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390 5th St (vault) PERMIT WORKSHEET JOB ADDRESS 390 511 TYPE WORK L ec) FR PROPERTY OWNER t-t l l ( Sc»'1 E aI I TELEPHONE Z49 i i 3 3 r I (� c/o t - 2:70 Zoo CONTRACTORCUSIc� 1 t tome /3 i Idei'STELEPHONE C„r 2 (08c PERMIT NUMBER O 3 2 - 7 7 DATE ISSUED - `+- 0 INSPECTIONS: FOOTING H, I Sy 3 SLAB` 1- b3. TIE BEAM LINTEL '7 - I'I 03 ) 4-,ehoa, t NAILING/SHEATHING FRAMING /COVER UP 4•x1105 ci• 1 I1t.LiJe3 INSULATION 10. 03 FINAL BUILDING S CERTIFICATE OF OCCUPANCY `'t + b x./t TREE PERMIT ISSUED? PERMIT NUMBER ELECTRICAL PERMIT NUMBER. . DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER 06 - a S ? 1Y DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC RELEASED TO JEA tarty plum' 241, TEMP. POWER RELEASED TO JEA rtt%a 4iDeTENIP. P01_ / ©3 RELEASED TO JEA FINAL I �Ccs /essure 10'31 03 - 5 MECHANICAL PERMIT NUMBER 03 - a 7 7 INSPECTIONS: ROUGH lc, - -o3 FINAL 9 ( - PLUMBING PERMIT NUMBER ` INSPECTIONS: ROUGHIUNDERSLAB J 1 03, to TOPOUT WATER/SEWER FINAL I g I (5\-A DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILING!SHEATHING FINAL FAILED INSPECTIONS: DATE PD. DATE PD. -- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 4/05/04 Parcel Number - - - Property Address . . 390 5TH ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner HALL, ALLISON Contractor CUSTOM HOME BUILDERS 904 270 -2020 Application number . . 03- 00025677 000 000 Description of Work . . SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved `. ilding Offi ial VOID UNLESS SIGNED BY BUILDING OFFICIAL --/o filitt;ov CITY OF ATLANTIC BEACH ss‘ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00029852 Date 3/10/05 Property Address 390 5TH ST Tenant nbr, name IRRIGATION/1 FIXTURE Application description . . IRRIGATION/SPRINKLER Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HILLIS, BOB D R LEACH IRRIGATION INC 1433 ROWNEY ST 5 JACKSONVILLE, FL JACKSONVILLE FL 32211 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 50.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 PERMIT 1S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ' 4.: - 7" BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: - 0/ Property Address: - $ Owner: .& / Telephone #: Contractor: 'P L i t ��/ �,� r G Telephone #: LA- Contractor Address:. zJ `'L . � ✓I (t` . �'a7 1 Fax #: 7 ox �'`"G`� (o 6 y In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: / New If other construction is being done on this building or site, • list the building permit number: O Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters _ Other l ritneCk " Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Revised 1/04 PREPARED 4/30/03, 8:35:31 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 4/30/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME CONTRACTOR : CUSTOM HOME BUILDERS PHONE : (904) 270 -2020 OWNER . . : HALL, ALLISON PHONE : PARCEL . . : - - - APPL NUMBER: 03-00025677 SINGLE FAMILY RESIDENCE PUMIT: PLBG 00 PLUMBING PERMIT SUB: TED BENEDIK PLUMBING;„ . I REQUESTED INSP DESCRIPTION 1 TYP/SQ COMPLETED RESULT RESULTS/COMMENTS i tit - - 1 - 4 2003 42 01 4/30 03 LJH PL ROUGH TIMH: 11;00 /, A AM OR P14101-1371 TED CK# Jig COMMENTS AND NOTES gri73.3 PREPARED 4/30/03, 16:38:44 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/01/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME PHONE (904) 270 2020 CONTRACTOR : CUSTOM HOME BUILDERS PHONE : OWNER . . : HALL, ALLISON PARCEL . . : - - - APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: PLBG 00 PLUMBING PERMIT SUB: TED BENEDIX PLUMBING, INC. REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS/COMMENTS 42 01 4/30/03 LJH PL ROUGH TIME: 17:00 AM R PM 509-3378 TED 41 01 1/01/03 L,JH, P UNDERSLAB TIME: 13:00 COMMENTS AND NOTES PAGE 14 INSPECTION TICKET DATE 4�18�04 PREPARED ATLANTIC 18:45:58 INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEA ._ - - - -- ADDRESS . : 390 5TH ST TENANT, NBR: TEMP POLE 60AMP OH TP PHONE 1904 131 4210 CONTRACTOR : UNITED ELECTRIC CO. OF JAX PHONE : OWNER � _ PARCEL . . : - - APPL NUMBER: 03- 00025888 ELECTRIC ONLY - -- - - - - -- ------------------- - - - - -- - -__ - _ PBBNIT: BLBC 00 ELECTRICAL P REQUESTED TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 20 01 418103 LJH B Y .POLE Ti 19 ;01) 1L OR PM 131 -4210 ROSAI9RBO -------- ------ ----- --- - - - - -- COMMENTS AND NOTES ------ - - - - -- --------- - - - - -- PAGE 5 INSPECTION TICKET PAGE 4�15�0 PREPARED L NTIC C:48:43 INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEACH -------- - - - - -- ADDRESS . : 390 5TH ST TENANT, NBR: SINGLE FAMILY HOME PHONE : (904) 270-2020 CONTRACTOR : CUSTOM HOME BUILDERS PHONE OWNER . . : HALL, ALLISON PARCEL . . : - - - -- APPL NUMBER: 03-00025677 SINGLE FAMILY RESIDENCE PSRNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COM,:NTS 10 01 4/15/03 LJA - - - -- COMMENTS AND NOTES -------- - - -- � y„ r ORIO NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE bciO 6 c 1 " ST 430 03 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 5. t ©hl ? 0j F QC P -- TL112.o ctc G 6Z GUtf tx - jh,/ -t \ 1�,E ?tZo1/41 t cw t c9 CZa.Li c mac 1 \2.ctk bt2 S ty ,tE "t4"zi L tZ , 35' $SAO 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- aLuMeiNc ment for an inspection. Field Inspectors EXEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. ( 4:: - ‘1.AN) C 0 i 4 ,..fe r% F IORe' NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS OA7E 390 51'& -,-, lc .30. 0 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted t 02- e_SSLASLIZ 67 act F 2 * A 1 rij ;.3c iv 3 2003 3S v' $1.00 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 aLuMeiNc made, call 247 -5826, Building Depart- 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. AGE 2 PREPARED 8/27/03, 8:03:48 INSPECTION TICKET PAGE 8/27/0 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME PHONE (904) 270 2020 CONTRACTOR : CUSTOM HOME BUILDERS PHONE OWNER . . : HALL, ALLISON PARCEL . . : - - - APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612 -6800 11 01 5/05/03 LJH BD SLAB TIME: 08:00 5/06/03 DP 612 -6800 1.DRAWINGS NOT APPROVED /STAMPED BY B.O. 11 02 5/09/03 LJH BD SLAB TIME: 08:00 5/12/03 AP * OVERRIDE TAKEN BY JSCHLUETER DATE: 05/08/03 TIME: 16:36:55 612 -6800 12 01 7/17/03 LJH BD LINTEL TIME: 13:00 7/18/03 AP PARTIAL CELL FILL 612 -6800 PLEASE CALL AFTER INSPECTION 12 02 7/25/03 LJH BD NTEL TIME: 17:00 7/28/03 AP TIE BEAM DARYL GRUBBS 612 -6800 13 01 8 7/03 L`H/,/ BD TIME: 08:00 L. R OF AND WALL NAIL OFF 612-6800 CC11!! � {{{/// COMMENTS AND NOTES PREPARED 9/19/03, 8:20:40 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/19/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME CONTRACTOR : CUSTOM HOME BUILDERS PHONE : (904) 270 -2020 OWNER . . : HALL, ALLISON PHONE : PARCEL . . : - - - APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612 -6800 11 01 5/05/03 LJH BD SLAB TIME: 08:00 5/06/03 DP 612 -6800 1.DRAWINGS NOT APPROVED /STAMPED BY B.O. 11 02 5/09/03 LJH BD SLAB TIME: 08:00 5/12/03 AP * OVERRIDE TAKEN BY JSCHLUETER DATE: 05/08/03 TIME: 16:36:55 612 -6800 12 01 7/17/03 LJH BD LINTEL TIME: 13:00 7/18/03 AP PARTIAL CELL FILL 612 -6800 PLEASE CALL AFTER INSPECTION 12 02 7/25/03 LJH BD LINTEL TIME: 17:00 7/28/03 AP TIE BEAM DARYL GRUBBS 612 -6800 13 01 8/27/03 LJH BD FRAMING TIME: 08:00 8/28/03 AP ROOF AND WALL NAIL OFF 612 -6800 r f and wall nail off 13 02 9/19/ 3 L FRAMING TIME: 13:00 11 9` � IE DOWNS 612 -6800 DARYL GRUBBS // COMMENTS AND NOTES PREPARED 5/08/03, 16:40:11 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/09/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME CONTRACTOR : CUSTOM HOME BUILDERS PHONE : (904) 270 -2020 OWNER . . : HALL, ALLISON PHONE : PARCEL . . - APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612 -6809 11 01 5/05/03 LJH BD SLA TIME: 08:00 5/06/03 DP 612- 00 1.D WINGS NOT APPROVED /STAMPED BY B.O. 11 02 5/09/03 LJH B SLAB TIME: 08:00 _5412 _ OVERRIDE TAKEN BY JSCHLUETER DATE: 05/08/03 TIME: 16:36:55 612 -6800 COMMENTS AND NOTES PREPARED 7/25/03, 8:10:11 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/25/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME CONTRACTOR : CUSTOM HOME BUILDERS PHONE : (904) 270 -2020 OWNER . . : HALL, ALLISON PHONE : PARCEL . . : - - - APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612 -6800 11 01 5/05/03 LJH BD SLAB TIME: 08:00 5/06/03 DP 612 -6800 1.DRAWINGS NOT APPROVED /STAMPED BY B.O. 11 02 5/09/03 LJH BD SLAB TIME: 08:00 5/12/03 AP * OVERRIDE TAKEN BY JSCHLUETER DATE: 05/08/03 TIME: 16:36:55 612 -6 00 12 01 7/17/03 LJH BD NTEL TIME: 13:00 7/18/03 AP P IAL CELL FILL 612 -6800 PLEASE CALL AFTER INSPECTION 12 02 25103 L B LINTEL TIME: 17:00 IE BEAM DARYL GRUBBS 612 -6800 COMMENTS AND NOTES PREPARED‘ 5/05/03, 8:18:02 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/05/03 ADDRESS . : 390 5TH ST SUBDIV: TENANT, NBR: SINGLE FAMILY HOME CONTRACTOR : CUSTOM HOME BUILDERS PHONE : (904) 270-2020 OWNER . . : HALL, ALLISON PHONE : PARCEL . . : APPL NUMBER: 03-00025677 SINGLE FAMILY RESIDENCE p D 1.....:::::: PERMIT: BLDG 00 BUILDING PERMIT JUL 1 4 9003 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO_ 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612-6800 11 01 „ 5/05/33 BD SLAB TIME: 08:00 ell)Pti i_ ) L. 612-4000 ) COMMENTS AND NOTES f It v F1 O Re' NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS GATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted t r r A tw@ tai AeI >►' P w,1pan \N./ "�u.t k.S71 (9 FIFA (--.. ec- - 1 . Lazt ( 136_) 2) r)V5TAtZk Cio t l_ CO -PA t7 Lk Tr-- (S) -C 1 u --O • ( 55c,i • 1 . < 66z1 (j 0 3- _2$13,00 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 PLUMBING made, call 247 -5826, Building Depart- 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. . PAGE 4 INSPECTION TICKET DATE 7�17�03 PREPARED L NTIC 17:00:16 INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEACH ---------------- ADDRESS . : 390 5TH ST TENANT, NBR: SINGLE FAMILY HOME PHONE : (904) 210-2020 CONTRACTOR : CUSTOM HOME BUILDERS PHONE : OWNER . . : HALL, ALLISON - - PARCEL . . : - - -- - - - -- APPL NUMBER: 03- 00025677 SINGLE FAMILY RESIDENCE PERMIT: BLDG 00 BUILDING PERMIT DESCRIPTION REQUESTED INSP TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 10 01 4/15/03 LJH BD FOOTING TIME: 13:00 4/16/03 AP 612 -6800 11 01 5/05/03 LJH BD SLAB TIME: 08:00 5/06/03 DP 612 -6800 1.D'1INGS NOT APPROVED/STAMPED BY B.O. 11 02 5/09/03 LJH BD LAB TIME: 08:00 03 AP * ,VERRIDE TAKEN BY JSCHLUETER DATE: 05/08/03 TIME: 16:36:55 5/12/03 :12 -6800 12 01 1/17/03 LJ' BD LINTEL TIME: 13:00 PARTIAL CELL FILL 612 -6800 PLEASE CALL AFTER INSPECTION --- - - - - -- -------------- - - - - -- COMMENTS AND NOTES --------------- - - - - -- - - Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: (7 1 1 / (21 Contractor Name: - L t )7�> �• �� :' � 4��1 ) (L c Permit #: Property Address: Legal Description: I� Y3) 5 t/+.10 4 A Improvements to the above - described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: g e- Family Resident- Commercial - Other: Lowest Floor Elevation: 1 Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works ' _ ' J 7 - 7 �/ v y- a Planning Dept. 7-6'11 / N Building Dept. ` _ 7 - `( @: Final Survey with FFE Yes No All Re- Inspect Fees Paid No CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y T E M P O R A R Y Issue Date 2/27/04 Expiration Date . . . 3/27/04 Parcel Number - - - Property Address . . 390 5TH ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner HALL, ALLISON Contractor CUSTOM HOME BUILDERS 904 270 -2020 Application number . . 03- 00025677 000 000 Description of Work . . SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved C l wilding Of icial VOID UNLESS SIGNED BY BUILDING OFFICIAL GUTTER MUST BE INSTALLED ON WEST SIDE OF PROPERTY FOR FINAL C.O. MAP SHOWING BOUNDARY SURVEY 01' LOT 37, BLOCK 6 AS SHOWN ON MAP OF PLAIT NO. 1, SUBDIVISION "A" ATLANTIC BLEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FOR: CUSTOM BUILDERS NORTH ARROW SHOWN IS FOR PICTORIAL PURPOSES ONLY. TRUE NORTH MAY VARY. ELEVATIONS SHOWN THUS: (11.80) REFER TO NATIONAL GEODETIC VERTICAL DATUM. FIFTH STREET (40' R /W) 91.98' 10 50.00 (LS 3872) ' V N _ 0 4' C HAIN LINK FENCE/' X 0.3.4 90. �.•,. \ 0O % x 00� 0 Z- x -] O " 0 I 156 x. N x N' , . x 0. N .. CO on W • a./ x p / c. y ,� • ....um y U A Or x K 4 N ./ 1• . 3 i0 \ ' v d 25.7' x 12.6 x 1 STORY Y CONCRETE BLOCK h • , . j STUD/0 1390 ,.., x 27' EAVES ' •,,• " FTN FL EL ( I �, O' 1 9.3 11.80) • § a 25.7' a x ^ J i.' Q w x ,, x U a 0 a a O, 19.3' 0 ft m M to O I 1- x o �Ix o -J x © < • er— x I -.J I x O M x 1 O au I x az .. 6 I� U�w I V sreps ' 't I U O N L. Z x x >" __:___F.,..._ •1 10.4' x O • N aS • x i i ,, 0' 34.6' 10.4' •" CONCRETE A/C PAD x x o CERTIFIED TO: I I ` 4'Y `// LOT 37 9 ;, KATHERINE ALLISON HALL & � 6 '� o WILLIAM H . HALL +' CHAIN LINK FENCE 4' 4 CHAIN LINK FENCE ; AMSOUTH BANK )1 1 — x '— —x —X —X x N. FOUND 3/4 IRON FIRST AMERICAN TITLE INSURANCE CO. 50.00' ROBERT A. HEEKIN, ESQ. LOT 36 MAP SHOIIINC BOUNDARY SURVEY OF LOT 37, BLOCK 6 AS SHOrN ON MAP OF PLAT NO. 1, SUBDIVISION "A", ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. FOR: CUSTOM BUILDERS NORTH ARROW SHOWN IS FOR PICTORIAL PURPOSES ONLY. TRUE NORTH MAY VARY. ELEVATIONS SHOWN THUS: (11.80) REFER TO NATIONAL GEODETIC VERTICAL DATUM. FIFTH STREET (40' R /W) 91' 98' zil 50.00' N (LB 3872) 0 4' CHAIN UNK FENCE x x 0 � 0 O � V. x � O0 . VA I_'�'N N « 'I I 6.7 i O r. III ;, x. O_ K N . .4„ R ' !j ' \ I 1 25.7' 6 x 1 T 8 ' e t STORY z I CONCRETE BLOCK ,, , : STUD10 x /390 ,.., x 27' EAVES .',,,•. a 1 x _FIN FL EL 11.80) , L. 0' 19. ' ' 1 . 25 .7' „, x -' 1 k' S ) m xx ,. Q � O In 0' 193 O )-- M O x 1--, � o I- �� O I �`' x -J x t7 W o "� 1- c w x Li � U x O 0 W , I % U oIN iii.T x I >- N -- ' 13.4' O 15.3 F- • I x N • 1. x I I x,p' 34.6' 10.4' I I '° CONCRETE A/C PAD CERTIFIED TO: I 412' LOT 37 % , KATHERINE ALLISON HALL & .v, 45 o4 WILLIAM H. HALL 4' CHAIN UNK FENCE , s , 4' CHAIN LINK FENCE ( . AMSOUTH BANK —_ x —x —x —x x FOUND 3/4' IRON FIRST AMERICAN TITLE INSURANCE CO, 50.00' ROBERT A. HEEKIN, ESQ. LOT 36 ABDG, INC. 390 FIFTH STREET ATLANTIC BEACH, FLORIDA 32233 TEL 904 - 249 -4133 FAX 904.247 -5099 kallih bellsouth.net February 24, 2004 Mr. Don Ford *via email: dford @coab.us City of Atlantic Beach *hard copy to follow Dear Don, Per our conversation regarding 390 Fifth Street, a gutter will be installed on the west side of the house within 30 days from receiving the C.O. I will meet Larry for an inspection on Thursday, February 27 for the temporary C.O., and Daryl Grubbs will schedule for the final inspection upon his return in early March. Thank you for your help. Please call me in the meantime if you have any questions. Sincerely, 4 ° Allison Hall Mar 29 04 02:O1p DARYL GRUBBS 904 - 270 -2244 p.1 e catom &taco GENERAL CONTRACTORS RESIDENTIAL & COMMERCIAL OFFICE 904- 270 -2030 1919 NIGHTFALL DRIVE MOBILE 904- 612 -6800 NEPTUNE BEACH. FL 32266 -1517 FAX 904- 270 -2244 E -MAIL daryl@)dgrubbs.com March 29, 2004 TO: Don Ford 3 pages FROM: Daryl Grubbs RE: 390 5 Street Mr. Ford: Attached is the contract and copy of the deposit check for the gutter on the west side of 390 5` St. They have ordered the special 6" half round gutter and it should be installed in April. If possible, I would appreciate it if you could release this for the final CO as the bank will not release my 1 ' 'raw until they have the final CO. If you could call 0- (612 -6800) • let me know the status on this, it would be greatly appreciate'. Thanks for your help. -A % p t 1, ,. f r ` e { ( 5 (Cr ) ,. t -� Mar 29 04 02:O1p DFIRYL GRUBBS 904 -270 -2244 p.2 Romunu Rooting Services ‘iq wr, 4,4. c l P.O. Box 330337 1 6" Ajj ctilti to • Date 3 I / `? - f /4 7/ Atlantic Beach, CL 32233 -0337 . 904-246 -5649 • Fax 904- 247 -9040 ti ....• Licen U CC - CO5Atti — 7.. / . Gut t:er Li - and We accept Master Card & Visa • Member BIM 3 Year . • Warranty . Insured • Free Estimate r on all work nn esident+sl Name: hill . 5 r r• Qe 3 7 s # 4 5 4-/CC4- ( ) Builder i . . , Address: - ( ) Commercial • / / , ' . Ci 1f ' el f i ( 8 ( / Subdiv.•, ( ) Apartment ( ) Other Phone: 'if/ 3 -- 1 f77 Work. . • Gutter Downspout Gutter .. . . • .. Color Color Screens Pr . ., (� /1/4 6 ' G6.ae s SA 1c" . • ` -: G. 61 Vrt ii/i--1 G a I ill 114" Downspout , � NO • • J� � Xj.5 . - Miters -- Splash- Guards - . Screens - ///711 , Extensions - . • . P S - • et -t vel . . LI D/5:-..---:? BB Courts - 5 t X � % ,.u� . G IIo'Xl�l� _ 6'p��p� Tota $ 2 �I %�11.vo Visa Master Card t Root Cleaning: lsl Vlsit ��` ti • Each Additional /./ tiuw ollen rlxommended 1 ' 1 e/ Vr""' � `~ • Approxiltlale Surface Square Footage: - ( r ✓� /"1 C • / •` Shingle Type e 1F l ----- wt:. vutiros .. httely ic, t'lu'ni.l■ matcti:d and labor • c pctc in acCurdmacc wills alracc syccilicatit fta the 7111 v 11 M (�.1 �h Ga (7) 1 'r - r� �'� i t 1:4 �. iv :l /44 tia � / Doll 2 t' 50 .0 • . r., ...ur road n. Ire J... > �-' 3 /Awn: ''� , ( 1. ^7 _ ] t , �' r. /1 gyp) /. � , ! l t. °7r� � Z �Z..).011 y / it.-1i C e Co .,--. ./ \' - 4. � I/, 1 ✓r "ill t G ' 1 11 la e e0 ' ` ; All mtncinl it pu.rameed e. Le .. .pniliinl. All wind In br .nmplend in • o,hoaorial Awham.,l c2‘;— — 1 1 P 0 Di 1 � .•a•arkrnanke manner ec ew r l..if .dm n.bo.lucd, per a 71 pnr tr A•r Yig,narrc - . y ',_ .,, ° YArrainn - d••ia.inn h i .h . gre. iricni.n i u iuv,dvinynrv. r.lu.yr . ,.r . a,ol rl,r. • 1 �Y riInva, All aweenxnte cercinyenr upon voile., ..a.Mna rn.ld.ya Inynnd a,....,nr.nl. •.1r., T1.in p...rnn.l may d % owner m corny lin, mm..lo. .ud ,xlrer 00:0110/f 1.0∎.00... t lnv wn.1wrr. awn (nay withdraw,. hy.n 1( ant rprnaw:.6in _ d.yn, .. r.wer.d 17 W G lama.... - t ': 1 % AGGLI'7ANCr OF PI101aOSA1. Tier .L.vr prix, •peciticaionr .nd cmrdiriom ue w„,...,...,, t.hky ccurttd, u cc calice/ re o the w.n4. al Nyman' Sip nil } Yo hA d � ,uu.a 4 . ill I l wwr �naer aa r..nl: all"y / 1 • (lane .,(.rc. �'.. 3'�� . . . - Si�nan „- Other Estimates Given: ❑ Roof ,. ❑ lawn ❑ Pool 0 Mivc. Mar 29 04 02: Olp DFIRYL GRUBBS 904 -270 -2244 p . 3 0111M21,21111ERWSA. • •AMSOUTH . ALLISON HALL 1025 390 Fifth Street A"antic Beach, FL 32233 63-4416/831 =!_)(2'. DATE PAy To To E_Eic2Lhi, r — $ ORDER OF e- For.fiLs trit.Lity — Trik-6A-71. o• ks • 4 BANK TOE RilLATIONSHIP PEOPLE' t / , Fn I:063104668C 003.1720633u" 11.0(25 .0- • . 4 ? • • 'el, :•• . • .??S.re" • .04 . iiikir0f. , ,7.- 400 77. 1 90,00. , 0:400 , Y.td: ;7%4 4; • • • • il • r.) / CITY OF ATLANTIC BEACH x `ss� . .. i ,c , k } s '� r y sa. k 4 r „,,,w1,1;‘ Y ; Z �* 7 , may u - < z t` H wy ", � � : �° � �� air, �;� � � "� p � ,�� ,� ) r' m �, 5 � ,Fr � ;� �'� 'tt a ` � ,r ; ,�� t� � �` °� , t- �„��, a r �,� a rt 'i, f .. Y, r a„ +r r. M 4',v'' a §V `-S a*a a '� .� x ,« .e �' �( , ' n& , T ,: 0 tf t Y, p' y , �s . 9 a S :'rI s ` `, ms ' ` , w 'as. �- "'� Mks` „r M.. £ - ��fi O f .v r ct,k .. ,. v„r�{',auk�: � .1., r"�r ; ` %-,,,',?- 4 . ... ' 6 r” +,._ ;r 'a -, to ''? f + Q „` x • • 800 SEMINOLE ROAD • ATLANTIC BEACH, FLORIDA 32233 -5445 • Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http: / /ci.atlantic- beach.fl.us FAX To: ) ^ ,✓✓jI &''v °mss Fax #: 2,-1 0..- 2 .24 From: Jennifer Date: 3/ 1 CS� Pages: 2 Re: 7 C✓Yr 01- (_i. 0 , ❑ Urgent IT For Review El Please Reply • • • • • • • • • Notes: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y T E M P O R A R Y Issue Date 2/27/04 Expiration Date . . . 3/27/04 Parcel Number - - - Property Address . . 390 5TH ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . TO BE UPDATED Owner HALL, ALLISON Contractor CUSTOM HOME BUILDERS 904 270 -2020 Application number . . 03- 00025677 000 000 Description of Work . . SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone r' Approved �- uilding Of icial VOID UNLESS SIGNED BY BUILDING OFFICIAL GUTTER MUST BE INSTALLED ON WEST SIDE OF PROPERTY FOR FINAL C.O. ABDG, INC. 390 FIFTH STREET ATLANTIC BEACH, FLORIDA 32233 TEL 904 - 249 -4133 FAX 904.247 -5099 kallih@bellsouth.net February 24, 2004 Mr. Don Ford *via email: dford@coab.us City of Atlantic Beach *hard copy to follow Dear Don, Per our conversation regarding 390 Fifth Street, a gutter will be installed on the west side of the house within 30 days from receiving the C.O. 2 I will meet Larry for an inspection on Thursday, February 3 )11, or the temporary C.O., and Daryl Grubbs will schedule for the final inspection upon his return in early March. Thank you for your help. Please call me in the meantime if you have any questions. Sincerely, Allison Hall (2 C(4eo4 e.t.d.,. ,, GENERAL CONTRACTORS RESIDENTIAL & COMMERCIAL OFFICE 904- 270 -2030 1919 NIGHTFALL DRIVE MOBILE 904 - 612 -6800 NEPTUNE BEACH, FL 32266 -1517 FAX 904- 270 -2244 E -MAIL daryl @dgrubbs.corn RECEIVED CITY OF ATLANTIC BEACH March 28, 2003 BUILDING & ZONING MAR 2 8 2.003 TO: Mr. Kosoy BY: FROM: Daryl Grubbs ____ Attached is a revised site plan for 390 5 Street. If you look at the current 0� , elevations the existing drainage from the rear of the lot is going to the west. We are maintaining that existin g pattern for the rear of /f the lot with the remainder going to s, the stre Please call me if you have any questions. 0� 1 ` L,iL't Thanks for your help. r G u m � ". , , �� ) / �' I I Residential & Commercia , � , I 4- . _ e a... z e adeo. fp IP General Contractors {� � ''�� 1919 NIGHTFALL DRIVE 111 S t � 2 � NEPTUNE BEACH, FL 32266 -1517 } �� 1064 ) tfr 01 OFFICE 904 - 270 -2030 MOBILE 904 - 612 -6800 O DARYL C. GRUBBS FAX 904- 270 -224 - President EMAIL daryl @dgrubbs.com fyieft-tP^ 4- (ti t ;E &II r atliViA4 4 toy L_ , ger-e i 44A-v4 .41/&(°; 4 .c4.i...(4;t - , to-4, ' - U, ,& (re., calie.i30, ''. 6' .44.04.." 1oep 9 n1,414 1 0 c li tf y,. - -4 - e i :ci'd9 -- 0 no • FLOODPLAIN DEVELOPMENT INFORMATION Location:: . f� Type of Development: Si" it A,,; � 7 plprc /l 0^ s Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: • • Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Date 0 2 -2 y. 0 3 Applicant's Signature „_ , A�ii :Miami Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative Higgins, Larry J. From: Schlueter, Jennifer Sent: Thursday, February 12, 2004 4:54 PM To: Higgins, Larry J. Subject: FW: 390 5 th. st. Larry Larry, Can you check this for me please? Tx, J Original Message From: Deming, James Sent: Thursday, February 12, 2004 3:35 PM To: Schlueter, Jennifer Subject: 390 5 th. st. hey baby, mr. grubs wasn't quite ready for his inspection. he understands what needs to be done and he will call me when it is ready. as per bob's letter that was approved, gutter was requried on the west end of the building can you have Tarry check on this for me? love ya, jimbo. GCCV L 1 3 q o 5I _:,� City of Atlantic Beach s** CUSTO$ER RECEIPT *e* Oper: DSMITH Type: OC Drawer: 1 Date: 2/28/84 01 Receipt no: 35485 Description entity Amount BP BUILDING PERMITS 1.08 $35.00 Tender detail CK CHECKS 2097 $35.00 Total tendered $35.'' Total payment $35.00 Trans date: 2/20/04 Time: 15:37:89 J or- 1 21 CITY OF ATLANTIC BEACH ', 800 SEMINOLE ROAD m . ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00025770 Date 1/15/04 Property Address 390 5TH ST Application description . . TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor OWNER Permit TREE PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 3/28/03 Valuation . . . . 0 Expiration Date . 9/24/03 Special Notes and Comments REMOVE 12" OF PALM AND 14" OF PALM TO BE MITIGATED ON SITE WITH A 6" BLACK OLIVE, A 5.75" CHERRY AND A 3.5" GUM. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 -- __ BEACH �K � 1 ' J > U �J • ,t CITY OF ATLANTIC , ... , , �' .� . • { TREE REMOV A PPLICATION ,: 1 ,,,, „„ r , _ • en co • • • rcee'ved h Frida 1.1 1 a . • ' • , c �: .. glib, itt: - I 3 �.•• e•• * K r• 1 C B N • P _ . • • I I•' OR11 1n E. Y y - - WI BE PROCESSED. 904- 612 -6800 Daryl Grubbs, agent 1919 Nightfall Dr, Neptune Beach, FL 32266 1. , DRESS TELEPHONE APPLICANT DAME Lot 37, Blk 6, Plat #1, Subdivison A, Atlantic Beach 2. ADDRESS OR LEGAL DESCRIP71ON OF TREE REMOVAL SITE • Adjacent to 380 5th St. on the west side 3. REASON FOR PROPOSED TREE REMOVAL: new home • 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? 0 YES ik NO 0 NOT SURE 5. PROPERTY ZONING: )RESIDENTIAL C3 COIvMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: • SPECIES J DIq,METER iNTFR10R DIAIsIETER MITIGATION E 1 4'" Bay palm ,rf'' r).1 Palm 12"/6,7t) -30t.-1 Palm 1 4 " "3 iS ( (c OLikko- eLlut Palm 15 LF,%S (f (5/t 5 5 ry (< <(f r4 ∎( Red Bud 444 k4 V4, C kv< iL- 4 "A Palm L re F Palm 1 " . • Palm 2 ' '' 1 7 y • Diameter at Breast }Height (D.B.H.) is measured at 4.5 fee above grade. To accurately determine diumetcr, measure the trunk circumference and divide by 3.14. Diameter of multi- trunkeci trees is determined by adding together the diameter of eacb trunk as measured immediately above the • fnrkc. - 1 _. • gram for determination of interior and exterior woes. I Sce atxacbcd dm. 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. .... _ c) Location of all trees with Diameter at Breast Height of six inche or more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved OD-site for mitigation must be marked with brackets "( J ". g) Location, size and species of any proposed new replacement tr'ces marked with a circle "O ". b) Location of utilities and casements as applicable. I) Location of trees to be preserved on -site with barricading noted. 8. ON -SITE REQUIRE1 LENTS: ORANGE a) All trees identified for removal MUST be marked on -site by RED flagging, paint or tape. • GREEN b) All trees to be preserved on -site for mitigation MUST be marked with BLUE flagging, paint or tape, c) The front property corners must be marked by stakes or paint indicating the Lot 9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WTLy NOT BE PROCESSED. PLEASE B A T \ J ITH ALL rKuV1SIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. 8/12/02 , . i - it's Signa Date Grubbs • .� Da l/ 8/12/02 . mil A . `►J�. Owner' .L;:ga Al ison Hall Date . CITY USE ONLY: • Tree Conservation Board Chairperson Date • Au s `1 -02 06 , 4 ct y „ Lb u C ARCH 904-262-3751 904-270-2244 p • 01 I 0 <z) (4.03) _ ( ) At ?9)6 ... ... _ (.3. ... .. ._.... t C7 ....... • 1:- �. P r.: :.::.::-.:**.:-.::•. 50 . � �5 / ' 17 '. ::r. •:1 >)_ • a4�8��i/• . Mar , �,. /5 , . d /AZ w— )(4. 1541Y 4 Z4 ' A' 7 )4 NO i{ 6 6 �L-vac.m S ti i �`y , 14.3 , mat is, . . i d ■,,I, 1 r , ..c cu pe S bf, (rti ) -N? •ao.ta (mss) 4 4 •. . .4c NI 4 3 ° , VI . (I8.9 V, OA k rig: . - -A e ' l / - • I , %AA Si : `-' . Cif. t.- ° r ` 7 _ ' V + 0 rs'P�^ h ,Y�v 1 (.5) 67.1) (9.) �sl ' 8 gn ) IRON 5., L "P4 n? r/ j,4 S7"EPS —NI-- - --' /‘0 • .,s (124; /CP4444 au,,) C•] o) ll. ) ■ .. r M L SyPw i , iv iv M O •3) r � 0 -) is r 1 ( , `_3,) 693) o -- 50. Tao) it. TRTY ..9i0 0.1 HEREON APPEARS 7'O LIE N7HFN FLOOD HAZARD ZONE____ AS SC4LLD PROP, ; -,_, f R.c. • / , n 44n/ rno rue "ry nc A+..i ,e, •.. , e+ norm • n • rrn 4 1".01 .•." . /i;) ,�x�j3e A3,yd1 ! • j 1 { tt F Y p k 9 {{n pi a`rl , ' • • • J 35 ia�. t 4 06/ P9/2003 09: 18 9042492908 MIKE QUICK PAGE 02 i 1 • 11111 iii iii \ 1111 06/9/2003 09:18 9042492908 MIKE QUICK PAGE 03 ri a .A A g 1 1 1 _. . . i u 0 Q ..^1.. _._.._., .1 I t 1 1 l t f A . . 8_,.. 1 I 1 . I!__ :.._ 114' 1 ■■ v 1 , .. -- - - , -- -...,, 0 tr---e-tr .+ 06/19/2883 09:18 9842492908 MIKE QUICK PAGE 01 hoping far: By: June 19, 2003 All Mike Quick Fe scWRa raining Will 181.9600 Altar &U 1- Leber sad Mideeiala Wog tree 1x =arid fbr Once boards hew Descriptlen Qty UM Dalt Cast Sub Total 2x44 =Makes & bracing 10 EA - 11.89 518.90 6x6x11' Pest 11 EA S13.97 $153.67 6x6 c12' Pest 7 EA 521.97 3153.79 2x12x16' Retaining wail 12 EA 819.97 $239.64 2x4x8' Rails 46 EA 52.49 8114.54 4x44' 1r,1 mediate Post 6 EA 53.97 823.82 2x6z16' Cap 8 EA 88.49 567.92 lx6x, Fond. Seerds 46 EA 52.97 3136.62 1x6112' Fence Bowls 110 EA 84.97 . 8546.70 Comm, 60 lb bags aurae 76 EA 32.95 3224.20 Silt fence 1 EA 340.00 840.00 Nails 1 LS 8100.00 8100.00 81,$19.60 Tax 8127.39 31,947.19 Delivery 55 Mks 32,002.19 Labor $2,000.00 Total Alt. 1 54,082.19 • • 1 Y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03- 00025677 Date 9/04/03 Property Address 390 5TH ST Tenant nbr, name SINGLE FAMILY HOME Application description . . SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 200000 Owner Contractor HALL, ALLISON CUSTOM HOME BUILDERS 1160 BEACH AVE 1919 NIGHT FALL DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 270 -2020 Permit MECHANICAL PERMIT Additional desc . INSTALL NEW HVAC Sub Contractor . ESTES HEAT & AIR, INC. Permit Fee . . . 107.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 107.00 107.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 107.00 107.00 .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 `SC BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT • IMPORTANT — Applicant to complete all items in sections 1,11,111, and IV. I. Street Address: 390 LOCATION OF Intersecting Streets: Between And BUILDING Sub - division IL INDENTIFICATION — To be completed by all applicants. . In consideration of permit given for doing the work as described in the above statement we he cby agree to perform said wok in accordance with the attached Owls and specifications which are a part Hereof and in accodmee with the City of Atlantic Beach ordinances and standards of good practice Listed therein. Coname of Mechanical Contractor(Prn t) E t E`5' !-fEAT 4 A! � , rived tractors 1 1 C &,C O 566 �F Name ofPtopaty P N Owner l °,— Signature ofOwna - (1 Signature of --••' Or Authorized Agent jJC I Architect or F.ngiaar III. GENERAL INFORMATION A. .Type of heating find: B. - • O Electric IS OTHER CONSTRUCTION BEING DONE ON THIS Gas LP Natural Central Utility BUILDING OR SITE? YE S ❑ Oil .❑ Other — Specify IF YES, �ER NUMBER. UCTION r Iv. MECHANICAL EQUIPMENT TO BE N : ' WORK INSTALLED ki Residential Commercial Ming (Provide complete list of components on of this Bum) p New Ex jilt Heat i st i ng B l�. Air C Space Recessed tra<, Les tesn"""aa" CI Replacement mf existing � J91 Duct Systum: Material MZ Te i fsL x Tb 1g• New Iostalladoa (No system previously installed ❑ Ex>eusioa or add-on to miffing system 0 Refrigeration Maximum capacity dal ❑ Odra- Specify ❑ Cooling tower: Capacity gPm ❑ Fire sprinklers Nurser of heads THIS SPACE FOR OFFIC K USE ONLY ❑- Elevator: Maxilla Escalator ❑ Gasoline pampa (Nunibrr) ) (Received) ❑ Tanks (N) Remarks ❑ LPG containers (Number) ' ❑ Unfired pressure vend 0 Boilers Permit Approved by Date . ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT N D M N umber Manufacturer Capacity Approving • (Tins) Agency 1 COkthe1.15Et 648l7J1x.0118 e(aVAor 4mk HEATING — FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (am) AgencY - i9 iR Ii6L4-2, 1 V41.4uFc( " &5(ZyAJT' i iC TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained MannficRUa No. Agency BUSCHMAN, AHERN, PERSONS & BANKSTON A PARTNERSHIP OF PROFESSIONAL ASSOOIATIONS ATTORNEYS AT LAW 2215 SOUTH THIRD STREET, SUITE 101 JACKSONVILLE BEACH, FLORIDA 32250 POST OFFICE BOX 50006 JACKSONVILLE BEACH, FLORIDA 32240 -0006 TELEPHONE (904) 248 -9994 FAX (904) 246 -6680 BUSCHMAN & AHERN, P.A. ALBERT E. BUSCHMAN, JR. FRED L. AHERN, JR. (fahernebapblaw.com) MARX C. DEARING (mdearing@bapblaw.com) ROBERT B. PERSONS, JR., P.A. JEFFREY R. BANKSTON, P.A. July 23, 2003 Ms. Allison Hall 1160 Beach Avenue Atlantic Beach, Florida 32233 0 Re: 5 Street, Atlantic Beach, Florida Re No. 169850 0030 Dear Ms. Hall: Please be advised that this firm represents Patricia Pascoe - Lawrence in regards to the above- referenced matter. My client is extremely concerned with the fill dirt that you have place on her property and the proposed drainage plan for your surface water runoff. You were aware that your chain link fence encroaches onto my client's property by approximately 18 inches. In addition, the fill dirt abuts the chain link fence and therefore encroaches by approximately 18 inches onto my client's property. The fill dirt is approximately 36 -48 inches higher than the elevation of my client's property. Accordingly, the fill dirt will cause serious flooding and drainage problems to my client's property. Since the fill was placed against the fence without a retaining wall, the fill dirt is washing through the fence onto my client's property. In addition, the fill dirt has covered numerous palm trees that are located on my client's property and have already or will cause these palm trees to die. According to the drainage plan that you submitted to the City of Atlantic Beach you intend for your surface water runoff of the northerly 2/3 of your property to flow to 5 Street and the surface water runoff of the southerly 1/3 of the property to flow to the southwest corner of your property. Evidently, you did not inform the City that you would be filling approximately 18 inches of my client's property. This drainage plan has already caused and will continue to create significant drainage problems for my client and possibly your neighbor to the south. All of the surface water runoff of your property should be maintained on your property and carried to 5 Street. Also, a retaining wall will need to be constructed to contain your surface water runoff on your property as well as to prevent your fill dirt from eroding onto my client's property. Furthermore, the chain link fence needs to be relocated to your property line or removed and the trees that you have covered with fill dirt need to be immediately uncovered so Ms. Allison Hall July 23, 2003 Page 2 that they will not die. Also the pitch of your roof will cause the water from the roof to dump directly onto my client's property unless a gutter system is installed on the entire westerly eave of your home. The gutter system should tie into a standard PVC pipe collection system to carry the runoff from the roof to 5 Street. My client would like to reach an amicable resolution of the drainage issues that will be caused by your fill dirt drainage plan, and construction. Accordingly, I suggest that you, your builder, my client and I meet at my office to discuss how you propose to remedy the drainage problems. Please note that this matter needs to be addressed now while you still have access to the areas that are affecting my client's property and before any further construction work is performed. If we are able to reach a mutually agreeable resolution to these drainage problems, then our agreement will need to be incorporated into a written document. I respectfully request that you and your builder arrange a time with my secretary, Tonya Wood for our meeting to discuss these drainage issues. In the event that you have not contacted my office and a meeting has not been scheduled to be held on or before August 1, then I will assume that you are not willing to amicably resolve this matter and my client would be left with no alternative to pursue all legal and equitable remedies available to her, which would include a suit for Trespass and a suit for Ejectment of the fence and the fill dirt. In addition, my client will seek an injunction to stop any further construction until these issues can be resolved by judicial order. My client wants to be a cooperative neighbor, but as to date she feels that you have not taken her concerns seriously. Sincerely yours, . # ,J r. FLAjr /tew cc: Ms. Patricia Pascoe - Lawrence Custom Builders c/o Mr. Daryl C. Grubbs Mr. Don C. Ford, C.B.O. City of Atlantic Beach , % c iC i��s >��c / l ' O , _J T r City of Atlantic Beach *** CU5TC€R RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: 7/14/83 01 Receipt no: 73825 Description Qty Amount 2883 25677 BP BUUILDING PERMITS 1 $78.88 Tender detail CK CHECKS 1682 $78. Total tendered $70.' Total payment $78. Trans date: 7/14/83 Time: 8:48:52 ` phic-:? CITY OF ATLANTIC BEACH J S 800 SEMINOLE ROAD rv ATLANTIC BEACH, FLORIDA 32233 ic `� . INSPECTION PHONE LINE 247 -5826 <4 fffil9 Application Number 03- 00025677 Date 4/04/03 Property Address 390 5TH ST Tenant nbr, name SINGLE FAMILY HOME Application description . . SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 200000 Owner Contractor HALL, ALLISON CUSTOM HOME BUILDERS 1160 BEACH AVE 1919 NIGHT FALL DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 270 -2020 Permit BUILDING PERMIT Additional desc . Permit Fee . 760.00 Plan Check Fee . . 380.00 Issue Date . . . Valuation . . . . 200000 Other Fees CITY RADON SURCHARGE .49 CAPITAL IMPROVEMENT 325.00 ST CONSTRUCTION SURCHARGE 11.23 AB CONSTRUCTION SURCHARGE 1.24 STATE RADON SURCHARGE 9.45 SEWER IMPACT FEES 1250.00 WATER IMPACT FEE 610.00 WATER CONNECT /TAP & METER 560.00 WATER CROSS CONNECTION 35.00 Fee summary Charged Paid Credited Due Permit Fee Total 760.00 760.00 .00 .00 Plan Check Total 380.00 380.00 .00 .00 Other Fee Total 2802.41 2802.41 .00 .00 Grand Total 3942.41 3942.41 .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. � � s /■ : ee t �. BUILDING OFFICIAL r f r ' A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 0 ATLANTIC BEACH, FLORIDA 32233 L.) INSPECTION PHONE LINE 247 -5826 03- 00025770 Date 4/04/03 Application Number 390 5TH ST Property Address Application description • • • PERMIT T TREE TO BE H U R MATED Property Zoning 0 Application valuation . . . • Owner Contractor OWNER Permit TREE PERMIT Additional desc . Plan Check Fee .00 Permit Fee . . . . .00 0 Issue Date . . • • 3/28/03 Valuation . . . Expiration Date . . 9/24/03 Special Notes and Comments REMOVE 12" OF PALM AND 14" OF PALM TO BE MITIGATED ON SITE WITH A 6" BLACK OLIVE, A 5.75" CHERRY AND A 3.5" GUM. Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 WHICH T ARE PART OF THIS RMIT AND PAYING UBJECT TO REVOCATION FOR VIOLATION OF PROVISIONS OF LAW. PLANS i N k r. BUILDING OFFICIAL • Qc teAsc lea GENERAL CONTRACTORS RESIDENTIAL & COMMERCIAL OFFICE 904 270 - 2030 1919 NIGHTFALL DRIVE MOBILE 904 612 - 6800 NEPTUNE BEACH, FL 32266 -1517 FAX 904 270 - 2244 E -MAIL daryl @dgrubbs.com C.7, E March 11, 2003^ TO Mr. Don Ford and Tree Removal Board FROM: Daryl Grubbs RE: Tree Permit at 385 Fifth Street Relative to our conversation this morning, due to a change in the footprint of the building, I am requesting a modification and extension of this tree permit. At the front of the lot, we will be leaving a 14" Bay and 24" Palm that were approved to be removed but will be staying. At the rear of the lot, we need to remove a 14" Water Oak, (10" Elm, an 18" Water Oakjind a 13" Water Oak. We have struggled for months with the floor plan to try to niake it work as we originally submitted the plan. Unfortunately, trying to work around the dune and the trees on the dune, and still build a nice functional home has caused us to have to move the house more toward the rear of the lot. Your consideration is appreciated. 50.00 • I i f 1 I do 6 s ' ` 1 6 > / 1 / N x / •. orl s " a sh 1 N I 1 , PA z / G„ ° 1 $ I F , F . 4 4 1 , 2. e K • > 1 io 1 wi l 1 �, • �1 6 1 _' Z g b n 1 m A ,`.• ---- ..I Gp ,\ O il m • , w i n I -l. ; a -r ■ ' • D r Q O `� ■ A Z , , `v l 14 11! 11 ^ ( G, N 1 �I I II" • j /8 Ch 11 OP ( S . i( L- 6 F- ji•Pr A te W v -a , ,i -r 10•-i• `' I 111/ CITY OF ATLANTIC BEACH A BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 • INSPECTION PHONE LINE 904 - 247 -5826 Application Number 02- 00024811 Date 9/16/02 Property Address 385 5TH ST Application description . . :.E PERMIT Property Zoning O B . - ' TED Application valua , ©' Owner o rac r - , ,., , ,,,,,,,,,:„p,,,,, i "' 4''' r)t \ • HALL, ALL „� , ,,,,,l,w, ) - 385 5TH s - ATLANTI' . B A d. ;�„ ` 3 2 2 3 3x ® EE . Perm Tonal . ' "» , '; WITH MITIGATI b' ON Pe Fee . ' .00 Plan Check -� Add .00 Iss ` D-- Valuation 0 Fe= i .. �' �, � ' J ''. '�'� Paid Credited D e Pi - n Ch c . _ .• .. 0.< ^, ' ' U O '' ''., , q . 0 0 0.01 Gr.:' '10 - .00 .00 .0. 1 - .00 .. ( 1'''' r o?„, BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER 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 '' r BUILDING OFFICIAL ■ t.a1 a V' A." Aa.4L'7d•aav ✓....ruse. • ■ ; TS'DEE REMOVAL APPLICATION I All applications must be submitted with seven (7) cc pics and received by 5 PM OD the Friday ten 11 i tut oays prior to the scheduled mcctine in order to be placed on the aendk I *INCOMPLETE APPLJCATJQNS OR INACCURATELY MARKED SITE$ WILL NOT BE PROCESSED. 904- 612 -6800 Daryl Grubbs, agent 1919 Nightfall Dr, Neptune Beach, FL 32266 I. APPLICANT NAM ADDRESS TELEPHONE •=.? c;- r � 7 . r Lot 37, Blk 6, Plat #1, Subdivison A, Atlantic Beach ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE Adjacent to 380 5th St. on the west side 3. REASON FOR PROPOSED TREE REMOVAL: new home • 4 . HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? 0 YES NO 0 NOT SURE S . PROPERTY ZONING: )RESIDENTIAL 0 COMMERCIAL • 6. UST TREES PROPOSED FOR REMOVAL: - 1 SPECIES DIAMETER DIAMETER }VIJTIGATlOi�I vet) INTERIOR EXTERIOR { < , palm tt ,L �Lfr :. -Cl1Ve Palm 12" 5-_'X r; ( CI a Palm >4.1 �� ,�.` � ..4 . L r). - L `` Palm 1 �� . �1 `, ) Red Bud 8' . t t - c t Palm 1 �� ..0 / Jr1 Palm 118'\ Palm 12" • ' it i t (1,2 ( • Diameter at Breast Height (D.B.H.) is measured at 4.5 teat above grade. To aceorrteiy determine diameter, measure the trunk circomtercacr Bpd divide by 3.14. Diameter of realti- tranked trees is determined by adding together the diameter of each trunk as measured immediately above the . forks. • • • •• See ausebed discram for drtereaination of interior and exterior woes. 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures c) Location of all trees with Dirn ctcr at Breast Height of six incbes or more. • d) Tine species and sizes. c) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on -site for mitigation must be marked with brackets "( ) ". l) Location, size and species of any proposed new replacement trees marked with a circle "Cr. b) Location of utilities and caseroco as applicable. • I) Location of trees to be preserved on -site witb barricading noted. B. ON -SITE REQUIREME-NTS: ORANGE a) All trees identified for removal MUST be marked on -site by RED_ flagging, paint or tape. • GREEN b) All trees to be preserved on - site for mitigation MUST be marked with BLUE • flagging, paint or tape. • c) The front property comcrx roust be rourked by stakes or paint indicating, the Lot 9. * JNCOMPLETE APPLICATIONS OIL INACCURATELY MARKED SITES WILL NOT BE PROCESSED. PLEASE RB A - I v V JTTH � OF CHAPTER 23, AR l'1CLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. .Z./ , 8/12/02 - .t's Signal Da ;� Grubbs • ANNA . A� ' 1 aim 8 / 1 2 / 0 2 • Owacr' & p a . Allison Hall Dale CITY USE ONLY: 1 � rte i/. _ 6 • - C ) Tree Conservation Board Chairperson Data • • ? r I 0 ' I be Il o- ivill , d � ��. zip) 1 ' 4'7) /4.6.5) _ rQ &5) 14 7, � . .. /.39 (5 7 ...... ' . /.. 5 ,r, r .. :� :�rl ... = . Bak :� , ,o.z / 1 ,_ , - pir1''' 1 -1 8 , " ) 1111' LQ: a" y t / ;, < %''"'" 1 , -- . t ' = f , . ( 9 s (44 i RernoveI waved 0 / ' fr P� .) -- /4' to /9/ ig ',. (r 1. • .o4{Z -4) (;'.t) • 4 i 0 o ' is if VI ,. , er ),. ,. , .". . 1.0..., ,. . -..-i-- i 9 /it Z 4 ' rsP 1. s y i' �± - ' 6 (j7.1) - (.7• Ia. 0 ITION 1, - ",r ( ' 1 -, 4 L "P4C.,0? r i 4' S`TE'PS OL a° - N 1 -1 , , r . ik 'itii , -r. - 0 "P"Orl' .1A1111p55 ... ..e.f...j..'.... Sh 4,4", ,l . I \ \ \1 1. I If ^' -5) . (i 4 r ," (b -; (74 3) 1 T o AV - 5o.op� :ti j ioo ) Ps .4 iG :7UO HEREON APPEARS 70 LIE IN7NNN fL000 HAZARD ZONE. x AS LQ7 f7lO . ; , Iin /1/JA/ the !LC #,r. nt A,•, R ..., e+rorn• r►•r-n 4 •7.A 4.... a mr r ' a r!S i MAP 1 h ,i1(f City of Atlantic Beach • 800 Seminole Road • Atlantic Beach, Florida4223-1.54 Phone: (904) 247 -5800 • FAX (904) 247 -5805 • http : / /www /ci.atiantic- beach.fl.us BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) / b DATE ,,2' y G JOB ADDRESS 310 -a �'/- rrl OWNERS NAME / � I S c / ADDRESS f /CCU t - a c `1 Art. /// /q., )1;C' , -t PHONE: 2r '//3 3 y 12.23 Pi 01 1 5.14,40Sic0 LEGAL DESCRIPTION: BLOCK NUMBER (p LOT NUMBER 37 ZONING DISTRICT CONTRACTOR C' A s 7,rh , ;Mrs STATE LICENSE NUMBER C6 1,3)v 2 ADDRESS /7/ /V /O'Cu // ,Dr; vC PHONE 9O9— ,270'FZ0 re/ /. 642 -ZVO CITY /V,p h4..r ,& A STATE AL ZIP . 42.26 L FAX 9o4- 4,2 70- .2,2 'I/ DESCRIBE PROPOSED USE AND WORK TO BE DONE S' ?' 5/e / ; 1 , / G U JY PRESENT USE OF LAND OR BUILDING(S) ✓ct C c ' VALUATION OF PROPOSED CONSTRUCTION .2 a to, OLy O Is this an addition? Nt If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating / air conditioning? Is approval or Homeowner's Association or other private entity required? / Q If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ' ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. [r'YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. 2 Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. 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 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 STEP 2. ' Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. 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. 1. 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. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL I F TION PR DE H THIS APPLICATION IS CORRECT. P SIGNATURE OF OWNER C.I. DATE ,2 '1 " Ca 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 S7 - 1 ----.7 DATE ,o2',Z y' C 3 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME EJriP ( ' I4 ' S //11 MAILING ADDRESS / 9/9 //;, ,X 4/7 j /2 ; v t PHONE 90 / y',Z G - .2 0.� D FAX 90 ,7C . 222 y E -MAIL Li"- r 414001/ Y y 6 rip 90 r/- G/2 - f 0 / o ber �N,1SSI0N . •. ,,, SWORN AND SUBSCRIBED BEFORE ME THIS o2 y� Of DAY OF /:11 r�. a 7 • a � � em 1 - \ 1; STATE OF FLORIDA, COUNTY OF DUVAL I,e,c1 / = o e 866013 :a - �I // � i . ' O NOTARY'S SIGNATURE / /i:�i�� . - arninso .:, 1%/11711 ///tit IC, I ■ It \ \\ ` AS TO OWNER: �' Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: a Personally known • ❑ Produced identification Type of identification produced 1 1/27/02 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET 3 C ? Address t.:5t'f GE '`J 7 7 Date / —' .. p Heated Square Footage @ $ per sq ft = $ Garage / Shed @$ per sq ft = $ Carport / Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ .2 O C) / 0 d Z Total Valuation 1 $ f ' b 4 Och O /on e:i 6 24 $ 2_0o Remaining Value $ .. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ Co Ca O ZONING: + Filing Fee $ O ■b.v FLOOD ZONE: ( ) Fireplaces ® $15.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ �' h WATER IMPACT FEE $ G /d — SEWER IMPACT FEE $ l2 J _ - r tf .4-- WATER METER/TAP $ v �' CAPITAL IMPROVEMENT $ ,� 2�' 1 i SEWER TAP $ - d C (199/) RADON 14A $ 9. `f `�C) SECTION H PAVING ( ) $ —Q HYDRAULIC SHARES $ —0 CROSS CONNECTION $ STO W ?) $ /1. 2 __ OTHER $ GRAND TOTAL DUE: $ 3 3(F / t- co b . 3 ' (7-- cf c i 1 , CITY OF ATLANTIC BEACH '"" J 800 SEMINOLE ROAD o ; "0\ ATLANTIC BEACH, FLORIDA 32233 -5445 414 1 TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5805 SUNCOM: 852 -5800 •-0 4 * " 3 http: / /ci.atlantic- beach.fl.us -t b PLAN REVIEW COMMENTS c , f PLA1 \ REVIE 7 7 COMME1, 1 S Permit Application # 6 3 d5 Applicant: 0 Li, rvrn CD tt ( t C 4 tLS Address: ,3c) 0 , C " ,St Project: c +rarni l y yjm e a Your appl 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 WATER IMPACT FEE WORKSHEET C S ADDRES -- ? 3 ° ,r ` 7 ----- DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 U Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Z / 2 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 0 0 Combination sink and tray 2 Dental lavatory 1 () Dishwashing machine, domestic 2 I 2_ ,-- Drinking fountain /Icemaker %2 / i S Floor drains 2 o Hose bib 1 3 Kitchen sink, domestic 2 0 Kitchen sink, domestic with food waste grinder and /or dishwasher 2 1 - - Laundry tray (1 or 2 compartments) 2 0 Lavatory 1 S Shower compartment, domestic 2 U Sink 2 ,,, Urinal 4 Urinal, 1 gallon per flush or Tess 2 %,... Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 £,...... Water closet, private installation 4 I `-/ A Water closet, public installation 6 TOTAL NUMBER OF UNITS= 30,s ' MULTIPLIED X 20 TOTAL $ (D / 0 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50 %). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: • Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material . with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. J Will '+ Book 10950 Page 2146 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL oc 1 t 2 i 0 0950 67746 Pap; 2146 Filed t Recorded 03/04/2003 03 ;46;56 PM The undersigned hereby gives notice hot impro ement will JIM FULLER b@ made to ce air4 e4 property, a in accpr l ance yvitti CLERK CIRCUIT COURT Chapter 713 loric p Stlitulfes, the fo low m formation ;s DUVAL COUNTY provided in t his Notice of Commencement: RECORDING t 5.00 - TRUST FUND f 1.00 1. PY FEE Description of Property: CCERTI Y $ 1.000 0 • Lot 37, 5th Street, Atlantic Beach, Fl 32233 2. General description of improvements: Construction of a single family residence together with any and all improvements 3. Ow er„Info atio a. Name and Address: Katherine Allison Hall William H. Hall 1160 Beach Ave Atlantic Bch, FL 32233 b. Interest in Property: Fee Simple c. Name and address of fee simple title holder (if other than Owner): 9 4. Contractor and Address: Custom Builders 1919 Nightfall Drive, Neptune Beach, FL 32266 -1517 5. Surety: Name and Address: N/A b. Amount of bond: N/A 6. Lender and Address: AmSouth Bank 9424 Baymeadows Road Suite 100 Jacksonville, FL 32256 7. Persons within the State of Florida designated by Owner upon whom notices o other documents may be served as provided by in Section 713.13(1)(a) 7., Florida Statutes: None 8. I l l addition to himself, Owner d sip� tgge Bgoll n r$ ns to receive a copy of the tenors Notice as provided in Section 713.13 (1) Statutes: None 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): l aAgiz.tA:A herine Allison HaI�� i ._�/ tam a Sworn to and subscribed before me this 2$ day of , 2�-e3 J�,ht >111( BUILDING PERMIT APPLICATION REQUIRED SUBMITTALS Each application for building permit must be accompanied by four complete sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards, setbacks and other data as required by code and /or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); a recent survey of the land for new construction and additions; and a tree survey or letter certifying no trees are on property. APPLICATION CHECKLIST ✓1. Building Application Form ✓ 2. Four complete sets of plans including detailed site plan �[ 3. Recent survey, including tree survey or letter certifying no trees are on property 4. Owner/Building Affidavit (required when owner acts as contractor) 5. Energy Sheets 6. Recorded Notice of Commencement TIME REQUIRED FOR PERMITTING, APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTIONS Requests for inspection are taken from 8:00 — 5:00 Monday — Fri. at 247 -5826. They can also be left on the machine after hours. Inspections are made the following working day; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing /sewer /electric 3. Slab 4. Cover up (framing, rough electrical, mechanical, plumbing call for cover -up on building, use building permit number and reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc.) 5. Insulation 6. Final Inspection 7. Drainage Inspection 8. Finish Floor elevation survey /Certificate of Occupancy BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $35.00 is charged for all reinspections. NOTE: This application may be subject to covenants and restrictions for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowners association. RIGHT -J LOAD AND EQUIPMENT SUMMARY 2/16/03 For: Hall Residence - Studio By: Michael Locke Job #: Wthr : Jacksonville_AP FL Zone : Entire House WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Outside db: 30 Deg F Outside db: 94 Deg F Inside db: 70 Deg F Inside db: 75 Deg F Design TD: 40 Deg F Design TD: 19 Deg F Daily Range M Rel. Hum. : 55 % Grains Water 42 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING Bldg. Heat Loss 15188 Btuh Structure 10796 Btuh Ventilation Air 0 CFM Ventilation 0 Btuh Vent Air Loss 0 Btuh Design Temp. Swing 3.0 Deg F Design Heat Load 15188 Btuh Use Mfg. Data n Rate /Swing Mult. 1.00 Total Sens Equip Load 10796 Btuh INFILTRATION LATENT COOLING EQUIP LOAD SIZING Const Qual a # Fireplaces 0 Internal Gains 460 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 1332 Btuh Area (sq.ft.) 349 349 Tot Latent Equip Load 1792 Btuh Volume (cu.ft.) 3490 3490 Air Changes /Hour 1.2 0.8 Total Equip Load 12588 Btuh Equivalent CFM 70 47 HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make Make Model Model Type Heat Pump Type Heat Pump Efficiency / HSPF 0.0 COP /EER /SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 577 CFM Actual Cooling Fan 577 CFM Htg Air Flow Factor 0.038 CFM /Btuh Clg Air Flow Factor 0.053 CFM /Btuh Space Thermostat Heat /Cool Load Sens Heat Ratio 86 MANUAL J: 7th Ed. RIGHT -J: V1.73 TR3371 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT -J CALCULATION PROCEDURES A,B,C,D Job #: 2/16/03 Procedure A - Winter Infiltration HTM Calculation* I 1. Winter Infiltration CFM 1.2 AC /HR x 3490 Cu.Ft. x 0.0167 70 CFM I I 2. Winter Infiltration Btuh 1.1 x 70 CFM x 40 Winter TD = 3077 Btuh 3. Winter Infiltration HTM 3077 Btuh / 133 Total Window = 23.1 HTM & Door Area Procedure B - Summer Infiltration HTM Calculation* 1. Summer Infiltration CFM 0.8 AC /HR x 3490 Cu.Ft. x 0.0167 47 CFM 2. Summer Infiltration Btuh 1.1 x 47 CFM x 19 Summer TD = 974 Btuh 3. Summer Infiltration HTM 974 Btuh / 133 Total Window = 7.3 HTM & Door Area Procedure C - Latent Infiltration Gain 1 0.68 x 42 gr.diff. x 47 CFM = 1332 Btuh Procedure D - Equipment Sizing Loads 1. Sensible Sizing Load Sensible Ventilation Load 1.1 x 0 Vent.CFM x 19 Summer TD = 0 Btuh Sensible Load for Structure (Line 19) + 10796 Btuh Sum of Ventilation and Structure Loads = 10796 Btuh Rating and Temperature Swing Multiplie x 1.00 RSM Equipment Sizing Load - Sensible + 10796 Btuh 2. Latent Sizing Load Latent Ventilation Load 0.68 x 0 Vent.CFM x 42 gr.diff. = 0 Btuh Internal Loads = 230 x 2 No. People + 460 Btuh Infiltration Load From Procedure C + 1332 Btuh Equipment Sizing Load - Latent = 1792 Btuh *Construction Quality is: a No. of Fireplaces is: 0 MANUAL J: 7th Ed. RIGHT -J: V1.73 TR3371 Printout certified by ACCA to meet all requirements of Manual Form J Job #: Zone: Entire House 2/16/03 MANUAL J: 7th Ed. - - -- RIGHT -J: V1.73 - - -- TR3371 - -- Page 1 - - -- 11 Name of Room 1 Entire House Studio 21 Running Ft. Exposed Wall 1 90.0 Ft. 90.0 Ft. 31 Room Dimensions, Ft. I 34.9 x 10.0 Ft. 41 Ceilngs,Ft 1 Condit. Option' 10.0 I 10.0 1 heat /cool TYPE OF I ICSTI HTM 1 Area I Btuh Area 1 Btuh EXPOSURE I INO.1Htg IClg 'Length' Htg 1 Clg Length! Htg I Clg 5 Gross Iall4B 5.8 2.2 900 * * ** * * ** 9001 * * ** I * * ** Exposed Ib113C 1.8 1.3 0 * * ** * * ** 01 * * ** * * ** Walls and Icl15B 3.0 0.0 0 * * ** * * ** 01 * * ** 1 * * ** Partitions Idll3Q 0.0 1.1 0 * * ** * * ** 01 * * ** 1 * * ** lel 0.0 0.0 0 * * ** * * ** 01 * * ** * * ** 1fl 0.0 0.0 0 * * ** * * ** 01 * * ** I * * ** 6 Windows a 3C 29.0 ** 93 2697 * * ** 93 2697 * * ** & Glass b 3A 22.0 ** 0 0 * * ** 0 0 * * ** Doors Htg. c 2C 26.0 ** 0 0 * * ** 0 0 * * ** d 0.0 ** 0 0 **** 0 0 **** e 0.0 ** 0 0 **** 0 0 **** f 0.0 ** 0 0 **** 0 0 **** 7 Windows North 0.0 0 **** 0 0 **** 0 & Glass NE &NW 0.0 0 * * ** 0 0 * * ** 0 Doors Clg. E &W 72.0 73 * * ** 5256 73 * * ** 5256 SE &SW 0.0 0 * * ** 0 0 * * ** 0 South 38.0 20 * * ** 760 20 * * ** 760 Horz 0.0 0 * * ** 0 0 * * ** 0 81 Othr doors IaIl0AI22.4I12.7 401 8961 506 401 8961 506 IbI11AI23.6I13.3 01 01 0 01 01 0 9 Net a 14B 5.8 2.2 767 4418 1690 767 4418 1690 Exposed b 13C 1.8 1.3 0 0 0 0 0 0 Walls and c 15B 3.0 0.0 0 0 0 0 0 0 Partitions d 13Q 0.0 1.1 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 101 Ceilings Iall6GI 1.31 1.4 3491 4611 495 3491 4611 495 110116DI 2.11 2.3 01 01 0 01 01 0 IdI 1 0.01 0.0 0I 01 0 01 0I 0 111 Floors Ia122A132.41 0.0 901 29161 0 901 29161 0 IbI20BI 3.21 1.2 01 01 0 01 01 0 IdI 1 0.01 0.0 0I 01 0 0I 01 0 121 Infiltration a 123.11 7.3 1331 30771 974 1331 30771 974 13ISubtot Btuh Loss= 6 +8.. +11 +12 * * ** 1 144651 * * ** * * ** 1 144651 * * ** 141 Duct Btuh Loss 5%I 7231 * * ** 5 %I 7231 * * ** 151 Total Btuh Loss = 13 +14 * * ** 1 151881 * * ** * * ** 1 151881 * * ** 16 Int. Gains: People @ 300 2 * * ** 600 2 * * ** 600 Appl. @ 1200 0 * * ** 0 0 * * ** 0 17 Subtot RSH Gain= 7 +8.. +12 +16 * * ** * * ** 10282 * * ** * * ** 10282 18 Duct Btuh Gain 5% * * ** 514 5% * * ** 514 19 Total RSH Gain = 17 +18 * * ** * * ** 10796 * * ** * * ** 10796 20 CFM Air Required * * ** 577 577 * * ** 577 577 - -- Printout certified by ACCA to meet all requirements of Manual Form J -- MANUAL J: 7th Ed. RIGHT -J: V1.73 TR3371 RIGHT -J WINDOW DATA Job #: 2/16/03 W S D W G L S S O N A S 0 0 W C W S N K I A L O T H V G N H V V H H N H D Y R L A W R A H L G C R R G T A A W L Z E M D G Z L O X Y T M R R e lee4e040t Vedede4 GENERAL CONTRACTORS RESIDENTIAL & COMMERCIAL OFFICE 904-270-2030 1919 NIGHTFALL DRIVE MOBILE 904-612-6800 NEPTUNE BEACH, FL 32266-1517 FAX 904-270-2244 E-MAIL daryl@dgrubbs.com . . _ March 28, 2003 MIA TO: Mr. Kosoy FROM Daryl Grubbs Attached is a revised site plan for 390 5t Street. If you look at the current elevations, the existing drainage from the rear of the lot is going to the west. We are maintaining that existing pattern for the rear of the lot with the remainder going to the street. Please call me if you have any questions. Thanks for your help. Arr A /\ ttl I FORM 600A -2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Hall's Residence Builder: Custom Builder Address: Fifth Street Permitting Office: City, State: Permit Number: Owner: Allison Hall Jurisdiction Number: Climate Zone: North 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi - family Single family _ a. Central Unit Cap: 36.0 kBtu/hr _ 3. Number of units, if multi - family 1 _ SEER: 10.00 _ 4. Number of Bedrooms 3 _ b. PTAC and Room Unit Cap: 12.0 kBtu/hr _ 5. Is this a worst case? No _ EER: 10.00, Unducted _ 6. Conditioned floor area (ft 2306 ft c. N/A _ 7. Glass area & type _ _ a. Clear - single pane 0.0 ft _ 13. Heating systems b. Clear - double pane 487.0 ft _ a. Electric Heat Pump Cap: 36.0 kBtu/hr _ c. Tint/other SHGC - single pane 0.0 f1 _ HSPF: 6.80 _ d. Tint/other SHGC - double pane 0.0 ft b. Electric Heat Pump Cap: 12.0 kBtu/hr _ 8. Floor types - HSPF: 6.80, Unducted _ a. Slab -On -Grade Edge Insulation R =0.0, 271.0(p) ft _ c. N/A _ b. N/A _ _ c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap: 50.0 gallons _ a. Concrete, Int Insul, Exterior R =5.0, 1747.0 ft _ EF: 0.88 _ b. Frame, Wood, Exterior R =19.0, 648.0 ft _ b. N/A _ c. Concrete, Int Insul, Adjacent R =5.0, 30.0 ft2 _ _ d. N/A _ c. Conservation credits _ e. N/A (HR -Heat recovery, Solar 10. Ceiling types _ DHP- Dedicated heat pump) a. Under Attic R =30.0, 1718.0 ft _ 15. HVAC credits CF, _ b. Under Attic R =19.0, 72.0 ft _ (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts _ PT- Programmable Thermostat, a. Sup: Unc. Ret: Con. AH(Sealed):Interior Sup. R =6.0, 150.0 ft _ MZ- C- Multizone cooling, b. N/A MZ -H- Multizone heating) Glass /Floor Area: 0.21 Total as -built points: 32686 PASS Total base points: 33155 I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this :• 04 ttus Energy Code. calculation indicates com ( "j y ` . : ... t • -.. 0 * of; : ' with the Florida Energy Code. � , . o PREPARED BY Michael Locke _ : __. _ ._ Before construction is completed WO - a DATE: 02 / (, o 3 this buildin will be ins ected for t, ll I hereby certify that this building, as designed, is in compliance with Section 553.908 .. - .;.: compliance with the Flori o Florida Statutes. oD rva.. ' OWNER/AGENT: "i „-'‘,9 BUILDING OFFICIAL: DATE: 3-//-0.3 DATE: y-- y O EnergyGauge® (Version: FLRCPB v3.22) FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: Fifth Street, , , PERMIT #: BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 2306.0 20.04 8318.2 Double, Clear N 16.7 8.0 12.0 19.22 0.62 142.9 Double, Clear N 1.7 16.0 40.0 19.22 0.99 764.1 Double, Clear N 1.7 6.0 68.0 19.22 0.93 1209.7 Double, Clear E 1.7 6.0 77.0 40.22 0.89 2762.0 Double, Clear W 1.7 4.0 49.0 36.99 0.79 1425.6 Double, Clear S 1.7 6.0 68.0 34.50 0.83 1940.0 Double, Clear S 1.7 16.0 64.0 34.50 0.99 2186.7 Double, Clear E 1.7 16.0 64.0 40.22 0.99 2560.0 Double, Clear W 1.7 16.0 45.0 36.99 1.00 1656.3 As -Built Total: 487.0 14647.2 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 30.0 0.70 21.0 Concrete, Int Insul, Exterior 5.0 1747.0 1.00 1747.0 Exterior 2395.0 1.70 4071.5 Frame, Wood, Exterior 19.0 648.0 0.90 583.2 Concrete, Int Insul, Adjacent 5.0 30.0 0.70 21.0 Base Total: 2425.0 4092.5 As -Built Total: 2425.0 2351.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 75.0 6.10 457.5 Exterior 75.0 6.10 457.5 Base Total: 75.0 457.5 As -Built Total: 75.0 457.5 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 1718.0 1.73 2972.1 Under Attic 30.0 1718.0 1.73 X 1.00 2972.1 Under Attic 19.0 72.0 2.34 X 1.00 168.5 Base Total: 1718.0 2972.1 As -Built Total: 1790.0 3140.6 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 271.0(p) -37.0 - 10027.0 Slab -On -Grade Edge Insulation 0.0 271.0(p -41.20 - 11166.2 Raised 0.0 0.00 0.0 Base Total: - 10027.0 As -Built Total: 271.0 - 11165.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 2306.0 10.21 23544.3 2306.0 10.21 23644.3 EnergyGauge® DCA Form 600A -2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.22 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: Fifth Street, , , PERMIT #: 1 BASE AS -BUILT Summer Base Points: 29357.6 Summer As -Built Points: 32975.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 32975.5 0.750 (1.081 x 1.147 x 0.86) 0.341 0.950 8451.3 32975.5 0.250(1.00 x 1.147 x 1.00 0.341 0.950 2814.6 29357.6 0.4266 12524.0 32975.5 1.00 1.054 0.341 0.950 11265.9 EnergyGauge DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB x3.22 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: Fifth Street, , , PERMIT #: I BASE 1 AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X WPM X WOF = Point: .18 2306.0 12.74 5288.1 Double, Clear N 16.7 8.0 12.0 14.30 1.03 176.0 Double, Clear N 1.7 16.0 40.0 14.30 1.00 572.0 Double, Clear N 1.7 6.0 68.0 14.30 1.00 975.7 Double, Clear E 1.7 6.0 77.0 9.09 1.04 730.2 Double, Clear W 1.7 4.0 49.0 10.77 1.06 561.0 Double, Clear S 1.7 6.0 68.0 4.03 1.16 317.2 Double, Clear S 1.7 16.0 64.0 4.03 0.99 256.5 Double, Clear E 1.7 16.0 64.0 9.09 1.01 585.6 Double, Clear W 1.7 16.0 45.0 10.77 1.00 485.2 As - Built Total: 487.0 4659.4 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 30.0 3.60 108.0 Concrete, Int Insul, Exterior 5.0 1747.0 5.70 9957.9 Exterior 2395.0 3.70 8861.5 Frame, Wood, Exterior 19.0 648.0 2.20 1425.6 Concrete, Int Insul, Adjacent 5.0 30.0 4.20 126.0 Base Total: 2425.0 8969.5 As -Built Total: 2425.0 11509.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 75.0 12.30 922.5 Exterior 75.0 12.30 922.5 Base Total: 75.0 922.5 As - Built Total: 75.0 922.5 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 1718.0 2.05 3521.9 Under Attic 30.0 1718.0 2.05 X 1.00 3521.9 Under Attic 19.0 72.0 2.70 X 1.00 194.4 Base Total: 1718.0 3521.9 As -Built Total: 1790.0 3716.3 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 271.0(p) 8.9 2411.9 Slab -On -Grade Edge Insulation 0.0 271.0(p 18.80 5)94.8 Raised 0.0 0.00 0.0 Base Total: 2411.9 As -Built Total: 271.0 5094.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 2306.0 -0.59 - 1360.5 2306.0 -0.59 - 1360.5 EnergyGauge® DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.22 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Fifth Street, , , PERMIT #: BASE AS -BUILT Winter Base Points: 19753.4 Winter As -Built Points: 24542.0 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 24542.0 0.750 (1.060 x 1.169 x 0.88) 0.501 1.000 9886.4 24542.0 0.250(1.00 x 1.169 x 1.00) 0.501 1.000 3295.5 19753.4 0.6274 12393.3 24542.0 1.00 1.071 0.501 1.000 13181.9 EnergyGauge DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.22 FORM 600A -2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: Fifth Street, , , 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 3 2746.00 8238.0 50.0 0.88 3 1.00 2746.00 1.00 8238.0 As -Built Total: 8238.0 CODE COMPLIANCE STATUS BASE AS -BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 12524 12393 8238 33155 11266 13182 8238 32686 PASS . .............. .... ..---0-4.01Estiii- sco -- , ,mo o , :i ---- Ei . 1.; 1, 4 ....GOD WC 'J' EnergyGauge DCA Form 600A -2001 EnergyGauge® /FIaRES'2001 FLRCPB v3.22 FORM 600A -2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Fifth Street, , , 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/sq.ft. window area; .5 cfm/sq.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 exterior 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, and is sealed to, the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 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 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with 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 (qas) 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. Gas 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 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. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R-3 both sides. Common ceiling & floors R -11. EnergyGaugeTM DCA Form 60 A -2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.22 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.8 The higher the score, the more efficient the home. Allison Hall, Fifth Street, , , 1. New construction or existing New 12. Cooling systems 2. Single family or multi- family Single family a. Central Unit Cap: 36.0 kBtu/hr 3. Number of units, if multi - family 1 _ SEER: 10.00 _ 4. Number of Bedrooms 3 _ b. PTAC and Room Unit Cap: 12.0 kBtu/hr _ 5. Is this a worst case? No _ EER: 10.00, Unducted _ 6. Conditioned floor area (ft 2306 ft c. N/A _ 7. Glass area & type _ - a. Clear - single pane 0.0 ft _ 13. Heating systems b. Clear - double pane 487.0 ft _ a. Electric Heat Pump Cap: 36.0 kBtu/hr _ c. Tint/other SHGC - single pane 0.0 ft _ HSPF: 6.80 _ d. Tint/other SHGC - double pane 0.0 ft b. Electric Heat Pump Cap: 12.0 kBtu/hr _ 8. Floor types HSPF: 6.80, Unducted _ a. Slab -On -Grade Edge Insulation R =0.0, 271.0(p) ft _ c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap: 50.0 gallons _ a. Concrete, Int Insul, Exterior R =5.0, 1747.0 ft EF: 0.88 _ b. Frame, Wood, Exterior R =19.0, 648.0 re _ b. N/A _ c. Concrete, Int Insul, Adjacent R =5.0, 30.0 ft _ d. N/A _ c. Conservation credits - e. N/A (HR -Heat recovery, Solar 10. Ceiling types _ DHP- Dedicated heat pump) a. Under Attic R =30.0, 1718.0 ft 15. HVAC credits CF, b. Under Attic R =19.0, 72.0 ft _ (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts _ PT- Programmable Thermostat, a. Sup: Unc. Ret: Con. AH(Sealed):Interior Sup. R =6.0, 150.0 ft _ MZ- C- Multizone cooling, b. N/A MZ -H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) : ''4.01E S zt 7, • in this home before final inspection. Otherwise, a new EPL Display Card will be completed o y Z. 9..;'' .. based on installed Code compliant features. j $ Builder Signature: Date: ' s 11 * n Address of New Home: City/FL Zip: co wBl*•• *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar designation), your home may qualify for energy efficiency mortgage (EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -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 Community Affairs at 850/487 -1824. EnergyGauge® (Version: FLRCPB v3.22) DEPARTMENT OF PUBLIC WORKS Jr) � 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233 -4318 I 4, TELEPHONE: (904) 247 -5834 FAX: (904) 247 -5843 SUNCOM: 852 -5834 "' - http: / /ci.atlantic- beach.fl.us / -10 (? PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # C3 - JS( 77 Applicant: C . 1.6s vyvt h L I 1 1(2 C /S Address: f3q ( (5 Project: c ��r�Ir �Pr ryi 1 C yn X Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: AIL %(L�� _ . _ in _ /i � 3 GL rel fr ; Arm./ / — -4 1 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Reviewed by Donna Kaluzniak, Public Utilities Director lo())44,- Date /7 Signature Contractor Notified Date DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233 -4318 TELEPHONE: (904) 247 -5834 FAX: (904) 247 -5843 SUNCOM: 852 -5834 http: / /ci.atlantic- beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 3 - c9,s c "7 �7 Applicant: C Ii,S 4 rn < 3 u r/ d< c° r Address: t3 D (5 3� Project: S i r151 1 e FtA m ; / i j kcyyi C. ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. )Your permit application has been reviewed by the Public Works Department and the following items need attention: 1- P' vie correh4 fopogreLphic survey 1/1 I ' ccrntocle s' ry eel eP see/led cens ' 4. y 'ld .5 of' Vey or �. Pravide prapased yrrrdrn9 plan pos ;:noe dreny7aye fa the sfreef. . Pcotecf cx is ,Siiq sidewalk Ala h- ors plans_ •� . LShoa) /in pervtus arca ar2d !©fa l as-ea ii? F Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247 -5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works .7< < Date '//41-) o 3 Signature Contractor Notified Date „y // o ld �3 1 r :a` ;:1; "N 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 NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) �� G� ` 2 C 3 JOB ADDRESS �-/ 1 Q J � �� S'fr rC7 DATE v �' y OWNERS NAME /t,5'a/l /A / ADDRESS f / GC 1 9 r o f c- / 4 r ' / / c ^ r r - PHONE: 2 0 1 - , 2 Y 2 - 1 7 / . 3 3 p� ` J2 .23 A q# 1 S.1l / V!S io, LEGAL DESCRIPTION: BLOCK NUMBER 6 LOT NUMBER 37 ZONING DISTRICT CONTRACTOR L- c,,s ' c..; /ids STATE LICENSE NUMBER CGG D3) g? 2 ADDRESS / ?/ 2 Nt ;r • i ve4 /( /9ri pt PHONE 9 Y -.. -.2 o3 re 642-Geo CITY NI? i r /x A STATE Et ZIP ,Z,2.26 G FAX 901- 07 V- .22W DESCRIBE PROPOSED USE AND WORK TO BE DONE S" / 4,.: /, L,.. ri PRESENT USE OF LAND OR BUILDING(S) V R C 4 1" VALUATION OF PROPOSED CONSTRUCTION .2ae o Is this an addition? NO If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating / air conditioning? Is approval or Homeowner's Association or other private entity required? No If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. aVES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. tirYES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. 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 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. 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. 1. 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. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL F IMATION PR DE H THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER \ DATE 03 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 ‘d7./7"------2 DATE ,► Y' 0 3 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 6c-ft) J'r,r.,,',I s MAILING ADDRESS / 9/ 9 4); J `i 4 l/ J ,Qr ; ! PHONE 9ot/'.22 - .203 0 FAX 90 1 / ',170 .Z•2 E -MAIL dar y! /� � + CIA 9e Y' /,Z - G fro D � \\ • ' \S er o 2 N F � . • SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF /• 4 ra a. 7 s • �e ; N � STATE OF FLORIDA, COUNTY OF DUVAL Q � a A = o ► 866013 s 8 ondd hN c • : O NOTARY'S SIGNATURE //i ce ° - '"aln- h1;0:� v 4 41//; / AS TO OWNER: [Personally known } I l i i 1 \\ lt� ❑ Produced identification - Type of identification produced AS TO CONTRACTOR: Personally known 12 Produced identification Type of identification produced 11/27/02 e e\e‘) , t0#0C GENERAL CONTRACTORS RESIDENTIAL & COMMERCIAL OFFICE 904 -270 -2030 1919 NIGHTFALL DRIVE MOBILE 904 - 612 -6800 NEPTUNE BEACH, FL 32266 -1517 FAX 904 - 270 -2244 E -MAIL daryi @dgrubbs.com March 12, 2003 TO: Don Ford FROM: Daryl Grubbs Attached is a survey for building permit application for 390 Fifth Street for the Hall Residence that was not attached to the application. Mar -13 -03 01:59P ROBERT ALLEN CONNER ARCH 904- 262 -3751 P.01 ROBERT ALLEN CONNER NCARB ARCHITECT 11644 SAINT JOSEPHS ROAD JACKSONVILLE, FLORIDA 32223 904- 268 -7822 FAX 262 -3751 E -MAIL roon7@beIl$outh.nC NCARB 11940 FLORIDA AR0005188 BN 0003064 3 -13 -2003 MR. DON FORD RE: HALL RESIDENCE 390 5 STREET ATLANTIC BEACH, FLORIDA THE PERVIOUS TO NON - PERVIOUS RATIO IS 45.5 %. TOTAL LAND 7499.999 GARAGE 724.889 HOUSE 1368.905 WALKS AND PATIOS 1318.498 TOTAL AREA 3412.292 3412.292 7499.999 45.5% THANK Yo . • r VE A GOD BLESSED DAY, ROBERT ALLEN CONNER �r5 tn, UNITED ELECTRIC CO. OF JACKSONVILLE 5716 ST. AUGUSTINE RD JACKSONVILLE, FL 32207 (904) 731 -4210 February 6, 2004 Mr. Don Ford Inspection Department City of Atlantic Beach 800 Seminole Rd Atlantic Beach, FL 32233 -5445 Project Name: Hall Residence Address: 390 5 St Permit #: 03- 00025888 Dear Sir: We respectfully request a temporary final inspection. We will be responsible for anything that may occur due to the energizing of the service prior to the certificate of occupancy, and the approval and completion of the job. Yours truly, f J. E. Griffm, Jr. United Electric Co. of Jacksonville Sworn and subscribed before me this 6 Day of February 2004. ,/) (Not. ,f ublic) > r My Commission Expire; ■ 10, 2004 APPROVED BEACH CITY. OF ATLANTIC BUILDING OFFICE w.la FEB 0 6 2004 $P". GEORGE B. JEFFRIES, JR. MY COMMISSION # CC 987383 ., ;;, EXPIRES: December 10, 2004 4: �iy;` Bonded Thru Notary Public Underwdters t -+ 1. ' '� CITY OF ATLANTIC BEACH , J 800 SEMINOLE ROAD .?{ ATLANTIC BEACH, FLORIDA 32233 -5445 : i s , TELEPHONE: (904) 247 -5800 .►i • — FAX: (904) 247 -5805 1 2 " :. = S-* , .7r 4 SUNCOM: 852 -5800 http: / /ci.atlantic- beach.fl.us e l3 c PLAN REVIEW COMMENTS Permit Application # c 3- 01,5( [ `1 Applicant: 0 tjc.s fczm Btu l : c r-s Address: . ' b c_5 5+ Project: , 1 rn c I e ; l c hr,-v-n 3 application is approved Your permit application has been reviewed and the following items need attention: l OK Please re- submit y e r application when these items have been completed. /it Reviewed b .16,‘,..,.: ' Signed = � Date '/ `{ -0 3 • Contractor Notified Date p 1 • ILA 4? Z Y - 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 NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) C , � b DATE 0 2 ' 2 C3 JOB ADDRESS v 1 0 S S fr re/ OWNERS NAME �, Sa/ / / ADDRESS // GO ® ,- ,Qw /9/ /ti, `C -/ PHONE: 2 P�.2 V 2 e/ /3 3 PI q# .�, Smla VdS icn /9 ,) 3 LEGAL DESCRIPTION: BLOCK NUMBER 6 LOT NUMBER 37 ZONING DISTRICT CONTRACTOR Cu 5 Yen, c,. /Mrs STATE LICENSE NUMBER C& c'3) , 3 2 ADDRESS / //? Nt /V L/( 4r; vL PHONE 90Y %2 03o eBit 442-G8'00 CITY Ni , A STATE /L ZIP :1,2 .26 FAX 9 ©y ;2 70- .22 'i DESCRIBE PROPOSED USE AND WORK TO BE DONE S' /n54 / % L L.. ri PRESENT USE OF LAND OR BUILDING(S) V cr C VALUATION OF PROPOSED CONSTRUCTION .2 ado, OD a Is this an addition? Nt If yes, what are the dimensions of the added space: feet by feet Wild the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating / air conditioning? Is approval or Homeowner's Association or other private entity required? NO If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. 2 See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. []'YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. 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 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11121102 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. 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. 1. 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. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL I 1 F l• •'i • TION PRO DE H THIS APPLICATION IS CORRECT. W I SIGNATURE OF ONER 4 DATE ,21,9 0-3 • 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 D . 2 '; `/' 03 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 6 0+ r y ( Gr to I s MAILING ADDRESS / R/ 9 4); ,Xi4 // . Or; v t / ` Li r , ! �/, \ gri i 1l " �,, PHONE }0t/'aZ ? 0 � - s203O FAX 90 70 E -MAIL G L g � 6S � � CI4 90 /— Ca /,2 - L S0 0 / • \SSI ' 7� V �b9f 2A , . y_ SWORN AND SUBSCRIBED BEFORE Mg THIS oZ y DAY OF /all r�. ai 7 Z .2 v N =* y ' *= STATE OF FLORIDA, COUNTY OF DUVAL 9i < �' / = o 866013 ' / / /!'= ' ' . � C . � �� yFA in � •ins�C'. •• v O : � NOTARY'S SIGNATURE _ ` ... - 41,',t AS TO OWNER: [Personally known �ii + n i i 1 `` \ ∎� ❑ Produced identification - Type of identification produced AS TO CONTRACTOR: E' known ❑ Produced identification Type of identification produced 11/27/02