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1420 Seminole Rd (vault) r" .ADDRESS BUILDING PERMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING (� /0-2- gXLAE FOAM I:T G COVEP•.-UP �4 " INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT INSPECTIONS ROUGH l 9 / -" FINAL MECHANICAL PERMIT PLUMBTNG PERMIT # 56 9 � NOTES- : c3vi kAQ Wl� T�D CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000380 Date 3/24/09 Property Address . . . . . . 1420 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc WINE CLSET IN GARAGE ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MUSSER, BETTY OWNER 1420 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 . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 9/20/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09- •a;; � 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILD ING-DEPT@COAB.US PERMIT APPLICATION DUVAL COUNTY BUILDING P 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF ALR✓A 4.LEGAL DESCRIPTION: - 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING 11 DEMOLITION PRESIDENTIAL ❑ADDITION CONVERTING USE ❑COMMERCIAL LOT a BLOCK _SUBDIVISION �G LV A' f•U"11(_.I�ll� B.FIRE SPRINKLER: 7.DESCRIPTION OF WORK: - El ALTERATION ❑ACCESSORY BLDG. n, _� _ �-� El REPAIR ❑POOL/SPA El YES ON UU�L_�(til 1 L V 1-k' L),AJ&41`- r[IElMOVE OTHER '❑NO �� CONTRACTOR: ARCHITECT/ENGINEER: PROPERTY OWNER: 9 NAME 15.COMPANY NAME 23.COMPANY NAME: s�A-7iLlLs 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: L4 ac.) �I l } 26.ADDRESS: 18.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAILA DRESS: 22,EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER:- BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) rApplication .NAME: �1�� !7- 33.NAME: 35.NAME: .ADDRESS: �'-! 34.ADDRESS: 36.ADDRESS: is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has ommenced 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. *�r1r 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 OBTAIN FINANCING, ITH ® UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 0 COMMENCEMENT. CONTRACTOR OWNER or AGENT (oualiferonly) (If Agent,Power of Attorney or Agency Letter Required) { I I Date: Signed' C 2 �ALL _ D. Signed: Before me this�_day of I(:.�� ,2009 i the county of Before me this day of 2009 in the county of Duval, f Florida,has personally appeared Duval,State of Florida,has personally appeared I 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. rue and accurate. Nota Public at Large,State of ,County of Notary Public at Large,State of ,County of Notary El Personally Known ❑Personally Known - - [I Produced Identification- oduced Identfiicati Notary Signature: Notary Signatur ,:J�`'pY PV•• N puha; StBte`of Florida REVIEWED FOR CODE COMPLIANCE 2;�•"'My ;,res Feb 14.2010 i" CITY OF ATLANTIC BEACH ;FOF Ass i ' - _ $� SEE PERMITS FOR ADDITIONAL BLDG01 Permit Application Bid REQUIREMENTS AND CONDITIONS. LIEC OP --/2?REVIEWED BY: DATE: aoO G�KpG E �7ao�P (fin k t� N e` V e � D 3- GXi�% kliQlf� 1,4j (DE100 3-- GR�AG€ Wl*/ c- ✓,4a/:7' �� a City of Atlantic Beach APPLICATION NUMBER j r Building Department (To be assigned by the Building Department.) �l 800 Seminole Road e7—e3 pal Atlantic Beach, Florida 32233-54450 C/ Phone(904)247-5826 - Fax(904)247-5845 Jf��T�Y E-mail: building-dept@coab.us Date routed: Z� City web-site: http://www.coab,us APPLICATION REVIEW AND TRACKING FORM nt review required Ye No ,,11 Property Address: ) 46 �EAIAh'�� DAIA anning &Zoning Tree Administrator Applicant: Q�.(�� Public Works nn Public Utilities Project: //VEL 1' y i ':4 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B 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 Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: BUfLDIN PLANNING &ZONING Reviewed by: Date: .' Zo% G TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. [—]Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: AUG-14-2000 09:04 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOUCE OF COMMENCENMENT State of J� _— Tax Folio No. County of�ad-� — To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real properly,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF ComMENCEMENT• Legal Dcseription.of property being improved Address of property beingimproved: - pr —�` - General descriptan of improvements: i Address: 1� c7 S1Vl 1 j Owner: s�-�2tC.� - J r Own.cr's interest in site of the impmVement: Fcc.Simple Titleholder(if other than owner): ll l — Name: Contactor. Nw Address: Telephone NO.: Fax No: Suety(if any) Amount of Bond S Address:._ Telephone No: _ Fax No: Name and address of any person maidng a loan for the construction of the improvements I Name: - Address: Phone No: Fax No: Nemo of person within the State of Florida,other than himself,designated by Owner upon whom not►ces or other documents may be served: Namc: -• Address: _ _ - ' Fax No: l'elephoac No: I In addition to hjrrtsclf owner designates the following persorx to receive a copy of the Lienor's Notice as provided in. Section 713,06(2)(b),Florida Statues- (Fill in at Owner's option) Name: AL Address: _ Telephone No: Fax No: year from the date of recording unless a differeltit date is Expiration date of Notice of Commencetnent(the expiration date is one(1)ye ` specified):. TEUS SPACE FOR RECORDER'S USE ONLY OWNER Sipcd: Imo. Bcfi=the this !/� �day .f in the County of Duval,State -- if Florida has personally xpp.� Dec so 20090 289.OR SK 14831 Page 806, iotary Public at Lure,state of Florida,Cotmty of UU.V al.� ' Number PRgen:1 qy commission expires: 1 Recorded 04/02/2009 at 04:30 PM, 'ersonally Known! -- cKA J.WILLIAMS JIM FULLER CLERK CIRCUIT COUP.T DUVAL rodu identification: �- ' COUNTY of Fk>rk79 RECOP,OINGSt0.00 =AryCommissiont P*$Apr26,2010 /a �^ 545441 ftded by Na5waj N otary AaBR. 1w 31 S1,113 WH7tr01:17N3 ON Hy 3L'" i1. �IIV 'H.l .V1 6ACHS SY SC)Nv- 3H1 QJA3!Atint; 3,A,-IH I -'VH1 1 �Ct•j-�Q CL1.. , If3t/38 91!N�I Q3AQs}c; y' , ' ._��._.-.—• ,�„__�i r.? Y-Lam.�.f.�:aa .✓.i.s �.L.,,� ice.' r IVA b y it :r s d0.//�)!�f n�cs�• � _ .!(�. 'Pt rte. ` �` . �► .moi---._��_� ^��_ �/\ Y - ��-- r. .- ,/.! � �>� .Jl /'1� /mow J�l..�.0/'!.i �' '•�_I. l:l'tY UI AILiu111 hLAUH APPLICATION FOR PLLMBING PERMIT DATE NEW TYPE OF BUILDING OWNER'S NAME REPIPE RESIDENTIAL ADDITION COMMERCIAL LOCATION PLUMBING FIRM ADDRESS PROVED '71"' '";F ATLANTIC BEACH MASTER PLUMBER E`1111 - please print CITY/COUNTY OCCUPATIONAL LICENSE NO. J iJ STATE CERTIFICATE NO. E` BUILDER OR CONTRACTOR -------------------------------------------------------------- SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY [,TATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ (2 UNITS) DENTAL UNIT OR CUSPI- FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK W/ DRINKING FOUNTAIN (!I UNIT) WASTE GRINDER DISHWASHER (2 UNITS) FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARBI LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) POT, SCULLERY FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP SINK (4 UNITS) URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) URINAL STALL, BLOWOUT (8 UNITS) URINAL, WALL LIP WASHOUT (4 UNI' (4 UNITS) URINAL TROUGH EACH 2' WASHING MACHINE RES. WASH SINK EA S! SECTION (2 UNITS) (3 UNITS) OF FAUCETS _ WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS CITY OF &..4- Office of Building Official ` /�1 f REQUEST FOR INSPECTIONDate ` Permit No. Time A.M Received P. Job Address Loca/li�ty, Owner's �GC/ GLS` Contractor ILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab n Temp Pole ❑ Top Out ❑ Heating Insulation i I ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab RE DY FOR INSPECTION Mon. ue ed. Thur Friday P.M. 100/ A.M. Inspection Ma e _ ( PDA. Inspec Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF11 f Office of Building Official REQUEST FOR INSPECTION 3 j Date Permit No. Time A.M. District No. Received P.M. / Address= Locality Owner's //!l/ (�sn� -Contractor Name BUILDING PLASTERING ELECTRICAL j PLUMBING HEATIN Rough Wiring ,gam Rough Foundation ....❑ Wire ..........❑ Flnegh .........❑❑ Final ..❑ math ❑ Flnlsh Winng ..❑ Water Heater ..❑ Chimney :•r/ cratch .......❑ Fixtures .......cSewers ........E Framing `� 2 Motors ..❑ Gas .. ...... ❑ Final Brown •••• •'•❑ Temp-Pole ...❑ Cesspool ..... Footing ❑ Finish .........❑ l� Slab ..........❑ Wallboard .... .❑ Final Inspection-E] Top-out ...❑ Water ......... Lintel Beam A.M. READY FOR INSPECTIO�J J� Mon. Tues. We}— TMursr� Fri. P.M. 4j A.M. P.M. Inspection Made Inspector CITY OF Bels &7 Office of Building Official REOIJEST FOR INSPECTI Permit No. d Date 0 / A.M. Time P.M. Received 4 j� 20 Job Add:W111, Owner's ontractor Name PLUMBING ECHANICA CONCRETE ELECTR14AL ❑ Air Cond. & ❑ BUILDING ❑ Rough Wiring ❑ Rough ❑ Heating ❑ Footing ❑ Top Out ❑ Framing Slab C Temp Pole ❑ Fire Placer ❑ Re Roofing Final ❑ Sewer pre Fab Insulation ❑ Lintel READY FOR INSPECTIA Tues. Wed. 7—T—h:r:) �rid� Mon. r A.M_ Inspection Made Final Inspection � Inspector \ L4-4�) Certificate of Occupancy u Date CITY OF BwCA &; Office of Building Official N RE UEST FOR INSPE l / 4 O — / _ Permit No. t Date A.M. Time P.M. Received ality Job Address 0 Y� Owner's Contractor PLUMBING MECHANICAL Name ELECTRICAL NCRETE Rough ❑ Air Cond. & ❑ BUILDING Rough Wiring G Top Out ClHeating C ❑ Temp Pole 11E3Fire Place Re Roofing Final Framing Slab F1Sewer Pre Fab _ Insulation -' Lintel "A};EADY FO INSPECTION P.M. m� Thurs. Friday Wed. Mon. A.M. _ P.M. Inspection Made Final Inspection ❑ Certificate of Occupancy ❑ Inspector Date 1 r.r ►+.�ra_._.g� _ '0000/ I o, 105. 49 ' 1C.9 i , . r Q - AT,o m 1h Py) , n 1� �, 1 � _ c i l �O� _,i�d.'7►�1' UJ i ry IGS- 4341 i Y � � 1 BAR Ptyt� D2+v�WAY f mor C „-Lr.Lk 1 i`"`""`! � S-/-T0 CITY O r, ,�c a e off• 2 /�h 1 e tr r [794,3 �I6�1Q D � l9 Office of Building Official r - 1 // - - v REQUEST FOR INSPECTION E -l 7 6 e2 �I Permit No. Date l r2 .2 b /�/� I$g 1 rA Time 7 •oy Received 7 Q r Locality Job Address 7 Owner's �—�� Contractor MECHANICAL Name LECTRICA PLUMBING CONCRETE ❑ Air Cond. & ❑ UILDING ❑ Rough Wiring ❑ Roug ❑ Heating Framing ❑ Footing ❑ Temp Pole El Top Top Out ❑ ❑ Slab ❑ Sewer Fire Place Re Roofing ❑ Lintel ❑ Final Pre Fab insulation READY FOR INSPECTION D � Thurs. Friday (::Mon. Tues. I _ .- P.M. Inspection Made Final inspection Certificate of Occupancy Inspector ❑ 41LA 9:00 ;OO Date CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 _ PERMIT INFORMATION - - L0,CATI0NjN1F0RMAT10M,, Permit Number: 18818 Address: 1420 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER;INFORMATION —� Date Issued: 9/09/1999 j, Name: MUSSER, BETTY Total Fees: 37.00 Address: 1420 SEMINOLE ROAD Amount Paid: 37.00 ATLANTIC BEACH, FL 32233 Date Paid: 9/09/1999 Phone: (904)633-5130_ Work Desc: REPLACE FURNACE AND HEAT PUMP- .---CONTRACTOR(S) _ .;:. APPLICATtON FEES AIR ENGINEERS INC. PERMIT 37.00 ROUGH MECHANICAL FINAL i 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. _ — 837.88 14 Date: 9/18/99 81 Receipt: 9885607 CHECKS 28485 ATLANTIC BEACH BUILDING DEPT. 88100003221008 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ` ATLANTIC e[ACH, FLORIDA aaala APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. VACATIONStreet AddrouI• ) OF A-\ c�I k er &0 And Qf Im WILDING Su►-di.itl�� II. IDENTIFICATION — To be completed by all applicants . to conudorof:on of permit given for doing the work as described In the above slatemant we hereby agree to pfrform said work in accordance WM4 IN* IIHac�d plant and specifications which are a port hereof and in accordance with the City of Jacksonville ordinances and standards CJ good practice Ntad there;n. w6aws of kdaehaoieal {� Cenhasien Grbasfw (tries) !J Master /! (� �'1 jf.Ct prfr araer I ( �\ / C_C) U / V1 I:pafvrs 44 0.4at Signature of or AtK.riaad Aieal Architect or Engineer 11. 6&4PAI )NFOU"T)ON 1' Ty" 0 lawting W: B. I. OTHER CONSTRUCTION •[INO b[ON ❑ tiiee'►rk THIS BUILDING OR SITE? rV U ❑ Nehttel ❑ Ceatrel UQHY 1/Y[S, GIVE NUMBER OF CONSTRUCTION ❑ C4 PERMIT ❑ O*W _ swafy V. hOOKA i1G11 QIQUIf+NffT TO 1114 *WALLiO NATURE OF WORK (he, twup de W d compwooh on bed of fA4"I Ct3''Residential or ❑ Commercial Gr 14"1 ❑ Spa ❑ Receded dr"Cl-srl 13 qow ❑ New Building ❑ Room �'�� IR—Exlsting Bullding ❑ O.d Sy4aon: Ma4srie Ca''kiplacement of existing system beaimeam ap ly c 1 ret. ❑ Now Installation(No system previously Installed). C3 too;+Ses+liw O Extension or add-on to existing system ' ❑ Other — Specify ❑ Cooler lie.er: capactoy ❑ Foe yr+nklon: NwAw of L—A- (3 k❑ Eio.eter ❑ WeliR ❑ Ewlelot (ate►) THO SPAC! 004 Ott Uf! ONLY ❑ G.aeiee a Iwl (R.e.ie.dl ❑ Tm6 10WWAW) Ret"As ❑ UG a«bi"m (041-AW) ❑ U&&,vi pmWe rwa ❑ Idre Ietwti► /kpprwd Deb ❑ 04W — srdb Permit a" UST ALL 9QUIPMENI' AM CONDITIONING AND REFW,,ERATION EQUWMENT ApmvbW x%mber Usle. DwatpUoa 4eou XMber 1t4BmI[iaotttrse ('llfaa) HEATING • FURNACES, SOII,ERS, FIREPLACES !%araeuAfts Dseerivum Me"N%m%ber ][aatw mdiw r /ii'titI CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18686 Address: 1420 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/19/1999 Name: MUSSER, BETTY Total Fees: 25.00 Address: 1420 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/19/1999 Phone:e: (904)633-5130 Work Desc: GAS PIPING (1 200 GAL LP MANCHESTER CONTRACTORS) APPLICATION FEES NATIONAL PROPANE _j_PERMIT 25.00 I i i Inspections Required ROUGH MECHANICAL FINAL i 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. : O P' A TIC L;B611-DIN PT. Date: 8/28193 81 Receipt: v CASH BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: — OF Intersecting Streets: Between PA Q_1-4- _TLV_r?_ACAf- tz - And A BUILDING �_, sub-division ATL�ArV—ne— II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical �, py� Contractors Contractor (Print) oJA II©MAL— 1 "cPAt-1 Master Name of v Property Owner C l l / V SS[� Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? yla S Gas LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oil PERMIT �(�1� / ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO IIIIE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed ❑ Central ❑ Floor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Central ._Existing Building ❑ Duct System: Material Thickness ❑ Replacement of existing system Maximum capacity c{m ❑ New installation(No system previously installed) ❑ Refrigeration Extension or add-on to existing system ❑ Other — Specify ❑ Cooling tower: Capacity q.p.m. ❑ Fin sprinklers: Number of head ❑ Elevator [IManlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeeiwd) ❑ Tanks CO (number) Remarks XLPG contains rt CO (number) ❑ Unfired pressure vessel ❑ {oilers Permit Approved by Dat• other — Specify GAS Pi Pi (,-'P,J Permit Fe• LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Arev Number Unita Description Model Number Manufacturer (Tons) cary 1 CITY OF OP41 Office of Building Offi al REQUEST FOR INSP TIl G� r� — 2 6 (li, Permit No. a Date L A Time Received V cality Job Address (J Owner's 'y t �� 11� Contractor CHANICAL Name CONCRETE COPLUMBING ELECTRICA BUILDING Rough El Air Cond.& ❑ ❑ Rough Wiring L] Heating Framing ❑ Footing ❑ Temp Pole Top Out ❑ Fire Place El Re Roofing ❑ Slab ❑ Sewer pre Fab Insulation ❑ Lintel E- Final READY FOR INSPECTION � Tues. Wed. Thurs. Friday—�— Mon. A.M. _ 5 P.M. Inspection ade. Final Inspection ❑ Inspector Certificate of Occupancy Date CITY OF ATLANTIC BEACH j DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 _-_ PERMIT INFORMATIONLOCATION INFORMATION - Permit Number: 17863 Address: 1420 SEMINOLE ROAD Permit Type: DRIVEWAY ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: - - - P OWNER INFORMATION Date Issued: 3/03/1999 Name: MUSSER, BETTY Total Fees: 25.00 Address: 1420 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 3/02/1999 Phone: (904)633-5130 Work Desc: DRIVEWAY/RIGHT-OF-WAY PER PLANS CONTRACTOR(S) , APPLICATION FEES PROPERTY OWNER PERMIT 25.00 it I I I Inspections Required 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. I $25.08 14 � L Date: 3/04/99 01 Receipt: 8838776 CHECKS 7769 AT NTIC BEACH/BUILDING DEP . e8laeeea221eae 03-02-1999 05:05PM FROM ST.PETE IRS GP 2800 2900 TO 92475877 P.02 CITY OF ATI AN"TIBC BEACH CONSTRUCT)ON PERM(T Wf1NIN CITY RIGHTS OF WAY AND EASEMENTS DATE - f i�- Z 1 I�r c�j PERMIT No. (� ISSUED SY TME CITY JOB ADDRESS ) L4 (:J 'E Z,i��-a VAS C�Ao VALUAI`K)H ; PERMrTTEE, PERM[rTEE ADDRESS TELEPHONE NO. 1 RE0UESTI140 PERMISSION FROM THE CITY OF ATLANTIC BLEACH TO CONSTRU T {� I .11 o 61-n-1 LOCATIONS' (REFERENCE TO CR09S•STRGET) 1 . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION ME HAS ASCERTAINED THE LOCATION OF ALL EXISTINO UTILITIES. BOTH AERIA(- AND UNDERQROVND AND THE ACCURATE LOCATIONS ARE SHOWN ON TME SKETCHES. A LETTER Or NOTIFICATION WAS MAILED TO THE FOLLOWING UTILfTIES/MUNICIPAUTIES: JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE'� J—A 47 BOLL SOUTH TELEPHONE COMPANY YES ( ) NO ( )DATE' 7 F[aRELL GAS IV�� yrs ( ) No ( I DATE: MEDIA ONE CABLE 7V YES ( ) NO ( ) DA Q ' 2. WHENEVER NECESSARY VOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND (1►rICIENT OPERATION. ALTERATION OR RELOCATION OF ALL. OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY T'ME DIRECTOR OF PUBLIC WORKS. ANY OR ALL Or SAID POLL$, WIRES. PIPES, CA8LF-S OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SMALL- BE IMMEDIATELY REMOVED FROM SAID STREET OR EASCM£NT opt RESET OR RELOCATED HEREON AS REOVIRED BY THE O$RECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SMALL M=ET CIT( Or ATLANTIC BEACH OR FLORIDA [)RPARTM$NT OF TRAN$r`:RATION STANDARV3 AND 15E PERFORMED UNDER THE SUPERVISI N QF $'l4� Cl -TI o' C0 (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED ATL.[ 7 K TELEPHONE NO. '- ni-I 4, At.L MATI:RIAL5 AND EOUIPMENT SMALL BE SUBJECT TO INSPECTION'BY THF DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. S. ALL CITY PROPERTY SMALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL. IN KEEPING WITH CITY APECIFIrAT'IONS AND THE MANNER SATISFACTORY TO THE CITY, 6 A 5KLTCH OR PLANS COVERING DETAILS Or T1115 INSTALLATION 511ALL BE MADE A PART OF THIS PERMIT, 7. TMtS PERMITTEE SMALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAJTH WITHIN .3 DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SMALL 0E COMPLETED WITHIN DAYS, IF TME BEGINNING DATE IS MORE THAN SO DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST R[V1EW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO C"ANGES HAVE OCCURRED IN THE AREA THAT WOULD AFrGCT THE PERMITTED CONSTRUCTION. 8, IT 15 VNDLRSTOOD AND AGREED TMAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO TME EXTENT OF THE CITY'S RIGHT, TlTLg AND INTEREST IN THE. LAND TO BE ENTERED VPON AND USED BY THE HOLDER, AND TME HOLDER WILL, AT ALL TIMES. ASSUME ALL RISK OF AND INDEMNIFY, DEFEND. AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST Or EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTr.NPTw_D CXERCISCS BY THE MOLDER OF THE AFORESAID RIOMTS AND PRIVILECFS. 9. THE DIRECTOR OF PUOtLC WORKS SHALL 9B NOTIFIED TGVENTY-FoVR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMMEDIATELY UPON COMPLETION, SUOMITTEp BY: (PLACE CORPORATE SEAL Ir APRLICABLE) SWORN TO AND SVDSCRIBED BEFORE MF THIS DAY OP 19 NOTARY PUBLIC _^ — TOTAL P.02 • s,..,. c-.:.... .,. - - � "n" :ems .rc.+rr-�x•a•^.7�:. r,x..•. .-�: 5. . 1., 5.x . ! 4�ni r'._ li� iw� = ULis.4; w �:t ^c o* iit9 aur°i�snt, p ' .fo roc::: --Is of Duval Court �g F:�r.'; ,c.fi. ,FF�.f�: siZ G��C: 77AY� < CY'�'L.<^�.i?'M',�=i'✓i f.�. - • ��,faY 1 � rnY�hrr:�� r -±..`.= ^�—•'.^..._... ...M.,-C �- -_ C'-........_... .+...._.._.. .,;rte...- ' "'-P-�.. .._ .,_ :..o.._..�:. rJ l t t �j° lhhJt{Y. 1 V Z-20�•�r-''! i7�. x, t i� ., t 1� r Zk 3 - f- 14 r-, ... S3-02-1999 05:05PM FROM ST.PETE IRS GP 2800 2900 TO 92475877 P.01 PRI .-- �o � UJAI6 AC 13 PCC;j 4y- J. -s � ,L d � � CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 ��• ��i� ��,n- �a�✓leo:• �'�l J' , HP OfficeJet Fax Log Report Personal Printer/Fax/Copier Mar-02-99 03:49 PM Identification Result Pages Tvne Date Time Duration Dia nnostic 96335131 OK 01 Sent Mar-02 03:48P 00:00:49 002585030022 7.4.0 HP OfficeJet Fax Log Report Personal Printer/Fax/Copier Mar-02-99 04:40 PM Identification Result Pages Tyne Date Time Duration Diagnostic 5843 OK 03 Sent Mar-02 04:37P 00:03:12 002584030022 7A0 CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. / Date ` A.M. Time P.M, Received � � ,l V Locality Job Address / Owner's � Contractor ELECTRICAL PLUMBING MECHANICAL BUILDING CONCRETE �j Rough C Air Cond. & C Ln C Rough Wiring ❑ Top Out C Heating Framing mp Pole ❑ Fire Place C Re Roofinnal ❑ Sewer Pre Fab a INSPECTION A.M. �t Thurs. Friday .Mon. A.M. Inspection Made Final Inspection CInspector Certificate of Occupancy C1 Date Jeffrey K. Hulsberg, P.E. RECEIVED 3015 Hartley Rd., Suite 10 Jacksonville, Florida 32257 crR 2 1999 (904) 886-2401 City of Atlantic Beach Building and Zoning February 1, 1999 D Mr. Don Ford o pAR0NT or City of Atlantic Beach Building Dept. CISotiN� 800 Seminole Road 3 19 Atlantic Beach,Florida 32233 ; ` PROJECT: Michna Residence 1420 Seminole Rd. Permit No. 16129 To Whom It May Concern: The roof joist over the family room on the subject room addition project have been changed from 4x12 cedar beams to 4x6 SYP beams at 48" o.c. spacing. This is an acceptable change. If you have any questions please contact me. C iel HW t ► 0 J ' ff Khdibe�g;-P. . 4N. j`�rF RE' F,, Jeffrey K. Flulsiberg, P.E. 3015 Hartley Rd., Suite 10 Jacksonville,Florida 32257 (904) 836-2401 February 1, 1999 T%.. i{Cn Yeo:a City of!';A atic Beach Building Rept. 800 Seminole Road Atlantic Beach,Florida 32233 PIROJFC T: Michna -Residence 1120 Seminole Rd. Permit No. 16129 To Whom It May Concern: The roof joist over the family room on the subject room addition project have been changed from 4x12 cedar beams to 4x6 SYP beams at 48" o.c. spacing. This is an acceptable change. If you have any questions please contact pie. /r H%J 1 • fff/ i F , ;err, C 0.;1 r -FRED `�. Jo ey F. HvIsbemg, P.E. 3:I15111artley 1~d., Suite 10 �uc'e:anvil. Florida 32257 Fe'ruary ., 1999 -- I k. .0`!fY loi d :Fy c.�.i�Neiiic Beach Buz!dilig 1`%pt. Soo Seminole Road Atlantic Beach,Florida 32233 1V JLlF.i.1• Mel,= Residence 1420 Scniunole Rd. Permit No. 16129 To Whom It May Concern: The roof joist over the family room on the subject room addition project have been changed from 4x12 cedar beams to 4x6 SYP beams at 48" o.e. spacing,. This is an acceptable change. If you have any questions please contact me. Ace ei 1 � J IN0 1 i � A FL 0 t RED CITY OF 4&4^& /�ecrls- lac Office of Building Official /3 z� _ REQUEST FOR IN PELT N � i -7�� ermit No. 7 Date Time A.M. Received PM. Locality Job&ddress Owner's Contractor Name BUI G CONCRETE LECTRtC PLUMBING MECHANICAL Footing n oug Wiring Rough Air nd. & g g C Temp Pole Top Out Heating Re Roofing C Slab C Sewer G Fire Place C Insulation C Lintel CI Final Pre Fab _ READY FOR INSPECTION A.M. Mon, Tues. Wed. Thurs. riday P.M. A.M. P.M. Inspection Made Final Inspection C Inspector Certificate of Occupancy C vl CITY OF /7,2 Be4c,Li / Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P Job Ad ess Locality i Owner's �_ e Name DING CO CR E PLUMBING MECHANICAL Framing 01ooiin ❑ Rough Wiring ❑ Rough El Air Cond. & El Re Roofing ❑ S ab ❑ Temp Pole ❑ Top Out ❑ Heating sulatio Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. S. Wed. Thurs. Friday Add, A. Inspectio de M. Final Inspectio Inspector , ' f Certificate o ccupancy ❑ ..S�( Av 0 / Date BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BRACH, FLORIDA assss APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Addrau: Of IsforseeKng Street$: Between And WILDING s�r.di.ia.a II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to ptrform said work in accordance .ith the aMschpd plans and specifications which are a pert hereof end in accordance With the City of Jacksonville ordinances and standards of good pretties 14ted therein. Na.�e of Lfachuicel - conMaefore CNlraatN 1 hiat) ivlasMr No-be po of Mp1� \\ r+r arlN► Sigastvrs 84 O.aor signature of a Amt6wria0/ Ageat Architect or Engineer I11. G O A1. INFORMAPON L T, slisefinT 6. IS OTHER CONSTRUCTION •KING DON[ON THIS BUILDING OR SITE? r Gm_rj/"LP ❑ Newrel ❑ Cemhsi UfWty of Yes, GIVE Nl)Met\ or CONSTRUCTION ❑ W PERMIT \\ rl ❑ t�tl►a. — S�.ufy V. IIANCHANINCAL WWWW TO M PWALLED HAT E OF WORK I►ew4e eemylea kaf of cempweeta M bac}of All6MI Resldenllal or ElCommercial .Z4sat 13speer 13Re.,W -'C1 C t'J a peon ❑ Now Building ,�G-dA»mkav ❑ Room -e'c." ❑ Existing Building 451' ^pact SOSO: motto"- Twld..�_.• ❑ Riplscsrn.nt of existing system \ MlaiirslsMM uMah ��, ^al ns New Installation(No system previously Installed). -�+ O Extension or add-on to existing system ❑ t1l''pest'e" - J2K Other — Specify Q. Coelup (3 fiw grinUen: Nen nor of - ❑ 6.etw ❑ Msal+ff ❑ Escatetor (R uttber) THIS 9FAC1 004 OFFICE IM ONLY (3 GuIlill ❑ TwhRemarks ❑ 04 "*%1--- (.wwVa) ❑ FervoA Aprewd b. 11eta O 6s LIFT ALL EQUIPMENT Ant CONDITIONING AND REFRIGERATION EQURMEM' y N s:<br Ustts Deecrtptloa Me"Number ttiiaabwe ('!tied) �JI� fww (EATING • FURNACES, BOILERS, FIREPLACES ,► ?haa111OWU lta Deeatptloa Me"NUmber aft (R'TT) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING BUILDING PERMIT -- - PERMIT INFORMATION LOCAT[ON'INFORMATION- _ Permit Number: - 40 /7 c Address: 1420 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: "Improv. Cost: - OWNER INFORMATION Date Issued: 2/02/1999 Name: BETY Y. MUSSER Total Fees: 35.00 Address: 1420 SEMINOLE ROAD Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/02/1999 Phone: (904)246-0963 Work Desc: INSTALL CENTRAL HEAT AND AIR CONTRACTONS) APPLICATION FEES__ AIR ENGINEERS INC. PERMIT 35.00 Inspections Required ROUGH MECHANICAL FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ^`' c $35.0014 ATLANTIC BEACH B ILDING D PT. Date: 2/02/99 81 Receipt: 8630982 CHECKS 26372 081p�pA322 t nrzv�— PSR-3844 17682 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION - - ----- - Permit Number ! 17682 Address : 1420 SEMINOLE ROAD Permit' Type:ELECTRICAL ATLANTIC BEACH , FLORIDA 32233 ass of Work:ALTERATION LEGAL DESCRIPTIr�N ---------- 'onstr. Type:WOOD FRAME I ock: Lot : 2 Twp : 0 Prob�jjjj� S*,SIW6-LE FAMILY RuMow 0 Subd: Rng: 0 'Su ivision: SELVA MARINA Est . Value . 0 . 00 Improv . cost : 0 . 00 Total Fees : 36 . 80 Amount Paid ,,, 36480 Date Paid 1/21/1999 X-1- rr IN I TMA, IFLEt TTFZT17AL FOR ROOM ADDITION AND AC 0- WXZR,,,,.,A#fGRXA `ION --------- ------- APPLICATI-ON FEES 'lame. BETY Y EfW I T 36. 80 ATLAS' ' L RI A 322? Phone 11-ONT2 MAT ION :ame, LIBERTY EIACTRIdAL CONTRA TORS id r P , 0. BOX 9T4 3 JACKSONVILMIC, FLORIDA 32239 Wic: EC1729 Exp: ype: NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CITY OF ATLANTIC BEACH, FLORIDA Approvtd by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: il`N o_. 19� 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. Krrmo ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME_ _ ',L f� �SSQ ADDRESS: RFD BOX BLDG.SIZE BETWEEN: RES. ( j APT. ( 1 COMM. 1 ') PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ADDITION (,; TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SQ. FT. FEE SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH W VOLT /_ RACEWAY EXIST.SERV.SIZE AMPS i PH W �NOLT C_IA �l RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN c� TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. SWITCHES J INCANDESCENT — FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. 11 AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H. I VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS Q I-v /CITY OF 61 Office of Building Official REQUEST FOR INSPECTION Date Permit No. � � Time A.M. Received P.M. {E Loc lit I� Job Ad ess C/r Owner's /� Cont Name MECHANICAL BUILDING CONCRETE ELECTRICAL LUMBI G [1 Air Cond. & � Framing Footing ❑ Rough Wiring ❑ ❑ p To Out ❑ Heating Re Roofing Slab F-1TempPole Fire Place ❑ Insulation El Lintel ❑ Final ❑ Sewer Pre Fab REA INSPECTION Tues. Wed. Thurs. Friday SP Mon. A.M. i Inspection Made r Final Inspection Inspector i icate of Occupancy ❑ Date nn CITY OF nII Office of Building Official REQUEST FOR INSPECTION _ Permit No. Dates UU A.M. Time P.M. Received L My Job Address Owner's Contractor Name PL GING MECHANICAL CON TE ELECTRICAL ❑ Air Cond. & ❑ BUILDING Rough Wiring ❑ Rough ❑ Heating ❑ tin Temp Pole ❑ Top Out ❑ Fire Place ❑ Framing ❑ Sewer Re Roofing ❑ Slab ❑ Final Pre Fab Insulation ❑ Lintel READY FOR INSPECTION Friday P.M' Tues. Wed. hurs. Mon. _4 �� d ! P.M. Inspection Made Final Inspection ❑ - Certificate of Occupancy ❑ Inspector Date CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner (s) : Betty Y . Musser Address: 1420 Seminole Rd . , A t 1 . Bch . Phone: ( 904) 246-0963 vtJ. X75 Lot # 2 Block or Unit # Subdivision: Selva Marina Contractor: Owner State License # Address: Phone No: City State Zip Code Describe work to be done: Addition of Game Room , Bedroom , Bath and Florida Room Present use of building: Permanent Residence Valuation of Proposed Construction: $65 , 000 . 00 Proposed use: Residence Is this an addition? Yes If yes, what are the dimensions of the added space: 18 ft. X 49 ft. Will the added area be heated and cooled? Yes New electrical (or increase) ? New plumbing fixtures?Yes New fireplace?No New Heat/AC? Yes SUBMIT THREE (COMAjERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COmMVCFs'IENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: ski A �CjV-S�S Signature CONTRACTOR: Date: Sworn to and subscribed before me this � day of � , \ 1qu. RECEIVE? PUBLIC STATE OF FLORIDA A RGE MAR 6 1998 City of Atlantic BCaCh ;E::'.ye,; DEBBIE 0.STONE �. ;, My COMMISSION M CC 677167 BulldlnR And Zoning v ��"[�: EXPIRES.Seplember3,2001 Bonded Thru Notary Pul*c und"tters PSR-3844 16129 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - _-- ------ LOCATION INFORMATI{IN --- -.__ 1 Permit Number : 16129 Address : 1420 SEMINOLE RO"AL j Permit Tvpe`ROOM ADDITI^N ATLANTIC BEACH . FLORIDA 3222 j Class of Work:NEW _._____ .__ LEGAL DESCRIPTION -- -- -- _ Constr . Tvpe :WOOD FRAME Block : Lot : 2 Twr : Proposed Lyse: SINGLE FAMILY Section : Q Subd Rna : bwel l inns ° n Subdivision.: SELVA MARINA i Est . Value : 0 .00 improv . Cost : 65 .000 . 00 1 Tc7,t.31 Fees -, 729 .00 rWNER !NFORM TION ----- - _ _- APPLICATICN FEES -------- Name: - --- Nam : SETY Y . MUSSER PERMIT480 , 00 I,Jdr , _14,20 SEMINr"LE ROAD WATFP TMFACT FEE 240 , CC ATLANTIC P-E-ACH . FLORIDA MPACT FFE Phone : 91)4124;6- r, 3 WATER METER/TAP RADON 9AS-H. R . S . 4 . 29 -- --- - rr,NTRP.CTCR I N FORMAT!,-"" RADON CAB 5% n _ 22 Name: PROFERTY OWNER CAPITAL IMPROVE , 0 , 00 Addr : SEWER TAP 0 .00 CROSS CONNECTION 0-00 sic: EYr SEC H IMPACT FEE 0 .00 CONST.,SURC'HARGR_ , 5 SCHAFGE/ATL . B;"_H _ 0. ¢5 NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Operator: WENDY otal 3/18/99 81 By: paY�ent Receipt; f 841972 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address / Sr-- 0 L � 11 Da 1 T/Q J) Date 3 IG cl$ Heated Sauare Footage @ $ per sq ft = $ Garage/Shed k @ $ per sq ft = S Carport/torch $ er s ft = $ ` s Dec' v @ $ per Sqh;v ft = $ Y Patio �� 0 @ $ per sa ft = S TOTAL VALUATION : ;0001, Total 1st $ D _/ r CL0 D D Remainaing Value6Oper thousand of portion thereof TOTAL BUILDING FEE $ 3 d•� + 1,` Filing Fee $ f (0 G .0 ( ) Fireplaces @ $15 . 00 $ --'b BUILDING PERMIT FEE $ WATER IMPACT FEE $ Z �/D • b SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP S (90) ) RADON (HRS) . 0050 SECTION H PAVING 1 ) $ HYDRAULIC SHARES CROSS CONNECTION S (�(S ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimminaPool Septic Tank ; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : FORM 60OA-93 SN: 1234 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Residential Whole Building Performance Method A Project Name: 901 Builder: Terry Michna Address: Lot: 2/4, Subdiv: Selva Marina, Platbook: Permitting Office: City, State: Atlantic Beach, FL Permit Number: Owner: Michna Jurisdiction Number: Climate Zone: North 1. New construction or existing Existing - 11. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap:24.0 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 12.00 - 4. Is this a worst case? No - b. N/A - 5. Conditioned floor area(ft2) 901 ft2 - _ - 6. Glass area&type c. N/A - a. Clear-single pane 0.0 ft2 - - b. Clear-double pane 1.98.0 ft2 - 12. Heating systems c. Tint/other SC-single pane 0.0 ft2 - a. LP Gas Cap:24.0 kBtu/hr - d. Tint/other SC-double pane 0.0 112 - AFUE:0.90 - 7. Floor types b.N/A - a. Raised Wood,Stem Wall R=19.0,901.0112 - b.N/A - c. N/A - c. N/A - - 8. Wall types 13. Hot water systems a. Face Brick,Wood,Exterior R=11.0,758.0 ft2 _ a. LP Gas Cap:20.0 gallons - b. Frame,Wood,Adjacent R=11.0, 170.0 ft2 - EF:0.60 - c. N/A - b.N/A - d.N/A - - e. N/A - 14. Hot water conservation credits - 9. Ceiling types (HR-Heat recovery,solar a. Under Attic R=30.0,941.0 112 - DHP-Dedicated heat pump) b.N/A - 15. Infiltration practice(1,2,or 3) 2 - c. N/A - 16. HVAC credits CF - 10. Ducts (CF-Ceiling fan, a. Sup:Uncond. Ret:Cond. Sup.R=6.0, 1.0 ft - CV-Cross ventilation, b.N/A - HF-Whole house fan, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) Total as-built points: 13875.00 EPI = 97.3 Glass/Floor Area: 0.22 Total base points: 14263.00 1 hereby certify that the plans and specifications covered Review of the plans and o4{HE sT,g�,-, by this calculation are in compliance with the Florida specifications covered by this Energy Code. � �1 calculation indicates compliance � �„' ;_, RS), INC. with the Florida Energy Code. ` " ` � PREPARED BY: Before construction is completed DATE: F this building will be inspected for r I hereby certify that this building is in compliance with the compliancC'with Section 553.908 .l'I'coo we�``�� Florida Energy Cod, FloridaFlorida Statutes. OWNER/AGENT: BUILDING OFFICIAL: ' (Qll:--- DATE: DATE: V FORM 60OA-93 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 2/4, Subdiv: Selva Marina, Platbook: , Atlantic Beach, fRFRMIT#: BASE AS-BUILT GLASS TYPES .15 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .15 901.0 65.80 8892.9 Double, Clear W 2.4 11.0 64.0 79.70 0.89 4557.7 Double, Clear E 2.4 10.0 45.0 79.70 0.88 3152.1 Double, Clear S 2.4 5.0 30.0 66.20 0.59 1177.2 Double, Clear S 2.4 11.0 36.0 66.20 0.82 1954.9 Double, Clear S 2.4 8.0 18.0 66.20 0.74 879.3 Double, Clear S 2.4 5.0 5.0 66.20 0.59 197.6 As-Built Total: 198.0 11918.8 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 170.0 0.7 119.0 Face Brick, Wood, Exterior 11.0 758.0 0.40 303.2 Exterior 758.0 0.90 682.2 Frame, Wood, Adjacent 11.0 170.0 0.70 119.0 Base Total: 928.0 801.2 As-Built Total: 928.0 422.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 18.5 2.40 44.4 Adjacent Wood 18.5 2.40 44.4 Exterior 0.0 0.00 0.0 Base Total: 18.5 44.4 As-Built Total: 18.5 44.4 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 901.0 0.60 540.6 Under Attic 30.0 941.0 0.60 564.6 Base Total: 901.0 540.6 As-Built Total: 941.0 564.6 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 19.0 901.0 -1.50 -1351.5 Raised 901.0 -3.99 -3595.0 Base Total: -3595.0 As-Built Total: -1351.5 INFILTRATION Area X BSPM = Points Type Area X SPM = Points 901.0 8.00 7208.0 Practice#2 901.0 8.00 7208.0 Summer Base Points: 13892.1 Summer As-Built Points: 18806.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 13892.1 0.37 5140.1 1 18806.5 1.00 1.07 0.28 0.86 4922.1 FORM 60OA-93 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 2/4, Subdiv: Selva Marina, Platbook: , Atlantic Beach, RE7RMIT #: BASE AS-BUILT GLASS TYPES .15 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .15 901.0 -10.60 -1432.6 Double, Clear W 2.4 11.0 64.0 -9.20 0.70 -414.4 Double, Clear E 2.4 10.0 45.0 -9.20 0.67 -276.2 Double, Clear S 2.4 5.0 30.0 -28.40 0.66 -558.4 Double, Clear S 2.4 11.0 36.0 -28.40 0.91 -929.5 Double, Clear S 2.4 8.0 18.0 -28.40 0.84 -428.3 Double, Clear S 2.4 5.0 5.0 -28.40 0.66 -93.7 As-Built Total: 198.0 -2700.7 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 170.0 3.6 612.0 Face Brick, Wood, Exterior 11.0 758.0 3.50 2653.0 Exterior 758.0 2.20 1667.6 Frame, Wood, Adjacent 11.0 170.0 3.60 612.0 Base Total: 928.0 2279.6 As-Built Total: 928.0 3265.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 18.5 11.50 212.8 Adjacent Wood 18.5 11.50 212.8 Exterior 0.0 0.00 0.0 Base Total: 18.5 212.8 As-Built Total: 18.5 212.8 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 901.0 1.20 1081.2 Under Attic 30.0 941.0 1.20 1129.2 Base Total: 901.0 1081.2 As-Built Total: 941.0 1129.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 19.0 901.0 0.80 720.8 Raised 901.0 0.96 865.0 Base Total: 865.0 As-Built Total: 720.8 INFILTRATION Area X BWPM = Points Type Area X WPM = Points 901.0 7.40 6667.4 Practice#2 901.0 7.40 6667.4 Winter Base Points: 9673.3 Winter As-Built Points: 9294.5 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 9673.3 0.55 5320.3 9294.5 1.00 1.07 0.60 1.00 5947.2 FORM 600A-93 WATER HEATING AND EPI SUMMARY Residential Whole Building Performance Method A - Details ADDRESS: Lot: 2/4, Subdiv: Selva Marina, Platbook: , Atlantic Beach, IRERMIT #: 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 3803.00 3803.0 20.0 0.60 1 1.00 3006.00 1.00 3006.0 As-Built Total: 3006.0 EPI SUMMARY BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 5140.1 5320.3 3803.0 14263.4 j 4922.1 5947.2 3006.0 13875.2 EPI : 97 . 3 ,y0, TSiE STq�� WE c7 6a: ENERGY PERFORMANCE LEVEL DISPLAY CARD For detailed information Michna of the EPI rating number ot: 2/4, Subdiv: Selva Marina, Platbook: or for any ITEM listed, Atlantic Beach FL ask your Builder for DCA Form 60OA-93 or Form 60OB-93 6EPI=- 0 10 20 30 40 s0 60 70 80 90 100 excellent good acceptable The maximum allowable EPI is 100. The lower the EPI the more efficient the home. ITEM HOME VALUE Low Efficiency High Efficiency SINGL CUR DBL TINT WINDOWS................................................ Double Clear INSULATION............................................ R-10 R-30 Ceiling R-Value............................. 30.0 R-0 R-7 Wall R-Value.............................. 11.0 R-0 R-19 Floor R-Value.............................. 19.0 AIR CONDITIONER................................... 10.0 SEER 17.0 SEER...................................................... 12.00 19.7 EER 16.0 HEATING SYSTEM................................... 0.8 AFUE 0.9 GasAFUE........................................ 0.90 WATER HEATER..................................... 0.88 0.96 Electric EF...................................... N/A I0.54 0.90 Gas EF...................................... 0.60 1 s 1.0 .o SolarEF...................................... N/A OTHER FEATURES................................. I certify that these energy saving features required for the Florida Energy Code have been installed in this house. Builder Address: Signature: Date: City/Zip: Florida Energy Code for Building construction-1993 Florida Department of Community Affairs FL-EPL CARD 93 Book 8871 Pg 73 5 MIN. RETURN E;4-: 8a71 PHONE # - _3 Pg: 73 Doc# 98050674 Filed R Recorded 03/06/98 02:02:42 P.M. HENRY W. COOK CLERK CIRCUIT COURT DUVAL COUNTY, FL REC. $ 6.00 NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Property 1420 Seminole Road ; Lot 2 , Block 4 , Unit Two , Selva Marina , Atlantic Beach , Duval County , Florida General Description of Improvements Addition of Game Room , Bedroom , Bath , and Florida Room Owner Betty Y . Musser Address: 1420 Seminole Road , Atlantic Beach , FL 32233 Owner's interest in site of improvements: Home Residence Fee Simple Title Holder (if other than owner) Name N .A . Address Contractor Owner Address 1420 Seminole Road , Atlantic Beach , Fl, 32233 Surety (if any) None Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name N . A . Address In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. IBATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) 6 WATER CLOSET WATER CLOSET. TAMC OPERATED (4) VALVE OPERATED (8) O BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) //�� SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) 0 LAVATORY (1) COMBINATION SINK AND TRAY (3) /� WASHING MACHINE (3) _POT. SCULLERY SINK (4) V DISHWASHER (2) WASH SINK EACH SET OF (2) KITCHEN SINK (2) DENTAL LAVATORY (1) l KITCM SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) i BIDET URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) i COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL. SYPHON JET ° DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY. EARBER/BEAUTY ICE MAKER (I/2) SHOP (2) SURGEONS SINK (3) _,LAVATORY. SURGEONS (2) r JACUZZI (2) _URINAL STALL. WASHOUT (4) TOTAL FIXTURE UNITS / P $20.00 EAC-,j $ JOB INFORMATION CITY OF Fead - 5&uda a 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA,"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Betty Y . Musser PROPERTY OWNER/BUILDER 1420 Seminole Rd . ( 904) 246-0963 ,j 1ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS 4� bAY OF NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. DEBBIE G.STONE b4-COMMISSION it CC 677167 �Vt 'RES:September 3,2001 r pF °•` Bonded 'hl Notary Public Ontletwltters ;4 NSEP-09-98 WEU 09 :01 Aro Teffre4 F:. Hui giber 4 PE. 304 260 4367 P. O1 Hditrg Phone: (9r4 886-2401 WIMPanng HUL=he�•g F.n;lneering Pak: (9 04 268.1367 ----Facsunat To: TERRY MICNA ({ Fax: 744.1466 Eror7i: Jeffrey K Hulsberg Date: V ednesday, September 9, 1998 Q 8:58AM Re: MONOLITHIC DETAIL Pages: 1, including this J iSEP-09-95 WED 09 :02 AM Jeffrev K. Hulabere PE. 904 260 4367 P. 02 Ncc,Elt F10 9 1998 City of-Atlantic BuildingBeac and Zoning 1/2" x JQ" ANCHOR SULTS 10 32" 0-c- w/ 2" x 2 x 1/8" WASHERS I ALTERNATE: USE SIMPSON BIAS CIS SEMCO FA-3 AT 24" o.c. p p 2 x 4 PT SILL ON SILL-SEAL Cm OF A.1V E 0 w/ SEMCO TPP4 32" o,c. SUIL011v OFF BEACH ce 6x6, WNM OR FIBERMOES O REINFORCEMENT SEP 0 9 1998 Li O O 4 ! 8' • 450 e 6 M,IL VAPOR BARRIER OVER TREATS© AND COMPACTED FILL A �w " _ 2 #5's CONT. 8 MIN. 25" LAP ® CORNERS _42 STORY CONDITION, USE 3 # 5's CCNT. MONOLITHIC FOOTING DFTAlL SCALE: 3/4" MONOLITHIC FOOTING DETAIL JEFF30158 ARTLEY RD., SUITEE 10 GFKjIFlCgr , JACKSONVILLE, FL 33357 90 886-240 0,/� I rJ � S12S FSCM N0, DWG N0. :=RLY '✓� / r, SCALE AS NOTED SHEET �sT�RED PSR-3844 17156 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT _INFORMATION LOCATION INFORMATION rmit Number: 17156 PLAdress : 1420 SEMINOLE ROAD Permit Type': PLUMBING ATLANTIC BEACH , FLORIDA 32233 ass of Work :ALTERATION LEGAL DESCRIPTION 91ock- Lot : 2 Twp: onstr . Type:WOOD FRAME Section: 0 Subd: Rng, Proposed Use : SINGLE FAMILY Dwellings : 0 Subdivision: SELVA MARINA Est , Value: . 0 .00 ,aprov . Cost : 0 . 00 Total Fees , 29 .00 Amount paid: 29 . 00 Raid . 911 INQULL lu'r-1 BEr" Afly PI-11ma ow,-NER I NFORMAT 10N. APPLICATION FEES 29 . 00 BETY Y MMER. -1dr : 1120 SEMINOLE RQAD ORIDA none, 2 46 6.3 ----- CON TOR INFOXMATION . ame: jAX p MB tNc, & SEPTIC T" ' Addr,;,-17621 BLAYF ROAD- JACKSONVILLE, ,: FL 312:-`21 C 0 544 Exp: NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN 'LU To THE0 HE7PROPERTYV 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. S?q-RA 14 Date: 9/16/98 81 Receipt: 0086941 CASH ATLANTIC BEACH BUILDING DEPARTMENT BY: CITY OF ATLANTIC BEACH (APPLICATION FOR PLUMBING PERMIT JOB LOCATION: f "( -ZO n n u/c / 1 OWNER OF PROPERTY: �'� v- El .S S C 1 PLUMBING CONTRACTOR: ci /N n CONTRACTOR'S ADDRESS: C� �/ �/ STATE LICENSE NUMBER: /`��'i Z V TELEPHONE: l U l — 7 d �—�3 Vo HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS I� SHOWERS LAVATORIES j WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS ' WASHING MACHINES/� FLOOR DRAINS i< SHOWER PANS OTHER J c Q( Z 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 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. *,-2-9 er u rs.... � r� ;.�. ��t"._...._...:,..^------- �--�"-'-"" _'_._.._�._.-"__�_`" � .�r,rr.•� 34"iron /�r,c r � ; 513 �1 { FI 1 v � I TN T { L 0. ool / VO•.445 '\ , .1 „. •+r:r,;4 •• '-.... :::.-,:1”eu,lfVfet..�,..x.►y!Sv�C.^++ 'sl u;..:;::...r,ra�wsx.�,... y ..;c�ul&�'aYCf'l�dIiY1C'lfEii.M/"`-r'�, SL RVEY OF 1, A. 21 Bloc!- 4 Siva �i��' r;�, tTn��, z. �� :�� ©s�or�c�r, .n s `: Bool". brand bA of tAa durraht publfo recc.,rds of Duval Count-Y, Fir;idits �4 f .r 'elive y,�,' Y O - 174 Ltj ?t `si�'.*{��'x�ie ar �` � ' �t�`.'s til t•,.. \ � -----�—"-"______ —�� , . .- �) V. CEIVED RIGHT-J LOAD AND EQUIPMENT SUMMARY File name: 901.BLD 2-25-98 For: Terry Michna Seminole Rd. Atlantic Beach FL 32233 (904) 246-0963/393-1616dp By: Air Engineers, Inc. 10947 Beach Blvd Jacksonville Fl 32246 904-641-2333 Lot 2/4 Selva Marina Job #: Room Addition Wthr : Jacksonville_AP FL Zone : Entire House WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Outside db: 32 Deg F Outside db: 94 Deg F Inside db: 70 Deg F Inside db: 75 Deg F Design TD: 38 Deg F Design TD: 19 Deg F Daily Range M Rel. Hum. : 50 % Grains Water 49 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING Bldg. Heat Loss 15971 Btuh Structure 18443 Btuh Ventilation Air 0 CFM Ventilation 0 Btuh Vent Air Loss 0 Btuh Design Temp. Swing 3 . 0 Deg F Design Heat Load 15971 Btuh Use Mfg. Data n Rate/Swing Mult. 1. 00 INFILTRATION Total Sens Equip Load 18443 Btuh Method Simplified LATENT COOLING EQUIP LOAD SIZING Construction Quality Average Fireplaces 0 Internal Gains 460 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 2256 Btuh Area (sq. ft. ) 901 901 Tot Latent Equip Load 2716 Btuh Volume (cu.ft. ) 8109 8109 Air Changes/Hour 1. 0 0. 5 Total Equip Load 21159 Btuh Equivalent CFM 135 68 HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make Make Model Model Type prop Type Heat Pump Efficiency / HSPF 0. 9 COP/EER/SEER 12 . 0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 986 CFM Actual Cooling Fan 986 CFM Htg Air Flow Factor 0. 062 CFM/Btuh Clg Air Flow Factor 0. 053 CFM/Btuh Space Thermostat Load Sens Heat Ratio 87 MANUAL J: 7th Ed. RIGHT-J: V2 . 12 SN5144 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT-J CALCULATION PROCEDURES A,B,C,D Job #: Room Addition File name: 901.BLD 2-25-98 Zone: Entire House Procedure A - Winter Infiltration HTM Calculation* ---------------------------------------------------------------------- 1. Winter Infiltration CFM 1. 0 AC/HR x 8109 Cu.Ft. x 0. 0167 = 135 CFM 2 . Winter Infiltration Btuh 1. 1 x 135 CFM x 38 Winter TD = 5661 Btuh 3 . Winter Infiltration HTM 5661 Btuh / 216 Total Window = 26. 1 HTM & Door Area ---------------------------------------------------------------------- Procedure B - Summer Infiltration HTM Calculation* -------------------------------------------------------------------- 1. Summer Infiltration CFM 0. 5 AC/HR x 8109 Cu.Ft. x 0. 0167 = 68 CFM 2 . Summer Infiltration Btuh 1. 1 x 68 CFM x 19 Summer TD = 1415 Btuh 3 . Summer Infiltration HTM 1415 Btuh / 216 Total Window = 6. 5 HTM & Door Area ---------------------------------------------------------------------- Procedure C - Latent Infiltration Gain ---------------------------------------------------------------------- 0. 68 x 49 gr.diff. x 68 CFM = 2256 Btuh ---------------------------------------------------------------------- Procedure D - Equipment Sizing Loads ------------------------------------------------------- 1. Sensible Sizing Load Sensible Ventilation Load 1. 1 x 0 Vent.CFM x 19 Summer TD = 0 Btuh Sensible Load for Structure (Line 19) + 18443 Btuh Sum of Ventilation and Structure Loads = 18443 Btuh Rating and Temperature Swing Multiplier x 1. 00 RSM Equipment Sizing Load - Sensible + 18443 Btuh 2 . Latent Sizing Load Latent Ventilation Load 0. 68 x 0 Vent.CFM x 49 gr.diff. = 0 Btuh Internal Loads = 230 x 2 No. People + 460 Btuh Infiltration Load From Procedure C + 2256 Btuh Equipment Sizing Load - Latent = 2716 Btuh ---------------------------------------------------- ----------------- *Construction Quality is: a No. of Fireplaces is: 0 MANUAL J: 7th Ed. RIGHT-J: V2 . 12 SN5144 Printout certified by ACCA to meet all requirements of Manual Form J 901.BLD Job# Room Addition Zone:Entire House 2-25-98 ----- MANUAL J: 7th Ed. ---- RIGHT-J: V2 . 12 --- SN5144 --- Page 1 ---- 1 Name of Room Entire House Addition 2 Running Ft. Exposed Wall 109 . 0 Ft. 109 . 0 Ft. 3 Room Dimensions, Ft. 901. 0 x 1. 0 Ft. 4 Ceiings,Ft I Condit. Option 9 . 0 d --9_0 ( heat/cool ----------------------------------------- TYPE OF CSTI Area EXPOSURE I INO. HtgHIClg ILengthI HtgBtI Area I Btuh Clg Length Htg I Clg ---------------------------------------------------- -------------------- 5 Gross a 14C 2 .9 1.2 758 **** **** 758 **** **** Exposed b 13C 1. 4 1. 3 170 **** **** 170 **** **** Walls and c 0. 0 0. 0 0 **** **** 0 **** **** Partitions d 0. 0 0. 0 0 **** **** 0 **** **** e 0. 0 0. 0 0 **** **** 0 **** **** If [ 1 0. 0 0. 0 0 **** **** 0 **** **** ------------------------------- -------------------- -------------------- 6 Windows a 3C 27 . 6 ** 198 5455 **** 198 5455 **** & Glass b 3C 27 . 6 ** 0 0 **** 0 0 **** Doors Htg. c 0. 0 ** 0 0 **** 0 0 **** d 0. 0 ** 0 0 **** 0 0 **** e 0. 0 ** 0 0 **** 0 0 **** f 1 0. 0 ** 0 0 **** 0 0 **** ------------------------------- -------------------- 7 Windows North 0. 0 0 **** 0 0 **** 0 & Glass NE&NW 0. 0 0 **** 0 0 **** 0 Doors Clg. E&W 72 . 0 109 **** 7848 109 **** 7848 SE&SW 0. 0 0 **** 0 0 **** 0 South 38. 0 89 **** 3382 89 **** 3382 Horz 0. 0 0 **** 0 0 **** 0 ------------------ ------------ ------------- 8 Othr doors IbI1ODI17 . 5I10.4 10I 3201 190 10I 3201 190 -------------------- -------------------- -------------------- ----------- 9 Net a 14C 2 . 9 1.2 560 1639 660 560 1639 660 Exposed b 13C 1. 4 1. 3 152 205 191 152 205 191 Walls and c 0. 0 0. 0 0 0 0 0 0 0 Partitions d 0. 0 0. 0 0 0 0 0 0 0 e 0. 0 0. 0 0 0 0 0 0 0 f 1 0. 0 0. 0 0 0 0 0 0 0 ------------------------------- ------------- 10 Ceilings jaj16Gj 1. 3 1. 4 901 1130 1279 901 1130 1279 b 16D 2 . 0 2 . 3 0 0 0 0 0 0 c 0. 0 0. 0 0 0 0 0 0 0 --------- ---------------- ----- --------- 11 Floors ja 19D 1. 0 0. 0 109 108 0 109 108 0 b 0. 0 0. 0 0 0 0 0 0 0 C 0. 0 0. 0 0 0 0 0 0 0 ------------------------------- -------------------- ------- ------------ 121 Infiltration a 126. 11 6. 5 2161 56611 1415 2161 56611 1415 ------------------------------- -------------------- -------------------- 13 Subtot Btuh Loss=6+8. .+11+12 **** 14519 **** **** 14519 **** 14 Duct Btuh Loss 10% 1452 **** 10% 1452 **** 15 Total Btuh Loss = 13+14 **** 15971 **** **** 15971 **** ------------------------------- -------------------- -------------------- 16 Int. Gains: People @ 300 2 **** 600 2 **** 600 Appl. @ 1200 1 **** 1200 1 **** 1200 17 Subtot RSH Gain=7+8. .+12+16 **** **** 16767 **** **** 16767 18 Duct Btuh Gain 10% **** 1677 10% **** 1677 19 Total RSH Gain=(17+18) *PLF 1. 00 **** 18443 1. 00 **** 18443 20 CFM Air Required **** 986 986 **** 986 986 --- Printout certified by ACCA to meet all requirements of Manual Form J -- MANUAL J: 7th Ed. RIGHT-J: V2 . 12 SN5144 RIGHT-J WINDOW DATA Job #: Room Addition File name: 901.BLD 2-25-98 W S D W G L S S O N A S O O W C W S N K I A L O T H V G N H V V H H N H D Y R L A W R A H L G C R R G T A A W L Z E M D G Z L O X Y T M R R Addition a n s a c n n n n 2 90 1. 0 0. 0 0. 0 1. 0 38. 0 89 . 0 0. 0 a n e a c n n n n 2 90 1. 0 0. 0 0. 0 1. 0 72 . 0 45. 0 0.0 a n w a c n n n n 2 90 1. 0 0. 0 0. 0 1. 0 72 . 0 64 . 0 0. 0 Itli2 VA Form �•B4— Form approved. PHA Form may be separated along above fold. Staple B4- For accurate register of carbon copies,form Budget Bureau No. 6lt-I105G.9. Jan. 19 r completed sheets together in original order. 14 Proposed Construction DESCRIPTION OF MATERIALS No. _-- - -- (To be inserted tsy P)EIA or VA) Under Construction I LT L K, 4 - 0 AJ 1 c - - Property address �. _wA_Pk.Af�' n, !s-_s�. ... City . L'�'v-rf.� Sti~ote .. Morfgagor or Sponsor --- - (Name) , --onfraefor or Builder C" A�'. .- tt (Name) (AdAresa l INSTRUCTIONS I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described. of copies, etc., see the instructions applicable to the FHA Application for 4. Include no alternates, "or equal" phrases, or contradictory items. (Con Mortgage Insurance or VA Request for Determination of Reasonable Value, sideration of a request for acceptance of substitute materiels or equipment as the case may be. is not thereby precluded.) 2. Describe all materials and equipment to be used, whether or not shown S. Include signaturrs required at the end of this form. on the drawings, by marking on X in each appropriate check-box and entering the information called for in each space. If space is inadequate, enter "See 6. The construction shall be completed in compliance with the related mise." and describe under item 27 or on on attached sheet. drawings and specifications, as amended during processing. The specifications 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Consfrucfioa required, when the minimum acceptable will be assumed. Work exceeding Requirements. s= 1. EXCAVATION: Rearing sot],type . --------��-Q--Y------- --0-A-M------------------------------------------- -------------------------------------------------- - ----------------------------- 2. FOUNDATIONS: *k: J k' '� _______ '- - Reinforcing -"-----_----�- Footings: Concrete mix-------7° 5(D a-------- -------------------- -- g -------- -- Foundation wall: Material --------ai._,Qc,.tS----------- Reinforcing_______ Interior foundation wall: Material ---------------------__-------------- Party foundation wall ------------------------------------------- 1-----------� Columns: Material and size _-.___ ______________________--------- Piers: Material and reinforcing _.__ _ --�-v�r C•_}3�K it �Y - Girders: Material and sizes _.7.__ l�X_1�____ _i_�L_ G�_ L&Aills: Material _ _ __. _-- - Basement entrance areaway -----------�.T_�C_AI_)G17_--- -------- Window areaways _.------------------ Waterproofing - ----------- - ----------------------------------- -- _ Rooting drains _ - ---- -- - - ---------- ----------- -------------- w Termite protection_____ . ._. -- -- ----- Basementless space: Ground cover ________________ _ __. Insulation ------------- --------------- - Foundation vents ---_U_-6-��--- J.Ia� J• Special foundations ----- ----- ------ --- ) ------ ------------- -•----- -------------------- - r_C---- F�=�- i--1�5,:J&�-- x' �- �'T__A1_c -'ql.�_`------ U�_A:_0-tilt_O-ti?----------------------- --------- - ------------------------ -------------------------------- ----- --- - 3. CHIMNEYS: Material ---------- ----- ------ Prefabricated (make and size) -:-------------------------------------------------------------------- Flue lining: Material ----------------------------------- Heater flue size _________l j? -------------- Fireplace flue size ---------------- Vents (material and size): Gas or oil heater ----- -------- ----------------- rn kTAS-i E-1 Water heater----�- __V _ Vents ------------------ 4. FIREPLACES: N u ti r sh dump and clean-out------------------------ Type: El Solid fuel; []gas-burning; ❑ circulator (m _ .A (make and size) ------------- ------ Fireplace: Facing _ ___. _._ ----- - -------------------------------- -------- __; lining ------------------------- - ---; hearth ------------- -- -------------; mantel -------------------------------- _. - ----------------- S. EXTERIOR WALLS: t '-� ') Wood frame: Grade and species___� ,_X._4, 1UQ•(-d/rorner bracing. Building pa or felt SheathingJJA_SIR06,) �,Ohickness -_��_ �__; width -_4b' p,solid; ❑ spaced ____--- o. c.; ❑ diagonal- --------------- Sidin grade --------------; type -------------: size ----------------exposure . -- fastening Shingles------ ---------- ------; grade ---------- -- ---- type --------------; size---------------;exposure -------' ; fastening- - Stucco- -- - - -- ------ -- ; thickness------- ---- . Lath--------------------------------------------------------- Sills ------- --------- ---------• ; `alit b. Masonry veneer J-A.C.____-- Q _- } E Sills ----U_z-c- ts------------------- Lintels- _Lt�z___-�/L_tiF__zl - t, backup ------ thickness ----------- . Bonding---------------------------------- ------ - Masonry: Facing -------------- p ---------- Door sills --------- --- ---- ------ Window sills ----------------------------------------------- Lintels---------------------------------------------------- Interior surfaces: Dampproofing, - -_---- coats of ----------------------------------------- - furring----_---------------•------------------------------ Exterior --------- - - _ ;number of coats__-3-. --------------------------------------------- Exterior painting: Material _.. .l'..k�-_A_+a.- --�. _- -1-�-------------------- -- a It Gable wall construction: 0 Same as main walls; other____________ _T�_- --------& ---- DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: Wood, ads and species ,�A �__Y_P___________________ Size and spacing 2��_X__ _=__J- 9�_ Other -_P�arxlLiQns_ �2 AI? YP Ri�tzQrl�_"( f_iffxslt+Rt__intQ__suds_on_Rextir �.S1cx-------------------------------------------------------- 10. CEILING FRAMING: Other ------------------------------------ Bridging ------------------------------------- Joists: Wood, grade and species --_------------------------ _---- Seagaaf_I�us�_Stness_Diagram_nnd_L2st.QiL_atiac.ka.��i_tQ_ ns aa------------------------- - -- - -- - -------------------------------------- 11. ROOF FRAMING: 12 Btr AD Y P Rafters: Wood, grade and species ---------------------------------- - Roof trusses (see detail): Grade and species___-_----------'----- - eiiin Where sloped_ rade and spccur 2 - 6" Roof Joists_12 AD YP will_ be_used,_____-______:--__--------------------------------------- 12. ROOFING: , I I CV 1 y-w a p spaced--------- o.G Sheathing: Grade and species . G)_Eu_P_lywO4d $_-________---; slze4-X ______; type_ Asphalt composition ; grade . C 215 s,tening 7 .8= Galls ---_--"-_-_"_-___; weight or thickness ; size l} __ --- Underlay � __k�._ Or------------------------------------------ ---------- Stain or paint --- ---------- ---------- y ---- ----------------- number of plies ----------; surfacing material -_----------------------- Built^up roofing _-- ------ - -_- - no guards F ahi Material _."___ a or weight ___------ - , ❑ gravel stops; ❑ gu - r 3 " Aum. clips to be used-at Qlywood_decYcirq loinFs�etween_ra{tors. __§------- -- -- Cc. I ,,� r ►`o r I- 1:-�•o c i cr r✓�5 - 7 13. GUTTERS AND DOWNSPOUTS: _- �L�_Ltit_F .--_ ---------- gage or weight Gutters: Material---- --_---____--' size------------ ---shape --------------------------------------------------- Dotter:: to: Material ------- - gage or weight--------- size---------- ; shape ------- ------------------ number ---------- dry-well. C] Splash blocks: Material and size______________________________ Downspouts connected to: O Storm sewer; [3 sanitary sewer; ❑ ------------------------------------------- -------------------------- 14. LATH AND PLASTER: -; weight or thickness --------------- P4ster: Costa--------; finish -------------------------- Lath ❑ walls, El ceilings: Material _________-_-____-- / . Dry--wall (q walls,)0 ceilings: Materiala)tp-Wall6Qi7rd;thickness _IF�" ; finish ___ _-_�lArt -----;Joint treatment----mpe__8-- r.vment..--- ---- ------------- -------------------------------------------------------------------------------------------------- ----------------------------- 15. DECORATING: (Paint, wallpaper, efc.) _ WALL FINISH MATTJtIAL AND APPLICATION CSILINO FINISH MATSIIAL AND APPLICATION Rooms of hen-------------- ---- ----CLA_1.5 Kit Bath ) -- 4 1 -" -. . , - ----- ------ ----------------------------------------------- --- --- ------ R. Gi2e_z5Az _ __." � c -. _� �. --- --------------------------------- ------------------------ -- -- -------- -------- 1L. INTERIOR DOORS AND TRIM: • thickness Doors: Type F1ush--_Hollaw_C.a�teria-B8,Btr_-1�II-alb ateria► _"-_---_--l_lauan----------------------------- Door trim: TypeAAaulded__-____-- Base: Typeded--- materiaB tr--KDYP-; size Finish: Doors __ _ L1 r Fly-- r-2P._L7-�- c5�:� --------- Other trim (item, type and location) Eull_lauvererlAaars where-shown_ar��Lawings._--All-B_'_-Q"--hi$11s.I.fd1Ag-------- ---------------------------------------- ------------------------------ dnnrs_ar�full InuvE.Led_--------- -- ---- ------------------------------------------- . 17. WINDOWS: Windows: Ty nl ___----.---; make ; material __-- tif►tlf,til>1------ ---------; sash thickness ____------- DSB __; ❑ sash w•ei hts;l ill balances,typeCC,^,,, -Yllaod_YY.indov�rs head flashing 2bGa_-G-_!_wherq Glass: Grade ---.---�----------- g •'t" - rest c Trim: TypAQ_UJ_a0_4-G_yp_.RetL iWrial B &Btf _KD IF------------- Ariss �.etAt�l(�.._U D,_ T_CX?s. ; number coats----- n sash,number Weatherstripping: Type _C�re«Inn*_Pi1e_nr__Y_inid-------; material 1Lm_*_Pile_FahLIG_rar-V �A . r screen cloth mkterial ------�4lClln4Rl___-----___-r Screens: aFull; ❑ half; type ------M-1-llmade-- ; number _lam--- ; Basement windows: Type _ ----------------------- ❑ Storm sash,number--------- � ; material ------------------------ ❑ screens,number --------; Special windows -_.__�Ll[Indaw__1A(all__Units�er.;ilalu_-A1>,m._hMiz__S1IrlIi�_w1n&w-S_}LavEho f_scraerss-'----- — S'zJa;ts_ !i_dir1�_ r_s_>"Ith_nh�minum_lrames_ Flanz----------------------------------------- ------------------------------------- ----- IL ENTRANCES AND EXTERIOR L:DETY » / _� /'4. Frame: Material. W.P'---;thickness Main entrance door: Material______L L,QucLI---------;width _ 4_______; thickness 3/4t . �P----; 1 Other entrance doors: Material -_JalOUse-----------; width _32_ _"______;thickness_'_ _ Frame: Material thickness Head flashing16-G-a Qo-v-where--requiredweatherstripping: Type _1pringBronze-----------; saddles ._ Screen doors: Thicknessnumber_.__)____; screen cloth material _XuRunum Storm doors: Thickness-_"____";number ----------- --- - - Combination storm and screen doors: Thickness - "; number _ -__ screen clothmateria ___________________- --------- Louvers - -Roof------------------- ---- Shutters: El Hinged; Xfixed. Railings --{ger plans---"-- - i II II Paint ---�,t. A�7__- -_-- L -----; number costa Exterior millwork: Gude and species --�_�_-YP------------ Iu �- --��------13- i.Ai�..CaLLatS�__�_LF•i�.+--ILS._�._.A..__:�4__1��1�-�----�-yam`-'-N---�--''•t----- ------------------------ 19. CABINETS AND INTERIOR DETAIL: pp " • Wood Millmgde_b _ "koro" __________; lineal feet of shelves _tans--- shelf width ��___ Kitchen cabinets,wall units: Material ------------------------------- Base ----------- - -- --- - - Base units: Material __5_0Me--------------------------; counter top _Lnm'hated-P_1nstIr---___-----; edging _-- II number coats------ Finish of cabinets ___a.lrChT-X.AOtIL)t-Pole-Or- ----- ' Back and end splash Same_4___hlgh------------ / _ .I . _.,.a,.I 7As2A ..,:41, �lidi��lntaalass- � --- 21. SPECIAL pLOoaS AND WAINSCOT: ` B..L v LOCATION Mwrsuwz,Coto0.Bosons,3csss,Gwas.E"- TRsssaow u D Kitchen--- .1f 1_ J __A� 3S -1-0 - - -----------------.� - Bathl$•- .— EI'A�h!C� i -thy--------------------- --- -- ---------- Ay' - le--gym $°• P�nslarGti - - -- - ------i--- --- -- ----------- ------------------------------ --- - BLIGHT rX10AT TUi I HnasT AT$tiOx Ea MATLRiAI„Cove,T3osDSR,CAP,Suss,GAus, TG -------•- j.O(:AT1UN Bathl� --------- - - T_________ ______- --------------- - - - - ____-1------------- -- - ------ --- ---- �ttached; matert_tN - --; num er - ---------- number--- ; Bathroom acoesaories: ❑ Recessed; materia'. --- ' - ------- - . 2L PLUMBING: _ -- SILL , -- G=--`- "-- -—�—� MA" MraL'a,btxTvxs InexrIe3cwrIoNNo. MTU6i -._—ii NUMB6L U)CATION _ -- -7 t �— (Built in Cobinet �" or + 1 Kitchen_ -- - . -- koro----- Smk..__ ._ --------- 21" x -- - ---- _-_j- 1r11�._ -! -- !------- ------------------- Lavatory4) k Water closet_ . r — Q' �, � _�1. c.-�---�-7 • - -- -- u-=- - - Bathtub...._ t� - ---------------------- ------------------- Shower over tub* __ _.Stallshower"• - ---i ---- -- - -- - - - r - -- -- - - Laundry trays _ _-Plumb for hot_�ndi-cal -wQter �._ r_ain f_Qx_secsl�h�r son 4t�o ----------------- - ------------------ ---------------- - ' I -i - -+ -------------- ----------------------- -- - -------- --------------- ----------- _ -_- ----------------------------------- -D _____---- ---_ —.-- — •+❑ Door ❑ Curtain rod 4Z te) system.* Watrr suppTy: ublic; ❑ community system; ❑ individual (priva Sewage disposal: %P,,h?ie; ' community system; E, individual (private) system. *Show and descriho irdi,ndual system in e,rmplete detail in separate drawings and epecifteations acr.mdinp to requirements. House drain (inside): Cast iron; ❑ tile; ❑ other ----------- --•- House sewer (outside)• ❑ Cast iron; ❑Sill tile;%otnumber ^•M t" er tubing; ❑ other------------------------------'--s----- V1ater piping: , Galvar.lZed steel; �copP — - _ A -. .--- -----------; make and model - —;K� - V Domestic water heater: Type .. _. _ recovery __ __�'-_.�_r.:>+.___ gph. 100= rase. Storage tank: Material _t-�cl�l'.�---5�'-p' -'1'-- - -----. capacity ------ K r ----- - - - Gas Piping: ❑ Cooking; ,house ..r,_. h pet. as; other- Gas service: ❑ Utilit.' c,;n.r:� :_,; 1 I g ---------.--- --� - dr well. Sump PSP ------•------- Footing draii.s ;t.,:,n hewer; +_� sanitary sewer;u Y 23. HEATING: ❑ Hot water. ❑ St,•.. +•ur. L; One-pipe system. ❑ Two-Pipe system ❑ Radiators. 5. n Raseboard radiation. Make and model -_--_------------------------------------------------------ -- --- Radiant panel: i�l,��r, �;: wait; �� ceiling. Panel coil: Material--------- - _--------------- ; capacity ,, :,nn 'Make and model ❑ Circulat�,r. i_' Pr.t, ---- Output - -- Btuh.• net Pati ---_ •- Boiler: Make and m.,Icl -- Output _- -_ t 7 . \ Warm air: [D Gravity. §4 Forced. Type of system t••._C __�".l.L.►.L. ___ t�L_+'W Duct material: Supply - tZ.rY- -----; return ��y•--- emulation _ thickness ____1 ❑ Outside`sir intake. Furnace: Make and �az � Input--------------------Btuh_.+output_M lq, _�. ?_G$tuh. - �51_!�_,q 01�__{.t?�?-- CA--- � � C i�a�t�5 -- _ ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input --------------------- Btuh.; output--------------------- Btuh.; number units_ Make,model -------------------------------- ------------------- ----------- ---------------- ------------------------ - - -------------------------- ---------- ---------------------------------------------------------- ----- ---- T - Controls: Make and types- -.. l `-----F ti%_�_-+�-u1� ---- --- U-t-� t_1 17_.1_ - - --------------------------------------------------------------- ----------------•--------- -•------- et. s; electric; ❑ other--------------- ------------------; storage capacity --- ', Fuel: [I Coal; C3 oil; 11 gas;�iq.p gas; ❑ •�-- � �Sr__t4.1' .. ------ --- --------------- --` �w-L - '' --------------------------------- - - Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: [I Hopper feed; ❑ bin fee Oil burner: ❑ Pressure atomizing; ❑ vaporizing __----------------------------- ----------------- Control - - _._ ----------- --- ----------------- Make and model ------------._ -------------- ----------------- --------- -------------------------------------- Input _ watts; @ ------------voIts; outP t Electric heating system: Type -- -- _ - -- DESCRIPTION OF MATERIALS 26. INSULATION: _ LQ(:.ATIoN Taicx Nam MATERIAL,TYPE,AND MlrHOO OF INSTALLATION VAPOR BASRISY Roof________ __________ __-_____-_.__-_______________ _ __________ _---------------------------------- ----------------------__--_-________-__.___-___________- Ceiling----- ------4-�--------F1_j3-i-�---- -�-A 55------ _r_r_5----- - 1_e-LC*------------------ -- - Wall-------- -------------- --------------------- ------------------------------------ Floor-------•----------------------------------------------------------------------------------------------------------------------------------------------- --- -- 27. MISCELLANEOUS: (Describe any main dwelling materials,equipment,or construction items not shown elsewhere)_----------------------------------------________;---- AII_exterior_trim_and_siding_(except Cedar Shakesl_has_a_special penetrating_paint_pri-mer fQctQry__Q.pFlled- _Eencei,_-treellis,_.decDratixE_grills_and_p or_ch_rnils-per__plans- ------------------ ------------------------- --- ------------- ------------- -------------------------------------------------------------- -------------------------------------------------------- ------------------------------------- - �-Iz_-�U----T--- -------�s `a4 E-----------e----1--T-H-------- � --1�-- ------pi-Y-�s.:_f�U_l�_---------------------------------- -C— --------------------------------------------- -------------------- ---------- -- ------------------------------- ---------------------- A-ReA- --- ------ A,�_T1=2S - - - - _-.�- =--------1--'-u-�- --- --m �--�----- - t-L' r 0--------L-(_ u_k+�� -----VA_h�w---------------------------------------------------------------------------------------------------------------------------------------------------- -- ------------------------------- ------------- --- ---------------------------------------------------------------------------- ------------------------------------ HARDWARE: (Make, material, and finish) __ Weiser_Brass---with_Chrome_bath_locks;-Ext_ erior_locks_keyed_al-ike;-------------- _ErQnt_Dow L-oc5 khas- I_'_&ackset-with_Interior--and Exterior-Escutchefln------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- SPECIAL EQUIPMENT: (State mafcrial or male and model.) Venetian blinds __ ---------- Number ____ _________ Automatic washer-----------------------------------------------------------•---- Kitchen range ------------- - ------------------------- Clothes drier -- - ------------------------ Refrigerator------------- ----- - --------------------------------------. Other__ ------ ------�------- .4 Dishwasher_f har?hr_! !)_t<11(_I~ .�.. ---------- --- --------- ------------------------- - - Garbage disposal unit k l�l_�.. �l`- -------�� - - - ------------------------ V�-�----t----.- A!u GarbG t '�" F ' A PORCHES: >_ -- — I � - I�Ci_s[�_�='_ t� -L4 :/-?1_`.....-- _Qek% �-'��-----1 .J-----�-1 L�?_�sJ �1-----� �=------ -- ---------------------- ------- --------------------------------------------------------------------------------------------------------------------------- - --------------------- --------- ------------------------------------- TERRACES: _ -------- s--------------------------------- ------------------------------------------- --------------------------------------------------------- ------------------------------------------------------------ ------------------------ -------------------------------------------------------------------------------------------------------------------- ------ js ----- -----------------..- WALKS AND DRIVEWAYS: Driveway: Width .1__ ____ Base materigl :�A U_i�_;thickness---__". Surfacing material _________________ thickness Front walk: Width. A Material___LCd __; thickness _A.-". Service walk: Width------ Material ------- ;thickness __ ..... Steps: Material �� 'l�.-ri.. .-------- --- -- ; treads ---1-1------"; risers ------X... --". Cheek walls --__1,�_�'S')_L..�-------_-_ ---- -. ---- --------------- - ------- - ------------------------------------------------------------------------------------------------------------- OTHER ONSITE IMPROVEMENTS: (specify all exterior om:ite improvements •nut described elsewhere, in.rluding items such as unusual grading, drainage stmeture-_ retaining walls, fence, railings, and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil ------- " thick: [] Front yard; side yards; ❑ rear yard to _._____.______ --------- feet behind main building. Lawns ( sprigged): Y Fror.t yard _ ________________ _side yards ___---------------- rear yard Planting: 7, As specified and shown on drawings; ❑ as follows: ,i .373/4" I 37 r r z \ \ \ 4 19 in 3 c o Q 09 m c A _4 Oo A Q � n � 0 •� 0 0 - � 0 0 n 0 C D 3 C a CD � \ � Q CD ss � < r k \ \ \ \ \ <r \� ♦i - A _ L n rn CA A '^ Z -I / /N / N CD 9. o � � mla m � Iola � � 7- 00 3 n 11 p \ \ \ 4 q \ \ =►� /� n Q n � ®n \ \ \ \\ \ o 'oo _� a 0 Iv$ i / p N m 4k4 D THESE WINDOWS SUPERCEDE THOSE SHOWN ON ELEVATIONS 511 48 2 = o m m m r dN p� )o C $ O „ v z o z 1 NC) c m = 1 O m m OP m m � D m co 3D m 1 � $ _ d � m O n = I , n -i = N O M O -{ rn '� = O Nz -i X x _p v s -4 r r A O e -u DLp --A C) D L � zm O m P ;a ?m a F H A Engineering Bu! Ietin No. S E - 230 NOMINAL SPAN (FICT) ry '� � lW.f �+ O m m • a !� N W r O m D7 J O I•'I N i i ro i i i i 1"ly1 W �-- N N •+^ j� � O N N S N N N N N N N N N N N N N p O N N p (p _ H H H H H H H H H �7 H H H H �Z 9 N W A_N - - x 3 > ' W ` Kp W N , � F W W N :-3-7 o V1 t > A. d X7 �-• N o � m -� rn � i u N .N. p .moo m -i � �' 9 n W W r I W [7 W W N p — O1 CL Of ❑0 c " r W = _ _ _ _ _ m a a It - vz � N 2 — 0 0 0 0 0 0 o c o o o y rt R G� 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X N a a w w N � �• [N�7 W � ,� N O a tl� W �1 N O� r U A m W • O w N .• O O N O O cr I ..r::o y ['• r m o C J c o W W o o a a a o a >> c v c � c N O O p R _ O _'C raj (: ^�'.g. A Ti � TJ r W VI 1 .la G C SSC O z O -O v. m 1 C W C W'o 4F W Tv n Ti W O ➢ 9 n � �• ' � ^ S N r G W C C rn W W W ^zza 2 y�r, oa o. O o39� n� Z r m o-m rt =r^•3 D .- y Z mNoop:cv Q D �r ,ZNj �o 3.SW .-a n 17 Bio�..W rtn o C7 ➢ > ncv A m� Nwvc -� 'o^.»� ❑g � Z 'b �. N O b m $w" - �am3m O a L apoa+.e na o"' n o�o� � o� r r > r a _ N lot co 0 to n r N m o O tmn a �:'a _ W b r ro � > w top O d < o W OD D r D p i CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000380 Date 4/10/09 Property Address . . . . . . 1420 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc WINE CLSET IN GARAGE ------------------------------------------------------------------------ ---- Owner Contractor - ------------------------ ----------------------- MUSSER, BETTY OWNER 1420 SEMINOLE ROAD ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 --------------------- - Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc SPLIT SYS COOLING FOR WINE RM Sub Contractor W.W. GAY MECHANICAL CTR. Permit Fee . . . . 59 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/07/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. --------------------------------------------------------------------------- - Fee summary Charged Paid Credited Due ---------------- - ---------- ---------- ---------- ---------- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 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 09- I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BU ILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: 1420 Seminole Road 00 No PERMIT#: 09-0380 April 7, 2009 PROPERTY OWNER: 4.NAME 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: Betty Musser (904) 246-0963 MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.. W.W.Gay Mechanical Contractor, Inc. 524 Stockton Street Jacksonville, FL 32204 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: CMC008140 (904)237-1842 (904) 394-7944 12.EMAIL ADDRESS: 13.OFFICE PHONE. 14. jbyrd@wwgmc.com (904)394-7632 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE: 15.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENT CODE: ❑NEW INSTALLATION ❑ NEW W RESIDENTIAL X1'06 FLORIDA BUILDING CODE- D REPLACEMENT OF EXISTING SYSTEM N EXISTING ❑COMMERCIAL MECHANICAL N ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED ❑ CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: M ROOM ❑ CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE- PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 1 split system cooling only(wine closet) SS4000 WhisperKool 1/3 32.HEATING EQUIPMENT: NUMBER FURNACES BOILERS FIREPLACES AIR HANDLERS ETC. OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: TYPE LIQUID APPRUVINU NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech.REVISED:12/18/2008 0410712009 13:57 (FAX) P.0021002 CITY OF ATLANTIC BEACH 09— 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 37133 OFFICE(9D4)24T•5826•FAX NO.:(904r247SB45 BUILDING-DEPT®C OAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY i2:lOHADDRES3C.'i:i.�t'v$ �ZbvK�t: �i: :�ZIS`THISASUB'•PERM�Ti°: 1420 Seminole Road C4 NO PERMITt 09-0380 April 7,2009 77 .fir' 4.NAME L 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS- a Betty Musser (904)246-0963 :.'�--<��::x'',i.�.z•'"7`;i�<t:'S'`' :3=.ter: .a' -`.MECHANICAL CONTRACTOR ' ,:�'•�._. .., ,4 �.-. 775M 7.NAME OF COMPANY: 8.ADDRESS.: W.W.Gay Mechanical Contractor,Inc. 524 Stockton Street Jacksonville,FL 32204 9.STATE OF FLORIDA LICENSE NM 10,CELL PHONE 11.FAX NO.: CMC008140 (904)237-1842 (904)394-7944 12 EMAILADDRESS: 13.OFFICE PHONE: 14. jbyrd@wwgmc.com (904)394-7632 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be perfomied to meet the standards of all laws regulating Construction in this jurisdiction. This permit becomes null and void if work is not commenced within sic (6) months,or if construction or work is suspended or abandoned for a period of six(5)months at any time after work is commenced. CONTRACTORS SIGNATURE: >� .''-';:'>`+=T::�i` :.7' 16:-BUILDING. r:;i'::77.-SERVICE£?:: 16:;CURR CODE:::::yLr'w:it :. ❑NEW INSTALLATION ❑NEW W RESIDENTIAL 13'06 FLORIDA BUILDING CODE- 13 REPLACEMENT OF EXISTING SYSTEM M EXISTING D COMMERCIAL MECHANICAL M ALTERATION/ADDITION TO EXIST SYSTEM D REPAIR 0 OTHER w:._: ...: a. ,.s;*.�;=.yr;v, iF �`:jvYK:I`. MECHANICAL"'EQUIPMETIT-,TO'BE INSTALLED: r.H�':; r'�' ``a+- - 18.HEAT: ❑SPACE ❑RECESSED O CENTRAL ❑FLOOR BURNERS: 20.AIR CONDITIONING: M ROOM ❑CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm r22. REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: Spm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 0 PUMP 17 WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSUREVESSEL,HEATEXCHANGER OR COIL IN DUCTS ETC IVALUE FOR OTHER ITEMS: :J--. _ tir S r :.,= i"ry:•> `»c: IJNG EQUIPMENT:; ... *;�X.tt^:'^l. � ":'•:� c.. }:{',,X.,,i.i� .91`._ - - -,. 4v• r=y "z7f� 'rrY'` 3.1,:�`;=s':"�zr"r i- >.y:� :Ny a: _ tN'..t..:�...� ERAT!• :.t. -ENT-C ND R . .t: r NUMBER APPRCMNG OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 1 split system cooling only(wine closet) SS4000 WhisperKool 1/3 .x:-: ': :��t-•':.s• :�t3,__��'�i:.n:'.4._. ',:K i�c::r:•,�'?j.d-.:trrt.',+'.�i y':;Y. S:.:.,,`._':;t R``k` =;32::HEATING:EQUEPSYiAF ..`. ' ::: �.i��:u,-.. AFI C >`',.r.?'_..•i:'^a,t:iomF^�:'Y�.ti1'.^„!-:'*€i5F<,--:�y�cni:r:r:?;fi'r�.•YF NUMBER APPROVINU OF "=r UNITS DESCRIPTION MODEL# MANUFACTURER BTU z.7.xs* - .wt `i: ^,' :::�t`ri':�`rrr:•....,�.�,.-_,.':i - :;c:_':?�lYaY;- ?�':ti.K,;.n.:Y„aE3-AY:;ilf;'=.-;;, NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY OLDG04 Po ml Appicatm Mxh:REVISED:12/18Y200B 0410712009 09:14 (FAX) P.0011007 W.W. GAY MECHANICAL CONTRACTOR, INC. 524 STOCKTON STREET -JACKSONVILLE, FLORIDA-32204 FACSIMILE COVER SHEET DATE: April 7,2009 TO: Building Department COMPANY: City of Atlantic Beach, Florida � � FAX NUMBER: (904)247-5845 v bwdm CUSTOMER ,'i NUMBER: (904)247-5826 Mechanical Contractor, Inc. FROM: Jon Byrd ibyrd(ZDwwamc.com Direct Phone:(904)394-7632 Direct Fax: (904)394-7944 REMARKS: See attached Contractor and Occupational License information to update your records. Please contact me regarding any additional required documentation. Thanks. NUMBER OF PAGES INCLUDING THIS PAGE: 7 ORIGINAL WILL: WILL NOT: X FOLLOW BY MAIL:. Y DID N RECEIVE ALL PAGES,PLEASE CALL(904)388-2696 FAXED BY: CONFIDENTIALITY NOTE ormatlon contained in this fox message is legally privileged and confidential informatlon Intended only for the use of the individual or entity named above.if the reader of this message is not the Intended recipient,you are hereby notified that arty discussion,distribution,or copy of this facsimile is strictly prohibited. If you have this facsimile in error,please notify us immediately. Thank You. 0410712009 09:16 (FAX) P.0041007 STATE OF FLORIDA £,- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET 32399-0783 TALLAHASSEE FL GAY, WILLIAM W W W GAY MECHANICAL CONTRACTOR INC 526 STOCKTON STREET JACKSONVILLE FL 32204 Congratulations! With this license you become one of the nearly one million . 3,IRSS.,''r Floridians licensed by the Department of Business and Professional Regulation. ., 0OF$r5$ 01 ASIS N Our professionals and businesses range from architects to yacht brokers,from v:• - - 4W ?:44'= boxers to barbeque restaurants,and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.mynaridalicense.com. �`�.'SRTIF DNP&1M3;1M..-il:DZiTRA There you can find more information about our divisions and the regulations that ,4iGAL L. A#Ic�,II:AAC'Ii�M[;_N:>. Q } impact you,subscribe to department newsletters and team more about the ht5 iA.,t F'Y_ 8EiPitiICAL .- •: Departments initiatives. ;,.... r• _ Our mission at the Department is:License Efficiently,Regulate Fairly.We ;: ;; i..,.%'z constantly strive to serve you better so that you can serve your customers. sZ8_ S >m L .l :4t�at4a9�ja Thank you for doing business in Florida,and congratulations on your new license) ;p' ~yd806~1f00g;::� DETACH HERE iiit�t:Lrt:-717-1-7—:=' :e' Y: A' .� h' 1D �r-:'Y i:•i�4-, �.L •vv- -- ter.. er �r.� •.r :?�,t a�.�, t. 't�"1�::.r.�. -k`" - :ate. - �:_i4 `•' 7 r.?� ANN __ IFC�1rrt `.I,.�I R?gi:`;._f� 1':',.:;?i. S._ -ti�';i •'••:3: `:iM,v':ail_ '�''( '. y1?�ftG• 7''. ��1w�� .:: ..rw..,(-F5.4 :K3� t _ c P. 01"W4. $`5��'-''1 -t ,„ Olp ` •�> .e ... X54:. _ ,.. ._ �.. _ '�-' _ ... - ' �Y.. • JRcA R,,,��Y `$•''•ii ` -'••i•:ice.. ..i: _Y...:.�.: _ - - -- :;.r:z =s.:v' _ �� e� ..t+,,` '.•�.� +a'.ki. i.fY.S;'i:{J:!:'',:••.':: ,f.. .,�.•• - u... l (gyp�!+ •.V. 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'' - :' "- `` ,•.;.!; For information about our services,please log onto www.myfloridalicense.com. � (' ttTIF3$D hIS(�liNIC�1L CG'rOlt; CiY .• r There you can find more information about our divisions and the regulations that wy_:; 7SL2711S�,ll:= �:��`':"�" -' '..--:_.:-•. impact you,subscribe to department newsletters and learn more about the f € '` •+ X:•r1� TC�+ 401'T= DepartmerR's initiatives. •a% ..,y XX.. ,.J ... _-. ems;t':�. ,��:!i�i'._-...��.;: _:.-` �' - -: `�:: ;'"•. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can servecustomers.our Y ... '-,I$�.C'�7ETI?ISD nq�1�z• avt�if�q,..�" :48�:}�s: Thank you for doing business in Florida,and congratulations on your new Iicensel DETACH HERE -�. ;-:: ;x•_ _ j .;:�, Y';.n.r;:_ -fie.- ; :; i::c::)':; :,._ _ ,..: - :fjJr.: 31 R 7 f i-"i^tom,_/.!a:!►'�,'..'�-•i�+`�f.�r a'•,'f.�.. �'.�:-. r�•:r y:_s, J.� �� \•t. 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'>tti�i;. k. _ _ - `��. j; ��u. �i a J', _•h _. ':�. _.. ., yell. ,�_�- �• �''+.' •a�`i� r+•L:Y ..°i�Q� `��'?}.-: _ - •'�?.I'{'t'% -�4J.; Sy •, - e _ - :, ,-'_7' �:-S tE:it''"':; ;S:��: .':at +�;t�: _',;T -,g ..r+�d�T •-' �;r ';F-.1 ,„1-r. :5.[ ) e:�' '--�.' ' , .� •� ' t l' ."r 't ''�•ii:::.-� -� ••% E r.', .=;�. •:.,.. .,- I£PA�S ©LSI RED�9I LA ::.:' 0410712009 09:14 (FAX) P.0021007 H it: Ur rLVKIUH DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 W W GAY MECHANICAL CONTRACTOR INC 524 STOCKTON ST JACKSONVILLE FL 32204 r ACs 3.2.5 5 4 6' stc 9:OF 1%01101 44 ANAL 3 ' GdOT��N'� �'` O.Oa3,14 >�- 1.9 ') `+etSISSSE'CRiIz� TI,QNr s XC- ATOlitYNi 'A'LI6WED:°QUAI+IFIER.) 6-e �uJyP:" u 1<yJc}?. .11': Z lF'C7D.1135 i DETACH HERE Ac,� 5: 46 9. : ::sTA 7 _ FL. tl :�:-• :1,:,lty, � `•'^' !'1�::�" ?Y}_ Jl Ftp. y .. .' '\Vr=..�.�pu `�:.!r �•♦ i� i1 `i:i' ."W . =y,"' ,.: 5±4c; ;�jT.�}?,•c, . :rte.\ ;c Z :x((:�� ?!y\'' ')� �(.,k1r, ^� i+ti s 'fi D ��}} 'll�ltE IF $.: 'P ' -g . `t..• - F) + ( x'tr _ 5 1`T -. :.EN +Z.�QL .h6�0. �'t. •`1'.✓ J'�� *•ct-a ;i, e eJ ' )ill} ' 1 2l.J,'4 ( •lv'� a 7 :r ;:'i�j':`- ..' { i.�r 'S''•�� )�,)��'� 3: I t. t` �. 7% F � �:.:.: :T:--• �.. �- . :�:-^.c:i�+`� +�.+,.•} _ �''C'ti, :.. .-•� .. -��y.: i a xb'�'=::::x .. i=sc` e=a:� r. ..af'..:Y^'r.:.. ..�xY �.w' r.w� velliell".1 �g '��i .., '} tl•r x.'r' nti r '� .+. .Li it: �i:r: r' -�3 , 4L-_..:�i.>^�t.•;tl:'•. vt:.�yr .� .L l �•. s.G�'.£"�c�+t•.. t' - v tir._ r i vr•�._r.'- .:.C.. hi. t=Y.+� . o ' K` }- .�._ ::�/�'s�I`�_i.'�.v:�Ir'+A„�.;sF.i,rv. -'�rf°!,'--,�A'r'�a+�+` a•.-:•-_ -s't[;=,A+�� x'isy-_� T+ ..t.1 c� n <. 1,�x,, i.�r h, ?. .- <5 � i ` i :i i i��(S.,.i��e:, ?US- �''�. - ni"". �t ��d,�':��fr#..�.;'�.'==- _ -_•iii__ r..�,�v; -.1<. ��..r N� ��r_.�,_,: .C+C-,•x'': ..b' ��,i: ..��aaiec`fi: b�`,• �. '� ;t��JALI� .< ��=:.1�-'.,t:. _,. .:?�•';= t_,_ ,J;;.'�... .�,,,_ .5_;..� -:;J,- 'r. ^1Tndei=the �p�ovisions`-`vfCh�p- ',?�, �'-�`-r�•" �:;R Expiration date: AUG 31; ,�200.�.�< �. �• =�._"�s<<`` _��_3,,•. +.. �t t. 10 Ji •t:wr., •`='t'�1'r '-�•' :v v�S tv;,•, v .K ,; '=; CENS.E' ''-'•; Al , s� ).�''t -t: t., ,.,. ):'ti•- ` -•'vtyruy. i✓t� l:Y., •t< �_:�t7r.• ''..!!.``..C:. �:=�' ._''. `. '•' '�.,, < '•` -r;;' :F": xi.•s ;std; TQJ3 J Fi :tixQ. . `t'F� r��rr-,� �: y;, i,,..4 fir} . .f' (.t. TF) ,l � J �. �x.:,�..,'g`�: -gr �:.•: :,, �sC' r*,i}, 4:>;�� :.,?='��'C .�.... �.�,•.�r�f;; �,,. *"A,..rl•' '�y"t,, - � i •.rrR;>�,� :'.- j•rr, 5 r' -t••,:._• �fi A (: ± }A :.9r.�a :kis" `- -,r• .�i r'I``:i :i % 524ZOCKTO T::4tS � ,�, `rxlr ;,`�=: _�:� ::a;.� i •;: '',�:cr= -1• ?� JACKSONVILLE FL _3°2?0 .`�:k. 'JC :c1;`---� :iii;'-'v;• t 'u is >, •t•,-.. .•,q,. ':��N'':::�� . •- .�(«t� .{;. c'• •'> 1 � .}�^ +....X, r• .Y jit rr: �. +,`' .�a� �( � � :3,', ?� �-''lr,I:__ (�' r•.1�, .if_n. :�+'.',:?� F)�}..�t�: �4 ��: y r: `e�` 3;�. .fix s:.'t ix�- �. r. a,at'. _ C"is ''!�'.i.•.. :tY+e 1).t '�' ti• - !!� f r _,r 7'L--�},r �ly '•(r +'• :s!.�•.•.,.' .v,i' �;: r -�• .-•.... .3s ,L,+ ;y4 B) g ..t•::j{.;J. tr�J C TRIS R d:; f .F. b �` .�. ;.•: 3' PaTAFfy- `. ��'ifERNC�R"� "�' n�SPI a�•a '1:2FC]l 11RFf1 RY 1 AW - 04/0712009 09:18 (FAX) P.0071007 2008-2009 BUSINESS TAX RECEIPT CITY OF JACKSONVILLEIDUVAL COUNTY MIKE HOGAN,TAX COLLECTOR �{owv'v 231 E FORSYTH STREET ROOM 130 JACKSONVILLE,FL 32202-3370 PHONE:(904)630-2060 FAX:(9D4)630-1432 WEBSITE:www.coi.net/Ic Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This receipt is furnished pursuance of chapter 770-772 City ordinance codes. GAY,W W MECHANICAL CONTR, INC GAY,W W MECHANICAL CONTR, INC 523 ESTELLE LA JACKSONVILLE, FL 32204=2531 ACCOUNT NUMBER: 1:45420000 LOCATION ADDRESS: 523 ESTELLE �;iACKSONV{LLE FL 32�2Q4=?531. DESCRIPTION: : CONTRACTOR-.'ALL TYRES.. COUNTY RECEIPT DESC: CONTRACTOR-ALL TYPES COUNTY TAX: 375.00 MUNICIPAL TAX: 1,026.25 MUNICIPAL RECEIPT`DESC:'�'�• :MC.772.309-.;.. �- :• :�- . .. 01 25 TOT AL.TAX PAID: 1,4 N" ;'V/9�L1D 1~ROAA`September.1;2008 TO September 30,2609 e- 9 ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESS MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receiptholder to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the receiptholder from any other license or permit required by law. This is not a certification of the licensee's qualifications. TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-440538 .0001-0001 A17 07/22/2008 1 ,401 . 25 04/0712009 09:17 (FAX) P.006/007 2008-2009 BUSINESS TAX RECEIPT CITY OF JACKSONVILLEIDUVAL COUNTY MIKE HOGAN,TAX COLLECTOR 231 E FORSYTH STREET ROOM 130 JACKSONVILLE.FL 32202-3370 PHONE:(904)630-2080 FAX:(904)630-1432 WEBSITE:www.ccj.neUlc Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This receipt is furnished pursuance of chapter 770-772 City ordinance codes. GAY,W W W W GAY MECHANICAL CONTR, INC 524 ESTELLE LA JACKSONVILLE, FL 32204-2531 ACCOUNT NUMBER: 486320000 LOCATION ADDRESS: 524 ESTELLE. JACKSONVILLE FL.3220M2531 DESCRIPTION: QUALIFYING AGENT;:CONTRACTORS' COUNTY RECEIPT DES(: (QUALIFYING AGENT,.CONTRACTORS COUNTY TAX: 0.00 MUNICIPAL RECEIPT bESC: MC 772.325 MUNICIPAL TAX: 100.00 -T. 6T PAID. 100.00 VALID.FRO -September 1 200 TO Septeinbee-30,-2009 : ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESS MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receiptholder to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the receiptholder from any other license or permit required by law. This is not a certification of the licensee's qualifications. }}rr]] �� e�f,�4 TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-440538.0003-0003 A17 07/22/2008 100. 00 04/0712009 09:17 (FAX) P.005/007 STATE OF FLORIDA V _ Tyr- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F ! CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH TALLAHASSEEMONROE STRFLT32399-0783 GAY, WILLIAM W W W GAY MECHANICAL CONTR INC 526 STOCKTON STREET JACKSONVILLE FL 32204 AC#: 82:] 2'8. Congratulations! With this license you become one of the nearly one million licensed b the Department of Business and Professional Regulation- Floridians " A Y p ':8#LOY9.b`TOI�AL Our professionals and businesses range from architects to yacht brokers,from `�Lt ; . �:�`.'__.--.-.,:=*•� - boxers to barbeque restaurants,and they keep Florida's economy strong. N. ,.•._:Grp .•i �7*`. •. us/is%tie'��e:isTO -7� Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. " •'' Il!'IND'GZNSRAL' CONTRACTQR. There you can find more information about our divisions and the regulations that . : impact you,subscribe to department newsletters and learn more about the T 3i;.4W•-MECHANICAL Department's initiatives. .= rr T• r - . '< : 1)' +.':. -' Our mission at the Department is:License Efficiently,Regulate Fairly.We constant!y strive to serve you better so that you can serve your customers. Thank you for doing business in Florida,and congratulations on your new license! := .,�x. 7.�a DETACH HERE w �:ti �,;: ,iJ..-;,:::.•.r. - •i ix. i �'"�•.:� "�1T� e?'?�1�� .t1C:1�_ •."'' t' s:•.; i..y ?t: tea: {• _c-`f o.e. :Ji _ .. I t i w.: ,'y'• :i: :�4'� = �;i- •�!: PE,�}AR ;��'��_� -� \�Arr � Lt'• S =O t �'' Ac. ;4, .,•; .ly;:;y?;:ltw;w'-.'l�t �=ti r {*T i; 1�� !._(�7,. � Q�L 8 .1 ,. .. .. .._N-+r: !!�. .■a.■ , ♦ o-�4yy�'J��yyyy��;; ��iy" ,-�/�L W"f"'. _. •t •�• -�1,�• _ - 'V�� .� `I�:�L�.•-Y•... i.•�'�-/"• .�iVVY Or�vsKT •.+-.:• .r ah� ,�� •y'. ,ri'- - :1° ! '�tx i,"ia=..at= .? - �. - ;,<.�;; ;,j;� •=�•'' ,'.'e'• - - -_ - - - K �jl= �r =a`'_- ~`''_ _ - _' •. �ti: ? .i•:: t 6# ;7 'a rye' �.'(�J:sP t, , e, �,L .l:'• .iSrv. ':'aflt-o;i - •:-7.. ik :Y: i:-�1 `..l.r. r'.V�, :I_:•.!- _ - ' pM1�� _ -'`^b�-�� !'ra,:'=_iii ...•,.:. a_+:._i,f.' � 117 - 4?a_��p }� •� ---i...,•�•.._:}------ NFL, - - •._ �;x:::�" �'=^ti: 4.• _ ., - :r '?•..'.-:� .t + .y�:i' •.r.. .'1i. ,A .t� '+ liG1 .1 •T•fs`.-vl�:r -, �_ �*t•+.; •,� p�.p•�� -•�- �`��' -��F"�.a?;S :� .�r1F.7tG.�•:5�.•S.:i3'.'..^ .s.:. - _, pi'1. nr�W,tJ•':c�, ' �•i�-j.1.�{ 11m. 'tr /r+ `t :ra•+ {� 7,: �''vd'.' '•i - _ ::�'F•QIi�,`�.i: ' T:�":;.-;r.•,rUi'.":::;*.r ;j.� eG_ .f .�-„ ✓. :sat: .z._�j.+i:F•' :!y'�2• t,�.'."_��''i' ::+5'-� y r .../_: tt wi-�, , .t•.i+!t. "•�?Y:•. '.'N7r _]t - -t �.; � t�1 p�• rj7 ->: -'l�j`.!n,.c3TL�Z �1,15FE; 1 =•.V�y� 1 ,-.: t - - - - •K:!'r '•:f tel, . /��. ;'5��+1.�'I'Of�I�1'�31'��3TR$E''I��t.`.,' 'tr':'.(�•rd�`•�!`:�•:!� a:�i;s:�-. '. :� .:•�;?;r�,.r;�; : :�::.'.•'r.:....,. �== s1GR-SONVTL3�B3?2', ,r ��.- 1� `IIT •t,,.,, ,�\t: �Ilk -' :.�::. .)":a -'} L r•: =`C.f;�, k'::rr::;� f:�N,' dye' .,t.M? .�J% .. -'•;�t� ��. --:s-=,.. . ... :•--.�.r;: .r..'-�.:: P.t�. a74( :'F�F�I IIRF�.t�':1-A1Ak..._ - 04/07/2009 13:57 (FAX) P.00111M W.W. GAY MECHANICAL CONTRACTOR, INC. 524 STOCKTON STREET -JACKSONVILLE, FLORIDA-32204 FACSIMILE COVER SHEET DATE: April? 2009 TO: Building Department COMPANY: City of Atlantic Beach,Florida ' FAX r ikir NUMBER: (904)247-5845 CUSTOMER 11111"M NUMBER: (904)247-5826 Mechanical Contractor, Inc. FROM: Jon Byrd ibyrd(r3wwgmc.com Direct Phone:(904)394-7632 Direct Fax: (904)394-7944 REMARKS: See attached mechanical permit application for project we are doing in Atlantic Beach. Please review and advise regarding the applicable permit fees for this work so I can have a check prepared Feel free to contact me directly with any questions or if additional documentation is required. Thanks. NUMBER OF PAGES INCLUDING THIS PAGE: 2 ORIGINAL WILL: WILL NOT: X FOLLOW BY MAIL:. Y DID NO RECEIVE ALL PAGES,PLEASE CALL(904)388-2696 FAXED BY: ,•' CONFIDENTIALITY NOTE Uro.a't*i�on contained In this fez message is legally privileged and confidential information Intended only for the use of the individual or entity named above.If the reader of this message is not the intended recipient,you are hereby notified that arty discussion,distribution,or copy of this facsimile is strictly prohibited. if you have this facsimle in error,please notify us immediately. Thank You. DEPARTMENT OF BUILDING 4244 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 2220 -1979 Valuation$ 1008.00 Fee $ 9.53 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Betty Musser %U3 TL •5 has permission to build a deck according to piano cn}„ni;tted ! 'i 14/27/7: residential oil ! ` `` 12/07/; Classification 7nne Owned by Betty Mitgnpr Lot Block _S/D House No 1420 Seminnl p Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS ,1 AFTER DATE OF ISSUE ► O Building material, rubbish and debris Z from this work must not be ed in � public space, and must be cleared up and hauled away by either contractor or owner. Bill M. Davis Building Official. k FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING r ELECTRICAL SEWER WATER 'SII c>'rY of S R Office Of Building O/ficlal Date REQUESTOR 1 F Time NSPECTION Received A&j. P.M. Permit No. Owner's Job Address District No. Name BUI LOIIVG Locality ReRing D CONCRETE Contractor Doting Footing ELECTRi'C Slab ug AL PLU NG Lintel Temp pole Rough BI M ECHANICAL Mon. Top out 0 Air. Tues. READY FO Heating nd.& O Inspection `. wed. R INSPE Fire ply Made Pre Fab Inspector ._ Thurs. A M Friday- 43 P•M. Fin Lion�— CertlNcate of Occupancy Date 1 - CITY OF V""d 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 �— TELEPHONE(904)249-2395 April 24, 1986 Pre-Service JEA 233 West Duval Street Jacksonville, FL 32202 The following final inspection has been made and is satisfactory: Permit #4233 - 1420 Seminole Road Permit issued to United Electric Sincerely, Hilary Thomspon Building Department UllY OF A'ILANI1U BEACH APPLICATION FOR PLL:•IBING PERMIT �7 Q - 1 2 IDATE er NEW TYPE OF BUILDING OWNER'S 4AME Q REPIPE RESIDENTIAL e- ' ` 1�-- �L{DIU Semi k)U� bo� - ADDITION �_ COMMERCIAL LOCATION 389-6761 PLUMBING FIRM ' �'u IJI�V�K1^VL . ADDRESS I(��(3 N , mol D�f� U e _ �/ 1—L J2 CASTER PLUMBER e LLU a i H Q � please print CITY/COUNTY OCCUPATIONAL LICENSE NO. .CFC ®21"'n STATE CERTIFICATE NO. I BUILDER OR CONTRACTOR ------------------------------------------------------- SINKS oZ LAVATORY BATH TUBS URINALS FLOOR DRAINS _ CLOSETS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS _ WASHING MACHINE OTHER TOTAL FIXTURE COUNT �0-ko- &0((,Q VUGLf P,v Y �iVl I X +U eS INSTALLATION OF PLUMBING AND FIXTURES MUST % c ,5E IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN IXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT ;NSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) DENTAL LAVATORY (3 UNITS) (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ (2 UNITS) DENTAL UNIT OR CUSPI- FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK W/ DRINKING FOUNTAIN (11 UNIT) DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARBEF ATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER HEAD (2 UNITS) S GEONSINK (3 UNITS) (3 UNITS) POT, SCULLERY USHI l RIM SINK (8 UNITS) SERVICE SINK TRAP SINK (4 UNITS) STAND (3 UNITS) UR , PEDESTAL, SYPHON JET URINAL STALL, B� OUT (8 UNITS) URINAL, WALL LIP WASHOUT (4 UNIT u (4 UNITS) URINAL TROUGH EACH 2' WASHING MACHINE RES. WASH SINK EA SE. SECTION (2 UNITS) (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) PERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS s CITY OF Office of Building Official _J REQUEST FOR INSPECTIO Date Permit No. Time A.M. Received P.M. District No. � 4 ��2 W- �aak-- BUILDING JoobAdddressLocalityLOwner' Contractor IL_ i�� Name CONCRETE ELECTRICAL PLUMBING ME HANICAL Framing ❑ Footing ❑ Rough Wiring E Rough / Air.Cond.& ❑ B/ He Roofing ❑ Slab ❑ Temp Pole Top Out HeatingFire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION � A.M. Mon. , Tues. Wed. Thurs. Friday . .) A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA TCH pr'o/vo/d by APPLICATION FOR ELECTRICAL. PERMIT IEF ELECTRICAL INSPECTOR: DATE: G 19 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. �b? um I e.,) t=l Ir�� 3,. d c�a ti ELECTRICAL FIRM: M TER ELECTRICI SIGNA URE JOURNEYMAN NAME �U.Sh rL ADDRESS: �`� ="�t r% ' RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES. (', ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW ( 1 OLD (X REW. ( I ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ► INCREASE 0-�, REPAIR ( 1 FEE CONDUCTOR SIZE AMPS 0 () COPPER ( 1 ALUM. SWITCH OR BREAKER 0 v AMPS PH 3 W 4 SO VOLT RACEWAY EXIST.SERV.SIZE IOU ? AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 5 CONCEALED OPEN TOTAL RECEPTACLES 3 O CONCEALED OPEN TOTAL 0-30 AMPS, 31-100 AMPS. SWITCHES INCANDESCENT S FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS R e i��n F �rP ^� a h tn� P'61,iL .-►Al ,'tr✓l pit erlt/fK CVl�ic TQeNccnRnnFRS UNDER 600 V. OVER 600 V. MECHANICAL PERMIT# ADDRESS PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # �/� TEMPORARY ELECT . # Heated Square Footage @ $ `� ver sq ft = $ d� . 0d Garage/Shed @ $ per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION $ ' d oo la .`r° $ A od Total Valuation Data 1st $ '448 lS .6C) $ da Remainder Valuation @ $ mer thousand or porion thereof TOTAL BUILDING FEE $ S + k FILING FEE $_ `o FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) S� APPROVED_ISY':n R o v E D TOTAL BUILDING/PLAN FILING FEE i t; '1A N FIC GEACII DING OF,-;Cg TOTAL WATER METER CHARGE $ TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE : $ ,� CITY OF 14dan is Becc4-0;10Uca Office of Building Official REQUEST FOR INSPECTION J Date Permit No. L _ e +� Time _ZJ —O d A.M. istnct No. Received _ P.M. r Job Address Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough C Air.Cond.& ❑ Heating Re Roofing El ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made �l•1 o V P.M. Inspector Final inspection❑ Certificate of Occupancy Date i 6 T DEPARTMENT OF BUILDING PERMIT No. a I. ` CITY OF ATLANTIC BEACH,FLORIDA 171 G 1 G 1/09/ PERMIT TO BUILD 76551 •GOE THIS PERMIT MUST BE POSTED ON JOB 3716 1 A 1/09 Date J anuarV 8 . 19 S 5 3085. 00 Fee$ 37 . 50 Valuation$ ' I This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that BEATRICE MUSSER 1420 Serr1inole Road has permission to build Addition as er plans submitted n a or.t i a l Zone Classification Beatrice Musser Owned by S" Unit 2 Block4 S/D Lot House No. 1420 EMIN Y• According to approved plans which are part of this permitNOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE —: ♦ O Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up and a ed away by either con- i t o oyvner. Building Official. CONTRACTOR OR OFFICE PERMIT DATE USE ONLY FNUMBER I IPLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING PERMIT No.6 -L - CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 43*50 T Date December 5 , 19 84 43.50CKT 4 049 .00 Fee S 43. 50 2469 1 .4 12/0510 Valuation $ 6501 •OGCAC 2459 IA 12/d0/ This permit not valid until above fee has been paid to City Treasurer,and is 1 000 subject to revocation for violation of applicable provisions of law. U BEATRIIKE MUSSER i This is to certify that 1420 SEMINOLE ROAD per laps has permission to bo Enclose existmng porch as P I submitted I _Zone Classification Owned by Beatrice Messer Block_ 2 4 S/DSelvaMar.#2 Lot House No. 1 SEMINOLE ROAD According to approved plans which are part of this permitNOTICE ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE No. O Building material, rubbish and debris zI from this work must not be placed I in public space, and must be cleared U a h led away by either con- ac r r wrier. ? Building Official. CONTRACTOR FOR OFFICE PERMIT DATE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING PERMIT NO. 6502 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7,50,5G 1 Dec. 5 19 84 7.50CK T Date 2470 1A 12/05/0 Fee$ 7 5!1 6502 •OQCAC Valuation$ e470 1 A 12/05/0 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. IThis is to certify that B I has permission to b _ I Zone Classification Owned by I B1ock____�S/D Lot i House No.- 1420 SE1,111 E ROAD t of this permit According to approved plans which are par NOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O 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 con- tractor or owner. + JOHN ri. WIDDOWS Building Official. CONTRACTOR PERMIT DATE FOR OFFICE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT �- Owner �i15$.=� �A7�Q�C j Address /y")_o /►li�,�c � 6P0 Phone Architect Address Phone Contractor Address Phone License Number Expiration Date Lot # Block # Subdivision Zoning Street Between and side Valuation $ -19D _Purpose of Building4LType Const. Dimensions : Building Lot Sz .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 Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made . In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and W specifications , which are a part hereof, and 0 in accordance with the building regulations of the City of Atlantic Beach. o r LJo LD 4k2 sz- rt rt IU,5 J RLOF /UPJ n FU r Signature OWNER Signature BUILDER Front Lot Line e4l,� L=4Jlr r A) t FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevation established or that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date Applicant ' s Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative ADDRESS MECHANICAL PERMIT# PLUMBING PERMIT # ' BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # Heated Square Footage l`- @ $ 3O, � per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION $ Total Va uation Data lst Remainder Valuation @ $ ,3.n per thousand or portion thereof (� TOTAL BUILDING FEE $ , + 2 FILING FEE $ O FIREPLACE @15 . 00 TOTAL BUILDING PERMIT $ ,3 "5-7 ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ 3 APPROVED TOTAL WATER METER CHARGE $ CITY 0,F ATLANTIC BEACH $ BUILDING OFFICE TOTAL SEWER IMPACT FEES 83 TOTAL WATER CONNECTION CHARGE $ { MISCELLANEOUS CHARGES $ By GRAND TOTAL DUE: $ a SSM Aj � K ' fxiati�� PoRc N ADD �REF�B et--1 --clanice n At 171 ay /!yrs../ . � � •,,,.;/` ) � �� CITYY 0 P RAO CBD CH A Y BUILDING OFFICE t L!t 1033 t1 .� rl Pump _� �. "•a .►ra0 Ct+i J'- ...,^publiC i tC: i"I!! O:' Dl1V@i CC171tyr •�'~ a" 1+ � - C »G :.a• •��. ��,�r IJ ,yAC— C-�.r�J�L(,J.a•'%��_�+,•.r! (.yi a.,,i• r` ., � v• c. y r wok n p. .77 7 tot IF- .... �� qZO .--, 02 / J CITY OF A1L - AI'TrIC H-ACI-I, FLORIDA --- nnAPPLICATION FOR ELECTRICAL. PERMIT TO TIIE CIFIEF Et ECTBICAL INSPECTUB: DATE:_,_ �-� I_-- -_--t9 ja IMPUR TAN I NO I ICF.: IN CONSIDERAIION OF PERMIT GIVEN FOR DOING 'THE WORK ASESCRIBEU IN 1110 ro l-LOWING, WE HEREBY AGREE 10 ITRFOIIM SAID WORK IN ACCORDANCE WITII THE T C11FU PLANS AND 5}'ECIFiC11TIUN5, WHICH ARE A PARF HEREOF, AND IN ACCURDANC IFIL TILE A _EGFR ; R GULAIIONS, CODES AND CITY OF ATLA14TIC BEACH ORDINANCES. be rc, r L Ct N,Acrt r ad— C'-/7-261 ELECTRICAL FIRM: M STER ELECTR IAN SIG ATURE �S7�fi1Y�dAH NAME - 1_�(?2_y _ �1Ch11L ADDRESS:�� 2Q Sert�/voLe R RFD-•--_--'--BOX ._ - rk BLDG. SIZEr _STCDu;r,--py C-LUb IA.' FIES.?� APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) RF.W. 4 1 ADDITION ( I TRAILER t ) TEMP. ( ) SIGNS ( ) __.------ ----so. FT. _ ------ SERVICE.: NEW ( ? INCREASE ( ) REPAIR y`/�( FEE) - - - CONDUCTOR SIZE ---.. ------ AMPS --- COPPERA- ) --ALUM_i ._�_.. .- _ - -- SWITCH Oil 13FIEAKETI ---._--_ AMPS -- IQaUN� EXIST.SERV.SIZE - o� _ AMPS PH 3w o?YD VOLT Al- IIeWKg RACEWAY_ _. �-FEEDERS NO. SIZE NO. 51ZE NU. SIZE _-- -.—•--.._ LIGHTING OUTLETS CONCEALED — OPEN _- -- 10FAL RECEPTACLES CONCEALED OPEN TOTAL - - ----- o.Jo ghlrs. 31.100 A}dr6. SWITCH ES INCANDESCENT _ _. ___.._----. .. ... FLUORESCENT &M.V. _ -_ .-. - - - - - - o.loo Mrs. ovfln ArrCIANCES FIXED — --I l - ----� --- - _ -1 ---- -- --- BELL TitANSi. AIR -` H.P. RATING II.P. RATING CONDITIONING COMP.MOTOR - OTIIER MOTORS AMPS CEIL IIEAT: KW IIEAT OVER MOTORS II.P. VOLTAGE Pits NO. I-II.P. VOLTA Pi1S MISCELLANEOUS CpP 1 Re� Sc vice /F wxA" �lr eek /� _ __—___ _....._—_ _._—_.. �s CITY OF ATLANTIC BEACH sty 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 J Vr INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029147 Date 11/04/04 Property Address . . . . . . 1420 SEMINOLE RD Tenant nbr, name . . . . . . ADD GABLE ROOF TO ATRIUM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 Owner Contractor ---- - ------------------- ------------------------ MUSSER, BETTY OWNER 1420 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------- -------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ ---- ----- ----- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN ES. BUILDING OFFICIAL. 70�CT R 0 BEACH MNG 004 �r t�j CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATIO �Y: (ALTERATIONS/ADDITIONS) Date: /0— Z) Job Address: Owner of Property:_8� y /✓�,�s 5 e r' Address: /•�/,tc rh/./F.�e ,l /7 T!s li r ac i`� ,C Telephone: (ytio 4e1,1—b gL 3 Legal Description: Block Number: Lot Number: e2 Zoning District: 5,7aa, Contractor: 0 W NO- State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: io .,71, 710 ex ,,t ea e s. Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space: feet x feet /1lo AWJe4 -e- Will the added area be heated and cooled? All, New electrical or increase in service? /40 Add plumbing fixtures? Ni, Add fireplace? /� Add heating/air conditioning? A/v Is approval of Homeowner's Association or other private entity required? Nv If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 • Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: � - L�� , W Lv IS= sl�, Date: 101040 D I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances goveming this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Se.1 { V A46.55@r— Mailing Address: At/,Z 0 $ersa itci LAT�rI/,C Telephone: &a�� ZZ16— 096 3 Fax: �a.�E E-Mail: AS TO OWNER: Sworn to and subscribed before me this 6 day of Oct __120v41 State of Florida,County of Duval // ^ -, CYNTHIA ADAMS Notary's Signature: c /w� - MY COMMISSION#DD155503 EXPIRES:OCT 06,2006 dPersonally known Bonded through Advantage Notary ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 y sf1 CITY OF ATLANTIC BEACH OWNEWBUILDER AFFIDAVIT Date: Job Address: /4ZV -51.r,.i o' c le 11;37C CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS,WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNEP.IBUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS 16 DAY OF OG i 200.'0/ CYNTHIA ADAMS r4%r`�n MY COMMISSION#DD155503 �./t1irK• �� I EXPIRES:OCT 06,2006 °F Bonded through Advantage Notary NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Cc. iLy ffVt� CITY OF ATLANTIC BEACH e t—Ford BUILDING / ZONING DEPARTMENT 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax R � +4 ._ CITY OF H .:� . �ACH PLAN REVIEW COMMENTS j OCT 14 P-004 Permit Application # 01 - 2 91 1 BY: Property Address: _ 14'10 S W 1 N O LE MAD Applicant: Project: AM 6 .X1G1IN 0 ATRIUM ENTIRY This p rmit application has been: Approved KX`e`v wed and the following items need attention: F-x " Please re-submit your application when these items have been completed. Reviewed By: ate: ( -f- It ( ( 3 l�( L..!/.9._...._._.18 CITY OF ATLANTIC BEACH Permit #-yay "F«$4E...�3 Valuation $...z4wl:..100............. .. FLORIDA Howe mss . _ _.._....... APPLICATION FOR BUILDING PERM'S 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- cordractors 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. i Date---•-CA--�-�r.:�1.�.=!�.....-•-- •-•�-``-=--•--•---...., la----�./... Owner .. .L- J SS-s -----------------------------Address-l-. )--,SA .00D.L-i .......Telephone Noic Iq!—3S3/ Architect...............................................................................................Address.........-•----•--•-..------ .--•-••..........Telephone No............................. ContractorBuilder------------------------------------------------------------------------------Address.................................. . .....................Telephone No............................. 1l iv— J'�-- Lot No.................9 ...........................Block No------....L4-----------------Sub Division.SI—A) .....i-r• - - . .. .Zone.......... .... -••............................•-----........-•------.......Street------•---....----........49ide Between.....................................................and......................................................ft. Valuation $--------------------------------For what purpose will building be used.D..4--.X..................Type of construction.ft4. Dimensions of Building........................................Dimensions of Lot---------:..._..........................................Size of Footings Size of Piers------------------------------------Size of Sills......................-------...Greatest Sill Span in ft---------------------------Type Roof..................................... How will Building be Heated?................................................................Will Building be on Solid or Filled Ground1............................._.....-... Size of Ceiling Joists..... --- ----------------------•---, Distance on Centers....................................... Greatest Span...-•---•-•-•-•-----•-•--........-•----— » Size of Floor Joists............................................, Distance on Centerr .. _..---- ........., Greatest Span............................................ » Size of Rafters---------------------------------------------- ---- Distance on Centers. _..---..........---...--- Greatest Span.................----•--•................. » This rectangle is to represent the lot. Locate the building or buildings in the (�}� A ht position. Give distance in feet from (9,19 lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall )979` be submitted with application. ULC Inspections required. i. When steel is in place and ready to pour footing.!T Ya � LANTIG BEACH 2. When steel is in place and ready to pour columns nd/o �. 3. When steel is in place and ready to pour beam. a APPROVcD 4. When framing is completed. CITY OF AT'LANTI',-; Ocr.A, 5. When rough plumbing is completed,and ready to cover up. BUILDING O F�i c C »l 6. When septic tank drain field or sewer is laid but before it is covered. W 7. Electrical inspection by City of Jacksonville. D t= ^ C 0_ 979 8. Final inspection. t' Z' Note: In case of any rejection,re-inspection MUST be called foF�latter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as descr#od 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 A,tlan c Be Vie ,-'A , ll Signature of Builder... . . ------ L__._ ._. Address.......`�a............................�:............ .......... .,...........:... .....1�:. .�L ._........._ Signature of Owner.........:.�. ' Addren......1. ...... ..... :�..a"s. -.- .... .... �... ....... ADJUST PITCH TO MATCH ROOF SLOPE 3/8" PLATE SINGLE PLATE— 1/2" A307 BOLT ® 24" oc. �aX10 �8x 0 C C 10' f X X 00 00 5 1 /2"x 10"x 1/2" BASE w/ 4— 1 /2" EPDXY ANCHORS 19' f MICHNA -RESIDENCE JEFFREY K. HULS8ERG, P.E. 3015 HARTLEY RD., SUITE 10 JACKSONVILLE, FL 32257 (904) 886-2401 / SIZE FSCM N0. DWG N0. REV G SCALE: / "_ -o- STEEL FRAME DETAIL q '7 6 � 2X STUDS 0 16" o.c. NUT w/ 2" x 2" x 1/8" WASHER FLOOR SYSTEM 2x PLATE (SYP) w/ TPP4/6 0 32" o.c. RIM JOIST 1/2" THREADED ROD w/ 1/2" THREADED COUPLING 2 x 8 PT SILL 1/2- x 8" ANCHOR BOLT ® 32" o.c. U—LINTEL w/ 1 # 5 CONT. 1 # 5 VERTICAL AT 48" o.c., IN ALL CORNERS AND ON EACH J�_L SIDE OF OPENINGS TYPICAL BLOCK TO FRAME CONNECTION BLOCK TO FRAME CONNECTION JEFFREY K. HULSBERG, P.E. 3015 HARTLEY RD., SUITE 10 JACKSONVILLE, FL 32257 yl (904) 886-2401 30 I FSCY Na DW No. RN SCALE AS NOTED SHEET s } Date 11_?-60 Heating and Air Conditioning Specifications for Residence to be built by: Paul C . Burns Ferra.ndina Beach, Florida • (1) Attached. Layout and Specifications are for complete heating and air conditioning system. (2) 2-3/4" Condensate drains are run from unit as shown plus a drain from drain pan for added security. (3) Insulation - All ducts and fittings to be insulated and with 1" Fiber- glass or equivalent, with vapor barrier backing. (4) The BTU/Hr. heat loss is .�81s�888..1�__ The BTU/Hr. gain is � (Includ.es allowance for latent heat) (5) Design Temperature Summer Winter Outsid.e 95 Degrees dry bulb F 25 Degrees dry bulb F Inside 80 Degrees dry bulb F 75 Degrees dry bulb F (6) Duct work to be installed will be designed, fabricated and installed in accordance with American Society of Heating and Ventilating Engineerts Standards, within the limits of existing installation conditions. (7) Annual operating cost estimated for both heating and cooling - $ 3 0.00 (8) Annual maintenance cost estimated to be - $ 6 0.0 0 (9) The equipment and installation herein described and prescribed by the plans and, specifications will, under normal operating conditions main- tain the specified design conditions when the specified outside design conditions prevail. (10) Service warranted by factory trained personnel. Fedders (11) One year warranty for replacement of all Armstrong parts found to be defective in material and. workmanship. Four additional years warranty for replacement ofFedders parts found. to be defective in material and. workmanship in__the re r geration compressor. The above warranty includes normal labor, parts and freight. CR e �8R_3 dders Air Conditioning(12) Equipment to be used, is ] 03B-G6_l244cdx1Xrirmstrongg Gas Furn-ce /17 (13) Cost of installation including equipment and duct work - $ 2 ,100.00 Installatioi by : Cemrod Heatinp, & Cooling Inc . � to