t7���j Lot Size Size of Present Bldg.TAfj(a**- Size of M-tenSio�j"IL j!ILS 9 1'70 No. of stories now t after altered-I Material of roof B Cj%4T a.L)P __,fWMaterial of Extension C1% Aj4& Material of Present Building_RMt%k NECESSARY PLANS TO BE SUBMITTED HEREWITH . OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer in connection herewith, application is also made to install:--- c c,al. capacity tank (s) made by Of 5.�Tjelmetal ;ho-,-7- ground. (Name of Manufacturer) (�---,-ider or Above) of building. For urcTTa-ser-) , Inside or Ou�side) (Name of P FURNIS�: DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Classification ---d, roof, wa 1, projecting,banner) (State whether groun Material of Construction Illuminated? -Type of illumination --- (State whether Lamps or Neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN A14D METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) IMPORTANT NOTICE: 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 building regulations of the City of Atlantic Beach. (Southern Standard Building Cod�!) . ZIA Signature of -94A-le Owner id., Zg -ZAdd Address It7V; A 0-- Ift N 0 T I C E T 0 A B A.,T. Date: TO PUBLIC WORKS DEPARTMENT ------4-- WEED ABATEMENT NUSIANCE ABATEMENT E 3 �Kl . ' V --, CoNgs- Property Address: 7-_ --------------------------- 3 Legal Description -------- Property Owner: ---------------- ------------------------- Mailing Addres83 --------------------------- --------------------------------------------------------- Typeof Work: ------------------------------------------- Lot Size: Ordered By:- -------- --- ----------- ---------------------------------------- ------ -------------- TO ZONING DEPARTMENT Date Work Performed:-------------------- EQUIPMENT EMPLOYEES ------- # hrs- -------- - ----------------------- # hre 2- ---------------------- * hro 3- ---------------------- hre 4- ---------------------- # hre. Comments: ------------------------------------------------------------------ Signed: ---------------------------- Superintendent, Public Works ------------- ------------------------------------ ----------------------- COST COMPUTATION ----------------------------------------------------------------------- I No. of I Equipment I No., I Amount I Sub- I Admin. I I I Employees I Used I Hours , I Per Hour lJotal 1 1.00% 1 TOTAL I ------------ ------------- -------- ----------- ------- -------- --------- ------------ ------------- -------- ---------- ------- -------- --------- ------------ ------------- -------- ---------- ------- -------- --------- ------------ ------------- -------- ----------- ------- -------- --------- ------------ ------------- -------- ---------- ------- -------- --------- TOTAL BILLEDt----------------------------I Date Billed:---------------- Date Payment Received:................... e i T CITY OF ATLAN-r I C BEACH - Ul-ILITY- BILL,,AUJUSIMENTS 9 8 9. 2ndl QTR I NAME: Faye E. Ellia� - DATE:' Ju�e 26, 1989 SERVICE APDRESS: 1345 Semihole Road - i ;.AcCOUNT # 040000093 11A I L I ING ADDRESS: c/6 James: McQuaig 2337 Cl ub6us' e'iDl We�t Palml.Beach, FL 33409 ;PHONE # 407-471-7091 REASON FOR ADJUSTMENT We have ��eterm� ined' th6f��Mr.'s'..-ti"fiasl is mehtall -y i 11. She has beentilving without water service since llf/2;'Z/­88".: 'We hocated her son who. lives in West Palm geach ah' d he" Weed' to'' av all bills ikcurred. WQ turned her water ba6k on Frida�, June: 23, 1989. RE-READ? YES NO COMMENTS: PREVIOUS READING PRESENT -READING DATE 0 RE-READ AVERAGE CONSUMPTION OVER PAST QUARTERS. CURRENT Q6ARTER K GALLONS QTR 19 K GALLONS QTR 19 K GALLONS QTR: 19 K GALLONS QTR; 19 1 K GALLONS _QTR; 19 K GALLONS QTRI 19 K GALLONS QTR; 19 K GALLONS, QTR' 19 K GALLONS QTR; 19 I K GALLONS! QTR '19 K GALLONS. S QTR :19 K GALLON ANY PREVIOUS ADJUSTMENTS? YES — No WHEN? l COMMENTS FINALIXTION TAKEN: Mks. El 1 ias"bi 11 also; jndlud,e�'&�la'm' u'htsl for Dec.Jan.Feb. Mar.Apr.M av and June.,,' times; that' she had 'no' §e�vicO. � �The'defore', .the bill has beed adjus�ted to ref�ect actual "usage: 22' d and all of Oct. 88 a s Futures bill will be! sent t!b heir son. HRS is! �n��s*ti'g'latin6 the matter. 6ASiHiffl; )q=Mnity D60 pnt,.CoQrd i;latov CITY MAWER OR HNANCE DIRECTOR� 'ANOL!: Vhtl oi4()()UO(,()93 FORWARDING AND ADDRESS SEMINOLE ROAD 0400000093 CORRECTION REoUeS'ED FORWARDING AND ADDRE CORRECTION AEOUESTEt C.U.A= CITY OF U. ^mo HT AMOUNT u" CITY OF 4a4.e&Ve4d- 7&� LATE CHARGE 5.00 15,2 1.56 PREVIOUS BALANCE 152.56 1I.-F -EVARf S '4ALANCE RE PAI') AT OCEAN STATE FINAL NOTICE i�MIK RY APRIL 28v 1989 -AUTOMATIC SHUTOFF '�,MAY 15'TIqB9 DATE: fILLS [IV ,q�R!4 FAYE E. ELLIAS FAYE E ELLI 1345 SEMINOLE ROAD �m qL A ��Jre A,,cac f 1345 S INOL FL ATLANTIC BEACH ATLANTIC BEA 32233 3ZZ33 m1w AT �EANCIUNTDUE Ta 15?. 11;2.56 g"6 04/05/89 157.56 157.55 1 (�))4 1:01 7 2NI QTR. DATE DUE-­. AFi 157.56 015/05/89 o400000093 5 ,.A. 55115/89_. 157.5 05/05/99 040 ---------01 )F ATLANTIC BEACH -- fC-IT-YOF ATLAWTIC SEMINOLE ROAD 0400000093 11345 SEM1NOLE ROAD 0400000093 FORWARDING AND AM FOFWARDIN,G AND ADDRESS --A..UNT CORRECTION REOUES - COARECTI)N NE.�E..D CITY OF c �IINOUNT -AMOUNT CITY OF A CHARGE 5.00 BOB 161 183 2000 1 IUS BALANCE 75.41t MINIMUM WATER 9.00 ,.0 FINAL NOTICIF 37.6-0" MINIMUM-;SEWER 'a OMATIC SHUTOFF ,' SEWER VOLUME CHARGE 0.78 ' NOVEMBER 22s 1988 36.00 GARBAGE SERVICES- STATE-REV."GENE RATIbk)i�HARG 5.50 1,90.44, FAYE E. ELI FAYE E. ELLIAS PREVIOUS BALANC 1345 SEMIN( 1?45 SEMINOLE ROAD ATLANTIC BI BILLS'�MAY BE�PAID AT ATLANTIC BEACHv FL OCEAN STATE 32233 32233 'BANK BY JANUARY 319 1989 UE UPON RECEIPT* G DATE T T NO 81UING DATE NOUNTDUE -A OUNT'DUE TR. 10/12/P F1 80.41 R0.44 80.44 IST QTR 01/11/89 169.32 2 9.32 169 DUE DATE ACCOUNT- DUEDAT -4mlamuml. - .�yAjqj%u6�� QZ -AT! 11122188 80.4A 11/31/88 0400000093 02/lo/89 02/2118q 174.32 E02 10/139H to �E-IN-1AINICAFT 5-F ATLANTIC 1345 SFMT�!OLF ROAP 0400000093 FDRW ADING AND ADDRESS CORRECTION REQUESTED 7�_ CITY OF F. :,- --I__­--MC4jNT ARP 175 lei 6UO0 T Mjf�'IMIINI WATER 9.00 Aff4wft v"d- -A'� �-6-_ MINIMUM SrWFR 37.60.,,"o' SF14ER VOLUME CHAPGE 2.34 GARBAGE SFRVICFS 21.00 STATF RFV.,.GENE1R4j1O1f�jtHARG 5.50 FAYE E. ELLIAS AILL5 MAY BF P"A16"At' OCC-AN' STATF�44 1345 SEMINCLE ROAD f!ANK ?f,OrTOBFR 31, 1988 ATLANTIC BEACH9 FL III *RILLS DUE UPON RECEIPT* 32233 to ANCUNT DUE L�AT�E Nou_DuE 4Tq OTP /I?/Flo 75.44 75.44 60.44 _Nmw&&m_ MIT%% 11 -DATE __jof#AC.0U 11/11/98 11/72/F8 80.44 11/88 00000093_ "-RN INTEH-EINT lil i, • ij i .;i ,I ii .t 33 �Z6 � <7A 20? 3 --,�a10 � / or i i cJ� ! 1 CITY OF *4vt&e Fed - 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 > TELEPHONE(904)249-2395 June 23, 1989 Mrs. Faye E. Ellias 1345 Seminole Road Atlantic Beach, Florida 32233 Dear Mrs. Ellias, We noticed that your grass hasn't been cut for a very long time and that your water was turned off in October for non-payment of your utility bill . We would like to help you through any difficulties you may be having. Please feel free to call Las if there is anyting that we can do. In the meantime, we have turned your water back on and we plan to cut your grass on July 3rd. We will hold the bills here until you can pay them or until you decide to sell your house. Again, please call if we can be of assistance. Sincerely, i CIYY OF ATLANTIC BEACH - _�,a MY OF A'I11�NTI C YJICII OOUE VIOLATION FORM ,+ L� ok) Address and/or Location of Violation COMPLAINT r and/or Tenant of roper SIGNATURE OF OCX �p -------------------------------------------------------------------------------- J Date of Investigation Investigator Conditions Found _ \� 1-4) Action Taken CcxTl.i ance W 2 NGIF-S � C") Jan and Dean Smith 1345 Seminole Road Atlantic Beach, FL 32233 November 26, 2002 R � " Mr. Don Ford Atlantic Beach City Hall $y: 800 Seminole Road Atlantic Beach, FL 32233 Re: Smith House Renovation 1345 Seminole Road Atlantic Beach, FL Dear Mr. Ford: This letter is in regard to a revision to the garage as a result of an existing bearing wall that was unanticipated. The bearing wall was on the bedroom side that was being demolished vs. the garage side. Enclosed are the revisions that are "clouded" to indicate the change. Please call me immediately if there is a problem. Thank you. Sincerely, Jan Hammock Smith, AIA Smith•McCrary Architects Inc. Tel: 724-2216 Attachment 1 (STING STORAGE IILDING TO BE 1 MOVED l ' t 18'-0" t EXISTING H.B. TO BE r�REMOVED L� -- ' I i I GA AGE o I II io I I '1 N I REMOVE GARAGE DOOR OPENER; I II i CONTRACTOR TO REINSTALL I I I I II ------------ --------J II II II II REMO E E ING 4 FT. HIGH CONC. 11 BRICK FENCE .;j I AND FOUNDATION BETWEEN EXISTING -_\y i i, i i HXIBSTI G HOUSE AND PROPERTY LINE. 1 -EXISTING PLANTER 1 ------ TO-BE-REMOVED - - CONC. DRIVE V3 ,, Y EXISTING COURTYARD PALM CITY OF ATLANTIC BEACH DEPARTIVIENTOF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FIL 32233-TEL: 247-5826-FAX: 247-5877 --LOCATION INFO MA SEMIN OLE R Add-res�'-1345 Permit NU e b[Y ATLANTIC BEACH, FLORIDA 32233 Permit Type: BUILDING Township: 0 Range: 0 Book: Class of Work: ADDITION Block: Section: 0 Proposed Use: Lot(s): Square Feet: Subdivision: Est. Value: Parcel Number: 7 � -INFORMATIO? -''OW Improv. Cost: 62,000-00 NER Date Issued: 3/19/2002 Total Fees: 644.26 Address: 1345 SEMINOLE ROAD Amount Paid: 644.26 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/19/2002 Phone: (904)641-0600------- ---work-Di�s—c;—ADDJM WR ENOVATTTON-OF-G'AR 1 3; LIC�ATI 0 '�YROPFRTY-OWNER WATER IMPACT FEE 140.00 RADON GAS-H.R.S. 2.94 RADON CAB 5% 0.15 CROSS CONNECTION 35.00 CONST.SURCHARGE 3.75 SCHARGE/ATL.BCH. 0.42 01 e 11 6� j IVA 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. Oper: DSMITH Date: 3/21/02 01 Receipt no; 44589 Total tendered $644.26 Total payment $644.26 TIC BEACH UILDIN PT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 247-5826 -,Fax: 247-5877 PLUMBING PERMIT tNI TION Loqi�%`Ill I�DIR INFO PERIMAIT I ddr 1345 5LMINUL AD 32233 -iie—rmit Number: 21207 ATLANTIC BEACH, FLORIDA Permit Type: PLUMBING Township: 0 Range: 0 Book: Class of Work: ALTERATION Lot(s)' Block: Section:0 Proposed Use: Subdivision: Square Feet: Parcel Number: RM QN Est.Value: OWN . Improv. Cost: 12/22/2000 Na e: DAN b 'In Date issued: Address: 1345 SEMINOLE ROAD Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 25-00 o4)641-0600 Amount Paid: Phone: (9 Date Paid: 12/22/2000 R HOMEMR E�AATE N FEES __,.r ,-w-- ——, —wort WS, __�yesc: RE1�!!1Lj1!1,1C 25-00 CONTRACTO _ffA_VID GRAY PLUMBING, INC. 7US06-1-01ons FINAL EQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION NOTICE - INSPECTIONS MUST BE R BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC MUS HAULED AWAY BY EITHER CONTRACTOR OR OWNER SPACE, ANX MUST BE CLEARED UP AND. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" TO REVOCATION ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT APPLICABLE PROVISIONS OF LAW. FOR VIOLATION OF !25.00 14 Date: 12/26/00 @1 Receipt. 0021699 CHECKS BUILDIN §19 1 aaa-- A TIC BE�C CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: ` OWNER OF PROPERTY: A TELEPHONE N0. C PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : �- STATE LICENSE NUMBER: ( �0 6 TELE NE: - ���( HOW MANY OF THE FOLLOWING FIXTURES IN ALLED 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 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: v L4ii 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 FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: smith Builder smith Address: 1345 serninole road Permitting Office: atl bch,fl City, State: jax,fl Permit Number: Owner smith addition Jurisdiction Number: Climate Zone: North 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-farmly Single family _ a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family - SEER: 10.00 4. Number of Bedrooms b.N/A 5. Is this a worst case? No 6. Conditioned floor area(ft) 618 ft2 c. N/A 7. Glass area&type a. Clear-single pane 0.0 ft2 13. Heating systems b.Clear-double pane 242.1 ft2 - a. Electric Heat Pump Cap:16.0 kBtu/hr c. Tint/other SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 d. Tintlother SC/SHGC-double pane 0.0 ft2 b.N/A 8. Floor types - a. Slab-On-Grade Edge Insulation R--O.O, 137.0(p)ft - c. N/A b.N/A c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:50.0 gallons a. Fare Brick,Wood,Exterior R=l 1.0,608.0 W _ EF:0.88 b.N/A - b.N/A c� N/A - d.N/A c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Single Assembly R=19.0,618.0 ft2 _ 15. HVAC credits b.N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,35.0 ft _ MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.39 Total as-built points- 7387.00 PASS Total base points: 7638.70 I hereby certify that the plans and specifications covered Review of the plans and S r4 by this calculation are in coimplii/ace with the Florida specifications covered by this Energy Code. calculation indicates compliance i Z4 t: � yltz with the Florida Energy Code. PREPARED B 'duh_0� ruction is completed ,Pefore const DATE: this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 00 compliance with the Florida Energy Cpde. Florida Statutes. OWNER/AGE �T: BUILDING OFFICIAL: DATE: DATE: FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1345 seminole road,jax,fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Ma)dmum:.3 cfm/sq.ft.window area;.5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or sea[between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at comers;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/Z'clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Mufti-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker(electric)or cutoff(gas)must be provided.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-1 9.Common walls-Frame R-1 1 or CBS R-3 both sides. Common ceiling&floors R-1 1. FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1345 seminole road,jax,fl, PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.0 50.0 0.88 1 1.00 2746.00 1.00 2746.0 As-Built Total: 915.3 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water Total Cooling + Heating + Hot Water Total Points Points Points Points Points Points Points Points 2258.9 2633.7 2746.0 7638.7 i 2380.1 4091.6 915.3 7387.0 EPASS I 111E S 7,4-1, �v 0, 0 wj� FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1345 serninole road,jax, fi, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF Points .18 618.0 9.76 1086.2 Double,Clear E 2.5 2.0 28.0 9.09 1.35 343.1 Double,Clear E 2.5 2.0 12.0 9.09 1.35 147.4 Double,Clear E 2.5 7.0 40.0 9.09 1.07 388.4 Double,Clear S 4.0 5.0 32.0 4.03 2.38 306.9 Double,Clear S 8.0 7.0 106.1 4.03 2.96 1267.3 Double,Clear W 2.5 5.0 24.0 10.77 1.08 280.0 As-Buift Total: 242.1 2733.1 WALLTYPES Area X BWPM = Points Type R-Value Area X WPM Points Adajcent 0.0 0.0 0.0 Face Brick,Wood,Exterior 11.0 608.0 3.50 2128.0 Exterior 608.0 3.70 2249.6 Base Total: 608.0 2249.6 As-Buitt Total: 608.0 2128.0 DOORTYPES Area X BWPM = Points Type Area X WPM Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM Points Under Attic 618.0 1.20 741.6 Single Assembly 19.0 618.0 2.00 1236.0 Base Total: 618.0 741.6 As-Built Total: 618.0 1236.0 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM Points Slab 137.0(p) 8.9 1219.3 Slab-On-Grade Edge Insulation 0.0 137,0(p) 18.80 2575.6 Raised 0.0 0.00 0.0 Base Total: 1219.3 As-Built Total: 2575.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 618.0 -0.59 -364.6 618.0 -0.59 -364.6 Winter Base Points: 4932.1 Winter As-Built Points: 8308.1 TotalWinter X System Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points &108.1 1.000 0.982 0.501 1.000 4091.6 1.6 4932.1 0.5340 2633.7 8308.1 1.00 0.982 0.501 1.000 409�d FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1345 serninole road,jax,fi, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X 6SPM Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF Points .18 618.0 33.06 3677.0 Double,Clear E 2.5 2.0 28.0 40.22 0.46 521.6 Double,Clear E 2.5 2.0 12.0 40.22 0.46 224.1 Double,Clear E 2.5 7.0 40.0 40.22 0.83 1333.9 Double,Clear S 4.0 5.0 32.0 34.50 0.55 610.7 Double,Clear S 8.0 7.0 106.1 34.50 0.50 1830.1 Double,Clear W 2.5 5.0 24.0 36.99 0.73 647.9 As-Buift Total: 242.1 6168.3 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM Points Adajcent 0.0 0.0 0.0 Face Brick,Wood,Exterior 11.0 608.0 0.40 243.2 Exterior 608.0 1.70 1033.6 Base Total: 608.0 1033.6 As-Built Total: 608.0 243.2 DOORTYPES Area X BSPIVI = Points Type Area X SPM Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total, 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPES Area X BSPIVI = Points Type R-Value Area X SPM Points Under Attic 618.0 0.60 370.8 Single Assembly 19.0 618.0 1.80 1112.4 Base Total: 618.0 370.8 As-Built Total: 618.0 1112.4 FLOORTYPES Area X BSPM = Points Type R-Value Area X SPM Points Slab 137.0(p) -37.0 -5069.0 Slab-On-Grade Edge Insulation 0.0 137.0(p) -41.20 -5644.4 Raised 0.0 0.00 0.0 Base Total: -5069.0 As-Built Total: -5644.4 INFILTRATION Area X BSPM = Points Area X SPM = Points 618.0 10.21 6309.8 618.0 10.21 6309.8 Summer Base Points: 6322.2 Summer As-Built Points: 7189.3 TotalSummer X System Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 7189.3 1.000 0.970 0.341 1.000 2380.1 6322.2 0.3573 2258.9 7189.3 1.00 0.970 0.341 1.000 2380.1 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* 79.7 The higher the score,the more efficient the home. smith addition, 1345 serninole road,jax, fl, I. New construction or existing Addition — 12. Cooling systems 2. Single family or multi-family Single family — a. Central Unit Cap: 18.0 kBtu/hr _ 3. Number of units,if multi-family — SEER: 10.00 — 4. Number of Bedrooms — b.N/A 5. Is this a worst case? No — 6. Conditioned floor area(ft) 618 W c. N/A 7. Glass area&type — a. Clear-single pane 0.0 ft2 13. Heating systems b.Clear-double pane 242.1 f12 a. Electric Heat Pump Cap: 16.0 kBtu/hr — c. Tintlother SC/SHGC-single pane 0.0 ft2 HSPF:6.80 — d.Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A 8. Floortypes a. Slab-On-Grade Edge Insulation R=0.0, 137.0(p)ft — c. N/A b.N/A — c. N/A 14. Hot water systems 9. Wall types — a. Electric Resistance Cap:50.0 gallons _ a. Face Brick,Wood,Exterior R=I 1.0,608.0 f12 - EF:0.88 — b.N/A — b.N/A c. N/A — d.N/A — c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types — DHP-Dedicated beat pump) a. Single Assembly R=19.0,618.0 W — 15. HVAC credits b.N/A — (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts — PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,35.0 ft — RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) 0 ST4,�- IV in this home before final inspection. Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. '0 Builder Signature: Date: Address of New Home: City/FL Zip: 01)Wg *NOTE.- Ae home's estimated energy performance score is only available through the FL41RES computer program. This is not a Building Energy Rating. Ifyour score is 80 or greater(or 86for a US EPAIDOE EnergyStaTrm designation), your home may qualifyfor energy efficiency mortgage (EFIV incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 4071638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850148 7-1824. Residential System Sizing Calculation Summary Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, f! Climate: North 2/27/2002 Location for weather data: Jacksonville - Defaults: Latitude(30) Temp Range(M) Humiditydata: IntedorRH (50%) Outdoorwetbulb 7F) Humidity difference(49qr.) Winter design temperature 32 F Summer design temperature 94 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 38 F Summer temperature difference 19 F Total heating load calculation 16662 Btuh Total cooling load calculation 15856 Btuh Submitted heating capacity 16000 Btuh Submitted cooling capacity 18000 Btuh Submitted as % of calculated 96.0 % Submitted as% of calculated 113.5 % WINTER CALCULATIONS Winter Heating Load (for 618 sqft) Load component Load Ina X1 0%) Window total 242 sqft 6682 Btuh Wall total 608 sqft 2067 Btuh Door total 0 sqft 0 Btuh Ceiling total 618 sqft 1174 Btuh Floor total 137 ft 4220 Btuh Flo-s(25%) Infiltration 41 cfm 1726 Btuh Subtotal 15868 Btuh Duct loss 793 Btuh Was(l 2%) TOTAL HEAT LOSS 16662 Btuh SUMMER CALCULATIONS Summer Cooling Load (for 618 sqft) Load component Load Window total 242 sqft 7796 Btuh Wall total 608 sqft 1228 Btuh Door total 0 sqft 0 Btuh Ceiling total 618 sqft 1323 Btuh Floor total 0 Btuh ~d-09%) Infiltration 36 cfm 755 Btuh Internal gain 1800 Btuh Subtotal(sensible) 12902 Btuh Duct gain 1290 Btuh Total sensible gain 14192 Btuh Latent gain(infiltration) 1204 Btuh The sizing method used was EnergyGauge@ System Sizing. Latent gain(intemal) 460 Btuh Total latent gain 1664 Btuh PREPARED BY: TOTAL HEAT GAIN 15856 Btuh DATE: System Sizing Calculations - Winter Residential Load - Component Details Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, fl Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F 2/2712002 Window Type(Panes/SC/Frame/U) Orientation Area X HTM= Load 1 2, Clear, Metal, DEF E 28.0 27.6 773 Btuh 2 2, Clear, Metal, DEF E 12.0 27.6 332 Btuh 3 2, Clear, Metal, DEF E 40.0 27.6 1104 Btuh 4 2, Clear, Metal, DEF S 32.0 27.6 883 Btuh 5 2, Clear, Metal, DEF S 106.1 27.6 2927 Btuh 6 2, Clear, Metal, DEF W 24.0 27.6 662 Btuh Window Total 242 6682 Btuh Walls Type R-Value Area X HTM= Load 1 Frame- Exterior 11.0 608 3.4 2067 Btuh Wall Total 608 2067 Btuh Ceilings Type R-Value Area X HTM= Load Single Assembly 19.0 618 1.9 1174 Btuh Ceilina Total 618 1174Btuh Floors Type R-Value Size X HTM= Load 1 Slab-On-Grade Edge Insul 0 137.0 ft(p) 30.8 4220 Btuh Floor Total 137 4220 Btuh Infiltration Type ACH X Building Volume CFM= Load Natural 0.40 6180(sqft) 41 1726 Btuh Mechanical 0 0 Btuh Infiltration Total 41 1726 Btuh Subtotal 15868 Btuh Totals for Heating Duct Loss(using duct multiplier of 0.05) 793 Btuh Total Btuh Loss 16662 Btuh Key:Window types(SC-Shading coefficient of glass as SC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Value or'DEF'for default) (HTM-ManualJ Heat Transfer Multiplier) Key:Floor size(perimeter(p)for slab-on-grade or area for all other floor types System Sizing Calculations - Summer Residential Load - Component Details Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, fl Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 19.0 F 2/27/2002 Type Overhang Window Area(sqft) HTM Load Window Panes/Sc/U/InSh/ExSh Omt Len Hqt Gross Shaded Unshaded Shaded Unshaded 644 Btuh 1 2,Clear,DEF,N,N E 2.5 2 28.0 28.0 0.0 23 72 277 Btuh 2 2,Clear,DEF, N,N E 2.5 2 12.0 12.0 0.0 23 72 3 2,Clear, DEF,N,N E 2.5 7 40.0 8.9 31.1 23 72 2446 Btuh 4 2,Clear,DEF, N,N S 4 5 32.0 32.0 0.0 23 37 736 Btuh 5 2,Clear,DEF,N,N S 8 7 106.1 106.1 0.0 23 37 2439 Btuh 6 2,Clear,DEF,N,N W 2.5 5 24.0 9.7 14.3 23 72 1254 Btuh Window Total 242 7796 Btuh Walls Type R-Value Area HTM Load 1 Frame-Exterior 11.0 608.0 2.0 1228 Btuh Wall Total 608.0 1228 Btuh. Door Total 0.0 0 Btuh. Ceilings Type/Color R-Value Area HTM Load Single Assembly/Dark 19.0 618.0 2.1 1323 Btuh Ceiling Total 618.0 1323 Btuh. Floors Type R-Value Size HTM Load 1 Slab-On-Grade Edge Insulation 0.0 137.0 ft(p) 0.0 0 Btuh Floor Total 137.0 0 Btuh- Infiltration Type ACH Volume CFM= Load Natural 0.35 6180 36.1 755 Btuh Mechanical 0 0 Btuh Infiltration Total 36 755 Btuh Internal Occupants Btuh/occupant Appliance Load gain 2 X 300 + 1200 1800 Btuh Subtotal 12902 Btuh Duct gain(using duct multiplier of 0.10) 1290 Btuh Total sensible gain 14192 Btuh Totals for Cooling Latent infiltration gain (for 49 gr. humidity difference) 1204 Btuh Latent occupant gain (2 people @ 230 Btuh per person) 460 Btuh Latent other gain 0 Btuh TOTAL GAIN 15856 Btuh Key: Window types(SC-Shading coefficient of glass as SC numerical value or as clear or tint) (U-Window U-Value or'DEF'for default) (InSh-Interior shading device:none(N),Blinds/Daperies(B)or Roller Shades(R)) (ExSh-Exterior shading device:none(N)or numerical value) (Omt-compass orientation) Feb 22 02 09: 17a Buil C Department 904-247-5805 P. 1 REC FEB 2 C"'y Oi Atlantic Beach city (o antic Beach- 800 Seminole RoAd- Atlantic Beach,Florida 32233-5�440ing Qn4 Phone: (904)247-5800- Fj�,K (904)247-5805- http:i/www/ci.attantic-beach.fl-us ERMIT APPLICATION FOR REMODEL,-ADDITIONS -AND ALTERATIONS, E-FAMILY OR TWO-fAMILY(DUPLEX)CONSTRUCTION MOVING OR DEMOLITION OF SINGL APPLICANT 44, 5-H�1 DATE PHONE: 15+9 A . DDRFSS ADDRESS WHERE WORK IS TO BE PERFORNIFI) TRICT IBER LOT N-UNIBER� ZONMG DIS LEGAL DESCRIPTION: BLOCK NUN CONTRACTOR STNTE LICENSE NUMBER— PHONE ADDRESS CITY —STATE ZIP FAX TF C A, 6 17-0 1 DESCRIBE PROVOSED USE AND WORK TO HE DON I -a cw� b PRESE'NT USE OF LAND OR BUILDING(S) f4 10-1 VALUATION OF PROPC-SED CONSTRCCTION — Is this aa addition? If yes,what are the dimensions of the added space: feet by Will the.added area be heated and cooled?- �Afe� ---New electrical or increase in service'i _T_ ? .q New plumbing f rx heating/air conditl onins? ixtures?, New fireplace? e ired?Ac� if yes,please subinit with this application.D�V4WC4- Is approval or Forneowner's Association or other private entity requ PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide-a information as appropriate.) STEP I. venif�-zoning designay.au and proper setbacks for the proposed construction. if you are unsure of tills niformation,please o correctlyrverify zoning CICS1911alion,pleasi h4ve contact the Planning and Zoning Department at904-247-58'7 Inordert 6 ?roperty Appraiser's Real Estate Number available, !!�W A(,W 01'rjrU4-Mn i -jite if a pre-constructiun or post-cOas'ruction '4 STEP 2. Contact the City of Atlantic Beach Department of Public Works to detem topographical varvey is req�.dred. (If not r.-quired, written verification must be provided with this application.) The b Works is lomle at: 1200 Saud ' T Atlantic B 11)FL 32N3 T-,;eg'e;)h,one;(904)247-5834 piVTr Lane, _)epartment of Pub Rn�=rAffidavit if owner is corefactor. j And STEP 3, Please subti-Lit Energy Code Forms, Nolice of Commencement!0 four(4)complete qets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, goo Se-runole Road Aflantic Beach,FL 32233 Telephone:(904)247-5826 eP 01,02102 Feb 22 02 08: 1?a Building De.partment 904-247-5805 F. 2 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. 1. Current survey showing t-�e property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent, including setbacks, building height, number of storieii and square footage. Identify any existme stiuctures and uses. 3. Existing an1lor 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 irldividual applications. I HEREBY CERTIFY THAT ALL INFO N PROVI ED WITH THIS APPLICATION CT. SIGNATURE OF OWNER DATE —�C 0 BE TRLE AND I HEREBY CERTIFY THAT I VE D AND EIXAMINED THIS APPLICATION AND KNOW THE SAME T CORRLCT. ALL pROXISIONS OF THE LAWS AUND ORDINANCES GOVERNING THIS TYPE OF WORK WtLL BE COMPLIED wITH,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME To GIVE AUTHORITY To VIOLATE OR CANCEL THE PROIVIS(ONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GONTRNING 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. SIG,NATL-RE OF CONTRACTOR DATE ADDRESS AND CON'TACT INFORMATION OF PERSON 'ro RECEIVE ALL CORRESPONDENCE REGARDING ,THIS APPLICATION (PLEASE PRINT) NAME Ila MAILING ADDRESS J PH 0 NE FAX E-MAIL DAYOF SNNORIN AND SUBSCRIBED 13EFORE NIL THIS DL I STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'$SIGNATURE MELANIE A.HUMPHRUY MY COMMISSION I DD 069943 EXPIRES:March 3,2006 Personally kno%m AS TO OWNER: X, ! 8md8d 1`11ru Not"Public Underwrfters F1 Produced identification Type of identification produced AS TO CONT RACTOR: F1 Personally known El Produced identification Type of identification produced 011OV02 Feb 22 02 OB: 20a Building Departmert, 904--247-5805 p. 7 MIN. RETURN � Book 10376 Page 570 M PIOOQP65 8 0 0 5 Booki Palo: 570 Filed & Recorded 02/26/2M 11:10:06 AN NOTICE OF COMMENCEMENTJIN FLILLER UM CIRCUIT COURT WA COINTY TRUST FUM 6 1.0 RECORDIND 6 L46 -41 17 i'MAY C""' N: -2in The under=-ignec here'o\j infcrr"s all carcerned that improvernents will be made tc Cef: �4vi-clj Sec�cn 713.13 of t"te F�odda Starutcls, We folicwing real p-opeml. n acccrdar IT. d ir. ,is INOTICE OF CC INIENCEME\ cascriptior. ol Froperty C. -AcO r6rl V 01 rA Ge eral Descnatcn :)f lr'FrO'de C ass ', Owner's interest in site of improvements: Fe-! S!jm�le itle Hcider(,f czrer than awrer', V pi Nam ,"Iddress Cartracto Surety (�f ary) Ameurt Gf Bend S Address 'thin the S�ate of Flicrida. desigrated ty owner upcn w1l,crn-otices Or 013h=r Name of Oc-rscn W, cor-urnents may be served: Name Address In accition �c hirsetf, owner ,,4esignates the fellcwing persa,-, to receive a copy pf the Leinc's 13.i 311)(F), FIcrida, Staxute5. (Filt in a, Ovvne�s oPticnl- Ncbce as Provided ir, Secion 7 r�2me Adaress: er '2W 9,/ I / this clay of 5.,No.,n a anc, sr--bscn,bed befcre me day of MELANIE&HUMPHREY r�OMMISWN#DD 06MJ Notary Public EXPIRES:March 3,20M 8o1u*TPn Notary PuNic Underwrders RECEIVED TRANSMITTAL HE'Ll, 2 6 1�i'1111?- TO: City of Atlantic Beach Coach DATE: 2/28/02 800 Seminole Road c7ity of Atlantic Atlantic Beach, FL 32233 BLfl,di.nc, and ZonIng PROJECT NO: - - PROJECT: Smith Renovation We Transmit: For Your: (X) herewith (X) approval under separate cover ) review& comment ) use Via: HAND DELIVERY The following: COPIES DATE DESCRIPTION 4 2/26/02 Drawings (Sheets A1-A6) 4 2/26/02 Permit Application, Notarized (2 pages) (1 original, 3 copies) 4 2/26/02 Telephone Call Confirmation Letter Bob Kosoy and Sonja Door 4 -- Flood Plain Information 4 2/27/02 Notice of Commencement, Notarized 4 2/27/02 Disclosure Statement, Notarized 4 2/26/02 Energy Calculations 4 1991 Copy of original Survey Remarks: 1. Tree removal forms – Not applicable (no trees removed). By: Jan,H—am�ock Smith, AIA 134�_Se inole Road Ph. (Home) 904-247-4983 Atlantic Beach, FL 32223 Ph. (Work) 904-724-2216 Distribution: Feb 22 C2 08: 17a Building Department SC4-247-5005 P. 3 Location:: Type of Development T-- Flood Zone: Rtqu�red Lowest floor Elevation* Ifouilding is located ��a flood 'nan d zone, a survey must be Mde -AY"'ER THE SLAB RkS BEEN POLMED, ceri:�jjng that the LOWEST FLOOR ELEVATION is equall to o,-above the base Elood,eievation established for that Zone issued unti�the survey is No firal jirpection-will be made and no cenificate of occupancY`xU be on file with the Building Departn-&-it. CONCME N-TS: Applicant Acknowledgment: I understard that the issuarce of this permit is contingent upcn V the above iinfonTialion be-ing correct and that the plans and sunportim, data have been or shaUlbe provided as required. 1 agree to comply with a-IJ applicable provisions of Ordi:wce No. 15-7-11 and all oher laws Or CTdir�nces affectimg-he proposed development. Dwe 40-Applicam's Signa�ure Department Use� Required Lo,x,-Ist'-;Ioor Elevati011 .4,s Buih Lowest Floor Elevation- S�irvev Hed whh Building Department Bui:ding Department Representative Feb 22 C2 08ilga Building Department SU4­247-580E TREE PROTECTION \�- PROPERTY�LINEI P PTRI A�E RIVATE t ED PROTECTED T T 20 �,O' REE -1 OR MORE (D- ------------ -- ---- 1.5-0, PRIVATE PROTECTED TREE PROPERTY Y_� _TECTED TREEE PRIVATE PR­1 JNE 0 Uj MORE D B H OF 20' OR MORE Ix 0 PROPERTY (D OR MORE IN H, OF 10 L U PRIVATE LINE Cov)AERCIAL & INDUSTRIAL PROTECTED = > PROPERTY) TREE 0, —7�50' :F-------------- PRIVATE PROTECTED TREE D 8 H OF 6' OR MORE 20.1 00* PROPERTY LINE PROPERTY JINE-) SIDEWALK Si,�DE�WIALK PLjBLIC PROTECTED TREE (PuBUC: STREET) (PUBLIC STREET) A. PRIVATE PROTECTED TREE I, ANY TREE VATM A C 8 H OF; N 'TWENTY (20) FEEI OF A STREET SIX (6) INCHES OR MOREE LOCATED ON ANY LOT WITHI rRIGHT-OF-WAY OR REAR PROPERTY LINE. SIX (6)ANCHES OR MORE WITHIN SEVEN AND A HALF (7.5) FEET OF ANY OTHER PRIVATE PROPERTY LINE AND 71ION OF THE LOT. (EXCEPT 10- FOR CoMmEp- iWENTY (20) INCHES WITHIN ANY OTHER POR CIAL & 1,,qoL:STRIAL PROPERTY) Y, CrPARTMEhT 2. ANY CHAMPION TREE SO DESIGNATED BY THE FLORIDA DIVISION OF FORESTIR OF AGR4'CULTURE. B. PUBLIC PROTECTED JREE SAME AS PRIVATE PIRCTIECTED TREE PLUS ANY TREE SIX (6) INCHES CR LARGER WITHIN CITY RIGHT-OF-WAY. C. EXCEPTIONAL SPEC1MEN 'FREE ANY 7REE ON PRIVATE OR PUBLIC LAND DESIGNA-770 BY THE C;TY CCLJNZ�L AS \ SPECIMEN TREE. 7REEPRO L TELEPHONE CALL CONFIRMATION Conversation with: Bob Kosoy and Date: 2/26/02 Sonja Door City of Atlantic Beach Tel. No: -- Regarding: Atlantic Beach Residential Home Renovation Project No: Smith Renovation 1 . Dean Smith spoke with Mr. Kosoy regarding the verification for the topographical survey requirement (as indicated on Permit Application "Step 2). Mr. Kosoy stated that a survey is not required. The home addition and garage will match existing finish floor elevation. Mr. Kosoy stated that this telephone call confirmation was acceptable in lieu of a letter from his office. (Note existing grade elevations to remain.) 2. Dean Smith spoke with Sonja Door. She confirmed that the existing zoning is RS1 . By: Dean Smith 1345 Seminole Road Atlantic Beach, FL 32223 Distribution: Mr. Bob Kosoy - Atlantic Beach Public Works Sonja Door - Planning and Zoning FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Smith Builder: Smith Address: 1345 Seminole road Permitting Office: atl bch, fl City, State: jax, fl Permit Number: Owner: Smith addition Jurisdiction Number: Climate Zone: North 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 18.0 kBtu/br 3. Number of units,if multi-family - SEER: 10.00 4. Number of Bedrooms - b.N/A 5. Is this a worst case? No - 6. Conditioned floor area(ft2) 618 ft2 c. N/A 7. Glass area&type - a. Clear-single pane 0.0 ft2 - 13. Heating systems b.Clear-double pane 242.1 fF - a. Electric Heat Pump Cap: 16.0 kBtu/hr c. Tint/other SC/SHGC-single pane 0.0 fl? - HSPF:6.80 d. Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A 8. Floor types - a. Slab-On-Grade Edge Insulation R--O.O, 137.0(p)ft _ c. N/A b.N/A - c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:50.0 gallons a. Face Brick,Wood,Exterior R�l 1.0,608.0 W - EF:0.88 b.N/A - b.N/A c. N/A - d.N/A - c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Single Assembly R=19.0,618.0 ft2 - 15. HVAC credits b.N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,35.0 ft _ MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.39 Total as-built points: 7387.00 PASS Total base points: 7638.70 I hereby certify that the plans and specifications covered Review of the plans and -01E Sr4�, by this calculation are in complia e Florida specifications covered by this ZE 0 with th calculation indicates compliance Energy Code. lilt/ 0� with the Florida Energy Code. PREPARED By. a j "�h 5 Before construction is completed DATE: �z �z - this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 00 WIE compliance with the Florida Energy C de. Florida Statutes. OWNER/AGE T: BUILDING OFFICIAL: DATE: DATE: FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1345 Seminole road,jax, fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 MaXiMUM7.3 cfm/sq.ft.window area;.5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall-, foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the-top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams.--- Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/Z'clearance&3"from insulation-,or Type IC rated with<2.0 cfm from conditioned space,tested. Mufti-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cav�y between floors. Addftional Infiltration reqts 6G6.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS- Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit brea Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in uncondftioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-1 9.Common walls-Frame R-1 1 or CBS R-3 both sides. Common ceiling&floors R-1 1. FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1345 seminole road,jax, fl, PERMIT BASE AS-BUILT WATER HEATING Number of X Multiplier Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.0 50.0 0.88 1 1.00 2746.00 1.00 2746.0 As-Built Total: 915.3 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling Heating + Hot Water Total Cooling + Heating + Hot Water Total Points Points Points Points I Points Points Points Points 2258.9 2633.7 2746.0 7638.7 2380.1 4091.6 915.3 7387.0 :PASS F 0 ST4.�' wF FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1345 seminole road,jax,fl, PERMIT#: GLASS TYPES BASE I AS-BUILT .18 X Conditioned X BWPM = Points Overhang WOF Points Floor Area Type/SC Ornt Len Hgt Area X WPM X .18 618.0 9.76 1086.2 Double,Clear E 2.5 2.0 2&0 9.09 1.35 343.1 Double,Clear E 2.5 2.0 12.0 9.09 1.35 147.4 Double,Clear E 2.5 7.0 40.0 9.09 1.07 388.4 Double,Clear S 4.0 5.0 32.0 4.03 2.38 306.9 Double,Clear S 8.0 7.0 106.1 4.03 2.96 1267.3 Double,Clear W 2.5 5.0 24.0 10.77 1.08 280.0 As-Built Total: 242.1 2733.1 WALLTYPES Area X BWPM = Points Type R-Value Area X WPM Points Adajcent 0.0 0.0 0.0 Face Brick,Wood,Exterior 11.0 608.0 3.50 2128-0 Exterior 608.0 3.70 2249.6 Base Total: 608.0 2249.6 As-Built Total: 608.0 2128.0 DOORTYPES Area X BWPM = Points Type Area X WPM Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 618.0 1.20 741.6 1 Single Assembly 19.0 618.0 2.00 1236.0 Base Total: 618.0 741.6 As-Built Total: 618.0 1236.0 FLOORTYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 137.0(p) 8.9 1219.3 Slab-On-Grade Edge Insulation 0.0 137.0(p) 18.80 2575.6 Raised 0.0 0.00 0.0 Base Total: 1219.3 As-Built Total: 2675.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 618.0 -0.59 -364.6 618.0 -0.59 -364.6 Winter Base Points: 4932.1 Winter As-Built Points: 8308.1 TotalWinter X System Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 8308.1 1.000 0.982 0.501 1.000 4091-6 4932.1 0.5340 2633.7 8308.1 1.00 0.982 0.501 1.000 4091.6 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1345 serninole road,jax,fl, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF Points .18 618.0 33.06 3677.0 Double,Clear E 2.5 2.0 28.0 40.22 0.46 521.6 Double,Clear E 2.5 2.0 12.0 40.22 0.46 224.1 Double,Clear E 2.5 7.0 40.0 40.22 0.83 1333.9 Double,Clear S 4.0 5.0 32.0 34.50 0.55 610.7 Double,Clear S 8.0 7.0 106.1 34.50 0.50 1830.1 Double,Clear W 2.5 5.0 24.0 36.99 0.73 647.9 As-Built Total: 242.1 5168.3 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM Points Adajcent 0.0 0.0 0.0 Face Brick,Wood,Exterior 11.0 608.0 0.40 2412 Exterior 608.0 1.70 1033.6 Base Total: 608.0 11033.6 As-Built Total: 608.0 243.2 DOORTYPES Area X BSPM = Points Type Area X SPM Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 618.0 0.60 370.8 Single Assembly 19.0 618.0 1.80 1112.4 Base Total: 618.0 370.8 As-Built Total: 618.0 1112.4 FLOORTYPES Area X BSPIVI = Points Type R-Value Area X SPM = Points Slab 137.0(p) -37.0 -5069.0 Slab-On-Grade Edge Insulation 0.0 137.0(p) -41.20 -5644.4 Raised 0.0 0.00 0.0 Base Total: -5069.0 As-Built Total: -6644.4 INFILTRATION Area X BSPM = Points Area X SPM = Points 618.0 10.21 6309.8 618.0 10.21 6309.8 Summer Base Points: 6322.2 Summer As-Built Points: 7189.3 Total Summer X System Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 7189.3 1.000 0.970 0.341 1.000 2380.1 6322.2 0.3573 2258.9 7189.3 1.00 0.970 0.341 1.000 2380.1 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* 79.7 The higher the score,the more efricient the home. smith addition, 1345 serninole road,jax, fl, I. New construction or wdsting Addition 12. Cooling systems 2. Single family or multi-family Single family a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family I SEER: 10.00 4. Number of Bedrooms I b.N/A 5. Is this a worst case? No 6. Conditioned floor area(ft) 618 ft2 c. N/A 7. Glass area&type a. Clear-single pane 0.0 112 13. Heating systems b.Clear-double pane 242.1112 - a. Electric Heat Pump Cap: 16.0 kBtu/hr c. Tint/other SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 d.Tint/other SC/SHGC-double pane 0.0 W b.N/A 8. Floor types - a. Slab-On-Grade Edge Insulation R=0.0, 137.0(p)ft - c. N/A b.N/A c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap:50.0 gallons a. Face Brick,Wood,E3derior R=I 1.0,608.0 ft2 EF:0.88 b.N/A b.N/A c. N/A d.N/A c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types DHP-Dedicated heat pump) a. Single Assembly R=I 9.0,618.0 ft' 15. HVAC credits b.N/A (CF-Cciling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,35.0 ft RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) .11lu S 7, 0 in this home before final inspection.Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. %M Builder Signature: Date: Address of New Home: City/FL Zip: WF *NOTE.- Ae home's estimated energy performance score is only available through the FLAIRES computer program. This is not a Building Energy Rating.Ifyour score is 80 or greater(or 86for a US EPAIDOE EnergyStaW designation), your home may qualifyfor energy efficiency mortgage (EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 4071638-1492 or see the Energy Gauge web site at www.fsec.ucf edufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850148 7-1824. Residential System Sizing Calculation Summary Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, fl Climate: North 2/27/2002 Location for weather data: Jacksonville - Defaults: Latitude(30) Temp Range(M) Humidity data: Interior RH (50%) Outdoor wet bulb ( 7F) Humidity difference(49qr.) 94 F Winter design temperature 32 F Summer design temperature Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 38 F Summer temperature difference 19 F Total heating load calculation 16662 Btuh Total cooling load calculation 15856 Btuh Submitted heating capacity 16000 Btuh Submitted cooling capacity 18000 Btuh Submitted as% of calculated 96.0 % Submitted as% of calculated 113.5 % WINTER CALCULATIONS Winter Heating Load (for 618 sqft) Load component Load Infil(I U Window total 242 sqft 6682 Btuh Wall total 608 sqft 2067 Btuh Door total 0 sqft 0 Btuh Ceiling total 618 sqft 1174 Btuh Floor total 137 ft 4220 Btuh Infiltration 41 cfm 1726 Btuh Subtotal 15868 Btuh Duct loss 793 Btuh VV.11 s(I 2%) TOTAL HEAT LOSS 16662 Btuh SUMMER CALCULATIONS Summer Cooling Load (for 6 Load component - Load Window total 242 sqft 7796 Btuh L.A-4 infl(8%) Wall total 608 sqft 1228 Btuh Door total 0 sqft 0 Btuh Ceiling total 618 sqft 1323 Btuh Floor total 0 Btuh VW)dows(49%) Infiltration 36 cfm 755 Btuh Internal gain 1800 Btuh Subtotal(sensible) 12902 Btuh Duct gain 1290 Btuh Total sensible gain 14192 Btuh Latent gain(infiltration) 1204 Btuh Sizing. Latent gain(internal) 460 Btuh The sizing method used was EnergyGauge@ System Total latent gain 1664 Btuh PREPARED BY: TOTAL HEAT GAIN 15856 Btuh DATE: System Sizing Calculations - Winter Residential Load - Component Details Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, fl Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F 212712002 Window Type(Pa nes/SC/Fra me/U) Orientation Area X HTM= Load 1 2, Clear, Metal, DEF E 28.0 27.6 773 Btuh 2 2, Clear, Metal, DEF E 12.0 27.6 332 Btuh 3 2, Clear, Metal, DEF E 40.0 27.6 1104 Btuh 4 2, Clear, Metal, DEF S 32.0 27.6 883 Btuh 5 2, Clear, Metal, DEF S 106.1 27.6 2927 Btuh 6 2, Clear, Metal, DEF W 24.0 27.6 662 Btuh Window Total 242 6682 Btuh Walls Type R-Value Area X HTM= Load 1 Frame - Exterior 11.0 608 3.4 2067 Btuh Wall Total 608 2067 Btuh Ceilings Type R-Value Area X HTM= Load 1 Single Assembly 19.0 618 1.9 1174 Btuh Ceiling Total 618 1174Btuh Floors Type R-Value Size X HTM= Load 1 Slab-On-Grade Edge Insul 0 137.0 ft(p) 30.8 4220 Btuh Floor Total 137 4220 Btuh Infiltration Type ACH X Building Volume CFM= Load Natural 0.40 6180(sqft) 41 1726 Btuh Mechanical 0 0 Btuh —Unfiltration Total 41 1 1726 Btuh I Subtotal 15868 Btuh Totals for Heating Duct Loss(using duct multiplier of 0.05) 793 Btuh Total Btuh Loss 16662 Btuh Key:Window types(SC-Shading coefficient of glass as SC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Value or'DEF'for default) (HTM-ManualJ Heat Transfer Multiplier) Key:Floor size(perimeter(p)for slab-on-grade or area for all other floor types System Sizing Calculations - Summer Residential Load - Component Details Smith addition Project Title: Class 3 Rating 1345 Seminole road Smith Registration No. 0 jax, fl Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 19.0 F 2/27/2002 Type Overhang Window Area(sqft) HTM Load Window Panes/sc/u/InSh/ExSh Ornt Len Hqt Gross Shaded Unshaded Shaded Unshaded 1 2,Clear,DEF, N, N E 2.5 2 28.0 28.0 0.0 23 72 644 Btuh 2 2,Clear,DEF, N,N E 2.5 2 12.0 12.0 0.0 23 72 277 Btuh 3 2,Clear,DEF, N,N E 2.5 7 40.0 8.9 31.1 23 72 2446 Btuh 4 2,Clear, DEF,N,N S 4 5 32.0 32.0 0.0 23 37 736 Btuh 5 2,Clear, DEF,N, N S 8 7 106.1 106.1 0.0 23 37 2439 Btuh 6 2,Clear,DEF,N, N W 2.5 5 24.0 9.7 14.3 23 72 1254 Btuh I Window Total 242 7796 Btuh Walls Type R-Value Area HTM Load 1 Frame-Exterior 11.0 608.0 2.0 1228 Btuh Wall Total 608.0 1228 Btuh Door Total 0.0 0 Btuh Ceilings Type/Color R-Value Area HTM Load 1 Single Assembly/Dark 19.0 618.0 2.1 1323 Btuh Ceiling Total 618.0 1323 Btuh Floors Type R-Value Size HTM Load I Slab-On-Grade Edge Insulation 0.0 137.0 ft(p) 0-0 0 Btuh Floor Total 137.0 0 Btuh Infiltration Type ACH Volume CFM= Load Natural 0.35 6180 36.1 755 Btuh Mechanical 0 0 Btuh Infiltration Total 36 1 755 Btuh I Internal Occupants Btuh/occupant Appliance Load gain 2 X 300 + 1200 1800 Subtotal 12902 Btuh Duct gain(using duct multiplier of 0.10) 1290 Btuh Total sensible gain 14192 Btuh Totals for Cooling Latent infiltration gain (for 49 gr. humidity difference) 1204 Btuh Latent occupant gain (2 people @ 230 Btuh per person) 460 Btuh Latent other gain 0 Btuh TOTAL GAIN 15856 Btuh Key: Window types(SC-Shading coefficient of glass as SC numerical value or as clear or tint) (U-Window U-Value or'DEF'for default) (InSh-Interior shading device:none(N),Blinds/Daperies(B)or Roller Shades(R)) (ExSh-Exterior shading device:none(N)or numerical value) (Ornt-compass orientation) Feb 22 02 08: 17a Buildinc Department 904-247-5805 P. 1 4A 11 —.7 City orAtlantic BeSell, 800 Serninole Road - Atlantic Reacti,Florida 32233-5445 Phone: (904)247-'-'%800 FA�X (904)1-47-5805- littP:i/ww"$:/c'-stantic-beach.fl.us PERNIIT APPLICATION FOR REMODEL,ADDITIONS AND ALTERATIONS, GLE-rAmILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION LNJOVING OR DEMOLITION OF SIN DATE APPLICANT_Jan PHONE: .ADDRESS i?2 I--STOBEPERFOR-MED 122�— ADDRESS WHERE"'ORK -UNIBER ZONING DISTRICT LEGAL DESCRIPTION'. BLOCKNMMBER LOTN STATE LICENSE N1WMBER— CONTRACTOR PHONE .kDDRESS FAX CITY STATE ZIP L AND WOIU�C TO BE DONE �jT- CA PRESENT USE OF LAND OR RIJILDING(S) >C> VALUATION OF PROPOSED CONSTRUCTION feet by if yes,what are the UHUI�11-1v—-1-- Is-thisatiaddition? V\Aznc-:;_. 1 cooled?. Ne\velectlic8l Or Increase in service. . 9 ing/air condit. -7� (A-e S t�'ew heat' g? - Will the added area be heated anc Ac—� , �� onine. New plumbing fixtur--s'? Newfireplacel f j -.1cation.V�AAW, Is approval or Homeowner's Association or other private en if yes,please submit W, 'I lis aJP'* PROCEDURE: (in order to expedite issuaDee of permits, please follow all steps and nmyi4� \\Nf STEP I. ,,erjf�zon�ng designat,=arid PrOPet sctbacks for tht,-proposed construction. If you are unsure of dusinfortration,please n . 14 t have 3rittlent at 904-2147.5E 17. In order to correctly verify zoning dcsig B110 P contact he planning aDd Zoning Dep r Property Appraiser's Real Estate Number available. 6W XJW" cyl STEP 2. Contpcl the City of Atlantic Beach Department of Public Woel<s to deterraine if a pre-coustructiun or post-constrUction written verification jrust be provided with this application.) The topographical s,zvey is req,.dred. (if not rtquired, - B -h FL - ' ho ie:(904)247-5834 Department cf Publ' Work- is lo�ate�at: 1200 Sandpiper Lane,Ailant"Ic a 32 3 ,e ep T :z") Kh i '��a-tor. and --rT I go Nyv- C CW, e�r�3s 4c Code Forms, Notice of Commencerr-ent"oNvner,'Contracto�Affidavit if O'Am STEP 3 please submit n on plans to the Building Department, which is looated at the Atlantic Beach City Hall, four(4)complete sets of construcn. -5826 1 . FL 32233 Telephone:(904)247 800 Sernmole Road,AqllanticBeach, 2,e� a4l-r�eP 01,02102 Feb 22 02 0(3: 17a bulldlnc Deracr-Merir- City ot-Allantic Beiich 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- FA.X (904)247-5805. l,ttp:iAvwNv/ci-attantic-beacii-fl-us PER-MIT APPLICATION I-OR REMODEL ADDITIONS AND ALTERATIONS, N. -FAMILY(DUPLEX)CONZSTRUCTION iNJOVINGORDEN-101-ITIO, OF SINGLE-FAMILY OR TWO DATE -AINT QL APPLIC PHONE: .A,DDR'FSS TO BE PERFORMED zONU�G DisTRICT ADDRESS WHERE"'0"IS LOT-.N-UNIBER� LEGAL DESCRIPTION- BLOCKN7MMBER— STATE LICENSE NUMBER7 CONTRACTOR PHONE .A,DDRESS ZIP FAX CITY STATE -- L CRIBE PROVOSED USE AND NVORK TO BE DONF IC '\CA MC\e-- PRESENT USE OF LAND OR BUILDING(S) C-> 00CD) VALUATION OF PROPOSED CONSTRUCTION sp cc: -D feet by Is this an addition? —9�5— if yes,what arc the dimenMons of the adde, ,ON '5z' A area bc heated an New electrical or increase in servicell Will the adde ev�,heating I air conditlonirig�? d cooled?—��4-eg S Nrew plurribing fixturts? New fireplace? � _5_ is applicadon.V�AW�Z4- 1� C> If yes,please subirdt vAC,th is approval or HOMCOWner's Association or other private entity requital PROCEDURE: (In order to expedite issuance of permitS, please follow all steps and nmyiA� er setbacks for the proposed consa-action. if yoii are unsure of this inforn-iation.please . 11,P teas have cn ig desigDa311 and prop -effy zoning desigC3120 STEP I. V ntat904-247-5817 jnordcrtocorrectly,, contact the Plannirg and Zoning Dep3r= property Appraiser*--Real Estate N umbe avzilable. ZW de Mimt if a pre-constructiun or post-coiis-ruction Contact the; City of Atlarinc Beach Department of Public \VOrks to le , -I j e j q;'-ritten verification Inust be provided with this appliratio—\ Th STEP 2. opogrzphical slarvey is required. (if not mquim, , ho -(904)247-5834 I . ks' I tq at: 1200 SQpipor Lane,ATIantic Blazli,FL 32N3 I eCP. ne. Dep2rtnientallub' \1 C2 P c fictor and eo -AIT- lelDw"- mv�+- or Is 0 A orms umeeCortractor'Affidavit if owner please submit Energy Code F , Notice of Commencement, ocated Itt(he Atlantic Beach City Hall, STEP 3. four(4)complete S-�ts of construction plans to the Building DepanTrIent.which is I . B ch,FL 32233 Telephone:(904)247-5826 goo Seminole Road A 1 tic Ca Feb 22 02 08: 17a Buildint; Department 804-247-5805 P.2 In addifirm-,o construction and engineering detail,plans must contain the following information as appropriate for the type of Vvorl- beir;g ptrfenne.d. Scale of draurings should be suf5cient to depict all required information in a clear and legible manner. 1. Oinent survey showing t-',ie property boundary with bearings and distances and the legal description. 2. Loca:jon of all structures,temporary and permanent, including setbacks, building height, number of storiei and square footage. Idenrify any existme snuctures and uses. 3. Existing and/or proposed driveways. hical,survey. 4. If required by the Department of Public Works,a pre-construction topograp 1� Any significant environmental features,including any jurisdictional wetiands,CCCL,natural water bodies. f e, 6. Impervious Surface aTea calculations. (SArimn-Ang pools may be excluded from total Impervious Surfac 7. Other information as may be appropriate for irdividual applications. I HEREBY CERTIFY THAT ALL INFOWMAT ON PROVI ED WITH THIS A.PPLICATI CT- SIGNATLRE OF OWNER DATE I HEREBY CERTIFY THAT I Z2VED AND EXAMWINIED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRON�ISIONS OF THE LAWS AND ORDINANCES GOVERN- ING THIS TYPE OF WORK WILL BE COMPMED WI,ril,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME To GIVE AUTHORITY To VIOLATE OR CANCEL THE PROVIS(ONS OF ANY FEDEIR-AL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR 1,.kNVS IN ANY IMANNER,INCLUD ING THE GONTRNING Of CONSTRUCTION OR THE PERFORMAN CE OF CONSTRIJCTIO.N Oy IN N RIM I -NCE OF THIS PERMIT IS CONTINGE T UPO� THE ABOVE INFO AT ON THE PROPERTY. I UNDERSTAND THAT THE ISSUA N OR SHALL HE PROVIDED AS ND THAT THE PLANS AND SUPPORTING DATA HAVE BEE BEING TRUE AND CORRECT A. REQUIRED. SIGNATURE OF CONTRACI'OR DATE ADDRESS AND CON'TACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING T1flS APPLICATION (PLEASE PRINT). NAME M.AJLING AD RESS PHONE FAX E-MAIL IS DAYOF SWORIN AND SUBSCRIBED BEFORE NIL TH STATE OF FLORIDA,COUNTY OF DUVAL 1/41 n1l,A NOTARY'S SIGNATURE H LUNM PMH R MY COMMISSION I DD 0699Q z EXPIRES:March 3,2006 Personally known B-W Ttwu Nftq PLd*UMewftm AS TO OWNER: ! - Produced identification Type of identification produced AS TO CONTRACTOR: Persor.ally known Produced identification Type of identification produced 01,101102 Feb 22 02 08: 17a Building Department 804-247-5805 p. 3 D VEL P 'T f NE 0— Locatknp:: T)T,-- of DevelOPMent:-P-C-51 .Dood Zone: ft^v/ Required Lowest Floor Elevation: If,t)uilding is located,,A-ahin a flood hazard zone, a survey must be made AFTER THE SLA-B.,� al that the LOWEST FLOOR ELEVATION is equ I to o.-above FUS BEEN POURED, cert C, the base food eievation established for that zone. qA No faral inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Depanment.. CONC��ENTTS: Applicant Ackiowledgment: I urderstand that the issuance of this permit is contingent upon 0 the above infor M- iior.being correct and that the plans and supporting data have been or shall be 25 pro-%ided as required. I agree to co-mPlY with all applicable provisions of Ordinance No. 1--7-11 and all other laws Or CTdinances affecting the Proposed development. D"Z- Date -)4 Applicant's Signature 12/C C) Department Use: R Floor Elevation Required Lowestr As B uih Lowest Floor ElevatiO I S,urvey Filed wih Building Department Building Department Representative Feb 22 02 08: 18a BuilclinC Department 904-247-5805 p. 4 OF ATLANTIC BEACH REMOVAL APPLICATION , (7) copies andjeceiYed by-5 PM on the Fridai,�-=e All appliratigns must be sub 6tted vilb svver ))aced on the a enda. t 3 the s ES ACCURAT :LY-�, RK�ED 'LS=T *n,ICQ�EL ETE )KILL NOT BE.PRO "-ESSF-D. APPLICANT NAN/iE ADDRESS �TEL E-P IH�01N'rli 2. AD- DRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR P-ROPC)SFD TREE REMOVAL: C1 NO 0 NOTI SURE 4. miakz)THIS SITE BEEN TO THE TREE BOARD BEFORE? 1:YES 5.PROPERTY AZONUNG- 0 RESEDENTIAL 0 colvIMIERCIAL 6 UST �IREES PROPOSED FOR REMOVAL: DIAMETER DL4,h1:ETERj:: SPECIES , 0 MITIGATION _gLTERIOR EXTERP R Diameter at Breast Heigwbt(D-B-R-)is measured at 4.5 feet above grade. To accurately determine v dipmeier,measure the trunk circumference and divide by 3.14. Diameter or multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately abo.ve the forks. Feb 22 02 OB: 19a Building Department 904-247-5805 p. 5 Ste attached diaornm for determination of interior and exterior zoves. 7. SITE PLAWFREE S1jTRXTY indicating: a,) Locaticn of topopuphy features such as h3lls and low areas. b) Existing and proposed structures. ghl of six inches or more. C) Location of all trees with Diam-eter at Breast Hei d) Tree species and sizes. marked with an e) Trees to be rernoved should be clearly f) T7-ees to be pTeserved on-site for mitigation must be -na:ked-,kith brackets placement trees marked v,itt a g) Locatior,size a—md species of ammy proposed new re circle"0". h Location of utilities and memcnt!;as applicable. Location of trees to be preserved on-site with barricading no*ed. S. ON-SITE REQUIREMENTS: ked on-site by RED flagging, a) A-11 trees identified for removal_NITJST be mar paint or tape. -site for mitigation ML,S1 be marked Aith 13LUE b) All trees to be preserved on flagging,paint or tape. c) The front property come-.s must be marked by stakes or paint indicating the Lot n%TAr-C11TT ES 9. *INCONTPLETEAPPLICATT()NI,� OD WILL NOT BE PR aM_U_D_. TICLE Il. I HEREBY AGREE TO COMPLY"WITH ALL PROVISIONS OF CHAPTER 23,AR TREE pROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES Of NANCES OF ATL.ANTIC BEACH. THE CODE OF ORD Applicani*s Signature Date 0,.Amer's Signature Date CITY USE—0N,'Ly- Date Tree :�onse vation'Board Chairperson Feb 22 02 08: 19a Building Department 804-247-5805 P. 6 TREE PROTECTION PROPERTY LINE PRiVATE P ,TrT ROTECTED 20.00' TREE JH � 6' OR MORE PRIVATE I PROTEC7ED I TREE 10 I- /- PRO-ERTY PRIVATE PROTECTED TREE D B H OF 20' OR MORE Cc M PROPERTY J, OF 10- OR VORE IN (D L/ PRIVA i E C LINE COVMERCIAL INDUSTR�� PROTEC7--D Lj > PROPERTY) TREE 7.50' ---�4LA I L-f ------------ - ------ PRIVATE PROTECTED TRE D, 8 H OF 6- OR MORE 20.1 00' PROPERTY lu IINE PROPERTY J14E ?—L SI-IEWALK SiDEWALK PuBLIC PROTECTED TREE 6- OR MORE (PUBLIC STREET) (PUBLIC STREEI A. PRIVATE PROTECT-PED TREE I. ANY TREE NNITH A 0 3 H OF; SIX (6) INCHES OR mORE LOCATED ON ANY LOT WITHIN 'TWENTY (20) FEF1 OF A STREET r% I�4E. f�.IGHT-OF-WAY OR REAR PROPE'TY 1 1, SIX (6),INCHES OR MORE WTHIN SVrEN AND A HALF (7.5) FEET OF ANY OTHER PRIVATE PROPERTY LINE AND ANY OTHER PORTION OF THE !.OT. (EXCEPT 10- FOR CoiAMER- iWENTY (20' INCHES WITHIN CIAL & INDL:ST'RIAL PROPERTY) IRY, C)PARTMENT 2. ANY CHAMPION TREE So DESIGNATED BY THE FLORIDA DIVISION OF FOREST OF AGR;CUL7URE. TED ,TREE B. PUBLIC PROTEC "TREE PLUS ANY TREE SIX (6) INCHES OR LARGER NMTHIN SAME AS FRIVATE PRCTECTED CITY RIGHT-OF-WAY. C. EXCEPTIONAL SPECIMEN 7REE RIVATE OR PUBLIC LAND DESIGNA—i:�D BY THE CITY COUNCiL AS A SPECIMEN ANY 7REE ON TREE. L Feb 22 02 08:20a Building Department 804-247-5805 p. 7 NOTICE CDF COMMENCEMENT G- WHOM 17 j\j,,A,( C'NC=RN� Tne undersigned hereby ir.-crms all car-,cernec. thzt improvernents wt. follcy4ing real, p.ropemj in acccrdar-c- \.vitn Sac-tcn 713.13 of 'L.ne �:�orida OF CONIMENCENI.ENT. ,nfcvmiatucrl Is staze--� ir it. -C Froperty Daschotior. 0- its -Acol �Zy) General Desc-- oticn of jr-,provertier Cviner Adcress� Owrier's interest in site of improvements: Fee Simple T-�tlle Holder(if azzner than owr.er, Name Address C c Acaress Surety (�f any) Amcur.t of Bond S Address 'titin t�,e State c' Florida desigriated ty owner upcn wt1cm-atices -r otl1wr Name of person w-1 cocurnents may be serve,�: Name Address In al-tclition Ic hir-setf, owner desigriates the following person to receive a copy of ttie Leinors 3.13!1)'F). Ficrida Stziutes. (Fill in ar Owne�s option'l. Ncbce as ;rcv;4ded in Secion 71 r�arne Adcress- er Sworn w anc sLtt-;icribed before me this day of P"Jor MELANIE A.HUMPHREY 4 1C 10�r Notary Pubk OMMISSION#DD 069943 EXPIRES:March 3,2006 N4, d-We4 Thru Nohmy N*WduwMm Feb 22 02 08:21a Building Department 904-247-5805 P. 8 IWW CITY OF Eeae.X goo RICAD .3p ACIL r-ORIDA 32223-64 �904)247-5800 FAX�904)247-6905 SUNCO'd 352-5600 C;"..Prra�R 48S, rLORIDA coN5TRU--nCt4 CONTFIACMNG' RrQUIRC��5 0wt4F-R/5UIL-Ww-`R To ^'--KNCWt 'rr'Gf-T-fie LAW: DISCLCSURE S�rATEMENT rCR SEC:11cm 489. 1 03(71. FLOR`10A STATUTE5' FS� (QU rtAVF -OR A PfRM' cv<,em CoKrp..A=-,-- _ ^pFw,;ED r Lt,w REOUIRtErD TO me C-Csw �yy u rp or- CUR TO ACT AS YOUR SrAl-e --4EMF'1ON ALLOVV-- You. As THe CVJN CCH--'T-RtjC-nO. �Ouqs�T-F'. - -HAT LAW -'r SLJPV:R�ls AL-50 -0 UmCER AN E:�EMP-10N I'a T OT HA".r-A�Jcr-'4sr- Y U M -fOU KAY 5UIL 0,iVN r-oRTK.C-.CR CIr-s 11-+IOUGHTCU Do N 0 rA.14rt-Y RtrSIDE"Ce -;#q A "'R" C)UTBU1f1f4-- YOUR OISE AJ40 yotj MAY CluIL.0 CR P'PROVE A ONE - OR T'0y OR LESS, 7"E E5. tfsz��� _-i_e tLz4mo A-r A C05T of, $2.5,0040,00 X 'NING You �— -- IMPIRCM1 A F3U I-6UkLT jeOR SALZ OR L�EAse. IF You s- OR LeASE:A-UIL- -r YOU au�L- -r f'oR 5.� OR CC"QAJ`A(--. T KAY NOrr a 15 T,-iE LAW Or.Ll- PRESUME -"A -TRACTOR. COPASTRU(7noN A�S YOUR CON -r�CKS - YOUR 'NrT11iN ONE YEAR AF R P-no". Yaw Sr, RCGL�L-k - t' �Z LeAsa, WHtc:-1 Z !N or THL EXE�m OADIWI- TO "He MUILr-4se- UIR DIST S-r^ll!: L-'Aw—Awo a-, ya"jR co"STRU=cs tAUS-r 5E C�C04E Ar-C 13Y -YOU �Avr jcx!�sr�s IR Rf:sP-ON51tskL--ry TO PAA4<F- SUFM THA-r pCOP, F' FMP OY OIN COUNTY OR 14UNTICIPAL �a "4 pmcpt�RTY WrIeN rr js rCR pcp'som-AL OR PrAmfl-y 0 ,L,.CW Aeq C%,NF-R TC iMPROVe 0 13, UNDER A BUIL-0,443 pr_pmrr AP10 PA-Is C)qVNANC:E3 ALS CC--r kAtNTEXANCE UNVeR $Z'OCO - V MO Lma5wmE F;!e0UIRjs ALL WORK (ex 5 .7rATFr5 OWINIV:CS FAAy P"-(SICA"y DC WORK T"WWsr-L L.isr' 'A, .hLi- NORM'0�- jhsPCCTjCNs. THC ol-cww4c OL�-R -DARMUT SUF-CRVISION Of'—15 OWNL ED!�:UC" WCFVKtZR$ Be UN DoeS NOT AL.LOW USe or PROVtO� r VVQRK IS IN P.Roapess By U14LJCENSED TRAor-S PEOPLE. AL.1.771!EA W"LL Umucr).SED =NTRAsCT'0As. CC~T�Ae?I(T SUC-r-C-'rM FO R_ WfM TO VV`O�TH L Y "I Re 'ANCr- po-jcy CLE.Apv PROTEC-- SINCZ:9 ^1 1 IK5LV X Be:pUC-,L,5eo U14DP-R THK HoMeOVINtS3 t4ot--Awo TAX AImcfcp WCLSKKR'5 CoWPE2"SAnCN *45UR-4C r-t4PL.OYr-SZ AND skiQULj )_so CMSERve IRS W�-� T".F OwsER. C,,,:tS "�S:Hrg,v"KERS KMRS T�ry EI�Ip._Cy 014 THEIR V14PROV�KENT FoRm I O`-rkQ R=LA`RE-HesTS �oa TV11F-WOR A14Y IRCU A aFjwr, suejec:T ENSED CONT'R A.Z.1CANNOT C 4-5-5-Z?-a(jj. AJ4 -no P"&A -C CDMFwreXCy� OR z FLOW;^ P_ -ry UHCW `r' -r(247- _KAL. _R FLOfkjDA STAr E.Frn FrLr �A7r R 'HYSIC ,e C"Nry' _LM-tio'4r:THIC BUILVING THr CYW4 SHOULD F tLLY C192TI-II91 ' TO A-S-CCAYA4H IF�x 58Z45) IF, IN DOUST. RE STA70'AE.N-r Aj'io THAT Comf-L-1 Wrrm)LL H^vE RMA.D THC Awcve DISCLOSU I hr-Rcsy ...cwLer-ce SUIL.MER Penwrr. RrOUIReMENITS rOR THE:ISSUANcr-Orr AN OWN'ti- OwNuveUILD 1415 Z-A51fll b�' DORE55 ;�TELEPHONF- DAY cr sWORN -.0 AND SUE�scRtem sEFofd'- -mF-Ts C�" NOTARY PUE3UC MY comm=10N, SCrrF- PHMASC_ UNE)CRUNF MELANIE A.HUMPHREY C 13UILWKC. Y COMMISSION -aED "T T'" ,Rg MY COMMISSION#DD 069943 S M M E p XPIRES:March 3,2006 B.,d T_N_.y P" wded Thru W&M PLtk Underwntm TELEPHONE CALL CONFIRMATION Conversation with: Bob Kosoy and Date: 2/26/02 Sonja Door City of Atlantic Beach Tel. No: -- Regarding: Atlantic Beach Residential Home Renovation Project No: Smith Renovation 1 . Dean Smith spoke with Mr. Kosoy regarding the verification for the topographical survey requirement (as indicated on Permit Application "Step 2). Mr. Ko I soy I stated that a survey is not required. The home addition and garage will match existing finish floor elevation. Mr. Kosoy stated that this telephone call confirmation was acceptable in lieu of a letter from his office. (Note existing grade elevations to remain.) 2. Dean Smith spoke with Sonja Door. She confirmed that the existing zoning is RS1 . By: Dean Smith 1345 Seminole Road Atlantic Beach, FL 32223 Distribution: Mr. Bob Kosoy — Atlantic Beach Public Works Sonja Door — Planning and Zoning o j t_J 0) 0 N r- z a s ."J L+ N O G O Q O 5 U v m .Q O A b w Z O /•y/ ,i 1a d'- O > G U] rtJ w •.•4 W w M - o , .-� ., N U U o x +, Aj o ,� - wen O a O Q as 0 � a V-1 4J r-4 10 s a 4J 0 41 ►a-� Afae � e `V o - +� O'Li•N \, 8'05 x V }� fC h7aL".r � ° 0.vu 41 41 IA 9 a N w V U Vv Q 8%l y� E O 04 a°) 1n a� v > A 0 OOx :j w WJ.1W NA, N to .G Rf O ii a Rf �I-P O II - ate = > 41 0 O OO -4 •.4 t7% U 61 � A RI E-4 R" OQ , tOq /r.3sor ,IIAZI 0 0 Q1 l.i +' a z v, >C G4 .t o te N N G1 '•+ �+ ea r0 'tf 'Cf d o x o -.� •.-� N O A � H � u C .r .-•f .+ a ti al 4 w0 Gw O .0 x a+ x •.� w O O E) LO � pG � tn a 0 . 4 16 [- a ,ica x � U N Ql 44 (n O s t7 A -c !-� N N a t4 Cl cm W Z W / Cl Sa ,O U rl a.+ u G d a G 41 -CA rz 1, a .Ui W ttnn %D z0 � to E CQ . [F� H N h N -4 OO w O rtG OO CO )I .-i z G m a. ~+ Cc F; a ULI) MM �v G e O Q k, U •a W H to 04 w CO4 W a to O � 4 ��•��OMv Q ►+ Ow aster •4 Wa c, O F- >, >, E-1 can O z x •-4 to t-4 N w441U r. M0 -14 co a W N r. ° O N 04 N .r a F W 9 -4 O ti ,O o p a m N 1G) O R+ O U o d .o M co .� o N m O r- H O w cN� E4 ro U .4 I rio V Z D 041) N . •' -N. ,'DLI � � V� n' � V 4940 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION ---- ----- PERMIT INFUHhATIU11 Address% 1345 SEMINOLE ROAD Permit Number: 4940 TA ess* ATLANTIC BEACH, FLORIDA 3223'_" 1 permit Type: MECHANICAL ---------- LEGAL DESCRIPTION -------- Class of Work : ADDITION Section; Constr. Type: WOOD FRAME Lot : Block* RNG: 0 proposed Use: SINGLE FAMILY Township: Dwellings; I Code: 0 $0. 0c" Subdivision: Estimated Value: $0. 0C Improv. Cost: $27. 00 Total Fees; $27- 00 Amount Pa:W z -/18/92 TI! ACF CENTRAL AIR CONDITIUN ---- APPLICATION FEES --- ----- - uwhl._I� ; �'i" 'J'i'MATION $27. OG 'W�j - PERMIT 00 0,ALN SMITH $0. 00 Name- WATER IMPACT FEE 1345 SEMINOLE ROAD W I Addre-�­', -- - s-EWER IMPACT FEE lld3c). 00 A'1*1,./,NTI,C "VkZACH, FLORI' WA7ER METER (90-1i641-0C,00 kj�L,u,14 GAS-H. R. S. $U. 00 - RADON GAS - 5% $0. 00 CON':-RACTOR XNFORMAT110N 10 WATER TAP $0. 00 Name : sHYDER HEATING & AIR COND. SEWER TAP $0. 00 Address: P, f�- Box 16826 HYDRAULIC SHARE $0. 00 JACKSONVILLE, FLORIDA 3224t� RE-INSPECT FEE $0. 00 Type: 3 SEC- H IMPACT FEE ., $0. 00 OTHER --�O. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE EBUILDING:M:ATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE U P:R U L AY BY EITHER CONTRACTOR OR OWNER CLEARED UP AND:HAULED AW ANICS' LIEN LAW CAN RESULT IN 66FAILURE TO COMPLY WITH THE MECH ING IMPROVEMENTS-55 THE PROPERTY OWNER PAYING TWICE FOR BUILDII vpLIDATION DATE: 02/18/92 . . O(L IT AW&PJECT TO FEWATION FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERM F $.00 0 PPLI L FLAW. CHANGE FVIOLATION OF APPLICABLE PROVISIONS 0 ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: 3 L yvl rxn- (f. --Fv-&f L�_�S LOCATION 5,e OF Intersecting Streets: Between An d 5 VA YVW'l BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance in accordance with the City of Jacksonville ordinances and standards with the attachLed plan, a"d specifications which are a part hereof and of good practice lis ted therein. A - Contractors )���� Name of Mechanical M aster h Contractor (Print) '5 (7 Nameof Property Owner I-T Signature of Signature of Owner Architect or En.ineer or Authorized Agent CrENERAL INFORMATION A, Type f heating fuel: IS OTHER CONSTRUCTION BEIN ONE ON ;7Ltric THIS BUILDING OR SITE 7 1 0 Gas—0 LP C1 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT 13 Other — Specify IV. M111CHANICAL E40UIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) [1"�Residential or El Commercial �/Hest 0 Space 0 Recessed 0__'1C_.ntn@I 0 Flow E New Building ee'�;r Conditioning: 0 Room B-.*'C'*ntral ff,"'Existing Building 0 Duct System: Material Thick— 21"Replacement of existing system usly installed) E New installation(No system previo maximum capacity c.f.m. El Extension or add-on to existing system E3 Refrigeration El Other — Specify 0 Cooling fewer: Capacity g.p_m. 0 Fire sprinklers: Number of heads.------------ 0 Elevator [3 Manlift 0 Escalator—(number) THIS SPACE FOR OFFICE USE ONLY [3 Gasoline pumps —(number) (Received) [3 Tenks.—linumber) Remarks 13 LPG conteiners.�(numbor) E3 Unfired pressure v*ssei Permit Approved by— Da 0 Boilers Permit Fee 0 other — Specify LIST ALL EQUIPMENT Ant CONDITIONING AND REFRIGERATION EQUIPMENT ("ALftauelity A roving Number Units Description Wodel Number Idanufacturer =cy rap DEPARTMENT OF BUILDING FOR OFFICE USE -ONLY C IT Date 196 ITY OF ATLANTIC BEACH, FLORIDA Permit #3ZS_�Fee $_6- A p Valuation pplication for Permit for HOUSE Miscellaneous Alterations, and Repairs 2L� it% S DESCRIBE:- A, F/9 1.Zc c,,!V A Z,-E?,Zl/c,, ?v (State if to repair', alter, add to or move building, erect awrrings, siq�ns,, tc- a _p Building on: Lot No.:kwQp,,_jj Blk No. Sub�Div. 5r1L41& MbZjN4 ,0N% 01 Address /- 3-�L57 �& Valuation $ 1,71geo =_ Owner 's Name Taxt-= E, BUILDINGS AND OCCUPANCY Building Use - Residential or Business 10� What Plumbing work to be done? /-140L)F- Ak_�,_SE AIA5,!g Size of Present Bldg. ;LcjC2. :!- Size of Extensidn /4-t Lot Size _L32--�,_175— No. of stories now J_af ter altered__L_Material of roof jSojLr-QP Material of Present Buildinghb,;c�,*�(zi4:C�,4"iMaterial I of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump_Type or Model Name and Address of Manufacturer In connection herewith, application is also made to install: gal. capacity tank (s) made by —of gacge metal (UnM or Above) ground. (Name of Manufacturer) (Inside or Outside) of building. For (Name of Purchaser) FURNISH DPAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting,banner) Material of Construction Illuminated? Type of illumination (State whether Lamps or Neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) IMPORTANT NOTICE: 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 Gccordance with the building regulatio t-hp- &OLE I LD City of Atlantic Beach. (Southern tandard Building Code) f, WPUILIW Signature of OvAner Address 1,3 1671) Phone No. -�:2,a( -8 DEPARTMENT OF BUILDING FOR 'OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date Fee $19 ----------- Perrit # Application for Permit Valuation $ for Misc. Alterations House # and Repairs DESCRIBE: y (state ff to repair, alter, add to or move building, erect awnings or signs . etc. ) Building on. Lot No. Blk No. Sub.Div. Address Valuation $ Owner' s Name t BUILDINGS & OCCUPANCY Building use Residential or Business What Plumbing work to be done'.;�_ Size of Present Blda. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) CO,Nlr-A IMPORTANT NOTICE-. DNTE, 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 building regulations of the City of Atlantic Beach. $outhern Standard Building Code) Signature of Builder or Owner Address one DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date --19 ----------- Per1rit # Fee Application for Permit valuation $ for Misc. Alterations House # and Repairs DESCRIBE: (state if to repair, alter, add to or move building, erect awnings or signs ., etc. ) Building on. Lot No. Blk No. Sub.Div. Address Valuation $ Owner' s Name BUILDINGS & OCCUPANCY Buildina Use - Residential or Business What Plumbing worR to be done7' Size of Present Blda. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRA14ING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawin klto reserve side) Comm- 93 IMPORTANT NOTICE-. 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 building regulations of the City of Atlantic Beach. �3outher Standard Build ' ,5t np C Signature of Builder �Ow er Q A A Address W 73X Al�l Phone , FOR OFFICE USE ONLY Date__y__J7..................197..1 Permit #_/-5`V.......Fee ...................... CITY OF ATLANTIC BEACH Valuation $ . . .............. FLORIDA House #......J., ..........LC.;� ......... .... ............................................................................ 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. Date......JkJ.6;P...... ..............1 19-7.1..... .............---------- t AOLF_10�_Dw...Telephone No.__2407_23. Owner --------------------Address-1 -------F -y-E-------I------- Architect...... ...... ...t>--------------Addressg��S_721n._,A ...AP.,14-,Telephone No.___7 Contractor Builder.-T-0 tt......Tue-00-7k—------------------------------Address....AN-------k&_af Jsq_A-._...Teleph*ne No.3MA-4170 one..........------ Lot NoA/'&y0-7' 4) t�_ �enj--------------------------------//......Block No.-/-----_-----------------Sub Division_.J-e,,ei"__—�-------------------------------- -------/- -----z ---------13+r------ *A10OLL-105-treet----------------- ---------Side Between-----------------------------------------------------and......................................................Sts. Valuation $. _rL7_1-t?---------For what purpose will building be used.... ------Type of construction----- Dimensions of Building----- ........Dimensions of Lot- -------_--------Size of Footings.---- .............. Size of ---------Size of ----------Greatest Sill Span in Type Roof------ - ---------------- How will Building be Heated?--- -------Will Building be on Solid or Filled Ground?-----hz_�Q4t k Z, AIFTIZ& Size of Ceiling Joists-!A-4__TOOVV�5........I Distance on Centers------- ...... Greatest Span.......z:r�.................. I------ Size of Floor Joists t5�4�46------- Distance on Centers.......... ................................. Greatest Span-------------------------------------------- Size of Rafters---------- ----------------- ---------- Distance on Centers..... ...... Greatest Span...... _1 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 ane specifications shall be submitted with application. 40,9rax) Inspections required. 1. When steel is in place and ready to pour footing. Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. -T I&X- 4. When framing is completed. 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. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. _P Note: In case of any rejection,re-mopection MUST be called for after corrections are made. NT F LOT 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 building regulations of the City of Atlantic Beach. Signatureof Builder... . ... ............................................... —------ Address---------------------------------------- .. ................................................ #0 Signature of Owner--' ........... Address........ &. ..,---------- permit ....Fee ��/------------ OC) TOWN OF A. TLANTIc BEACH Valuation $------- --------- FLORIDA House #,;m--- ------------------ ��%wbg... ---------------------- -------------- ---- APPLICATION FOR BUILDING PERMIT - --------------------------------------------------------------------- --1--------------------------------------------------------------------- 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 Town of Atlantic Beach, Florida, and-all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. rtain that all sub- The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to asee contractors engaged by him are duly licensed in the Town 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. /a � 4�-_37 ......................... 19----------- Date------/---------------------- -------------------Address.-----------------------------------------------------------Telephone No----------------------------- Owner----- ------ -------- 7 12167 ------ _t4Tn--------Telephone No----------------------------- ------­-----------------Address--- -7-- - ------ Archite - . 4!�� 1 .- -------Telephone No. Contractor Builder--- -------------Address/7c'7- --------Zone--------------- Lot No.)"," Sub Divisia --- ----------------- ---&Y-f-0-----------Block No---------- -------------- -Sts. reet ---------------------Side Between- --------------------------------- -----------and---------------------------------------------------- Valuati ed----- ------------------Type of constructio 161' on __,,_C,_(1_-Forwht purpose will building be us -----------------------2 Size of Footings-- ------- to Dimensions of Build I$---------------Dimensions of Lot--- --------------------------Type Roo ----------- Size of Piers-----------------------------------iSize of Sills---------- ----------Greatest Sill Span in ft. How will Building be Heated? Will Building be on Solid or Filled Ground?------------------- ------------- --- - ------------------- / if ------------------- " Size of Ceiling Joists---Y__�(---8-------------------------- Distance on Centers.---- ----;F�----------------------------- Greatest Span------- -A-- ------ 27 Size of Floor -----------------Distance on Centers.........- --------------------------- Greatest Span------------------------------------------- 17 Size of Rafters-----------*11d2l.,----------------------------Distance on Centers-------- --------------------------------- Greatest Span------------------------------------------- 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. Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. P4 0 4. When framing is completed. 5. When rough plumbing is completed,-and ready to cover up. 6. When septic tank drain field is laid but before it is covered. U2 7. Electrical jr-pection by City of Jacksonville. 8. FiW In. fiy rejection,re-inspection MUST be called for after ire made. FRONT OF LOT of permit given for,#Ding the work as described in the above statement, we hereby agree to perform said Vit attache lans and specifications, which are -a part hereof, and in accordance with the building 16an ic h. I _—-r — __ JX2 Ito' �4 --------- --- 4::::—------------ . .. ..... -------- 011 0— V --- - - -- ---- --- -------------- ----------------------------------------- 0002915 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH rrnnjT IMPYORMATrION LOCA710H IffrOft"A"Ll" Per milt Number i Z"j 1 11.1 Adaleas; 1-3qn nE"jN0Lr RiDAV Permit Type-. RE-Rour ATI-AffTZIC 1311rACtf, rLORXVA class CDIX Work% ftErAxn LMAL VE:"-%rR1rT10H r,onsltr. Type% WC30D FRAME Block* nectlon Proposec Use% 15THOI-E rA"XLY ToVnBbIPZ Dwellings-. I Code, 0 15ubC21v1s1on z frStimated Value% 5U. Or-) xmprov. Cost ,. Total reeB% Amount I*alc- net e--P-alcy z NERUVE -AWD tjwnEft IffrIORnATION APrLxCAT10" Home: LUCK1" 00ff*3TRUCTX0H lz4n "-E"TIMLE nfoAv WATER IMPACT rEE 00 ATLANTVC.' DEAC", 211TfEwEn IffrAUT rrE .50. 00 Phone% WATER METER 50. 010 RADON DAtn-H- R- 50. 100 -- ----- CONTRACTOR 1"rURnATIL" MADOM DA"- 150.*10 ARLTHUTO" "EACHCt5 R130rX"V3 WATER TAY' 4EPIC).00 ACCresB: TERRACE I�IEWZft TAr 150. 00 HYDRAULXC 15HARE 00 Type- U RE--jH*-"MT rME ,3ec. " inrACT rZr OTIMER NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJET& hED)CATION FOR VIOLATION OF APPLICABLE PROVISIONS O'F LAW. ATLANTIC EACH BUILDING DEPARTMENT By: j -71 0002914 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - - - ----- LOCATION In"KnxTrom AdCreoa% 201 NAUTICAL B06,LEVARD rermit Type% ATLANTIC MEACH, MORIDA 'f5ZZ'3 _jass O:r work: ftErAIR - -------- - LECAL DEISCHIrTXON C-oristr. Type: WoOD rftAnE Lot% Eilocki vNection: rroposed Use'- SIHOLE rAnILY TownshIP; Dwellings% I Codel. 0 Estimated value: Improv. cost : IZ10. IOU Total PeeS; 157. nU Amount raidi LA-1 jig UA wev:Fis Peso. A"D R%3"r- OWNER INMR"ATIUH 13*�*. tilo Name: WAKDRffr fleftnIT I 201 NAUTICAL BOULEVARD WATEM XnrACT rEZ ATLANTIC SMACM, F-LORIDA 232ZZ-1 WATER "ETZ" vo.On ftADUH MIS- It- 5. $0.On RADON UAIS $10. IOU CONTRACTOR WATER TAr, eo. 010 Name: bZAC"E;�! nrweft TAr 1$10. fat) ACdreSs: Cenln"T TERRACE HYDRAULIC ZHARE E!,U. JAICK"oHVILLIE, I-L. RE-l"PECT frEE !!10. 010 TyPel ?Irc. ti TnPACT rEE 50. V$V OTHER 1-50. NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE EBUILDING M:ATE:RIAL, R:UBBIS:HAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL:EARE:DUP 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.39 HICH ARE PART OF THIS PERMIjW.qjSUBJECT TO REVOCATION FOR ISSUED ACCORDING TO APPROVED PLANS W , I VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC B CH BUILDING DEPARTMENT By: sqvAteOF-S CITY Or' ATLANTIC BEACII No. qql� �"'q 1-e S APPLICATION FOR BUILDING PER[,IIT Owne Addresd j? mrl�A, 1&431_Y . Archite;c;t Addres6s zip Phone '_': __;iZ7 . r c ��� 5� zip,�K.?�/ _Phone e _s C 'Yaw ��)re Add e 82. $W/' Contractor's License Nunbe iration Date Copy on File Lot # Block or Section # Subdivision Loning Street BeLveen and side— Valuation Fype of Construction Purpose of Building Nuiber of Units Fireplaces Utility Service: Water Sewer If the City if I)rovi-di.ng wnter or newer service,' do we need to nolre taps 7 Ditimsions: BuildiligL_ Lot Size Footings SZ. Piers --Sz.. Sills— Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Nethod of Ilea titig--,Solid-Filled Ground Roof Flood Zone —If located within a FLOOD HAZARD conplete page 2 SUMIET: Wo co'114cLe sets 0.1 PIVI's, iticluding a detailed site plan. Florida Energy Efficien�y Code Sheets Recent Survey Inspections Required: .1- Mien steel is in place and ready to pour footings , 2. Mien steel is in place and ready to pour columns/lIntel. 3. Mien steel is in place and ready to pour beam. 4. Mien franhig, mechanical, Plutibing, electrical, fireplace is completed and ready to cover up. 5. Final inspection. No 'NSPECTION WILL BE ME IF BUILDING CARD IS NOT POSTED ON JOB SEIMCKS In case of rejection, reEnspection MUST be called for after Rear Lot Line corrections are made. It, consideration of peniiit given for doing the work as described in' the above stateffient, we H. ,liereby agree to perforiii said work in accordance 0 with the attached plans and specifications, (D w1iich are a part hereof, and in accordance 61 With the building regulations of Atlantic Beadi. rt J. 4fo,. �; 9/-5 CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address• W\ yt O I� Lot # Block or Unit # Subdivision Contractor: C �S Address: e 2 Phone: ' 7 State License No. (� 0 3�l'6a1 Describe work to be done: -il�� 10 p� Materials to be used: �Q Signature OWNER: Date: Signature CONTRACTS ` �� CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address— oy,-,4J 0 e, C T/OA) Date 3— P- 62-- Heated Square Footage @ $_per sqft = $ Garage/Shed @ $-- per sq ft = $ Carport/Porch @ $_per sq ft = $ Deck @ $_per sq ft = $-- Patio @ $_per sq ft = $ 0 TOTAL VALUATION : s 62600 , 21000 s �2- Total Valuation 1st $ JD/ 000 / 2 , 00 C) q--.? $ Remain' ing Value $ .00per thousan(9 "'y 0 portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE s WATER IMPACT FEE $-- IL/0. SEWER IMPACT FEE $ WATER METER/TAP $— CAPITAL IMPROVEMENT $ SEWER TAP (&f�) RADON (HRS) . 0050 $ SECTION H PAVING ( $— HYDRAULIC SHARES $ —0— CROSS CONNECTION $ (?3y) SURCHARGE . 0050 OTHER $ GRAND TOTAL DUE $ z(g.2- ADDITIONAL PERMITS OR FEES : Mechanical—, Plumbing__ Electric/New Electric/Temp_; SwimmingPool Septic Tank_; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : WATER IMPACT FEE WORK S14EET ADDRESS: /13 ell S 0 C- if DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, 6 bidet, and bathtub or shower Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain 1/2 E2 Floor drains Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder andlor dishwasher 2 Laundry tray (1 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 multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 lWater closet, public installation 6— TOTAL NUMBER OF UNITS MULTIPLIED x 20 TOTAL $ 4(0 Feb 22 02 OB: 21a Building Department 904-247-5805 P. B CITY OF goo 3E_NG;,j'0LZ ROAD ATI.',��C BEACIL f"_09M�L 32223-5445 TF " E' jy_PHO T �904)241-5800 Fp-v.�904)2473-6805 SUNCom 352-5soo TO STA-rJT-5- "A' 1 'rON:5MU-nCt4 r_OKTFtAcnt4G' 'rou'R" Owmestlsu-D" ,QKNCWt wnGE T?4Z LOW: DISCLOSURE 4;rATEMENT FCR SCK:rc" 489.103(7). FLoRICIA STATUITF-s' Z Ippw ..;f -OU— To 15E WSW 5Y UO� yoIj rtAv .0 MR A PVERM� L.w Rr Orr YOUR PMOPI-MTY' To AwCr AS YOUR srxm L'w. THS EXEMP"ON - ws YOU, AS r14C O*"ER P. Y A r. UNDER AN E:.ZMFM1ON TO Tt--T .,4ve A jCr.NsC. Y U 's I ILI so -t C0.1 YOU 00?"7T '1(CU KAY AL al"Loor OVON r OR A FARM OUTGUtLD'"" MCI _ONTp&pC- ,CR E*4r� -ro'40 FALmn-Y RESIDENCZ UST ea& F?Off TO YOU MAY auiLo CR ImPROVE A CHE - OR 00 on L23S. TME MUIk WHO w O"ALDINO Ar A COST Or' $25'00<) &A SUILDING YOU .Wje suILT YOURSELF' IT M�-f NOT 8, OUnLT rOR SALZ 0- LEASe' 'r YOU """'1*5 -r YOU autLr rT FOR SA" OR OC,�UVASCY- T,�,e: L,,w ,nt.L PRESUME—' G- ON IS -ONPLEM, mmt AS YOUR co--h-:T�RT R �'VtYmi4 ONE YEAR AP-1'-9 THe cossTRUC-1 Abo UHL q&hR9-0 -P-% EXEMF�TtOW, YOU-- L RMOULAT'CH5. t Is YOUR "�Asa' WHIC-1 Is !N nars -0 C Asr- z "ISO UIRF-2-VY--s-r-"-T—v Lj� YOUR CO"STRL—'ON 'JE DONE YO� RE5,ON51t%L�YY TO MA-AV- -�AJN`C T"^r OU f OR UNICIPA I ch I R I N'A"N 'm"Ove THCTFW Owk PROPeRry WIIEN IT 15 rap peRSONAL COR PAJ"'Ly aqvkAmaeS ALsO.*LL.Cw AN OWNWR TO $Z,OCO; ge UNGER A OUIL.DING pr_'�rJ4"AND y I',' C._r MON_ MMMC, U",, viORK TMENSeLves; WWZF'S , P,�,C M'0 Low—';�ECU-e—11 %LLy Do OwkCA' —0" THE f;CjNj-CC -STATE3 0 OF r supep"SION Cw T"Lo UCH 0VCfqKLRs BE U14 �q wpap= r OorZ MIT AI-LJOW USE or .......E2 W014W R- I- am TFt^Or-S PEOPL&" -RF By UWLJCZNS tl,LE WORK 15 IN P-y- -S Ire I, r MI RE. -1 VIZ BUILDING -y THE To WC'KZ"S F.O,.Jcy CA.Z.AALf PROTV 31--r-0`�"T'3 cc U"GeIq THIC M`c-r-ow" MOLDING T-'-01C' Y4osKVJR 5 aC5LW,�,,CZ Or PUFtC"^S . ^No 5mOULZ A-L-SO CzszR'C IRS wrrm M15M"g' -r-ototr rMPLOYT-M V�CRKMS BE, - T-60Cs- TV-1f. JVOFkKJ--FLS-- -PLOY 0"T'� Ommens BEING SUG-JeCT T a EMF"--OYF " . . is Ir AD rxsgo CO No, AJ4 pwN^Lre UNCER FI-0040A r O� MF MYSIC-M-1-Y SCE r1I_ Cotj%,rr TV _THIe SUIL0,"o 0Cp^M-ftwcr tZ47 THe OWNER SHOULO " 14 IS A O"r14'CTO'4' Lgr"O"r CMN,FICATM" TO AS0&FW1Q" tor A PE'RSO 58ZA5) 114 ocugrr, �-�Ve nVAD-rHe Awcve DISCLOSURE STATE3�AEW ANO Y'-�T 0,,Fmy vlrr"P" t.�C:sy�Cs"awt_f=e--M�T I rOR THE ISSU^NCZ OWNIF-=4SUILD DORESS OM '-)rl -,10 AND SUE�SCRIeF-D SEF DAY GF t4()TARrY PUWLIC My COMMj=I0t4 1-4 CrrE- p"p.^Se-- U1404LRUkCl2 ANOVe W M 1E A.HUMPHREY ARE CMP"A�"ZED 8-Y T4F- SUILDIING All My COMMISSION#DO 069943 EXPIRES:March 3,2W6 Bonded Thm Notary Pubfic Underwriters ITY OF ATLANTIC BEACH C 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00000071 Date 2/02/09 Property Address * * . . . 1345 SEMINOLE RD ON/ALTERATION Application type description RESIDENTIAL ADDITI Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . ----1100------------------------------ --- --------------------------------- ---- Application desc NEW CONCRETE PATIO -------------------------------------- ------------------------------------- Owner Contractor-------------- ---------- OWNER SMITH, DEAN S . 1345 SEMINOLE ROAD ATLANTIC BEACH FL 32233 --------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X -------------- ----------- ----------------------------------------- -------- Permit . . . . . . BUILDING PERMIT Additional desc - - 40 . 00 Plan Check Fee 20 - 00 Permit Fee . . . . Valuation . . . . 1100 Issue Date . . . . Expiration Date - - 8/01/09 ---------------- -------------- ------------------------------------ -------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ----------------------- ------------------- -------------------Paid Credited Due Fee summary Charged ---------- ---------- ----------------- ---------- . 00 . 00 Permit Fee Total 40 - 00 40 - 00 . 00 Plan Check Total 20 - 00 20 . 00 . 00 . 00 Grand Total 60 - 00 60 - 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. of-L6t14- contained in Deed Book 1762, Block I, Se!lva Marina Unit No- 1, kdbiO�Ia.'Eq-it-.'Ehilivif .AIR �A�-.Sank 23, Page of the current C bf-.jj0,a­vaI CIO `.tz thia Office) % A� Date: November 26, 1991 20.' �V Al 0 4 e w 7 -'A 7 -,71 iw IW& *7101Y' Aele/AO IWWWe V Le 2 �;Y Of AtIlar.- The ppq�arty shown herech (Outlilde-this 500. Teak% flood' Sij-A 'FI as dtt- d Iroin the 14ap, tjj.�-.df AtLantLc Co*mAiiii-ty.-pialiel:fjo. 120075�000=, 40" *W11. 17' A4V Atf i* tOa- Dow S. S.#1h. Jan R.ItXft - FirO AsLeriess.nt;L.-I'Aux" Coidpay, Borr';att,zko M* siriiu.-Vi,� & I=. Offices - 'MAT TBIS SURVE;:'IMEEts TRE Itw0vowft Gordon. so r.,L.b. so. Aln DeGROVE LAS,-INC. 36 t�i� .Jac 3e,Ylarlds!37,23ff �0 V Z \v • �7 LI • • V � Q c� AV CITY OF ATLANTIC BEACH 09- -L—LJ—LJ Boo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILD ING-DEPT@COAB,US BUILDING PERMIT APPLICATION,, DUVAL COUNTY 2-VALUATION OF WOf F.UNDER ROOF '3UILUIN� I.JOFBADDRESS: 5 - r- —0�k P (Z- -5 e- 1 r, jAlt, dI L r— 5.CLASS OF WORK 1 6,USE OF STRUCTURE: �L S, I 'RESIDENTIAL F4-LEGAL DESCRIPTION: 0 NEW BUILDING 0 DEMOLITION I El CONVERTING USE 0 r ON A D 0 CONVERTIN 3 USE COMMERCIAL BLO S E] CC SSO Y 11 0 ADDITION Ll r-t BLOCK SUBDIVISION `5 0 LT TO 8.FIRE SPRINKLER: OT— 0 ALTERATION 0 ACCESSORY BLDG. C 'P'O WO 03 POOL i SPA 'A 7,DESCRIPTION O�F WORK: U REPAIR El YES 0 No MOVE -0-OTHER C, A ZCHITECT I ENGIN PROPERTY OWN:-R: 15.COMPANY NAME ONTRACTOR* 23-COMPANY NAME: 9.NAME: A-- li- 16.NAME: 24.LICENSEE NAME: 1AA 17.STATE OF LORIDA LICENSE NO.: 25.STATE OF FL 10-ADDRESS: Li li�-vvL k ev C-)L-,r-- 26.ADDRESS: t— !8.ADDRESS: 11.OFFICE PHONE' 12.FAX NO.: 19.OFFICE PHONE: 27.OFFICE PHONE: 28.FAX NO.: -Z- -72--;'o 21.CELL PHONE: 29.CELL PHONE: 13.CELL PH E: 70- - 2'.EMAIL ADDRESS: 30,EMAIL ADDRESS: 14.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: 31.NAME: (IF OTHER THAN OWNER) 33.NAME: 35.NAME: 32.ADDRESS: 34,ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this d within six(6) months, or if construction or work is suspended or jurisdiction. This permit becomes null and void if work is not Commence te permits must be secured for abandoned for a period of six (6) months at any time after work is commenced. I understand that separa Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 11 work will be done in Compliance with all applicable cert'�that a"the foregot t'on and zoning I will not 0, t of 0,.up . _y or Como r OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that a renced building or any part therof,until all inspections are finaled and I laws regulating construction and zoning. I will not occupy or use the refe I prior to obtaining a Certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: r.f,f"on A rll MMENCEMENT MAY RESULT IN YOUR YOUR FAILURE TO RECORD A NOTICE OF CO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. MIM 1A CONTRACTOR OWNER or AGENT (Qualifier Only) (if Agent,Power of Attorney or Agency Letter Required) �nt Date: <> 'j—', Signed: Date: Signed: day of 2009 in the county Of d y of —1'67n Before me this day of 2009 in the county Of Before me this Duval,State of Florida,has personally appeared Duval,State of Floricip,haeersonally a, ared Fpe. I 1henn by himself,herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and c..ate. true and accurate- County Of_ Notary Public at Large,State of County of�V4� Notary Public at Large,State of 0 personally Known 0 Personally' 0 Produced Identification- JJ/roduced Id ".on- Notary Signature: Notary S ignature: HliZ Y L HAM Notary Public-State of Florida ��ily Commission Expires Feb 14,2010 Xu C n I PIP8121jg33 0 M M I S�"PED:1 BL O� itional Notary Assn. City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road �)�- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)?47-584 ed: zh '9 1Vj'J9 E-mail: building-dept@coab.us Date rout City web-site: hftp://w\tvw.coab.us APPLICATION REVIEW AND TRACKING FORM De ent review required Yes No bildi Property Address: Akg nnin zdm9inistrator= I '',V V i ''I r7ks5� Applicant: /Z JJB--!7- __ 9 tL) 0 a OW 7S_ Ic U1 fities-) Project: _ EP_ub:Vlc::S:afety I Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS r-M Denied. Reviewing Department First Review: FlApproved. L& (Circle one.) Comments: QJ !F_ �Or/#U 6 07- BUILDING PLANNING &ZONING Reviewed 2by: Date: TREE ADMIN. �774/� PUBLIC WORKS Second Review: Approved as revised. DDenied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Revievil: FlApproved as revised. [-]Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00000263 Date 2/24/09 Property Address . . . . . . 1345 SEMINOLE RD Application type description ROOF PERMIT Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc roof repairs ---------------------------------------------------------------------- ----- Owner Contractor ------------------------ ------------------------ SMITH, DEAN S . AXIOM CONTRACTORS, INC. 1345 SEMINOLE ROAD 4773 LENOX AVENUE FL 32205 ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 981-9882 ----------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc - - Plan Check Fee . 00 Permit Fee . . . . 42 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . - 8/23/09 ------ ------------------------------------------------------------- -------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 01 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB,US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2,VALUATION OF WORK 11 SQ.FT.UNDER ROOF J' 4.LEGAL DESCRIPTION: 5.CCASS OF WORK: 6.USE OF STRUCTURE C1 NEW BUILDING El DEMOLITION ElItnIDENTIAL LOT—BLOCK—SUB DIVISION El ADDITION 1-1 CONVERTING USE 11 COMMERCIAL 7.DESCRIPTION OF WORK E3 ALTERATION El ACCESSORY BLDG. 8.FIRE SPRINKLER 2-IrE-PAIR 11POOLISPA 0 YES E?NTA 11 MOVE 0 OTHER 0 NO PROPERTY OWNEIt CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: a4)n t--n 19XCCMPANY NAME: 23.COMPANY NAME 16., E- 24.LICENSEE NAME A, 4poc'�-. "' 10.ADDRESS: 17 TATE OF FLORIDA LICE N;E Nd. 25.STATE FF��.IDA LICENSE-NO.: Li y\6A I�- ' (-(- 1�0� 18.ADDRESS: 411,15 Levv-�--4ve, 26.ADDRESS: 11 OFFICE PHONE: NO,: 1 OFFIC4 PHIN�,, 12b.FAX NO.: 27,OFFICE PHO 28.n.: _1 --7,)dd 4d q 13.CEL 21.-CELL PHONE: 29.CELL PH wo — �? 5 1 'Plf 14.EMAIL ADDRESS: 22-EMAIL ADDRESS: 30,EMAK ADDRESS a,y0v'o FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OMER) BONDING COMPANY. MORTGAGE LENDER: 31.NAME: 1 33.NAME: 35,NAME, t J UZ: 4 1�I '-, I - 32.ADDRESS: 34.ADDRESS: 36.ADDRESS I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (if Agent,Power of Attomqy or Agency Letter Required) Q4ualifier Only) Signed- Date: lo- J -7 Signed: D.te� /4y of Before me t day of 2009 in the county of Before me th ay of FC'b(V'%" —2009 ir�the c6u Duval,Start of Flo has personally appeared Duval,State or Florida,has personally appeared Drwe,5 Or,.,4-s L-a��e— herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State ofFL County of Notary Public at Large,State of PL County of jDvV09 13 Personally Known 11 Personally Known mp-r,oducedidentification- Dfwe-� it-tce4tse- BlIp'.ducedIdentification- Notary Signature czet -1 Notary Signature: CHAD L:EWIS 0.......... T V#DID 826493 BLDGA01 Pe"ftApplll i6l' J&D LENS MY COMMISSION#DID 826493 M r28 0 K?Y&'MMISSION#CID 826493 0 i,'" EXPIRES:September 28,2012 0 EXPIRES:September 28,2012 f SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD k� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000883 Date 7/09/08 Property Address . . . . . . 1345 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc INSTALL FOUNTAIN BASIN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, DEAN S . OWNER 1345 SEMINOLE ROAD ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 1/05/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. IF THE SUBMERSIBLE PUMP IS A CHORD AND PLUG TYPE OF APPLIANCE IT MUST BE PLUG INTO A WEATHER PROOF GFI RECEPTICLE. WE WOULD ADVISE THAT A LICENSES ELECTRITION PULL A PERMIT FOR THE ELECTRIC APPLICATION OF THIS PROJECT Avoid damage to underground water/sewer utilities . verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A Reduced Pressure Zone Backflow Preventer must be installed on the Customer' s side of the water service . Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due PERMIT fS7,i-PP1�6-VE-6-CiNfLf N-XCCbRDAMCE VITIT A1717 CITY'OF-ATr7A-NTrC-BEACff ORlDrINANCE9 ANDr THE-FLORIDA- BUILDING CODES. I ,Ly CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 19 Page 2 Application Number . . . . . 08-00000883 Date 7/09/08 Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach Building Department APPLICATION NUMBER FFTobe a�ssigned by the Building Department.) 800 Seminole Road ig Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 oji19' E-mail: building-dept@coab.us Cityweb-site: http://www.coab.us Date routed: ADDI 1r_AT1r)N REVIEW AND TRACKING FORM Property Address: -Department review required Yes No Building Planning &Zoning Applicant: a Vt IM, Public Works Public Utilities Pr j Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of P rmit rif Date of Permit Verified By Florida Dept. of Environment�al Protection Florida Dept. of Transportation St. Johns River Water Management-District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and-Tobacco Other: APPY�;ATION STATUS Reviewing Department First Review: [�fApproved. F�Denied. (Circle one.) Comments: j6p- 'y()Re- That 4jP)jc0A7L_N- Sre-& BUILDING 4-kie co­ripu �er pronf -oof. A,7 PLANNING & ZONING OY PUBLIC WORKS Reviewed by: /r Date: -7 PUBLIC UTILITIES Second Review: DApproved as revised. F-]Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: [:]Approved as revised. F-]Denied. Comments: Reviewed by: Date: �01( Vxo(n 14P4 jmp, Ck-4 -,, 5"R;j9 ,,,r i -�Cm OVU4, CITY OF ATi-ANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233 OFFICE:(904)247-5P?6 9 FAX NO.:(904)247-5845 BUILr)INCI DEPT0-CQAB US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS. 2.VALUATION OF WORK 13,SO FT UNDER ROOF 13 4�5 -5 1�410 1 At-0 1 7--�, �: 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6 USE OF STRUCTURE. 0 NEW BUILDING 0 DEMOLITION WRESIDENTIAL BLOCK SUBDIVISION 11 ADDITION 0 CONVERTING USE 0 COMMERCIAL 7 DESCRIPTION OF WORK: 11 ALTERATION 11 ACCESSORY BLDG 8.FIRE SPRINKLER: D REPAIR El POOL I SPA 0 YES N�N/A /V N' I tj [I MOVE XOTHER 11 NO FRoPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15 COMPANY NAME 23.COMPANY NAME O�,14-, S A i,L- I&NAN: 24 LICENSEE NAME 10.ADDRESS: 17.STATE 0 ORIDA LICENSE NO.: 25,STA I E OF FLORIDA LICENSE NO: -1 '3 j 60 D 0 13 0�, —��- Q-9 -i I/ 18.ADDRESS 26.ADDRESS: , f 17 ' 3 1-14 3 J! 4-1 11.OFFICE PHONE 12.FAX NO. 19.OFFICE PHONE: 20,FAIX,�� 27.OFFICE PHONE: T77777 1- q 7- --7 2-t�'I I I 13.CELL PHONE .7 0-7 - 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22 EMAIL ADDRESS: 30 EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33 NAME 35 NAME: 32.ADDRESS: 34 ADDRESS 36 ADDRESS Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (if Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Da Signed: ate: Signed te: v-rJ— 20*in the county of �re Before me this :9L day of Bela me this..:2-7—day Of �j ir�. 2007 in the county of Duval, f Florida,has personally appeared Duval,State of Florida,has personally appeared � / _ ;? sl; ;Q Al -�ffi 'fljL/.��C herin by himself/herself and affirms that all statements and declarations are herin by�ir��ff/�erself and affirms that all statements and declarations are true and accurate. -- true and accurate. Notary Public a;ta"rge,State of County of Notary Public at Large,State of ;X unty of —1 � 0 all nown 0 Personally Known — Identificab CaPn5duced Identficatiop- Frol"on lotary SignatuQ 4 Notary Signatu SHIRLEY L. GRAHAM DFORCODECC ckertsen No tary Public- State of Floridj Twig .Wicp eommission Expires Feb 14,2( 0 CITY OFkrLAN 't-WAO ission# D430306 SEE PERMITS FOR A By .2009 ....... ....... commission#DD 518533 t�pires May tional Notary A D Bonded By Na REQUIREMENTS AN FILE CO A REVIEWED BY: DATE: limit' t V \\, jf� \ \ \' t �`♦� { a >�n r I1 i --r- r 1 APPLI CATION-NUMBhK_ trt]ment) City of Atlantic Beach L77'�4�_ gned __Oep 11 JNJ- P� (To be assigned by the Buildin artment.) Building Department :7 800 Seminole Road Atlantic Beach, Florida 32233-5445 - Fax(904) 247-5845 Phone(904)247-5826 t routed: Djate 19 E-mail: building-dept@coab.us it City web-site: http://Www.coab.us ADDI I.C,&TIONIREVIEW AND TRACKING FORM Department review required Yes No Property Address: r'-Val— Building Planning &Zoning _j a� Public Works Applicant: Public.Utilities .Projec:t svc Public Safety %FireServicmes Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. on Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: nApproved. FIDenied. (Circle one.) Comments: U� <:�5_ 1_6 ev'ewing Depa e one ment F C irst Review omm ts. PI en: V (C rc BUILDING I &Z I PLANNING &ZONING Date: r Reviewed by: ------ PUBLIC WORKTS -IDenied. PUB.LIC UTILITIES rSecond Review: nApproved as revised. F Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date:______� Third Review: F'-IApproved as revised. DDenied. comments: Reviewed by: Date: P(o 1,0-74 4�r 1404 1 me, a�--isk CITY oF ATLANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFjgCE_(904)247-5825 e FAX r40-1904)247-5845 BUILDING-DEPTQC0AB.US BUILDING PERMIT APPLICATION DUVAL COUNTY_ 1.JOB ADDRESS. 2.VALUATION OF WORK 13.SQ.FT.UNDER ROOF A-V 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.-USE OF STRUCTURE 0 NEw BUILDING 0 DEMOLMON ErRESIDENTIAL -V%A9-#r' A El ADDITION 0 CONVERTING USE El COMMERCIAL 0111 BLOCK SUB DIVISION SPRINnER-' 7.DESCRIPTION OF wORK- 0 ALTERATION 0 ACCESSOIRY BLDG. 8.FIRE 0 REPAIR 0 POOL/SPA 0 YES JIMA A 0 MOVE XOTHER iAlaEMINEER: PROPERTY OWNER: COMTKAUIUK: AIRUHI I k: 23,COMPANY NAME: 9.NAME: 15.COMPANY NAME 16.NA 24.LICENSEE NAME ,A ORIDA LICENSE NCIL: 25*STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: ,-1 5 S. 26.ADDRESS: 13 '/ -3 600 0 ADDRESS- 1? 13 �24 11.OFFICE PHONE 12,FAX NO- 19.OFFICE PHONE: 120 NO.- 27.OFFICE PHION���. 'Z i� 2 -7?-<;,.; 1 21.CELL PHONE: 29.CELL PHONE 13.CELL PHONE .7 0-7 15 Lq - i,&',r;;L?-- 14.EMAIL ADDRESS: EMAIL ADDRESS: Ju.LIVIAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONEXNG COMPANY: MORTGAGE LENDER: 31.NAME (IF OTHER THAN OV�NER) 33.NAME: 35.NAME —32.ADDRESS: 34,ADDRESS: 36.ADDRESS: —Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to Meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate penTfds must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners.etc. with all applicable OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance laws regulating construction and zoning. I will riot occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (it Agent Pawer of Attorney or Agency Letter Required) (Qialifier Only), R'w�y -) /I 61 (2- Signed: I f Signed. Date i 2 in the county of Before me this-22—day of Cj 2007 in the county of Before me this day of J,(�� R 6 Duval,State of Ronda,has personally appeared D:1. te=ofFlorida,has=personally appeared / �/ herin by�ims�eff/lierself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and deciarations are true and accurate. true and accurate. Notary Public at Large,State clf-Y&Lik��-ty of N�tary Public�Pearge,State of County of --- wn �47 0 Personally KrKwvn & & rsona 04-1�med IdenUfffication,- Identificab oduc Notary Signature: Notary Signa SHIRLEY L. GRAHAM W-A,'� Elizabeth A-gickertsen Notary Public-State of Florida 00ABIFORM (;ommission#DD430306 ommission Expires Feb 14,2010 May 16,2009 Commission#DD 518533 EXP11`66 "all" Bonded By National Notary Assn. - — — — — —1 = . 1� t i U � v 77 � C I �I 1 lI Irl PREPARED 5/02/03, 8:27:32 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/02/03 ------------------------------------------------------------------------------------------------ ADDRESS , ; 1345 SEMINOLE RD SUBDIV; TENANT, NBR: INSTALL 13 FIXTURES CONTRACTOR TRIPLE "S" PLUMBING CO., INC. PHONE (352) 473-0083 OWNER SMITH, DEAN S. PHONE PARCEL 171897-0000- - APPL NUMBER: 02-00025263 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PBRMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTf -------------------------------------- ------------------------------------------------ 42 01 12/05/02 LJH PL ROU08:00 12/10/02 AP TERESA083 45 01 5/02/03 LJ PL FIN08:00 �� _ _ 352 47ER & SEWER - - --- -------------------------------------- COMMENTS AND NOTES -------------------------------------- O2 at L,��a JCITY OF Office of Building Official ►�Ib� REQUEST FOR INSPECTION Date Time ^l1 1S Permit No. Received + 'C�— A-M Job Address Owner's Locality Name e c� G Contractor �IC - Er14 / S4S 1 7sL Vri CONCRETE � _—1 (EI:- MBING CHA Footing ❑ Rough WiringRou�ing ❑ Slab ❑ Temp Pole ❑ R Out Air Cond. & ❑ Insulation ❑ Lintel p ❑ Heating Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wim_, Thurs. Friday pM; Inspection Made A.M. PM. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date PREPARED 3/03/03, 7:53:57 INSPECTION TICKET CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS PAGE 1 - ATB 3/03/03 -------- ------------------------------------------------------------------ ADDRESS . : 1345 SEMINOLE RD TENANT, NBR: NEW ROOF&RE-ROOF EXISTING SUBDIV: CONTRACTOR AXIOM CONTRACTORS, INC. PHONE (904) 981-9882 OWNER SMITH, DEAN S. PHONE PARCEL 171897-0000- - APPL NUMBER: 03-00025550 ROOF ----------- PERMITPERMIT: ROOF 00 ROOF PERMIT T--------------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------- ----- ____________________ 17 01 3/03/03 LJH BD SHEATHING TIME: 13:00 -3131Q- - -!�-_ 545-1752 -------------------------------------- COMMENTS AND NOTES -------- ------------------------------ PREPARED 6/06/03, 8:18:08 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/06/03 --------------------------------------------------------------------- ADDRESS . : 1345 SEMINOLE RD SUBDIV: TENANT, NBR: CHG EXTG OVERHD TO UNDRGR CONTRACTOR VILANO ELECTRIC, INC. PHONE (904) 641-086 OWNER SMITH, DEAN S. PHONE PARCEL 171897-0000- APPL NUMBER: 02-00025279 ELECTRIC ONLY ------------------------------------------------------------------- PXRMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DES IPTION j TYP/SQ COMPLETED RESULT RE LTS/COMMENTS ---------------------------- ---- ---------------------------------------------- - - ------ 22 01 /06/03 LJH ROUGH TIME: 17:00 --- M OR PM 641-0868 -------------------------------------- COMMENTS AND NOT - ------------ - - -- ---------- �, CITY OF f4,tl a4.c /3e�,li-�latsc Office Of Building Official REQUEST FOR INSPECTION\ �c Date _ Time Permit No. Received A.M. J P.M. Job Address , Owner's Locality Name BUILDING Contractor _ / 7�� CONCRETE ELECTRICAL ` Framing PLUMBING MECHANICAL Re Roofing Slab ❑ Rough Wiring Rough ❑ Air Cond. & Insulation Temp Pole g ❑ Lintel ❑ Final Top Out ❑ Heating Sewer ❑ Fire Place Tues. READY FOR INSPECTION Pre Fab ❑ Mon. Wed. Thurs. A.M. Friday- Inspection Made 11' �f.' A.M. Inspector ��i P.M. Final Inspection ❑ Certificate of Occupancy ❑ Date n�/ll���������� CITY OF TY&4a,{,C h?" Office of Building Official REQUEST FOR INSPECTION Date �:2_ - 2 -C!, 3 (� Time A.M. Permit o. Received PM �T S eE7 lf(/�Vd < Job Address Locality Owner's Name Ljt�t% c) G'7 (T(L1�-- f Contractor BUILDING IF ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑Re Roofing ❑ abmg Rough Wiring Rough ❑ Air Cond. & r_ Insulation ❑ Lintel ❑ Temp Pole Top Out ❑ Heating ❑ Final Sewer ❑ Fire Place READY FOR INSPECTION Pre Fab Mon. �s-- Tues. kf-4-� Wed. Thurs. ----- A.M. Friday PM Inspection Made 1� 0 A.M. P.M. Inspector Final Inspection C; Certificate of Occupancy _ Date CITY OF co\q v 4&4n& Bew4-j9 Office of Building Official REQUEST FOR INSPECTION Date 00 Permit o. Time A.M. Received PM. 13 L/ Job Address Locality Owner's , / Name ��`l1 Contractor �/ "� O BUILDING CONCRETE ELECTRICA PLUMBING MECHANICAL Framing ❑ Footing ❑ Roug Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Insulation ❑ Lintel C. Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. ^ Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF 5"' I 'Z riK a4c /3e4c.4-A;&u-c rs Office of Building Official Q REQUEST FOR INSPECTION q Z� Date ` L Permit No. Time A.M. Received P.I �3 Job Address +k---\ ' Locality Owner's 4!:71 1—F-i� � Name l ' \ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY F R INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday r A.M. Inspection Made Q� P.M. Inspector A J IG Final Inspection ❑ r I R Certificate of Occupancy ❑ �� Date PREPARED 8/13/03, 8:18:54 INSPECTION TICKET PAGE 12 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/13/03 --------------------------------------------------------------------------------- ADDRESS . : 1345 SEMINOLE RD SUBDIV: TENANT, NBR: GAS PIPING 60 GALLON TANK CONTRACTOR WESTERN NATURAL GAS PHONE (904) 387-3511 OWNER SMITH, DEAN S. PHONE PARCEL 171897-0000- - APPL NUMBER: 03-00026588 MECHANICAL ONLY ----------------------------------------------- ---------------------------------- PERMIT: MECH 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ ------------------------------------ 32 01 4/1 /03 -L�k� ME ROUGH TIME: 13 :00 PETE 387 3511 -------------------------------------- COMMENTS AND NOTES -------------------------------------- A1� � CITY OF-0;&U-Z& Office of Building Official REQUEST FOR INSPECTION Date � Permit No. Time A.M. Received P.M. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re R' Ping Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulatio Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READYINSPECTION A:M: Mon. Tues. Wed. Thurs. Friday `f .(, Ve A.M. Inspection Made '�1 �1 P.M. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date