386 6th St (vault) (��- �-t I - —
t-e�--7
MAP SHOWING SURVEY OF
.' SURDIVISI MIC BEACH AS RECORDED IN PLAT BOOK
LOT 37, BLOCK 7, PLAT NO. 1 ON "A" AjLA
5, PAC7, 69 OF THE CURRF14T PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
6th 40' R/W PAVED STREET
114.32' FIELD 50.00
- I .—- I-�;� '-FOUND 1/2"IRON PIPE
FOUND 1/2"IRON PIPE FOUND 1/2'1 RdN WPIPE 0.1, 0 �.B. 1048
0 NO CAP L.B. 1048 1% -r �0.2
OA,
cn
rn
rn I
I
x
LOT 39 LOT 35
0
w _0 w
U. 0 u U.
-0 ci 0-I.-
n cQ
0 C/ in d
NOTES
THIS IS A BOUNDARY SURVEY.
NO BUILDING RESTRICTION LINE PER PLAT.
ANGLES AS PER FIELD SURVEY.
NORTH PROTRACTED FROM PLAT.
ALL FENCES SHOWN ARE 4!CHAIN LINK.
Y,
0
1000
od"
04?
It . FOUND 1/2*1804 PIPE
10 NO CAP
FOUND Ile IRON PIPE
NO CAP 0.4' 50.00'
LOT 40 (50.04 FIELD)
;I LOT 36
LOT 38 1
TW pRopERTy SHOWN HEREM APPEARS TO LIE IN FUDOD ZONE "X- (AREA OUTSIDE 500 YEAR FLOM
PLAIN) AS WELL AS CAN BE DETFRMJNFt) FRUM TI-ff, "FLOOD INSURANCE RNrE MAJ)" FOR NM,AWIC
7071
D&ARTUtNT OF BUILDIN
:CITY OF ATLANTIC BEAPH.
'PSI
t "A
FORM410N
er 7,071,': dres
U-M, r
�Ad 3; s$,l(T�l' STREET
t TYP,6 E-LECTR C)k -
)ku N, PACH �.FLORIDA- 32233:
ION, �, - I
l 0 BL
Work': ' AbDIT '
0AL PBSCRIPTION ---
Type WO
0 V, P,p_
'Lot .-
e
ty
Pr osed l3s S-1 I A
SINGL, to 4 hip:, 0
i Ago r�
J�ode'. :o,
subdivi-Al"
A�,LANTIC,, BSACH
$0
00
t
rov . Co
00
otal
-mo
''9
Da 3,
Al
dEPTAC� SWITCg A
0% lav,�
to
;IONT TO" peg$:
3 Ap
p ois go
Sop
WA T FtZ $o 00
T
-VL OR I Dt
0-400
L f C-M-yftu
�OQ
e CTION
$0 ,
00
'i c
K TIS 2;2 HYDR
SUAR $0
00:
c
Apl? — - I
OT: F-ZlC,,
So 6
OTE0.
L
R
*OTICE� Ift
R P�
!V,,04$,� FO F.F*UAlw
:j
4�'-
�,7MJT VOID,SIX MONTHS AFTERb
MATfAjAt,-AQ'08'fSH',AN-0 De IS FROM THIS WORK MUST NOT tjE�-�'LAC 4 PUBLIC SPAr, ;�A
R,
U,Pp ANUlfAVLED,AWAY:JlYE4THER C NTRACTOR OR-OWNE
AAW' ",(U
HIE MECHANIC.
YllVtTm T,
PAI RE T,
W
TY11,10 4 NTS
Pff CE FOR
T
ICH AR
WH R 'O
TO,A,P VVO�PLANS �PA T �TH So OR
OF
OF LAW.'
F
7 7
' 7
G 4A .19
PA,TME]
NT
ACK
"J"k,"",
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ILICTRICA* L 1PARMIT
TO THE CHIEF ELECTRICAL INVECTOR: DATE;— io.23
IMPORTANT NOTICII:
IN CONSIDERATION'OF PERMIT GIVEN FOR DOING THE �ORK AS D SCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATT E
WHICH tlf A PART HEREO ACHED PLANS AND SPECIFICATIONS,
I F, AND INACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTJ BEACH ORDINANCES.
e-15-7
Coll
MUTER ILE2101 _IGNATUDE
I :r -a--
NMI - v ..'&
-- RFD-----BOX
BLDG.SIZE
R9L I I APT.( Comm.f rusuc IND" NEW( ) . OLD( I R9W.
ACCITION TRAILER f I TEMP.( I SIGNS f I FT. -
SERVICE; NEW INCREASE I REPAIR ( FEE
---AMPl COPPER I I ALUM, I I
102110 26 HEANER W ----VOLT
RAJEWAY
FEEDERS NO. SIZE INO. $IZE NO. size
Uo"TING OuTL9Tv —3 CONCEALED OPEN ITOTAL
—7jgraL
I IC.Vv M L 00 ALIO
swiTcHts
M90
6LMA
--ll BILL TRANSF.
AIR
CONOITIot
4,Na N1.RATING Hp..RATING Rs
COMP..MOTOR OTHE IFIL HEATJ KW4lffAT-
MOTORS VOLTAGE PW NO. VOLTAOEJ pmS
TRAIJFORMIIRS: unow HIF.
—w ve 1111 OYCR V.
pignm VISAMON NO. 1111NO- I IK�A
4111
pi
UTOOSUILPING
-CITY OF ATLANTIC BEAC
PZRMIT
1 OX
*mAT,
p i NilMb*r,-. 0 4`4 P
7
Addreat.: 3:
]BUILD fiiG TXTH STA92T�
t
Clis of work, ADD I T 1,ON
ORSCRIPTIONI:
�Jon
T
4;
37
ry Lot;
7
r
Subdi V1 si oii: TIC
de V '
alu
9646�00
'pr4v. 'Cost;
$6�.-OO
"T t;ij, �pets�.:
unt,
*i,d �10, 00
-at
4
LANS
tit,
7j,
rA r"w- k
$,60*00,
�'A
AIM, - FL.OR,IDA WX 'VACT PER, 00
or
kPAd
4
0,� V.vv
7t
0
$
RADON
,IT
c
$0 .00
WATR*li
$0,001
ZWL
7
32233
fly RAOU
CBCO
00
CxPjT), 0, 00
.0 A,
0
tc-if
$0.0
k
�'NOTICE
CIIETIElf" AWD FOOTIWQ$MUST
E I i
FW#IN
77,
PERMIT' 'j"
SIX MONTHS AFTER DATE 6�4
voll
BUAWI�NOMATERJA RrULaolSH'A4D:Otr6R'f$'�f�OM,I*Hl$WORK MUST NOT OEIP]
JIN�PUBLIC SPACE
'EA -,NT
A A E'q,Up AND HAULED AWAY B A
YEItH CO RACTOR OR OWNEk
JESUILT
ww
- 4
A A
FAI RE TO: -TWTHE M
com L,
P Y
Tr,' CHANIOL
I I CA -�y
Y ",W� � I ,4� �L
"HE ROPOftT QW.Of
G TWIC FOR A lt PROVEA
TS
E,
APP,OV'EDr,PLA�k$"V
1:1 VHIOf,4 ARE P
P ' ' r I , I T
OF THIS P
ECT
Row -LAW-.�
OFAPPLICABLE
7—�
ATLANTIC BEACH BUILDING DSPAOTMON
T,
;j!
CITY' OF ATLANTIC BEACH
BUILDING FERHIT CALCULATION SHEET
Address
Date
------------
Heated Square Footage @ s 0
Per sq ft
Garage/Shed @ —_per sq ft $
Carport/Porch @ $ _per sq ft
Deck
$ per sq ft
Patio
$.--per sq ft
TOTAL VALUATION: $-
$
T 01 ea I Valuation ls
Rem�ining Value
_�-- per thousana
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee
Fireplaces @ $15 .00 $
BUILDING PERMIT FEE
BUILDING PERMIT lop
WATER CONNECTION $
SEWER CONNECTION $
WATER METER/TAP $
CAPITAL IMPROVEMENT— $
RADON (HRS) .0095 $
RADON (CAB) .0005
SECTION H PAVING
HYDRAULIC SHARES $
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITs OR FEES: Mechanical g
Electric/New__Electric/`Temp____.._; SwimmiilgpooI n
Septic Tank-----; Well
Survey__; Other Si ni sh Floor Elevation
CALCULATIONS and/or
1�6117 D
6 1993
CITY OF ATLANTIC BEACH
Building and Zoning
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
Ovner(s) : 7ZS C., I
---------------
Address: ----Phone: 2qq-2('S3
Lot Block or Unit #_ 4-------�ubdivision:- "-'f-------------
1 A--------------
Contractor: z4cc-
Describe vork to be done:
R C�(!�
- ---------------- -----------------4
0
-----------------------------------------------------------------
Present use of building:.... F, A L- ---------------
Valuation:
Proposed use:... FN
Is this an addition?_�-'/I� -s--- If yes, vhat are the dimensions of
the added space:...I I---ft. x IL
i---ft. Will, the added area
be heated and cool ed?-J-6-z�-- Nev electrical (or increase) ?
C-
*Nev plumbing fixtures?-t4 _ Nev fireplace?.�_Nev Heat/AC?--A/----
SUBMIT THREE COMPLETE SETS,OF PLANS, INCLUDING SITE PLAn, SURVEY,
ENERGY CODE FORKS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWN C" Date:
Signature CONTRACTOR;----- Date:--
71
fjTY OF ATLAN,
S-ANNING bi
JUL
CITY OF
4&4a4-c Beac,4
Office of Building official
ial
REQUEST FOR INSPE 1OW- ? qtbp 13
Date I' /;� r
�72—
'I . _
t
Time Permi
Received A.M.
PM
Job Address
Owner's Locality
Name
13UILDING smual3_01,
In, CONCRETE (CLIECTRIIAPAL----� MBING
0 Footing Rough Wiring -V��NICA�L -
Re Roofing El Slab E71 Rough
Insulation TemP Pole Air Cond. &
Lintel 0 Final Top out Heating
Sewer Fire Place
CT
READY FOR INSPE I N I L�--0`k Srffrj��
Tues.
Wed. Thurs. Friday
inspection Made .01/ A.M. ZPM�,--
Inspector PM.
Final Inspection 0
Certificate Of Occupancy 0
Date
-------------
CITY OF I —
4&4094'0 Beac,4 LP
Office of Building Official
REQUEST FOR INSPECTIO
Date,
-j"R L4 3 U 3
Time Permit C
Received A.M.
PM.
Lj
Job Ad
Owner's Locality
Name —�Cont�ractor
Contractor
(—BUILDINn ---I nt.ct.'
ELECCO�—�
CBUILDING�:�:�D ��CONC�RETE
Framing;_ TRICA > LUM G
Re Roofing >< Footing Li Rough Wiring CHANICAL
insulation El Slab 1-1 Temp Pole Air Cond. &
11 Lintel Final El TO P 0 U t > Heating
i El Fire Place
Mon. Tues. READY FOR INSPECTION Pre Fab
Thurs. Friday
inspection Made A.M. �RM.
inspector 0 —PM.
Final Inspection Ej
Certificate of Occupancy D
Date
01 -]
+ 3S CITY OF
cA ry, Yq&4xAc BeacA-A;&u-44
Office of Building 0 ticial ,,
REQUEST FOR INS CTIO.N
q Per it
Ti,t Ik
,,a No.
Receive A.M.
d PM.
J(Tb-Address
Owner's Locality
Name 1�),L), Contractor
BUILDING CONCRETE
Framing D Footing PLUMB-KG MECHANICAL
Re Rooting Ll Slab El Rough 0 Air Cond, & El
Insulation 10 El Top Out El Heating
D Lintel E Final El Sewer E Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday---4:tp
Inspection Made A.M.
Inspector_ Final Inspecti
��Certiticate of?cU<p.ncy 0
Date
3�- '- 1 7 CITY OF
vo k -
4&40940 B113404-0;&,
Office of Building Official
REQUEST FOR INSPECTION
Date C
ime ---------
Received A.M. Permit No.
PM.
JOD Address
Owner,s� Locality
Name 12�
BUILDING tr'actor/ I —
Re Roofing CONCRETE (:Z= PIUMBING CHI
Framing 0 Footing EI Rough Wiri MECHANICAL
0 Slab ing 0, Rough
insulation 0 Lintel Tamp Pole 0 Air Cond. &
E Final Top out 0 Heating
Sewer 0 Fire Place
Pre Fab
Mon. READY FOR INSPECTION
Tues. Wed.
lnspection�Made Fr ay
A M.
Inspector P
Final Inspection [I
_I
Certificate Of Occupancy[j
Date
C CITY OF
4 aarve'
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904) 247-5800
FAX (904) 247-5805
SUNCOM 852-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved:
PERMIT NO. AD4DRES
-'V
-----------1�
Please call me at.904-247-5826 I if you have any questions.
Sincerely,
ATLANTIC BEACH I�UILDING DEPARTMENT
FLA, 1947 LAWS
FS 7 1 3.13
14ANCO p0#114 4"
(trim
it
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Description of property... M..G........�5.ky.j.h s
...... . . ........f Lo C)�� TD
............;.............................................. ... ...... ..2Az
...................
.................................
.......... .................................................................................
.................................................................I............................................................I..........................................................................................................
............I...............................................................................I.............................................I...................................................................
General description of improvernenj&............AC I x I q-
...................................................5 LL n ro o (y-) --to
. ........................................................
..........................................................................................................................I.............................................................................
...................................................................................................................................................................................................
Owne6...
Address..................S.0
.,r AL a,-) O-t)-dvN--,L-
.....a
............
....................................................................................................................
Owner's interest in SOO Of the improveme�.........
Feet Simple Title holder (if Other than owner)
Name
Address..................................................................................................................................................................................................................
contr000r.....................................
Adclress.................................................................................................................................................................................... ...........
Surety (if any).........................................................................................................................................................................................................
Address...................................................................................................................................................Amount of bojW $................................
Nam of Person within the State of Rod& designated by ow
6e sarvo& n" Won whom nwxm or othw doaxnards nay
..............................—.-................I...................I......................................................... ......................................
Address.............................................................................................................................................................................................................................
In addition to himself, owner designates the following person'to receive a COPY of the Lienor's Notice
as provided in Section 713.11(1) (F), Florida Statutes. (Fill In at Owner's option).
Naaw...................................I..................................................I....................I.............................................I.................................................................
Address
THIS SPACX Foot RXCORDUR.g USK ONLY ....... .................................................................
MAP SHOWING SUAVEY OF
LOT 37, BLOCK 7, PLAT NO. 1, SUBDIVISION "A" ATLANrIC 13EACH AS RECORDED IN PLAT BOOK
5, PACE 69 OF THE CURRFM PUBLIC RECORDS OF DUVAL COLTM, FLORIDA.
6th 40'R/W PAVED STREET
114.32' FIELD 50.00
FOUND 1/2"IRON PIPE FOUND I/Z"IR6-Np—ipE`
NO CAP L.B. 1048 FOUND.1/2*IRON PIPE
0 a 1040
1000 O.It
OA,
0413
U)
3:
rn
fn I
LOT 39 LOT 35
0
w
if 0 ow
0 u.
-0 0
0
U-)
0
NOTES !2
THIS IS A BOUNDARY SURVEY.
NO BUILDING RESTRICTION LINE PER PLAT.
ANGLES AS PER FIELD SURVEY.
NORTH PROTRACTED FROM PLAT.
ALL FENCES SHOWN ARE 4'CHAIN LINK.
7
c
Q- 100,
P) oo�
.43 146--1
0.4' FOUND In'IRO"PIPE
44o' -0 NO CAP
FOUND Ile I ON PIPE: 0.3'-
NOCAP E �0.4* 50.00
LOT 40 (50.04�FIELD)
:1 LOT 36
LOT 38 1
THE PROPERTY SHOWN HFYJ�()N APPEARS 'M LIE IN FLOOD ZONE "X" (AREA (X7M.TDE 500 YEAR FTOOD
PLAIN) AS Wl-,-],I, 1-6 CAN 131", DETERMINED FROM 7iE "F[,OOD INSIJRANCE RfVrE MAP" MR A:19-JW.IC
BEACH. F7,0RIDA.
CITY OF
4&4#914C Be=-4-I&"*
Office of Building Official
REQUEST FOR INSPECTION
7�
Date Permit No.
Time
Received
Job Ad ss Locality
Owner's
Name Contractoruk
Ze
CONCRE E ELECTRICAL PWMBING MECHANICAL
(�t�
Framing F1 Rough Wiring El Rough D Air Cond. & D
Re Roofing E Slab 1:1 Temp Pole F] Top Out F1 Heating
Insulation D Lintel El Final Sewer El Fire Place El
Pre Fab
READY FOR 1NSPEC`r?1N—, A.M.
Mon. Tues. Wed. Friday—PM.
Inspection Made —RM.
Inspector- L J Final Inspection El
Certificate of Occupancy El
Date
CITY OF
.4&4a& llw*cA-
Office of Building Official
REQUEST FOR INSPECTION
Date .2(-) I
Time Permit No.
Received A.M
Owner's Job Addr- Locamt—y
Contractor -0
UILDING CONCRETE ELECTRICAL —9PLUMBI
Framing 11 Footing E Rough Wiring I] Rough
Re Roofing D Slab Air Cond. & 0
1:1 Temp Pole F� Top Out Heating
Insulation Lintel 11 Final 11 Sewer 1-j Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Friday C>
p M.
Inspection Made A.M.
—PM.
Inspector Final Inspection f-1
Certificate of Occupancy F,
Date
CITY OF
4&4nit4c B"
Office of Building Official
REQUEST FOR INSPECTION
Date--- 7— ,7?-o-9_3- Permit No. '70
Time
Received A.M.
M
M
---�ob&dd,
Owner's Locality
Name
BUILDING CONCRETE Or
nFooting -1 EL:ECT CA�� L BING MECHANICAL
Re Roofing L R rCin g Rough
XE Slab Air Cond. &
Temp Pole E Top Out F-1 Heating
Insulation F] Lintel Final 11 Sewer F-J Fire Place
READ INSPECTION Pre Fab
Mon. Tues. Thurs. Friday A.M.
_pM.
Inspection Made
RM.
Inspector Final Inspection El
Certificate Of Occupancy
Date
FLA. 1067 LAWS MANGO FORM 4"
FS 713.13
Of Commenett"nt
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Description of property..................bo I.......;L]........... ........7....... ......................
r
................ ........I .........zaa�-
..................................................I..................................................................................................................
....................................... ......................................................I..................................... ...................
....1.4
Gawral description of knprovements..... I ....q
I n......4............
..........I..................................................................I............................................................I........
.......................................................I................................................................................. ..............................................
I ............C.A
owner-5. ..... .........5Q..y ........ ..... ..........................I...............................
Ad&os&....................
..............I,...............
Owner's irderea in sit* of the wWovanent..................1.20.20......................................................... . ...........
I ......... .......
fee Sknple rkle hoWw (if other 16n Owner)
HMO...I.............................................................................................................................I...........................................................
A"ew....................................................................I.............................................I..I.......... ......
Conlrador.... ........IVIC.................... Ck-)0 0 89
,Z61
......................B.
Ad&w&...................... ....;.......F I,
....................... .................................................................
........ .......... of bow $..............I
Nww of person witho.tite State of Rai& &*wed by owner upon whm wxw or other doawmw awy
be serve&
......................... ..........................................I..
Ad&e..........??15 C-+ 34"�,
............... ..........I. ..............--
In addition to himself.owner designates the following person'to receive a copy of the Lienoes Notice
as provided in Section 713-13 (1) (F), Florida Statutes. (Fill In at Owner's option).
NNW-.............................................................I.........,.........................................
Addro....................................................................I................................ ... ......
T" SP&M FOR RSCON094-6 U84 014LY A_
CITY OF ATLANTIC BEACH
SO
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 02-00025069 Date 10/24/02
Property Address . . . . . . 386 6TH ST
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Contractor
Owner ------------------------
--------- ---- ----------- NELSONS SERVICE, INC -
BURR, JOHN P .O. BOX 609
386 6TH STREET FL 32233 PENNEY FARMS FL 32079
ATLANTIC BEACH
--- -- ----------- --- ---------------- ----- ---------- --- ---------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc REPLACE HVAC
91 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation 0
Issue Date . . . .
Fee summary Charged Paid Credited ----Due---
- ---------- ---- - - --- - ----- - - ----- --- -- -- - - ----
Permit Fee Total 91 . 00 91 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 91 . 00 91 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLAENTICBEACH, FLORMA32233
APPLICATION FOR MECHANICAL PERMIT
WPORTANT—Applicant to comptete all items in sections 1, 11, 1H, and IV.
Street Address: 3,1(� '3,XTE ST7
LOCATION OF Iqtersecting Streets:Between And
BUILDLNG Sub-division
IL INDENTIFICATIO N—To be cam pteted by att appticants.
In consideration of permit given for doing the work as described in rhe above statement we hereby agree to perform said work in
accordance with the attached plans and specitications which arc a part hercurand in accordance with the City of Atlantic Beach
ordinances and standards of good practice I isted therein.
Name of Mcchnaical Contractors
Contractor(Print) NE L�"7/V-�7 �C-r-y icf Master �,j a ld,-Z5,6/V
Name of Property
Owner M /z rz Ar
S ignaturc of Owner Signature of
Or Authorized Agent Architect or Engincer
M. GENERAL INFORMATION
A. Type of heating fuel: B.
Ot Electric IS OTHER CONSTRUCTION BEING DONE ON TMS
C3 Gas: —LP __Yatural —Central Utility B UILD[NG OR SITE? Ll 3e,3
C2 Oil
CI Other–Specify IF YES,GIVE NUMBER OF CONSTRUC`TION
PERMIT 2 q 36j
IV.
iNATURE Of WORK
MECHANICAL EQUIPMENT TO BE Residential or Commercial
INSTALLED 0 New Building
(Provide complete list of compoactits on back of this form) Existing Building
Heat _Space _Rcc=wd —Ccrimal Floor Cr" Replacement of existing system
Air Conditioning: Room qjjzal C3 New Installation(No system previously installed)
Duct System: Material Thickness— C3 Extcnsion or add-on to existing system
Maximum capacity_ Ofm C2 Other- Specify
0 Refrigeration
C2 Cooling tower. Capacity -------gpm
C3 Fire sprinklers' Number of heads THIS SPACE FOR OFFICXXSE ONLY
C3- Elevator: _ 1v1anIif1:_Escalatcr_(Numbcr) (Received)
C3 Gasoline pumps _(Number)
0 Tanks —(Number) Remarks
0 LPG containers (Number)
0 Unfired pressure vessel
0 Boilers Permit Approved by Date
Spec*
Q Other
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description McKIclNumbcr Manufacturer Capacity >� Appro 9 ) (0
I VAQf1-1'Py/y1j2 uj JZ 0 1;3 Tr2AIJC Crons) Agency
f
BEATING–FURNACES,BOILERS,FIREPLACES
Num units Description Model Numb Manufacturer Capacity A
pproving
A �U 1-rc�, rjl� (BTU) 4�>Agency
Ter llyw
5?cr�rr SrV 14Ta 14dS
TANYS
How Many Nominal Capacity Type Liquid Namcof Serial Approving
And Dimensions Contained Manufacturer No. Agency
6FAj6�11sITIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
INF D�RMA ---Address: 386 tij,&In STHhh I
it NU--er- 24706 ATLANTIC BEACH, FLORIDA 32233
Range: 0 Book:
permit Type: PLUMBING Township- 0
ction:0
Class of Work: ALTERATION Lot(s)'. Block* Se
ATLANTIC BEACH
proposed Use: Subdivision:
Square Feet: Parcel Number:
Est.Value:
Improv. Cost: N me: JOHN BURR
Date Issued: 8/27/2002 IXTH STREET
386S
Total Fees: 39.50 NTIC BEACH, FLORIDA 32233
Amount Paid: 39-50 P -1676
8/27/2002
Date Paid: -
IT,�T-A—C L P L 4FEES
-W—ork be-sc
3
Col
BING
ST
Al,
N
D AT LEAST 24 HOU PRIOR T SPECTIO
CTIONS'"T BE REOUESTE-
NOTICE- I
LACED IN PUBLIC
M THI U
NER
BUILDING MATERIALI Rotell.SH CTOR OR OW
SPACE, AND MUST BE C A H
'N RESULT IN THE
TjDb
"FAILURE TO COMPLY WITH T VEMENTS"
PROPERTY OWNER PAYING CE F His PERMIT AND SUBJECT To REVOCATION
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF T
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Oper: CHERYLE T pe: Or, Drawer: I
Date: 8/27/02 01 Pelceipt no: 84699
14 PERMITS-BUILDINC, f V9.50
L
cj4-J61-1�L�DIPT- 00100003221000
ATLANTIC BEA
386 6TH
CK �NECKS 55221
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:—
OWNER OF PROPERTY: TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S 'ADDRESS: lLlei�t_ All
STATE . LICENSE NUMBER: Of eb —TELEPHONE: t7
HOW bVUTY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS -DIS20SALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER -WATER
RE-PIPE (LIST .FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: x $3 . 50 + $15. 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:-
-------------------------- --- -------------- -----------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
&
CITY OF
4&4a4-c BeacA-&V&u-k&
Office of Building Official
REQUEST FOR INSPECTION
Date '7 Z- Permii ;2
Time A.M.
Received PM.
Job Address I 7)—)Locality
Owner,s
Name sa�� Contractor C�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing El Footing E Rough Wiring 0 Rough E Air Cond. & El
Re Roofing El Slab 1-1 Temp Pole 0 Top Out 11 Heating
Insulation 1i Lintel F] Final 1:1 Sewer 11 Fire Place P
Pre Fab
READY-EOR INSPECTION
Mo 34� Thurs. Friday---��Pm-
A.M.
Inspection Made PM.
Inspector— Final Inspection El
Certificate of Occupancy E-i
Date
CITY OF
4&4a& BweA-0;&u*44
Office of Building Official
REQUEST FOR INSPECTIO
Date Permit No.
Time A.M.
Received P.M.
Job Address Locality
Owner's
Name --7BLA-K-PContractor
BUILDING CONCRETE ELECTRICAL PL NG
Framing El Footing El Rough Wiring Ej Rough 0 Air Cond. & El
Re Roofing E Slab Temp Pole El Top Out El Heating
Insulation El Lintel El Final 0 Sewer El Fire Place Ej
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. �nd�ayPM.
A.M.
Inspection Made PM.
Inspector Final Inspection El
Certificate of Occupancy 0
Date
CITY OF
Be
P A .424CA
S III of Build+ Offic, I
6 WIf I Sp
UE T FOR 10
Date S 1+ Permi
Time A.M.
Received P.M.7-51— ,
a�� Locality
Job Address
0 ner's Contractor
w
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 1:1 Footing D Rough Wiring F4 0 Air Cond. &
j Rou
Re Roofing D Slab L-1 Temp Pole E Top Out 0 Heating
El Final El Sewer F-7 Fire Place
Insulation 0 Lintel Pre Fab
READY FOR INSPECTIO4,--,� -AAL
Mon. Tues. Wed. Clhus.,) Friday
A.M.
InspectionMade PM.
Final Inspection 0
Inspector Certificate of Occupancy El
Ajl-5� Date
ILAN
0 R
OF
ADDITIONS or CORRECTIONS
DO NOT REMOVE
JOB ADDRESS C DATE
I?,(-, I )U
6 !1 '. 67.,02-
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made before
the job will be accepted
(A;
Ip PC
L4t�l 5.00 REINSPECT FEE
VTJ
It is unlawful for any Carpenter, Contractor, Builder or other
persons, to cover or cause to be covered, any part of the work
with flooring, lath, earth or other material, until the proper
inspector has had ample time to approve the installation.
After additions or corrections have been
made, call 247-5826, Building Depart- PLUMBING
ment for an inspection. Field Inspectors ELEC
are in the office-from 8:00 a.m.to 5:00 BLDG
p.m. Monday through Friday.
I
CITY OF
4&aa& Be=A-0;&u'44
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No. -ZL4 3 Ln 3
Time A.M.
Received P.
Job Address Locality
Owner's
Name 13uyr Contractor CA
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing E-1 Footing Rough Wiring El Rough 0 Air Cond. & El
Re Roofing El Slab >r<1 Temp Pole [I Top Out El Heating
Insulation El Lintel 0 Final El Sewer [I Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday
0 .-�,q 6 A.M.
Inspection Made -P.M.
lnspector�7 Final Inspection El
Certificate of Occupancy El
Date
CITY OF
4&4094.0 13e4c.4-
Office of Building Official
REQUEST FOR INSPECTION
Date 0 Permit No. 3 (o
Time A.M.
Received RM.
Job Address Locality
Owner's U rr- E01 Q-5
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUV"G MECHANICAL
Framing 11 Footing El Rough Wiring D Rough El Air Cond. &
Re Roofing El Slab F- Temp Pole El Top Out E Heating
Insulation Lintel F Final El Sewer [D Fire Place
Pre Fab
READY FOR INSPECTION.
Mon. Tues. Wed. urs riclay
A.M.
Inspection Made a= -P.
Inspector Final Inspection E
Certificate of Occupancy F-1
Date
,itir 0? 02: 44p Sherri Nelson 904-S29-8655
S"`ERG*'( EFFICIENCY WDIE FOR IBUjL[)fl CORSTRUCTION NORTH 1 2 3
FORM WOB-97 Residential Component Prescriptive Method S
Department of Community Affairs
nd multifamily residences of 3 stalles of less r neight,And
Efficiency code may be,demonstratm by th13 ur�e Of Form 600"?for 8"gl"Ft i
,;,rnn,A th tje�ho(l il 6 of the Honda Fteig
ed all 0'the AM r9V erriCl tinny 1'"""er"VeS in&TV VM"t dU MIMIt!"t meltim
�"ior,s T,ex,%jing bujldr,�5 To comPlY..buildinq muSt m0pt or QXCA or le, 0 1 es no
i Abip qFj i of this lorM An alternative method Is provided for additions of 500 sQuare left as by,is,of Form& [I a bud n do I comply w
31 1 In Cha A,f,01 the Code
tSUILUM DO C,i�'�----
r—PROJECTNAME: L) —j_ji_F_RWTTkKG CLIMATE
ADDR`Ess'. ZONE: 1 2
OFr-ici:
-M-6 h —----- -I T-1 JURISDICTION NO.:
TPERMIT NO.1
OWNER:
10 Ass
,P'MNY 00jjCe1jirjQ
(,ENFRAC&REC7"YMS which inc,.)rf)()fjj9,&any of the t000wing fp�liffPA r.innni rwr0y using This mn8thOd*�lPel Ilud Y'alls'!31ng
e you havc:'Iosen
,jr�,�jqhis roof 913�'S _
na ckaces-A"thrni ji j-';mrnTable 6B by wh,ch you Intend it)omply W11h Vle Code.(,irc�n the column Of it'('packaq
81�(
�0'VA 11 j CS M7
_o�'j
be eqVj
So In'01119d'ccj�t inin o,,';hP,6B-1 will,th('nto,rnalion MMIRS te'� All'IC)�le fns[
Pe.instAlec, lolUrrn ln�Orratnn
'Mirirrum-'i111,;111tm
ArN fOr 41) tom of P3 0 1 Wti, j ),Njjpj,s aqe,t trust also sign and date the form
"HiAj.,oqj)ard date 1"e'Wr ated B PA�j�cation 513teffleft al the DOI Please Print CK
Comoliance Package chosen (A-F) 1. . -
2. New construction or addition 2. JD 0
3. ___z
1 Single family detached or Multifamily attached __ S. F
4, If Multifamily—No. of units covered by this submi-S-4iOn 4.
5. IS this a worst case? (yes/no) 5.
6. Conditioned floor area (sq. ft 7.
I, Predominant eave overhang (ft.) 1-1,3ub"e Pam
8. Glass type and area sq. ff. sq., ft
C(p a r Q ia ss,
I , - ab. ft, sq. ft
1-01)w sic),-w Screen
Percerritage of glass tO 11`004'&r&8
F%(,k�ttpe.are%Or perkmetec,and insulation. lin.ft.
1 0a. R=
skiit o'r g.racIp 1p-vajup� R= 9q. ft
raised (R-value) 10c. R= sq. ft.
fR-vaikie) sa, ft.
ralse,1 (R-valuef 1 Oe, R= sq.
(,)ncrete. common (R-value)
,i. Wall'A type, area and Insulation: -value) 11a-1 R= sq.
Exterior I Masonry (insulation R Ila-? Ft= sq.
2 Wood frame(Insulation R-value) SIP ------
in AdiaePW: 1 MFtsonry Onsulatior R-value)
ffb 2 R�_- -11
2. Wood frame (fnsufanon R-vafuej
-12 Ce'Ifing type, area and insulaflon: 129. Sn 6 41
so,
13. Air&4tr�&Ifion System:Duct Jinsijbtion, J10"tiv" 13. R=
14a. C6.rJT(2AL
14 Oaolti%10-tem 'TVAP_� ____
-Vp,s uri�,pac*a.qP terminal A.G.,as,nonel, 14b.(SE��ER: I ii.-S
14c. -C-8-0acity: iiiii PC)0 3-ro-
%5, �1
15a. TyW 4FJVT I
15. Heating sv%tem: 15b.<�sp -7
n, r TA( r
PlAr ,;tnp,nal.gas, gas gpis P roo r _F�kOP/AFUE:
15c. Capacity:
16a. Type:
16 Hot water system: 116b_ EF: D---------
r)eat rec.dp..l heal DUMP,Otle' rlf,'119"
Fit rias.i P gas,sofal.
by
hn�,in comcit,ance
coVeleo by the caicu ,c
gy code.Belore wnmnmt�"19 CoMplatod,this building wt1i b"n
rreri.— it h SaCKM 553 DOE 1-
.1 D B'Y DATF, SWILDING QFRCtAL
DATE
DYWER-AnFmT
Revised 1998
WATER IMPACT FEE WORK SHEET
ADDRESS:
DRAINAGE
FIXTURE UNIT
FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS
Automatic clothes washers, commercial 3
Automatic clothes washers, residential 2
Bathroom group.consisting.of water closet, lavatory.,
bidet, and,bathtub or shower 6
Bathtub (With or without overhead shower or whiripool
attachments) 2
Bidet 2
Combination sink and tray 2
Dental lavatory 1
Dishwashing machine, domestic 2
Drinking fountain 112
Floor drains 2
Kitchen sink, domestic 2
Kitchen sink, ddmestic with food waste grinder and/or
dishwasher 2
Laundry tray (1 or 2 compartments) 2
Lavatory 1
Shower compartment, domestic 2
Sink 2
Urinal 4
Urinal, 1 gallon per flush or less 2
Wash sink (circular or multiple) each set of faucets 2
Water closet, flushometer tank, public or private 4
Water closet, private installation 4
Water closet, public installation 6
TOTAL NUMBER OF UNITS
MULTIPLIED x 20
TOTAL$
STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/COntractor Affidavit if owner is contractor,and four(4)complete
sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic
Beach,FL 32233 Telephone:(904)247-5826
in addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I, Current survey showing the property boundary with bearings and distances and the legal description. ar footage. Identify any
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and squ e
existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works,a pre-construction topographical survey. Note. �ddi t Ion
5. Any significant efivironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. in same loca ion and
al Impervious Surface.) size of previou
6. Impervious Surface area calculations. (Swimming pools may be excluded from tot garage. See CaTse
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
DATE.—
SIGNATURE OF OW`Ni'A�
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
-2 2"'
SIGNATURE OF CONTRACTOR DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME Boggs Construction Dane Boggs
MAILING ADDRESS P.O.Box 1 1560 Orange Park, Fl. 32067
PHONE 273-4682 FAX273-9118 —E-Z none
SWORN AND SUBSCRIBED BEFORE ME TH _,;2
is -)—DAY 0 X-(
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE
4.1 P Patricia Amonette
gt' h0,
��Personally known Slot4# CC947012 EXRES
AS TO OWNER: my commis
Produced identification Mgust 27,2DO4
TmRU YROY FAW WAWA W-
ication
e of identif produced_2��BONDED
so
AS TO CONTRACTOR: :Per nally known
F I Produced identification
Type of identification produced
6/18/02
'6ECEIVED
'10 2 S �mq
i2u�,1Jing and "17-0 i"I
of Atlantic Beach
City of Atlantic Reach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION
FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS,MOVING OR DEMOLITION)
DATE 6-25-02
JOB ADDRESS 386 6 th st
APPLICANT Boggs Construction / Mr and Mrs. John Burr
ADDRESS 3 8 6 6 iih S-_ta PHONE: 249-2653
LEGAL DESCRIPTION: BLOCK NUMBER LOTNUMBER ZONING DISTRICT
CONTRACTOR Boggs Construction STATE LICENSE NUMBER_CBC0 2 3314
ADDRESS P.O.Box 1560 PHONE 273-4682 631-6536 cell
CITY Orange Park —STATE F1 zip 32067 FAx 273-9118
DESCRIBE PROPOSED USE ANDWORKTOBEDONE Two story addition on front of
home with garage below and masterbedroom suite above.
PRESENT USE OF LAND OR BUILDING(S) single family home
VALUATION OF PROPOSED CONSTRUCTION 153,689.00
Is this an addition? - yes - If yes,what are the dimensions of the added space: 31' feet by 2 11 feet
Will the added area be heated and cooled? yes upstairs New electrical or increase in service?' yes underground
New plumbing fixtures? yes New fireplace? no New heating/air conditioning? yes
Is approval or Homeowner's Association or other private entity required? no If yes,please subpit with this application.
WILL THIS PROJECT INVOLVE CHANGE S IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MATERIAL?
UNO. Applicant certifies that no change in site grade or fill material will be used on this project.
7 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the
Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's
Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical
survey or gmding plan is required. (If n6t required, written verification must be provided with this application.) The Department of
Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834
6/18/02
IN,
Boggs Construction Co.
P.O. Box 15W
Orange Park,Florida 32067-1560
(904)273-4W2
Fb4/ (904)273-9118 Fax
lo-
6
f '7 7? -P-1-77-7
C-
DYIMA) AIW)
114
Lt
2-( yr/V—
A
��k4o'w- 61 A )< (y �IF 6e'
LvAz�kwon.1 Y'�( 2- f rla;,-
.1 )�'U I(a &1 4*0 r-t� -
AAZIA "f
De� C� X 3jr
3t
,3tY7 (/Y -2� 2-- Sold
X I-f L/
7
Commercial -%esidenbal
Jun 25 02 02: 51P Sherri Nelson 904-529-8655 P. 1
MIMMUM REQUIREMENTS ClImte Zones 12 3
TABLE W1 jKNW3VTAU.ED
S —pACKAGES FOR NEW CONFRUC11ON
A B C D L %
MIL%d glass to Arsa 150/6 20% 2(r/6 25%
V) Type DoiWaM Double Tint(D Double Tit PT) Double Clear(DC) Double 79d PT)
1-4" 2' 2 2'
0 overrov - 'A
E)ffERj0j3 AND ADJACENT MASONRY WALLS R-5 ADJ: R�—
COMMON MASONRY WALLS R-3 EACH SIDE. COW R.-----
�EXT: R R= —-- .
--j
EXTERIOR,ADJACENT,AND CGMWU WOOO FRAME ADS. R--
Wood WMLS"-11 CM 'A.
f R-3D R,313 R-3U UA0CRATT?C-R=
CEILINGS CELkns ALLQWP-Q� rOMWN: R-
R
cn Rm ----
Raised wood tolwy la-T EM,oo NL'L t1D"%T'AMi N01A fVLV4rCr>
R
8 RL7
af Raised Concrete GOND.
DUCTS n-b IV15 SEER
1AS
6.8. COP=
SPACE CGOLWIG 5-Rl A 8.0 7-1
-Bbim. ctr.7B jCantraj) AFUE
.73 Xrw*d h0aft)
EF AG NOT ALLOWED
(SEE BeLOW),
EIF 'ap�
(SEE BE LOW)
uj Resistance— EFe
Galls L<X WujiAUM EF OF.54 DHR. EF=q----
l-
HRU:
Other Any of the following afe allowed: dedicated heat purnp,
v4stam.
aft anii
LMmul,alkwjOes or Us$am dedw hot waler sywem apply to to 40 gallon watia heaters.P4l*rtoTabte6-12f0rmiMimLnG0dae t'i"'water" m
DESCRpTiok OF BUIMM CoMNEWS U67ED
putiont of Mm ID F1W Arse:This pementage is calojaw by divicing the kxw of all glass arem by the total cordotinati wor ams.
whwW The 00901111ing is MO G&W"ft`0011 orsoffil PM"out WW"ly'MM lhetaMoltheilisss,
lovaordDriesolamul1r,sksYlimu
mewc Noe18MkFVAWft0pA tis it ftm PWARges,
ha wator kirstem may be installed onlY in coriurctitin with One Of Wothar Hol WstorSySliam options'.,Rse bww
Options:Any dedcaW h"PXV,he*recw"un#.of wu hot water system may be installed solar srAoms must hm an EF oll 15 or hkW Seelk resislanCe System$ an EF 01.88
Tr 03�2� UtWWjK RMutREujWTS FOR ALL PACKAGES REGUIREMENTS CHEC
COMPONENTS SECTION I
Exterior Joints Craciall, 606.1 To be caulked,gasketed,weather-stripped or otherwise scaled.
Doors 606.1 Max.3 ctnVsq.tt.window area;.5 c[nVsq.ft.door area. �7��7-q
solb&Trap 6136,1 $0110 Pt3fts Vxf porreftuorts 61MOIr A*polaim 019AY MAW�,.Salaw.
lit.ar I GO& Type IC rated with no penetrations(two alternatives allowed).
Muld-story Hou 606.1 Air barrier on perimeter of fic -------
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall tleive dwnpers,except for combustion
dU&4ntV..
W -- ters 612.1 Comply with efficiency requirements in Table r 12. Swttch or clearly marked circuit breaker(electric)
2E cUI2P-ff 8 rn"'t"E"Ar'n't External or builtwin heat trap required.
612.1 51 rw�*a%d) -a
P7
as&yjaetrao poolis rrAnj ft"M-ftTs jVAt%TA W Vacit'L m4sk tay
Is a timer.G pool heaters must have rrdnimum thermal efficiency of 78%.
Hot WSW Pipes 612.1 1 nsu(afion is rao.jiyad for hot water (including heat recovery units).
She TH—,md. -- 612.1 Water flow must be restricted to no more tian 2.5 gaTions per rritriLfte AIV)PSIS.
M dt'rm uffivs,rmchawca)eq*Vnaw AAd pia%m&"YAW$alARDba mwharurauy ettached..
sealed,insulated and installed in accordance with the criteft of Section 610.1. Ducts in attics must be
insulation&tristaillation Insulated to,a minimum of R-6. VWWW kv VArh
WAC ConVaills sew&&-VaNy oxesseow rewww CVMAa?XUL-Ap;ka"
-2-
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
FORM 900-A-91 Section 9—Residential Point System Method Climate Zones
Department of Community Affairs NORTH 1 2
�-Pl 3-7, ve, BUILDER: WOO *S
PROJECT NAME CLIMATE 2E] 3&]
OFFICE: Sj�–\ ZONE:
AND ADDRESS: PERMITTING
PERMIT JURISDICTION I 1 0
OWNER: NO.: NO.:
SO.
NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED IT GLASS AREA AND TYPE
UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN
ADDITION E] THIS SUBMITTAL: ISO,
PREDOMINANT –iINGLE- so, SINGLE-
EAVE OVERHANG P'L FT.
MULTIFAMILY ATTACHED CHECK IF THIS SUBMITTAL LENGTH MI FT. PANE =FT.' PANE
REPRESENTS A WORST CASE [PORCH OVERHANG DOUBLE []��SQ. DOUB�LE- so.
SINGLE-FAMILY DETACHED CONDITION: LENGTH . EN.1� FT PANE FT.I PANE FT
NET WALL AREA AND INSULATION R EXTERIOR LOG R
EXTERIOR MASONRY R EXTERIOR FRAME R EXTERIOR STEEL 7 so.
I FT' FT F= FT.
F=IFQT.- ME Il 1oL?—h1s` �� I 1 1-1 is . 71 R
AUJAUENT MASONRY R =TPADJACENT FRAME R TDJACENT STEEL— R ADJACENT LOG
so, E So' MSO-1 = [j- j I
FT. I I �1 " FT. FT _T1 FT
CEILING AREA AND INSULATION FLOOR_TYPE AND INSULATION
UNDER ATTIC R SINGLE ASSEMBLY R SLAB PERIMETER R PAISED:WD L-rON R
so. 0 =F?i��F�
SQ F- I I I I I ISO
FQT lo FT
FT CT
DUCTS -COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ELECTRIC STRIP E&HEAT CEILING FANS ELECTRIC SOLAR:
UNCONDITIONED CE%TRAL PUMP IX S,F = 0 -=
SPACE R Room NATURAL GAS El OTHER CROSSVENTIL4TON NATURAL GAS HEAT RECOVERY
PACKAGE TERMINAL ROOM UNIT OR C WHOLE HOUSE FAN OTHER FUELS DEDICATED
AIR CONDITIONER PACKAGE TERMINAL FUELS HEAT PUMP:
IN CONDITIONED HEAT PUMP F-1 NONE ATTIC RADIANT NONE E,F.
SPACE R NONE BARRIER =9
0 NUMBER OF
COP(ED/ MULTIZONE EF BEDROOMS 1-3
AFUE
j II&DEE1
INFILTRATION X 100
PRACTICE USED
TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1
F1 #1 9j #2 0 #3 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and s pecificatio overed by this calculation indic"compliance with
the Florida Energy code. Beto co truction is c .leted,thi bui in will be inspected
Florida Energy Code. for compliance in accordance ith S ion 553. &F.s
PREPARED BY: DATE: pp't-1z BUILDING OFFICIAL:
I hereby certify that this building is in compliance with the Florida Energy Code.
OWNER AGENT: DATE: DATE: .�Z- 3
9A I PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) CHECK
COMPONENTS SECTION REQUIREMENTS
WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable,.sash crack(includes sliding glass doors).
EXTERIOR& 904.1 Maximum of 0.5 CFIVI per sq.ft.of door area:solid core,wood panel,insulated or glass doors only.
ADJACENT DOORS
EXTERIOR JOINTS 904.1 o be caulked,gasketed,weatherstripped or otherwise sealed.
&CRACKS
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
SWIiOMING POOLS 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a
&SPAS pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per m te at 80 PSIG.
HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned '\j
INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2(R-6 after 1/1/92).
a INSTALLATION -- '1-4
HVAC CONTROLS 9047 separate readily accessible manual or automatic thermostat for each system.
1INSULATION 1 9�054. Ceilings-Min. R-19. Common Walls-Frame R-1 1 or CBS R-3. Common Ceilings&Floors R-1 1.
SUMMER POINT MULTIPLIERS (SPM)
9B SUMMER OVERHANG FACTORS(SOF)For single and double pane glass. CLIMATE ZONES 12 3
47-57 .58-70 71-83 .84-1.18 1.19-1.72 1.73-2.73 2.74+
10, OH RATIO .0-11 .112-17 .18-26 .27-35 .36-46
1 .94 .91 .8 .76 72 .69 .63 .56 .50
N 1.0 .63 .79
.71 .67 .63 .55 .48 42
NE/NW 1.0 .94 .86 .80 75 ---
.31
(.3 1.0 .95 .9 .86 .80 .73 .68 .57
cc - ---- __ in
q0 .32 .27
LU 1 1.0 .93 .90 .82 .74 .66 .60 .54 .47 .39 --
Cn I . SE/SW ---W _ - -- 1 .51 /4-5) .39 1 .35
I S 1.0 .91 77 t .68 .60 11 .54
1 01-OH LENGTH* 0 ft. i ft. 1 11/2 ft. 1 2 ft. 1 3 It. 31/'2 ft. 1 41/2 ft,-] 51/2 ft� I P'21r 1 91/2 ft. 14 ft. 20 ft+
*To select by Overhang Length,no patt of glass shall bE more than 8 ft,belov/the overhang.
OVERHANG RATIO= OH LENGTH
TH THEIGHT
L -41T
T �L H H
H I
-f
9C WALL SUMMER POINT MULTIPLIERS(SPM)
FRAME CONCRETE BLOCK' FACE BRICK
WO STEEL INT.INSULATION EXT.INSUL. R-VAILUE WOOD R LOG
NORMAL WT. NOR.WT. 0- 6.9 2.4 6 INCH
R-VALUE EXT ADJ EXT ADJ- R-VALUE EXT ADJ EXT- 7.10.9 .6 R-VALUE EXT
-0-.-6.9 5T- 2.2 2.8 --- - 0-Z9 1.5
- 0- 29 2.2 1.1 2.2 11 -18.9 .4
7-10.9 2.1 .8 3.5 1.3 ------- --
FE I
XT
76
3' 3- 4.9 11 .8 .8 19-25.9 .2 3-6,9 1.0
2.7 1.0 -- -
13-189 15 .6 2.5 0.9 5- 69 1.0 7 .5 26&Up 1 7&Up .8
19-25.9 .9 .4 2.2 0.8 7-10,9-- 7 5 .3 R-VALUE BLOCK 8 INCH
------�-0.4 118 9 .4 .4 .0 0. 2.9 1.0 R-VALUE EXT
26&Up 1.2 ---2 2 3- 6.9 .6 0-2.9 1.0
7- 9,9 .4 1 3-6.9 7
10&Up .2 7&Up =L6J
9D DOOR SUMMER POINT MULTIPLIERS(SPM) 9E CEILING SUMMER POINT MULTIPLIERS(SPM)
UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF
DOOR TYPE EXTERIOR ADJACENT R..VAL-UE SFM -R-YAQUE ____SiPM CEILING TYPE
WOOD 4 -19. 10 2.9 R-VALUE DROPPED EXPOSED
0 0 22-25.9 11 -12.9 2.6 10- 13.9 3.2 3.5
INSULATED 4.1 1.6 26-29.9 8 13- 18.9 2.4 14-20.9 2.2 2.4
1 1 1 1 30-37.9 .6 19-25.9 1.8 21 &UD 1.51,
38&Up
9F FLOOR SUMMER POINT MULTIPLIERS(SPM)
SLAB-ONI-GRADE RAISED RAISED WOOD2
EDGE INSUL [ON CONCR TE POST OR PIER STEM WALL W/UNDER
R-VALUE --11-VALVIE- SPM CONSTRUCTION FLOOR INSULATION ADJACENT
S -VALUF SPM SPM SPM
0-2.9 4�1 0-2.9 .8 0.0
2.2
3-4.9 3 T 3-4.9 -1.3 7-10.9 -1.4 -2.3 .8
5-6.9 361 5 6.9 - 11 -18.9 -:13 -1.9 .7
7&Up ---I--3-5-11�7-7 19&Up -1.5 .4
91H DUCT MULTIPLIERS(DIVI)
Return Ducts Return Ducts
9G INFILTRATION SUMMER POINT MULTIPLIERS(SPM) R-Value In Unconditioned Space In Conditioned Spac
Supply 4.2-5.9 1.14 1.10
INFILTRATION PRACTICE SPM 0-6'� 1.10 1.07
(See Table 9P) Ducts;in
Unconditioned Space 6-7-&-6p 1.09 1.06
PRACTICE# 1 10.2
PRACTICE #2 8.. Supply 42-5.9 1.10 1,00
Ducts in 6.0-6.6 1.07 1.00
PRACTICE #3 Conditioned Space' 6.7&up 1.06 1.00
I For multipliers for other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2(e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
,3-
EPI= 97.47%
ENERGY CODE SECTION 9 NORTH ZONE 1, 2, 3 900-A-91
JEFFERY WOODS SUMMER CALCULATIONS 37,7 ATL BCH TERR AS BLT
SMR. GLASS BASE SUMMER GLS SOF GLASS
ORNT. AREA SPM BASE PTS ORIENT. AREA DBLCLR 1 (9B) SMR PTS
N 12 38.3 460 N 12 38. 3 0.91 418
NE 57.7 NE 57.7
E 34 79.7 2710 E 9 79.7 0. 39 280
SE 79. 1 SE 79. 1
S 49 66.2 3244 S 29 66.2 0. 86 1651
sw 79. 1 SW 79. 1
W 90 79.7 7173 W 72 79 .7 0.92 5279
NW 57.7 NW 57 .7
H 66.2 H 267 . 0 1. 00
E 25 79.7 0.92 1833
S 20 66.2 0.45 596
W 18 79.7 0.63 904
COND TOTAL BASE BASE ADJUSTED AS BUILT
FLOOR GLASS ADJ GLASS GLASS GLASS
AREA AREA FACTOR SBTOTAL BASE SP SUBTOTAL
. 15 1570 185 1. 27 13587 17296 10961
AS BIT
COMP. SUM PT BASE COMP. MULT. SUMMER
DESC. AREA MULT. SMR.PTS. DESC. AREA (9C-9G) POINTS
EXT. 1029 0.90 926
ADJ. 162 0.70 113 2X4WDFR Rll 1029 1.7 1749
ADJ2X4 Rll 162 0.7 113
DOORS DOORS
EXT. 70 6. 10 427 EXT WD 70 6. 1 427
ADJ. 22 2 . 40 53 ADJ WD 22 2 . 4 53
CEILINGS CEILINGS
UN.ATC. 1570 0. 60 942 UNDRATC R19 1595 1. 1 1755
SGL.AS 0.60
FLOOR FLOOR
SLAB 180 -37 . 00 -6660 PERIM. R-0 180 -41. 2 -7416
RAISED -3 .99
INFIL. 1570 8.00 12560 # 2 1570 8. 0 12560
T UMMER POINTS
TOTAL 25657 TOTAL 20202
COOLING TOTAL BASE AS BLT DM Csm ccm AS BLT
SYSTEM BSC CSM BS PTS CLG PT SMR PTS ' (9H) (9K) (9L) CLG PTS
0. 37 25657 9493 20202 1. 10 0. 34 0.86 6498
HOT WTR NBR BASE BASE AS BLT NBR HWM HWCM AS BLT
SYSTEM BDRMS HWM HW PTS HW DES BDRMS (9m) (9N) HW PTS
3 3803 11409 ELECT. .90 3 3720 1. 00 11160
WINTER POINT MULTIPLIERS (WPM)
9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 12 3
_7777-7 7
10, OH RATIO .0-1111 1 .12-117 .18-26 .27-35 .36-46 1 47-57 58- 84-1.18 1.19-1.72 1.73-2.73 2.74+
1 SINGLE PANE GLASS
I -
N 1.0 1.05 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.38 1.45 1.51
1.84
NE/NW 1.0 1.09 1.13 1.20 1.26 1.33 1.39 1.45_ 1.50 1.63 1.74
E/W 1.0 .67 .50 .16 -.20 -.60 _95 --1.32 -1.73 -2.51 -3.31 -4.05
>-I SE/SW 1.0 .92 .88 .77 .66 .52 .39 .25 .10 -.21 -.48 -.74
MI - __ ___
C-3 S F K -_ -.54 -
11 1.0 �92 .84 .74 1 .60 .46 .29 13 -.24 .67
C)
DOUBLE PANE GLASS
N 1.0 1.25 1.31 1.37 1.42 1.48 1.58 1.69 1.79
1.09 (1.13) 1.19
NE/NW 1.0 1.15 1.23 1.35 1A6 1.58__ 1.68 1.78 1.87 2.09 2.211 2.46
1 _E/W 1-0 .85 (7p .62 _46-- .__.28___ .12 .24- -.59 - -1.29
SE/SW 1.0 .93 .90 .82 .72 -_ .61 .51-- .40 .28 .03 -.19 -.40
-(94) .87 .78 .67 .55 41 /2-?\ -.04 29 -40
S 1.0 .96 AIZ*� 91/2 11.
10-OH LENGTH* 0 ft. 1 ft. I 1h ft. 2 it. 3 It. 31/2 ft. 41/2 t t 1 5 1h I I. �1�t2 0 ft.+
'r To select by Overhang Length,no part of glass shail be rnofe than 8 ft.below the overhang.
OVERHANG RATIO= OH LENGTH
TH THEIGHT
'F�L H L T
H H
F1
9C WALL WINTER POINT MULTIPLIERS(WPM)
FRAME CONCRETE BLOCK' FACE BRICK
WOOD STEEL INT.INSULATION_ EXT.INSUL. R-VALUE WOODFR LOG
NORMAL WT. NOR.WT. 6.9 12.6 6 INCH
R-VALUE EXT ADJ EXT ADJ
0- 6.9 11.1 10.4 15.1 13.1 R.VALUE EXT ADJ_ EiT_ 7-10.9 -4.2 R-VALUE E
7-1&9 4.4 4.4 7.3 6,6 0- 2,9 112 63 112 11 -18.9 3.5 0-2.9 4.51
11-12.9 5.7 5.2 3- 49 73 5.1- 5.6 19-25,9 - 2.2 1 3-6.9 2.8
13-18.9 7.4 Tr 52 4�9 5- 6.9 57 42 4,3 26&Up 1.4 7&Up 2.1
19-259 2.2 2.2 4,6 4.4 7-109 4.6 3.5 33 R-VALUE BLOCK 8 INCH
26&Up 1.5 1.5 2.7 11 -189 30 2.6 22 0- 2.9 79 R-VALUE EXT
19-25�9 1.9 117 3. 6.9 5.7 0-2.9 3.0
26&Up 1.3 12 -7- 9.9 3.8 3-6.9
10&Up 3.0 7&Up 1.7
9D DOOR WINTER POINT MULTIPLIERS(WPM) 9E CEILING WINTER POINT MULTIPLIERS(WPM)
DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC [---SINGLE-ASSEMBLY CON RETE DECK ROOF
R-VALUE WPM R-VALUE WPM - CEILING TYPE
-__j�1 ---n- _10.9 3.2 R-VALUE _6R__0PPEQ EXPOSED
9- 10
WOOD 22 25-9- '1_1 11 - 12.9 -2.9 10- 13.9 2.9 3.3
26-29.9 1.4 13-189 2.6 14-20.9 2.0 2.1
INSULATED 8.4 8.0 2.0 21 &Uo 1.3 1.3
1 30-37.9 1.2 19-25.9
__,6_-
& 6----------
38 & Up .9 1.3
9F FLOOR WINTER POINT MULTIPLIERS(WPM)
SLAB-ON-GRADE RAISED RAISED WOOD2
EDGE INSUL TION CONCRETE POST STEM WALL W1 UNDER
N
CONSTRUCTIO FLOOR ULATION ADJACENT
R-VALUE WPM R-VALUE WPM _R-V_A_[U E WPM WPM
10.4
0-2.9 (0 0-2.9 9.9 0- 69 13.4
3-4.9 9.3 3-4.9 5.1 7-10.9 4.17 1.6 4.4
5-6.9 76 5-6.9 11 -189 2.9 1.2 T6
19&Up 19 2.2
7&Up 7 0-1 7& Up 2.9 9 .8
9G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DIM) Return Ducts Return Ducts
INFILTRATION PRACTICE WPM R-Value In Unconditioned Space In Conditioned Space
(See Table 9P) Supply 4 9 1.14 1.10
1.10 1.07
PRAC ICE# 1 10.9 Ducts in
Unconditioned Space 608,9u p 1.09 1.06
PRACTICE#2 1
PRACTICE#3 4.1 Supply 4.2-5 9 1.10 1.00
Ducts in 6.0-6.6 1.07 1.00
Conditioned Space' 6.7&up 1.06 1.00
For multipliers for other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2(e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
WINTER CALCULATIONS
AS-BLT.
WTR. GLASS BASE WINTER ORIENT. GLASS WOF GLASS
ORNT. AREA WPM BASE PTS AREA DBLCLR ' (9B) WTR. PTS
N 12 7. 3 88 N 12 7. 3 1. 13 99
NE 4 . 6 NE 4. 6
E 34 -9.2 -313 E 9 -9. 2 -0.96 79
SE -22 .7 SE -22 .7
S 49 -28.4 -1392 S 29 -28.4 0.94 -774
SW -22 .7 SW -22 .7
W 90 -9.2 -828 W 72 -9. 2 0.77 -510
NW 4 . 6 NW 4 . 6
H -28.4 H -57.7 1. 00
E 25 -9.2 0.77 -177
S 20 -28.4 0.27 -153
W 18 -9.2 -0.05 8
COND TOTAL BASE BASE ADJUSTED AS BUILT
FLOOR GLASS ADJ GLASS GLASS GLASS
AREA AREA FACTOR SBTOTAL BASE WP SUBTOTAL
. 15 1570 185 1.27 -2445 -3112 -1428
AS BLT
COMP. WTR PT BASE COMP. MULT. WINTER
DESC. AREA MULT. WTR.PTS. DESC. AREA (9C-9G) POINTS
WALL. . .
EXT. 1029 2.2 2264
ADJ. 162 3 . 6 583 2X4WDFR Rll 1029 3 .7 3807
ADJ2X4 Rll 162 3 . 6 583
DOORS DOORS
EXT. 70 12 . 3 861 EXT WD 70 12 . 3 861
ADJ. 22 11. 5 253 ADJ WD 22 11. 5 253
CEILING CEILINGS
UN.ATC. 1570 1.2 1884 UNDRATC R19 1595 2 . 0 3190
SGL.AS
FLOOR FLOOR
SLAB 180 8.9 1602 PERIM. R-0 180 18. 8 3384
RAISED 0.96
INFIL. 1570 7.4 11618 # 2 1570 7. 4 11618
T6iiL"C*O*M*P*. * * 'B*A*S'E" * *W* *I*N*T*E*R* "P*O*I*N*T*S* * * ' * 'T*O*T*A'L* *A'S* *B'U'I*L*T* * *W'I'N*T*E*R* *P*O'I'N*TS" *
TOTAL 15953 TOTAL 22268
HEATING TOTAL BASE AS BLT DM HSM HCM AS BLT
SYSTEM BSC HSM BS PTS HTG P WTR PTS 1 (9H) (91) (91) HTG. PTS.
0. 55 15953 8774 22268 1. 10 0.46 1. 00 11268
TOTAL
BASE BASE BASE TOTAL AS-BLT AS-BLT AS-BL TOTAL
COOLING HEATIN HT WTR BASE COOLING HEATING HT WT AS-BLT
POINTS POINTS POINTS POINTS POINTS POINTS POINT POINTS
9493 8774 11409 29676 6498 11268 11160 28925
PREPARED BY
ENERGY DESIGN SYSTEMS
287-5339
91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3
SYSTEM TYPE HEATING SYSTEM MULTIPLIERS
Central Heat HSPF 6,4-6.79 6.8-&89 6.9 7.39 7.4-7.89 7.9-839 8.4-8-89 8.9-9.39 9.4-9.89
Pump Units HSM .53 .50 .49 �46 .43 .41 .38 .36
HSPF 9.9-10.39 10.4-10,89 10.9 11,39 11A-1189 11.9 12.39 112.L&Up
HSM .28
PTHP COP 2.6-2.69 2.7-2.89 2.9 3.09 3,10-3.29 3.30-3.49 3.50-3-69 3.70-3.89 3.90-4.19
HSM -32- 1
I . 9 .27 .26
Electric Strip 0
Gas&Other Fuels _(Se�jabl�9J for Credit_Myl�pL
1991 Minimums: Central Units-Air Source 6.4 HSPF,Water Source 3.4 COP,Ground Water Source 3 2 COP,PTHP 2.6 COP.
1992 Minimums: Central Units-Air Source 6.8 HSPF,Water Source 3.8 COP,Ground Water Source 3.4 COP,PTHP 2.7 COP.
I HSPF means Heating Seasonal Performance Factor. COP means Coefficient of Performance.
9J HEATING CREDIT MULTIPLIERS(HCM)
SYSTEM TYPE HEATING CREDIT MULTIPLIERS
Attic Radiant Barrier HCM .98
Multizone HCM '90
Natural Gas AFUE 68-.72 73-37 78-.82 .83-87 1 .88-92 3-Up
HCM .52 .48 .45 .42 1 .40
Other Fuels HCM 65 64 .59 .56 1 .43
Where more than one credit is claimed. Multiply HCM's together Enter product on page 4 AFUE means Annual Fuel Utilizatic Effici.ncy
9K COOLING SYSTEM MULTIPLIERS(CSM) \ DI 0
SYSTEM TYPE COOLING SYSTEM MULTIPLIERS
7.5- 80- 8.5-- 89- 9.5- 10.0- 05- 1 11.0- 11.5- 12.0-
RATING 99 109 11.4 1 11.9 12.4
79 84 88 9.4 99 10A 1
CENTRAL UNITS __L!6
(SEER) CSIVI 45 AT 40 .38 �36 34 1 .32 .31 .30 .28
PTAC&ROOM UNITS RATING 12.5- 14.0- 14 5- 17.5
13413 5,0- 15.5- 6.0- 16.5- 17.0- &Up
12.9
(EER) 34 3 14 4 149 15.4 15.9 64 6.9 7.4
1 GSM 27 26 2��- 24 -24 1 23 1 .22 1 .21 .21 .20 .19
1991 Minimums�Central Units-Air Cooled 8.9 SEER (,round Water Cooled W 0 EER. 1992 Minimums:Central Units-Air Cooled 10.0 SEER,Ground
I I
Water Cooled 11.0 EER. PTAC-see Table 9-11A. EER means Energy Lificiency Ratio SEER means Seasonal Energy Efficiency Ratio
9L COOLING CREDIT MULTIPLIERS(CCM)
ISYSTEM TYPE COOLING CREDIT MULTIPLIERS(CC
Ceiling Fans Q86--)
Multizone .96-
Cross Ventilation or Whole House Fan(Credit for only one) .95
Attic Radiant Barrier .95
Where more than one credit is claimed,multiply CCM's together. En1w product on page 2
9M HOT WATER M LTIPLIERS jHWM)
SYSTEM TYPE HOT WATER MULTIPLIJEU
Electric EF 80-81 94-96 .97&Up
Resistance HWM 4183 4 81 3984 389 3803 3678 3 0 3450
EF -.47 .48-.49 50 54-.55 56- 57 58-59 .60- 61 62-63 .64-.65 .66&Up
Natural Gas HWM 2 2 9 2176 1 2098 202 1836 1780
5i
�5
Other Fuels HWM 2121 2368 2�56 6 2665 1 2398 2321 2248 2180
2467 1 2570 2481
Water hLatets must comply with rninimurn etficiences in Table 9-7A of the Florida Energy Code EF means Energy Factor
9N HOT WATER CREDIT MULTIPLIERS(HWCM)
SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS
i - - '--- --'-'---- I
Solar Water Heater SF - 2 .3 4 .5 6 ��7 1 .8 9 1.0
HWCM 9 .8 7 6 5 .4 .3 .2 .1 1 .0
Heat Recovery Unit With Ar-conctioner -- Heat Pump
HWCM .62 .58
Dedicated Heat Pump EF 20-249 2.5-299 3.0-3.49 3.5&Up
I HWCM A .35 .29 .25
A HWM must be used in conjunction with all HWCM, See Table 9M,SF means Solar Fraction EF means Energy Factor.
9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(fD
COMPONENTS REGUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE#1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A.
PRACTICE#2 COMPLY WITH PRACTICE#1 AND THE FOLIOWING:
Exterior Walls and Floors Top plate penetrations sealed.Infiltration barrier installed Sole 2!��Ioor joint caulked or sealed.
Exterior Walls&Ceilings Penetrations,joints and cracks on interior surface caulked,sealed or gaskeled.
Ductwork Ductwork in unconditioned spacLr�ust be sealed
Fireplaces Equipped with outside combustion air,doors,and flue dampers.
Exhaust Fans - Equipped with dampers Combustion devices see 903,20)
Combustion Heating Combustion space&water heating s stems provided with outside combustion air,except direct vent appliances.
PRACTICE#3 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING
Ceilings Infiltration barrier installed.
Interior Walls Top plate penetrations sealed or joints&cracks on interior walls caulked,sealed or gasketed,
Recessed Lights Sealed from conditioned space&ifISDIated frorn ventilated attic spaces.
Ductwork All ductwork located in conditioned
Be in unconditioned space(except direct vent),dravi air from unconditioned space.exhaust
Combustion Appliances by-products to outside.Stoves see 903 2(f). J
DUVAL COUNTY
ENERGY DATA SHEET
NAME: JEFFERY WOODS DATE:4/21/92
JOB ADDRESS: LOT 371 BLX 7 ATLANTIC BEACH TERRACE EPI: 97.47
1. Type Insulation In Walls:2X4 WOOD FRAME R: 11
2. Type Insulation In Ceilings: BATTS:YES R: 19 LOOSE FILL: R:
SKY LIGHTS: KNEE WALLS:
NOTE: Loose fill insulation will not be allowed on sloped ceilings
or ceiling areas considered inaccessible. .
3. Type Insulation For Wood Floors: N/A R:
4 . Concrete Slab Edge Insulation: NONE R:
5. Insulation Around Ducts: R-6 In Conditioned Space:
6. Type Heating System: HEAT PUMP HSPF: 7.5 COP:
AFUE:
7. Type Cooling System: HEAT PUMP SEER:10.0
8. Type Hot Water Heater: ELECTRIC Efficiency: .90
Heat Recovery Unit: Solar: Dedicated Heat Pump:
9. Type Glass in Windows and Doors: DC
10. Type Exterior Doors: WOOD
11. Are the dimensions of all windows and doors shown ? YES If not,
this is required either on the floor plan, elevations or in a sch.
12. Size of Roof Overhang ? 1.515,7115
13 . Ceiling Fans in All Bedrooms and Primary Living Areas ? YES
14. Is a Multi-zone A/C System to be used ? NO
15. Cross Ventilation in main Bedrooms and Primary Living Areas ? NO
16. Is the Building Oriented on the Plot Plan with Compass
Direction ? YES If not, draw in on Plot Plan.
17. Is there a Whole House Fan (Attic Type Fan with a CFM Rating of
3X Condition Area ?) NO
18. Infiltration Package # 1, # 2, # 3 ? 2
19. Attic Radiant Barrier ? NONE (See 9E)
I certify that the above is the correct data used to calculate the
EPI on the Energy Form submitted, and will be incorporated in the
subject job.
Signed:
PREPARED BY
ENERGY DESIGN SYSTEMS
2875339
Addregs 3 7-7
f
Heated Square Footage --Per sq $
Garage/Shed
@ er sq 4 $
Carpc�t/Porch @
$ C, $
--LL----Per sq 4
Deck
7- $ per sq f $
Patio
@ $ per sq �'2
f
TOTAL VALUATION:
$ I?
D
To t a 1 Va:;-"fu a-ti o lst
9
76 1711--
Remainder Valuation <14 per ffio-usandor
portion thereof
---------- ------- ------ ---- --------
ADDITIONAL PERMITS and/or FEES REWIRED-----11 Total Building Fee $ 9(1-
+ � 'Filing Fee $ �2 /,g
0 $
Mechanical Fireplaces @ 15.�
Plumbing BUILDING PERMIT $
Electric/New
Electric/Temp --------------------------
Septic Tank BUILDING PER]MIT $ 6 V. <1
Well WATER M= $
admidxg Pool SEWER ]IMPACT FEE' $
Sign WATER IMPACT FEE $ :5-170 1 C 0
Water Connection MISCELLANEOUS $ �1,1-
Sewer Connection $ 1/z-11
Water Meter $
Elevation !Certificate GRAND TOTAL DUE $ 7
i
----------
1�------------------------------------------------------- ----------------------------
CALCUiATIONS and/or NOTES
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
2- BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) J ,')
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) 4-1 VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3') 3 POT, SCULLERY SINK (4)
--L—DISHWASHER (2)
WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE�'
DENTAL UNIT OR CUSPIDOR (1)
'GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) C�R�OMBINATION SINK AND TRAY WITH
OD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET INKING FOUNTAIN (1/2)
D
BLOWOUT (2)
3 LAVATORY, BARBER/BEAUTYI ICE MAKER �1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, URGEONS (2)
JJACUZZI (2)
URINAL STA L, WASHOUT (4)
TOTAL FIXTURE UNITS
@ $20.00 EACH
JOB INFORMATION 0 ki)
BUILDING AND 'Z' 'O' NING FNSP�STION DIVISION
Cny OF ATLNITIC BUCH
APPLICAT! &_QK nam"$&ASS
ON FOR MECK"ICAL PERMIT
Appkmf fo cm*ts a It'In"cf1cm 1,Il. III, md IV.
LO"=*
ap bk—UM Sksju 16
IIJKDW SeWw"
L TION—To be tod by d oppkants.
for
NUN 01
0mv
of
AqaW S4
*RUM
A. Two of homov iNh
is OTN"ComsmC710a @=NO afta
40-13. W THIS SUIL'aLme Oil SITC I
as IP M Givic VAN=OF ce"armman
13 Odor—Sao* PUMIT
W.6=Kmum wiftaff To sa XAMW OF wam
sewomw* A R"IdsntW or 0 comn,*,w
mom "..w 0 New BWW4
A&,Comidoba 0 4. m
0 SJWWA A'
(3 floplasomm"ot"Now jolm
C3
0 C@Wbg bom CP.,4 0 &$amown or 2"40 to am's wm
01hor—spooltv
C of
mom
1PA0.1101k CAR=Ijis any
Los
u&&w
fal6m Pam*Appmad
13 cow
AM XQ
Ank
DWWOUNL
KaddNuwAW MumabM 'Cg:r Ai=!r
'117
X"='a PULUCM SOZKZ=47PMACU���
3ts"xkubsr
10
TANXS
now agsaw
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERN ON
11T INFORh
LO OR, 7 a
Peim`ifN__u_Mb4�r �_PA NINF
Permit Type: MECHANICAL Address: 386 SIXTH STREET____---1
ATLANTIC BEACH, FLORIDA 32233
Class Of Work: ALTERATION Township: 0 Range: 0
Proposed Use: Lot(s): Book:
Square Feet: Block: Section:0
Est. Value: Subdivision: ATLANTIC BEACH
Improv. Cost: ,Parcel Number:
Date Issued: 12118/2001 WNER INFO MATION
Total Fees: 37.00 N' _i�URf�
Amount Paid: 37.00 386 SIXTH STREET
4_"-,�TLANTIC BEACH, FLORIDA 32233
L
Date Paid: 12/14/2001 �z��Wi_ I Y- �1�
P -1676
Work Desc: REPLA 7
0
--VAN HE . ....... �QN F�E
—VAN HE, f1bg FEE$::::::
ATING ND
�DONO
_3K
41
d,
4is
'A.
'A.
'C'
x,
F"i 77
4P,
50 ES_'
NOTICE- INISPECTION,
BE R TED AT',LPAST 2-4 HOUR$ '6RIOA TO ipt PECTION
BUILDING MATERIAL, RUft1SH.A �Albk_T_His VV614KMUST �(]BE-PLACE9
NO Its.f--
. ", - . . _,,A PUBLIC SPACE, AND
-3kWNER
I UL�-D
MUST BE CLEARED UP AN-U.HA E H CONTRA
0
T1
"FAILURE TO COMPLY WITPI�
CIO
ESULT IN THE
PROPERTY OWNER PAYING TVVtCF.,
NTS"
-----------
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE,PARTO' F,THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
4_1 14
ATLANT16 BEACH UILDING DEPT. Receipt: "58
5 MIN. RETURN ]Bool�t 10594 page 37,
PHONE#_a2,9>--��?—
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICAM
Permit No. *;1-4 -3 W-3 Tax Folio No.
State of County of -2U VA1-
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 descript I on of property being improved: Lei J- I rl � 6tack rl Pt A-r
q� ( ta,
Address of property being improved:
. 4A &eq c4 , FL-.
General description of improvements: flu(/Wl -"10 ( VOW
Owner Vh V t "I V-5 --JFO t-W 1 U 12 0—
Address 39 (l Vf" Xe g.d r-t- -3 -2,2.,-3-3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor (i u" Cd iif e.-r, cc
Address 0 id�L (-,�(e 0 Ft-14-
Phone No. ;t Fax No.
Surety(if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements
Name
Address
Phone No. Fax No.
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
Phone 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 Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the ex0iration date is one (1)year from the datei of recording unless a
different date is specified):
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877
ELECTRICAL PERMIT
ION LOCATION INFORMATION
PERMIT INFORM T 386 51A I H STREET
kii@t-Number: 24613 Address. ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL Township: 0 Range: 0 Book:
Class of Work: ALTERATION Lot(s): Block- Section-0
Proposed Use- Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est.Value: OWNER ORMATION
Improv. Cost: Name: JOHN IJUKK
Date issued: 8/08/2002 A Ad 386 SIXTH STREET
50.00 2233
Total Fees: BEACH, FLORIDA 3
Amount Paid: 50-00
Date Paid: 8/0712002
p
U PV
W Work Desc: EW UNDE
CONTRACT ICI , N FEES .00
mourK�.i.
Date
O'k�Des,
L CT N
E
rALLPHA ELE OF P E E
vu
-511��I,Z
S
RIOR T PECTIO
N
NOTICE- INS ,' CTION REQUESTED AT LEAST 24 HOU
SFROM THIS WORK MUST E PLACED UBLIC SPACE,AND
BUILDING MATERIAL, ISH AN EITH I 5R'CONTRA ER P
MUST BE CLEARED UP A HAULE
SULT IN THE
"H NS "Ll
"'FAILURE TO COMPLY Vy ' ' -1 T
PROPERTY OWNER PAYING
ISSUED ACCORDING TO APPROVED PLANS WHICH F THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
1w: DNITB Type: 0C Draw: 1
kte: 8/98102 01 Ramipt no: 79293
LQ 14 PENIMBUILDING 1 $%.Go
—)�T—Lj&flC BEACH ILDI sweesam"o
386 GTH ST
CK CIECKS 2981 Me@
Trana date: SIM102 Tiw.: 16:5-1:37
CITY OF ATLANTIC BEACH9 FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2 0
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FUN: MASTER ELECTRICIAN SIGNATURE-
,4)PIIA J /Zc,,4- ve-iAot
OWNERS NAME: 0krr- ADDRESS: 3F(') 54<k RFD BOX
BLDG.SIZE BETWEEN:
RESPq- APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW.(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW( ) INCREASE( ) REPAIR(
CONDUCTOR SIZE AMPS: COPPER( ) AL FEES
SWITCH OR BREAKER CC' AMPS /PH 3W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH 3W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES ICONCEALED IOPEN TOTAL
0.30��M�P I 31.100AWS
SWITCHES
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES I BELL TRANSF.
AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS BEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS A4 t\
ul"VI)XV1-
UNDER 600V OVER 600V
TRANSFORMERS: NO. I KVA NO. KVA
NO.NEON TRANSF. MAI MOTOR SIZE SWITCH -7111ERI
EACH SIGN
Updated 5t2012002
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
20
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART FIEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGN
A/ �)� Pey\4 vc-ca� c��- �
OWNERS NAME:jc�"j ADDRESS:--?b& 51 A Al 5V7 RFD—BOX—
BLDG.SIZE BETWEEN:
RES.k APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW.(
ADDITIONkj TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW( ) INCREASE( ) REPAIRK
CONDUCTOR SIZE AMPS: COPPER( AL .( ) FEES
SWITCHORBREAKER g00 AMPS PH W VOLT RACEWAY
470 pv,--
EXIST. SERV. SIZE OD AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES �D CONCEALED OPEN TOTAL
I 0.30AMPS 31.100
SWITCHES 8 1
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING MPS I CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS LA BEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS k_X I(Nm 0 kV-Ak -�-&,rO6�
-/-o b& cli'k,"I'acl � I -/' 6)'1 ri ro
0 v (I
UNDER 600V OVER 600V
TRANSFORMERS:
NO. KVA NO. KVA
NO.NEON TRANSF. NO VA I "R SIZE I SWITCH IFLASHERS
EACH SIGN
Updated 5/20/2002
STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete
sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic
Beach,FL 32233 Telephone:(904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of woTk being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any
existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works,a pre-construction topographical survey. Note,
5. Any significant ehvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. in sam oca ign and
olddition
6. impervious Surface area calculations. (Swimming pools maybe excluded from total Impervious Surface.) size previous
7. Other information as may be appropriate for individual applications. garage. See Cals.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNJi��4� DATE. S./O 2-
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR —DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME Boggs Construction Dane Boggs
MAILING ADDRESS P.O.Box 1 1560 Orange Park, Fl. 32067
PHONE 273-4682 FAX273-9118 E- none
SWORN AND SUBSCRIBED BEFORE ME THIS DAY Olq�� C3
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE e_ew
Patricia Amonette
AS TO OWNER: ��Personally known A"A.'P ,
# CC947012 EXPIRES
My COMMISSION
D Produced identification
August 27,2004
P 6L W-
Type of identification produced "'Y;U. BONDED TIM TROY FAM INSAAW
AS TO CONTRACTOR: F-1 Personally known
F� Produced identification
Type of identification produced
6/18/02
MAP SHOWING SURVEY OF
LOT 37, BLOCK 7, PLAT No. 1 , SUBDIVISION "A", ATLANTIC BEACH
AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC
RECORDS OF DUVAL COUNTY, FLORIDA.
SIXTH STREET
40' RIGH OF WAY AVED
FOUNDa2" IRON 4 89' FIELD
0 FOUNDCy2' IRON
PIPE. LB1048_ .00 PIPE. LBIG48
0 S 695-51"17" E 114.40' .09',56 sgr 5s W
r-_ �O '0)
wl a;
z
z 6.8'
=1 20.3'
io
6 4' PVC
C-4 FENCE
)0
7
O.Z-_ 0.
A/C
PAD
L
c*4 2.0
C-4
1 STORY STUCCO
RESIDENCE
C
(f!l2:0:;'
< LOT 39 No. 386
0 LOT 35
w
z
00 .4'
4.1
0 4' PVC
FENCE
NOTES
Wi 0 0 Lu
THIS IS A BOUNDARY SURVEY. LL-c), ui c)u-
ANGLES AS PER FIELD SURVEY.
NORTH PROTRACTED FROM PLAT. C:)
Lf) SIX
NO BUILDING RESTRICTION LINES PER PLAT. 0 LO 6
'co v—
io
1.0' 1.0F 14.2'
,_io
"5
ALK
12.2' BRICK WALL w
10.0'
z
:3
z
0
1p
0.4' bz-
0.9, bc,
6. D NCE 0.4' 4' CHAIN UNK FENCE 0.4'
— --.-0-0 - -
FOUND 1/2- IRON .4' FOUN; 1/2" IRON
PIPE, NO CAP 50.00" PIPE, NO CAP
50.04' FIELD
LOT 40 LOT 38 LOT 3 6
THIS SURVEY WAS MADE FOR THE BENEFIT OF
JOHN E. & KAREN K. BURR; COMMONWEALTH
I ANn TITI F INql IRANrF ('OMPANY- r.IRPAl TAP
WA 6-111 g I,AF :w:1 mul
0
I P..fQ
F
Ml T4%,T, Wt,
AA
JOIN
R ANN"
LN
731, A
X.A. W 0
,�I I�"F7
ovi
471 MIMM
MR
AR
r; 7
-a-
A t
N
gnpi"CI&L PRINT ING
Do 'cc of
fi
(PRUPARB IN oupu"Tz)
To whom it may cOncem:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE
or COMMENCEMZNT.
6% beam-
Description of property
------------------------------------------------------------------------------------—--—------------------
-------------------------------------------------------7----------------------------------------------------
General description of improvements ---------------
----------------------------------------------------------------------------------------------------------
...4 jz�qHm. (F�" -
---- --- -----------------------------------------------------
Owner - ----- -11 ST. A &acA -
t!�6� �—---------- _-1-------------
Addres d------- T-
Owner's interest in site of the improvement ---------- ffl4mek
-----------------------------—---- ---------—----
Fee Simple Title holder (if other than owner) -------------------)i ct — I--------------------------
Name -------------------------------------------------------- Z-1-----------W-----------------------------
tc—) - Address - ---------------------------------- -------------------------------------------------
Contractor --- ---------------------I-----------------------------------
6m
Address --------=----------- ----- ----------- -------
Surety (if any) ----------------AcRe, ------------------------------------------------------------------
Z. --
Address ------------------------1;�----------------------------------------Amount of bond $--------------
Name and address of any person making a loan for the construction of the improvements.
Name ---------------------------- --- ------I-------------------------------------------------
Address ----------------------- -----------------------------------------------------------
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be smed:
--------------------
Name ----------------------------
----------�>/- ------------------------------------
Address --------------------------- -----------------------------
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 121 [b], Florida Statutes. (Fill in at Owner's option).
Name ------------------------------—-—------------------------------------------------------------------
Address ----------------------------------------------------------- --------------------
THIS SPACE FOR RECORDER'll USE ONLY I �\ i r
MAP SHOWING SURVEY OF mm�
,OCK 7. PLAT NO. 1 , SLJ13DIVISION "A" ATLANrIC BEACH AS RECORDED IN PLX
OF rn-M, CljfvzFNV pi.j1-31,1C M30RDS OF fl-rVAL COUNTY, 7 1,0FUDA.
6th 40' R/W PAVED STREET
(49.92' FIELD )
114.39' FIELD 50.00
1/2"IRON PIPE FOUND 1/2"1 RdN-PIPE
- FOUND
CAP L.S. 1048 (0 8.
0
,0. 0.2
4' CHAIN LINK 0
FENCE
0
20.4' 6.8,
C5 w 0
cv z icL
0(i
10
2.04-9 1
I STORY
STUCCO RESIDENCE
LOT 39
No. 3'86
Cl
Q
W,
FINISHED FLOOR
ELEVATIONR 12.56
4.0' C)
Cc�ERED U-)
0
0 CONCRETE
NOTES STOOP
IIS IS A BOUNDARY SURVEY. ci
BUILDING RESTRICTION LINE PER PLAT. 14.0' 42!
IGLES AS PER FIELD SURVEY. 2.
IRTH PROTRACTED FROM PLAT.
CONCRETE �CONCRETE '
STOOP PATIO
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address---�;i-�, - 6�
Date �? - �,f
Heated Square Footage (I C)
22-1- s- per sq ft = $ 1,2
Garage/Shed @ $—per sq ft = $
Carport/Porch @ $—per sq ft = $_(
Deck @ $_per sq ft = $_
Patio @ $_per sq ft = $
TOTAL VALUATION:
o e, s
Totil Valuation ist s zr6n.ri�,
4b &cc)0 $- 6(), 00
Remaining Value $ -"L'per thousand
OT portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee $- -2 Z .-3-0
(-") Fireplaces @ $15.00
BUILDING PERMIT FEE //.z ' s-0
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
We) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION
(4WD SURCHARGE .0050 s
0 HER $—
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp_;Swimmingpool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s) 18WX -___ ;7" 6 U4W,
01 C/
Address: 39&- G th-5T4met Phone:_ 214
Lot # Block or Unit # Subdivision: A�
Contractor: ID
wylt
Lj
State License # (f 0'2 2):2
Address : t C
6 17 6ttl 441H hone No:
Describe work to be done:
Present use of building: 61F 04 d ehw
Valuation of Proposed Construction: . 2Z.1500 00
Proposed use: 1vto
Is this an addition? Tf yes , what are the dimensions of
the added space: 120 -ft . X ft . Will the added area
be heated and cooled? New electrical (or increase)?-
New plumbing fixtures? AM New fireplace?_.62New Heat/AC? — "A� U747
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER:
Date:
Signature CONTRACTOR: Date:—
�j
License Supplied:
Liability Insurance:
Worker's Compensation Insurance:
7-- nm-
-�,l 2-1-1,':�`,4�,�,
Of:SUILD11
0
ATLANTICBEAtH
LOCATION INFOR]"TION
Per t", Niumabe 386 ,SIxT
. r,` 1 11 Address, H, STREET
4
mit- TY0
AtLANTX C-,OthCH, FLORIDA
233,
�,'clas of No' k,:, k6blir ----------
TOW DZSCRIPTi-ON
Aa Type''k WOOD,'FRAME, Lot: 37 Block:
Se'ct i on:
oitd .Usel, SIN" �Township:
048 ' AXILY RNG!.- � 0
Code 0 ,,� ATLANTIC BEACH
:t'1�54, 0 00:'
va I W6
rov. Costi
$114�.7
� $114 18,
n
Ex
IiITINQ RZlI9ENCk JISP 2283 : , ,,-
TION
APPLICATIONIVU
IT
PERMIT
'$0
0*07 "MPACT, FM
WA I
cif PLORI
�cj
g
VA 0
2 8
_R R�.S ,
RADO GAS'
ON RADON OW,51*
CA
PITAL IMPROVE.
EWER, Ixf 46--Of
hit , -N, -CH", )PL,;,4213-
3 ,
CROSS CONNECTION- sa"09
Tip A,
SEC li IMPACT FEE
4
CONST.,SURCHAR01 $ 3
=40'"111,
7 7,
,
L
NGS MUST BE INSOECTED SEFORE POURING
M AND FOOTI
p �m
�E VOID SIX MONTHS AFTER DAT E OF ISSUE
'W
R FROM THIS,WORK MUST NOT BE Pl�ACED INPUBLIC SPACE,AND muST-BE
RAU
NTRACTOR OR OWNER
"TO"colop"Lly' 'WITR THE MECHAN110'S L
ir-N�� AW,:CAN, RESULT
�J� All
lCE FOR THE:Bt)IILDINO--',M' PROVEMENTS$'o
NOTW
,,.,�.SUED,�COORDtN,GTio.,AP�0-f.tov pLANS WHICH ARE PART OF THIS PERMIt AND SI IECT
TO REVOCATION FOF
OF AP LIC,AB�ETflqy-�S IONS'OF LAW.
�WLANTIC aEACH BU ip,� 'RTMENT''
Y�
FLORIDA ENERGY EFFIC!ENCY CODE FOR BUILDING CONSTRUCTION
FORM tOOC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3
Small Additions and Renovations Department of Community Affairs I
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or-less,site-installed components
of manufactured homes,and renovations to single and multifam_i2 residences. Alternative methods are provided f9r additions by use of Form 60OB-93 or 60OA-93.
PROJECT NAME: BUILDER: Dwat"
AND ADDRESS: PERMITTING - I LIMATE
OFFICE: ZONE:
C
U0_13
1121
OWNER: &VPI K PERMIT N0.[J_ I JL DICTION NO.:
_I PT 6 4Z r-/I-JURIS
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the
components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).
Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site-
installed components and features are covered by this form. Please Print CK
I. Renovation, Addition or Manufactured Home 1- -Addk trn
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 14.
5. Predominant eave overhang 5.
6. Porch overhang length (ft.) 6.
7. Glass area and type: - n
a. Clear glass Single Pane Double Pane
7a. -sq. ft. /OS sq. ft.
b. Tint, film or solar screen 7b. q. ft. _sq. ft.
8. Percentage of glass to floor area 8.
9. Floor type and Insulation:
a. Slab on grade (R-value) 9a. R= -sq. ft.
b. Wood, raised (R-value) 9b. R= sq. ft.
C- Wood, common (R-value) 9C. R= sq. ft.
d. Concrete, raised (R-value) 9d. R= sq. ft.
e. Concrete, common (R-value) 9e. R=7 sq. ft.
10. Wall type and Insulation:
a. Exterior:
1. Masonry(Insulation R-value) 10a-1 R=- sq. ft.
2. Wood frame (Insulation R-value) 1 Oa-2 R= 61(p sq. ft.
b. Adjacent:
1. Masonry(Insulation R-value) 10b-1 R=. 7N_E_ sq. ft.
2. Wood frame (insulation R-value) 1 Ob-2 R= sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 10c - 4
11. Ceiling type and Insulation:
a. Under attic (Insulation R-value) 11a. R=-3) V_& sq. ft.
b. Single assembly (Insulation R-value) 11b. R= sq. ft.
12. Cooling system*
(Types: central, room unit,package terminal A.C.,none) 12. . Type: -Nn T�
Cam it,
13. Heating system*: SEER/EER: q.19
13. Type:__:�
(Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE:
14. Air Distribution System*:
a. Backflow damper or single package systems* (Yes/No) N
14a.
b. Ducts on marriage walls adequately sealed* (Yes/No) 14b.
15. Hot water system: 15. Type:
(Types:elec.,natural gas, other,none) EF:
Pertains to manufactured homes with site installed components. L
irtity that th I ns and specificatigns covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance
complia ce with_the Flo ne"EM.-, E: �vilfl the Florida Energy Code, ore corl ion is plated,this building will be
PREPARED BY: OAT Inspected for compliance in a or ance with ion
LI here, �at�'Oiuddin com ' ce�with t*�Iorida Energ C BUILDING OFFICIAL:
0 J�GENT
w A
DATE:
DATE: C,
TABLE 6C.1--PRESCRi REONEMENTS FOR SMALL ADDMMONNS 4 FL NW L@nl RENOVATIONS TO EXISTING BUILDl AND SITE44TALLED COM Climate Zones 1 2 3
MNIMUM INSULA PONENTS OF MMFAMRED HOME&
COMPONENT INSULATION INSTALLE MINIMUM INSTALLED
Concrete EQUIPMENT EFFICIENCY EFFICIENCY
Frame,2'x 4' R
Central A/C-Split EER = ii SEER =
Frame,2'x 6' SEER
< = 9.7 SEER =
3: Common,Frame A-1 1 0 Room unit or PTAC EER = 8.5* EER =
Common,Masonry R-3
Electric Resistance ANY
z 'l)
Under Attic .6-30 0 Heat pump Splif
HSPF = 6.8 HSPF =
:3 Single Assembly;enclosed
Fu Single Assembly;Opened R-10 Single Pkg. HSPF = 6.6 HSPF =
U15
W 11
LU
Common,Frame Room unit or PTHP COP = 2.7* HSPF/ =
U) Slaab-on�grade
Cr [No Mhnim_urn�_- COP
0 Raised Wood co Gas,natural or propane AFUE = .78 AFUE =
LA
INITAL9LE E
SEEI
Fs
esi 71an
ce
p_; HSPF z
_S4ngle Pkg. H SP F =
it or PT P S
H FHP F
0 Raised Concrete R-7 Fuel Oil
ommon,Frame R-11 AFUE = .78 AFUE = -
In unconditioned space Electric Resistance EF = .88 EF =
R 6
In conditioned space No mirimum Gas; Natural or L.P. EF = .54 EF = -
Fuel Oil EF = .54 EF =
TABLE li PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY See Table 6-3,15-7
Percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient. Maximuml
GLASS Tyll OVERHANG,AND -Installed%
SHADING COEFFICIENT REQUIRED FOR GLASS P NTAGE ALLO
Maximum
UP TO 20% UP TO 30% UP TO 40% WED
0
S�inggle UP TO 50%
Double Single Double Single Double Single Double
OH-SC OH-SC _SC 0 C
101 OH-SC__ CH-SC SC C
__Q01H-SC
H_S
OH-SC OH-SC OH-SC
O'_'9O 2'-1.0 1'-.90 3'-1.0 2'-.90 4'-1.0 !0 go
0'-.86 1'-.86 0'-.70 3'-.90
2'-.86 l'-.70 3'-.86 2'-.70
0'-:65 1'-.65 0'-.50 2'-.65 l'-.50
1 0'-.45 l'-.45 0'-.40
L Shading coefficients(SC)may be obtained from the manufa 0'-.35
cturer. Single clear SC 1.0,double clear SC .90,and single tint SC .86.
AINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REOUIREMEN CHECK
Exterior Joints&Cracks 606.1 To be caijill nnaketed,weather-stripped or otherwise sealed.
Interior Joints&Cracks 606.1 All openings in interior su Ices )f ceilings and exterior walls must be sealed.
oe op ates .1
Infiltration Barrier 606.1 It lihillration Darner must W installed i seal
Fireplaces 606.1 Fill � i i list have flue clani � l � �l
!11:1 9 ISS 3111 : ill 11,1:1111 ill illikes.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion
devices with intearal a haust ductwork.
Combustion 606.1 Combustion space arid!water heating systems must be provided with outside combustion air,
Heating except for direct vent appliances.
Water Heaters 612.1 Comply with e iciency requirements in Table 6-11. Switch or clearly marked circuit breaker(electric)
of cutoff(gas)must be provided. External or built-in heat trap required.
__iw_imW1_n_g 612.1 Spas&heated pools must havec�vers(except solar heated). Non-commercial Pools must have a
Pools&Spas
pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
t Water Pipes 6__
12.1 Insul 1:3 1:1111,11111:1111:11 It i� lit;
1 1 Ill, Ill 1 water circulating systems,(inclu ing he l recovery units)and the first
8'of piping from the water heater(or until piping enters an insulated wall or slab).
__§h0wWH9i_d3 612.1 Water flow must be restricted to no more than 3 gallons per minute at So PSIG.
HVAC Duct
610.1 All ducts,fittings,mechanical equipment and plenum cham rs shall be mechanically attached,,
Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation&Installation insulated to a minimum of A-6. Air handlers shall not be installed in attics unless in mechanical closets
HVAC Controls 607.1 Separate readily-accessible manual oil
clutuniatic thermostat Tor each system.
GENERAL DIRECTIONS:
1. On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed.All R-val and efficiencies installed must meet or exceed the minimu values
fisted. Components and equipment neither being added nor renovated may be left blank. rri
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows,sliding glass doors and glass door panels. Double the area of all nor-
vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of ths glass may be subtracted from the total glass area
Divide the adjusted glass area total by the conchtioned floor area of the addition. Mull by 100 to get the percent.Find the largest glass percentage under which your calculated percentage falls on Table 6C-2 Prescripmes
are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC). For a given glass type arid overhang,the minimum shading coefficient allowed is specified Actua)glass
windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 6C-2 All new glass in the additor
must meet the requirement for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under he outemcst ejv-
of the overhang,
3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest
edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane finted,double-pane clear or double-pane
4. Complete the information requested on the top he#of page 1, tinted.
5. Read*Minimum Requirements for Small Additions and Renovations",Table 6C-3,and check all applicable items.
6, Read,sign and date the*Owner/Agenr certification statement on page 1.
CITY OF
jlcax-�A- 4�,,t 1:7,-ada
Office of Elui'lding Official
REQUEST FOR INSPECTION
Date -6/7— Permit No.
Tirre A.M
Recelved
job Ad(,Irps,, Locality
Owner's
Nanic Contractor
:�ULIL D'I N G CONCRETE QELECTRICA PLUMBING (��MECHANICA
-Con
-X-Footino Rounh
He Roofing Slab Temp Pole Top Out Heating
Insulation LintLi Fma Sewer Fire Place
Pre Fab
READ`,' FOR INSPECTION�
A.M.
o,I f-huls, Friday --PM
Final Inspection
Certificatc of Occupancy
Ct I
VZ
O�'ffcc, Of BU'Un�, 0w;--jal
Date
Time Pen-nit Nlo, --9k
Ruceived A.M,
P m
Job Addres-,
Owner's .Locality
Name Co,tracior
tic
Fmmin�,, IC ELECTRICAL P LU M B IIN C. TAIECHANICAL
Fooling
Re Rc�ofi;jc Rorjg�,, �%Ijrjnc Rough Air Cond. &
S:a L, r
InFulai,io.- Temp Poje Tor,Out
L i ntr 1 Final Heating
Sewer Fire Place
READY FOR INSPECTiON Pre Fab
lues Wed. huls. Friday A.V,
P.V.,
h-sp�ictio'-. fvladc A 11,
F a
m,1 Inspection
C ortificatc of Occupancy
Nil
11 11 IF i� 1111
M—A
4A
.ka
'2N
5r
p-
5AI *Tq
NF,
C- Rp '9-.-0
'Am V Q R
47-
M
I MEI�f
S,
Z7
27,
Wtj
I Al
49
mommomm
Xwl RECEIVED
2 5
C 0 A t I i C C�z a Z;
OC_7�/ City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION
FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
JOB ADDRESS 386 6 th st DATE 6-25-02
APPLICANT Boggs Construction / Mr and Mrs. John Burr
ADDRESS 386 6 th St-- PHONE: 249-2653
LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT
CONTRACTOR Boggs Construction STATE LICENSE NUMBER CBCO23314
ADDRESS P.O.Box 1560 PHONE 273-4682 631-6536 cell
CITY-Orange Park -STATE Fl zip 32067 FAx 273-9118
DESCRIBE PROPOSED USE ANDWORKTOBEDONE Two story addition on front of
home with garage below and masterbedroom suite above.
PRESENT USE OF LAND OR BUILDING(S) single family home
VALUATION OF PROPOSED CONSTRUCTION 153,689.00
Is this an addition? yes If yes,what are the dimensions of the added space: 31 ' feet by 2 11 feet
Will the added area be heated and cooled? yes upstairs —New electrical or increase in service? yes underground
New plumbing fixtures? y e s New fireplace? no New heating/air conditioning? yes
Is approval or Homeowner's Association or other private entity required? no If yes,please sub nit with this application.
WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MATERIAL?
UNO. Applicant certifies that no change in site grade or fill material will be used on this project.
[I YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide al
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the
Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's
Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical
survey or grading plan is required. (If n6t required, written verification must be provided with this application.) The Department of
Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834
6/18/02
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address -3 s
Date 2-
Heated Square Footage @ $ per sq ft = $
Garage/Shed @ $_per sq ft = $
Carport/Porch @ $_per sq f t = $
Deck @ $-Per sq ft = $
Patio 5(v @ $_per sq ft = $
TOTAL VALUATION: 1-3
Total Valuation 1 s t 0
-�--A> 6 '? > , 6 2- z
Remaining Value per thousand
04 portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $--
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $
(&?�- RADON (HRS) . 0050 3 X?- I T
SECTION H PAVING 0
HYDRAULIC SHARES 0
CROSS CONNECTION $ 3.z
t- 7�) SURCHARGE . 0050 $ 3. 0 3
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing_
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well_; Sign_Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY HHLL ATL BCH TEL No .2475805 Mar 28 ,95 15 : 29 No .018 P .01
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ILICTRICAL PERMIT
fs—
To THE CHIEF sLECTRICAL INSPECTOR:
IMFOqTANIT NOTICE-
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRI131EID IN THE FOLLOWING, WE
AGREE TO PERFORM SAID WORK IN ACCORDANCE WIT14 THE ATTACHED PLANS AND SPECIFICATIONS
HEREBY IONS, CODES AND CITY 00
W14M ARE A PART HEREOF AND IN'ACCORDANCE WITH THE ELECTRICAL REGULAT
AT TIC REACH ORDINANCkS.
c Quwa co
JoumnLuoAm
fin
RES$l 300to 5 .-BOX
�-ADD
NAMl_
BETWEEN:
COMM.I I PUBLIC I INDUS.( NEW OLDI I FtEW.
RICK APT-( I SIGNS FT.
AODITION,X TRAILER I TEMP.I I FEE
SUIVICE: NEW INCRIASE i REPAIR
Copp-EB I I ALUNd -1
yQLy __RAC
uR9A%gR
PH RAQ
I-T
OPNO. SIZE .....
No. U. N size
0.
D 6N TOTAL
'CONCIALE 3 oprN
T
OONCF.ALED OPEN11—
pg
INCAN ENT
Lim- 5SCENT Al M.V.
SELL TRANSF.,
H.P.RATING H.P.R IN
AIR TOR$
OTHER 0
60161TIdNiNG COMP,MOTOR
PH$ No. ?V.P! VOLTAGE
MMLLAN
mlldM MEW�
MAP SHOWING SURVEY OF
i.tyr 37, BL(X--K 7, PUNP W). i, SUBDIVISL(XI -lpXll N,�,I�Ajsjj,jj' lit.- !I V, RF]CORDFI) LN llf,u jiA)K
AC
F5, PACLE 69 OF 'ME CURRUIT jlt,1131�1(' OF flIjvAi, OWNN,
6th 40' R/W PAVED STREET
(49.92' FIELD)
114.39' FIELD 50.00
FOUND I/2"IRON PIPE FOUND 1/2"1 Rd-14-PIPE
- FOUND 1/2"IRON PIPE
OD OD �0.2�.S. 1048
c) NO CAP L-9. 1048
0
:T)
4'CHAIN LINK 0
FENCE
0"
6.8
20.4'
10.
12.0,
rn
4.9
.0
I STORY
Lu STUCCO RESIDENCE
LOT 39 LOT 35
No. "6
FINISHED FLOOR 0 w
0 E,
ELEVATION-12.56
00 OV
COVERED/ 4.0' U-) N I
0
CONCRETE
NOTES STOOP
THIS IS A BOUNDARY SURVEY. 0
NO BUILDING RESTRICTION LINE PER PLAT. 14.0' 4.
ANGLES AS PER FIELD SURVEY. 20.2, li
NORTH PROTRACTED FROM PLAT. 10.9, [><
Lt CONCRETE CONCRETE
STOOP PATIO
77,
0
190.
010,
Lac% ;-W000 PRIVACY 11611,
ENCE
0.4'- 4'CHAIN LINK FOUND 1/2-IRON PIPE
FENJE
and Zorl�PIE, NO CAP
0-
FOUND 1/2"IRON PIPE-/ 0.;1
NO CAP �0.4'
it 50.00'
LOT 40 :j ( 50.10' FIELD) LOT 36
1 LOT 38
THE PROPERTY SHOWN HEREM APPEARS 7) LIE IN F1,00D ZONE; "X" (ARFA WTSIDE 500-YE.M Flk)OD
PLAIN) AS V�� AS CAN BE DETERtfINED FlnM IHE "FIMID INSURANCE, RATE MAP" FUR IVILANTIC
BEACH, FLORIDA.
T HFI&MY CERTIFY TO JCM BURR AND KARE24 KOSTER. FLORIDA HIJ*WAN ANT) SUTUAFff Tl'PLE OF'
-—------------
E30ATWRIGHT LAND SURVEYORS INC.
July 29, 1992
Jeffery & Carolyn Woods
395 Poinsettta- Court —
Atlantic Beach, Florida 32233
Re : Elevations for Lot 37, Block 7, Plat No . 1 Subdivision
"A" Atlantic Beach, 386 6th Avenue, Atlantic -B-each, Fl .
To Whom It May Concern :
The elevations for the above referenced property are listed
below and are based on National Geodetic Vertical Datum.
Finished Floor Elevation 12 . 56
Lowest Floor (garage ) 12 . 08
Highest AdJacent Grade 12 . 4
Lowest AdJacent Grade 12 . 0
The property lies within Flood Zone 11XII (area outside
500-year flood plain ) as shown on the "Flood Insurance Rate
Map", Panel No. 120075-0001 D as revised April 17, 1989 for
Atlantic Beach, Florida .
Sincerelyj
01
1:11-ei�tl
- Maxi e -C. Clarke, P .L. S .
Re�lstexedta`nd Surveyor No . 3117
State ,of Fjor�ida
1711 SOUTH 5TH STREET - JACKSONVILLE BEACH. FL 32250 (904) 241 8550 FAX 2-11-3346
CITY OF
4&42,a& N16'
Office of Building Official
REQUEST FOR INSPECTION
Date 7 �2-
Permit No
Time A.M.
Received- P.M. District No.
Job Address
Owner's . ' )",) ( 1) Locality
Contractor--./el
ZBUILDI:N:;� C�OtNCRETE ELECTRICAL PLUMBING' MECHANICAL
C
F 0
acting 13 Rough Wiring Ei Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 11 Temp Pole U. Top Out 0 Heating
Lintel El Fire Place 0
3, A� X READY FOR INSP Pre Fab
Tues. Wed, A.M.
Thurs. Friday_p.M.
Inspection Made
lnspector-��L Final Inspection 0
Certificate of Occupancy
Date
CITY OF
,Q44d w- Be"'A
Office of Building Official
REQUEST FOR INSPECTION
Date—6-7- .-' -�) 7
Permit No.
R. A.M.
District No.
b Addre s
Own:r's Localit
Nam _2
Contractor 1��60,e
BUILDING CONCRETE ELECTRICAL PLU
;k MECHANICAL
Framing 0 Footing 0 Rough Wiring o Rough 0 Air.Cond.& 0
Re Rooting 0 Slab 0 Temp Pole 0 Top out 11 Heating
Lintel El — Fire Place
READY FOR INSPECT'l Pre Fab
Mon. Tues. Wed. A.M.
Inspection Made Thur A. Friday P.M.
Inspector
Final Inspection 0
Certificate of Occupancy
Date
CITY OF
4&4#dw Beacls-&;&U-ja C/
Iff f ice of Building Off IcIal
RE61LIEST FOR INSPECTION
Date Permit No. a 1913
Time
Receiv -16 ;tMA. District No.
Li
Owner'"ob Acld�ess
Nar 0 0 0
-a Contractor Locality
B U I CONCRETE-ELECTRICAL PLUMBING MECHANICAL
Framingl- Footing Rough Wiring E) Rough E Air.Cond.& 0
Re Roofing El Slab 0< Temp Pole D Top Out 1:1 Heating
Lintel Fire Place
READY FOR INSPECTION Pre Fab
Tues. W A.M.
Thurs. Friday P.M.
In.p tion Made A.M.
Inspector 7:�!z 1 Final Inspection 0
Certificate of Occupancy
Date
CITY OF
800 SEN I I IN M.U.W)AD
AILANTIC BEAC11, H-01111A 32233 544;
"I'LLETIRPS1, (904) 247-5800
F%X (904) 247-590;
N OTI CL
To: Water Department
City of Atlantic Beach
Date: Z/
-----------------------
Please be advised that the final building inspection has,
been completed on each of the following addrE-11313t.?�:, arid
construction vater is no longer required :
Permit Number Address
C
-------------- -----------------------------
-------------- ----------------------
-------------- ---------------------------------------
--------------
--------------
Sincerely,
�3 vz�
Don C. Ford
Building Official
DCF/pah
cc: City Manager
54010
BUILDING
CtTy,OF ATLANTIC BEACH
--------- LOCATION INFORMATION ---------
----4, PERMIT INFORMATION -------
Permit Number: 5400 Address% 386 SIXTH STREET
Permit Types MECHANICAL ATLANTIC BEACH, FLORIDA 32233
------- LEGAL DESCRIPTION -------
Cie", of Works NEW
Block t S*ctiont
Lott
Coh$tr. Types WOOD FRAME
Pr000sed Use: SINGLE FAMILY RNGt 0 1
Codes 0 Subdlvllvio"� ATLANTIC REACH
06.00
'Eati"ted Values
liprov,* Cost,: $0.00
��Totall $4 $47.:,00
$47.00
Do
Work" TRAL HEAT AND AIR IN NEW RESIDENCE
W�
APPLICATION FEES
ATION
PERMIT: $47.00
00.00
so's STREET A T IMPACT FEEpvv
Add P
CH, _FLORID&A I P#, FEE
- w OW
5,
p
RADON GAS-H. R S. $0.00
0 NFORMATjpN RADON Gil� 5% $0.00
WATER TAP $0.0.01,
NA` *e:, IR BL :9910" 'TAPI, 1-1- _*O. 00
Addr"a- -28-15
44�
JACK ILLEi FLORIDA 322i6 ' HYDRAULIC SHARE $0. 00
00
Lice A Typet RE-INSPECT FEE
91
SEC. H IMPACT FEE
'14
pQ
-OTHER
N E
OT, S:'
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST 13E INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILLbhNG MATERIAL,,RUBBISKAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUSTBE
CLEARED UP AND HAULED AWAY�SY EITHE'RCONTRACTOR OR OWNER.
HANICS' tMN LAW CAN RESULT IN
3LURE TO toufty WITH THE MEC
tSFA
PIERTY" 'L W'N y
134E,PRO ERPA ING TWICE FOR NO-IMPROVEMENTS.
WIN Ms OS12IN
AF
THIS PERM]&� USJEC OC
ISSUED ACCORDING TOA T Tq ATION FOR
PPROVEP PLANS WHICH ARE PART OF
vI0LA*IO*OF-APPLICABLE PROVISIONS OF LAW.,
fift-104 MKS
ATLANTIC BEACH',06tLDING'DEPARTMENT
By.
�47
CITY OF
ErVartatrint of Builbing �nsvprtivn
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Bldg.Permit No.-5
Use Classification
C
�i;_,
Group ALL, Type Construction --Fire District
Owner of Building ---Address
Building Address Locality C J-5 c.�
Y—:
�N
Building Officiii Date
POST IN A CONSPICUOUS P"Cit
Ld
Z, CITY OF
0" e
1424j,4e &044-q&W4AZ
Office of Building Official
REQUEST FOR INSPECTION 3 IF
Da t e Permit No.
District No. -7
Time A.M. nZ,
Received P.M.
Job Address ocality
0 ner's
N
L U .�6A N-I tW
P�
ECHAN-117AA,
BU� N�G , CONCRETE EL CTRICAL P L U IM61 IIST I q G
Footing 0 Rough El
Re Roofing 0 Slab 0 Temp Pole D Top Out El Heating
Lintel Cl Fire Place 0
FOR INSPECTIOR Pre Fi b�A.
Wed. F Qpot P.
Tues. t Friday P.M.
Mon. k�—-----
A.M.
Inspection Made f
pector ---(Z�nal l,,spection El
Certificate of Occupancy
Date
CITY OF
4&.& BwcJs-
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M. District No.
Received —j Tk4 0 0 rr\
P'm
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing El Footing 11 RoughWiring EJ Rough 0 Air.Cond.& 0
Re Roofing Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel El Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday—P.M.
CD- A.M.
Inspection Made P.M.
Inspector
��Certificate of Occupancy
Date
A,
V
CITY OF
4&4a& BeacA-99&U-c&
Office of Building Official
REQUEST FOR INSPECTION
Date 2— Permit No.
Time A.M.
Received —P.M. District No.
Owner,s Job Address Contractor t Locality
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
W, . �
Framing El Footing El Rough 4iring Rough E Air.Cond.& r,
Re Roofing 0 Slab E Temp Pole Top Out 11
Lintel Fire Place
Pre Fab
(Rny INSPECTION A.M.
y
y
�WMon. Tues. Wed._ Thurs. Friday—
A.M.
P.M.
Inspection Made
Inspector Final Inspection 0
Certificate of Occupancy
Date
F
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233 6 1121�'
APPLICATIO.N FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111. and IV.
4 LOCATION Street Address: —2
OF Intersecting Streets: Botwdgn —And
BUILDING Sub-division J_4"� 3
11. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attec4pd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) 0-W_ Master
Name of A
Property Owner
Signature of Owner vo Signature of
or Authorized Agent Architect or Engineer
Ill. GENERAL IN'FORMATION - . N I I
A' Ty of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?
0 Gas—0 LP C3 Natural 13 Central Utility 67
IF YES, GIVE NUMBER OF CONSTRUCTION,
13 Oil PERMIT
13 Other — Specify
IV. MICHANICAL E91,11110MENT TO BE INSTALLED TURE OF WORK
I rovide complete list of components an back of this form) Residential or 0 Commercial
Heat 0 space [3 Recessed X Central 0 Floor New Building
A;rCondifioning: [3 Room "i, Central 0 Existing Buildin g l(
Duct System: MateriaL--._ Thicinou--- 0 Replacement of existing system
I Mestimurn capacity 12-00 c.fm. /JV— Now installatio4tho system previously Installed)
0 Refrigeration 0 Extension or add-on to existing system
0 Cooling tower: Capacity 9-P.M. Other — Specify
(3 Fire sprinklers: Number of head-
13 Elevator 0 Manlift 0 Escalsto (number) THIS SPACE FOR OFFICE USE ONLY
C3 G464ino Pumps Inumber)
(3 Tanks (number) Remarks
0 LPG contain* (number)
D Unfired prossure vousi
E3 Boilers Pormii Approved b Do
d Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Ca adty A groving
Number Units Description Xodel Number 3ftnufacturer (rns)
4 /oll
'jj 5401
09PARTMENT OF BUILDINO
CITY10F ATLANTIC,BEACH
Ti
(M'_ -------- ---------
PERMIT' INFORMATI LOCATION INFORMATION
oerft�t Nu*b4r t Address: 366,i'SIXTH 'STREET
potmit type; UT,ILITT M5 ATLANTIC REACH, FLORIDA 32223",
ESCRIPTION ----------
LEGAL D
tl&m of Vork: NEW,
Lots 3*1 Blockt section t
Y.,
Con t:e. T ikw z WOOD FRAME
RNGJ , OL
� Pr oned 'uso: Simsix ,0A14ILY TovInshipt
0
Ow4l ingot , .1 : Codet� 0 Subdivisio�n s, ATLANTIC BEACH
e *0.00
Esti at d V ue I
t $0.00 ,
I�pray. Coo
*219. 84
Total Fee
$219. 84
'Da 5/21/9,2
11 — - - - 1 72
E METER ,fAIV_FpR IN, Box
Wor*i jJ>INS' PERMIT
WATER SEIRVIC
ON
AT!
TION FEES
APPLICA
v
PERMIT $0. 00
PACT FEE $0 00
A - WAT R
Ad s STREET I"
'FLORID *O.Q0
I P
;,T 9-
0
A
3
]RAD]b GAS-H. R.S., *0.,00
----- -- 'RADON GAS $0.00
WATER TAP 4219. 84
us WW S�DRPA
SEWER TAP
HYDRAULIC SHARE $01. 00
00
Typot 0 RE-INSPIRCT FEE
Ll 41
SEC,H IAPACT FEE ,4-' *61.
g
�qt P�
r
-NOTES- 1-
NOTICE-ALIL,CONCRETE FORMS AND FOOTINGS MUST RE SPECTED BEFORE POUR NG
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
PLACED NPU LC P E AND USTI-S I
1 8 1 S AC M
:BUILONG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE E
CLEARED UP AND HAULED AWAY SY EITHER CONTRACTOR OR OWNER.'
F L IRE TO' COMPLY WITH THE MECHANICS'-LIEN, LAW CAN, RESULT IN
li" _ 6 '_,`bWN,.`S,,R,'PAVING TWICE FORBUiLDING IMPROVEMENTS.99
61p RTY
TIMEt 04:54 PN
�_ISSUEI) ACCORDING TO APPROV I ED PLANS WHICH ARE PART OF THIS PERMIT�AND $ TO REVOCU" FOR
VI
OL#ION OF,APPLICABLE PROVISIONS OF LAW. LIM
PA
WMIPT NLSW:,03MW
ATLA C BEACH BUILDING DEPARTMENT
41
aw
540
DIEPAI:tTMENT�OF BUILDING
CITY OF ATLANTIC BEACH
-------- LIDCATION INFORMATION
---1 PERMIT 'INFORMATION -------
lpilt Number: Addriess: 3861 SIXTH STREET
5465,
'Wit ATLANTIC BEACHr FLORIDA 32233 "
11 Pei Typej% VTJ -----------
LEGAL DESCRIPTION
Mimi of Work., NEW
Blocki Section%
Cojj# r Type: 'WOOD �F,RAME Lot:
Tolvnshipt RHO: 0
p u t sxNGLZ,,FAl%ILY
roposed se
,I Cot
owjj�j* - o '' Subdivisioii:
00.00
0�ed- value;
1: t - -
' *Q.,OO
� *325.92
Tot
0�0u, : $325.92
.0tHrr AT -IAA ISIXT4 s3,:RF-R:E
S
APPLICATION FEE,
AT I ON
PERMIT $0.00
TREIM, IMPACT FEFSO-1110!f $0.00
4W
C1141 , FLORI S
Aw-
w
IP
RADONA1AS-H* R. S- 00.00
*DON, �OAIS *0. 00
:iFORMAT N
0-17AP,
U A
S , $0. 00
'SEWER TAP *325.92
lVdt
HYDRAULIC SHARE , $0.00
00
a 0 RZ-INSPECT FEE
L il Ty'p: e I
'Std.11i �I-XPACT s
10
NOTtS.
ALL CONC ETE FORM&AND FOOTINGS MUST BE IWSPSCTED�BEFORE POURING
NOT00E
Ol 0 SIX MONTHS AFTER.DATE OF ISSUE
-PEAMIT V
BUIL G MATERIAL.,RUBSIS14 AND'DEORIS FROM THIS WORK MUST NOT BE PLA QED IN PUBLIC SPACE,AND MUST BE
t LZA 0 UP Akb HAULED AWAY Sy,EITHEA,c6NTRACTOR OR OWNER:
rQ,
M.��COMPLY`WITH THE MECHANICS'J letCLAWCAN RESULT IN
WR
0 "IMr MEN,
OWNARPAYING�TWICE F R, WILDING,
�:JSSOE� ACCORDING TO APPROV'' 6646w) REVOCAIM R,'j
MPLANS WHICH ARE PART OF THIS PERMIT ANC
ON
AOP CABL
OF Ll E PRO CHM C00
YISIONS OF,LAW.
N
f
H ' G DEPARTIVI
ATLAN C- EAC PUILD4 ENT
'Bly,
7-
77
16
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT MAKE------- — - �V—OLCL,4-----------------------
MAILING ADDRESS------��L2---- ---------------------
PHONE NUMBER_— YV -7 3 DATE----------------------
SERVICE REQUESTED__ 3/e/- ----------
--- ------------------------------
SERVICE
- ------ ---------------
DATE SENT TO DATE RETURNED
PUBLIC WORKS----)-/-
TO BUILD. DPT- ----------------
DATE OWNER
NOTIFIED---------------------
_--4
)MV
APR 2 3 1992
Building and Zoning
5-293
`�v�4"T Pi 144
'o vi' r OF a
4,01tY 6FIATTANTP6 BEACH
-------- LOCATION INFORMATION ---------
PERNIT INFOR]nATION
52,93 Addreast 3$6 SIXTH STREET
wolirt Number t�
ATLANTIC BEAdUt FLORIDA 322331,
13UILDING
P i t , Typo!:
P -,- - I LEQAL DESCRIPTION ---7-
�C,180# of, Work N W - ------
81'
Lot I o , 37 S iioni
T 'o Woo polk 1, , -,
y 0 FRAME
F To,,wnship: � Rhlsl 0
AXILY
Subdiviai6n� :, ATLANTIC BEACH�
6dei , - 0
C
esti�ated valu`o: ioq� 3159. 00
*0,
costv .00
provo
ITotlial- � ,,*2394*70
394.70
00,A
49 1
rc&
--- JCATXOX FERS-
TIG4 APPL
Y% WOODS
I A COURT IMPAC FEE40"7, ,�$590. Oct
Addr
E
il 'FLORI#
h,
��l 'elve
P 4' 973
4 RADON GAS-H. R. S. *14-92
Al
TtbN ------ RADON OAS
T , $0. 78
-P, GO
WATtR TA
�SEWM TAP
' 39 $0. 06
5" SETTIA COURT
8 $0. 00
ATLA KAPH, FL 32233 HYDRAULIC SHARE
0 E-J�HSPECT FEE *0., Oo
Typ
T f gp�,
Pq;
SEP,� Ap 0.W,"
#
OTHER
�NOT S:
E
09 ff",
NOTICE L_;4"'CONCRETE�FORMSANP FOOTINGS MUST BE1NOECTIRD BEFORE POURI,NG
pERMIT VOIQ SIXMONTHS AFTER DATE Of IS.SUE
G MATERIAL,RUBBISH AND FROM THIS WORK.MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEAqED up AND HAULED AWAY BY btk&CONTRACTOR OR OWNER,
N,"'ASSULT IN
THE MECHANICS9 !LIE LA
LURE T.0,coOpLy K , W CA
t"I ' PROPERTYOWNSR;PAYI NG TWICE FOR,BUIL6040 I Pjk%y&M""wl%
TlIC-2 09152 IM
lBSUOD CORDING TO APPROVED�PLANS WHICH ARE PART OF THIS PERMIT AND SIJBJE EVOCAT$60,
VIOL41ON OF�APPLICABLE PROVISKOKS OF LAW.
N'T"
� � ATLANt4CBEACtiBUILDIN�GDIE�p�!RTMF-
By:
j
c4 74)
/*
3 z
-/-,7
CA 170
-e '17 e e 'o Y-
74e
ce
FLA 1967 LAWS MANGO V0110 4t*
016 713.13
of
VaGrAng III DUPLICATS1
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
-7 Ai klvv t
Descriptionof property... . .............................I. ........ .......................................................... ........
....... ..........L-VI O-W V"-, ........................ ..........................................
.............................................................................................................................................................................—.........................................
...................................... ................................. .......................................I...................................................... .......................
General descriptkm of improvements,...........�A.4.Q�o...... ............................. ..................................
..................................................................................................................................................................................... ........................
................................................................................................................................................................................................................................
C)Oj s
Owner........-A-a-c-c'.)..... ........�.(:..Ef ................................
........... ...........................................
Aciclross...... ... ....
.A CA
........... ...
...J............................................................................
Owner's interest in site of the improvement.................................
fee simple rdle holder (if o'th*r than owner)
N......... ....................................................................................... ....................
AJ&ess.............................................................................................
s
....................................................................................
Contractor-
A"em.......... ......... .......�6.
CJ - .. A4i , &A . F(,
&W*ty (it my)............ ...................................I.......................................................................
......................... ................... .............................................................................1611110" oF boa ............................
N&m@ of Peron witho ** Sale of pmi& desWd*d by owner won whm ndim Or other&UNW1115 nOy
be sorve&
Nam.........
.A."ess...............................................................................................
....................................................................................................................
In addition to himself, owner designates the following person'to receive a Copy Of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owher's option).
N......... . ............................................................ ......................................................... ...............................
Address..............................................................................................................
THISSPA"PQ* MXCOMDgM.g USX D#gLy
............................................. ........
5327
I 'bf ATLANTIC AC14'
Ty
LOCATIOW-INFORMATION
4 PERnIT INFORXATIIO� $1 XTR"'j,'STREET
Addr�"�
9 pLoRIDA
P.rio:t,,t Number 2 5327 ATLANTIC, MACH -32233 1
PIL*#M:Lt" Type: PLU'ARING ---------- -
Block t - Section:
Of,Viork t "gY
Lpt,t
Y.-pe s, WOOD �PWV RNG.* 0
ro, 11 11 � -
S1,96LE FAMILY,
00
pl— '"ATILANTIC BEACH
ings.
V*
06,
Eoti` ated
00
-057, Qu
'� Tdt
go
0,
4 0
ov,
T,
lat T *517�00
�Add
w
'RA
4$0
t
�A,
zw-
s4w=
1 01 00
®r,
90 -40
R
W"+
�j
P,kcT91
,�A �,Z MCA,
77777777�
n,
9 p N44 M,
'S,
411
411
Al
4
Y(�
k,4"'IDA
T
A Rio _W
UMU�T,,SS
IN FA THIS K
G,MAT -41AL
T
Vlk
0 UP
146-]KE
xjw]
FLAN6�' W
coo
THM ,
"F
ERnIT INFORIIATION
N,u,mbL
5327_
ICSEAICH'iAJIL6iiW
i4RTM,
ATL�i I
sy- kZ
X
:1ROPERTY DESCRIPTION CITY OF
7 71-1.)
761 T a4
;a Vwea
7160CEAN BOULEVUL)
__Block ---]--,.,Section 0........
APR 2 11992 P.0.BOX 26
ATLAfMC BEACH.FLORMA 32233
lubdivisions--A----------------------------- Building and Zoning TELEPHONA;IWO 249-2J95
itreet flame & DESCRIPTION or WORK
)r Addreows-- --------------------
1 19 In a FLOOD HAZARD
'lood Zone's roe complete page 3. Brief
Deecriptiono_
C1800 of Works
(New/R&model/AdditIon)__/qeW------
:01JING INFORMATION
Type of 1/0 jJ DO 0
Conatructions- 310�> C-
:oning Proposed 4(7? 006
tiotricts.pa��--Uaot-------- Estimated Vilue
:xceptions or
ariencon Grantods----
Solid or
-------------------------------—----—--- FAlled
Grounds—
OWNER INFORMATION
I�k- 2Lf L
Method of Meetings
Je -t Ca r ki. tj C/S -FT73
Property Owners_ ------------------- Phones_-4 V1
Mailing
Address-------
------------
Ac-A 32233
------- ------------ Zips-------------
CONTRACTOR INFORMATION
al-7
Contractors------ FF 00C),-4<------------------------ Phone# 72�D&
Mailing
Addreems-----LIZ PbA.3 c4L4 C-�-
------------------------
-------- - ---------—----- Zips—
Expiration
License Number 0--------------------- Dote I
Z-
1 "C"OT CCRT'ry TWAT I RAVI RCAD AND CXAMINED THIS APPLICATION AND XMO11 THC SARC TO 9C TRUC
AND COR*VCT. ALL PROVISIONS Or TUC LAWS AND ORDIXANCCS GOVERNING THIS TTPC OF WORK WILL 11C
COMPLICD WITH* WU9TUZn BPCClrltD HIM22M OR Wt. TUB GRANTING Or A PCIRMIT DOCS NOT PRCSumr To
O1V4 AUTHORITY TO VZOLATO ON CANCEL TNC PROVIDIONS Or ANY FEDENAL. STAT9 ON LOCAL VuLtz.
,.rr PCOULATIONSo ONDZNAMCCS# Olt LAWS IN ANY MANMRR, SNCLUDIMOI THC Govwxmino or CoNsTnucrtow on Tkc
PCXrONHANC6 OF CONSTRUCTION OF TRW PROJICCT. 2 UNDtMTAND THAT TUC ISSUAMCC Or THIS PEnRIT 13
CONTIVOCUT UPON TUB ASOV6 SUMMATION @CIRO TRUC AND CORiECT AND THAT TUC PLAuz Amo surronripa
DATA HAVC JIM ON SMALL- 89 PROVID9D AS REQUIRCO.
41
Owner Signature
----------- - -------Date
Contractor Signature------ Date
FLOODPLAZU DICVCLOPNCNT XMFORMATION
Type of Development CL COCI�-Izo& ("�"3.k4tc
----------)-------
Flood Zones.----
Raqvired Lowest Floor Blevation l
Xf building In located within a flood hazard zone, a survei sust
be made AFTER TUB NAB HAS BM p0URCDP certifying that the
LOWEST FLOOR ELIMATION In MMOI to or above the base flood
elevation entablIsbed for that zone*
no final Inspection will be made and no oertASicate of occupancy
will be issued until the wwvoy to an "Stie, with the Building
Department*
COMICUTSs
Applicant Acknowledgements X understand that the Issuance of
this permit As ciontingent upon the - above Information being
correct and thot the plane sad supporting date have I,- or shall
be provided an requirode X agree to comply with all applicable
provisions of Ordinance No* 25-7-11 and all other Laws or
ordinances affecting the propm development.
Outa,
Applicent0o Bignature_ --- ----
Department Use
Re,quired Lowest Floor Itlevation
As Built Lowest Floor Zlevation
Survey Filed with Building Department ...........
------------
KiM;g Department Representative
A
page 3
T-RWEE REMOVAL
SECTION A APPLICATtON MUST BE RECEIM By NOON OF THE WEDNESDAY BEFORE THE MEETING:
1. "Joods Poi'o5e4j'et cq V1-19 q 7_3
Pmpq Oww%Noom Aft
Z-- �Oi 3-7 6 """' /30,
c
Lw9lmdT(@*R4nwv8llSftAftrdbn
SECTION 8 (ro be ONVWed by#X#mft
IN"
a"G"V A"ft ad
2.What IS Ow PurPOW d ftm Pmpond ch~
3.SPWNYkmpmposodforrommanfoewn.-
TREE COW SPECIES. 89M(CM X HEIMMI CONDMON
n4A- g��
4.WO#Me bin be rabcood an to am
A
5.If flK WN loplem- I bvn be pkf*W
6.$po* ropleownwit Irm as klo
TREE COtRff SPECIES SIZEpMx
7.Adtach ske WM
(S K I P S F-.G i I f.-)N C ANI 0-C'. Y,V A.E-,T 5'.o i�ec,Ti a m D)
SECTION B - (All other Applicants)
1 . Property Zoning:
2. Submit the following:
SITE PLAN/TREE SURVEY indicating:
a) Site topography, existing and proposed grades
b) Existing and proposed structures
C) Location of all trees w/ DBH of six inches or more
d) Tree species and sizes
e) Trees to be removed should be clearly marked
f) Trees to be relocated shoulo be clearly marked
g) Location of any proposed replacement trees
h) Identify trees of special or unique characteristic
i ) Identify trees within 10 feet of construction areas
j ) Show location and type of tree protective barriers
k ) Location of utilities, accesses and easement�t.
1 ) Location of vehicle travel corridors
m) Location of commercial sprinkler/irrigation systems
n) Landscape maintenance plan (commercial only)
o) Staging areas for equipment and material storage
SECTION C
I agree to comply with the rules and practices established
in Chapter 23, Article II of the Code of Ordinances of
Atlantic Beach.
Owners Signature Date
CITY USE ONLY
Applicant has complied with all provisions of Chapter 23 and
requirements of the Tree Conservation Board.
Tree Conservation Board Designee Date
NOTE: "Tree Protection for Builders and Developers" is
available at City Hall or from the Division of Forestry ,
8719 West Beaver Street, Jacksonville, FL . 32220. ( 781 -1434 )
0,44 4t
17003
00PA11ITMIENT,0POW.Lat"al
'CAN
ITY 60 At
kv
JX
to -",X2, 23
A
4
1C,
�Vm 0,
V
3
FA,-,R"
�Ml
gig,"
.. ............... ..
tl
77
4
15, �41
k-1
T 2�3,,
4
740
0�
L iNl;,,�
#
6-,
4p
jr
NOTICE INSPECTION$ MUST SE REOUESTED AT LEAST 24 HOURS PRIOR TblNSPEC TiON
BUILD IN MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MU
ST NOTBE P�ACIEDrhl PUBLIC'PACE"AND MUST BE
�CLEARE
CLEARE UP,AND HAULED AWA B'�EITHER CONTRACTOR OR OWNER
H]e f*Ec" VEN LAW CANASISULTIN ' .
'WRE TO QM- WITH. T
c PLY.
W,ROPERT-YOWN
�,T�H 6 E R PAY ING TWIC E :
SU
�NCI IMP4 NTS
T jT
i6SUED _,HIS P R
kCCORDING TO APPROVED PLANS WHICH ARE.PART'OF
E M
VIOLATIC�N OF APPLICABLE PROVISIONSOF LAW. AND SUBJECT TO REVOCATION FOR
C
�ATLANTIC' EA H BUIC.IN5 UERTMENT 84439
4
_7"
CITY OF ATLANTIC BEACH CONSTRUC71ON PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
DATE PERMIT NO.
ISSUED BY THE CITY
JOB ADDRESS VALUATION $
PERMITTIEE LuAk
PERMITTIEE ADDRESS (g(171 Ey4i,-Wndl eAU C.1- fJ -TELEPHONENO. dlq- 36-1--m
REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT
0 ha CA- 4A- CA(�4.L t-11 F-S
LOCATIONS: (REFERENCE TO CROSS-STREET) S
I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL
EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE
SKETCHES.
A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTIUTIES/MUNICIPAUTIES:
JACKSONVI— ELECTRIC AUTHORITY YES ( ) No (-e ) DATE:
BELL SOUTH TELEPHONE COMPANY YES C%0) No ( ) DATE:
FERRELL GAS YES (--ij) No ( ) DATE: t?j(2.jjj
MEDIA ONE CABLE TV YES ( ) No (sIc) DATE:
2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT
OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS
DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR
OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALI BE IMMEDIATELY REMOVED FROM
SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC
WORKS, AND AT THE EXPENSE OF THE PERMiTTEE UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT or TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF I)AMLOrt Q)l"jP Er—i (CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT AED kA 0,)Q- TELEPHONE No. bil-N s y
4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR
HIS DESIGNEE.
5. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
CITY SPECIFICATIONS AND THE: MANNER SATISFACTORY TO THE CITY.
6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT,
7. THIS PERmrrTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN 10 DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN '4 5' DAYS. IF THE BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE
DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMITTED CONSTRUCTION,
8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF
EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES.
9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWEN7Y-FOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN IMMEDIATELY UPON COMPLETION.
SUBMITTED BY: �d�' � (PLACE CORPORATE SEAL IF APPLICABLE)
Sw Fmt�T AND SUBSCRIBED BEFORE ME THIS DAY OF
1-1,2 7 1998
NOTARYkfc(UBLIC OFFICIAL NOTARY SEAL
JODIE E COCHRAN
NOTARY PUBUC STATE OF FLORIDA
COMMISSION NO.CC453844
My COMMISSION EXP.APR.19,1999
t L)
(0401,
CON YKA Skl-zlvlvee Pullnl3rlYc Z-/Yc-L ,
bJOO D25
oEFF WOOD)
D EXIC
12E
14 A'�-
U rl A L
'AlOTAL 'VIXTURIny CQUONTi