Loading...
380 3rd St (vault) lI \ �, 11011, CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 03-00025696 Date 3/17/03 Property Address . . . . . . 380 3RD ST Tenant nbr, name 4 ' & 6 ' FENCE REPLACEMENT Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50 Owner Contractor ------------------------ LAY, EARLE R. OWNER 380 3RD STREET ATLANTIC BEACH FL 32233 ------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OFATLANTIC BEACH 800 SEMINOLE ROAD _ ATLANTIC BEACH,FLORIDA 32233-5445 1 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fI.us PLAN REVIEW COMMENTS Permit Application # Applicant: ec Address: _L4 �S¢ Pro=our ation is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date ., CITY OF ATLANTIC BEACH C ; FENCE PERMIT APPLICATION Date:_s Job Address: , 7 Owner's Name: Address: �'� Phone: ��_ Legal Description: Block Number: Lot Number: oning District: Fence Contractor: ,,� Address: JPhone: City: `r State: Zip: Fax: Type of fence and materials to be used: Valuation of fence: 1p pproval of Homeowner's Association or other private entity required? /�C f yes,please submit with this application. ),(In,(Interior Lot ❑ Corner Lot terior L]Dumpster or storage tank enclosure Tre Protection: JWNO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provided with this applicaf n is correct. Signature of Owner: .6 Date: A Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: Z/0 Mailing Address: :�&0 Phone: Fax: E-Mail: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 1 Revised I/14/03 OWNER'S AUTHORIZATION FOR AGENT is hereby authorized to act on behalf of the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception ❑ Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat ❑ Other BY: Signature of Owner Print Name Signature of Owner Print Name Telephone Number State of Florida County of Duval Signed and sworn before me on this day of,2002. By Identification verified: Oath sworn: Yes No Notary Signature My Commission expires: Sec. 24-157. Allowable Height of Fences and Walls. (a) Within Required Front Yards, the maximum height of any fence or wall, including posts or columns, shall be four(4) feet. (b) Within Required Side or Rear Yards, the maximum height of any fence or wall, including posts or columns, shall be six(6) feet. (c) On Corner Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed within fifteen(15)feet of any Lot Line which abuts a Street. (A minimum twenty-five (25) foot Sight Triangle shall be maintained.) (d)The height of fences and walls shall be measured from grade to the top of the fence or wall, including posts or columns. Where a fence or wall is erected at the junction of properties with varying elevations, the height of the fence or wall shall be measured from the side with the lowest elevation. The use of dirt, sand, rocks or similar materials to elevate the height of a fence or wall on a mound is prohibited. (e) The maximum height of a retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet shall separate retaining walls designed to add cumulative height or increase site elevation. Ordinance Number: 90-01-172 Effective Date: January 01,2002 Adopted: November 26,2001 68 Sec. 24-160. Dumpsters, Garbage Containers and Refuse Collection Areas and Above Ground Tanks. (a) Within residential Zoning Districts, trash receptacles, garbage, recycling and similar containers shall be shielded from view except during time periods typically associated with refuse collection. (b) Within commercial Zoning Districts, dumpsters, trash receptacles, above ground tanks and similar Structures and containers shall be screened from view by fencing or Landscaping, or shall be located so that these are not visible from adjacent properties or Streets. Ordinance Number: 90-01-172 Effective Date: January 01,2002 Adopted: November 26, 2001 70 DEPARTMENT 1.#`" OF BUILDING I CITY OF ATLANTIC BEACH,EACH, FLORIDA 3058 PERMIT PERMIT NO. THIS PERMIT MUST BOPOSTEDBUILD ON JOB Date ¢jTr�/ Valuation t = ---__19 O 'i Fee This permit not valid until above lee has been abject to revocation for violation of Paid to City Treasurer, and is ■PPlicabk provLiow of law. Phis is to certify that ' 11i]ada has permission to build b e, r p Q 'Classification, r E S i d e n Owned by ^J1ne Lot r IS Bloc__--__SSD House No=�3j According to approved plans which are part of this permit NOTICE--ALL CONCRETE AND FOOTINGS MUST gE$NS SPECTED BEFORE POURING, PERMIT VOID SIX MONTHS a AFTER DATE OF ISSUE ♦-► �----"� Z Building material, rub .I from this work must no be plandaced debris Public space, and must be Placedin and hauled away by either cleared up or owner, actor, R. C. Vogel FOR OFFICff Building Of$chd, USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBiN6 ELECTRICAL ) SEWER WATER FOR OFFICE , /USE ONLY Date------....Y/ *7A9 .1 Z. CITY OF ATLANTIC BEACH Permit *------------------------Fee$. . ............. Valuation $.... 0 0.....a ........ ........... ............ FLORIDA House APPLICATION FOR BUILDING PERMIT ............................................................................ I........................................................................... ........................................................................... Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. /- 2' ............. ....................................... 19-411­1 Date................:�tz Ownerill 1<-5r/ , ' ------------------------------Address__ �._ '............ .....Telephone Architect-------•. --------- ..... --- - -------......----------...Addres&................................. ....................Telephone No----------------------­------ Contractor Builder-._ ) '4 0 --------_-----------------AddressJ fi<;17. k--- 4M` " .Telephone No. ..... .. LotNo------------------------------------------------Block No.---.--------------------_-..Sub Division--------------------------------------------------------------------------------Zone------------- .............. ------------------------------------Street-------------------------Side Between....... ........................................ .............. . ..... Valuation -_-----------For what purpose will building be used------- -----------Type of construction---- Dimensions of Building----- ---Dimensions of Lot. Size of Footings_- . -----.--------------- ----------*----------------------- c'�'55 —z-'a/'k Size of Piers..--- ---------Size of -------- -----Greatest Sill Span in ft--------------............Type Raoi ....... ---------------- How will Building be Heated?--_ ............. ------------------Will Building be on Solid or Filled Ground?------7: Size of Ceiling Joists.--// 55cn5------...... Distance on Centers__.... 2 ................. Greatest Span------- ------------- Size of Floor Joists_..._2_)(/4> 7­7 Size of Rafters. Ti---_------------------------------------- Distance on Centers......_. ................... Greatest Span--.-----/0.....------------------------ ------- --------------­---------------, Distance on Centers.. ...2_7Q_--_--- ------ Greatest Span-----•/_f" I................................ This rectangle is to represent the lot Locate the building Or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall *7_AV*1rLOT LINE be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 7Z 3. When steel is in place and ready to pour beam. Z 4. When framing is completed. E-4 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. -35 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. p,4 Va=r OF LOT In consideration of permit given for doing the work as des bed in the above statement, we hereby agree to perform said work in accordance with the attachedspecificat* ns, which are a part hereof, and in accordance with the building regulations of the City of A tic Beach Signature of Builder.--------- ........ . ....... ... ...... .......... ........... 3 Address... .... .... ....... d...... .................. ............. Signature of Owner----_--.. --- ----- . .. .. ..... ................. Address------- .................................... -A nn1'- /CITY OF ''--__ JJ-- ri� /3�-4LO� Office of Building Official REQUEST FOR INSPECTIO Date Permit No. Time A.M. Received PM• Job Address ality Owner's Name _Contractor BUILDING ` CONC ETE ELECTRICAL PLUMBI MECHANICAL 11Footing ❑ Rough Wiring Ci Rough ❑ Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel Cl Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday Inspection Made �� �'� _P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF cc� Office of Buildi g Off' ial REQUEST FOR ECTION B !9e3 s Date 7 j �' //,j ac t Time /— t L ydG Received A.M. Permit Job Address W., Owner's _ Locality Name ___ l.� BUILDING - for CONCREfiir , t mg 1 ELECTRICA PLUMBING Re Roofing r Footing11 Slab Rough Wiring r� CHAN Insulation C Temp Pole �j Lintel ❑ Top Out Air Cond. & Final FJ Heating Sewer ❑ Fire Place Mon. Tues. READY FOR INSPECTION Pre Fab .Wed Thurs. Inspection Made j Friday M. ±dam A.M. PM. Inspector PM Final Inspection Certificate of Occupancy Date CITY OF 800 SEMINOLE ROAD ATLANT C 9EAC?i,FLC1P.?DA ',2233-`".",5 TELEPHONE(904)247-5800 FAX (904) 247-5805 SUNCOM 852-5800 DATE ` -6;J JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS o Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT e r�ORTAPJT ESSAGE V—a� -�1 FOR DATE TIME v .M. M— OF— OF /j PHONED Fnx RETURNED PHONE M0 YOUR CALL AREA C NUMBER ENSION / PLEASE CALL MESSE I-ol w WILL CALL V - 4 AGAIN CAME TO SEE YOU WANTS -0 SEE YOU SIGNED FORM 4006 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233 -Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: Address: 380 THIRD STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: 5 Proposed Use: SINGLE FAMILY Lot(s):25-27 Block: 4 Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: Improv. Cost: 1,000.00 �- --- Date Issued: 6/07/2000 -- ___OWNER INFORMATION_ Name:: _l.AY, EARLS AND_MARILYN - Total Fees: 30.00 Address: 380 THIRD STREET Amount Paid: 30.00ATLANTIC BEACH, FL 32233 _— Date Paid: 6/06/2000 Phone: (000)000-0000 Work Desc: REROO_F_ _ CONTRACTOR S —_ -- PROPERTY QWNER - O _ __ . APPLICATION FEES PERMlT 30.00 I j i Inspections Required____ l � i i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $38.0814 `-- --—-- Date: 6/87/88 81 Receipt: 8862926 I Y OF ATLAN C BEACH 88 CHECKS8883221888 545 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: *? 549 OWNER OF PROPERTY: t'' TELEPHONE:: CONTRACTOR: ;-K-10eae4 9 CONTRACTOR'S ADDRESS: ZIP: STATE LICENSE NUMBER: TELEPHONE: DESCRIBE WORK TO BE PERFORMED: 2' VALUATION OF PROPOSED CONSTRUCTION 0 0 0 MATERIALS TO BE USED: X t L-1/ SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS F AS TO OWNER: '` NOTARY PUBLIC Pw*k onett SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 011! Awww'lk— �� n+numnr�wr .wc. AS TO CONTRACTOR NOTARY PUBLIC Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied � 3a � ` ' l PLAN F�ORIOP OF ADDITIONS or • - - • D• NOT REMOVE JOB ADDRESS f DATE 3 d 3 Ad - , 2 3_ o THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 117 4LAr ' c / �-�- 4 �e- v ` $15.00 REINSPECT FEE 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 p.m. Monday through Friday. BL CITY OF "' Office of Building Official �'? 14 REQUEST FOR INSPECTIOI�le- Z o09 G n Permik"4V Date G A.M. Time P.M. Received Locality Job Address Owner's �79r CONCRE ELECTRICAL LUMBING HANICA L Rough [D] Air Cond.& Framing Footing ❑ Rough Wiring ❑ Top Out Heating ❑, Temp Pole . Fire Place Re Roofing ❑ Slab ❑ Final ❑ Sewer Pre Fab Insulation ❑ Lintel READY FOR INSPECT; A.M. _ Wed. Thurs. Friday Mon. P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy❑ Date a TRANSMITTAL OCCUMENT FOR JEA DATE : �•�? v The f-C11owing permits have passed "rough" inspection: ?ermit No . Address X c) 3 �Q ?1ease _z:C-'e Cur reccrzfs accordingly. ,•Thank yo �- CITY C- ATIA.N77C 3=nCH /vcb a CITY OF ATLANTIC BEACH APPLICATION FOR PLtm2wG PERMIT JOB LOCATION:_ �� r �� Jyee7k OWNER OF PROPERTY: /' �Ae TELEPHONE PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: ��X tj Q ,S�k, ddL, 04, STATE LICENSE NUMBER: C�C'U _S1 qY 7 TELEPHONE: o- 7--e1zM7 SOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS 1 BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS I WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER 4P_ in e,)P!i��� � � t�1 f&.LM REPIPE i - J+vSe_b� 6k OTHER p) TOTAL FIXTURES: x $3. 50 + $15. 00 MINIMUM PERMIT FEE - $25. SIGNATURE OF OWNER:."(--T SIGNATURE OF CONTRACTOR:,-R ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC BEACH — -- DEPAR I MEN I OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ! ! PLUMBING PERMIT PERMIIT INFORMATION - -- LOICATIOLN-1-111-FORM Permit Numbe : 1906 TION -----� ! Address: 380 THIRD STREET -� Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 4 Class of Work: REMODEL i Township: 0 Range: 0 Book: 5 ! Proposed Use: SINGLE FAMILY ! Lot(s):25-27 Block: 4 Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: _ Improv. Cost: - - --- Date issued: 4/18/2000 QWM,--LA-Y-,'- INFORMATION Name• LAYLE AND MARILYN Total Fees: 50.00 Address: 380 THIRD STREET Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 --Date Paid: 4/19/2000 Ph_ one: (000)000-0000 Work Desc: INSTALL PLUMBING EMOIN RDELING .. __,-.CONTRACTORLS�_ _ i APPLICATION_FEES ' CHRISTY FIRST COAST PLUMBING rt PERMIT T 50.00 -1 1 I I I E� III Required 1 FINAL SLAB PLUMBING TTOPOUT �SEWER/WATER i f i I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i' i j 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 i OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION ! FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I � 1 �—�-_ _ -- — C Date: 4/19/88 81 Receipt: 8851215 � ATLANTIC BEACH UIL G DEPT. CHECKS eelaeea���lee® CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 I� ELECTRICAL PERMIT J PERMIT INFORMATION__ LOCATION_INFORMATION Permim t Nuber. 20083 Address: 380 THIRD STREET ---- Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: 5 Proposed Use: SINGLE FAMILY Lot(s):25-27 Block: 4 Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: I Parcel Number- Improv. Cost: _ _ OWNER INFORMATION Date Issued: 5!17/2000 Name: LAY, EARLE AND MARILYN - Total Fees: 30.00 Address: 380 THIRD STREET Amount Paid: 30.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/17/2000 Phone: 000 000-0000 Work Desc: C9#2 100AMPS 1-PH 3W 240V SEURW ALUM_ - NEW SERVICE RCS _ CONTRACTO ) - -- - --�-- -- -—-APPLICATION PEES *kR-LY-ELECTRIC COMPANY INC. PERMIT - 30.00-1 I I 1 r Inspections Required ROUGH ELECTRIC !FINAL ELECTRIC �� -- -�- I I I E � � I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I �_-- - Operator: SHAWMA AT NTIC BEAC UILDI ~DEPT__ _. Date: 5/17/00 01 Receipt: OKA475 Total Pavmut CITY OF ATLANTIC BEACH, FLORIDA Approvwdby APPLICATION FOR ELECTRICAL PERMIT 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 HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER CTRICIAN SIGNATARE JOURNEYMAN 1/1 NAME. _ ADDR � �'I" ���/_ RFD BOX BLDG.SIZE BETWEEN: i RES. (bf APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ("1' OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) S0. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR l ) FEE CONDUCTOR SIZE AMPS 0 COPPER ( 1 ALUM. SWITCH OR BREAKER D D AMPS PH W VOLT - Z/ ACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. MAY-16-2000 03:13P FROM: 247-5845 T0:96418722 P:1,1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BRACH, p APPLICATION FOR MECHANICAL PERMITCALLdN NUMBEq IMPORTANT—Applicant to complete all items in sections 1, II, III, and IV. 1. LOCATION street Addnu: OF Infinaeling slreaff: Detwaan BUILDING And_— .1 a 11. IDENTIFICATION—To be completed by all applicants In consideration of permit given for doing the work es described in the above u t with rhe attaelled pkns and specif;aet;on, which aro a Port hereof and ' e ement we hereby agree to Perform said work in seeordanes of good practice listed therein, in accordance with the Citr of Jecksenvilla ordina-cos andf Name of htaahe"kal >e derde coatraet,r IPrlaf) Bt. Ceetraofors Name of ' r , Mester n r`a hi, Owner L..a►e��i C..�kr /^t I Sl9aawte of Owns, Or Aofbrfr'ud Agent s*fur@ of � Architect er Ifl. GMLUL INFOkMA710N Engineer N A. Type of beating fid: B. �I16e1r'e IS OTHER CONSTRUCTION BEING 00 a ON THIS BUILDING OR SITE7 .r C] bar—Q V Q Wwnl Q C.nfwl uNIHy Q ON IF D YES,GIVE,MUM sIJt �NSTR CTION 00WPBRbtIT Spetiw , . IV.""*'ANKH.EQUIPMW To It INATAL1E0 NATURE OF WORN .lpm*'da eamPlata"0 Of Oc npeneee ea beth el thin teem) ET' R wentlal or ❑ y� HOG' fi_d'/ CommerClal D Space �Cenflel D ffee► Naw Bu Ntleing 41,%Coadokmin9: 0 Roe. &-,—CeMnl 0 Fxlsting Building ������ r fi r` Ile �.L ThieFaea —.i_„� 0 Replacement Of existing system MadR'wn rapacity c f ft ❑ New Installation(No system previously Instilled) 0 Refriyenalwa 0 Extension or add-on to existing system 0 Caeling 10064 Cepectfy © Other—Specify 0 Row WARUen: Number of hand.__ _ D ElmIlat D Menlih 0 &A,4ter (eembarl 13 Qu-IN-Pernpit—laumber) THIS SPACE"om"USE ONLY tu,k. (Ree.taad) 0 (aamb«) Rmnorks 0 WO Cal Numberl O Uagsed p auw V"w 0 k&m Permit Approved by a pet w b Other—Specify Permit Fee,--_,,,_ LIST ALL ZQUIP14ENT Am CONDIT omni AND REFRIGERATION EQUIpMENT D11pgbBtThWa DeeCelptlBu >KedelDfuasWe DLutufaetures ( ) u L MATD1G•FURNACES, BOILERS, FIREPLACES Number U WU naBcelpNaa wood Number Agadir t G. GO TANKS flee.Sfanrembw omp a lty Tne Ind Dime of Serial Qootabtoa dwtmwNo. A CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ----�—..__PERMIT INFORMATION _- LOCATION INFORMATION --- -- Permit Number: 20096 Address: 380 THIRD STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: 5 Proposed Use: SINGLE FAMILY f Lot(s):25-27 Block: 4 Section:0 Square a �Feeett: Subdivision. ATLANTIC BEACH Parcel Number: Improv. Cost. _ OWNER INFORMATION Date Issued: 5/22/2000 - N_ame: LAY, EARLE AND MARILYN — Total Fees: 51.00 Address: 380 THIRD STREET Amount Paid: 51.00 j ATLANTIC BEACH, FL 32233 _Date Paid: 5/22/2000 _ _TL _Phone: X000)000-0000 — Work Desc INSTALL CENTRAL HEAT AND AIR —__CONTRACTOR(S� --____-- -- APPLICATION FEES BROOK'S AIR SYSTEMS, INC. PERMIT 51.00 I 1 Inspections Required------------ ------____ —_ —__ ROUGH MECHANICAL FINAL I NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1;51.�D 14 l� C 94 Date; 5/22/90 Ql Receipt. v '�'�49`v5 L-- - -- CHECKSTLANTIC BEACH BUILDINGG T. ®1000032210190 nn CITY OF ri&4ft4-C Qe""4-q;&,,�,�. Office of Building Official y REQUEST FOR INSPECTION Date L _ �- Cr,) Time Permit No. Received A.M. _? P.M. � C Job Address Owner's ` Localitl Name BUILDING --Contractor Framing ELECTRICAL PLUMBING MECHANICAL Re Roofing 1--, Slab Rough Wiring 11Rough Insulation Temp Pole 11p To Out ❑ Air Cond. & FJ❑ Lintel Final ❑ Heating ❑ Sewer ❑ Fire Place Ij R Y FOR I PECTION Pre Fab Mon. Tues. Wed. Thurs. Friday Inspection Made "CJ ©� A.M. P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ltt�c t�eael - ��r�a _ 800 SEMINOLE ROAD -- — ATLANTIC BEACH,FLORIDA 32233-5445 qj TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCONI 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER ACKNOWLEDGE THE LAW: TO DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS, YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE, YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT 1S FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,OOO) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS, THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- '55826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT, PROPERTY OWNER/BUILDE � �{{ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS( DAY NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION ,FS: AMMM ARE EMPHASIZED BY THE BUILDING t=Cla DEPARTMENT. ,�* COhM�IS31t)AI N(x553881 EXPIRES \� AWust 27.2W !Rf WNM 7NFOJ My FAIN WAPAN(X,INC. U A CITY OF ATLANTIC BEACH F.xcure Unic Worksheec For Vater Imoacc Fee FZXiZTRE UNITS ARE ESTABLISHED AS THE MEASUR124E, EACR {LITER FIXTURE UNIT INSTALLED AND CONN '��' Or SYSTr'!. T'dE VATER SUPPLY C;iLgGE ECTED TO T• •. _ ZS HEREBY FZ:CED �- C_�„_ ;;AT`R FF-2 FIXTURE UNIT CONNECTED TO THE Cl— VATER S-2 AT WENT DOL_AF.S __L___3A HROO,M GROUP CONSISTING OF WATER CLOSET. I-AVA70RY 6 BATH SERVICE S:NK iRAp STAND TUE OR SHOWER STALL (6) (8) WAT F.3 CLASEi. iANXOP , r VA7=3 C:.CSE; _�RAT.D (4) VALVE Opz:;TED (Q) 3AT4—.JE/SHOVES (2) URINAL WALL LIp SHCVLI GROUP PER HEAD (3) 4 i SHOWER STALL MMES T Z C (2) LAUNDRY CC•'*�I:iA-ICY $:`iK A.vC ��•� WASHING MACHINE (3) PCT, WASH SINK =AC SET C7 XITLaE'I SI?+fl: (2) � ?AUCE S (2) DE.'i':AL LAVATORY (:) LI7C3E5i slxx VZTH wASTE GRINDER (3) DENTAL UNIT OR CUSPIDOR (?) HID£- (�) UR:.NAL STALL, 'WASHOUT (4) nusaixc i^i SIxx (8) CO&u_BINATION SIN:{ Av'D -SAY FOOD DISPOS. (4) QKIHAL. PJ£STAL. SYPHON J?; 3LOWOUT (2) DRINKING FCUNTAI•N LIVATOKY, LL&3r'-R/3EAU7Y SHOP (2) ICE MAKER (7/2) SURGEONS SZNK (3) LAVATORY, SURGEONS (_) JACUZZI (2) URINAL STALL, ;ASHOU; (4) TOTAL FIXTURE UNITS_ZaL� $ZO 0 0 EAC-1 JOB INFORMATION CITY OF ATLANTIC BEACH k`' PERMIT APPLICATION REMODEL, ' ADDITIONS, OR ALTE1 1'IONSi i �31P1Ch MOVING, DEMOLITIONS' ''' '' 'oning Owner (s} : E 71- V,/ee)1V1 z 00/1 Job Address: Phone: C� l�,�� Lot or Unit # _ Subdivision: / Contractor: Wl/v,� State License # Address:- �j Phone No: CA CitY1/ �`�h/�G LState Zip Code 3J_Z3 Describe work to be done: �jy�Lc Present use of building: Valuation of Proposed Construction: ��j Proposed use: �/�f� Is this an addition? If yes, what are the dimensions of the added space: ft. X �ft. Will the added area be heated and cooled? New electrical (or increase) ? � New plumbing fixtures?L� New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature .: g Date- AS TO OWNER: Sworn to and subscribed before me this day of Z�k2000. NOTARY PUBLIC AS TO CONTRACTOR: ,4,Y� ,,� �'� _, pat"MOR""'"Y Pye- ?a*nrla Amoneft * :•. Ic Sworn to and subscribed before me this 3881 EXPIRES d}r'.=day oPIRES � `q� qF° BONDED �s,U TROY FAIN I iHNUTR0YFA1NiNBUNANCL;INC, NSURANCE,INC. NOTARY PUBLIC A�J11'' ����,,� /CITY OF fY&aa * /.i e4cA-A;&u4 Office of Building Official REQUEST FOR INSPECTION DatePermit No. Time A.M. Received pM. Job Address \ �- cality Owner's Name _Contractor BUILDING CO C E �- Rough ELECTRICAL PLUMBING MECHANICAL Framing ❑ Foo in Wiring Cl Rough 11 Air Cond. & ❑ Re Roofing 1 Slab C; Temp Pole Cl Top Out I I Heating Insulation ❑ Lintel C Final 11 Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. ' Thurs. Friday Inspection Made A.M. __ _pM Inspector Final Inspection C; Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 19839 Address: 380 THIRD STREET Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: 5 Proposed Use: SINGLE FAMILY Lot(s):25-27 Block: 4 Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 50,000.00 Date Issued: 4/05/2000 Name: LAY, EARLE AND MARILYN Total Fees: 2,278.14 Address: 380 THIRD STREET Amount Paid: 2,278.14 ATLANTIC BEACH, FL 32233 Date Paid: 4/05/2000 Phone: 000)000-0000 Work Desc: CONSTRUCT ROOM ADDITION PROPERTY OWNER PERMIT 390.00 WATER IMPACT FEE 270.00 SEWER IMPACT FEE 1,250.00 RADON GAS-H.R.S. 3.87 RADON CAB 5% 0.20 CAPITAL IMPROVE. 325.00 CROSS CONNECTION 35.00 CONST.SURCHARGE 3.67 SCHARGE/ATL.BCH. 0.40 S }FOOTING777 COVER UP FRAMINGDING INSULATION NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP'AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 4/05/60 01 Receipt: C047?i+ CHECKSC4 41000003435200 $390.60 14 Date: 4/05/00 01 Receipt: 60471011A q ate: 4/ 5 0 01 Receipt j,.71- CHECKSG DEPT. ATLANTIC �N I�i�ao�3221ee1} CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION NFORMATION Permit Number: 18310 Address: 380 THIRD STREET Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 300.00 OWNER INFORMATION Date Issued: 6/02/1999 Name: EARL LAY Total Fees: 10.00 Address: 380 THIRD STREET Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/02/1999 Phone: 904)249-4941 Work Desc: 3-FOOT HALF-RAIL FENCE CONTRACTORS APPLICATION FEES PROPERTY OWNER PERMIT 10.00 I I i ..�Anspqctions<Required NOT APPLICABLE I I I i I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. c, f18.88 14 Date: 6/82/99 01 Receipt: 0061203 ATLANTIC BEACH BUILDING DEPT. CHECKS 4470 08100003221008 .4 CITY OF Office u g REQUEST ulidin9 Official TimeDate -- (� _ FOR INSPECTION Received A.M. Permit No. Job Address Owner's Name BUILDING Lo ality _ Framing Contractor RETE Re Roofing ❑ Footing ELECTRICAL Insulation ❑ Slab ❑ Lintel Rough Wiring ❑ LU IN L; 7 emP Pole ❑ MECHANICAL Mon. Final ❑ Top out Air Cold. READY p0 Sewer Heating & ❑ Tues. R INSPECTIOIN ❑ Fire Place Inspection Made Wed. Pre Fab ❑ Inspector ) � Thurs. -.. _ lA.M. Friday A M r ..._ PM. Final Inspection/❑ Certificate of Occupancyy Date APPLICATION FOR FENCE PERMIT Owners Name_:�'41?lEMfl g,A,,) 4 Ay Phone Job.Address Lot Block and/or Unit # Subdivision Cantrartnr if different from owner Valuation-of.fence_$_ Zoo. Corner In Lot_ Type of Construction ) Show location and height of fence as well as location of street(s). 901Q Owner Signature Date Contractor Signature Date DEPMTMENT OF BUILDING CITY OF ATLANTIC BEACH' .. _ PERMIT NIPOR AT00 LOCATION INFORMATION ermit Plumber: 12125 Address,: 380 'THIRD STREET P r iit Type;MECHAPI CAL ATLANTIC BEACH, FLORIDA 32233` Ctasai of Wl,o k;AL `ZRATIt3N -- -- LEGAL DESCRIPTION :... __--_-. Cdn$ r. Type-.WOOD FRAME BI cock Lot: Twp; I3 Frca ed Use: Section; 0 Subd:O Rng. 0 Net ling . subdivisio a Value: 0.00 lm r �r: Cost : 0 . 00 'Total Fs so :27 .00 An '27 .00 Int 8,��991� I r�rls' b AIRNZAT PUMP CONDENSING UNIT F » - .- TION, APPLICATION PARES am ;, �. . Add Off"' 27 .40 'FLORIDA 3 bi><� 05 low" FOR AT I ame: lWE F. JACKSON �E, > LCR1bA 3 213 Lie-, 11 Exp,: 8/3,1/195 6 Ty + f3 NCITES; a S f 4 3 a NCItTiCE—ALL CONCR9TE FORMS AN*FOOTINGS MUST SE INSPECTED BEFORE POURING ,PERMIT VOID SIX MONTHS AFTER DATE of ISSUE SUILDIN.q.MATERIAL,RUBBISH AND'DEBRIS FROM THIS WORK MUST NOT BE PLACED I�PUBLIC SPACE,AND MUST Be CLIEARE0,UP AND MAUL't4 AWAY BY EITHER CONTRACTOR OR OWNER u FA LOR Tike OOMPLY 1 WITH THE MECHANIC'S LIEN LAW , RE Ul:T IN THE OPEI' I 01PAYIN GTWICE FOR THE SUIL IN I PROVEMEN 7 0 JA IS8lIEC3 CC4RDING TO APPRCVEfl PLANS WHICH ARE PART OF THIS PERMIT�► #+$U RE R 11 ?IwA OF APPLICABLE PROVISIONS OF LAW. I F CEBU'ATLANTINT A. Y OWN .,Y#..�, s ,r.. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address _s & Date q Heated Square Footage g � @ $ per sq ft = $ Garage/Shed @ $ per sq ft = S Carport/Porch -@ $ per sq ft = $ Deck -� @ $ per sq ft = $ Patio @ $ per sq ft = S 00 TOTAL VALUATION : S © 000 -- 000 ?- � Q, e� ti $ 2G .c�0 Total Valuation 1st $ y L $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 $ -- � — BUILDING PERMIT FEE $ WATER IMPACT FEE $ �. O SEWER IMPACT FEE 06 WATER METER/TAP $ CAPITAL IMPROVEMENT SEW R TAP $ _ (8/ ) RADON (HRS) . 0050 S Zo SECTION, H PAVING HYDRAULIC SHARES S CROSS CONNECTION $ (p/ ) SURCHARGE . 0050 S 3.L-1 A N o O HER 4 $ GRAND TOTAL DUE $ 7 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 3 MIN. a'UR, N PHONE , G� (�I Book 9580 mage 1'990 J rLA• 15 7 LAWS �1 FS 713.17 AAMco rO11M 40e oxi afl IN Of (fnMMrUjrjVMrnt eFA tFAl1t IN DUFI.ICA7R1 Zia Ulan it rMtralL. 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......44f7 ......� '.... w •..�- ",[,( �..... -.. ,T... ........t/ ./.. ......r .T.lr -ep.................................................... ............. ............. ...... General description of i mprovemenls....... f. ..........*r? :/�,/! l 0 .».....»......................................... ............................. Owner.... 1 �.... . 2 Address...... .........✓3.1Q0 ................ �... Owner's inter _ est m site of the improvement........ •�'.1!.�1...'�,.•. �� QrU Fee Simple Title oder (if other ....... :C....:;5./�'7�L C:^................................. than owner) Name............................................. pp�� pppp Address................ ..........................,...............................................Bookd�5$O 6•glg,8.8........................ ......................... :.............................................................................................Filed 1990 $..Recorded............»....... .............................. Contractor.... .W _ 03/28/00 01:25:35 PM »»»""""" HENRY V COOK Addreu............................. DUVAL COUNRTCUTT"COUR�`......»...................................................... / .......................... TRUST FUND............ ; 1.00 Surety (if any).. ......................................................... A COAD114 . .......•.s m.............».........»...».........» Address...................... ...........................................................................:...................... .........................................»».».................»............................» Arnounl of bond Name of person within: 16 State of Florida designated by owner hom not�et or other be served: upon w / documents may Name........."1,. .:...................................».......................................................................... .............................»».. AddT•u.......:......................................................................................................:.............................................................. ......................... In addition to himself, owner designates the following as provided in ge ion 713.13 (1) (F), Florida Statutes. (Fill In at Owner'sn'to receive pt, n), Lienor's Notice Name..................... • FLORIDA ENERGY EFFICIENCY C FOR BUILDIN ODE G CONSTRUCTION Florida Department of Community Affairs !?esiden*4;1af Whole Building Pertormance Method A Prod N e: Ear! �aY Residence ~s~ c�cu��r- —. -- Address: 380 Third Street Builder �1 City, State: Atlantic Beach; l=1 Permitting Office; Atlantic Beach i Uwner. M/M Earl Lay Permit Number. !9Y37 i Climate Zone: North Jurisdiction Number. 261100 1__New 1:0119truetion or ftisii*.s •� 2. Single addition = ) t Cooling systems - 6 family or n►utti-family Single family I{ 3. Number of units,if mnlri.f¢.,a, a. Control Unit j4. Number,of Bedrooms t =aY 24.0 wswnr -... i 5. Is this a wrorst case? l b. N/A SEF,R: 10.00 — 6- Conditioned floor area((t') No — — T Glass area&type 814 ft= e. NIA — a. Clear-single pane -•.. (i b.Clear-double pant 0.0 fi' t;i, Heating systems — I I C. Tint/other SC/SHGC-single pruto '" _ j o. Electric Heat Pump - f d. TinUolhee 5CJ5HGC- 0.0 ft= Cep:24.0 l;Btu/lir double pane uSns._61�r j8. Floor types v.v Ir — { b.NIA •• e. Slab-On-Grade Edge Insulation zt=n n 11%:0...Q I1 b.N/A . �P>�� c_ N/A c. N/A 9. Wall types i 41, riot water systems Frame,Wood, a. Electric Resistance Ca Exterior R=t 1 n sec,n� p:3n,a aAlt_.;;s i Frame`Wood,Adjacent • 4'."•, Ii c. NIA R-11.0,1920 ft= b.N/A EF:0.89 _ C a. WA o. Ceasation credits — ri D. Ceiling typos '"j-1-heat recovery,Solar - a. Under Attic — DHP-Dedionted heat pump) IIII R�3n,n ;1A n as t — b Iii%A — I j�. t Al:credits Ie. N/A (f1 (CF-Ceiling fan,CV-Cross ventilation, ll. uiicis 1'IF4011tolc house Jim, e, 5111);Unc_ Rot Unc, AH:Garage Sa R= PT-Arogrammablc Thermostat, b •., p• 6 0 4n_p R — C-Muttizone cooling, IW-H-Multizone heating) Glass/Floor Area. 0.22 Total as-built points: 8472.00 i ota1 base points: 9661.6() I hereby � "`------- certify that the plans and specifications coye_rp_d bil this calci iaition are in compliance with the Florida RU"rew of ire pians and - Energy Code. specifications covered by this O�InEsT,� I oti�n inaiicate PREPARED BY: Q s compliance Ily ¢e D with the Florida Energy Code. h�� J [?ATF• ?, 1�a I.., "--- &—fuse construction is completed - I hereby certify that this buildinn ,�,�ec;�._. , this building will be inspeCfed for Nit, compliance with the Florida '_ . Ocompliance with Section 553.908rgy Code. Florida Statutes.OWNFR/pG=nt r.vs. -� I DATE: BUILDING OFFICIAL: ��rftft_4f FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street, Atlantic Beach, FI, PERMIT#: a BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overlhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 814.0 33.06 4543,2 Double,Clear N 9.0 6.2 36.0 19.22 0.66 456,5 Double,Clear N 9,0 7.5 40.0 19,22 0.58 522.9 Double,Clear W 1.5 6,2 18.0 36.99 0.92 611.9 Double,Clear S 1.5 6.2 36.0 34,50 0,86 1074.1 Double,Clear E 1.5 5.2 18.0 40.22 0.92 665,0 Double,Clear E 1.5 6.2 11.0 40.22 0.92 406.4 Double,Clear E 1.5 6.2 24.0 40,22 0,92 886.7 As-Built Total: 183,0 4822.4 WALL TYPES Area XBSPM = Points Type R-Value Area X SPM = Points Adajcent 192.0 0.7 134.4 Frame,Wood,Exterior Exterior 1110 549.0 1.70 933.3 549.0 1.70 933.3 Frame,Wood,Adjacent 11.0 192,0 0.70 134.4 Base Total: 741.0 1087.7 A&8ullt Total: 741.0 1067.7 DOOR TYPES Area X BSPM = Points Type �.. Area X SPM = Points Adjacent 0.0 O.OD 0.0 Exterior Wood Exterior20.1 6.10 122,6 20.1 6.10 122.6 Base Total: 20.1 122.6 As-Built Total: 20,1 122.6 CEILING TYPES Area X BSPM = Points Type -- R-Value Area X SPM = Paints e Under Attic 814.0 0.60 488.4 Under Attic 30.0 814.0 0.60 488.4 Base Total: 814.0 488.4 As-Built Total: 814,0 408A FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 118.0(p) 37.0 -4366.0 Slab-On-Grade Edge Insulation 9 0.0 118.0(p) -41.20 4861.6 Raised 0.0 0,00 0.0 Base Total: 4366.0 As-Built Total: -4561.6 INFILTRATION Area X BSPM = Points Area X SPM = Points 814.0 10.21 8310.9 814.0 10.21 8310.9 EnergyGauge®DCA Form 600A97 EnergyGaugeVReeFREE'97 FLRIPA 2.02 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street,.Atlantic Beach, Fl, -�� PERMIT#: BASE AS-BUILT Summer Base Points: 10466.8 Summer Aar-Built Points: 9750.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 97M.5 1.000 1.047 0.341 1.000 10466.8 0.3573 3739.8 9750.5 1.0 1.047 0.341 1.000 34 34S4.2 84.2 EnergyGaugeTM DCA Form 60OA-07 EnergyGauge®/ResFREI_'97 FLRt PA 2.02 FORM 60OA-97 WINTER CALI004ULATIONS Residential Whole Building Performance Method A - Details ADDRESS; 380 Third Street, Atlantic B ch, Ft, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 814.0 8.76 1430.7 Double,Clear N 9.0 6.2 36.0 14.30 1,02 526.4 Double,Clear N 9.0 7.5 40.0 14.30 1.02 584.0 Double,Clear W 1.5 6.2 18.0 1077 1.02 198.0 Double,Clear S 1.5 6.2 35.0 4.03 1.11 160.7 Double,Clear E 1.5 6.2 18.0 9.09 1.03 169.1 Double,Clear E 1.5 6.2 11.0 9.09 1.03 103.3 Double,Clear E 1.5 6.2 24.0 9,09 1.03 225.5 As-Built Total: 183.0 1887.1 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 192.0 3,6 691.2 Frame,Wood,Exterior 11.0 549.0 3.70 2031.3 Exterior 549.0 3.70 2031.3 Frame,Wood,Adjacent 11.0 192.0 3.60 691.2 Base Total: 741.0 2722.5 As-Built Total. 741.0 2722.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 20.1 12.30 247.2 Exterior 20.1 12.30 247.2 Base Total: 20.1 247.2 As-Built Total: 20.1 247.2 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 814.0 1.20 976.8 Under Attic 30.0 814.0 1.20 976.8 Base Total: 814,0 876.8 As-Built Total: 814.0 976.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 118,0(p) 8.9 1050.2 Slab-On-Grade Edge Insulation 0.0 118.0(p) 18.80 2218.4 Raised 0.0 0.00 0.0 Base Total: 1060.2 As-Bulli Total' 2210A INFILTRATION Area X BWPM = Points Area X WPM = Points 814.0 -0.59 -480.3 814.0 -0,59 -460.3 NMI EnergyGauge®DCA Form 600A-a7 EnergyGauge®/ResFREI,'97 FLR1 PA 2.02 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street,Atlantic Beach, FI, PERMIT#.- BASE :BASE AS-BUILT Winter Base Points: 5947.2 Winter As-E3uilt Points: 7651.8 Total Winter X System Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 7651.8 1.000 1.064 0.501 1.000 4062.7 5947.2 0,5340 3175.8 7651.8 1.00 1.064 0.501 1.000 4082.7 EnergyGaugeTM DCA Form 6MA-97 EnergyGaugee/ResFREE'97 FLR1 PA 2,02 FORM 60OA-97 WATER HEAPING & CODE: COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street, Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT WATER HEATING Number or X Multiplier - Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.030.0 M9 1 1.00 2715.15 1100 2715.1 As-Built Total: 905.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water -- Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 3739.8 3175.8 2746.0 9661.6 3484.2 4082.7 905.0 8472.0 PA%":")' S :1 co =;F ~c0D VYF EnergyGaugeTM DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLR1 PA 2.02 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street, Atlantic Beach, Fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors606... ,1.ABC,1. _ -_.... ......_— __..... _._...... Exterior�Adjacent Walls �606.1.ABC.1.2.1 Caulk. window area;.5 cfm/sq.ft.door area. 1 Maxtm J ,gasket,weatherstrip or seal between;windowsldoors&frames,surrounding wall; foundation&wall sole or sill plate;joints between extarlor wall panels at comers;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier Is Installed that extends from n onslo pled to,Ah.e foundation to the top plate. 606.1.ABC.1.2.2 Floors penings>I AT'sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier Is installed that is sealed „_to the perimeter,penetratlens and seams;_ •_ __ _. _ Ceilings 606.1.ABC.1.2,3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access,EXCEPTION:Frame ceilings where a continuous Infiltration barrier is installed that is sealed at the perimeter,at penetrations_and seams, Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from --........... __..... conditioned space,tested.—_ Multi-story Houses W6.1.ABC.1.2.5_ Air barrier on perimeter of floor cavity between floors_ Additional Infiltration refits 606.1,ABC,1.3 Exhaust fans vented to oul doors.dampers;combustion space heaters comply.wRh NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. COMPONENTS SECTION _ REQUIREMENTS _CHECK Water Heaters 612.1 Comply with efficiency requirements In Table 6-12.Switch or clearly marked circuit breaker.(electric).or cutoff(gas)must be provided.External or built-in heat trap required, Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.(3as spa&pool heaters must have a minimum thermal efficiency of 78%, Shower heads 612.1 Water flow must be restricted to no _ ._,, more than 2.5 gallons�er minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically Y attached,sealed,insulated,and installed In accordance with the criteria of Section 510. _ Ducts In unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 ••,,_.•• 5e prate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Mtn,R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGauge'M DCA Form 60OA-97 EnergyGauge(&/ResFREE'97 FLR1 PA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLA'Y' CARD ESTIMATED ENERGY PERFORMANCE SCORE'S =81.2 The higher the score,the more cfftcicnt the home. M/M Earl Lay, 380 Third Street, Atlantic Beach, FI, 1. New construction or existing Addition — 12. Cooling systems 2, singly family or multi-family Single family — a. Central Unit Cap:24.0 k&u/hr _ 3. Number of units,if multi-Family 1 SEER: 10.00 4. Number of Bedrooms 1 _ b.N/A _ S. Is this a worst case? No 6. Conditioned floor area(R=) 814 fi c. N/A _ 7, Glass area.Rc type a. Clear-single pane 0.0 ft' — 13. Heating systems b. Clear-double pane 133,0 ft= — a, Electric Neat Pump Cap:24.0 k6tu/hr _ c. Tint/other SC/SHGC-single pane 0.0 fF HSPF.6.90 _ d.'Pint/other SC/SHGC-double pane 0.0 ft' b. N/A _ 8. Fluor typos _ a, Slnb-On-Grade Edge Insulation 11=0.0, 1I8,0(p)ft _ e, N/A _ b,NIA c. N/A 14, Hot water systems 9. Wall types _ a. Electric Resistance Cap:30,0 gallons _ a. Frame,Wood,Exterior R-11.0,549.0 fl- _ EF:0.89 _ b.Frame.Wood,Adjacent R=11.0, 192.0 ft' _ b.N/A _ c. N/A _ d, N/A _ c. Conservatiou credits _ e. N/A (HR-14eat recovery,Solar 10. Ceiling types ... DHP-Dedicated beat pump) a. Under Attic 8-30,0,814.0 fP _ 1.5, HVAC credits _ b.N/A (CF-Ceiling fun,CV-Cross ventilutiiun, c, NIA HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sop;Unc. Ret;Une. AH:Garage Sup.R=6.0,'40,0 ft _ kB-Attic radiant barrier, b, N/A M&C-Multizone cooling, MZ-H-Multizone heating) 1 certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) yoF fat -THE sT,Uro in this home before al inspection_ Otherwise a new EPL Display Card will be completed , based on installed Code convAiant features. �� F Builder Signature; _ _ Date: Address of New Home: City/FI.Zip: 'NOTE; The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building F,nergy Rating. !f your score is 80 or greater(or 86 for a US EPA1D0 '1✓-nergyStar designation), your home may qualifl),for energy efficiencv mortgage (EEA incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see lire Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Communif AJJ`airs at 850/487-1824, HnergyGaugeO(Version:FLRIPA 2.02) DATE: 3/28/00 MANUAL "J" SUMMARY REPORT Prepared For: Pre ared By: Earl Lay Residence R.B. Ellis Energy Design Systems Job Name: Add-380 Third Street DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor 5 Latent Factor 29 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ------- ------- ------- ----- WHOLE HOUSE 22633 754 17048 710 HEATING COOLING DELTA T 43 DELTA T 23 NOTE:**Calculated air flow is :based upon load recXuirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 DATE: 3/28/00 MANUAL "J" DETAILED REPORT FOR ADDITION Prepared For: Prepared By: Earl Lay Residence R.B. Ellis Energy Design Systems Job Name: Add-380 Third Street EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL AREA 76 36 53 --1$ --- w- -- ---- ----- 183- COOLING 1900 1440 3922 1332 8594 HEATING 2432 1152 1696 576 5856 WALLS TOTAL --------------------I---------------------------------------------------- AREA ------.. ----,---------------- ---------------------- AREA 741 741 COOLING 1853 1853 HEATING 2964 2964 DOORS - -TOTAL ------------------------------------------------------------------------- AREA 20 20 COOLING 265 265 HEATING 416 416 ---------•----------------------------•--'----------------------------- ----- FLOOR AREA COOLING HEATING -------------------------------------I----------------------------------- SLAB 118 4295 RAISED WOOD ------------------------------------------------------------------------- CEILING AREA COOLING HEATING ------------------------------------..----------------------------------- UNDER ATTIC 814 1262 1221 SGL ASSEMBLY KNEE WALL ------------------------------------ ------------------------ ---------- MISCELLANEOUS COOLING LOADS ---------------•------------ People Sensible Load 600 Latent Load 1953 Lights & Appl. Load 1200 Latent Safety Btuh 98 Ventilation Load Duct Heat Gain 1318 Infiltration Load 1207 Sensible Safety Btuh 749 TOTAL SENSIBLE LOAD 17048 TOTAL LATENT LOAD 2051 summer ACH 0. 5 Temp. Swing Mult. 1. 00 *** Total Cooling Load 19099 BTUH Or 1. 59 Tons *** MISCELLANEOUS HEATING LOADS Infiltration Load 6101 Ventilation Load Duct Heat Loss 738 Safety Btuh 1043 Winter ACH 1. 2 *** Total Heating Load 22633 BTUH Or 1. 89 Tons*** FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of I"ommunity►Affairs Residential Whole Building Performance Method A Project Name: Eari Lay Residence y Builder Address: 380 Third Street Permitting Office: Atlantic Beach City, state: Atlantic Beach, FI Permit Number. Owner. MIM Earl Lay Jurisdiction Number: 261100 Climate Zone, North I. Now construction or existing Addition 1?.. Coolie ,,-- 2, Single — g systtuns g family or multi-family Single family _ a. Central Unit Cap:2a,0 kf3tu/hr 3. Number of units,if mu10-family I 4. Number of Bedrooms1 b. N/A SEF,R: 10.00 5, is this a worst came? No — 6. Conditioned floor area(R') 8I4 tt2 c, N/A — 7. G ue aooa&type a. Clear-single pane 0.0 V Q. Heating — b.Clear-double pane183-0 systems e. Clear-do SGSHGC single »ne � — A. Electric Heat Pump Cap:24.0 kBtu/hr _ g 1' 0.0 ft= HSPF:6,60 d.TinUolhor 5G5HGC-double pane 0,0 fl' b_NIA 8. Floor types _ a. Slab-On-Grade Edge lnsulaation R=0.0,118,0(p)ft e.N/A — b.N/A — _ c, N/A 14. Hot water systems — 9. Wan types a, Electric Resistance a Frame,Wood,Exterior - Cap:30.0 gallons R=11.0,x49.0 fl' EF;0,89 b. Frame,Wood,Adjacrnt R-11.0,192.0 IF b.N/A e. N/A — _ d,N/A — Q. Cans"lion credits — e, N/A — 10, Ceiling rypec (HR-Heat recovery,Solar DHP-Dedicated heat um a. Under Attic R-30,0,8,14.0 R� pump) b N/A — 15. HVAC credits e. N/A (CF-Ceiling bin,CV-Cross ventilation, — 11. Duets klf-Wholc house 1im, a. Sup:Una. Ret Unc. AH:Garage Sup,R=6.0,40.0 R m — PT-Programable Thettnostat, b, N/A — M-C-MuhiLone cooling, MGH-Multirone heating) Glass/Floor Area: 0,22 Total as-built points: 8472.00 Total base points: 9661.60 PASS I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida Energy Code, specifications covered by this ct;llculation Indicates compliance ' QO PREPARED BY: t, with the Florida Energy Code, DATE: M a$ DD Before construction is completed �--� this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 4 compliance with the Florida rgy code. Florida Statutes, ��o y1E ER/AGENT: DAT BUILDING OFFICIAL: DATE: d D T DATE: EnergyGauge®(Version. FLRIPA 2.02) FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details [ADDRESS: 380 Third Street, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 814.0 33.06 4843,2 Double,Clear N 9.0 6.2 36.0 19.22 0.66 455,5 Double,Clear N 9,0 7.5 40.0 19,22 0168 522.9 Double,Clear W 1.5 6.2 18.0 36.99 0.92 511.9 Double,Clear 5 1.5 6.2 36.0 34,50 0.86 1074.1 Double,Clear E 1.5 6.2 18.0 40.22 0.92 sm,0 Double,Clear E 1.5 6.2 1110 40.22 0.92 406.4 Double,Clear E 1.5 6.2 24.0 40,22 0.92 886.7 As-Built Total: 183.0 4822.4 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 192.0 03 134.4 Frame,Wood,Exterior 1110 5480 170 9333 Exterior 549.0 1.70 933.3 Frame,Wood,Adjacent 11.0 192,0 0.70 134.4 Base Total: 741.0 1067.7 As-Hull[Total• 7410 1067.7 DOOR TYPES Area X BSPM = Points Type -r Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterlor Wood 20.1 6.10 122.6 Exterior 20.1 6.10 122.6 Base Total: 20.1 122.6 As-Bunt Total: 2011 122,8 _-- CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points a Under Attic 814.0 0.60 488.4 Under Attic 30.0 814.0 0.60 488.4 Base Total: 814.0 488.4 As-Built Total: 814,0 4884 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 118.0(p) 37.0 -4366.0 Slab-On-Grade Edge Insulation 0.0 118.0(p) -41.20 _41W1.6 Raised 0.0 0,00 0.0 Base Total: 4366.0 As-Built Total: -4861.6 INFILTRATION Area X BSPM = Points Area X SPM = Points $14.0 10.21 8310.9 814.0 10.21 8310.9 EnergyGauges DCA Form 60OA97 EnergyGaugeVRe6FREE197 FLRIPA 2.02 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street,,Atlantic Beach, FI, PERMIT#.- BASE :BASE AS-BUILT Summer Base Points: 10466.8 Summer As-Built Points: 9750.5 Total Summer X System = Cooling Total X: Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 9750.5 1.000 1.047 0.341 1.000 3484.2 10466.8 0.3573 3739.8 9750.5 1.00 1.047 0.341 1.000 3484.2 EnergyGauge'N DCA Form 5MA•97 EnergyGauge®/ResFREI:'97 FLR1 PA 2.02 FORM 60OA-97 WINTER CALCOWLATIONS Residential Whole Building Performance Method A - details ADDRESS: 380 Third Street, Atlantic Beach, FI, PERMIT BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 814,0 8.76 1430.7 Double,Clear N 9,0 6,2 36.0 14.30 1,02 526,4 Double,Clear N 9.0 7,5 40.0 14.30 1.02 584,0 Double,Clear W 1.5 6.2 18.0 10.77 1.02 198.0 Double,Clear s 1.5 6.2 36.0 4.03 1.11 160.7 Double,Clear E 1.5 6.2 18.0 9,09 1,03 169.1 Double,Clear E 1.5 62 1110 9.09 1.03 103.3 Double,Clear E 1.5 6.2 24.0 9,09 1.03 225.5 As-Built Total: 183.0 1867.1 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 192.0 3,6 691,2 Frame,Wood, Exterior 11.0 549,0 3,70 2031.3 Exterlor 549.0 3.70 2031.3 Frame,Wood,Adjacent 11.0 192.0 3.60 691,2 Base Total: 741.0 2722,3 As-Built Total: 741.0 2722.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent o,0 0,00 0.0 Exterior Wood 20,1 12.30 247.2 Exterlor 20.1 12.30 247.2 Base Total: 20.1 247.2 As-Built Total: 20.1 247.2 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 814.0 1.20 976.8 Under Attic 30.0 814.0 120 976.8 Base Total: 814.0 876.8 A$43ullt Total: 814.0 976.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 118,0(p) 8.9 1050.2 Slab-On-Grade Edge Insulation 0.0 118.0(p) 18.80 2218.4 Raised 0,0 0,00 0.0 Base Total: 1060.2 As-Built Total' 2210A INFILTRATION Area X BWPM = Points Area X WPM = Points 814.0 -0.59 -480.3 814,0 -0,59 -480.3 EnergyGaugee DCA Form 600A-a7 EnergyGauge®/ResFREI,'97 FLR1 PA 2,02 FORM 600A-97 WINTER CAL('.ULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street,Atlantic Beach, Fl, PERMIT#; —1 BASE AS-BUILT Winter Base Points: 5947.2 Winter As-E3uilt Points: 7651.8 Total Winter X System Heating Total X Cap X Duct X System X Credit ^ Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 7651.8 1.000 1.064 01501 1.000 4082.7 5947.2 0.5340 3175.8 7651.8 1.00 1.064 0.501 1.000 4082.7 EnergyGaugeTM DCA Form 60OA-97 EnergyGauge0/ResFREE'97 FLR1 PA 2.02 FORM 60OA-97 WATER HEAPING & CODE: COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street, Atlantic Beach, FI, PERMIT#. BASE AS-BUILT WATER HEATING Number of X Multiplier — Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.0 30.0 o.89 1 1.00 2715,15 1.00 2715.1 As-Built Total. 905.0 Noma CODE COMPLIANCE STATUS BASE AS-BUILT Cooling ; Heating + Hot Water - Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 3739.8 3175.8 2746.0 9661.6 1 3484.2 4082.7 905.0 8472.0 PA%10%�S 511 c gO�vl�p .66 ■ EnergyGaugeTM DCA Form 60OA97 EnergyGauge©/ResFREE'97 FLR1 PA 2.02 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 380 Third Street, Atlantic Beach, Fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION —REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:,.3,cfm/sg,N,window area;.5 cfmJsq_ft.door area, Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterlor wall panels at corners;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier Is Installed that extends Floors f romL and l slo aled to, he tfoundation to the top 6061.ABC.1.2.2 plate._ penings>1 A3"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier Is installed that is sealed to the perimeter,penetratlons and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets,sealed to continuous air barrier;gaps in gyp board&top plate; attic access,EXCEPTION:Frame ceilings where a continuous Infiltration barrier is installed that is sealed at the Perlmeter,at penetrations-and seams, —,.•._•,. . Recessed Lighting Fixtures 606.1.ABC.1.2,4 Type IC rated with no penetrations,sealed;or-type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulatlon;or Type IC rated with s 2.0 cfm from __.._. conditioned space,tested. ---- Multi-story Houses 606.1.ABC.1.2.5_ Air barrier on perimeter of floor cavity between floors., Additional Infiltration regts 606.1,ADO,1.3 Exhaust fans vented to culdoors,dampers;combustion space heaters comply wKh NFPA, ___.. ...._. . _ have combustion air.... 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS „• ,,,,_•,._,__ ____•.. CHECK Water Heaters 612.1 Comply with efficiency requiremems In Table 6-12.Switch or clearly marked circuit ---- breaker(electric)or cutoff(gas)must be provided.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have*pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 75%. _— Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. _ ...... Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed In accordance with the criteria of Section 610. Ducts In unconditioned attics:R-6 min.insulation. _ HVAC Controls_____ 607.1 separate readily accessible manual or automatic thermostat for each system. Insulatlon 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugerM DCA Form 60OA-97 EnergyGauge®/ResFREE`97 FhR1PA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =81.2 The Higher the score,the more efficient the home, M/M Earl Lay, 380 Third Street, Atlantic Beach, Fl, 1. New oonstructiun or existing Addition _ 12, Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:24.0 k9tu/11r _ 3. Number of units,if multi-Family 1 SEER: 10.00 4. Number of Bedrooms 1 _ b.N/A _ 5. Is this a worst case? No 6. Conditioned flour area('R') 814 8' c. N/A _ 7, Glass area&type a. Clear-single pane 0.0 fF _ 13. Heating systems b.Clear-double pane 153.0 fe _ a, Electric 14cat Pump Cap:24.0 kEtu/hr _ C. Tint/other SC/SHGC-single pane 0.0 W .„ HSTF:6.80 d,'Pint/other SC/SHGC-double pnue 0.0 04 b,N/A _ S. Floor types a, Slnb-On-Grade Edge Insulation R=U,O, I18A(p)ft _ c, N/A _ b,N/A c. N/A 14, Hot water systems 9. Wall types _ a, Electric Resistance Cap:30,0 gallons _ a. Frame,Wood,Exterior R-11.0,,549.0 W _ EF:0.89 _ b,Frame,Wood.Adjacent R=11.0, 192.0 ft' _ b.N/A _ c. N/A _ d. N/A _ c. Conservation credits _ c. N/A (HR-14cat recovery,Solar 10. Ceiling types DRP-Dedicated beat pump) a. Under Attic R-30,0,814.0 fF _ 1.5, HVAC credits _ b.N/A (CF-Cciling fun,CV-Cross ventilutiun, c. N/A ETF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat; a. Sup:Unc. Ret;Unc. AH:Garage Sup.R=6.0,40.0 R _ RB-Attic radiant barrier, b, N/A W-C-Multizone cooling, MZ-II-Multizone heating) 1 certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will t►e installed(or exceeded) �0E-ctE6T,Uc in this home before final inspecdon. Chhctwisc, a new EPL Display Card will be completed o 7j SEE. � based on installed Code co ant features. Builder Signature: 'L�% _ Date:_ 3 d Address of New Home, 4 y p 3 8 _?3 o Cit /Fl.Zi _ �e �WiRll'�� *A10TE: The home's estimated energy performance score is only mailable through the FLAIRES computer program. This is not a Building F,nergy Rating. If your score is 80 or greater (or 86 for a US FPA/DOE EnergySlar designa1ion), your home mcy gualifi),for energy efficiency mortgage (EFL,J incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of ColnmunityAn"airs at 850/487-1824, IEnergyGaugerA)(Version:FLRIPA 2.02) DATE: 3/28/00 MANUAL 11J" SUMMARY REPORT Prepared For: Prepared By: Earl Lay Residence R.B. Ellis Energy Design Systems Job Name: Add-380 Third Street DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 9: 29 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (%) 5 Latent Factor M 29 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ------- ------- ------- WHOLE HOUSE 22633 754 17048 710 HEATING COOLING DELTA T 43 DELTA T 23 NOTE: **Calculated air flow is :based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 t • DATE: 3/28/00 MANUAL "J" DETAILED REPORT FOR ADDITION Prepared For: Prepared By: Earl Lay Residence R.B. Ellis Energy Design Systems Job Name: Add-380 Third Street EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL - -----76 36 ------ ---•----3- -------�-18- ---------------------------- AREA183 COOLING 1900 1440 3922 1332 8594 HEATING 2432 1152 1696 576 5856 -------------------------------------------------------------------------- WALLS TOTAL ------------------------------------------------•mow—.-----w---w------------- AREA 741 741 COOLING 1853 1853 HEATING 2964 2964 -------------------------•---------------------------- DOORSTOTAL - -------------------------.--------------------------------------------- AREA 20 20 COOLING 265 265 HEATING 416 416 -------------------------------------------------------------- ---_------- FLOOR AREA COOLING HEATING -------------- -'-------- SLAB1184295 RAISED WOOD ----------------------------- CEILING AREA COOLING HEATING ----------------------- UNDER ATTIC 814 1262 1221 SGL ASSEMBLY KNEE WALL ---_-�w--w_--------_--•-w--------_w--•_-•-------------------------------_--_ MISCELLANEOUS COOLING LOADS ---------------- --- People Sensible Load 600 Latent Load 1953 Lights & Appl. Load 1200 Latent Safety Btuh 98 Ventilation Load Duct Heat Gain 1318 Infiltration Load 1207 Sensible Safety Btuh 749 TOTAL SENSIBLE LOAD 17048 TOTAL LATENT LOAD 2051 Summer ACH 0 . 5 Temp. Swing Mult. 1. 00 *** Total Coaling Load 19099 BTUH Or 1. 59 Tons *** MISCELLANEOUS HEATING LOADS -------------------------- Infiltration Load 6101 Ventilation Load Duct Heat Loss 738 Safety Btuh 1043 Winter ACH 1. 2 *** Total Heating Load 22633 BTUH Or 1.. 89 Tons*** CITY HALL ATL BCH TEL hIo . 24?5805 Apr 4 ,96 11 :33 hlo .005 P .01 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLMTIC BEACH I►T"041fic .LncM, IraAml"ss4is APPLICATION FOR MECHANICAL PERMIT CALL-IN NUM11169 IMPORTANT -- Applicant to complete all Items in sections I, II, Itl, and IV. I• sf►��f Add►11N13-YO LOCATION .,/{� 1OF Inlotwslitt� :Moat.: s111W11on ^ � ,. ,., And SUIU)ING 11441449n 11. IpENTIFICATION -- To be completed by all applicants. In consideration of porM3 given for doing the work •1 doicribod in the obovo itston+ont we ho,oby 89104 t0 potfonM sold work In occordonco WA the ottocNd pistil and fpotiflcNiens Which 010 o port he,00l and in eccordence with the City 91 J11ckwnvillo ordine01cot 110111 0441461`46of 911011 W404e 141e4 therein. Kw A W04"41401 Coatroom" C.nfroeb+ INN) tm Woof his 411111 , p►+pMh *woof asp. ><iWr V Ag"knd Ago0 M11740 or E611I00or III. 6&40tAL VO ORIr ATM A• TyM 40 b"%" 3 0. Is OT1,094 aowsTAucTIOM *&ONO wMig ON 0 ooc"k THII W11.01N0 on of TR t p ow-0 V Q NeMtsl O CwNsl t7ttllty r Ifres. owe flulastpt or oOttsTllucrltlN O of t'e11hI1T p oleW — $PM IV. 61IM"CAt IOUM~To N OWAUN NATUPA OF WORK I►w,;dn sstttpiMs ko 0 or/tw0 0 on bed of*b brial A IM111410nUal or 0 Cotpnwroal Nwt O :per p Re saiaw N csntwl O A w Q New IMIM tp Ak C4060iot"1 0 Rsa 4 COMM r ExIt1llml)OW10kW O 1)K� asfMw: wot+Mwir nrra.r�.� ?Ai.an11� � Mp1a0 pmt AI axiNlmQ pystatrl NaMs.�"P"Ib s.fx O tdow Installation INC system pewlously lnsto". O D Extstlslon a add-on to sxls system p cou"s "Wer- c4posMp e#, ■ Otttsr— Specify Q piro t alkleu Nwobw 41 ttssda�. O M•wM► O p MIS PACO POR 001110 UM 4NtV Rpt% p upf"d Nwwt,vow awkm hmtit App"'".d La ALL NWPMZA1'Y' Ad OOGTmmmi, AM QRw'Iprt t.quwmst arm" a" Doav*Uft Ulm NU"bw »b of 3yk A- CITY OF 4210-t& ®3ea�, -9 k4' r Office of Building Official REQUEST FOR INSPECTION / ��0r Permit No. _ Date-- L_/ — — Time _1�,S L/ A.M. iv Receed J i--� RM. Job Address Locality Owner's �L Name --- _ ___--— Contractor -- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring 1-le Rough Air Cond. & Re RoofingSlab Temp Pole Top Out Heating Final Sewer Fire Place Lintel Insulation _. — Pre Fab READY FOR INSPECTION A.M. Mon Tues. Wed. Thurs. Friday------P.M .r A.M. _ �_ __ __P.M. inspection Made -- L — .� . Final Inspection Certificate of Occupancy Date -------------- --- E 9305 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i OERMI T I N'FORMAT I ON ~ - LOCATION INFORMATION --------- Rr itl+iurntaer; 9305 ddrets : 384 THIRTY STREET ;. PeIr *t Type: ELECTRICAL .ATLANTIC BEACH i FLORIDA 3223? MI cif earls ALTERA'T'ION -- LtGAL► DESCRIPTION -- C,ODt, . "Type. WOOD FRAME cat ; Block: Section; P -dpoded II e a SINGLE FAMILY Township: RNG® 0 vgel :i g . I Cade. 0 ubdivi ion; ATLANTIC REACH Esti:m' ed Value; $0.00 r _w . 'TION APPLICATION FEES _,..._ f PERMIT 16k20 k . Addres R � kEET WATIWMPACT FEE 0 00 }y FLORIDA wE k C V DRl Ph /viP ' RADON OAS-H.R.S. 80 .00 x - & i COOS ORMAT I OtC,----- RADON CAB % S0 .00 Nab � � CTRIC . � NC.. . CAPITAL IMPROVE. $0.00 , ,. . °.. - P. 3 2 4 $1 AVE. NORTH SEWER TAP $0 .00 'FL. 32,250 CROSS CONNECTION- $0_00 Type 0 SEC H IMPACT FEE 0 00 r0 0 0 ma wVC + CHAROE :ATL« C NOTES: v NOTICE—ALL CONCRETE FORMS AND FOOTING_S MUST BE INSPECTED BEFORE POURING I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ((ff S BUILDIf4G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED 1N PUBLIC SPACE,AND MUST BE CLEAREID UP AND HAULED AWAY SY EITHER CONTRACTOR OR OWNER i ``MORE, TO COMPLY WITH THE MECHANICS' LIEN LISW CP#N RESULT IN "THE 1PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-$$ { I"UE[i ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS"PERMIT AND SUBJECT TO REVOCATION FOR r CltlT ?N OF APPLICABLE PROVISIONS OF LAW. I ATLANTIC BEACH BUILDING DEPARTMENT ; III r V B�. I a CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �,19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MA ELECTRICIAN i ATU E JOURNEYMAN J� 4-' f � /2C>, " q NAME- I&AL_ ADDR ESS;_ �i �= 1,f' RFD BOX BLDG.SIZE BETWEEN: RES.(-fIZAPT.( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE D 0 AMPS PHW '' VOLT S RACEWAY FEEDERS NO. SIZE =NO. SIZE NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS p c, a Vi DEPAR'TIHE CITY OFATLAN c OF @UILOING BEACH,FLORIDA • PERMIT T PES • OCKT THIS PERMIT MUST BE B(ED O0J f �No. OB 7ji, L- 05CRC Date f 3/?f/9 Valuation ��' 19_5 $ Re-i�f MOO Fee$ 7.50 This j Permit not valid untilabove f subject to ee has been i revocation for violation of a paid to City Treasurer, j' This is to certify that pphcable provisions of law.and is i A451 vemltY BO has permission to Classification ) Owned by Lot Zone I House No. 3 $0 �� � Block According to a t I' pproved plans which are Part of this permit NOTICE—ALL AND FOOTINGS FORMS SPECTED MUST BEFORE POU BE IN- PER VOID RING. AFTERSIX MONTHS 0 Building DATE OF ISSUE y fr this material, rubbish and in public work 'neSt not be debris 2 P 9 and Placed i s ace "P and hauled away must be cleared tractor or owner. Y by either con- ' FOR OFFICE � • wzno w i USE ONLY PERMIT NUMBER DATE Building Official. � PLUMBING i CONTRACTOR ELECTRICAL -� SEWER WATER CITY OF ATLANTIC B1,­ACH APPLICATION FOR BUILDING PERMIT Owner "u',ju_ )-L:t- ay 'b6 Address 7� �N;V�"Ji Phone 7-�)�-3� Architect Address Phone Contractor�� v N" —Address j '' Phone1_ / aw Ja+o �C+ lir! License Number 31-I's t -0-6 6 �� Expiration. Date �" 0 Lot # BlockSubdivision _Zoning Street , FD -3 " '(4, Between . nd side _ j Valuation $ Purpose of Building _Type Const. c L,J� J' Dimensions : Building-1-7_O b Lot �Sz.Footings Sz.Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz.Floor Joists Distance on Centers Greatest Span Sz.Rafters Distance on Centers _Greatest Span Heating Solid-Filled Ground Roof1-7 G-0 S • � Flood Zone If located within a FLOOD HAZARD ZONE fid out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing; and fire place is completed and ready to cover up. 5. Rough electrical,. 6. Final inspection. In case of rejection, reinspection MUST be c;filled SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and c" specifications , which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. o 0 rt rt r r m � Signature OWNER/ ! Signature BUILDER Front Lot Line 4000 a b INrTU.I.kJ' EACH A }pgi�ppg yy,�� y�X IN �Kfj i#7, AI5 TOR TJ STREET 322 BEACH, Fl.€ BA3 SCRIPTION F I.; E -. RHO■�.��y t 5 yy �iy�ry Fhi#V i. ,i jy�y�] �A�iMd r # � � n■ (�''� r'�" �pi� + <' aEES rta :. .00 jt � JkCT Ai�,T VEE $0.OP 5'"w 6 3 r�9 f T,JA" pFAP i .F `hy �k*`�,. yw -• ;" .in.Na.e waw,:. i % S�rT 'TA t Y o " TA Qr � ► H �l0 v t � ECT * "^fie : 'A+ T FEZ T y w, ku € d- 1 2 ` t� � # A�FOOTIl4t'�S*UST IN�►� T9, BEFORIE FLOURING 7777M, 7`11'� � tQ[vI fHlB ?RK AAU`,7 NE?T B PIf�CED IN PUBUC SPACE,AND MUST BE If C1 RR7C} ( B°QW N ER> 7777 { a a M ,NANICS' LIEI LAW .CAN RESULT IN Fofkilu� NG IMRR VEME . p REVUC FOR: ilYM1C1�l,4>'� <�ART OF THIS P �1'��AI!FI� $U i a § s �k" +�j t X gply LAY ET • 380 THlity STRL 249-4941 d 1" WATER TAS T RE(:OR� :TOTAL 106 CCS MAI ER 5 ,Ih$OR ;,-.DESCR,p-poN 2„'•X. 1„ T.S. GALV 118= .48 1" CORP STOP 1 $22.36 1+� CURB STOP $0.29 In g 3/4" REDUCER PVC 1 $1 .80 1.. SCII 4U 1'VC PIPE 1U1 S To i s 50.93 10% 0.11• $5,09 TOTAL