1957 W Sevilla Blvd (vault) w
f
h
ADDRESS
BUILDING PERMIT NUMBER /-329
77 INSPECTIONS: FOOTING
OAK ✓ UNDER SLAB PLUMBING �� 7
SLAB 3 `
FRAMING Jam- .2 3-57
COVER-UP
INSULATION
FINAL BUILDING
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERMIT # /-�S 73
INSPECTIONS ROUGH -
1
FINAL
MECHANICAL PERMIT #
PLUMBING PERMIT # 1-I
NOTES :
w
N C, 1 , CITY OF ATLANTIC BEACH
f s 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
'rteXlit
Application Number . . . . . 09-00000649 Date 5/11/09
Property Address . . . . . . 1957 W SEVILLA BLVD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner Contractor
HUXHAM HEATING & AIR
2101 FLORIDA BLVD.
NEPTUNE BEACH FL 32266
(904) 246-6721
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/07/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ori CITY OF ATLANTIC BEACH 07-
Boo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
I OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
2.IS THIS A SUB PERMIT: 3.DATE
C
1.JOB ADDRESS: 1 t�n�Lv�.v�
l C Jf j I /At an Beach, FL 32233 3 ES PERMIT#
PROPERTY OWNER:
4.NAME: A 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: ' l 6.PHONE:
/f�/� I '
MECHANICAL CONTRACTOR:
7.NAME F COMPANY: 8.ADDRESS.:
9.STAT F FLORIDA LICENSE NO: '
O 10.CELL HONE: �� 11.FAX NO.:
I otlCAC
12.EMAIL ADDRESS: 13.OFFICE PHONE, 14.
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 a any time after wo is commenced.
CONTRACTORS SIGNATUR ..
15.CLASS OF WORK: 16.BUILDING: IX.SERVICE: 118.CURRENT CODE:
❑NEW INSTALLATION ❑NEW ESIDENTIAL ❑'06 FLORIDA BUILDING CODE-
�REPLACEMENT OF EXISTING SYSTEM dEXISTING ❑COMMERCIAL MECHANICAL
❑ALTERATION/ADDITION TO EXIST SYSTEM
❑REPAIR ❑OTHER
MECHANICAL EQUIPMENT TO BE INSTALLED:
19.HEAT: ❑SPACE ❑ RECESSED OGENTRAL ❑ FLOOR BURNERS:
20.AIR CONDITIONING: ❑ ROOM EMENTRAL
21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm
22. 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: ❑ 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.REFRI ERATI N EQUIPMENT.CONDENSORS ETC.
NUMBER APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
t 1 is Co►1.d <,, 3
32.HEATING EQUIPMENT:
FURNACES BOILERS FIREPLACES AIR HANDLERS ETC.
UMBER APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
I 7 37 P/V tz_ 3�,c
33.TANKS:
rYPE LIQUID APPROVING
NUMBER GALLONS CONTAINED MANUFACTURERSERIAL# AGENCY
COAG FORM BLDG03:REVISED:8/13/2007
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J� ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
J FAX: (904)247-5805
SUNCOM: 852-5800
J "r http://ci.atlantic-beach.fl.us
December 12, 2001
To Whom It May Concern:
The property known as 1957 Sevilla Boulevard West, RE #169462-0355, Atlantic
Beach, Florida, 32233 is considered by the Building Official of the City of Atlantic
Beach to be in Flood Zone "X "according to the Flood Insurance Rate Map,
Community - Panel Number 120075 0001 D Map revised April 17, 1989.
�Q- &-- C -
Don C. Ford C. O.
Building Official
DCF/ph
CITY OF
�ctic Fe4d - 5'&Te�
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
NOTICE
TO: Water Department
FROM: Building Department
DATE: z, //- 97
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
/-3 7 9 ' 8,3
/3 7 9 2
Sincerely,
Building Department
i
(arty ofFiIY
�ttttntrr Ira
�e�nttrtnteNt �f � � —
uildrn �
This Certificate issued 'fP�ti[1
BuildingPursuant to there
Code certifying quit elnen
g that at t °f Section 103.8 ofthe
Various Ordinance'
rdina he time of issuance this str S°uthern Standard
nces regulatingucture was i
building construction or n compliance with the
Use Classification Single Famil use For the following.
Group w.frame Y Residence wing
Owner �� Type Construction S/f
of Building Robert Bldg. Permit No. 1,1283
pennin Fire Districj Atla
BgAddress1957 t°n _ ntic Beach
3 villa Blv dress vera r ve
`�- d'W.LocalityAtlantic
Buildin Beach FI. 32233
9 OHici By;
Date:
POST IN A CONSPICUOUS PACE
1
CITY OF
G� 13e444-991vta&
Office of Building Official
REQUEST FOR INSPECTION�3J% 7'
Date1J� Permit N
Time / 30 A& -
Received/—O P.M.
J e scality
Owner'
me l/ _ Contractor
UILDING CONCRETE ELE RICA PLUMBING
min Footing _ oug Wiring Rough __ Air Cond. &
Re Roofing Slab Temp Pole Top Out C Heating
Insulation _ Lintel Final G Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
A4on. Tues Wed. Thurs. Friday P.M.
:7-
_ A.M.
Inspection, Made _. `__J .! - -_ _ __--- P.M.
Fina
Certificate of ccupanc
Date
��//� ����,,` //CITY O/F //����� ���
tj+f�I4X& /3iP�-"tL(iVL J4
Office of Building Official
REQUEST FOR INSPECTION v
DatePermit No.
��--
Time A
Received
41
19,57
Job ::;2: cality �
Owner'
Contract
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Footing - Rough Wiring Rough G: Air Cond. &
Re Roofing _ Slab C Temp Pole = Top Out ❑ Heating
on Lintel Final _ Sewer ,, Fire Place
Pre Fab
READY FOR INSPECTION
A.M.
Mon. - ^' Wed. Thurs. Friday P.M.
s
Inspection. Mace-�- -
!,Pector-- - --- -_ --
Certificate of OccOpa
i
r
,a a __—
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLA NTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: August 1, 1997
Building Contractor: Robert Pennington
Building Permit Number: 13283
Address : 1957 Sevilla Boulevard West
Legal Description: Lot 20, Sevilla Gardens
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Single Family Residence
Lowest Floor Elevation: )? �
required as built
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire NA
Public Works 8/1/97 - LI - 97
Planning 8/'x/97
Building 8/1/97 �� "� L
FLOODPLAIN DEVELOPMENT YNFORMATION
Type of Developmenttr,___ —--i-----------------------------
Flood Zone: _x___________________
Required Lowest Floor Elevation 3 _ --------
If building is located within a flood hazard zone, o aurvey suit
be wade AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATION is equal to or above the base flood
elevation established for that zone.
No final inspection will be wade and no eertilicate of occupancy
will be issued until the purvey is on file with the Building
Department. `
COMMENTS%
Applicant Acknowledgements I underatand that the issuance of
this permit is contingent upon the above information being
correct and that the plana and supporting data have been or shall
be provided as required. I agree to comply vit al applicable
provisions of Ordinance No. 23-7-11 and al o or laws or
ordinances affecting the proposed development-
Data /
evelopment.Date ,' W—4;1�_Applicant'a Signature--
-------------------------------------------
ignature__----------- --.-_-------_-_- ------__-
Department Una
Required Lowest Floor Elevation ____ - ------
As Built Lowemt Floor Elevation ______ --
Survey Filed with Building Department __ ____
Building De pa treent Representotivcr
page 3
08-04-1997 07:45AM FROM lJATSON PONTE IIEDRA TO 247 877 P.02
Vol V` /1:7:)? x13:o75 17=46 fib3 fu WA 15UN AND lJSKAM t& PACE 62
Aug-04-97 08: 50A AGM SURVEYING , INC . 904 354 1255 P_02
ELEVATION CER-nFICATE OJr1.$. No. 3x67.007
FEDERAL EMERGENrY MANAGFtAI=NT A aNCY t-M.S.s o. 31. )999
ATTENTION-Use of this cenfficete NA-nONAL FLOOD INSURANCE PROGRAM
vine elevaltion information
n�oCate dto en W Provide s waivar of In flood fns Pumhase requirement,This form is used only[o
the prePer insurance premium rata,ander tc eomptiance witA a ficabta cant ry Abedp}an manegemeT is form s u co decy is pm.
requ"ad to respond to this coffection of infcffm FPW I request
for
a Letter of Map Amendment or Hevt�n(LOVA or LOMA),1bu ary not
u ess a valid OMt3 ccncrot
number's dWft9d in tf>te upper rim
Inefruallons for oontpteting thi•bftn oorl tie round e„the 4ellewlrg pg� comer of This Corm.
SECTIONA PROPEA7Y MIFCRdMTtON
BUILDING QVJWq•S N,yy�s FOR INSURANCE COMPANY VSE
Bruce A. 8 Kimberly C_. Tusher ieyNUIME"
stREEr ADDRESS(Ir4lW"Ace,Unit,Suft andror gift NUfflbWl OR P.O.Routr ANt)BOx NUf l9EA —
19�7�leat�exill�.$ — COLrPiJ1NNAEC%%MAGER
OTHER OESCRI PTtON tLAt ani f3toek NL yrs,Biel - -_ �'• — — — —
circ —
STATE ZIP CODE.-.. .._-
Atlantic Beach FZ, 32233
SECTION B FLOOD INSiRANCE RATE MAP(FiRM)INFORM1E3 it3Al
Provide the lofbwing front the proper FIRAI(Son IngItuctions).
t COMmumrry NUMBER 2.PAN&NUMER ::6WPF11X1 �I)ATC OF FIRM INDr x =&. X
IL BASE FLOOD ELEEVATJON
AO amoz,"Beeth,
120075 0001 9-17-89 ed N/A
7. Indicate the etevabort datum sIFAerm used on the FiRM for Base Flt od EFevations(SFE):aNGVD-29 is Other(describe on back)
8.For Zones A or V•where no SFE is provided on the FIRM,and the isommunity has esmWished a BFE for this build+ng site, Indicate
the community's BFE:; -A lam. I-,J feet NGVD(or other FIRM datum-see Section B,Item 7),
SECroN C EULDING ELEVATION tNFORLiATiON
1. Using the Eiavation Certificate Instn,ctians,indicate the diagram nu„ber from the diagrams found on Pages 5 and 6 that best
dSscrlbee the subject buiiding•g reference level_I
2(a).PIRM Zones Al-A30,AE AH.anO A(with 13FE). The top of the retmenee levet floor from the selected diagram Is at an elevation
Off - L�gl-moi feet NGyO(or other FIRM datura-see Section B, Rem 7).
(b).FIRM Zones VI-V30,VE,and V(with BFE). The bOMM Of the lowest horizontal Vruc.twra1 member of the reference 1ev61 from
the selected di8f�ram,is$t an elevation of y t` i, '. !feet 1u3VD(or other FIRM dafwr-see Section A.item 7)-
W p'RM Zone A(without BFE). The floor used as the retem1ce IevE4 from the selected diagram Is I Lf-I feet abewe L- or
Below`-i (&eck one) the highest 91'W6 adjacent to the building-
(d). FIRM Zone AO. The floor used aS the refarertce lerei from the selected diagram is ,-� I._.'feet above f or beiow' ,'tchack
one)the highest grade adjacent to the building. If no noon depth otimber Ig available,is the building's lowest ftoor(reference
level)elevated in acoordance with the community's floodplain management ordinanoe? L' Yes ! � No J Unknown
3.Indicate th®e►e.,at;on datum system used in determining the above reference levet elevation3g NGVD'28 Iether(describe
under Comments on Page 2). {NOTE. if the elevation dafam used ji?mWSV�ft elfValJdllS tS arlfBrBtff Pum ft?used on
£ne FfFllfrl (see Swpon 8.hem;7 then CI7Rbeft the etevatlonS to it)e datum system used on the FfW and show the convwwon
aqualion undef corrim&nf$on Page 2,)
4. Elevation reteremce marts used appears on FIRMA)k j Yes No (See Instructions an Page 4)
5.Tile referene8 level el tratlon is based on.ikx
eat construction ] construdton drawings
(NOTE_ Use of consiracfiorn dmwings is onty vafid if the building db&;/fat yet have the rgferdna®kv@I floor in praco, En tNftich
case this caflAvate wilt only be valid fpr the budamg during the course of CCnsbuctron- A poshCo/W v4vfferf E4vafron Cwyficate
will bo n9gvired once construction is cprnpleie,)
b.The 0gvatbn of the lowest grade Immediately adjacent to the buitdinf. is:L ( feet NGVD(or other FIRM datum-see
Section E.Item 7).
WOTION D cOryllyitl"INFDRtAATION
1. if Otte community official responsible for verifying building elevations nieeifies Mat the reference tevel indicaW in Section G,hem t
is not:116 lowest floor as defined In the community`s floodplain management ordinance,the wevatlDn of the CWlding's"lowest
floor'as defined by the ordinanoe is: ' S i._.' I i feat NG VO(or other FIRM datum-see Section B, Item 7).
2 Date of the start of construction or substantial improvement
FEMA Form 811.31•MAR 97 AEVIAaS ALL Pcwmrx m or*Tw-.m -
08-04-1997 07:46AN FROM WATSON PONTE VEDRA TO 2475877 P.03
08/04/1997 09:09 19042736370 WAlbUN AND UtlBL r`� rPA= na
AU9-04-97 08:51A AGM SURVEYING, INC. 004 354 1255 P-03
SECTION E CERT1FtCATION
ThiS CerlifiCatlon is to be signed by a land surveyor.engineer.or architect who is authofted by state Of local taw 10 certify elevation
o4orMation when tree elevation information for Zones Al' A30.AE,AN_A(with 9FEf,V1-V30 VE,and V(with SFE)is required.
Community officials who are authorized by local law or ordinance to arpvid8 floodplain management information,may also slgn the
ceilihcahon III the case of Zones AO and A(taithout a FEMA or community issued 8FE).a building official,a property owner.oran
owner s rgpreselntative may also sign the cenilication.
Aeference level diagrams 6, 7 and 8-OlsOnguishmg Features-11 the certifier is unable to certify to breakaway non-breakaway wall,
enclosure size.location of servicing equipment,area use. wish openings.or verfinished area Feature(s).then list the Features)not
included m oe certiRcailon under Comments below. The diagram number.Section C,Rem 1.must 941111 be entared.
I cendy than hose informatw in sacriers a and C on lhis Gtirrihcafe rmxesems my best eHons to rnterWBf 1hQ dBEa avail2NO.
1 urfoVrstand that any false sfattemanl may be punishable by fife or rrnpnsonmeni undw t8 U-S_Cave. Secriw, 1001.
CERTIFIEF1'S NWt t-r-FNSE NUMBEP(Q-Axil Sear)
_-Cbarle-s. K- ._cif` Ynt_gsh - - 554 .. _ .
r�TLE COUPANY NAME
Pr.QEessLQnal _UrveyQr an4,_.Ma.ppc!,r __ACM-Survqying,_..Inc. _ _
AOOQEGS CrtY STATE zi
Pon
-J-acicscmvili.e _ gt�._._ _x.204
$IG11R
NAT £ 2f�E' r {' .-.. DATE � PFtONi=
8-4-97 (904) 354-1141
Cogs should be made:of oras Cardfleate tor:1)carm rdty offtlsl.2)insurance agenticornperty,and 3)Wilding owetw.
COUMEKFs_
- Virm a""ES.
�q8 BASlM�IT O9M OR CQL!u >S
4 V • A V
ZONE 5LUN[s 2ONES
ZONES; ZONE
f0.'► t wE•egtMi4
t?f110D6t —, ..
I f w i �tAOO
•, atJuf�Mr •..''' 11 4"lKg I I•JV^
ILOOE
-:c. 1►11t Aru..y+
LEVEL c� •''>•9:
The diagrams above iliurArate the points at which the ellevations should be measured In A Zones and v Zones.
Fievations lot ali A Zones should be measured at the top of the m4wence Wei floor.
Elevations for all V Zon's Should be measured at the bottOr"of the lowest horizontal slructwai member.
Page 2
TOTAL P.03
MAP SHOWING BOUNDARY SURVEY OF
LOT 20, SEVILLA GARDENS, AS RECORDED IN PLAT BOOK 45, PAGES 7 AND 7A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
BRUCE A. & KIMBERLY C. TUSHER
SUNTRUST MORTGAGE
STEWART TITLE OF JACKSONVILLE, INC
WATSON & OSBORNE, P.A.
LOT 21
FOUND 1/2" IRON PIPE S 4429'05" E 93.53' FOUND 1/2" IRON PIPE
STAMPED "DURDEN 1048" STAMPED "DURDEN 1048"
a �
N 78'26'32" E
27.49' (CHORD)
00 5.2• 5.1'
0
FOUND 1/2" IRON PIPE ? N O1
a �
STAMPED "DURDEN 1048' ?B' � � Lo
�qR O 00
N 70'18'03" E �� `J o
20.41' (CHORD) 5'0
a. 21.1' ?c•
h TWO STORY A LOT 19
STUCCO 3
POSTED # 1957
FOUND 1/2"IRON PIPE O1 =
STAMPED "DURDEN 1048"
27.6' e o to
a, A3SECOND FLOOR WOOD DECK ri "'
zo
P e.4' LOT 20 (n
1�
'00.
o _
N 00'4745" E � - - - - - "— n - - - - -
42,73' (CHORD) 20' SOUTHERN BELL TELEPHONE EASEMENT
S OFFICIAL RECORDS VOLUME 3083. PAGE 1 AND VOLUME 3086. PAGE 305
FOUND 1/2 IRON PIPE R=3869.72' L=85.41• FOUND 1/2" IRON PIPE
STAMPED "DURDEN 1048" STAMPED "DURDEN 1048'
N 4514'29" W 85.41' (CHORD)
SEVILLA BOULEVARD WEST
(50.0• RIGHT OF WAY)
NOTES: ACCEPTED BY:
LEGEND:
R = RADIUS —X— = FENCE
IPWrTH = CONCRETE
PSR-3844 13283
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- PERMIT INFORMATION ----- --- LOCATION INFORMATION --------
Dermit Number : 13283 address : 1957 SEVILLA BOULEVARD WEST
Permit Type:BUILDING ATLANTIC BEACH , FLORIDA 32233
�iass of Work :NEW - ------ LEGAL DESCRIPTION ---------
Constr . Type :WOOD FRAME Block : Lot : 20 Twp: '
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng:
Dwellings : 0 Subdivision: SEVILLA GARDENS
Eat . Value: 0 .00
Improv : Cost. : 200 , 053 . 00
Total Eaa!!7 • 3 . 431 . 78
Amount 3 , 431 . 78
_:aNET INFORMATION ----- ------- APPLICATION FEES ------- -
�( I , 144 . 50
T,ER`T PENNIN; T��N PERMIT
02 RIVERHALL DRIVE WATER IMPACT FEE 574.00
Ado, I ], t 2Q ;00
IAC S-DNVILLE , FL 32217 SEWER MPALT FEE
Fhan ( 904 `7'3-9n91 WATER METER/TAP 85 . Od
RADON GAS-H .R. S . 10 . 58
CONTRACTOR INFORMATIr ", RADON CAB 5% 0 . 56
Name : ROBERT PENNINGTON CAPITAL IMPROVE. 325 . 00
' dr : 3602 RI'L'ERHALL DRIVE SEWER TAP 5 . 00
r1
ATLANTIS" BEACH , FLORIDA 32233 CROSS CONNECTION 35 ,00
in SEC H IMPACT FEE n nn
Ri_nn_ . I _ _ 9 Exp: / CONST , SURCHARGE
SCHARGE/ATL . BCH ,
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
local Pay�e�i
ATLANTIC BEACH BUILDING DEPARTMENT
By:
DATE: ---
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY :
------ -------------------------------------------------
------ --------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
SIN REL ,
BUILDING INSPECTION DIVISION
cc:FILE
08-04-1997 07:45AM FROM WATSON PONTE UEDRA TO 247tUYY r.Ui
A�
V
V
THE Watson Realty Corp M -ft
I MM
615 Highway Al A
Ponte Vedra Beach FL 32002
ku
Phone: (904)285-6300
L
Fax: (904)285-5330
Fax to number:
Attention-
Date:
From: -A
Number of pages:
Including cover page
Additional comments-
A
04
-A
I. jilf.rIld( (I 071A] NOTICE entity to Which it is
fpr the use of the individual or er'
acLc1rc.-;sCd, avid T71Cqj corlt.0tr-L-b-IfOrmatiOrl that is P ' I Cd corijiderqial and exempt
frorll CliSCIOSUI-e Under appLic(lb7e Lotv If the reaX-rLi)o'r'fhis'message is not the
tritctided recipient, OT- OLC employee or agent nespoasz le for deli the message
vclrinc
to the intended recipient, oare hereby not ijied that any dissemination.distribution or copyiII-Q of Ijisu, communication is strictly prohibited., If you have
received this camrFiwiicatiorL in error, please notify us inimediatelil.bg telephorie,
and return this ori�jiaal n1CSSCzgC to 11S at the above address via 01C U.S. Flostal
Service.
Timilk YOLI.
D i CITY OF
�
19q'17 >4��aoctiG �eac! - T�e�tcc�iL
SW SEMINOLE ROAD
PROPERTY DESCRIPTION building and Zonln" ATLANTIC BEACH,FLORmA 3n33-.u45
TELEPHONE("247--" 0
FAX(904)217-SM
Lot # ' , Block #N Section #_�,
Subdivision:, /jig .4.a�.a�.c ,�jrl®z
Street Name •
or Address : "-50z// q. LtJ0 DESCRIPTION/ OF WORK
If in a FLOOD HAZARD
M ood Zone :)Carea complete page 3 . Brief Description_ �/2 .
Class of Work: (New/
Remodel/Addition:
ZONING INFORMATION TypA o.f Construction:
Zoning2 `
Proposed
District : Use: 9114=/e Estimated Value $
Exceptions or Variances Materials :
Granted:
Solid or Filled
Ground• Roof :
Method •of Heating:
OWNER INFORMATION
Property Owner :�C� T�f'�'Y'nf/�tf"Es�z`'/(1 Phone:_ �L� - 7 Fe-,>q
Mailing
Address .4/Z , -,45o, %z_
Zip:--
CONTRACTOR
ip:_CONTRACTOR INFORMATION
,7
C o n t r a c t o r : �� cwt-- }�c�✓i�/�6�,a-z�r� - Phone: �'U 73 SOU/
Mailing --
Address : r'41y1,r
Zip:
Expiration
License Number :__ /r— �( 14L31e Date :_ moo` 20 97
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNCW
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEREI:�
OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TSD
VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL , STATE OR LOCAL RULES .
REGULATIONS, ORDINANCES , OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING C.-
CONSTRUCTION
cCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY .
UNDERSTAND THAT THE ISSUANCE OF THIS , ERMIT IS CONTINGENT UPON THE ABOVE
INFORMATION BEINC TRUE AND CORRE AlTHAT THE PLANS AND SUPPORTING DATA
HAVE BEEN OR SHALL BE PROVIDED IRED.
Owner Signature DateGl'r��_
Contractor Signature Date
M.T(r
f9 ,
ATLANTIC
gEACI-I )SJN)�m
, RCCD
CI- OF A A APPLICAT10
REMO\I � ¢,�,.�.1
TREE and Zoning
to
e r ive a or e a
t o s �u e
I
me tin r N to ILL N T B PR
APP I A 09
' tc TELEPHONE
ADDRESS
071
1 APPLICANT NAME T Z REMOVAL
. D ,PTION OF PROPOSED TREE
2.
ADDRESS OR LEGAL DESC
OF TREE REMOVAL:
3. DESCRIBE PURPOSE
OSED FOR REMOVAL AS FOLLOWS.
4. SPECIFY TREES PROP TER (DBH) CONDITION
DIAMETER NUMBER SPECIES
f
Apra
i
5. TOTAL NUMBER OF TREES TO BE REMOVED:
6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED: /
7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS:
NUMBER SPECIES DIAMETER (DBH)
c�
4&.a4'c Beac4- <�
7 Office of Building Offi al
j REQUEST FO INSP ON /3
_ -vZ --
Date ,3 k�
Time t Permit No.
Received
Job Add ss! �•
Locality
Owner's
Name Contractor
ILDIN CONCRETE LECTRICAL
LUMBING ECHANICAL
raming ❑ Footing
Re Roofing ❑ Slab �� Roug firing ❑ Rough ❑ Air Cond. &
Insulation ❑ Lintel Temp Pole ❑ Top Out ❑ Heating
❑ Final n Sewer ❑ Fire Place
� �— READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. B.
Thurs. Friday P.
Inspection Made �' A.M.
P.M.
Inspector Final Inspection ❑
dw_ Certificate of Occupancy C
Date
� /CITY OF
� C Seccly_ q;/
Office Of Building Official
Date
REQUEST FOR INSPECTION
�_�� G`�
Time �7
Received �, / A. Permit No. 3a
9 PM.,
Jo dre
Owner's
Name Lo lity
BUILDING Contra
c
Framing � CO RETE
Re Rooting C oting ELECTRICAL PLUMBING
Insulation Slab Rough Wiring — MECHANICAL
Lintel _� Temp Pole Rough
Final Top SewerOut — Air Cond. & C
Heating
Mon. READY FOR INSP — Fire Place
Tues. ECTIO Pre Fab C,
Wed.
Inspection Made - 7 Wed.
Friday
M.
Inspector A•M. PM.
P.M.
Final Inspection
Certificate of Occupancy
Date
" 1
TRANSMITTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
E�as� ec �x o�zrxc csr� x�;�si�ex Please update
your records accordingly.
TnILDING
au,
CLERK
CITY OF ATLANTIC BEACH
/vcb
CITY OF ATLANTIC BEACH, FLORIDA dr�
Approved by APPLICATION FOR ELECTRICAL, PERMIT
C\-7
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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.
ELECTRICAL FIRM: MAST RfLECT CIAN SIGNATURE JOURNEYMAN
, CA—
NAME- tiADDRESS:'/ � pp It RFD BOX
BLDG.SIZE t BETWEEN:
RES. (�) APT. ( ► comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( ►
ADDITION ( 1 TRAILER ( ) TEMP. ( ) SIGNS ( 1 SO. FT.
SERVICE: NEW yp INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE ve AMPS �00 COPPER 1 1 ALUM.
SWITCH OR BREAKER 2 AMPS PH -? W z VOLT S� RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
44
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS, 31-100 AMPS.
SWITCHES
MOTORS H.P. VOLTAGE PHS NO, H.P. VOLTAGE PHS $
SIGNS
NO. NEON TRANSF. �NO. VA. IMA. - I I MOTOF� SiZc' SWITCH I FLASHER
EACH SIGN 1L I
DATE: 3 _�7 Q
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY :
X39 9 , S3.0
---------`-----------------------
i3S� c� �1' --------------------
j 3 yes /y5 7 _y_ -t��/y-------------
------ -----------------
--------------------
-2C 3 /0 -5,/ 'u Cf- -------
-----------------------
Enclosed are the blue copies of the permits.
SINCERELY,
BUILDING INSPECTION DIVISION
cc: FILE
N4s__Lx'
6120-8 # POWERS AVENUE • JACKSONVILLE, FL 32217 • 904-733-2693 • ER 0013297
TO: CITY OF ATLANTIC BEACH, BUILDING AND ZONING DEPT.
ATTENTION: MR. DON FORD
FROM: MARK A. ESTRADA (QUALIFYING AGENT/ MASTER ELECTRICIAN/ OWNER)
RE: CANCELLATION OF PERMIT # 13500
MR. FORD,
AT THIS TIME MY COMPANY WILL HAVE TO CANCE11 PERMIT # 13500 LOCATED AT
1957 SEVILLA BOULEVARD WEST, ATLANTIC BEACH, FL.
THERE HAS BEEN A SEVERE ILLNESS WITH MY MAIN JOURNEYMAN IN MY COMPANY,
ALLOWING ME ABSOLUTELY NO MAN-POWER TO COMPLETE THIS JOB AS REQUIRED
BY THE TIME ALLOTTED. I HAVE SPOKEN TO MR. BOB PENNINGTON, AND HE IS
AWARE OF ALL THAT IS GOING ON. WE DO HAVE TWO ( 2 ) PERMITS FOR THIS
ADDRESS , BUT THIS IS THE ONE THAT NEEDS TO BE CANCELLED. THERE HAS
BEEN NO WORK PERFORMED ON THIS HOUSE ASSIGNED TO THIS PERMIT, HOWEVER,
THE OTHER PERMIT HAS A TEMPORARY POLE OF WHICH WE PUT IN. THAT WILL
REMAIN. MR. BOB PENNINGTON IS ALSO AWARE OF THIS TOO.
I WILL ALSO BE SENDING YOU THIS LETTER IN THE MAIL WITH A SELF--ADDRESSED-
STAMPED-ENVELOPE IN HOPES OF GETTING A PORTION OF OUR PERMIT FEE BACK?
WE HAVE NEVER MADE A PRACTICE OF CANCELING PERMITS , AND HOPE IT HAS NOT
CAUSED YOU OR THE CITY ANY BIG INCONVENIENCE?
THANK YOU FOR YOUR ATTENTION IN THIS MATTER !
SINCER Y
MARK A. ESTRADA
1 J/M E # (-
J-1
f t /vo 6 l
CITY
�.Of�F
4& 13 `
Office of Building Official
REQUEST FOR INSPECTION 8 ?
Permit No. _.
Date " —97
7 !97 A.M.
Time P.M.
Received
` ocali
Job A s
Owner's Contra r
Name PLUMBING MECHANICAL
CONC ETE ELECTRICAL Air Cond. &
BUILDING Rough Wiring Rough Ei Heating
Footing C _ Top Out Fire Place r
Framing - Temp Pole L Sewer _7Slab C Final Pre Fab
Re Roofing G lintel
Insulation A.M.
READY FOR INSPECTION Frid
Tues. ay��
Wed. Thurs.
Mon. A.M.
P.M.
Inspection Made Final Inspection ❑ _
Certificate of Occupancy
Inspector
Date
CITY OF I
7jJP 4&'Alle Office of Building Official
REQUEST FOR INSPECTI N 3 c�
Perm, No.
Date I C HX '
Time L
Received V L Locality
Job Address L r
C ntractor MECHANICAL
Owner's PLUMBING
Name ELECTRICAL Air Cond.&
CONCRETE ring r Rough — Heating r
BUILDING Top Out — Fire Place
Footing Temp Pole r- $eWer Pre Fab
Framing — Slab Final
Re Roofing Lintel A.M.
Insulation _ READY FOR INSPECTION Friday PM.
Thurs. _—�—
Wed.
Tues. � A.M.
Mon. P.M.
Final Inspection .-
Inspection Made Certificate of Occupancy
Inspector Date
f
CITY OF � / �� /�
Office of Building Official
REQUEST FOR INSP
Date / / A.M.
Time �� P.M. ,y+
Received
Locality
Job dress
Owner's L Contractor
Name LUMBING MECHANICAL
CONCRE ELECTRICAL Air Cond. & r
BUILDING Rough Wiring ❑ Rough Heating C
Footing r Top Out ❑
Framing Slab - Temp Pole C Fire Place
Re Roofing — Final Sewer Pre Fab
Insulation C Lintel -
READY FOR INSPECTION A.M
Tues. Wed.
Thurs. Friday--�— M'
Mon. A.M.
P.M.
j Inspection Made Final Inspection C
v'
Inspector Certificate of Occupancy
Date
CITY OF ATLANTIC
BEACH FLORIDA '
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. -
f,/
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
NAME
iC ADDRESS: /7 `� �L RFD BOX
BLDG.SIZE BETWEEN:
RES. ( ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW OLD ( 1 REW. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SO. FT.
FEE
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1
CONDUCTOR SIZE �Sv� yn AMPS COPPER ( 1 ALUM. ( ` 1
SWITCH OR BREAKER 30D AMPS PH ?W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
MOTORS H.P. VOLTAGE PHS NO. H.P. VOLTAGE PHS $
SIGNS
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN I I
CITY OF ATLANTIC BEACH, FLORIDA
A roved FOR ELECTRICAL. PERMIT /
ov b v APPLICATION
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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.
ELECTRICAL FIRM: J MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME °`- '` �� ADDRESS: r` RFD BOX
BLDG.SIZE — BETWEEN:
RES. ( 1 APT. ( 1 COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT.
SERVICE: NEW <) INCREASE ( ) REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS Z COPPER (-v) ALUM. (' 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
MOTORS H.P.
VOLTAGE PHS NO. H.P. VOLTAGE PHS $
SIGNS
NO. VA. MA. MOTOR SIZE SWITCH FLASHER
NO.NEON TRANSF.
EACH SIGN
13479
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- -- LOCATION INFORMATION ---T
Ff
ERMIT INFORMATION - Address : 1957 SEVILLA BOULEVARD WEST
Number : 13479 ATLANTIC BEACH , FLORIDA 32233
t Type:PLUMBING LEGAL DESCRIPTION ------
�_lass oWork:NEW Lot - 20
Twp:
Block: Rna
Constr . Type : SINGLE
FRAME Section: 0 Subd:
proposed Use: SINGLE FAMILY Subdivision: SEVILLA GARDENS
Dwellings : 0 0 .00
Est . Value : 0 .00
Improv . Cost : 64 .00
Total F 64 .00
----- APPLICATION FEES ------
64 . Ou
_-_ - OWNER INFORMATION ------- PERMIT
Name: RCRERT PENNINGTON
Addr: 3602 RI`IERHALLFLDRIVE
,JACKSONVILLE 32217
^hone(904q 7. 3._"�)91
----- CONTRACTOR INFORMATION -
Iame : C .W . WOOD PLUMBING
Llddr : 1328 ROMNEY STREET
JACKSONVILLE FL 32211
r CFCC q7 F-, Exp*
4
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR
OWNAN RESULT
FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW ROV MENTSiN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IM
ISSUED
ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
BY: I e
r
CITY OF ATLANTIC BEACH
AAPPLICATION FOR PLUMBING PPERMIT
JOB LOCATION : //j
OWNER OF PROPERTY :-- ,l2fA/1 �/ �/ ,
PLUMBING CONTRACTOR /ifA&a
CONTRACTOR' S ADDRESS:---
STATE
DDRESS:STATE LICENSE NUMBER: C��/�/�(O TELEPHONE
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY
/ WATER HEATERS
BATH TUBS DISHWASHERS
URINALS / DISPOSALS
CLOSETS / WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER / Q�
TOTAL FIXTURES: x $3 . 5 + $15 .00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
S I GNAT.UkE OF CONTRACTOR:
--------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTION'S - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834
i
i
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: ULe 11Ar I'le'st
OF Intersecting Streets: Between And
BUILDING e
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work es described in the abcve statement we hereby agree to perform said work in accordance
with the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) /G� � c lg � � ,
5J Master
Name of
Properly Owner ✓�
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
III• GENERAL INFORMATION
A,
Type of heating fuel: B.
Electric 15 OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?
❑ Gat—❑ LP ❑ Natural ❑ Central Utility
IF VES, GIVE NUMBER OF CONSTRUCTION
Cl Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed ❑ Central ❑ Floor ❑ New Building
0 Air Conditioning: ❑ Room ❑ /Central ❑ Existing Building
Duct System: Materia ' 7L `2 nicc�kl1aeess& ❑ Replacement of existing system 10
Maximum capacity Vb c.f.m. ❑ New installation(No system previously installed)
❑ Refrigeration ❑ Extension or add-on to existing system
[] Cooling (ower. Capacity g•p•m•
❑ Other — Specify
❑ Fire sprinklers: Number of heed.
❑ Elevator ❑ Menlift ❑ Escalator__ t-••—�--s
CITY 7OF ATLANTIC BEACH PERMIT CALCUL'A(T�ION SHEET
Address f cl.� r Sr U t/-L& 16 L [/0
Date
Heated Square Footage -> 3 �@ $ �p�00 per sq ft = $ ?3
Garage/Shed �3 Z @ S d ' per sq ft = S 7, 7 7�-
Carport/Porch 68 @ $ �^� �� per sq ft = $
Deck @ $ 0� per sq ft =
Patio @ $ U per sq ft = S
a pa, os 3
TOTAL VALUATION : $
y G 0 53 S/Go.d o $
Total Valuation 1st $ /0 ,000
100, 61-,3 803 a s &03,90
Remaining Value $j . per thousand
or portion thereof
TOTAL BUILDING FEE $ 76,3oo
+ 1/2 Filing Fee $ .38/ 5
(0) Fireplaces @ $15 . 00 $ -- 0
BUILDING PERMIT FEE $ /� / q41
WATER IMPACT FEE $ �`a�0 t
5 SEWER IMPACT FEE $ f.2 3-6 0 0
WATER METER/TAP $ 0'a
CAPITAL IMPROVEMENT $ --0
SEWER TAP S Z�—
(922f RADON (HRS) . 0050 S .5t-
SECTION H PAVING
HYDRAULIC SHARES
CROS CONNECTIO $ '—
(��� SURCHARGE . 0050
OTHER $
GRAND TOTAL DUE $'3,y3
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
Deoartment of Community Affairs SN: 5277
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A NORTH
PROJECT NAME: BP3342 |BUILDER: BOB PENNINGTON
AND ADDRESS: LOT 20 SELVA MARINA |PERMITTING !CLIMATE
ATLANTIC BEACH |OFF ICE0PS ; ZONE; 11_| 21_\ 3 |��
OWNER:��D��E���_ f� r\ |pERMIT NO. / 3 S? VURI5DICTION NQ,261/»a
1 . New construction or addition 1 . New Construction
2. Single family detached or Multifamily attached 2. Single-Family
3. If Multifamily-No. of units 3.
4. If Multifamily , is this a worst case (yes/no) 4.
5 . Conditioned floor area (sq . ft . ) 5 . 3342.00
6. Predominant eave overhang (ft . ) 6. 1 .50
7. Porch overhang length (ft . ) 7. 4 .00
8. Glass area and type: Single Pane Double Pane
a . Clear Glass 8a . 0 .0sqft 697 .00sqft
b . Tint , film or solar screen 8b . 0.0sqft 0.00sqft
9. Floor type and insulation:
a . Slab on grade (R-value, perimeter ) 9a .R= 0.00 , 241 .00 ft
b . Wood , raised (R-value, area ) 9b .R=19.00 , 336.00 sqft ____
10.Net Wall type area and insulation:
a . Exterior: 1 . Concrete ( Insulation R-value) 10a-1 R= 3.00, 1303.00sqft____
a. Exterior: 2. Wood frame (Insulation R-value) 10a-2 R=26.00, 1636.00sqft____
b . Adjacent : 1 . Concrete ( Insulation R-value) 10b-1 R= 3.00, 122.00sqft____
11 .Ceiling type area and insulation:
a . Under attic ( Insulation R-value) 11a .R=30 .00 , 2134.00sqft____
12.Air distribution systems
a . Ducts ( Insulation + Location) 12a . R= 6.00 , uncond
13.Cooling system 13. Type: Central A/C
SEER: 10.00
13.Cooling system 13. Type: Central A/C
SEER: 10.00
14.Heating System: 14 . Type: Heat Pump
HSPF: 7.20
14 Type: Heat Pump
14.Heating System: .
HSPF: 7.20
15 .Hot water system: 15 . Type: Electric
EF: 0.95
16.Hot Water Credits: (HR-Heat Recovery, 16.
DHP-Dedicated Heat Pump )
17. Infiltration practice: 19 2 or 3 17. 2
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent , 18. CF
HF-Whole house house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points) 19. 99 .70
a . Total As-Built points 19a . 48736.88
b . Total Base points 19b . 48882.74
^ Hereby certify that the plans and \ Review of the plans and specifications
specifications covered by this calcu- 1 covered by this calculation indicates
speczr
^. ~^~'' are in compliance with the | compliance with the Florida Energy
| Code. Before construction is completed
Florida Energy ; this building will be inspected for
| compliance in accordance with Section
| 553 908 F S
DATE: . ' .
I hereby certify building is �
in compliance wit e Florida Energy
Code.
num17 P /uM.17mr' »��� ����� | BUILDING
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.
BATHROOM GROUP CONSISTING OF SERVICE -SINK TRAP STAND
WATER CLOSET. LAVATORY 6 BATH (8)
TUB OR SHOWER STALL (6) /' 2
WATER CLOSET
WATER CLOSET, TANK OPERATED (4)C� VALVE OPERATED (8)
LJ BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
O SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT. SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
FAUCETS (2)
KITCHEN SINK (2) DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2) /
LAVATORY, BARBER/BEAUTY 1 ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) v LAVATORY, SURGEONS (2)
JACUZZI (2) V URINAL STALL. WASHOUT (4)
TOTAL FIXTURE UNITS $20.00 EACH $ 7
00
JOB INFORMATION `f T ,S/�(//L G/� L (/Q . / �-
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MAP SHO 11?NG BO UI VDARY SURVEY OF�7
LOT 20 BLOCK '`-' AS SHOWN ON MAP OF
560a,,4 &,4RbCzAl6 r 1�vo
AS RECORDED IN PLAT BOOK=PAGES 1-1—OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR: �, S• p�N�lIn1C�To�J ����trz�� Con11
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BuJIr'ing and Zoning
BEARINGS BASED AN UNE AS SHOW
NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIpVED• AS SCALED FROM FLOOD
THE PROPERTY SHOWN HEREON APPEARS T0� M N
FLOOD HAZARD ZONE
DATED 17- AND
INSURANCE RATE MAP_ FOR THE C1TY
,/ ..in nnF'S NOT CONSTITUTE A CERTIFCATION OF SAME
CITY OF f'
��atC 'e"'"_"_
Office of Building official
REQUEST FOR INSPECTION
Permit No.
Date % A.
Time
Received
Lo lily
t
Job Ad
Owner's Contractor
MECHANICAL
Name PLUMBING
ELECTRICAL ❑ Air Cond. &
DIN
g G CONCRETE h Wiring ❑ Rough ❑ Heating
❑ Temp ❑ Top Out ❑
❑ Footing ❑ Temp Pole ❑ Fire Place
Slab ❑ Final F1, Sewer pre Fab
Re Roofing Lintel
Insulation
READY FOR INSPECTION Friday P.M.
Wed. �Tjhrs-D
Tues. "
Mon. / A.M.
P.M.
Inspection Made n Final Inspection ❑
! --"-- Certificate of Occupancy 1
Inspector — _
Date
i I
CITY OF 386
1
Office of Building Official 386-7
/ 3Z 8`7
REQUEST FOR INSPECTI
Date ,E�q �V/ Permit No.
Time �r—_—.A'M.
Received P.M.
o ality
ob Address
Owner'
Name
8U1 DI CON ETE El CTRICAL PLU BING MECH CAL&
Framing � - Footing g Heating
Re Roofing _ Slab Temp Pole op Out [IFire Place E2i
Sewer
Insulation - Lintel Final Pre Fab
READY FOR INSPECTION
Mon. Tues. /� Wed.
Thurs. Friday
!/ A.M.
P.M.
Inspection Made Final Inspection ❑
Inspector_:/' Certificate of Occupancy C
Date _----