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1825 Sherry Dr (vault)
ar► n, CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000816 Date 7/23/08 Property Address . . . . . . 1825 N SHERRY DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc REMOVE DECK/INSTALL SCREEN ROOM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KILBY HARRINGTON REMODELING, INC 1825 N. SHERRY DRIVE 12442 APPLE LEAF DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 838-1542 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/19/09 ----------------------'------------------------------------------------------ Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Variance (ZVAR-2007-03) for solid roof addition denied, but screen room with trellis and canvas or similar non- structural roof covering permitted. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- ,rM, i'I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: / 3.DATE NO ©XES PERM IT PROPERTY OWNER: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: 7.NA04&OF CO'P/A� � �`�/�� 8.ADDRESq, r 9.STATE OFF 9R1D LIC O• 10. i 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: �! 14. 15.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)montJhs t any tim fter vier menred. CONTRACTORS SIGNATURE: W-L 16.CLASS OF WORK: 17.S E: 1 .METER NUMBER: ❑MULTI FAMILY-#OF UNITS: UMESIDENTIAL GLE FAMILY 1:1TEMP SERVICE ❑COMMERCIAL ADDITION ❑TRAILOR 19.BUILDING: 19.CUR NT CODE: ❑ALTERATION ❑SIGN ❑OLD ❑NEW NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑ REWIRE ❑OTHER: LIST ALL ELPQTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD VdNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: I ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN ETAIL: `hc A'� COAB FORM BLDG02:REVISED:111012008 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000816 Date 6/20/08 Property Address . . . . . . 1825 N SHERRY DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc REMOVE DECK/INSTALL SCREEN ROOM ---------------------------------------------------------------------------- Owner Contractor KILBY HARRINGTON REMODELING, INC 1825 N. SHERRY DRIVE 12442 APPLE LEAF DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 838-1542 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 12/17/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Variance (ZVAR-2007-03) for solid roof addition denied, but screen room with trellis and canvas or similar non- structural roof covering permitted. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 51 ST CONSTRUCTION SURCHARGE 9 .27 AB CONSTRUCTION SURCHARGE 1 . 03 STATE RADON SURCHARGE 9 . 79 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Other Fee Total 20 . 60 20 . 60 . 00 . 00 Grand Total 163 . 10 163 . 10 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 J /1 BUILDING-DEPT@COAB.US - � BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS.- 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF i12�� 1V . ,ilei✓�/1�i Atlantic Beach, FL 32233QM Zd(,Z 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: �( ❑NEW BUILDING ❑DEMOLITION :RESIDENTIAL LOT 1I BLOCKI IA SUB DIVISION Sel Va , `OtI(1 MZ ON ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF W Ki g ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER: el �S� ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER 0 PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NA . 23.COMPANY NAME: I��I Qf1 K I 24 LICENSEE NAME: I� 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO' 25.STATE OF FLORIDA LICENSE N0.'. 1`625 Iii • Sherry t7 r1 v e 1 g ADDRESS, X50 33 32�� 26.ADDRESS: !�I-larrt�c gc 1� FL 32-2-33 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: N ,07 1 z - 96 -73 4 13.CELL PHONE - 1 5 OZ 21.CELL pF1 -0 ^13� (S � 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAILL ADDRESS: 30.EMAIL ADDRESS: I) K1('.I� - e Ila to CLoL , - FEE SIMPLE TITLE OLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER.THAN OWNER) 31.NAME: / 1 33.NAME: 35.NAME/:-, 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Lool;>� (I 1 /1110,0-60x '1001$'11 -k)2CIQ Application is hereby made to obtain a permit to do the work' and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs,Wells, Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: * * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) / (Qualifier Only) Signed: Date: Signed: / A4 --)14-Date: Before me this A c day of„Z�1m E-� 20( in the county of Before me this day of����� the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that I statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. I)j true and accurate. Notary Public at Large,State of _,County ofIII L Notary Public at Large,State of _,County of ❑ ersonally Known vwL ElPersonally Known �, 1 Produced Identification 0 Produc Notary Signature: I Notary Sig CITY OF AT] C BEACH YIMo _ �"" I ME DDITIONAL PubCc, e _# BRANCONDITIONS. D 0 An Commisslon 7COAB F RM B3GO : 11 m. Ma 15, pYExpires January 2,201DATE:d6' 'ire J+►a+�.w.....:. •-✓k'r= Bended Thru Troy Fain kwranoe BOG --"'r--•:.,..,,aw,...:':,,^�,:;,.�»�n.,o,.. h ixJ':.itR"::F;��:r+.;:_:c:r.,�:ti'w`.'Sc?a:.•�-Y-+-. MANUT PLASTIC GLAZING 08840 OMMMMMM M Suntuf, Inc. 9735 Commerce Circle Arcadia West Industrial Park i Kutztown, PA 19530 Phone: (800)999-9459 AY Phone: (610)285-9918 Fax: (610)285-2859 S'('i'�'�r(YUF �l E-mail: suntufw.suntuf.com l�J�l��ff 11 �U INC)11.v (� ?+` www.suntuf.com This MANU-SPECTM utilizes the Construction Specifications Institute(CSI) Manual of Practice, including MasterFormatTM, SectionFormatTM and PageFormatTM. A MANU-SPEC is a manufacturer-specific proprietary product specification using the proprietary method of specifying applicable to project specifications and master guide specifications. Optional text is indicated by brackets[]; delete optional text in final copy of specification. Specifier Notes typically precede specification text; delete notes in final copy of specification. Trade/brand names with appropriate symbols typically are used in Specifier Notes; symbols are not used in specification text. Metric conversion,where used, is soft metric conversion. This MANU-SPEC specifies corrugated and multi-wall structured polycarbonate sheets as typically used in glazing, roofing and cladding applications. These products are manufactured by Suntuf, Inc. Revise MANU-SPEC section number and title below to suit project requirements, specification practices and section content. Refer to CSI MasterFormat for other section numbers and titles. SECTION 08840 PLASTIC GLAZING PART 1 GENERAL 1.01 SUMMARY A. Section Includes: [Corrugated] [And] [Multi-wall structured] Polycarbonate Sheets. Specifier Note: Revise paragraph below to suit project requirements. If a reader of this section could reasonably expect to find a product or component specified in this section, but it is actually specified elsewhere,then the related section number(s)should be listed in the paragraph below. Add section numbers and titles per CSI MasterFormat and specifier's practice. In the absence of related sections, delete paragraph below. B. Related Sections: 1. Division 8 Section: Glazing, for glass and related glazing materials. 2. Division 8 Section: Security Glazing,for glazing resistant to forced entry and ballistics, including laminated glass. 3. Division 8 Section: Metal Framed Skylights. Specifier Note:Article below may be omitted when specifying manufacturer's proprietary products and recommended installation. Retain References Article when specifying products and installation by an industry reference standard. If retained, list standard(s) referenced in this section. Indicate issuing authority name, acronym, standard designation and title. Establish policy for indicating edition date of standard referenced. Conditions of the Contract or Division 1 References Section may establish the edition date of standards. This article does not require compliance with standard. It is a listing of all references used in this section. 1.02 REFERENCES A. ASTM International: 1. ASTM D635 Standard Test Method for Rate of Burning and/or Extent and Time of Burning of Plastics in a Horizontal Position. 2. ASTM D1003 Standard Test Method for Haze and Luminous Transmittance of Transparent Plastics. 3. ASTM E424 Standard Test Methods for Solar Energy Transmittance and Reflectance(Terrestrial)of Sheet Materials. SPEC-DATA"and MANU-SPEC"'are registered trademarks of Reed Elsevier Inc.The three part MANU-SPEC format conform,to the editorial style of the Construction _,Reed Construction Specifications Institute and is used with their permission.The manufacturer is responsible for technical accuracy.02004 Reed Construction Data. All Rights Reserved. Data V a,y;yJ, City of Atlantic Beach APPLICATIO%:B;ilding NUMBER - Building Department (To be assigned by the Department.)800 Seminole RoadAtlantic Beach, Florida 32233-5445Phone(904)247-5826 - Fax(904)247-5845 j9� E-mail: building-dept@coab.us Date routed: City web-site: http:/twww.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: Building ✓ Planning &Zoning Applicant: 17i �Ct nQ �!hQ Public Works V t ..M. Public Utilities , Project: ! Public Safety -'n,-fefi ACO-) Fire Services QCT Review or Receipt Date Other Agency Review or Permit Required of 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. ❑Den�iied..' (Circle one.) Comments: BUU ING , CANNING &ZONI �;' --— Y' Date: PUBLIC WORKS Vdo Reviewed by: S PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: %r-- CITY OF ATLANTIC BEACH 08- Boo SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 ff P OFFICE:(904)247-5828•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS. 2.VALUATKON OF WORK 3.SO.FT_UNDER ROOF )/tom( Atlantic Beach, FL 32233 _._ 5:CLASS dF WORK:. o.USE OF STRUCTURE:. . ❑NEW BUILDING ❑DEMOLITION• :RESIDENTIAL. LOT 1 BLOCK r�r SUB p►vtstoN Sef va M al(1 n e� ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRKPTION OF W ALTERATION ❑ACCESSORY BLDG. �YC. 8<PIRE`SPRINIdEf� ypAtJ'L I ll� tr�I , �, 13r ❑REPAIR ❑POOL/SPA ❑YES ❑N/A 'Pk$CrGGr OhKO ❑MOVE ❑OTHER AMR: ARCHITEW I INEEK-, 9.NAME: 15.COMPANY s 23.COMPANY NAME: 1 �(f !�r I �� 16.NAM � .ai 24.LICENSEE NAME: I 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO. 25.STATE OF FLORIDA LICENSE NO.: 2$0 18.ADDRESS' 33 � 26.ADDRESS: c � � /-�f•-�ct a�-t�c g c(� , PL_ 3 Z2?3 �a.��Z.��t La�c3,p-Obr 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.F�1X NO.: _�� 27.OFFICE PHONE: 28.FAX NO.: t� > 2 _ 9a 13.CELL PHONE: 21.CELLONE: ^ 29.CELL PHONE: � cx `1 - t JG2 ��38'�fS �J.. 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE OLDER: BONDING COMPANY: MORTGAGE LENDER: OF OTHM THAN OWNER) 33 NAME: 35.NAME: 31.NAME: NIA aaS R 34.ADDRESS: 36.ADDRESS: C l Lk)VI�3�i(( 32.ADDRESS: I ZLE a,0.13ox C I ii C Application is hereby made to obtain a permit to do the WOW and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work Will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work Will be done in compliance With all applicable laws regulating construction and zoning. I Will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNED or AGENT CONTRACTOR (if Agent,Power of Attorney or Agency Letter Required) ? 1 /(Qualifier Only) . Date: / `'x signed: -"'Date: Signed: -� 3 t Before me this L day of� Ai E,-.._,20(lrin the county of Before me this ay Ni�j' to�y Of Duval,State of Florida,has personally appeared Duval,State of Florida,has personalty appeared I �; L Ki 14 ., herin by himself/herself and affirms that I statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of _,County of 3A.ts -V Notary Public at Large,State of_LL__.,County of ❑Personally Known J` ❑Personally Known y ©Produced Identification 1. f I Produced Identification- i• r � Notary Signature: Notary Signature: .r�aaar TIMOTHY A.BYRD $ k Notary Public,State of Florida a;;•. " BRANDON pOWl1NG Commissionil OD300520 ` ,,;- �rtt>�ort DD 745406 COAB FORM BLDGO :RI 11, v 'Wf-6omm.mires Mar. 15,2012 '`' Fjcpires January 2,2012 �,', Boadad YW Try Fan YaaralKa 9p0-,'067019 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Q J Atlantic Beach, Florida 32233-5445 ,— 9l Phone (904)247-5826 • Fax (904)247-5845 i',331�r E-mail: building-dept@coab.us Date routed: �� ��• City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 18x5 ' y. PD� Department review required Yes No Property Address: Building Planning &Zoning Applicant: 0vrt f1q'hDYI �Cb Public Works v t ~-, Public Utilities Project: ai1tDIL Public Safety Pccrn Fire Services Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN� PLANNING & ZONING Reviewed by: rr Date: 6'��66 PUBLIC WORKS PUBLIC UTILITIES Second Review: [—]Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: NOTICE OF COMMENCEMENT State of Tax Tax Folio No County of Dy ✓4 L To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: L-nf l I„ Se V'c-- Ll-l.t'xfc✓1 Ur11� NO I0— Lord e iVj Piot (,�oc�k DC7 r�c1g� 61 0� � �re OUlolt'c ✓Pcc�rr�s of [1�✓al _CcuvtlUf , lor,c�a Address of property being improved: 2-5 N v��e�� (�f t�` �-I n 1 1 !�j e C�C h 4 -3Z2-3-3 General descri tion of improvements: 9, u V- 1, u. d�. - n O v� W t k 6 r u� D�t��lK Owner: 16-1) KI 1 b y Address: W,25 Owner's interest in site of the improvement:--e:r c>n C.�i k3,__ Fee Simple Titleholder(if other than owner): Name: Contractor:�Y�S -g4mr rI o h Address: 12-4 4 2— A PN- FL 3-kka.4 Telephone No..: Qo' 0.3%— 15q3, Fax No: 9opq 736 6 Surety(if any) Address: Amount of Bond$ Telephone No: Fax Nr - - Doc#2008162039,OR 8K 14547 Page 746, Name and address of any person making a loan for the construction o Number Pages:1 J Filed&Recorded 06/20,12008 at 01:37 PM, Name: N J JIM FULLER CLERK CIRCUIT COURT DUVAL — COUNTY Address: RECORDING$10.00 Phone No: Fax Ni Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: N�i� - Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Stats. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the d f recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: //J TIMOTHY A.BYRD Before me this day of - T Iv E— Zec6 in the County of Duval,State r&� Notary Public,state of Florida Of Florida,has personally appeared r Commissloat DD300520 Notary Public at Large,State of Florida,County of Duval. My comm.expires Mar. 15,2012 My commission expires: Personally Known: or Produced Identification: i CITY OF ATLANTIC BEACH .+ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 J v INSPECTION PHONE LINE 247-5826 Application Number . . . . 04-00028192 Date 5/03/04 Property Address . . . . . . 1825 N SHERRY DR Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- KILBY, BRIAN OCEAN STATE HEAT & AIR 1825 N. SHERRY DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------- -------------------- ---------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- ------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 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 PARTOFTHIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i n BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION 5�l s aJ Date: 101 Property Address: `, -U - Owner: ? Telephone #141 - 4Z �e —` C Telephone #:C.`T`1 - O Z5 ll Contractor: P l Contractor Address: 141 Cc C�L b V(`1 r Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached pians and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric 10- ❑ Gas: _LP _Natural _Central Utility ,^ ❑ Oil r }gyp ❑ Other—Specify MECHANICAL EQUIPMENT TO BEINSTALLED NATURE OF WORK \ Heat _Space _Recessed 0 Central _Floor Residential Air Conditioning: _Room 11Z Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gPm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: Manlift Escalator (Number) Replacement of Existing System E3 Gasoline Pumps__ (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description ej Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units n Description Model# Manufacturer BTU's Age y t.J� .� TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us I Application Number . . . . . 08-00001268 Date 9/17/08 Property Address . . . . . . 1825 N SHERRY DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5018 ---------------------------------------------------------------------------- Application desc replacing 4 exterior dr units, 2 single, 2 double ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KILBY OWNER 1825 N. SHERRY DRIVE 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 . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5018 Expiration Date . . 3/16/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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 NAMI NOTICE OF PRODUCT LINE CERTIFICATION �y Certification No.: NI006607-R1 Pap-e 1 Date: 06/19/2006 Z Revision Date: 06/25/2008 Certification Program: Structural Company: Jeld-Wen.Inc. Code: JEL The"Notice of Product Line Certification"is valid only when Administrator's Seal is applied to the upper left hand portion of this form and a certification label is applied to the product. This certification seal represents product conformity to the applicable specification and that all certification criteria has been L satisfied. I I The products and systems listed below are approved for listing in the Directory of Certified Products at www.NAM[Certification.com. Please review, and advise NAMI immediately if data, as shown requires corrections. Company: Jeld-Wen,Inc. 3737 Lakeport Boulevard Klamath Falls,OR 97601 Product Line: Jeld-Wen's Premium Fiberglass Door with PURfiber Technology Test Report: ATI-63492.02-301-44 Section l: General Description of the Products and Systems under this Certification 1.1 Frame: The head and jambs consist of finger jointed pine with all corners coped, butted, and attached using three (3) 16 gauge, 7/16" crown by 2" long staples at each corner. 1.2 Glazing: Where used, the overall insulated glass consisted of two (2) sheets of 1/8"tempered glass. 1.3 Panel Construction: All panel specimens were constructed from two (2) 0.065"nominal thickness fiberglass skins separated by wood rails and Stiles. Section 2: PP Registered Suppliers 1p cv 2.1 Door Lites: ODL 2.2 Astr al: Endura See additional Pages of Certhkation for Certified Product Line Matrix(s). If you have any questions regarding this certification,please contact NAMI at(757)594-8658. National Accreditation&Management Institute,Inc. 11870 Merchants Walk Suite 202-Newport News,VA 23606 TEL(757)594.8658 FAX(757)594-8659 I I� ap N � A a 10 o oo 00 NN N y o�j og C7 y2 C70 b�C DVEb O� D�0^ � � D v DU 4x gQ n Eos- a0oM c.OoM p oM a0 oM p Den p oM a0 om p oM p o^ en fi[d E. 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En 0 a:k it 30 X E 2 m 3Q,: Oo,l 503t Q x " Z) �( i�L z L) u t� C, a %� OL'r- V):t C) LnL 3: . xt Z LL, t 0) OD Q� x x x C9 �%:Q;k c) -,c:5 X x C, 00 in z C,4 --j 0 121 ca T�� v 10 co Nco ;CN N Nn Nw N N CNq N Kn) wit T -1,69 909 CITY OF ATLANTIC BEACH I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- R OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALU TION OF WORK. 3.SQ.FT.UNDER ROOF S®/(?°u' 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: 3G-6, 09-.2 -a ❑NEW BUILDING ❑DEMOLITION ffrRESIDENTIAL LOT// BLOCK -SUBDIVISION Sel- ❑ADDITION ❑CONVERTING USE11COMMERCIAL .D SCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: QO gLi n��FFjj 4�7xi;br I Opr 'I" r. /wo '�� �-� REPAIR ❑POOL/SPA ❑YES /A 2 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9 AME. 15.COMPANY AME: 23.COMPANY NAME. 74 t 16 N E: // 24.LICENSEE NAME. 10.ADDRESS: 17.STATE OF FLORIDA LIC NSE NO.: 25.STATE OF FLORIDA LICENSE NO.: �'CT ICIHT�L JJ,f2G(l�X .J�a,3 1/6/ ss /-O Q �/. � 26.ADDRESS: h ►0 / �aoc 11.OFFICE PHONE: 12.FAX NO.: 1 FFI EQPHONE r� 20,206vX NO. ��3/ 27.OFFICE PHONE: T AX NO.: 13.EEtt PHONE 21 CELL PHONE Q 1 (' 29.CELL PHONE: ov l "7Sy2 71)V qrl- IS-GJG 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: 31.NAME. 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I Certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** ' WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FZNfEYIBEFORE MENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENTECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIOTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN RECORDING YOUR NOTIC OF COMMENCEMENT. ,,,*`Il0IVKER or AGENT ONTRACTOR If nt,Pojffp&w@Wrrry or Agency Letter Required) r� (Qualifier Only) 9All 1 Q Signe Date: • ?_.DO Signed: Date: I d v yJ 1 Befor this day ofin the Before mthis�� day of_ 7('/K� 2_,200in the county of Duval,State of Florida,has personally appeared Duval,St to of Florida,has personally appeared }bCian C-,. K, tb.V 11.;►�c=erg Lan,4o herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirfris'I'that all statements and declarations are true and accurate. ��y � true and accurate. ounty of Notary Public at Large,State of p Y) Notary Public at Large,State o4� Cop�0 County of Ca 00, elPersonally Known 11 Personally Known ❑ duce / Produced Identifi Notary gnat y� i ATLANTIC BEACH � yw'-� y -- _..• � SEE PERMITS FOR ADDITIONAL '�h �%;�s BOBBIE B. PARKER AB E :,,,,,REQUIREMENTS AND CONDITIOXS. : r MY COMMISSION#DO 292203 FILEC Cl / O� EXPIRES:February 19,2012 :k RVIEWED BY: m BATE ,/ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) J 800 Seminole Road z5 Atlantic Beach, Florida 32233-5445 (..p Phone(904)247-5826 Fax(904)247-5845 Q E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Z� artnipnt review required Yes No Property Address: Building T ing & Zoning Applicant: hD22 1�- d / Public Works �� Q sZ dQ Public Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of 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: APPL ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING �j PUBLIC WORKS Reviewed by:-jv - Date: l 1 5 ^Ok- PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Sep 16 08 02:11 p S NESTER WOODWORKS 19042252945 p.1 NOTICE OF COMMENCEMENT State of /C i Tax Folio No. /7v20-70 County of u Ve, To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT_ Legal Description of property being improved: ?C -(r/ Orl �-2S -a9F 5;X1111, 1 i,174 /O Address of property being improved: 4 S,6ef-r-t �C. 1'(aa tic General description of improvements: /��O�tf;nr �a✓,- �i.�s off' P��iiiv- Gfo6� y.�:�t %o e a� v/IiT� GYaC yt./� GCrJ�J�i lX�19i Ur�r{� \ 1 Owner. pan Address: /��.�/l�� 5 7i0 . 11r /�t�4•��:c�c�l J'� 37' Owner's interest in site of the improvement: Fee Simple Titleholder(if otherthan-owner): - - - - - Name: Contractor. ylialcezljl Address: /0/7!-, 14;;-,,7, rIaL4A #-.2aG eaor �, iXwety Telephone NO.:�6Y Y`? `� �(o�G Fax No: JJ�� (if any) Address: Amount of Bond$ Telephone No: Fax Coc V 2008231185,OR BK 14539 Page 2227, Name and address of any person making a loan for the construction Number Pages:1 Recorded c9r16,2008 at 01:18 PM, Name: JM FULLER CLERK CIRCUIT COURT DUVAL Address: C O.,NTY P,ECORDING$10.00 Phone No: Fax - - - - - - -- - - ---- Name of person within the State of Florida, other than himself. designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: .Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �, .. ,._... ..... Signed. Date: f;115-11f rat _._• o in the Co l of Duval,State Before me this Xtk day of S'�v}rbwg�t Z-� Y Y•!^'lary Pu'�fic ,t:_o 0�:."ria � Of Florida,has personally appeared RY ;i ,a^•:+.c"s .,.= ae!?%ts� notary Pubtic at Large,State ofPlorida County of Duval. :�. My commission expires: (F.god =.-- Personally Known: t -y or Produced Identification: I f? OL i IS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD s� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001148 Date 8/11/09 Property Address . . . . . . 1825 N SHERRY DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KILBY CHAPPELL CONSTRUCTION INC 1825 N. SHERRY DRIVE P O BOX 51112 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 254-9722 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/07/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 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 OQ� I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 J - i .• OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US 7) MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 12.IS THIS A SUB PERMIT: 3.DATE: 0 NO YES PERMIT# O�Z6"s PROPERTY OWNER: 4.N AME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: MECHANICAL CONTRACTOR: 7.N O P / B.A R / i V 9.S O LO A LjCENS O 10.CELL PHONE: 11.FAX NO.: U Zy- ZZ 12AI ADfir DR �?% / /) / 13.O�JCE 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 at any time after work is commenced. ARI# CONTRACTORS SIGNATURE: 15.C SS OF WORK: 16.B ING: 17.SE E: C ENT CODE: El-WEW INSTALLATION ESIDENTIAL 7 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM (STING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM El REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19.HEAT: ❑SPACE ❑ RECESSED NTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ENTRAL 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 REFRIGERATION EQUIPMENT CONDENSORS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MOD�,EL1# MANUFACTURER TONS( AGENCY jy( 32.HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES AIR HANDLERS ETC. APPROVIIN NUMSER OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AG NCY 41 -� d XrR7E . i ---TYPE LIQUID cJ D O 33,TANKS: APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 �. �s, CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000898 Date 8/12/09 Property Address . . . . . . 1825 N SHERRY DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 100000 ---------------------------------------------------------------------------- Application desc 2nd floor addition ---------------------------------------------------------------------------- Owner Contractor KILBY CHAPPELL CONSTRUCTION INC 1825 N. SHERRY DRIVE P 0 BOX 51112 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 254-9722 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Sub Contractor . . DAN' S ELECTRICAL CONTRACTING Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/08/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09_ 3 19 I gIY I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 =! OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTgCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE ,^ ❑NO QQ 2 O 'g2� �• "��� OYES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: 7 NAME OF COMPANY: _ B.ADDRESS.: 1Da vt`5 iy'.Cd-Vl,�rA ( 1 &9 ( �- 9.STATE OF FLORIDA LICENS NO: 10.CELL PHONE: 11.FAX NO.: -7)24 b ROD 1 .EMAIL ADDRESS: 13.OFFICE PHONE: 14. c - "�5e @Gk1cCtI 15.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 beco s n II and void if work i not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)m nths I t any ti after rk s commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: ®RESIDENTIAL 0 SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN 10 OLD ❑NEW ❑'O8 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD M UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE:�_ 10 POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: .�-00 PH: I W: VOLT: L`l RACEWAY SIZE: _ 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT:_� FLUORESCENT&M.V.:--L- 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: `--5 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 3 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: I COMP. MOTOR HP RATING: AMPS: HEAT KW: .S #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: BLDG02 Permit Application Elec:REVISED:0720/2009 I] �s CITY OF ATLANTIC BEACH IS f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001101 Date 7/31/09 Property Address . . . . . . 1825 N SHERRY DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc NEW 4 FIXTURES -------------------------------------------------- Owner Contractor - ------------------------ ----------------------- KILBY ADVANTAGE PLUMBING 1825 N. SHERRY DRIVE GREG GAUSE INC. (DBA) ATLANTIC BEACH FL 32233 941 11TH AVE S JAX BEACH FL 32250 (904) 247-9848 -------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . NEW 4 FIXTURES Permit Fee 63 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 1/27/10 --------------------------------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ------ Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 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 F7 11-, \- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09— I I I I OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: ❑NO q0Y.Ah Y ]I(I YES PERMIT M PROPERTY,`OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: .NAME OF C MPANY: 8.ADDRESS.: 9.STATE F FLORIDA LICENSE M& 10.CELL PHONE: 11.FAX NO.: f 12. MAIL ADDRESS: 1 + 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 worts is suspended or abandoned for a period of six(6)months a ny time after work is cZ.4e CONTRACTORS SIGNATUR . 15.NATURE OF WORK: 115. 117. 18.CURRENT CODE: ,NEW 0'06 FLORIDA BUILDING CODE- ❑ RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN _ WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY INDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: �_ x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permit Applicatiion Plumb:12/18/2008 CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD V ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 09-00000898 Date 7/10/09 Property Address . . . . . . 1825 N SHERRY DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 100000 ------------------------------------------------------------ Application desc 2nd floor addition ------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ KILBY CHAPPELL CONSTRUCTION INC 1825 N.SHERRY DRIVE P O BOX 51112 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 254-9722 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------------------------ Permit BUILDING PERMIT Additional desc . . Permit Fee 460 . 00 Plan Check Fee 230 . 00 Issue Date . . . . Valuation . . . . 100000 Expiration Date . . 1/06/10 --------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. ------------------------------------------------------ Other Fees . . . . . . . . . CITY RADON SURCHARGE . 57 ST CONSTRUCTION SURCHARGE 10 . 38 AB CONSTRUCTION SURCHARGE 1 . 15 DEV REVIEW-SINGLE & 2-FAM 50 . 00 STATE RADON SURCHARGE 10 . 95 ------------------------------------------------------- Fee summary Charged Paid Credited Due PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH � Si1 800 SEMINOLE ROAD -r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number 09-00000898 Date 7/10/09 Permit Fee Total 460 . 00 460 . 00 . 00 . 00 Plan Check Total 230 . 00 230 . 00 . 00 . 00 Other Fee Total 73 . 05 73 . 05 . 00 . 00 Grand Total 763 . 05 763 . 05 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1� City of Atlantic Beach APPLICATION NUMBER Building Department ' �V (To be assigned b the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-544517-58745 N Phone(904)247-5826 • Fax(904) ZQQ9 q E-mail: build ing-dept@coab.US Date routed City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: DqpajtiQent review required Yes No _ ui Applicant: C1��D�LG LD/J�QIGC�i or7 /nC'rfttwning & Tree Administrator Project: �^ ��00,2, x,71 Public Wo ublic Utilities Public Safety Fire Services - -:_ 44--evlew:fee $ Dept Signature . . Fit Other Agency Review or Permit Required Review or Receipt Date of 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: n )/r// I-?— _ BUILDING ,Gp/ 4t) PLANNING &ZONING 1Z Reviewed by._ Date: TREE ADMIN. Second Review: DApproved as revised. ODenied- PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: V Date: FIRE SERVICES t1iH.Rf9VC0PyProved as revised. ODenied. Comments: I i i Revie%ued by: Date: [REVEs@01 MUIG'J ---- — CITY OF ATLANTIC BEACH 09_ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.50.FT.UNDER ROOF P� �l.' r- C , I r �O p ^� l > 5.CLASS O WORK 6.L)SE OF STRUCTURE: 4.LEGAL DESGRIPTION: © -��_ G� J�I J�`�CWi I nC�.+ ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL OTV (BLOCK_SUB DMS ON l 4DDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLE : dl� ❑REPAIR ❑POOL/SPA ❑YES El NIA oo r 44 I O ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 15 COMPANY NAME: _t 23.COMPANY NAME: 9.NAME: ,,COMPANY rw 16AME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE V 25.STATE OF FLORIDA LICENSE NO.: r' 18.ADDRESS: ��\ 26.ADDRESS: i�-�-ate>+I����.., �c��:�3;� P,�:- �x z. ��:� -- ` o �����: ��x•:� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OF ICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PH NE _L- 29.CELL PH QN E:. U-S 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY- MORTGAGE LENDER: (IF OTHER THAN OM ER) 31.NAME: 33.NAME: � 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Taroks, Aar Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in Compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST HE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR FORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWN or A T (NT y) TOR (If Agent,Pow tiomey or „envy Letter P.equired) _�' C Date: I!ld Signed: �� Date: �3 Signed: r- ° AJ c 2009 in the county of Before me this��day of UAe64.- 2009 in the county of Before me this day of Duval tate of lorida,has personally ap d )_ / Duval,State of Florida,has personally appeared /t-1// o he n by himself If d affirms the all statements and declarations are herin by hirtl�elf/herself and affirms tha all statements and declarations are true and accura true and acc ate. 1 County of �J 6 F.rs.n.11y Public at Large,State of unry of Notary Public at arge,State of __, ty Known ❑ rsonally Know �duced IK n Produced Identifi - Notary Sign sur - Notary Signature: 3's Ivo Net ry P&ie State of Florida D NNIS W.CUR JR. Notary Public- State of Florida i,. `;cltldi t.lf"Illl{a111S �,c+- ,,1y C,:)mission DD515G71 ,e;9y Commission Fs(pires Apr 12,2011 arra rl;egQ3,�512010 1 =�° - 0,5 Commission # DD 632525 BLDGo1 P ^' �'�`� '%�O .... Bonded Through National Nctary Assn. City of Atlantic Beach APPLICATION NUMBER f Building Department ,i (To be assigned b the Building Department.) au =11 800 Seminole Road ©©W Atlantic Beach, Florida 32233-5445 ' Phone (904)247-5826 • Fax(904) 247-5845 q r,i3y�r E-mail: building-dept@coab.us Date routed: f//n/0 / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z l/�I'/ - DepartMent review required Yes No /f Bui Applicant: C p�LG r�D.nu C o-r� In C nnin & Tree Administrator Project: ^ / �00�, � fI ff) Public Wojlkg ublic Utilities Public Safety Fire Services R�view:fee}$� k = --- �:DeptSigr�afi rer - - Other Agency Review or Permit Required Review or Receipt Date of 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 t - Reviewing Department First Review: [ Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 6 DatE TREE ADMIN. Second Review: -]Approved as revised. ❑Denied. PUB WO S Comments: PUBLi I PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comsmants: Reviev ed by: Date: Revised 05/14109 CITY OF ATLANTIC BEACH 09-F7 I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5645 / BUILDING-DEPT@COAB.US -�` BUILDING PERMIT APPLICATION DUVAL COUNTY J.JOB ADDRESS: Z VALUATION OF WORK 3.SO.FT.UNDER ROOF oo o�OO 3or 6. EOFSTRUCTURE A.LEGAL DESCRIPTION: 5.CLASS O WORK Q - �- � l'I�/C'i m1�6-Inl�.+ El BUILDING ❑DEMOLITION RESIDENTIAL OT BLOCK_SUB DIVISION 1`J� ADDITION ❑CONVERTING USE ❑COMMERCIAL T.DESCRIPTION OF WORK 11 ALTERATION ❑ACCESSORY BLDG. S.FIRE SPRINKLE ❑REPAIR ❑POOL/SPA ❑YES N/A a�l• �(��10 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT!ENGINEER: 9.NAME: 15 COMPANY NAME: 23.COMPANY NAME: i, �r —l1 t -Cr-A 16. ME: 24.LICENSEE NAME: 17.STATE OF FLORIDA LICENSE 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS:\ (\> .i� ^Q hcrrl V 18.ADDRESS: 26,ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OF ICE PHONE: 28.FAX NO.: _1"4 Lf 13.CELL PHONE: 21.CELL PH NE: G 29.CELL - 115D I E — (Or 90i'-307-/5'aZ q0 � _ r t s k 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE W11P [TLE HOLDER: BONOING COMPANY: MORTGAGE LENDER- OF OM*R Tww M**34 33.NAME: 35.NAM 31.NAME: E: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I F®RE�OBTAINR NG OURNNOTI�E OF COMNSULT MTH ENCEMENT. (If UR LENDER OR AN ATTOR CONTRACTOR OWN or A (K A9enL P L'-Requir"cZounty Signed: Date: Signed:2009 Before methis day of V�r ,2009 in the county ofBefore me this��day of J����� —Duval tate of londia,has personally ap dDuval,State of Florida,has personally appeared herin by himself If d affirms tha all statements and declarations are herin by himself/herself and affirms the all statements and declarations are true and accura true and acc te. County 0fl— No ry Public at Large,State of?�"unty of Notary Public at urge,State of _. ty ersonally Known ❑personally Kno - ,j-L!VW � FO Produced Id n Produced Idenfifi o� JC Notar}Sign ur Notary Signature: rG Netary f uh!ic State Of FlOric�t `��e,00vo�� DENNIS W.CUJR. �;+qD� e° •c Notary Public-Stata of Florida t a dli t :�11143f 15 ,fY Cosr:mission 0)0525071 . a c My Commission Expires Apr 12,2011 °'= O hct ,;rlra;Q310512i01C� ';3 oec Commission# DD 632525 BLDG01P -- +9`� ��'%FO;;;°P�� Bonded Through National Notiny Assn. City of Atlantic Beach APPLICATION NUMBER G1 Building Department (To be assigned by the Building Department.) ' 800 Seminole Road _ Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 / q ' '.r E-mail: building-dept@coab.us Date routed: b �/c� / City web-site: hftp://www.coab.us 11 0 APPLICATION REVIEW AND TRACKING FORM Property Address: —DDe ent reviear� required Yes No Applicant: CTTfty p�LG L�QlI£ l�C�i /n C nnin & IF Tree Administrator Project: Public Wo ublic Utilities Public Safety Fire Services Qevlew'fee $ QepSlriature Other Agency Review or Permit Required Review or Receipt Date of 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:_ -_3 _/Ak Date: 0�o ZZ to TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [:]Approved2s revised. ❑Denied. r ev€evled by:____---Date: Revised 05114109 CITY OF ATLANTIC BEACH 09-F7 I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 Wil:I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@1COAB.US - -' BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS 2 VALUATIQN OF WORK r3.SDERROOF 4.LEGAL DESCRIPTION: y� 5.CLASS O WORK: 6. E OF STRUCTURE r o ,��_ ��rf C'i m r7Cw� ❑f�IEW BUILDING ❑DEMOLITION RESIDENTIAL 40T_BLOCK_SUB DTVI ON dADDITION ❑CONVERTING USE [I COMMERCIAL T.DESCRIPTION OF WORK ❑ALTERATION 11 ACCESSORY BLDG. B.FIRE SPRINKLE ❑REPAIR ❑POOL/SPA ❑YES WA f (� go r Adel l 0 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER: 9.NAME: 15!OMPANY NAME: S_r .r 23.COMPANY NAME: ^ i J( 1 fl-l1 16. AME: 24.LICENSEE NAME: 17.STATE OF FLORIDA LICENSE 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 5 1 SA5 N• 5 hc-rr j r 18.ADDRESS: 26,ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX O.: 27.OF ICE PRONE: O AOT .: . 29.CELL PHONE - 13. CELL PH NE: t, U's r 13.CELL PHONE: ?0y-IV 7_x n Q5-4_(-c 22 (y. 14.EMAIL ADDRESS: V 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEES1'rLE HOLDER: SONDMiG COMPANY: MORTGAGE LENDER OF OTIAR TWIN Owr8t1 33.NAME: ^ 35.NAME 31.NAME: 1iR-'4 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNERS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR FORE RECORDING YOUR NOTICE E O CONT�COMMENCEMENT. TOR OWN or A (it Amy,P ttomey or Leew Requied) ZT Signed: Date: Signed: Date: �..nty RWd.yf V ► 2 Before me this-.-day of -- 2009 in the county of Before me this Duval tate of lorida,has personally ap d , )� / Duval,State of Florida,has personally appeared herin by of If d affirms tha all statements and declarations are herin by hi elf I herself and affirms tha all statements and declarations are true and accura true and acc te. �t J L t Nota Public at 'a e,State of�-,County of r+l v NI❑ Public at Large,State of unty of Notary eroyr'sonally Known ❑personally Know � �i ��,-d Produced Identiri u�t9 JC Produced Id n Notary Sign ur ' Notary Signature: ' r� Notary f�uhkic state of Florida "Oveat" DENNIS W.CUR JR. �s o� y- ;, ,y SqD➢` B�'�. Notary Public-State of Florida L .-andt1.. '{IlllalTIS �'� u iniv .5 Poly Commission Erlpires Apr 12,2011 Col;:mission�G5Z5071 ,� Vr4;esO3;051201i) Commission# DD 632525 BLDG01P ..ree ISE+Js? �' ��%SFO;;;°p�` Bonded Through National Notary Assn. G`it/�od fence 4 . '61 49"?C. S,5 00 41.1 ooh/ d4ct I✓PocY OLX ' M Cl - \ �4�?-'STORY S17JCC0� • . . d. o - f2l' ' 0 W • 47 ° N P --,-TD_-. A fwnd%z' _d o �9 ���..�1 g Jj..��. ✓le/Vz'lran P,;or _ limon/Lpc ��j:+,�i ��l - - - !cd GG;►:) (Z.CYo3B) .. -. /rri9vfion vxli� aoLi�,c -. v,-`l f: lo p:T-R SAIERRY- _ D. -'I VE (ro' ORjvQ74F1?OAD) City of Atlantic Beach APPLICATION NUMBER Js Building Department (To be assignedb the Building Department.) 57 800 Seminole Road /)q- f)�l(a g r Atlantic Beach, Florida 32233-5445 (�i l/l) f A v Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: U City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Z �}z De ent review required Yes No ui ' C�CI SLG !�D/���ILC�7-�'7 �n C, nin & Applicant: Tree Administrator Project: c ^ �l0 owl Public Wo ublic Utilities Public Safety Fire Services Review f64_$_ Dept Signature 1` . Other Agency Review or Permit Required Review or Receipt Date of 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: I Reviewed by: Revised 05/14109 i' CITY OF ATLANTIC BEACHF7 - �9 _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US _- BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS O WORK: 6. E OF STRUCTURE: G •4: O �7 - L N_I�I�'` C- ❑ EW BUILDING 11DEMOLITION RESIDENTIAL ``CLOT BLOCK_SUB DIVIS ON (ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ' ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLE . [I REPAIR 11 POOL/SPA ❑YES NIA ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 15 C MPANY NAME: _ 23.COMPANY NAME: (n� s Sr d f�1rc t4 cid 16. AME: 24.LICENSEE NAME: .�r ct .t t3• rd. 10.ADDRESS: 17.STATE OF FLORIDA LICENSE .. 25.STATE OF FLORIDA LICENSE NO.: I�, 5 N 5 herrn l�r 6.ADDRESS: 16 26.ADDRESS: i-�t-►w>j'IC� C ., 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OF ICE PHONE: 28.FAX NO.: %44 4 - t O 13.CELL PHONE: 21.CELL PHI 29.CELL PHONE' S'0 2 qS -Cr, S 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has i commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this•` jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for '`' ) ! Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicabl p, 4J laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. '� _ WARNING TO OWNER: Li La. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR y PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF v.. - COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE FIRST INSPECTION. IF YOU IND TO OBTAIN FINANCING, CONSULT WITH YOU LENDER OR AN ATTOR FORE RECORDING YOUR NOTICE OF COMMENCE; . q OWN or A T CONTRACTOR x (If Agent,Pow homey or envy Letter Required) (Oualifie ly) Signed: Date:�� Signed: Date: ' 1D 0 Before me this day of (�GL.�I.� - 2009 in the county of Before me this V day of V(A 1/IC 2009 in cty� .� Duval tate of lorida,has personally avoiffMied )_ / Duval,State of Florida,has personally appeared V Q herin by himself If d affirms tha all statements and declarations are herin by himrself/herself and affirms thai all statements and�ecjti p' true and accura true and acc te. 0 r (t No ry Public at Large,State of unty of Notary Public at arge,State of �,County of ersonally Known ❑ rsonally Kno �� 3C •�C`� --� �"' Produced Id n Produced Idents I - Icy max. � O Notary Sign ur Notary Signature: W r� to a� Notary Public State of Florida DENNIS W.CUR §,JR. cti a A TPZ r'•.Nilliams , = Notary Public- State of Florida�iy Ctmmission t7D5'�5071 ?My Commission Expires Apr 12,2011 ��° explre503f051201U = �: Commission # DD 632525B!DG01 P ' FOF �� Bonded Through National Notary Assn. aj 'nnna. • � .. - : fanr/,t/✓%Inn Pia• DOa 4.9 2� " :" 8S.04 G'tVaod 0 co v 4--ro c _ P P_�Kc 4v � . ��etoArOeS /�onitl•%� d �f 7 ,�tp'I � •^�, / ✓c{'/r% POO TtBYodtl} /�'1L��lam[ k.` w_ C !cd GGaiJ l /Ir�9a�Ion V4.a MLi�.c <C-q' PR{w TE ROADS ��� � ���. Iii � 2•U� -p �� - I OCT-31-2000 03:44 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 i I NO'T'ICE OF COMNMNCENIENT i Statc of Tax Folio No. 1'72010-Dq County of '2 To Whom It May Concern: The undmigued hereby iafoms you that improvements will be made to certain real property,and in,accordance with Section 713 of the Florida Statutes,the following information is stated in this Non OF CONEWENCEMENT. f Legal.Description of property being improved:,3(a- (o V`i_off 5-A Un,f /O o� _J4 I Address of property being improved: j�l her t~y b r- a'IO�x General description of improvements: Ad C t}t On Omer. r i�r� K: 64Address: Owner's intermit in site of the improvement: lie e s i n No e� Fee Simplc Titleholder(if other than owner): Name: - Contractar: C .1 A,ddrese: o 51112 b� Telephone No(gt o, lax No: hD N Aq5--6, I Surety(if any) i! Address: _._ Amount of Bond S Telephone No: Fax No: Name and address of any person waldoae na for the construction of the improvements Name: Nl>9 Address' Phone No: Fax No: I Name of person within the State of Fl '.da, other than himself,designated by owner upon whom notices or other docume)ats may be served: Name: :1�4 � Address: Tele:iro-Re NO (7C1����{'su -�'��1' a Fax No:&dl_�oR sk-r-lo 4 In addition to t�imatelf, owner desi�atcs the following person to receive a copy of. the Licnor's Notice as provided in Section. 7i3,06(2)(b1 Flom Statues. (Fill Owner's opbo ) i AAA Telephone No: ~ o � y- ') Fax No: D of(nm� w..'v.^+'eL't(f3.a" '7Y nrvvi.L d ie{sr±gl�"�g8r�rnm tl -A. tY .!Cf inu �ntgee hiPnt tl #e tc j 4? Specified); tt It T1ElILS SpACIh FOR RECORDER'S USE ONLY OWNER Signed: Date: 2-6,7-ewe is day in the Duval,St do — — iaftaty Psu+iic al targe,S, rr9-•"1'�n°a,i o f Du`a; ! ,ox ax IAs 'YV9. iy+x mmissiou oxpires: b A idw»i7a±►i��A t ty� wnem L/' f *2.; :.s+is_oTi.7R r rag�laCS/V3�i:sitiAtitm i .7%±+w, ��'3'i g -7 ��'"3-'--"'•t L' _ - i I: y Lvuti{ l Z f = FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Kilby Addition Builder Name: Chappell Construction Street: 1825 North Sherry Dr Permit Office: Atlantic Beach City,State,Zip: Atlantic Beach,FL, Permit Number: Owner: Kilby Jurisdiction: 261100 Design Location: FL,Jacksonville 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=11.0 566.40 ft2 b. Frame-Wood,Adjacent R=11.0 134.30 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 0 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 448 a.Under Attic(Vented) R=30.0 305.00 ft2 7. Windows Description Area b.Cathedral/Single Assembly(Vented) R=19.0 160.00 ft2 a. U-Factor: Dbl.U=0.30 85.10 f12 c.other R= 22.00 ft2 SHGC: SHGC=0.30 11.Ducts b. U-Factor: N/A ft2 a. Sup:Attic Ret:Attic AH:Garage Sup.R=6,89.6 ft2 SHGC: 12.Cooling systems c. U-Factor: N/A ft2 a.Central Unit Cap:30 kBtu/hr SHGC: SEER:13 d. U-Factor: N/A ft2 13.Heating systems SHGC: e. U-Factor: N/A ft2 a.Electric Heat Pump Cap:30 kBtu/hr SHGC: HSPF:7.7 14.Hot water systems 8. Floor Types Insulation Area a. Non Existing a.Floor over Garage R=19.0 109.00 ft2 b.Slab-On-Grade Edge Insulation R=0.0 53.00 ft2 b. Conservation features c.N/A R= ft2 None 15.Credits Pstat Glass/Floor Area: 0.190 Total As-Built Modified Loads: 14.17 PASS Total Baseline Loads: 17.03 I hereby certify that the plans and specifications covered by Review of the plans and 11AE ST,g7, this calculation are in compliance with the Florida Energy specifications covered by this Code. calculation indicates compliancef ,� with the Florida Energy Code. . `arn� PREPARED BY: � Ll 115 Before construction is completed # S 73 - DATE: 'O°� this building will be inspected for �� b compliance with Section 553.908 *' I hereby certify that this building, as designed, is in compliance Florida Statutes. �� :; . C with the Florida Energy Code. p U OWNER/AGENT'._ BUILDING Ci�FIC_ IAL:_ DATE: DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory-sealed in accordance with N1110.A.3. 7/6/2009 12:23 PM EnergyGauge®USA-FlaRes2008 Page 1 of 5 PROJECT Title: Kilby Addition Bedrooms: 0 Adress Type: Street Address Building Type: FLAsBuilt Bathrooms: 0 Lot# Owner: Kilby Conditioned Area: 448 SubDivision: #of Units: 1 Total Stories: 2 PlatBook: Builder Name: Chappell Construction Worst Case: No Street: 1825 North Sherry Dr Permit Office: Atlantic Beach Rotate Angle: 0 County: Duval Jurisdiction: 261100 Cross Ventilation: City,State,Zip: Atlantic Beach, Family Type: Single-family Whole House Fan: FL, New/Existing: New(From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,Jacksonville FL—JACKSONVILLE—INT 2 32 93 75 70 1281 49 Medium FLOORS # Floor Type Perimeter Perimeter R-Value Area Joist R-Value Tile Wood Carpet 1 Slab-On-Grade Edge Insulation 15.8 ft 0 53 ft2 0 0 1 2 Floor over Garage 109 ft2 19 0 0 1 ROOF / Roof Gable Roof Solar Deck �/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Composition shingles 485 ft2 0 ft2 Medium 0.96 No 0 22.6 deg / ATTIC v # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 448 ft2 N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) 30 305 ft2 0.11 Wood 2 Cathedral/Single Assembly(Vented) 19 160 ft2 0.11 Wood 3 Knee Wall(Vented) 19 22 ft2 0.11 Wood WALLS Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 W Garage Frame-Wood 11 104.55 ft2 0.23 0.01 2 S Garage Frame-Wood 11 29.75 ft2 0.23 0.01 3 W Exterior Frame-Wood 11 144 ft2 0.23 0.75 4 S Exterior Frame-Wood 11 272 ft2 0.23 0.75 5 E Exterior Frame-Wood 11 96 ft2 0.23 0.75 7/6/2009 12:23 PM EnergyGauge®USA-FlaRes2008 Page 2 of 5 WALLS ` / u Cavity Sheathing Framing Solar V Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 6 N Exterior Frame-Wood 11 54.4 ftz 0.23 0.75 DOORS # Ornt Door Type Storms U-Value Area 1 S Wood None 0.46 18.09 ftz 2 W Wood None 0.46 20.1 ftz WINDOWS Window orientation below is as entered. Actual orientation is modified by rotate angle shown in"Project'section above. Overhang V # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening 1 W Vinyl Low-E Double Yes 0.3 0.3 N 10 ft' 1.5 ft 0 in 3.5 ft 0 in HERS 2006 None 2 W Vinyl Low-E Double Yes 0.3 0.3 N 20.1 ftZ 1.5 ft0 in 5 ft0 in HERS 2006 None 3 W Vinyl Low-E Double Yes 0.3 0.3 N 9 ftZ 1.5 ft0 in 3 ft0 in HERS 2006 None 4 S Vinyl Low-E Double Yes 0.3 0.3 N 32 ftZ 1.5 ft 0 in 1 ft0 in HERS 2006 None 5 S Vinyl Low-E Double Yes 0.3 0.3 N 8 ftZ 1.5 ft 0 in 1 ft0 in HERS 2006 None 6 E Vinyl Low-E Double Yes 0.3 0.3 N 6 ftZ 1.5 ft 0 in 4 ft 0 in HERS 2006 None INFILTRATION&VENTING ----Forced Ventilation---- Run Time Fan V Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Wafts Default 0.00036 423 7.08 23.2 43.7 0 cfm 0 cfm 0 0 GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation 1 524 ftZ 415 ft2 57 ft 8.5 ft 11 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Ductless 1 Central Unit None SEER:13 30 kBtu/hr 900 cfm 0.75 False HEATING SYSTEM # System Type Subtype Efficiency Capacity Ductless 1 Electric Heat Pump None HSPF:7.7 30 kBtu/hr False HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation None 7/6/200912:23 PM EnergyGauge®USA-FlaRes2008 Page 3 of 5 SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft' DUCTS ----Supply---- ----Return---- Air Percent V/ # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 89.6 ft2 Attic 22.4 ft2 Default Leakage Garage TEMPERATURES Programable Thermostat: Y Ceiling Fans: Ian Aprr May Jun X ct Heating JXJ JJan x an JXJ Feb JXXJ XMar IX Xj Apr jXXj XMay jXXj XJun Jun �X1 Jul JXXJ XAug JXXJ XSep 1XI XOct IX X�Nov jXXj XDec Venting Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 7/6/2009 12:23 PM EnergyGauge®USA-FlaRes2008 Page 4 of 5 FORM 1100A-08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 1825 North Sherry Dr PERMIT#: Atlantic Beach, FL, INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK_ Exterior Windows&Doors N1106.AB.1.1 Maximum: .3 cfm/sq.ft.window area; .5 cfm/s .ft. door area. Exterior&Adjacent Walls N1106.AB.1.2.1 Caulk, gasket, weatherstrip or seal between:windows/doors& frames, surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners; utility penetrations; between wall panels&top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Floors N1106.AB.1.2.2 Penetrations/openings> 1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings N1106.AB.1.2.3 Between walls&ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures N1 106.AB.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC / rated, installed inside a sealed box with 1/2"clearance&3"from V insulation, or Type IC with <2.0 cfm from conditioned space, tested. Multi-story Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration regts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required. Swimming Pools&Spas N1112.AB.2.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer. Gas spa& pool heaters must have a minimum thermal efficiency of 78%. Heat pump pool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for f each system. Insulation N1104.AB.1 Ceilings-Min. R-19. Common walls-frame R-11 or CBS R-3 both N1102.B.1.1 sides. Common ceiling&floors R-11. 7/6/2009 12:23 PM EnergyGauge®USA-RaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 83 The lower the EnergyPerformance Index, the more efficient the home. 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area a.Frame-Wood.Exterior R=11.0 566.40 ft2 2. Single family or multiple family Single-family b.Frame-Wood,Adjacent R=11.0 134.30 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 0 d.N/A R= ft2 5. Is this a worst case? No 10,Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 448 a.Under Attic(Vented) R=30.0 305.00 ft2 b.Cathedral/Single Assembly(Vented) R=19.0 160.00 ft2 7. Windows" Description Area c.other R= 22.00 ft2 a. U-Factor: Dbl,U=0.30 85.10 ft2 11.Ducts SHGC: SHGC=0.30 b. U-Factor: N/A ft2 a. Sup:Attic Ret:Attic AH:Garage Sup.R=6,89.6 ft2 SHGC: 12.Cooling systems c. U-Factor: N/A ft2 a.Central Unit Cap:30 kBtu/hr SHGC: SEER:13 d. U-Factor: N/A ft2 13.Heating systems SHGC: a.Electric Heat Pump Cap:30 kBtu/hr e. U-Factor: N/A ft2 HSPF:7.7 SHGC: 14.Hot water systems 8. Floor Types Insulation Area a. Non a.Floor over Garage R=19.0 109.00 ft2 Existing b.Slab-On-Grade Edge Insulation R=0.0 53.00 ft2 b. Conservation features c.N/A R= ft2 None 15.Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: . - Address of New Home: City/FL Zip: On wv v *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at (321)638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the "Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge®USA-FlaRes2008 Project Summary Job: + Wrightsoft' Date: M.EllisFirst Floor Energy Design Systems, Inc. • • • For: Kilby Addition 1825 North Sherry Dr, Atlantic Beach, FL Notes: Front of house faces West. New 2 1/2 ton HVAC unit to service entire 2nd floor (new and existing). Design Information Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 OF Design TD 21 OF Daily range M Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 2048 Btuh Structure 1263 Btuh Ducts 400 Btuh Ducts 274 Btuh Central vent(1 cfm) 0 Btuh Central vent(1 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 2448 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 1507 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 158 Btuh Ducts 38 Btuh Heating Cooling Central vent(1 cfm) 0 Btuh Area(ft') 53 53 Equipment latent load 196 Btuh Volume (ft3) 451 451 Air changes/hour 1.07 0.55 Equipment total load 1708 Rtuh Equiv. AVF (cfm) 8 4 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a Coil n/a Efficiency n/a Efficiency n/a Heating Input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0.000 cfm/Btuh Air flow factor 0.000 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat n/a Load sensible heat ratio 0.00 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. +}+ wrightsoft Right-suite Residential 6.0.119 RSR29784 2009-Jul-06 12:16:09 ,gCCk E:\EDS\Current\Residential Manual J\Kilby Addition,1825 North Sherry Dr,Atlantic Beach.rrp Calc Page 2 Pct Summa Job: + wrightsoft' Date: 6/30109 Second Floor By: M.Ellis Energy Design Systems, Inc. Project Information For: Kilby Addition 1825 North Sherry Dr, Atlantic Beach, FL Notes: Front of house faces West. New 2 1/2 ton HVAC unit to service entire 2nd floor (new and existing). Design • • Weather: Jacksonville, Int'I Airport, FL, US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 OF Design TD 21 OF Daily range M Relative humidity 50 % Moisture difference 56 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 10571 Btuh Structure 16169 Btuh Ducts 2065 Btuh Ducts 3513 Btuh Central vent(16 cfm) 0 Btuh Central vent(16 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 12636 Btuh Use manufacturer's data n Rate/swing multiplier 0.98 Infiltration Equipment sensible load 19288 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 1494 Btuh Ducts 729 Btuh Heating cooling Central vent`16 cfm) 0 Btuh Area ftZ 1009 1009 Equipment latent load 2223 Btuh Volume(ft3) 8072 8072 Air changes/hour 0.42 0.21 Equipment total load 21511 Btuh Equiv. AVF (cfm) 56 29 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a Coil n/a Efficiency n/a Efficiency n/a Heating Input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0.000 cfm/Btuh Air flow factor 0.000 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat n/a Load sensible heat ratio 0.00 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wrigF�tsoft Right-Suite Residential 6.0.119 RSR29784 2009-Jul-06 12:16:09 ACCP. E:\EDS\Current\Residential Manual J\Kilby Addition,1825 North Sherry Dr,Atlantic Beach.rrp Calc Page 1 CD O\ to A W N h CCD 6.' Cp M. �. 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C1 O O C� CD CD CD CDo CD CD p CD o N moo 'D -t 0" CSD � CCD CSD CD CD o Q ' ~ wCD CD CL9-: CD CD 0 ' CD -+� C S=CD o CD 7T a p Z c I, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000983 Date 7/08/09 Property Address . . . . . . 1825 N SHERRY DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8395 ------------------------------------ Application desc REROOF FL 1956 . 3 ----------------------------------- Owner Contractor ------------------------ KILBY SCHULTZ ROOFING, INC. 1825 N. SHERRY DRIVE 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 -----Permit . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 71 . 00 8395 Issue Date . . . Valuation Expiration Date . . 1/04/10 --------------------------------------------- Fee summary Charged Paid Credited ----Due--- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y — . CITY OF ATLANTIC BEACH oA_ i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 ' I OFFICE (904)247-5826•FAX NO.(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB jADDRESS. 2.VALUATION OF WORK. 3.S0.FT.UNDER ROOF 4 LEGAL DESCRIPTION 5.CLASS OF WORK 6,USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION -S RESIDENTIAL LOT,,�ZBLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG 8 FIRE SPRINKLER. 7 p ^ '� L 19 REPf �.,!r=� ❑POOL/SPA ❑YES 11 N/A r/� 'L /`� ❑MOVE RiR* ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME. 15 OMPANY NAME: _ 23.COMPANY NAME. 24.LICENSEE NAME AwllqJ- U j V 10.ADDRESS: 17.STATE OF FLORIDA LIC EN NO.: 25 STATE OF FLORIDA LICENSE NO IA5/V'5;5eeey24' l� o 1DpESS: �h�� 26.ADDRESS: //C•% �/ C/ yC 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: Q� 27.OFFICE PHONE F77No 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME: 35.NAME. 32.ADDRESS. 34.ADDRESS. 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not Commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. * WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER AGENT CONTRACTOR If Agent,Power ofAttorpty or fgency Letter Require ) (Qualifier Only) 7 /� Signed: Date: '2— Signed: Date: l Before me this _day of 2009 in the county of Before me thisday of 2009 in the county of Duval State of Florida,h9s personal y app red u ,S to of Florida, s pers red herin by himself/herself and afKrms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. 41 ) true and accurate. NotaryerPublic at Large,State of `'k County of Ju Nota Public at Large,State of 1,County of sonally Known Personally Known ❑Produced Identificli - ❑Produced Identification- Notary Signature: Notary Signature: MY COMMISSION#DD 544427 ROSALIND CLARK ��—j `*' EXPIRES:August 25,2010 MY COMMISSION#DD 544427 p';F•• d Bonded Th u Notary Public underwriters a EXPIRES:August 25,20'0 " `` hr N 'c underwriters BLDG01 Permit NOTICE OF CONPAENCEMENT of i 01-"t Tax Folio No" anty of I U,-il0—i To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved:,,:�(p- (o( QA-a,"j A�E, -eye-1 Jo—ffia-r i r)n-) Address of property being improved. r`j �� General description of improvements: -cl c� 1+<O(� Owner: �i�6 K i Ly Address:I S 211 Owner's interest in site of the improvement: Ent S 1 L k)e Fee Simple Titleholder(if other than owner): Name: ' �Coontractor: �1 �q J Address: y.�'S 11) 1 G��K S J/�i.Li�l� � a � �. _ � c Telephone No�- -d'7 0�� Fax No: D o) Surety(if any) iq Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: _ N A Address: Phone No: Fax No: Name of person within the State of Fl r_da, other than himself,designated by owner upon whom notices or other documents may be served: Name: `l Address: 1 ( l Telephone No Fax No:�qc l- Q&S-joy L4 t In addition to himseK owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Flo • Statues. (Fill mit Own is optiop) Name: Address: Telephone No: ��t �v y-�'7,� Fax No: D 4&67— Expiration &S—Expiration date of Notice of Commencement(the expiration date is one(1)year from date recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: 1-71y Before me s d day of 1 in the C unty of Duval,State Of Florida,has pens Wally appeared ° Doc#2009145896,OR BK 14913 Page 9, lotary Public at Large,States f lorid County of Duval" f Number Pages:1 iy commission expires: P Recorded 06/19/2009 at 11:12 AM, ersonally Known: Public state 0111 or, a or JIM FULLER CLERK CIRCUIT COURT DUVAL roduced Iden" / g :alai L Y COUNTY /2010 RECORDING$10.00 of/: or3u37u� 1 CITY OF >*eaaf& Veacl - 9&u�& 716 OCEAN BOULEVARD P.0.BOX 26 ----�- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 Febxuary 15, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, FL _32202 Dear Sir: The following final inspection has- been made and is satisfactory: Permit #3593 1825 N., Sherry Drive, Atlantic Beach, Florida Permit issued to Ferris Electric Co, Sincerely, John M. Widdows �- Electrical Inspection Supervisor JMW/ls. cc: File i DEPARTMENT OF BUILDING [ CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5721 1 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB NOVEMBER 9 Date 19 "— � Valuation$1fi,416 3 _Fee$ 285.75 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 REYHANI, INC. 214 ORANGE STREET, NEPTUNE BEACH, FLORIDA SINGLE FAMILY HOME AS PER PLANS SUBMITTED. has permission to build I� Classification SINGLE FAMILY Zone PIED - Owned by REYIINC- Lot 11 Block 10 B S/D SELVA MARINA House No. 1825 NORTH SHERRY DRIVE According to approved plans which are part of this permit 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 zi from this work must not be,placed in public space, and must be cje?rF up.and hauled away by eith+e�j"70 t4ctor,, -9wner. •OQCAG �G, �. /iJ wilding Offici#.�QQ FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING 5725 11-8-82 FAIR PLUIMING COMPANY TP ELECTRICAL 3593/359211-8-82 FERRIS ETICTUC Q'111111!11�fPANY SEWER WATER 1ECHANICAL 5726 11-8-82 OCEAN STATE HEATING & AIR „ D 7- !!� !S'�LVA /Wi9.d1itl4 /6-.C3 t 1 I S/7 r2 ; 593,x, i SQ!':=.kE FOOTAGE �JI/L. C 5y.6 per s. f. _ $ C Per s. f. S 5ff07 CR @ S p e r s. f. $ @ $- O _• OS_ per s. f. $_ . r_C}. - lJ -' - -- - - [� $ - -'� per S. - i ,O aL-% AiUATIO.N DATA. . . . . . . . . . . . . .$ -------------- IU_AL %_AXATION DATE 1st DOO.od $ ;•'_''yl::Dr�-`:.-.'__..=JON @ ,da Er t:,cLsend cSY G1C1` . or portion thereof TOTAL BUILDING LFr�`IT -LOS 1/2 TUE 5j,TTT1I1CG U "r :IiiOR P��1: FIi 7`:G FFE S - gc� o�5 TOTAL rEE DUE $- --- �s.” 7 - ----------------------------------- PLt:_E'_NG PER:-IIT FEE $ cs�•�a i._ATER `EIER SIZE & FEE $ ps.DO SEi;ER C0:::;ECiI01: SQUARE FOOTAGE FEE $ - i WATER CO:�::ECTION: FIXTURE LI;vITS � _ C $10_00 PER UNIT $ TOTAL BP & PC FEES DUE . . . . . . . . . .$ _ �A5-7-s ACCOUNT -NO. e F --�-- ---T,-- TOTAL I•:ATER T'J*tTER CHA,TtGE . . . . .: . .$ 600 ! TOTAL 1% ER CO_VECTION CF�LRGE. . . .$ � . Oa A P P R O V E D ¢ CITy OE AT10TIC BEACH' TOTAL SEVER CO`s?:ECTION CHARGE. . ..$ 6d PUILDING OFFICE - - Gr^ _`.D TOTAL DUE. . . . - • • - . • . . . . . ---�t�o� ��• 75 / c�2 A , S A97— Date..........._....................... .._.. Permit #----•----•.............Fee=..._.._...... _.__. CITY OF ATLANTIC BEACH Valuation $........................................... FLORIDA House *....... .................................. APPLICATION FOR BUILDING PERMIT Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Dats....................;/......................;�---••-------.�.._...� lsi_.F3 2. Owner l� --•--.-•-.Telephone �/���`'[f'-•.............�i,t.�...._.__._...-•--------•--•------Address._.. ....��j�/.•�r�E���-....S-T Architect �/ �- S----------------------------------_--------Address.�.p..af.4,#y` e...JeL.0...Telephone No... r�• •.��9s�i Contractor Builder-........ �/ {------_-•-.( Address.._., r,,r.....pR,� .... .-- .--- Telephone i� ---------- ------- �`7 ' Lot No.......[I---------- Block NO...J.,0 .-----.Sub Division........ .._.. . Zone.......---•-..... P'e-t #----•--y04Z-6—V----••-------------Street--•-pfd 4V,6....Side Between, 1/4, .-jE . J?..6:1t.4Wd.................._....-.............._...........Ste. Valuation $...............................For what purpose will building be used........................................Type of construction........................... 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 Ground?......................._.. ._... Size of Ceiling Joists--------------------------- ------ Distance on Centers.................. .. ...... Greatest 8 Sin of Floor Joists............................................... Distance on Centers........... ................................. Greatest Span....................................... ... • Size of Rafters------------------------------------------------------- Distance on Centers.......................................... Greatest Span............................................ ~ This reetan le L to represent the lot. Locate the bui�14 or buildings in the F R 0 V E D all ht position. sit on.G�distance� feet from Eke- F ATLOTIC BEACH suti��11V� ®is�1G& REAR LOT LINE Two copies of plans and specifications shall be submitted with application. a Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns or - S. When steel is in place and ready to pour beam.�Mr 4. When framing is completed.5. When rough plumbing is completed,and ready up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. a S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for atter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder... ... . __ - �, Address.... .. A'-6,,Q-Z4 Signature of Owner.. ....... .. f,,. ... ...-. ,L. Address.- .�- J,.....- ! •�_. .fir. �.yt.§,r..... `�•ra�^✓�.....5...�...... i3•r.�C,Sr C I TY OF ATL ANI I C !- %,CH 716 OC EAI; PUUL E:r%,RD ATLANTIC IEACN, FLORIDA ADDENDUM TD BUILDING PLAN Building Location 5 The attached plan for the above building is approved subject to greeting the following applicable construction requirements : a. Footings shall be continuous monolithic concrete under exterior %..alis, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lo-.yer one-third of the footings , properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the %,.all above, shall be at least eight inches thick and shall rest on firm soil at last twelve inches below undisturbed soil . b. In hollow m=asonry unit construction, each unit cell shall be reinforced %-.6th at least on No. 4 bar at all conrners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and srondral beam. C. All ,,Jood truss rafters (roof construction) , shall be securely fastened to the exterior .-:ails with approved hurricane anchors or clips. d. Construction of nearby one-family d.,rel1ings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external conficuration and appearance (i . e. , roof, outer v.,a l l materials, v:i ndow size and lesion, and other like characteristics) of structures. In accord with the foreeoing, similar and shall be at least 500 feet apart if any one similar &.elling is visi-ble from any other similar dwelling- e. The final Connection bet,:een the house plum.-bing drain and the se•=:er=service connection (at the property line) rust be inspected by the City before being covered. City Ma;ager undersigned hereby certifies that he has read the above and understands that this endum takes precedence over any contrary details to the plans and specifications and ees to comply with the intent of this addendum. Contractor/O.-finer -- Date �� --- of,�E=r„F FLORIDA MODEL ENERGY EFFICIENCY CODE FORM 902 FOR BUILDING CONSTRUCTION * BOB GRAHAM SECTION 9 9H POINTS METHOD CLIMATE ZONE GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS ` NORTH 1 PROJECT NAME Sammi) P,�, MAR,N_,R JURISDICTION -- AND ADDRESS U K-)kT lV- ZIP ZONE BUILDER Q L PERMIT NO. OWNER JURISDICTION NO. STATISTICS ❑ RENOVATION IF MULTI-FAMILY, NO. OF UNITS• GLASS AREA AND TYPE COVERED BY THIS CALCULATION. CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED GL[] MULTI-FAMILY FOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 S; ( DBLa =DBL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R- FLOOR/ AREA UNDER UNDER ATTIC SGL. ASSEMBLY � I � O1-7 �C� R= 3 C, .❑ R= m•❑ COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL 0 NONE a STRIP 0 GAS El NONE (E RESISTANCE SOLAR FI Q UNITARY OIL SOLAR LL//❑YY HEAT RECOVERY GAS EER-SEER = �• IS HEAT PUMP: COP = ©•a a DED. HEAT PUMP: COP OTHER: ❑OTHER: �� MAX. E.P.I. ALLOWED (from 9A)° CALCULATED E.P.I.: •L'J CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH” (SEC. 903.11)* CERTIFIED BY: DATE FORM COMPLETION DATE CHECKED BY: (building official THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED1 1- 1101- 1 1301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300 ( ABOVE ' BASE E P 1 120 115 110 105 100 95 .� 90 85 -80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS I� BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. E.P.I. ALLOWED C(C-z' 7E> *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING I UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 FORM 902 CLIMATE ZONES 123 , 9 f WINTER OVERHANG FACTOR (WOF) 9 SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0. 9 1.00 0.98 0.99 0. 74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 i.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1 .00 0. 98 0.99 0.77 0. 76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0. 76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0,93 0.96 1.00 6-6.9 0.99 0.85 0.75 0. 73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0. 72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0. 95 0.96 0.97 0.98 1.00 8-8,9 0.99 0.81 0.70 0.68 0.77 0.68 0. 70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0. 77 0.66 0.66 0. 76 0.66 0.66 0. 77 11-11 .9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0. 76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0. 76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP k.2-2.3 2.4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 13.4 & UP HSM 0.45 0.42 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) 9 H COOLING SYSTEM MULTIPLIER (CSM) EER/ Ci.B-6.9 7.0-7.4 7.5-7.9 8.0-8.4 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.911.0-11.9 12.0-IJP ELEC. SEER CSM 1.00 0.93 0.87 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER = COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN BTUH = TOTAL WATTS CONSUMED 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER GAS BACKUP 13.9 ELECTRIC BACKUP _ 9.7 HRU (HP) WATER HEATER -- GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 1.89 1.90 2.19 2.20 - 2.49 2.50 2.79 2.80 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION, 0.1 0.2 1 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR t V. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER o Z � o GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 U a *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM _ 100 = OVERALL SOLAR FRACTION 4 /%I')']A CAA I ON ) Ok ]'l.l ::t,I NG )IJ. MI T . DATE NEW Y/_ TYPE OF BUILDING OWNER'S i) - _ - --- -- _ REPI PE _ RESI DENTI_A_L a2S '41 AL/ -- ADDI TI ON LOCATION CO.1r1ERC1A_L PLUMBING FIRM �' ADDRESS r � I MASTER PLUMBER �frH/QV. --- please print CITY/COUNTY OCCUPATIONAL LICENSE NO. 09_f6 STATE CERTIFICATE NO. BUILDER OR CONTRACTOR pW7w ------------------------------------ ------------------------------ SINKS LAVATORY Z BATH TUBS URINALS FLOOR DRAINS CLOSETS YXBOWERS WATER HEATERS DISHWASHERS" DISPOSAL WASHING MACHINE OTHER TOTAL FIXTURE COUNT 7 INSTALLATION OF PLUMBING AND FIXTURES TUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF I-i STER PLUMBER FIXTURE UNIT BREAKDOWN FI};TURF UNITS ARE ESTABLISHED AS THE MEASUREMENT OF EATER DE'-,'AND FOR EACH 1•:ATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE 1S 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, DATER CLOSET, LAVATORY S BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 LNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK S TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY CONBINATION SINK S TRAY W/ (1 UNIT) KITCHEN SINK (2 UNITS) FOOD DIS. (4 UNITS) DENTAL UNIT OR CUSPI- DRINKING FOUNTAIN 1g UNIT) DOR (1 UNIT) - KITCHEN SINK W/ (- _ DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BAR3E. LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER'HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) SINK (4 UNITS) BLOWOUT (8 UNITS) URINAL WALL LIP _ URINAL STALL, URINAL TROUGH EACH 2' (4 UNITS) WASHOUT (4 UNI T5 SECTION (2 UNITS) WASHING MACHINE RES. WASH SINK EA SE: (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) N TOTAL FIXTURE UNITS F_7DEPARTMENT OF BUILDING 2 F ATLANTIC BEACH,FLORIDA PERMIT NO.RMIT TO BUILD MIT MUST BE POSTED ON JOB Date NOVEMBER 8 19 Valuation$ PLUMBING Fee$ 54.50 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 F. W. FAIR PLUMBING COMPANY PL 0. BOX 51140 JACKSONVILLE BEACH, FLORIDA has permission to build INSTALL NEW PLUMBING AS PER PLANS SUBMITTED. Classification SINGLE FAMILY Zone PUD Owned by REYHANI INC. Lot 11 Block 10 B S/D SELVA MARINA NORTH SHERRY DRIVE House No. I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURn4r&501 T PERMIT VOID SIX mON44tOT AFTEWDATE OtASSLW09/' ,__� �----♦ O Building matt�t�w� rubbish anAwebris I � _i from this week`must not`b� aced in public space, and must be cWared up and hauled away by either con- tra orowner. Building Official. f FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I ELECTRICAL SEWER WATER • ` Na,¢7f1 G•S N i i 0 i ZS'bpG b N Gs . i (,•5 85 ' SWe,e.e Y �R 7 IVO /,::57 - .B Ov vAG Co ,,j"e.� IATLD BY SPECIAL D0 . e �C,Ai✓ ,Vo . /fj3 � Z _ PB �� P6• G