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110 8TH ST ( VAULT)CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034395 Date 12/07/06 Property Address . . . . . . 110 8TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc temp-pole ---------------------------------------------------------------------------- Owner Contractor ---- -------------------- DINEEN' ------------------------ BEACHES ELECTRIC SERVICES INC. 110 8Th STREET 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/05/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------ Due ----------------- Permit Fee Total ---------- 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'TLAN'TIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �r MOD' CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: 0 (o Property Address: ) 1 �— Owner: Telephone #• Contractor: 1 lyr_ C' S Yc C- Telephone #: (o ZCj 3l Contractor Address: c"VeS('C k Fax #: Contractor Signature: / In consideration of permit given for doing the wor ted 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. Building: 5 --'New E3 Old ❑ Re -wire Building Type: ❑ Trailer ❑ Residence ❑ Temp. Signs Ll Commercial E3Si ns ❑ Addition Sq. Ft. Service: New ❑ Increase ❑ Repair If other construction is being done on this building or site, list the building Permit number: 66 Conductor Siz . AMPS: 0 COPPERALUMINUM Switch or Breaker AMPS PH W VOLT 2 �lV RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed Appliances 0.100 AMPS OVER BELL TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS Transformers UNDER600V OVER600V NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http•//www.ci.atiantic-beach.fl.us Revised 1/04 City ofAtlan& Beach Pernutlnformartaon To: JEA Electric Order Fulfillment, (Fax No.: 665 - Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # t& Date: Service Address: �//D $�i �'7- Owner: Owner Phone: Electrician: ?36ACtf-51, L�6CZ/Cgfe SVC • LVC Electrician Phone: _( a -q - 3/Q�L- Type of Work: New Service Lvd M -Home Subfeed [_] Increase Service [_] Heat & AC [ ] Repair Service [_] Other [_] Rewire [ Other Description: Temp Pole [ Service Type: "Overhead (Repair/Replace) [Underground (New Services) Building Use: "Residential "Church LJEnvironmental L]M-Home [_]Commercial "Other Other Use Description: Service Size: New Service: Amps: /Dj�) � Volts: Q Phase:�� Existing Service:Amps: Volts: Phase: E-mail: cravfl t iea com or schwcm(@,iea.com or resomODica.com HP 'Officejet 7410 Personal Printer/Fax/Copier/Scanner Last Transaction Date Time Type Identification Log for Information Systems 904-247-5845 Dec 07 2006 12:08PM Duration Pages Result Dec 7 12:06PM Fax Sent 96654470 2:17 3 OK i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034404 Date 12/08/06 Property Address . . . . . . 110 8TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------- -------------------- Application desc NEW/30 FIXTURES ----------------------------------------------------- Owner Contractor ------------------------ ------------------------- TYSON-.DINNEEN PLUMB -PAL, INC. 110 8TH STREET 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 ----------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 245.00 Plan Check Fee .00 Issue Date . . . Valuation 0 Expiration Date . . 6/06/07 ------------------------------------------------------ Fee summary Charged Paid Credited -------- Due ----------------- Permit Fee Total ---------- ---------- 245.00 245.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 245.00 245.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUII,DING CODES. L1 51:!V'rf.'? CITY OF ATLANTIC BEACH L 's PLUMBING PERMIT APPLICATION J S' Date: r Z - 8 --'( Property Address: / /® g%� S7_ Owner: —TYS o .✓ — Telephone #: Contractor: /�'-✓M /' - A/3 -�Telephone #• '? V C - S' 8 S� Contractor Address: S46 te- ,,OAir, C...� J,�,t `a�,� I Fax #: z YL c, c �I << 3 zz�� Contractor Signature: 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: If other construction is being done on this building or site, New list the building permit number: ❑ Re -Pipe O - 3 -3 Number of Fixtures: Bath Tubs Z Showers Closets 2— Shower Pans �- Dishwashers 3 Sinks ( Disposals Urinals b Floor Drains Z Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: 30 X $7.00 + $35.00 = 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atiantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept&gab.us Application Number . . . . . 07-00000448 Date 4/04/07 Property Address . . . . . . 110 8TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc GAS PIPING ONLY ---------------------------------------------------------------------------- Owner ------------------------ Contractor ------------------------ FIRST QUALITY GAS, INC. P.O. BOX 16303 JACKSONVILLE FL 32246 (904) 704-6693 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 70.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/01/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due -------------------- ----------------- Permit Fee Total ---------- 70.00 ---------- 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC ®EACH ATt.snna It"CM. Mott," aaaaa APPLICATION FOR MECHANICAL PERMIT �►« �K MU,�.« IMPORTANT — Appkant to complete all items in sections 1, II, 111, and IV. 1, LCO ATION Sb"f .Wdrem lv ` pp�,, / lahrwr'{eee SNNNI /shserr.../ eAC,. C fletlli]IN6 'A"d-�� '� SreiJMcMr il+ IDENWICATION — To be completed by all applicants, 1 to asse•tdrr►1(ar rI prr-N g:+ar (w drinp far -1 r1 dl-ribsd 1. Ihr .teas na4-sea yr Aare .ter. r:i1 Ma rNsahOd I"'" red +0"11iesNarl .Aeeh rn +Mot Arae! sed 4e rs[wd..Cot rith Iho City s► J"h" rr A6 rrrgr.wu+ wdswonlowe tel sard.prat"re 964d Ihsrsim. efs+dwds ^�/y Naas d Aeiralralt*l ��/-r� C+rNOs"r f►r+e+l i 1 1 Ott. (/ i Gehreh•. p MaNr• 1 -/ .Z L Maar d / prapw4y Oamr TJ h ( /14 ^-Ze �l ar 1Arlllrriasd r SiT.dvr of MsletlM w ir�lraw III- 61111HIPAI, INFOIlA 171 A, ?Y" of k -ups belt t! O w- d t- Is aTllsut talleTIWC: [ow ealws o"C ON t11es ullt.ollla an Styx _- Q Krbnl Q COohd UkAtry Q of 13 0 Aw - apsdly IF YTXI SIVE r4M@IrR a"��pK•e-sTIWC7low ./ "TUBS tlI WORK a Arridentlel or 0 ConwrwaIal IV. MaCIMPItY.AL WiliP 84T r0 IS WALUD 9`wvW* 000011" W r( "Mose h 0a Ihta of Mas final D• ftm O spot* Q R00wd O Csepel C Ilea Nee WAIMM O nlr Ceaidlimlaet Ci aaass Q GaNrl 0 Iwnnnd eww" O 1�ae1 Lrdrnt M09r11(—_ fll.. - ry Mplatiotnellt eN ea wl" 1►wsm Meeriaam eerpOWp - - - Odea 6YNe+r IMlet{altoll (No elyeianl prevlotgly InaKaltadj . Q 4*61"rft a C Ut*A*Mn or add-" W Mame erUwr Q Coca" Ie..R C+,llaadhi+r+�. C7 otiax - SsOoth Gi wl. ""WA Kwobw rei hlww _ TMK ~1 Oat ORWA we WKY O Mea"r Q Aloab Q • saw" Q iJG ewt4lrsea Iewliwl C7 tIr(w/ pw.rw +001sT 1 a t>r+M ft—* /40.n.d tqi Dsle L1 0dw - Sp11W* - horeil An - 1j" 1j" A" nQt7u111sm Ail COPOWTUX4* 3 AMD X=`X I =AT l M tQU117i Wf" 71(Irrlhrvl■N. Deeeef{eU- Wer. Numb" itaeatl[eeWser ad,W An= Rti/►Tf[iG • AU1tMAC98, 5011"t, 1Iuuu1.%c.'sa lfarber±>1114 1�1o1A�tle► Ite40l]sueeesber ltaweaselllte0r tt�lV) 1prry AML tees aeeeW �Yee=Y�Ige�111 MLiee ed SOrfaA>1 semi (p�swt YwlrYr<rrfrle� No.. CITY OF ATLANTIC BEACH 1 800 SENIINOLE ROAD ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(?a,coab.us Application Number . . . . . 07-00000237 Date 3/06/07 Property Address . . . . . . 110 8TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------- Application desc new service ------------------------------------------------------- Owner Contractor - ----------------------- DINNEEN, JOHN ------------------------ BEACHES ELECTRIC SERVICES INC. 110 8TH STREET 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ------------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee 145.00 Plan Check Fee .00 Issue Date . . . Valuation 0 Expiration Date . . 9/02/07 ----------------------------------------------------- Fee summary Charged Paid Credited -------- ----Due--- ----------------- Permit Fee Total ---------- 145.00 ---------- 145.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 145.00 145.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA . BUILDING CODES. 6. CITY OF ATLANTIC BEACH J t j'P,ELECTRICAL PERMIT APPLICATION r Date: "0 Property Address: Fluorescent & J 'la nh'Q Telephone #: - 3y3 Owner: �� _ g>e,QL�\ VI � p c- -s l� L �"`� Telephone #: (OZI" 3 19' Z Contractor: - �Ct ke% bw., Fax #: Contractor Address: H.P. RATING OTHER MOTORS Contractor Signature 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 Building: Building Type: L3 Trailer Service: b other construction is being done on this building . New Residence Ll Temp. /❑ �4 New Or site, list the building ❑ Increase ❑ Old Commercial L3Signs Permit number: ❑ Re -wire ❑ Addition Sq. Ft. ❑ Repair Conductor AMPS: 00 COPPER ALUMINUM RACE Switch or Breaker AMPS �� PH W VOLT � 0 u WAY 3 RACE Existing Service Size AMPS PH W VOLT WAY No.Neon Transf. Meter Number Feeders: NO. SIZE Lighting Outlets CONCEALED CONCEALED Switches NO SIZE I NO SIZE OPEN OPEN Incandescent Fluorescent & M.V. 0.100 AMPS OVER EC�EIUNG Fixed A liances H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS KW-HEATConditioning Air 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS Motors Transformers UNDER600V KVA NO. NO. NO.R600V KVA No.Neon Transf. Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http•//www ci atlantic-beac ..fl.us Revised 1/04 HP OfficeJet 7410 Personal Printer/Fax/Copier/Scanner Last Transaction Date Time Type Identification Log for Information Systems 904-247-5845 Mar 06 2007 1:01 PM Duration Pages Result Mar 6 1:OOPM Fax Sent 96657372 1:24 3 OK C&yoAdwide Beach P emdtln To: JEA Electric Order Fulfillment, (Fax No.: 665-7372) Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # D'' — ati 3 Date: Service Address: Owner: Owner Phone: Electrician: Electrician Phone: Type of Work: New Service Increase Service Repair Service Rewire Temp Pole Service Type: [_,Overhead (Repair/Replace) M -Horne Subfeed [I Heat & AC ] Other [� Other Description: L_lUnderground (New Services) Building Use: Residential {Church ;M -Dome [_J Coinmercial Other Use Description: Seiwiee Size: New Service: Amps: 4t0 Phase: Existing Service:Amps: Volts: - Phase: E-mail: cra-di0lea.com or schw a),,iea.com or resou�?iea.com "Environmental "Other CITY OF ATLANTIC BEACH iso 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-depta,,coab.us Application Number . . . . . 07-00000275 Date 3/13/07 Property Address . . . . . . 110 8TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------ Application desc 2 a/h, 1 mini split, 1 dehumidifier install ------------------------------------------ Owner Contractor ------------------------ TYSON, JOHN ------------------------ COOL CLIMATE HEATING & A/C 110 8TH STREET 3653 REGENT BLVD EAST PARK ATLANTIC BEACH FL 32233 UNIT 307 JACKSONVILLE FL 32246 (904) 509-3062 ------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 119.00 Plan Check Fee . .00 Permit Fee . . . . valuation . . . . 0 Issue Date Expiration Date 9/09/07 ----------------------------------------------------- Fee summary Charged Paid Credited -- Due Permit Fee Total ---------- 119.00 ---------- 119.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.00 119.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA . BUILDING CODES. 3 Y--2- Property 2 CITE' OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 5 A1.7/6 Property Address: 1/0 O l S5;'. (A5 -Vu Telephone #: / 36 Owner: 6 ,-(J Contractor: �S l >� Telephone #: �� ' �310 Address:L 11 LV Fag Contractor —3 Contractor Signature: In consideration of permit given for doing the work as described in the above sta ement, 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 ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building site, list the building permit number: Lor Electric ❑Gas: LP _Natural _Central Utility E3 oil ❑ Other - Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _ Space _ Recessed entral _ Floor Q ---Residential ❑ Air Conditioning: Room mitral ❑ Duct y�st l Material 1 V o Thickness 9- C ❑ Commercial Maximum capacity—J; o r> cfin / X New Building ❑ geration ❑ Cooling wer: Capacity gPm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ,� ❑ Elevator_ Manlift scalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pu (Number) New ❑ Tanks (Number) B— Installation (No system previously installed) ❑ LPG Containers (Number) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other - Specify ❑ Other - Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agency o? T '� - � A 1 / d)a71 X 16(ld !3/dov HIP 62T66- Fd ,6 1 G aha +C 2r rovvh 1 l Fuj HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Model # Manufacturer Approving BTU's Agency Number Units Description TANKS Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road v Atlantic Beach, Florida 32133=5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http•//www.ci.atlantic-beach.fi.us Revised 1/04 1� c 71 CITY OF ATLANTIC BEACH 3 800 SENUNOLE ROAD ._ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Jlil �f' INSPECTION EMAIL REQUEST: Building-dept(a,coab.us Application Number . . . . . 07-00001698 Date 12/18/07 Property Address . . . . . . 110 8TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL SPRINKLER SYSTEM Owner Contractor DINNEEN HULIHAN TERRITORY 110 8TH STREET P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42.00 Plan Check Fee .00 Issue Date . . . . valuation . . . . 0 Expiration Date . . 6/15/08 ---------------------------------------------------------------------------- Fee summary ----------------- Charged -------------------- Paid Credited -------------------- Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1. JOB ADDRESS: t/0 Cl� 4. NAME: ^ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 OFFICE: (904)247-5826 • FAX NO.:(904)247-5845 BU ILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION 2. IS THIS A SUB PERMIT: ❑ NO ❑ YES PERMIT #: tlantic Beach, FL 32233 PROPERTY OWNER: 5, ADDRESS IF DIFFERENT FROM JOB ADDRESS: PLUM 7. NAME OF COMPANY: 1- - I t '7 07- I I I I I DUVAL COUNTY 3. DATE: 6. PHONE: 10. CELL PHONE: 11. FAX NO.: 9. STATE OF FLORn�=�. STATE �7 14. 12, EMAIL ADDRESS: 30 13. OFFICE PHONE: Application is hereby made to obtain a permit to dogthe work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. CONTRACTORS SIGNATURE: 16. 17. 18. CURRENT CODE: 15. NATURE OF WORK: ❑ '06 FLORIDA BUILDING CODE - 0 NEW PLUMBING ❑ RE -PIPE ❑OTHER: R OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE WASHING MACHINES HOSE BIB ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN PLUMBING PERMIT FEE5: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = Application Number . . . . . 07-00001692 Date 12/17/07 Property Address . . . . . . 310 312 8TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7060 ----------- ---------------------------------------------------------------- Application desc REROOF FL479 & FL3663.3 ----------------------------------- Owner ------------------------ WILFUR, HAROLD/MCEUEN 346 RALEIGH ROAD JACKSONVILLE FL 32225 Contractor ------------------------ GARNER ROOFING INC 11670 MANDARIN RD JACKSONVILLE FL 32223 -- ------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . 70.00 Plan Check Fee .00 Permit Fee . . . . Valuation 7060 Issue Date Expiration Date 6/14/08 ------------------------------ Charged Paid Credited Due Fee summary ---- ----------------- Permit Fee Total ---------- 70.00 70.00 00 .00 Plan Check Total .00 .00 70.00 .00 .00 .00 Grand Total 70.00 .00 PERMIT 4S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. O 07_ �;, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 jj- OFFICE: (904)247-5826 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 2. VALUATION OF WORK 3. SQ FT UNDER ROOF 1, JOB ADDRESS. Atlantic Beach, FL 32233 5. CLASS OF WORK: 6. U OF STRUCTURE: 4 LEGAL DESCRIPTION: 11NEW BUILDING El DEMOLITION RESIDENTIAL LOT. ' BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ElCOMMERCIAL ❑ALTERATION 11 ACCESSORY BLDG 8. FIRE SPRINKLER. 7, DESCRIPTION OF WORK / ❑ POOL / SPA El YES El N/A / ! / r / REPAIR /�lr �n ❑ MOVE ❑ OTHER ❑ NO ARCHITECT / ENGINEER: PROPER OWNER: CONTRACTOR: 15. OMPANY NAME. 23. COMPANY NAME. 9. NAME: n C� 24. LICENSEE NAME: ry 16. NAME: y ` V%25. STATE OF FLORIDA LICENSE NO.. 17. STATE OF FLORIDA LICENSE NO.: 10. ADDRESS: (j e�'y� 18. ADDRESS: I 26 ADDRESS JCL ,e /CL. 37Z'z 3 27. OFFICE PHONE: 28. FAX NO.. 11 0 FICE PHONE: 12 FAX NO.. 19. OFFICE PHONE - 20. FAX NO.: � 21. CELL P ONE; 13. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: (' 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 35. NAME. 33 NAME 31, NAME. 32. ADDRESS. 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Wells, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. 222 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT AY RCE OF IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A COMMENCEMENT MUST BE RECORDEu A140 POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINNOTICE OF COMNSULT ITH MEN�EMENT. UR LENDER OR AN ATTORNEY BEFORE RECORD/NG YOUR CONTRACTOR OWNER Or AGENT (Qualifier Only) (If Aaent, Power of Attorney or Agency Letter Required) Signed: Date: f Before me this )-4--day of ( 2007 in the county of I, State of Florida, has person ly appeared herin by himself / herself and affirms that all statements and declarations are true and accurate. �j� Notary Public at Large, State or( �D,-� + County of Personally Known ❑ Produced Identification - Notary Signature: ary Ann Ho e Commission #DD437 93 Expires: JUNE 06, 2009 Bonded Thru Atlantic Bonding Co., Inc. COAB FORM BLDG01: REVISED: 12/13/07 Signed: lrti'-'-� - Date: Z J_7� Before me this day of i. MALZ—. 2007 in the county of Duval, State of Florida, has personally appeared . I I i Ierin by himself / herself and affirms that all statements and declarations are rue and accurate. Votary Public at Large, State of Court of 41- — VPersonally Known ❑ Produced Identification - Notary Signature: Charles W. Hovey Commission # DD592084 Expires: CICT. 04, 2010 BONDED THRU ATIANTIC BONDING CO., INC. MAP SHOWING SURVEY OF _—_4aiC�s/-L.1LL-w/�r ��.// r %l�ri! C%`r .•is �!~( /j.l. L.LL�, f � ^, ^ lam[-+- -. -__._ AS RECORDED IN PLAT BOOK' -'s PAGE_ e" -C ---.--OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR. /Y. L. BAS`L,ER, c/R. '-311• 3 / /.I j. ` 1s Iran i /ro/J � f RECEIVE NOTE.- OR 6 1991 ,Qechec�e iarra f7irre�rclr'c�'S'ervfe/rrber /9,/3a0, City of Atlantic Beach ercroac/rrrre1r% as '1iowrr. Building and Zoning DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH rerralt Number: 3fCfL'It� permit Type: nVCHANICAL Class or Morx: nErAIR constr. Type: 1yolov 11RA"r- Proposed uses _AxHf'!LE rAnXLY t)va111ngs: 1 Code: a !✓st.Ymsted value,. V. Lit)r3 Improv. t ,cyst Total I°`ee'r3 : 541 . 010 Amount Pala : `341. CIID Diene rale l 1031'i I3J" - 40 worm Desc. : _ ----- KIIVNLR INIf'tioRnATSCIN HaTne : DAU-`W8I4 Address s l jo n rH ritL' LST 1222 A"T'LAN'i'IC; i+!✓ACIf� !4'LICIltIDA f'f'sariE : t p - _ - - - -- C'C1ltTf2Ak' TGft INfi-1re"ATIt1N Name: ILICEAR 15TATE BEAT AtC Address: 1476 ATLANTIC nLVD�2'�D t3 'i'`rtlNL' L%EAC" !''L Type. L i cer►se : NOTES _ _ _. LC)CATIIDN SNP'L'11tl7ATICIN _---- Addtest�: 11Cp �TI"i �'r}tLE7 D2'2'D'3 p'1`I ANTS�C BLACNp Fr'Lt3RI0A ___-_____- CLIDAL rpL;�CRSP7'ICIN -_-_- Lats lSlacKs erection: y-�,�cnsnlp Rpm. +�► ,SundlvZslon% NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH /AY D DEBRIS FROM THIS WORK THER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED A "FAILURE TO COMPLY WITH THE MECHANICS' LIENIW CANE ESU SiN LT THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED DIONS OF WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS ATLANTI eIE' E'6 ING DE ��ARTMENT ttt !a 41 I. too YEItCIS`r WA,rErt II7rAct Fist VIO. U0 �IL4/L14 IITPACr FEE 50.00 WATLlt I4I;•TISIR �s'I. k3Y.S RADON 0A-" ftAnam nA:3 - vo.00 WAIT Eft TAP !00. ot) «3LIp/EIt TA!" C . 00 NYDf3AULSG ShAltL ",4tI. Or) RE-T"nrfCT rte "fit?. Cptl ISEC. ti -Tnf*AC'r I` I✓E '3t1. tltl NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH /AY D DEBRIS FROM THIS WORK THER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED A "FAILURE TO COMPLY WITH THE MECHANICS' LIENIW CANE ESU SiN LT THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED DIONS OF WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS ATLANTI JACH BUIL ING DE ��ARTMENT ttt By: d 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 I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub -division II. IDENTIFICATION — To be completed by all applicants. CALL-IN NUMBER In consideration of permit given for doing the work as described in the abcve 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors ^ co Contractor (Printf i yt}/�/ Master �{ 7 Name of Property Owner Signature of Owner Signature of or Authorised Agen Architect or Engineer /A A III. GENERAL IN A' Type of heating fuel: [k Electric �/❑ Gas — ❑ LP ❑ Oil ❑ Other — Specify ❑ Natural ❑ Central Utility IV. MECHANICAL EQUIPMENT TO BE INSTALLED (Provide complete list of components on beck of this form) Heat ❑ Space ❑ Recessed .4 Central 0 Root Air Conditioning: ❑ Room y IU( ' Central ❑ Duct System: Material C Thickness Maximum capacity c.f.m. ❑ Refrigeration ❑ Cooling tower: Capacity g.p m. ❑ Fra sprinklers: Number of head ❑ Elevator ❑ Menlift ❑ Escslator (number) ❑ Gasoline pumps (number) ❑ Tenkx (number) ❑ LPG containers—(number) ❑ Unfired pressure vessel ❑ Boilers ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT B. Number Unita Description Model Number IS OTHER CONSTRUCTION BEING DONS N THIS BUILDING OR SITE? Cl IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT NATURE OF WORK YResidential or ❑ Commercial ❑ New Building Existing Building Replacement of existing system ❑ New installation (No system previously installed) ❑ Extension or add-on to existing system ❑ Other — Specify THIS SPACE FOR OFFICE USE ONLY (Received) Remarks Permit Approved by Date - Permit Fee Capacity Approving Manufacturer (Tons) ►�gmCY r 0 Q F o7 � CITY OF 7- 7D 4&4rOttic /3ecr,�i - �� /r✓ � Office of Building Official REQUEST FOR INSPECTION Date 7-4—S-61 Permit No.. Time ----- A.M. District No. Received a Py' -Je. Inspection Made Inspector Final Inspection 7— Certificate Certifirate of Occupancy Date Locality JobZ�� Owner's Contractor Name CONCRETE ELECTRICAL PLUMBING MECHANICAL El BUILDING ❑ Rough Air. Cond. 8. Framing O Footing Rough Wiring T Pole r Top Out Heating ❑ Re Roofing ❑ Slab ❑ p Fire Place Lintel ❑ Pre Fab FOR INS A. READY Fy Wed ------ Mon. Tues. A.M. P.M. Inspection Made Inspector Final Inspection 7— Certificate Certifirate of Occupancy Date CITY OF ' �Q�ssftic /3eac�i-G��iytu� �j(�G!.ex—� Office of Building Official r,r REQUEST FOR INSPECTION �— '— /_ Permit No. Date �J z� A.M. Time M Time No. Received ' yc-�I' ,y fi- Locality Address Owner's /i A �/I/t' / Contractor Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL ❑ Air. Cond. B ❑ Rough Wiring 11 Bough Heating Framing ❑ Footing Top Out ❑ Slab ❑ Temp Pole ❑ Fire Place ❑ Re Roofing r-1 Lintel ❑ Pre Fab `1 �t.p� READY FOR INSPECTION A.M. v_Friday_—P.M. Tues. Wed Thurso �on � Inspection Made Final Inspection ❑ Inspector , Certificate of Occupancy Date DEPARTMENT OF BUILDING 7882 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD in.00 T1. THIS PERMIT MUST BE POSTED ON JOB .KT 6044 IA 7/01/8 Date July 1, 193i< 7812 •00CA FENCE 10.00 6844 1A 7/00 /8 Valuation $ Fee $ I DWI This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that H.L. EASLER 110 8thnStreet has permission to build 3'x85' wail; 25' from intersection Classification residenetkii Zone Owned by H.L. Hasler Lot Block S/D 110 8th Street House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS t AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 —1 4— 110, O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor' or owiler uilding Official. FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER FEE $10.00 Name: 9 (f. � Day Phone 2V " .2 O Address: //0 f '�' -4-A I %7` 6,_ Zip Code APPLICANT,,IF OTHER THAN OWNER Name: "I Day Phone 22 Address: So . Zip Code - JOB INFORMATION Address or Location: Lot , Block Subdivision APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OF -FENCE J'c-N t e- -- y - l fu ;i ff PAR T'°IV d L`K r SUR fir9 c e- t30rvDea Ate' FPRFM\E©D BUILDING GFFICE I-- 1pog 8� city PRO V ` rE Y l u It — — -- R c -,6 44 !� N O s A 9,0 I'. i N POD r"A c r04 0 C S r TOWN OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT FOR OFFICE USE ONLY Date_ v --------195-1 Permit #-1_._Fee $--------h�' I-- /� ov Valuation $ ---/'O v"/ ---------------------- House � (-- House # ----------------------��--•-- �-----------••-- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner -Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub -contractors be submitted to this office so that Llicense be verified. 19_ s Date------------- ------1- ------------------ t uC �%___3�_h��_0_s7---Telephone No.-C*f4.Z0 - _ Owner ' ------------------Address------- --------------- ------- - Telephone No ------------ --•------ Architect -- Architect----------------------------•----•--------- ---------------------------------------•--•-------Address---Sr ------ --------------_4 Contractor Builder ___.___-_________�4/�.E-------------------• �!'�� ART --�.3._B1ock No ----------Sub Division-.---- .�._ t'� ------- � lK- Zone Lot No........ ``'' 4 �f�.- and a C A ---Street.-----S_Q-�------'Side Between -- ycr�s_o �/R� Valuation $__1 _f;tAa_� i J �Fp what p'%w will building be used. _----D t - l:tl- - !-Type of construction_____------- ---• ®y Dimensions of Buildin i! p► ize of Footings..- --- x-+�r----------------- gCp&__p----.�,�P_Dimensions of LotSF-J3+a"'--'S Size of Piers -----------------------------------Size of Sills --------------- ----------------Greatest Sill Span in ft ---------------------- Type Roofrd ._.L.._.______ P How will Building be Heated?- �-� Q�ill Building be on Solid or Filled Ground?_, �. -�.--------- , Greatest Span------------/ . ----•-------- » Size of Ceiling Joists ------------ ___ ,Distance on Centers._-..__.....__��--------- Size of Floor Joists---------------------`_` •-•----------, Distance on Centers ---------- ----------.--`�'�------ Greatest Span ------------------------------------------- Size --.---------------- -------------� � ----- Size of Rafters -------------------- ----------------- Distance on Centers -_._._ .___/-� ---------------------- Greatest Span ----------- --0----•------- Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed, and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re -inspection MUST be called for after corrections are made. This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from -all lot -lines and existing buildings. REAR LOT LINE W Z a O rl W A V2 FRONT OF LOT W A In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic each. Signature of Builder_______________ __ _ __t_. dress. 9 Z 9 Signature of Owner` ab.4: Address /.C,/_,, ------------ Instructions to Builders and Contractors building or working in the Town of Atlantic Beach 1. No work on any building shall be started without obtaining the necessary permit. 2. No changes in the approved plan shall be made without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel is in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. G. Plumbing, final. H. Final, when all work is complete. Any concrete poured or work covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit. 6. All contractors and sub -contractors shall have occupational license Issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code Or of Ordinance #186, shall upon conviction thereof be punished by fine not exceeding $500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance #186 are available at the Town Hall for reference. 9. When a sidewalk exists across front of building lot, said sidewalk shall be placed in first class condition before final inspection is requested. I have read and been furnished a copy of the abo3w instructions in connection with Building Permit No. . Dat' -%Q°' �— Signed CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877 PERMIT INFORMATION LVI:A I IVIN uyryrcmm i iyiv Address: 110 EIGHTH STREET Permit Number: Permit Type: 22573 MECHANICAL i ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/27/2001 Name: LOU BASLER Total Fees: 35.00 Address: 110 EIGHTH STREET Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/27/2001 Phone: (000)000-0000 —.—_ W k De sc- REPLACE AIR HANDLER - _ or - CONTRACTOR(S) M - , 1, APPLICATION FEES 35.00 OCEAN STATE HEAT & AIR PERMIT BUILDING MATERIAL, RUBBI S C51U1TH1.S WORK MUST NOT BE'P,kACED IN P.4�BLIC SPACE, A ND MUST BE CLEARED UP AND..HA. VVAY BY EITHER CONTRACTOR OR OQgtR "FAILURE TO COMPLY1l'JITH. TFfrjlkw,�T�610N LIEN AN RESIl�T IN THE PROPERTY OWNER PAY]I G _ 1 �/E TS" ISSUED ACCORDING TO APPRO\ FOR VIOLATION OF APPLICABLE ATLANTIC B CH BUILDING DEPT. AND SUBJECT TO REVOCATION $35.0614 Date: 8/27/01 84 Receipt: 0084535 CHECKS 16662 0018800321080 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC SUCH. FLORIDA 31233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Appiican- -o complete ail items in secticns i, II, III, anC IV. LCCATICN Street Addl.u: CF BUILDING Intersocfinq St ... ti: B.t..en 6I?ACiA A -d I Sub-dhfrion ll. IDENTIFICATION — To be compieted by ail applicants. in comideretion of permit given for doing the .ork ss described in the eoove metameres .e hereoy ogres to perform raid cork in accordant• 'fh !M attectpd plum end road lice tions .hich ua a part hereof and in eccordence .,kite Ihs City of Jecksonviil• ordinances and danoards of good.prectic• tided therein. Name of Machanleal Contractor Print)If"y1elt-Mubr Contr.cfors - Name of Property O.n.r r Signature of 0.... a Au gen Signature of Archi 1. et or Enginan r, II GENERAL IN MA O A. TI Pa of hie x fuall �7 yr Eba7rc OTHER CONSTRUCTION BEING OONE ON THIS 3UILOING OR SITET ❑ Gas — u LP ❑ Natural ❑ Central Utility ❑ Oil IF IF YES, GIVE NUMBER OF CONSTRUCTION ❑ CHher — Specify IV. MSCMANICAL NQUIPMWT TO iI INSTAUM NATURE OF WORK (Provide compieta lift of componenh on bed of this form) ) Residential or ❑ Commercial ❑' Hut ❑ Space ❑ Recessed C3 Central 0 Roser ❑ New Building - J� Nr Condrflening: ❑ Room al Control Existing Building ❑ Dect System: Material TAide.aa ❑ Replacement of existing system Maalmam capacity a.F.m. ❑ New installation (No system previously Installed) ❑ Rafrigeretion Q Coollsq I* ve Capacity 9 Extension or add-on to existing system C Other—Specify iIPC/t '- Lf' ❑ Fin .prfndeast Number of header THIS SrACt FOR OPFICi USf ONL7 ❑ Ciavefer ❑ Manll(t ❑ Esulater (nrmbw) ❑ . 8/aalna peref,. (numbNJ {n...Fe.dJ J] Ta»s,(number) Remarks ❑ LPC confelasers(number) ❑ Usflred pressure vena ❑ lades Permit Approved by— y C3 Oth- — Spedfy C3 Permit Fv. L18T ALL EQUIPMENT Aix CONDITIONING AND REFRIGERATION EQUIPMENT Xumber Onita Desartptlon Yodel Number Manufacturer ( ) o JurOc �. 1FATI14G - FURNACES, BOILERS, FIREPLACES C1p�Mt7 Number Valu Deasmrlptlon Modal Number Manufacturer (>�TST) TANKS Now Manz XoQiaal CYpadt7 type uVtild Xsma of Serial Approving sad Dinummum Contalnad Manufacturer No. 7 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION__ Permit Number: 20981 Permit Type: RE -ROOF Class of Work: NEW Proposed Use: Square Feet: Est. Value: Improv. Cost: 3,000.00 Date Issued: 11/14/2000 Total Fees: 30.00 Amount Paid: 30.00 Date Paid: 11/14/2000 LOCATION INFORMATION Address: 110 EIGHTH STREET ATLANTIC BEACH, FLORIDA 32233 Township:0 Range: 0 Book: Lot(s): Block: Section:0 Subdivision: Parcel_ Number-:------ 7-- OWNER INFORMATION r._5 CCU U BASLER Address: 110 EIGHTH STREET ATLANTIC BEACH, FLORIDA 32233 Phone: (000)000-0000 APPLICATION FEES 30.00 NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH NED AWAY BY EOITIHER CONTHIS ORK MUST NOT BE TRACTOR OR OWNER IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAU "FAILURE TO COMPLY WITH THE CONSTRUCTION LIENLAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"-_ - -- - - ISSUED ACCORDING TO APPROVPROVIS ONS OF LAW ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE $30.0814 Date: 11/14/88 62 Receipt: 0@18924 �� C . 29 8�81�886U83221M C TY OF ATLANT C EACH CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION:—&—d_ OWNER OF PROPERTY: �__ _J o-F� TELEPHONE.: CONTRACTOR: CONTRACTOR'S ADDRESS: +" P: _,� �.53 STATE LICENSE NUMBER: C/�f�`�� TELcPHONE: DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USE1 SIGNATURE OF OWN SIGNATURE OF CONTRACTOR: SWCRN TO AND SUBSCRIBED BEFORE ME THIS /� DAY OF R Clark 758417 AS TO OWNER: NOTARY PUBLIC . Expires August 25.2002 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF ✓ -ids AS TO CONTRACTOR NOTARY PUBLIC Rosalind RClark Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied *My commission Expires August 25.2002 NOTICE OF COMMENCEMENT FS 713.13 Return to: (enclose self-addressed stamped envelope Name: Address: This Instrument Prepared by: Name: Address: Property Appraisers Parcel Identification RAMC SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida l County of The undersigned hereby gives notice that Improvements will be made to certain real property, and in accordance with chapter 713 of the Florida Statutes, the following Information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) General descriptio H provements Owner's Name Address 9X Owner's Interest in site of the improvement Fee Simple Title holder (if other than owner. Address Phone: Fax: Contractor Address '� Phone: Fax: old % 31 Surety Phone: Fax: Address Amount of bond $ Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. E Expiration date of Not' f Commencement (t piration date is 1 year from the date of recording unless a different date is specified) 17Q1 -(4- Signature Signature of Owner Printed Nome of Owner ® NOTARY RUBBER STAMP SEAL I have relied upon the following identification of the Affiant 10 01 qb , a.:.;aund R Clark , :_,py Commission CC75a417 Expires August 25.2002 Notary Signature � � - �� Printed Name PSR -3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFCRMATICN Permit Number: 13644 Permit TVPe:RE-ROOF 'lass of Work:NEW Constr. Tvpe:CONCRETE Propased Use: Dwellina : 0 Est. Value: 31,Q imDr ov . Cost: 800, Total Feer 25.00 Amount P4114114-, 4� .n, 25.00 -.1W'iER INFORMATION 1 - r.1,nrt BALEk ic, EI -.HT11STREET PTLANTIC' PE.:(__—,144, FLORIDA pie !NFORMATTI?N _. �.... ; ` ROOFING BUSH COURT 11TVTLLE. FL 32225 -, Exr NOTES: LOCATION I NFORMAT I ^?`? :address.: 110 EIGHTH STREET ATLANTIC BEACH. FL^RIGA 32: LEGAL EE +'RIPTIf_,,N -- Block: Lot: Twp, Section: f) Subd:13 Fn17 :�t_ibdivision: APPLICATION FFF`~ ------ PERM! T _--__.PERM*T 25. 611 NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS'LIEN W CANE RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUIL ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC2ATI�ONA'FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. n } , b��P,fo� �� karcint• 884`,7 CASH 88188883221888 ATLANTIC BEACH BUILDING DEPARTMENT By: f c C I TY OF DT I C WMCH ROOFING PERMIT "PLICATION Owner(s) C'1 ) e Address:. U � � h E I- e i` Phone: Lot , Block or Unit # Subdivision: Contractoroc"tic,.,\ (ZGU Fi t\ Address: 2��G \L:r`� -, f- �� .�►-, neeku'r'-L QeC"CV'% F� City, State and Zip Q1? Phone 2_Lk_)'2i2 State License # K G LjJl 3H Describe work to be performed: Re nC) v P 1"'_ 1-- -n- r -e Valuation of Proposed Construction: 400, -` '' Materials to be used: fn0a. F' -e- d �- -\, �> b -e;, Q+tNrn.e Signature of Owner; Signature of Contra Liability Insurance Supplied Workers Compensation Insurance Supplied License Information nnj� CITY OF 4& 13 - "t Office of Building Official / 9 REQUEST FOR INSPECTION Permit No. Date Time Received Locality Job Address n Owner'st4� _ Contractor Name PLUMBING MECHANICAL UILDING CONCRETE ELECTRICAL Rough ❑ Air t & Footing ❑ Rough Wiring O Top Out ❑ Heating ting ❑ Temp Pole Fire Place Re Roofing ❑ Slab [, Sewer ❑ Insulation ❑ Lintel 1-1 Final Pre Fab READY FOR INSPECTION . Wed. Thurs. Frid\ P.M. Mon. Tues. A.M. P.M. Inspection M Final Inspection C: Inspector Certificate of Occupancy O/L I S- _ S 7 2 Date ---- - - — — PSR -3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -- PERMIT INFORMATION i-ermit Number: 13577 Permit Type:SCREEN ENCLOSURE ,lass of Work:ALTERATION Constr. Type:CONCRETE Proposed Use: Dwellings: Est, Value: Improv. Cost, .500.00 Total Fees:' 3'1 Amount Paid: 3? . `-,n NOTES ----_- LOCATION INFORMATION dross: 110 EIGHTH STREET ATLANTIC BEACH. FLORIDA 32:: LEGAL DESS_RI PT I'JN Black: Lot: TwP: section: Subd:lj Fria: Subdivision: BUILT UP ER PLANS - - -- APPLICATION FEES - --' PERMIT NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 3 7 . BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' R BILDING IMPROVEMENTSLIEN LAW CAN RESULT -95 THE PROPERTY OWNER PAYING TWICE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $37.50 14 CASH ATLANTIC BEACH BUILDING DEPARTMENT C01000032'c1900 By: -44NER 1NFCRMA-_- Loui 6 BA LER R !10 E I r=HTH STREET AT- LANT I w i Ec "H , FLORIDA > .- 1 iirT4C: 904 y `PDF. I NFORMAT a Name: JAMES & SON BEWILDERS. IN, . ,Iddr: 434 9TH AVENUE NORTH JACKSONVILLE BEACH. FL 32250 Lic : CR0,049143 Exp: 1 ` NOTES ----_- LOCATION INFORMATION dross: 110 EIGHTH STREET ATLANTIC BEACH. FLORIDA 32:: LEGAL DESS_RI PT I'JN Black: Lot: TwP: section: Subd:lj Fria: Subdivision: BUILT UP ER PLANS - - -- APPLICATION FEES - --' PERMIT NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 3 7 . BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' R BILDING IMPROVEMENTSLIEN LAW CAN RESULT -95 THE PROPERTY OWNER PAYING TWICE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $37.50 14 CASH ATLANTIC BEACH BUILDING DEPARTMENT C01000032'c1900 By: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET t 4 - Address Date 3-)-1l -9 7 OO f= GZrrsv(C- Heated Sauare Footage @ $ per sq ft = S Garage/Shed@ $ per sq Carport/Porch f - v t` —a $ er sq ft = �- p Deck @ $ per sq ft = Patio d_@ $ per sq ft = C) Total Val ua6ion > pp o Remaining Value TOTAL VALUATION: ,/S.oz 1st $ 1060 /D .00per thousand T portion thereof S -I S` -a a °= $ 15-1 o lb S 10 •0o TOTAL BUILDING FEE $ 09,��0 0 + 1112 Filing Fee S 2 • SO ( ) Fireplaces @ $15.00 $ —� BUILDING PERMIT FEE S WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( 1 RADON (HRS) .0050 S SECTION H PAVING ( ) S HYDRAULIC SHARES CROSS CONNECTION ( ) SURCHARGE .0050 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: REC,-.,. V ED MAR 6 1991 CITY OF ATLANTIC BEACH City of Atlantic Beach PERMIT APPLICATION REMODEL, ADDITIONS OR ,U= l ing DEMOLITIONS Owner (s) Address: //0 ) �f-g 57- Phone : S/(j C�Lpjj Lot #/Y Block or Unit # Subdivision: C�U,Ic� �1� /ITiY Contractor: Te:m e S e SOrtc� State License # Address: /L �� ! C.N/L° /�! ��t, hone No -6,(J- /+�• �. O �S� 7S�Z Describe work to be done: 10,ol Present use of building: 576, %`Z��/�^ Valuation of Proposed Construction: Proposed use: �� c�-C ✓i /'p�G /� Is this an addition? /% C% If yes, what are the dimensions of the added space: /% 6 ft. X /7Ci ft. Will the added area be heated and cooled? New electrical (or increase)? 7 C New plumbing fixtures?/" New fireplace?ilNew Heat/AC? V/1 �) SUBMIT TBREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEME=, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: c� Signature CONTRACTOR: L` Date: J �cS , cF� License Supplied: 4 Liability Insurance: Q Worker's Compensation Insurance: �Q�p a V" `^ <rolz 1, -k,\ �4ECEIVED MAR 1 9 1997 City of Atlantic Beach Building and Zoning \ RfiCEIVED MAR 6 1997 t City of Atlantic Beach Building and Zoning APPROVED CITY .OF ATLANTIC BEACH BUILOING OFFICE MAR 2 4 1997 1Aq RECEiv,ED MAR 6 1997 "Y of Atlantic Beach Building and Zoning t./X �') o t,ks �JA 1 o c t r N a. y -v7 JEFFREY K. HULSBERG, P.E. 3015 Hartley Rd., Suite 10 JACKSONVILLE, FL 32257• (904) 886-2401 Fax (904) 260-4367 o d � cl- ro �- p�. l STah P s�nn�son] H � C�iPS USC -7s i 2- Gut's L j�K 4 SYP N.o• 2- ow 13r WAIL W/ i 20Ws CF , 6d GO tic .ILI l El 43103r3H .IClluvi 319NIS NO I.L V N3.L'I V JNiswn'Id 966T S1N3WW00 ,,{{ t8 _ 113103dSNI 31VII 03AOHdd" id H N) HOiH33.NJ 13QO3H 80103dSNI (138InO38 N01103dSNI ONi -OO EJNiawn-id L I3d HVA AHIldIH0S30 NHOM H010VH1NO0 3snt 03sodoad a3'iSVS n0'I MOM 3o S�V-lo N01103S 'A3019 10-I 0S341V931 3dAiDV483d 61aZz1 VQIHO'ld 'HOV313 OI.LNV'I.LV f 133HIS H LHgI3 OTT 3WVN 83NM0 3NOHd NOISIAlaens # lIWH3d IHOd3d N0I103dSNI 1N3WIHVd3a JNlalln8 HOV38 DIlNVlld :1O A113 NOUV00-1SOP t DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFOR"ATIOff >'er rni t HILI tuber : 1998 permit Type°: PLUMBING GCtnst r . Ty Fie % H 1 A prciposed tlse: SINGLE FAMILY Dwel Iirl" : U Cade: Estimated Yal Ue: $0.00 I"Pr'-ov. Cast Trot l $45- 00 �Y:.s,�rrxE Fr 4rfx $45.00 -af► �QRPIATIOH Addrerr SIt l0 -KIORTH STREET t rt t.e`I Tr' nPACH, FLORTI" bi . COhTkAC,*j,UR INFORMATION yNnie GARY VAN PELT Address- 18 , i+ DRA DRIvt JACItSONVILLE, FLORIDA LiG'�'ry�g?4 CFi'04423 3 Type,' NOTES LOCATION INFORMATION ddr ess�: 110 EIGHTH STREET" ,44i!`I1"*xf-wwp*,PAF1'okIDA _ - LWAL i?9$CNxPTl0N - •- _. . Crt Block % Sect, icats : : s.. Township% RNG: ",ubdivisiOn: ._ APPLICATION FEES ---__. PERM I T `�45. 00 WATEF I MPAC"r 1= F:F $0.00 S EWF fi # MPACT F'E'f' WATER Ptd"TE RADON GAS R. CS, $0. 0(:} RADON GAS - '°•7> $O.00 WATER TAP $0. Oyu, n SEWER TAP c ��. o{v HYDRAULIC SHARE $O, RE-InSPEC:T FEE ENGINFFIRING $o.O(L 50.0 OTHER NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBI W AND YDE EITHER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED A "FAILURE TO COMPLY WITH THE MECHANICS' LIEN IMPROV MENTS AN RESULT !N THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PROVISIONS PLANS OF WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRO ATLANTIC BEACH BUILDING DEPARTMENT By 9>C CITY oF ATLANTIC isF:as CH OR PLUMBING FERNIT 10 TO l AL COUNT I:dSTAI.,LATION OF PLUV13:[jIG AVID r'IXTUllES MUST n -F IN ACCORDANCE WITH THE MOST T.h2D,. Rri P LUPa P rr,•'i3,'i' TEDITIOI? r r THE i Ii �r.i a JOB r"n'rTlZAt`'.TO: --G (^ `'__�,�� 4Pcy�__1_l..�l/h�l Y1%-Q�•-•--�'--------------- j,_.B_:.i'tl7 -(J---------- ---- --------- --------..-'----------------------- -------..-----.--- • ---' ---"-------------_____-----_ T y S"10krnR19 --- ATER HEATERS 3 _--- — ----, �- _DISHWASHERS DISPOSALS T$q g __URINALS r ** � ---------- 0 t i:ER FLOO` DRAIN'S OO - 10 TO l AL COUNT I:dSTAI.,LATION OF PLUV13:[jIG AVID r'IXTUllES MUST n -F IN ACCORDANCE WITH THE MOST T.h2D,. Rri P LUPa P rr,•'i3,'i' TEDITIOI? r r THE i Ii �r.i a CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2/8 19 90 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ',--? ER 0008818 L FIRMMcClure Elec. NAME Louis Basler ADDRESS: 110 8th Street RFD-BOX- BLDG. FD BOXBLDG. SIZE BETWEEN: RES. (X) APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( M REW. ( 1 ADDITION( ) TRAILER( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE (X) REPAIR ( 1 FEE ...� l CA flnppFR 1 1 ALUM. (X ) GUNuuGiun WALL 4111- SWITCH OR BREAKER 150 EXIST. SERV. SIZE 100 FEEDERS NO. SIZE LIGHTING OUTLETS RECEPTACLES 0.30 AMPS. SWITCHES --- AMPS 1 PH 3 AMPS 1 PH 3 NO. SIZE CONCEALED CONCEALED W 230 VOLT RACEWAY W 230 VOLT RACEWAY NO. SIZE OPEN TOTAL OPEN TOTAL 31.100 AMPS. INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. APPLIANCES _--- OVER BELL TRANSF. AIR H.P. RATING CONDITIONING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 H.P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MOTORS MISCELLANEOUS PERMIT WORKSHEET Job Address: Property Owner: Contractor: Permit #: Tree Permit # Foundation Permit # Demolition Permit # BUILDING Footing Slab Tie Beam Lintel Nailing/ Sheathin Framing Insulation Building Final Drainage Inspection: Pool Permit # Certificate of Occupancy .)INNEA1, Tot -:1V D.L• 1gvlS 60&sS UC7764/ o. o& - � 5s ELECTRIC # Temp.Power # JEA Release Date Temp. Power Letter Rec'd. Temp Pole # JEA Release Date Rough JEA Release Date Electric Final JEA Release Date Inspections: Steel Elec./Grounding Roofing Permit # Inspect: Nailing/Sheathing Fire Inspection: Failed Inspections: Type Work: Phone # Phone # Date Issued: I MECHANICAL i # Gas Piping Rough Mechanical Plumbing Final Final Final Final Final I Date Paid: CITY OF ATLANTIC BEACH 'Y J 800 SEMINOLE ROAD } ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 '+�?1JF31 �j' INSPECTION EMAIL REQUEST: Building-dejtgcoab.us Application Number . . . . . 07-00000949 Date 7/02/07 Property Address . . . . . . 110 8TH ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 59226 ---------------------------------------------------------------------------- Application desc REROOF Owner ------------------------ DINNEEN 110 8TH STREET ATLANTIC BEACH FL 32233 Contractor HUBER AND ASSOCIATES P 0 BOX 2117 LAKE CITY FL 32056 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 260.00 Plan Check Fee 130.00 Issue Date . . . . Valuation . . . . 59226 Expiration Date . . 12/29/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total 260.00 Plan Check Total 130.00 Grand Total 390.00 260.00 .00 .00 130.00 .00 .00 390.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc k' 2006437472, OR BK 13695 Page 1183, Number Pages: 1, Filed & Recorded 12/12/2006 at 11:55 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $T0.00 2026/032 11/27/2006 17.06 FAX 53 SUNTRUST FNof Commencement en Notice of Commencamnnt ii imiep Perm" Na. T.x Felie m 170328-0000 STATE OF FLORIDA COLINTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordmce with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement - 1. Description of Property: s as «rar a er M wpe«s e , (legal de.criptioe of rhe prep.ny, end tar.•, .dd—, if ...il.b%) 110 8TH STREET, ATLANTIC BEACH, FL 32233 2. General Description of Improvements 3. pwuei'fnformationlly residence a. Name and Address JOHN J DINNEEN, III, 110 8TH STREET, ATLANTIC BEACH, FL 32233 Is. Interest in property FEE SIMPLE c. Name and address of fee simple titleholders (if other than owner) 4. Contractor (name and address) D.L. Davis Construction, Inc. 1903 N. Third Street, Jacksonville Beach, FL 32250 a. Phone number ( ) 5. Surely a. Name and Address b. Phone number c. PAX number (optional, if service by FAX is acceptable) d. Amount of bond S 6. Leader Information a. Name and Address: SunTrust Mortgage Inc. 350 N. Late Destiny Road, 3rd Floor, M•itlmd, FL 32751 b. Phone number: (407) 659-7731 c. Designated Contact: Iea ele Henderson wner upon whom notices 01 ther 7. persons within may be served astProvte of ided byloSeetiona71133t130)( ed bya7. Plondre Statutes (name andoaddre s) documents a. Phone number b. FAX number (optional, if service by PAX is acceptable) 6. In addition to himself, Owner designates Ieannse Henderson of SunTrust Mortgage, Inc. to receive a copy of the Ltenor's Notice as provided m Sernon 713.13(000), Florida Statutes. a. Phone number: (407) 659-7731 h. FAX number (optional, if service by FAX is acceptable) 9. Expiration date of Notice of Commencement (the expiration date is sae (1) Year from the date of recording unless • different date is specified). Other expiration date o.n., J N NN N, I D.- - - owou STATE OF EWRI )A COUNTY OF by 1)ie is personal) to me who produced w y Sworn to and su scnbed before me, Lhis [iri rer t s 1 i ceI cja identification, this + We Y Peel�c Print er Type A tae fL Notl.. el eemm.nc.m.m ./ AFNOC (2/05 N•wl My Ce airw x Ire _. o,'rbc' Linda J. Stacy F ` : Commission # DD406272 PREPARED BY AND RECORD AND RETURN TO: %aExpires April 9, 2009 Jacksonville Title and Trust, LLC n. aeaa.e rmrfen•wuano.. w, .om••e.roi� Linda J. Stacy, employee 8785 Perimeter Park Boulevard Jacksonville, FL 32216 06-149 - DINNEEN i _ f T•,,, MWax Reca�.., 1 J NIP- l,)`LBLIG "''' - BUILDING PERMIT APPLICATION rs �f r' CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 911 pr Office: (904)247-5826 • Fax: (904) 247-5845 Job Address: 11 Th '!,:A re 4 Q; ld-ALr^ 2 1C r 176 3 Permit Number: Legal Description � °# o-�a °k�r-A C Valuation of Work (Replacement Cost) $ 5 9 %Z" ■ Class of Work (Circle one): ew Addition Alteration Repair M ■ Use of existing/proposed structures ((Circle one): Commercial esiden ■ If an existing structure, is a fire sprinkler system installed? (Circle one): No N /A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes Describe in detail the type of work to be performed: co &aj) ^ ° Q'F `1. Property Owner Information Name: Address: i l 0 k'Th `A City i4f 1 ^ 1<< [3icA�% State Zip Phone 904 -_,)q7 -.5-7 3S Contractor Information: Name of Company: Office Phoneb'''k'I- 1 State Certification/Registration # Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance o f a permit and that all work will beerformed to meet the standards of all laws regulating construction to this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR YING TWICE FOR IMPROVEMENTS FINANCING, CONSULT WITH T WITH YOUR TO OR AN ATTORNEY YOUR PROPERTY. IF YOU INTEND TO O BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. r hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a ermit does not resume to give authority to violate or cancel the provisions of any other federal, state, or local taw regulating construction or the performance of construction. Qualifying Agent: City kc.4 Ci o u §tate F(-- Zip 3a0D S' Job Site/Contact Number roc osa yg� Office Fax # 3bb- 7ST - 3a 33 Si>tiiature of Property Owner: REVISED 03.05.07 ' 4-76 ' /- Q Signature of Coni Sworn to And sub this Z Day of '1t/:1r7 4V KELLY IDELLA STOREY MY COMMISSION # DD516239 �fp��plA EXPIRES: Feb.8,2010 (407) 396-0153 _ Florida Notary SOVIMCOM r z 3 EARLY POWER AGREEMENT &RELEASE k� CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement & Release Job Address:�-- Permit No. Service Type (Circle One): Overhead Underground We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not substitute for Final -Inspections or the C/O (Certificate of OccupancyT A must be issued before occupancy, and as such is at the discretion of the Building Official. 2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections. 3, Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early electric service. Such action his A Agreement expressly result inareq est penalized prompt al of eof lectric service Ordinances. A violation of gr after a twenty-four hour notice. 4. "Early Power" release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment, devices and fixtures are installed (or blanked o� safely. b. Panel is complete with breakers and cover, and (labeling required at final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is permanently marked with address. f. Temporary address numbers displayed (Permanent numbers are required for C/O). 5.. Pay $300. administration fee, any reinspection fees and any outstanding requirements must be satisfied prior to release. 6. This fully completed form is to be submitted to the Building Department by hand, mail or fax. 7. Future such Agreements will not be accepted from those who violate any one of the above items. CONTRACTOR PRINT NAME DATE o ELECTRICUN eke -5,/ 5 PRINT NAME -TO d, 31 800 Seminole Road, Atlantic Beach FL 32233 Phone: (904)247-5826 Fax: (904)247-5845 http•/hvww.coab.us revised 11.29.06 ,CITY OF ATLANTIC BEACH SS } 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: BuildinP,-deptaa.coab.us Application Number . . . . . 07-00001241 Date 9/04/07 Property Address . . . . . . 110 8TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------- Application desc EARLY POWER ------------------------------------------------ Owner Contractor - ----------------------- DINNEEN ------------------------ BEACHES ELECTRIC SERVICES INC. 110 8TH STREET 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . 00 Permit Fee . . . . 300.00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/02/08 -------------------------------------------------- Fee summary Charged Paid Credited ----- Due ----------------- Permit Fee Total ---------- ---------- 300.00 300.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 300.00 300.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Application Number 07-00000921 Date 9/18/07 110 8TH ST Property Address . . • • - Application type description PLUMBING ONLY Property Zoning . . . . . . .. TO BE UPDATED Application valuation . . .---------------------- ----------------------------- ------------------ Application desc INCREASE METER 3/4 TO 1IN Owner ------------------------ BASLER „ CDR. H. L- 110 8TH STREET ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ATLANTIC BEACH FL 32233 . ---- ------- --- -----Permit---------- ----Permit - PLUMBING PERMIT Additional desc 00 plan Check Fee .00 Permit Fee . • ' ' 6/27/07 Valuation . . . • 0 Issue Date . . . . 12/24/07 Expiration Date . . --- CAPITAL IMPROVEMENT 225.00 Other Fees • . . WATER CONNECT/TAP & METER 525.00 ------------------------------------------------- Char ed g --- Paid Credited Due Fee summary -------.00 Permit Fee Total -------.00 00 00 .00 .00 Plan Check Total 00 750.00 . 75000 .00 .00 Other Fee Total 750.00 750.00 00 .00 Grand Total PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. St1 City of Atlantic Beach r Building Department QT 19 Certificate of Completion This Certificate issued pursuant to the requirements of Section 110.2 of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Date: March 26, 2008 Contractor: D L Davis Address: 110 8th Street, Atlantic Beach, Fl 32233 Construction Type: Residential Occupancy Class: Group R-2 Permit Number: 06-33556 WALT BROWN BUILDING OFFICIAL 3/31/2208 To: The City of Atlantic Beach Florida From: Lynette Dinneeen Ref: 110 Eighth Street Certificate of Completion I am requesting a Co for my home at 110 Eight Street .My bank will not give me a last draw with a temporary Co. We need the last draw to install the gutters to the front of the residence as well as the piping to the installed drainage system as requested by the City. The work will be completed by 7/1/2008.1 understand if the work is not completed by that date all utilities will be disconnected. Lynette Dinneen "R Y "Y a�a SHIRLEY L. GRAHAM *� Notary public - State o/ Florida oma; My commission Expires Feb 14 2010 Commission # DD 518533 "' Bonded By ,national Notary gsssn. -T -o T� e 0,14--I off' �-�- � Q V) c 0 q c-- eFZ L � wc. + � -1 -'-- v1 Ho o E , I J� 4- tV') G ,) P o CA s @ C) w in d 5 p -e S 4o in I �4-4of►v, 4��dJs GVH =K�,('�UNNISNGHAM ofk'NINGHAM=o"Y P State of Florida Expires Feb 26, 2010r n # DD 52363Assn.%�O°, ational No1ary LLA 0 v CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 Telephone: (904) 247-5800 Fax: (904) 247-5845 http://ci.atiantic-beach.fl.us To: Pck m From: aaa, g - Pages: _'112� Re: ❑ Urgent L�:I*or Review Fax #: -4 D-1 • (V5q . 1 -(51 Date: ( '4).c� LO . b b D� CDm�iTC-bi ❑ Please Reply Notes: I �"c �� l� 16 l� r? -h C b��-_a_ch , FL_ Building, Planning & Zoning Inspection Department Date Requested: Contractor Name: Permit #: Property Address: Legal Description: 9 3AW4 J/0 el - �� - 7 7,�f 7D'4_� CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET ala / /0 8 L Avi 0 fo - 33 S�(v / 0 S7111 swrr 7)g,,7 -W c;)3� 21 z2r 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: Single -Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FIFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By F.im-Dept. �— Public Works Public—Utilities uilding Plannin 'y 1/ /` Final Survey with FFE VYes o Ai All Re -Inspect Fees Paid Yes No �D. d� 40 b Termite Treatment Yes ✓ No �� ' PREPARED 2/21/08, 9:24:14 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 06-00033556 110 8TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- RE-INSPECTION FEE 35.00 RE -INSPECTION FEE 35.00 TOTAL DUE 70.00 Please present this receipt to the cashier with full payment. V O N Nrj0;�y UtNllUfYt4 6 �a °u� oj� ISMUW m is SU $v µo z s� =„ Z� n i P.C. U °u� poia N] m is SU $v •i � ^W O Z r tV p 1 n 3 Ww Wa O` W a In am U2 Op ujJ W ^ p J rU O� � h C06 6LO'ON rM, 3nN� y N� k) b39 SM3& 72 F SWAY0'r. NU7I83 tJ Tki 67:7i sOW/T2/Z0 Graham Shirley From: Clemons, Malcolm Sent: Thursday, February 21, 2008 11:41 AM To: Kaluzniak, Donna Cc: Graham Shirley; Brugman Kerri Subject: RE: Co inspection 110 8TH ST Backflow ok. Malcolm Don't have access to sign -off in AS -400 From: Kaluzniak, Donna Sent: Thursday, February 21, 2008 8:54 AM To: Clemons, Malcolm Subject: FW: Co inspection From: Graham Shirley Sent: Thursday, February 21, 2008 8:53 AM To: Kaluzniak, Donna; Carper, Rick; Deming, James; Walker, Chris; Nodine, Phil Cc: Jones, Mike; Hufstetler, David; Brugman Kerri Subject: Co inspection Dean Davis is requesting a co inspection for 110 8th St permit # 06 33556 he can be reached at 237 2222 Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept@coab.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033556 Date 10/10/06 Property Address . . . . . . 110 8TH ST Tenant nbr, name . . . . . . NEW SINGLE FAMILY RES Application type description SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 650000 Owner Contractor ------------------------ DINNEEN, LYNETTE & JOHN ------------------------ D.L. DAVIS CONSTRUCTION CO. 110 8TH STREET 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1960.00 Plan Check Fee 980.00 Issue Date . . . . Valuation . . . . 650000 Expiration Date . . 4/08/07 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE 1.04 ST CONSTRUCTION SURCHARGE 24.75 AB CONSTRUCTION SURCHARGE 2.75 STATE RADON SURCHARGE 19.81 WATER IMPACT FEE 660.00 ---------------------------------------------------------------------------- Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 1960.00 -------------------- 1960.00 .00 .00 Plan Check Total 980.00 980.00 .00 .00 Other Fee Total 708.35 708.35 .00 .00 Grand Total 3648.35 3648.35 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 110/05/2006 16:29 9044069006 PAMELA LOCKWOOD PAGE 01 Fax Cover Sheet October 5, 2006 To: Dave Hostetler From: Todd Lockwood Beaches Electrical Service, Inc. Ph: 629-3182 Fax: 406-9006 Number of Pages (Including; Cover) 3 The Following is the riser diagram and load calc for D.L. Davis Construction, Tyson —Dineen Res. Thank You, Todd 10/05/2006 16:29 9044069006 PAMELA LOCKWOOD PAGE 02 Load Calculation (optional method) Date 8/15/06 Electrical Contractor: Beaches Electrical Service Inc Project Manager: Todd Lockwood Owner/ Contractor: Dean Davis Property Address: Beach Ave /Tyson -Dineen Res. Property Use: Single family Res. No. of Meters 1 Overhead Service Sq. footage of building: 4171 sq. ft. Lighting load 3 VA x 4171 sq. ft. _ Small appliance cit. 3 x 1500 VA = Laundry cir. 1 x 1500 VA = Dryer cir. 1 x 5000 VA = Cooking equip. 2 x 8000 VA Water Heater Gas Microwave 1 x 750 W = Dishwasher 2 x 1200 W Disposal. 1 x 960 W = Total 1" 10kva @ 100% _ Remainder 33,623 @ 40% — Total general load Heat load, single phase (2 units) 20 kW total Heat Pump, single phase(2 units) 7 tons total Total VA Voltage : 240 volts Phase: one Total Amps Service Size : 300 amps Wire Size: parallel 2/0 al. Neutral: parallel 1/0 al. Ph. 629-3182 Ph. 629-3182 Ph 237-2222 12,513 VA 4,500 VA 1,500 VA 5,000 VA 16,000 VA 750 VA 2,400 VA 960 VA 43,623 VA 10,000.VA 13,450 VA 23,450 VA 20,000 VA 15,120 VA 58,570 VA 244.04 Amps Signature �'� License # : 17 3 7 -2 - Qualifying 2Qualifying Agent 10/05/2006 16:29 9044069006 m PAMELA LOCKWOOD tR. nCC s� Li<loc � Z. k c.brGM /fes/oc. —�-- e j. S 1 7i Sor — r •S�iiJr CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date 7-7- DSP Permit Number Address 1/0 ' Lt Contact Name Phone Heated Square Footage 7/ % @ $ per sq ft = $ �T� L age ted• �0 D @ $ per sq ft = $ @ $ per sq ft = $ e�7 c cls @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1st $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: +'/z Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ INTERVIOUS SURFACE: AB CONSTRUCTION SURCHARGE $ EtPtSh s« 40 ^% t � 4 CAPITAL INTROVEMENT CITY RADON SURCHARGE $ A $ be �Q iv b e SECTION H IMPACT FEE $ $ A n�i- $ SEWER IMPACT FEES Cone,¢-,� SEWER TAP FEES $ A2 /A r ST CONSTRUCTION SURCHARGE $ STATE RADON SURCHARGE ' $ WATER CONNECT/METER ONLY $_N WATER CONNECT/TAP & METER $ WATER CROSS CONNECTION $ A WATER IMPACT FEE $ OTHER $ GRAND TOTAL DUE: S 1/13/03 ti Add.., 44 0/1 Cd ADDRESS: //o �i yC k.�res C /1 �w WATER IMPACT FEE WORKSHEET /06 FIX URE TYPE DRAINAGE FIXTURE UNIT VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Autcmatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 �. Drinking fountain/Icemaker Y2 Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 3 Shower compartment, domestic 2 Sink 2 Urinal 4 a Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= 133 MULTIPLIED X 20 TOTAL $ CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMWNTS q Public Works & Public Utilities Departments 1200 Sandpiper Lane Atlantic Beach, Florida 32233 (904)247-5834 (904)247-5843 Fax Permit Application #l JLJ�� 5 `-'� Property Address: Applicant: Project: to: Public Safety This permit application has been: I "-e Approved as noted by the Department. partmentDe artment. Final application approval must come from the Building p Reviewed and the following items need attention: rovide topographic survey (LDR 24-66(a)). rovide construction site management plan`' J 4 Provide erosion and sediment control plans, including maintenance schedule/plan. Provideaina e laps, including on-site storage culations and location (LDR 24-66(b)). Provide impervious surface area calculations. Driveways cannot exceed 20 feet at the property line with an allowed flare up to 26 feet at edge of pavement. rSTT 4x N4� �D� l�s��cn.�� 7Td +4.1 tiT4-� 'j . Vd � t,,r►• t C�-(_ Gc��q� ux�-j' VS-n-7/cJ,� i.. '') t �/1 Please re -submit our application when these items have been com leted. Date: Reviewed--' By; Date Contractor Notified:' P AUG 16 2006 Permit Application #LL55� Property Address: Applicant: Project: This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Provide topographic survey (LDR 24-66(a)). �rovide construction site management plan. including _-Provide erosion and sediment control plans, maintenance schedule/plan. Provide aina e lans, including on-site storage cu ations and location (LDR 24-66(b)). Provide impervious surface area calculations. Driveways cannot exceed 20 feet at the property line with an allowed flare up to 26 feet at edge of pavement. /C1 77 l/d t,,»• C�LGc` �x/r i� t/C-n-7/c�¢ L ) D-. . m leted. Please re -submit our application when these items have been co Date: Reviewed By: Date Contractor Notified: CITY OF ATLANTIC BEACH CITY SS a ' (r'•. PLAN REVIEW SHEET Department Public Works &Public Utilities Departments _Building r).' D o goo Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5834 (904)247-5843 Fax (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application #LL55� Property Address: Applicant: Project: This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Provide topographic survey (LDR 24-66(a)). �rovide construction site management plan. including _-Provide erosion and sediment control plans, maintenance schedule/plan. Provide aina e lans, including on-site storage cu ations and location (LDR 24-66(b)). Provide impervious surface area calculations. Driveways cannot exceed 20 feet at the property line with an allowed flare up to 26 feet at edge of pavement. /C1 77 l/d t,,»• C�LGc` �x/r i� t/C-n-7/c�¢ L ) D-. . m leted. Please re -submit our application when these items have been co Date: Reviewed By: Date Contractor Notified: Containment Requirement Calculations: Pre Construction % of impermeable surface: 34% (ACM Survey # 23306) Proposed Post Construction % of impermeable surface: 48% (Barganier Davis Sims Architects Associated AIA) Vpre= ((0 34)+(0.66)+(0.2)1(10227)(9.3) 12 Vproposed= j(0 48)+(0.52)+(0.2)](10227)(9.3) 12 Vproposed-Vpre= 3741.04 Cu Ft 4628.74 Cu Ft 887.7 Cu Ft 2006 Proposed Retention Area consists of a 80'x10'x1.65' Dry Retention Pond (B) along the southern border of the property inside of the existing Ligustrum hedge and a 30'X14'X1' dry retention pond (A) along the northern border of the property between the two proposed driveways. Both retention areas will overflow towards the nearest street curb respectively. (See Drainage Plans 1 & 2) Retention Calculations: Pond A: (6FtX22FtX1 Ft)+(2Sq FtX56Ft)= 244 Cu Ft central area + slopes Pond B: (8.25Sq FtX70Ft)+82.5Cu Ft= 660 Cu Ft linear portion + ends Total Containment= 906 Cu Ft 12/02/1999 23:11 9042475175 .JOHN T DINNEEN PAGE 01 MAP SLOWING BOUNDARY SURVEY OF LOT 14 AND THE EAST 23.55 FEET OF LOT I % CLUB MA(,OR, AS RECORDED IN PEAT BOOK 25, PAGE 62, OF THE CURRENT PUBLI-, RECORDS OF DUVAL COUNTY, FLORIDA, CERTIFIED 1:10. JOYCE LYNETTE TYSON ANIS JOHN JOSEPH DIN RBC Mum% ATI'OR-NEYS' TITLS INS'U!'ANCE FUND. INC PATTFRSON, 90ND, & I.ATSHAW, P,A. n'56q '135 - 91�_ f'"T OF TANOCNCY 110Vroo Itm PIK �r No ID[NTIM'ALON 0" -ft 5�9y N, '4 ul Ia,a' E CL ujUJI r 0000 W w n ti ►0UN0 1/2' IRON PIPE No loCNtl►ICATION ,ION RIK OFFICIAL R ECCIRD VOLUME 1642 PACE. SOt 0 g v M w go � 'A 011 OFFICIAL, RECORD VOLUME 1066 PACE 65 I N OZ+�'15« 1/2" +EON PIPE E 2.0' NO IDWiFICATON �' ! )oI je' (Wl!ASUREpl 1 5 101.23' (PLAT) n' LOT 1,1 o1—�c"q (KA1)M � al 1 j LOT 12 ` J LEO END; N • RAOIUS ---- x -- - FEN:E LCNCIH ( . CONI NOTES: BCARINGS ARC CASCO (1N THE _ _PEAT SCARINL 01' _.» 5_83'02'00' W ALONQ THE SOUTHLRLY &OUNL)ANY ;.INE OF SUBJECT PARCEL. 1 i9V CRAPMIC Ptt1IYIKC ONiY TNF CARTION£C LANDS LIC WHO- C ")00 LUNE ._....._X�...��., A' Containment Requirement Calculations: Vpre= 34% iinp. Lacm 5oA�14 2330E J;z ` 1 dyAC Vpropos( q y, /m P. 5uRr7A<-f- jCA964iAiZt, DWI 4ArWrrrEct5 Ass, iz Vproposed-Vpre= 951.11 (t Proposed Retention Area consists of a 6'X80'X2' dry retention excavation, soded, located along the southern border of the subject property. (see drawing) Retention Calculations: 6'X80'X2'=960 cubic feet Total Containment= 960 cubic feet -)i. HN .I L)1Nf LLL PAGE 01. rsn.ewarwhM��., /�....rwiYY sa.eWtu�.alsa+a i MAP SHOWING BOUNDARY SURVEY OF LOT 14 AND ThE EAST 23.55 FEET OF LOT I',. CL_jB MANOR. AS RECORDED IN PIAT DO;K 25, PACE 62, OF THE CURRENT PUBLI-- RECOPOS 09 DUVAL COUNTY, FLORIDA. CERTIFIED '.0. JOYCE- LYltihiTTE TYSON ATIC) JOHN JOSEPH DIN RBC MORTVAGS ArFOR.NEYS' TITLE INSL1! -ANCE PUWD. INC PATT'ERSON, BOND, & I.ATSHAW. P.A. fOV49 1j2- IRON PIPE u0 190i nnClkT10N COK�EO ENTRY a' ONE STCRY r MASONRY & `RAME POSTED # 110 Te.f W j OIyJ] T0. t LOT 14 v 'a' (n`T) I d try `o J,+O1'bmcok 23.4' VwD r MASONRY WAL d1p1 pipt OFFICIAL RECORD VaWAC 1642 P,4,E 501 OFFiC1A1, RP -CORD VCi„UME I� 1 N a1 `3S`25"x— X FovNO T,:r wolo fhaE f 101 ao' Na ,nFNT1r1cATa� I :, 13$(AMASUREDI 101.23' (PLAT) 1i LUT I a�0-1i'a3' N � 102 til (vtAT) v, LOOT T •_ _.j,� 111 i 2 1 f a + RADIUS — x --- FEN 'E 4 • LEN014 CON( PETE-� — - NUTFS, RE ry 6CARIM05 AJmt BASED CAN TME C BCARINC Of' _- _____.__. ALONG THE SOUTkLRLY 9OUNpANY LINE OF SV8JECT P,RCC: p /'t FiY CRAPM!C PtOfTINC OW Y TNt' C-PT1ONtf, 1 A"f)c „C �t=7 OiNT Of TANOENCYa FpOQNO 1t:� AON PIPE NO io 14 ttCAi10N a 1= � v► v W < CL y uj ; s � tnD ih b c 0 w w rT Z fOV49 1j2- IRON PIPE u0 190i nnClkT10N COK�EO ENTRY a' ONE STCRY r MASONRY & `RAME POSTED # 110 Te.f W j OIyJ] T0. t LOT 14 v 'a' (n`T) I d try `o J,+O1'bmcok 23.4' VwD r MASONRY WAL d1p1 pipt OFFICIAL RECORD VaWAC 1642 P,4,E 501 OFFiC1A1, RP -CORD VCi„UME I� 1 N a1 `3S`25"x— X FovNO T,:r wolo fhaE f 101 ao' Na ,nFNT1r1cATa� I :, 13$(AMASUREDI 101.23' (PLAT) 1i LUT I a�0-1i'a3' N � 102 til (vtAT) v, LOOT T •_ _.j,� 111 i 2 1 f a + RADIUS — x --- FEN 'E 4 • LEN014 CON( PETE-� — - NUTFS, RE ry 6CARIM05 AJmt BASED CAN TME C BCARINC Of' _- _____.__. ALONG THE SOUTkLRLY 9OUNpANY LINE OF SV8JECT P,RCC: p /'t FiY CRAPM!C PtOfTINC OW Y TNt' C-PT1ONtf, 1 A"f)c „C .vl -1, —a1, .VAR w" I IYVM6lR 14VV13, PAN=` 3. TMIS SURVEY REFLECIS ALL EASCMENTS k RICH' 3 OF WAS AS PER RECOADEt PIAT k/OR TITLE COM;ATMENT :F SUPP1,10 UNLESS OTHERVASE STATEC, NO GTh(R PTU VERIFICATION .,AS e-E:y PERFORMED BY ThE UNDERSICNED �. TK'S'SURrE r NOT VALtO "!KQIJT THE ORICINAt S CNATURi AND EM9OSS1 0 St -i. OF THE CERTIFYING SURVEYOR, _ 08 # 23305 DATE OF FIELO St:R.'EY: 02-09-04 0..1: OF ISSUE: 02-11-04 SCALE30' CERTIFICATE 2522 L lk 5tTeet JOts.+-lR. F1or100 322 • 999 (F)9049 OR4-E-6175 0 NJjfY CERTIFY THAT THIS SURKY *AS MADE UNOER MY RESPONSIEI.E CMARCE HD WETS TrK MINIMUM C({FN/NIC�Ai STANDARDS AS SET ►DR TN rY7Ni K.dt16Ak—iM(PhoDA ,,)ARD or PRorE A\SVRVY9S AND YAPPERS IN CNAPTCR (LORI "'uIMlSIRATIC qN 47 FLORIDA STAWTES • CHARLES W. MC INTOSM LICENSED MiNESS-1 6702 R: GISTEREO SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS 14 D 7L W'U(4 NATIONAL FLOOD INSURANCE MAP DATED APRIL '7, 1989, ':OMMUNITY NUW8i'R 170075, PANEL. _.0N I 0 - 3. THIS SVRVEY REFLECIS ALL EASEMENTS k RIGH' 3 OF WAS AS PER RECORDEL F AT &/OR TITLE COMMITMENT ,F SUPPLIED MESS OTHERWISE STATED, NO CThER TITLE VERIFICATION ..AS 'E:`1 PERFORMED 91' ThE UNDERSIGNED 4, KS SURVEY NOT VALID WITHO;IT THE ORIGINAL S CNATUR,. AND EMBOSSi D SE - OF THE CERTIFYING SORVEYOR, _ JOS # 23305 DATE OF FIELD SIA .'EY- 02-09-04 R,``l: OF ISSUE, 02-11-04 SCALE: 1" I. 30' CERTIFICATE 2922 (1 )k Street HEA(pY CCRTI" THAT TH13 SURKY WAS MADE VHO(R My RESPONSIDLE CMARCE JOtks�r Alle, P1ond0 32204 N6 MEE1S TME MINIMUM TECHNICAL. STANDAROS AS SEi FORTM by"INC F0410A (phooI 904 •309-5989 12AAD Or PRorE AL iVAVEYO$ AND MAPPERS IN CHAPTER 110t) -i, rLOR10A (Fox) 904- 369-6175 vWNISIRATIVE RLf131tAN)TQ 1)EC�T10N H FL 04 S)AlytT[5. Pr CHARLES w, MC INTOSH LICENSED BUSINESS 6702 R,-GISTEREO SURVEYOR AND MAPPER / 5502 STATE OF FLOREOA LAND SURVEYS O CONSTRUCTION "SURVEYS O SUBDIVISIONS 9°70 ��U(4 au CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department Public Works & Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5834 (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application # Property Address:�-��-}- Applicant: Project: Routed to: Public Safety This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: Provide topographic survey (LDR 24-66(a)). Provide construction site management plan. Provide erosion and sediment control plans, including maintenance schedule/plan. Provide drainage plans, including on-site storage calculations and location (LDR 24-66(b)). Provide impervious surface area calculations. Driveways cannot exceed 20 feet at the property line with an allowed flare up to 26 feet at edge of pavement. Please re -submit when these items have been Reviewed By: Date: 4 Date Contractor Notified:�Oc Containment Requirement Calculations; Vpre= 34% hnp; 3v2F,fez- C A c 114 6,RvF4 t�'A3300 a I� VproposE iM y, ��P. suRi' ! 3 st+ 2,�j sits � carrAss ,f �Z Vproposed-Vpre= 951.11 t Proposed Retention Area consists of a 6'X80'X2' dry retention excavation, soded, located along the southern border of the subject property. (see drawing) Retention Calculations 6'X80'X2'=960 cubic feet Total Containment= 960 cubic feet CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Ne y. Residential & Commercial) Date: X Job Address:_T� �`� S `I t P L r A" ` ' fkc-`-k E t_. -2 Owner's NameJ O n V) 'e-if-V-`� la i• Cac l= ` 32233 J O h's Ceti Address: Contractor: Address: i City: AX, Number:Ph •� 1J 30 • . Describe proposed use and work to be done: Total Square Footage M D Present use of land or building(s): -3) t State: (. Zip: 32,L5 6 Fax: t�� `! - & 1r NC J S � It-, �A O- -t ��-�/ !iJ Hyl r c� Total Heated Square Footagel % r' tit(; ;'N0 Valuation of proposed construction: 6,96 J 0 Z�, Is approval of Homeowner's Association or other private entity required? �Jl) If yes, please submit with this Application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area? 6qo. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone # is (904) 249- 5834, Rick Carper, Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST, AS IT IS DETAILED AND TECHNICAL, AS WELL AS CONTAINS LANGUAGE SPECIFIC TO ADOPTED CODES. AN INCOMPLETE APPLICATION AND ONIISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. . BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP I. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE, BUILDING, PLUMBING, MECHANICAL, ELECTRIC." 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http:/hvww.coab.us Revised 6/06 Page 2 PUBLIC WORKS AND PUBLIC UTILITIES. FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: DBA") 1�1-)tJ1 S Mailing Address: 19,)3 A)d� >> c_,/,. Telephone: Z J 7- Z Z,Z,Z, Fax: e Y 7- E -Mail: I hereby certify that I have read and examined this application and attached documentation 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 AS TO OWNER: Sworn to and subscribed before me this 2— State State of Florida, County of Duval aY K. CUNNINGHAM «`� Notary Public -Stale of Florida • �y Commission ExpiresFeb 28, 2010 Commission # DD 523638 Bonded BY National Notary Assn. Signature of Contractor: AS TO CONTRACTOR: Date: _ O (-.d day of J tA( � f 1200(A. Notary's Signature: ❑ Personally known [educed identification Type of identification produced Date: Sworn to and subscribed before me this C7 day of �LA , 20 State of Florida, County of Duval K. CUNNINGHAM Notary Public State of Florida Ay Commission Expires Feb 28, 2010 Commission # DD 523638 '"O� 11 ;• Bonded By National Notary Assn. Notary's Signature- ersonally known ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http://www.coab.us Page 4 Revised 6/06 TRANSMISSION VERIFICATION REPORT TIME 07/28/2006 08:48 NAME FAX TEL SER.# BROA6J427434 DATE DIME 07/28 08:47 FAX NO./NAME 92476513 DURATION 00:00:34 PAGE(S) 01 RESULT OK MODE STANDARD ECM BP250tJO2 CITY OF ATLANTIC BEACH 10/05/06 5 Application Tracking Individual Step Review 14:03:42 Application number . . . . : 06 00033556 Application type . . . . . : SINGLE FAMILY RESIDENCE Revision number . . . . . . . Agency/path/step/seq . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . . 72706 Approval code . . . . . . . . Reviewed by . . . . . . . . . Revised est cpl date . . . . 72706 Copies of plans . . . . . . . Seq Comments Prt Date 1.00 Provide topographic survey (LDR 24-66(a)). 72806 2.00 Provide construction site management plan. 72806 3.00 Provide erosion and sediment control plans, including 72806 maintenance schedule/plan. 4.00 Provide drainage plans, including on-site storage 72806 calculations and location (LDR 24-66(b)). More... F3=Exit F12=Cancel /lG O 7-W 'S7 -2f £� BP250kO2 CITY OF ATLANTIC BEACH : T Application Tracking Individual Step Review Application number . . . . : 06 00033556 Application type . . . . . : SINGLE FAMILY RESIDENCE Revision number . . . . . . . Agency/path/step/seq . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . . 72706 Approval code . . . . . . . . Reviewed by . . . . . . . . . Revised est cpl date . . . . 72706 Copies of plans . . . . . . . 10/05/06 14:03:42 Seq Comments Prt Date 5.00 Provide impervious surface area calculations. 72806 6.00 Driveways cannot exceed 20 feet at the property line with 72806 an allowed flare up to 26 feet at edge of pavement. F3=Exit F12=Cancel Bottom �ijry Conditional Approval For Permit Number OG - 335S� Address 1► O F>T-,( S -r I'u 32- 6E -A" A.tL I �A N I.� Ay ,have not provided Product Evaluation and Approval Reports as part of the plan review process to the building dept of Atlantic Beach. I understand that product approval reports are required to be submitted to and approved by the Building Official before any framing, siding, window - door, roof, inspection can be scheduled. Products Approval will be submitted as a revision and approved buy the Building Official when found to be in compliance with Florida Building Code 106.3.5, and Florida Statute 553.842. I an aware that all products must be inspected and will remove any and all work I install that cover's the installation so that the inspector can see all fasteners etc. (siding installed before window inspection etc.) I further more understand that any and all products that I install with out approval and that do not meet the state of Florida's approval, I shall remove from the structure. Note: No Certificate of Occupancy will be issued prior to the Building Official's review and approval of the applicable Product Evaluation and inspection of all installation all cts. Applicant Signature License Number (��(JCI s��a 'T f 1 r -/J, -y..� CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department Public Works & Public Utilities Departments J;il>r 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5834 (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application #06-335-56 Property Address: / 10 '3 '�"- 5 7-A�2l Applicant: A 1 19A �� 5 C Dr(157)SIL %L e1V Project: A/L1/ 5-a LZ �—A1Ax0/ 9f5-Tt EA-IL16 This permit application has been: Routed to: S.Makowski L. Higgins S. Doerr R. Carper D. Kaluzniak Public Safety ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Vc ,0T� UGTv%�L wtAle-- 7`D 0 �� I- �N ) Ec ��v L L 9,6vy 5.ZON5 T XfZQ ✓ 1 i< rW 1A17C0 4i N1-9 Gil/ I .12.0(o Please re -submit your application when these items have been completed. Reviewed By: ��7n 1 2 5 y L/ Date Contractor Notified: Date: 7-7--06 L r 11 W U W 2006108/09 15:33:45 9048276846 Powered by XMediUSFAX Page:2/3 CITY OF ATLANTIC BEACH s, PLAN REVIEW SHEET ;... Building Department Public Works & Public Ud"titiea Departments '- V 01119 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904) 247-5800 (904) 247-5834 (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW COMMENTS Permit Application # r� I �J S U N Property Address:1�� Applicant: 1 �' • �_1J/^I'-�i �� Project: to: I Public Safety I 44P This permit application has. been: ��v❑ Approved as noted by the Department. (� PP Department Final application approvel meat come from the Building p Reviewed and the following items need attention: NeUJ V LI I V.. 'VI'M Ed AD `'✓ M (�� W C(i St��7o,•� c�- �. !� '� fe �N�' C OA w;ifi� t'i. f�—1 l 1ne�S 7' buy Q a �J lP_3pq z- �t hcn Please r"ubniit [cation when these items have been completed. 8)' Date: , �ReFlfmc_ny Date Contrac%� adriied: w� 1 ` i �i � iii � �...i .� f•� j� � r•r:�G •j Tit i t. AD `'✓ M (�� W C(i St��7o,•� c�- �. !� '� fe �N�' C OA w;ifi� t'i. f�—1 l 1ne�S 7' buy Q a �J lP_3pq z- �t hcn Please r"ubniit [cation when these items have been completed. 8)' Date: , �ReFlfmc_ny Date Contrac%� adriied: w� /006108/0:�l 15:33:45 9048276846 I � sN�✓ vN� s�i2 9048276849 Powered by XMediusFAX Page:3/3 g� ©� 1 cp s-' F Nr mss �,V/, P(O'sk J c^� 2, J ,Uf C a li sp, V2- NfA ` ,AJ �T'/� J�° /I 7. 1 {bi212or7�! Sri r a� 1•`� 'c a Uq S �=s Q r \'i'-jC b /1 7 zZ Gi�vT� �� 16v p[lie �Ll'125.3 we G�.Ic s��ciH a � b 1 SSC p ce sc 4fs-t v5� qc Z 3i $ re'r- .Qp Cov%are.je Sc rew s r4k r— -ib,ch fre!;alOve- ,b/#, Yec. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department Public Works & Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5834 (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW COMMENTS Permit Application # J ✓�� ul Property Address: Applicant: Project: Routed to: Public Safety This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: Reviewed By: Date: � 01 � Z Date Contractor Notified: rs� b`j - ",, CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION Residential & Commercial) Date: - 2 X 3 Job Address: Owner's Name:J0 (( ► a ��!aVN� 3az33 pone: G}o`/- 3�d3 -3�i3Y Address: ' CPC�66q D Contractor: �,� ^ :� � i� L State License Number: Address: (c1 63 N 3 T r / Phone: Z 3 7- Z.Z City: 9,ki " State: f . Zip: 12i? -5/ �b Fax: Z 7- �oS 0 Describe proposed use and work to be done: lye- S �� 1 � to 6L" V ADA4 v Total Square Footage O D Total Heated Sqdffe Footage Present use of land or building(s): 3 L%2 A KX' J Valuation of proposed construction: 6So JJ `' Is approval of Homeowner's Association or other private entity required? �A If yes, please submit with this Application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area? dNO. Applicant certifies that no change in site grade, impervious area or fill material will De usea on ww project. ❑ YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone # is (904) 249- 5834, Rick Carper, Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE LAr1G�UAGE�SPECIFIC TO IS DETAILED AND TECHNICAL, ADOPTED CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. _ BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE, BUILDING, PLUMBING, MECHANICAL, ELECTRIC." 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fag: (904) 247-5845 • ht-//www.coab.us Revised 6106 Page 2 PUBLIC WORKS AND PUBLIC UTILITIES. FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: DBA "i /�/)d/ f Mailing Address: /9o� A) — —. j 4k /JCL• y �ZZsa Telephone: Z 3 7- Z ?-zz .., Fax: Z Y 7- E -Mail: I hereby certify that I have read and examined this application and attached documentation 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 pen -nit 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. A Signature of AS TO OWNER: Sworn to and subscribed before me this Z � State of Florida, County of Duval ,0, "Ry CLW" K. CUNNINGHAM =20. `, Notary Public- Stale of Flodde ' My Commission Expres Feb Al, 2010 Commission # DD 523638 Bonded By National Notary Assn.'• Signature of Contractor: AS TO CONTRACTOR: Date: yL-I — 0 day of J to l , 20_CC Notary's Signature: ❑ Personally known _,R educed identification Type of identification produced Date: Sworn to and subscribed before me this day of I , 20U. State of Florida, County of Duval K. CUNNINGHAM Notary Public -Stale of Florida ' Ay Commission Expkw Feb 28, 2010 Commission # DD 523638 Bonded By National Notary Assn. Notary's Signature ersonally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http://www.coab.us Page 4 Revised 6/06 1 % Ai rJ , CITY OF ATLANTIC BEACH r T� BUILDING PERMIT APPLICATION Residential & Commercial) Date: - - L C/ X Job Address: ` Y \ � L , 4 � 4 Gtw f -Y" - �� L 3 Z_ �- L� hem�17 air 17inne�� Owner's Name:3o n s c u1 If w Sr i�-$etc �- 32233 Address: Zone: q o y- 3 U 3 -:?,q3 y Contractor: �fl o State License Number: CRC��o6 Vb �nr � � 7 A Lr j'� Address: I c1 a3 pN 3 �� Phone:: 2,3 7 - 222,Z - city: AX 9,k State: �. Zip: ?ZZ�S 6 Fax: `(` - &S 1 ? tY: / Describe proposed use and work to be done: /VC' LJ 5'1`5 1 ' Af-A ow % Total Square Footage O a Total Heated Sq are Footage / Present use of land or building(s): 3 �✓ A' J Valuation of proposed construction: a Is approval of Homeowner's Association or other private entity required? K) -b If yes, please submit with this Application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area? 60. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone # is (904) 249- 5834, Rick Carper, Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST, AS IT IS DETAILED AND TECHNICAL, AS P� AP CATION AND OMISSION OF INFORMATION WILL ADOPTED CODES. AN INCOMPLETE CAUSE A DELAY IN THE ISSUANCE OF PERMITS. FOR THE PROPOSED CONSTRUCTION. IF VERIFY ARE UNSURE OF THIS INFORMATION, PLEASE CONTACON AND PROPER T O THE PLANNING AND ZONING DEPARTMENT AT 904-247-5826. . BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP L PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE, BUILDING, PLUMBING, MECHANICAL, ELECTRIC." 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http•//www.coab.us Revised 6/06 Page 2 PUBLIC WORKS AND PUBLIC UTILITIES. FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). n Name: 1->A `� ��~/✓� f 3 Mailing Address: tMS I — y c' v tii . . - Telephone: Z3- 7_ Z Z Z Fax: Z Y 7- 3 E -Mail: I hereby certify that I have read and examined this application and attached documentation 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 AS TO OWNER: Sworn to and subscribed before me this State of Florida, County of Duval ....... K. CUNNINUHAM :2°4'�Y PUeNotary public - Stale of Florida Commission Exproa Fab 26,20 °Ff� 2i Commission fl DD 523638 ' Bonded By Na6onel Notary Signature of Contractor: AS TO CONTRACTOR: ._ ->-) — O (.,a %✓ ` day of .�yL l �I , 20 tJ_,g. Notary's Signature: ❑ Personally known [educed identification Type of identification produced Date: da of _ 1 � 120 Sworn to and subscribed before me this y State of Florida, County of Duval K. CUNNINGHAM P`e�, : Notary pubk Stale of Fbr da • COmmISSbII Expil� Feb 28. 1110 Commission 0 DD 523638 OF Bonded By National Notary As". Page 4 Notary's Signature• ersonally known ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http•//,vww.coab.us Revised 6/06 r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department Public Works & Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5834 (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application # �Q J ✓�� ul Property Address:��-�- Applicant: Project: Routed to: Public Safety This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Reviewed By: Date Contractor Notified: LI•b Date: Qo r'l �IT•IS U/ O S Tlt f3 %7G N/ �(/ $�GT%/�% o�- S/ /C UaaL 313 310 Z. Z 7, >Z S co nP S w , yH 9-50 91. i Please re -submit your application when these items have been com leted. Reviewed By: Date Contractor Notified: LI•b Date: r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax Public Works & Public Utilities Departments 1200 Sandpiper Lane Atlantic Beach, Florida 32233 (904)247-5834 (904) 247-5843 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: Project: to: Public Safety This permit application has been: Approved as noted by the Department. Final application approval must com from the Building Department. ❑ Reviewed and the following items need attention: Gv -4- rW e -K o' a 0, vu n Please re-si lve been com leted. Date Contractor Notified: Date: -7---22-06 >>lf CITY OF ATLANTIC BEACH r ' V BUILDING PERMIT APPLICATION �( T�e�/ Residential & Commercial) Date: -7 Job Address: Owner's Name: 7Y 0 -jo „' S [eel 110 v st - Ai.- lscnac- 32,z33 P one: Glo`l' 3 q3 -3�13Y Address: ' GA)C�66V D Contractor: (�P GN 1r t� 1 S State License Number: Address: 19 63 N S 7= Phone: Z3 7 City: AX �L�+ � State: ��. Zip: �ZLS 6 Fax: ��' 6-S1 � Describe proposed use and work to be done: Nem 5%',V$ 14, t4CA V #-(V Total Square Footage D Total Heated Square Footage / 1 Present use of land or building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? M-1) If yes, please submit with this Application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area? ?}NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone # is (904) 249- 5834, Rick Carper, Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST, IS DETAILED AND TECHNICAL, AS P� A AP L AS CONTAINS LANGUAGE SPECIFIC TO ADOPTED CODES. AN INCOMPLETE TION AND OMISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP I. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE, BUILDING, PLUMBING, MECHANICAL, ELECTRIC." 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http•//www.coab.us Revised 6/06 Page 2 PUBLIC WORKS AND PUBLIC UTILITIES. FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: % )eA 0,1 Mailing Address: ago A% 4/C Telephone: Z3 7- Z ZZ,Z Fax: e Y 7- CS -z E -Mail: I hereby certify that I have read and examined this application and attached documentation 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 AS TO OWNER: Date: �— -moi — Sworn to and subscribed before me this 2 day of tA 20L. State of Florida, County of Duval K. CUNNINGHAM Notary Public - state of Florida Ay Commission Expires Feb 28, 2010 Commission # DD 523638 Bonded By National Notary Assn. Signature of Contractor: AS TO CONTRACTOR: Notary's Signature: ❑ Personally known educed identification Type of identification produced Date: Sworn to and subscribed before me this day of (�� , 20 State of Florida, County of Duval K. CUNNINGHAM Notary Public - State of Florida -:My Commission Expires Feb 28.2010 Commission # DD 523638 ',,OF,Bonded By National Notary Assn. Notary's Signature(/4 M,416-r-sonally known 6e�5 ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5826 Fax: (904) 247-5845 • http://www.coab.us Page 4 Revised 6/06 ---A n n 444 MIAMFUAE)E MIAMI.DADE COUNTY, FLORIDA BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 FILE *ESOT FLAGLER STREET, surrE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) Andersen Corporation 100 Fourth Ave. North Bayport, MN 5503 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "Derma Shield" Vinyl Clad Wood Casement Window APPROVAL DOCUMENT: Drawing No. W01-46, titled `Derma -Shield Vinyl Clad WD. Casement WDW.", sheets 1 through 5 of 5, prepared by AL-Farooq Corporation, dated 07/23/01, with revision "C" dated 10/29/04, signed and sealed by Humayoun Farooq, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 03-0919.03 and consists of this page 1 and evidence pages E-1, E-2 and E-3, as well as approval document mentioned above The submitted documentation was reviewed by Herminio F. Gonzalez, P.E., Director, BCCO NOA No 05-0202.01 Expiration Date: September 19, 2007 Approval Date: April 21, 2005 Page 1 Andersen Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. W01-46, titled "Perma-Shield Vinyl Clad WD. Casement WDW.", sheets 1 through 5 of 5, prepared by AL-Farooq Corporation, dated 07/23/01, with revision "C" dated 10/29/04, signed and sealed by Humayoun Farooq, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per TAS 202-94. 2) Uniform Load Static Air Pressure Test, per FBC, TAS 202-94. 3) Water Resistance Test, per FBC, TAS 202-94. 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411.3.2.1 and TAS 202-94 along with the manufacturer's parts and section drawings marked -up by Architectural Testing Inc. report No. ATI -02-45335.01 dated 05/21-23/03, signed and sealed by Joseph A. Reed, P.E. "Submitted under NOA # 03-0919.03" 2. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 2) Large Missile Impact Test per FBC, TAS 201-94 3) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 02- 33449.01, dated 9/10/01, signed and sealed by Allen Reeves, P.E. "Submitted under NOA # 03-0919.03" 3. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, FBC 2411.3.2.1 and TAS 202-94 along with marked -up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 02- 33001.01, dated 2/1/01, signed and sealed by Allen Reeves, P.E. "Submitted under NOA # 03-0919.03" I3erminio F. Gonzalez, P.E. Director, Building Code Compliance Office NOA No 05-0202.01 Expiration Date: September 19, 2007 Approval Date: April 21, 2005 E-1 Andersen Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 4. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411.3.2.1 and TAS 202-94 along with marked -up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 02- 33003.01, dated 2/8/01, signed and sealed by Allen Reeves, P.E. "Submitted under NOA # 03-0919.03" 5. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411.3.2.1 and TAS 202-94 along with marked -up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 02- 31312.01, dated 3/9/99, signed and sealed by Allen Reeves, P.E. "Submitted under NOA # 03-0919.03" 6. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 2411.3.2.1 and TAS 202-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, per FBC 2411.3.2.1 and TAS 202-94 along with marked -up drawings and installation diagram of a vinyl clad wood casement window, prepared by Architectural Testing, Inc., Test Report No. 50888.01-201-18, dated 05/05-11/04, signed and sealed by Steven M. Urich, P.E. C. CALCULATIONS 3. Complies with ASTM E1300-98. "Submitted under NOA # 03-0919.03" 4. Anchor Calculations, ASTM -E1300, and structural analysis, prepared by AL- Farooq Corporation, dated 11/08/04, signed and sealed by Humayoun Farooq, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). Herminio F. Gonzalez, P.E. Crector, Building Code Compliance Office NOA No 05-0202.01 Expiration Date: September 19, 2007 Approval Date: April 21, 2005 E-2 Andersen Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 01-1204.01 issued to E.I. Dupont DeNemours for "Sentry Glass ® Plus" dated 1/17/02, expiring on 01/14/07. 2. Notice of Acceptance No. 01-0205.02 issued to Solutia Inc. for "Saflex/Keepsafe Maximum dated 05/17/01, expiring on 05/21/06. F. STATEMENTS 1. Statement letter of conformance, dated 11/08/04, signed and sealed by Humayoun Farooq, P.E. 2. Statement letter of no financial interest, dated 11/08/04, signed and sealed by Humayoun Farooq, P.E. G. OTHER 1. Letter from the consultant stating that the product is in compliance with the Florida Building Code (F.B.C.). 2. Notice of Acceptance No. 03-0919.03, issued to Andersen Corporation, for Perma-Shield Vinyl Clad WD. Casement WDW., approved on 12/04/03 and expiring on 09/19/07. Herminio F. 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Aprlicatien #' ""4 F1,074 bate Submitted. 10/21./2[103 FI-QdII :t ManufaelUrcr: Overhead Door Corporation Addressfto nele,Oail. 1900 Crown Drive �� F umers Branch. TX 15(:)(.) E COP Y Technical Representative; 'rechnical Representative AddresslPhone/em)A QVtaiity Asnuance Repres'entativa: Qualit,Aasurance Representative Addresw?hone/em, ili Category: 80cateeon'; Evaluation Method; Leroy Knipke 19L)O Crown Drive Farmers Branch. TX 75007 (072)330-9034 Lcrov_kntpkercro�•e�•�eaddoor. coin Bill RN rd 1900 Camn Drive) Farmers Branch. TX 75007 (972) 969-6968 hill b� rd�ir?overheaddoor.com E%terior Doors Sectional Evaluation Report from a Product Evaluation Entity "39MMEN Referenced Standards from the Florida Building MMM=Section $tsndar<t Year Code. Evaluation Entih•' ICC Evaluatton Servicc, luc. Qhmlity Assurance Entit}•: PFS Corporation Validation Entire: Andy Hlavahy and Assoc. Date Validated. 12/10/200± A.utilorize d Signature. MicLey Waxnue:k ntiukev Nvomacl:,&(��erhtactd:�ctr.cc,ni Tnnr9h 2oau QV3HH3AO rOZLB9Zt•O6 T:dd ZT:91 9002-'TT/LO 07/11/2006 16:13 FAX 9042687204 OVERHEAD 1,0OR v f � � J Cz' Ir {„e) itll'4tln,, w7iaJG W w L a�asx��a�i��s� F 4 t 00 00 u U Z003 07/11,,,2006 16:12 FAX 9042687204 All 7Tia P. p"N VA, r, �'! I OVERHEAD I',-OOR Lei U U Ir IAMI-DADE COUNTY, MI ADE FILE COPY TRO-DADE F AGL R BUIOLDIINNG BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563 NOTICE OF ACCEPTANCE (NOA) (305) 375-2901 FAX (305) 375-2908 Andersen Corporation 100 Fourth Avenue Bayport, MN 55003 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series "Fleaiframe 6050" Wood Fixed Window APPROVAL DOCUMENT: Drawing No. DADE-12050, titled "Unit Assembly, Impact Flexiframe", sheets 1 through 3 of 3, prepared by manufacturer, dated 2/26/99, revised on 10/17/02, bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA # 00-1011.03 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. A in NOA No 02-0919.12 Expiration Date: October 21, 2007 Approval Date: November 14, 2002 Page 1 Andersen Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) A. DRAWING I. Manufacturer's die drawings and sections. 2. Drawing No. DARE -12050, titled "Unit Assembly, Impact Flexiframe", sheets 1 through 3 of 3, prepared by manufacturer, dated 2/26/99, revised on 10/17/02. B. TESTS 1. Test reports on 1) Large Missile Impact Test per SFBC, PA 201-94. 2) Cyclic Wind Pressure Loading per SFBC, PA 203-94 along with marked -up drawing of a wood fixed window, prepared by Architectural Testing Inc. Test Report No. ATI -02-32062.01, dated 05/05/00 along with revised marked -up drawings, signed and sealed by Allen N. Reeves, P.E. Submitted under file No. 99-0604.01 2. Test reports on 1) Air Infiltration Test, per SFBC, PA 202-94 2) Uniform Static Air Pressure Test, Loading per SFBC,PA 20294. 3) Water Resistance Test, per SFBC, PA 202-94. 4) Large Missile Impact Test per SFBC, PA 201-94 5) Cyclic Wind Pressure Loading per SFBC, PA 203-94 along with assembly & part drawing of a wood fixed window prepared by Architectural Testing, Inc., test report No. 02-31038.02, dated 01/04/99, signed and sealed by A. N. Reeves, P.E C. CALCULATIONS Submitted under file No. 99-0604.01 1. Installation Analysis Report prepared by Richard Boyette, project # 99-0512 sheets 1 to 10 of 10, dated May 14, 1999, signed and sealed by R. Boyette PE. D. STATEMENTS 1. Letter of Code Compliance, issued Richard Boyette PE. on 06/07/00, signed and sealed by R. Boyette, PE. 2. Laboratory Compliance Letter issued by Architectural Testing, Inc., dated 03/05/99, signed and sealed by Allen N. Reeves, P.E. 3. Letter from Andersen Corporation, dated 8/13/02, stating that the product has not changed since it was originally approved. Manuel Per Product Control a er NOA No 02 9.12 Expiration Date: October 21, 2007 E-1 Approval Date: November 14, 2002 Andersen Corporation NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 98-0608.03 issued to E.I. DuPont DeNemours for "Sentry Glass Plus" dated 01/14/99, expiring on 01/14/02. 2. Notice of Acceptance No. 97-1224.07 issued to Solutia, Inc. for their "Polyvinyl Butyral Interlayer Saflex" dated 06/25/98, expiring on 01/09/00. F. OTHER 1. Notice of Acceptance No. 00-1011.03, issued to Anderson Corporation for their Flexiframe 6050 Windows Impact, approved on 5/31/01 and expiring on 10/21/02. Manuel Pe Product Control EX21nindF NOA No 0 .12 Expiration Date: October 21, 2007 Approval Date: November 14, 2002 E-2 tiq aa� y� � g-S °o 7x tlp¢�g@55q@ 0� oz, <YMi(tor�Q{ O 0 ? N ndo } C1 y�rC 0 m �R i 6 �€ g u� t2 41 mom r7 N Q y£ -C Q If a '6 X zi d G F y O i i Q O < m W< _ 0 7 < w ¢ ZZ Z N �tZ V Z Z rvy ❑ i < Q i� o, ¢❑ o • 4 5 s w ❑ � 00 <g R° al. �❑ ry �' ❑ a� otl��Z �^ n N $$q9 i V 8 8❑ Nig r. 1 °4 � o z �z ggW]w vyi 3Z 5 Q om1 3:Qk sl Wl Qx �s tl m8�w < gyg I <Z� S — i _ 6 w w^ ' F €❑ iso$ o u ZN �3 w w g <s 7 W 'o _ ry .i 6 e !J m MW W ;E OQ QC ~ W Z 7 � 0 O r Or • ii fI. i r .zx z 0 F U W o[a o i a o �y Uf Vic `� 0 o iv 3 m �W m f g€ c a Q b T•('a C � <ra W O r Or • ii fI. i r .zx z 0 F U W Florida Building Code Online Sr Submit Surcharge ar i Product Approval USER: Public User -P; A11V2 , / Page 1 of 1 s Stats & Facts Publications FBC Staff B FILE COPY Community Affairs Product ApDroyal_Menu > Product or Application Search > Application List Search Criteria r Code Version 2004 FL# r DEVELOPMENT Application Type ALL Product Manufacturer Category ALL Subcategory Application Status ALL Compliance Method 9FLORI wDA 16,CRUST K Search Results - Applications J FL# Type Manufacturer - NCY MANAGEMENT FL1097-R1 Revision Andersen Corporation History Category: Exterior Doors GFFICE OF THE Subcateaorv: Swinaina Exterior Door Assembl CONTACT US OUR LOGO EMPL VICES DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. copyright and Discl, Product Approval Accepts: ® El http://www.floridabuilding.org/pr/pr_app_lst.aspx 7/26/2006 Florida Building Code Online Submit Surcharge •:'ilProduct Approval USER: Public User Page 1 of 6 AL ?i J rA� Stats & Facts Publications FBC Staff B Product Approval Menu > Product or_Appplication Search > Application_ List > Application Detail Product Manufacturer Address/Phone/Email FREQUENTLY ASKED Authorized Signature w4NEW-, _ Technical Representative Address/Phone/Email CONTACT US �.°uttWco Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Referenced Standard and Year (of FL1097-R1 Revision 2004 Approved V Andersen Corporation 100 Fourth Avenue North Bayport, MN 55003 (651)264-5308 abarstad@andersencorp.com Alan Barstad abarstad@andersencorp.com Exterior Doors Swinging Exterior Door Assemblies Certification Mark or Listing Window and Door Manufacturers Asso Standard http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 7/26/2006 FL # COMMUNUTY PLANNING Application Type HOUSING' Code Version DEVELOPMENT 11111`"$Liroeiuccos Application Status fLORIDACOMMUNITIES Comments -- Archived Product Manufacturer Address/Phone/Email FREQUENTLY ASKED Authorized Signature w4NEW-, _ Technical Representative Address/Phone/Email CONTACT US �.°uttWco Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Referenced Standard and Year (of FL1097-R1 Revision 2004 Approved V Andersen Corporation 100 Fourth Avenue North Bayport, MN 55003 (651)264-5308 abarstad@andersencorp.com Alan Barstad abarstad@andersencorp.com Exterior Doors Swinging Exterior Door Assemblies Certification Mark or Listing Window and Door Manufacturers Asso Standard http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 7/26/2006 Florida Building Code Online Standard) Equivalence of Product Standards Certified By Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved 101/I.S.2 101/I.S.2/NAFS ASTM E 1996 Method 1 Option A 11/02/2005 11/14/2005 11/14/2005 12/06/2005 Summary of Products u. A—i IU...Mk— ^r Pj=ar"u riperrintlnn Page 2 of 6 1097.1 400 Series Frenchwood Wood Inswing Patio Door Hinged Patio Door - Double - Impact Resistant Limits of Use (See Other) Approved for use in HVHZ: Approved for use outside HVHZ: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-665.02 Rating is HGD-R45 72" x 83" Unit tested was a FWH60611AP with HPIR Glass Hallmark Certification Agency Ce Installation Instruction PTID 1097 R1 I FWH h Impact.pdf PTID 1097 Rl I FWO Ii Impad.pdf PTID 1097 Rl I FWSL i N_on-Impact.pdf Certificate: 129-H-665.04 Rating is Missle Level Verified By: D, Cycle Pressure +50/-65 Unit tested was a FWH60611AP with HPIR Glass Hallmark Certificate: 129-H-673.01 Rating is HGD-R40 m x 2426mm Unit tested was a 0SA with HPIR Glass Hallmark te: 129-H-673.00 Rating is HGD-R40 6" Unit tested was a FWH6080AP with L ass Hallmark Certificate: 129-H-673.02 s Missle Level D, Cycle Pressure +50/-65 ted was a FWH 6080AP with HPIR Glass 1097.2 400 Series Frenchwood Hinged Patio Door - Double - Wood Inswing Patio Door Non Impact Limits of Use (See Other) Approved for use in HVHZ: Approved for use outside HVHZ: Certification Agency Ce Installation Instructior Verified By: Impact Resistant: http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 7/26/2006 Florida Building Code Online Page 3 of 6 Design Pressure: +/- Other: Hallmark Certificate: 129-H-618.01 Rating is HGD-R55 72" x 83" Unit tested was a FWH60611SA with HP Glass Hallmark Certificate: 129-H-616.00 Rating is HGD-R40 72" x 83" Unit tested was a FWH6080AP with HP Glass Hallmark Certificate: 129-H-618.00 Rating is HGD-R40 72" x 96" Unit tested was a FWH6080SA with HP Glass 1097.3 400 Series Frenchwood Wood Inswing Patio Door Hinged Patio Door - Single - Impact Resistant Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-671.00 Rating is HGD-R50 37" x 96" Unit tested was a FWH3180A with HPIR Glass Hallmark Certificate: 129-H-671.02 Rating is Missle Level D, Cycle Pressure +50/-65 Unit tested was a FWH3180A with HPIR Glass Hallmark Certificate: 129-H- 672.00 Rating is HGD-R50 37" x 96" Unit tested was a FWH3180S with HPIR Glass Hallmark Certificate: 129-H-672.02 Rating is Missle Level D, Cycle Pressure +50/-65 Unit tested was a FWH3180S with HPIR Glass 1097.4 400 Series Frenchwood Wood Inswing Patio Door Hinged Patio Door - Single - Non Impact Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-620.00 Rating is HGD-R60 37" x 96" Unit tested was a FWH3180A with HP Glass Hallmark Certificate: 129-H-619.00 Rating is HGD-R60 37" x 96" Unit tested was a FWH3180S with HP Glass Hallmark Certificate: 129-H-698.00 Rating is HGD-R40 39" x 96" Unit tested was a FWH3380A with HP Glass 1097.5 400 Series Frenchwood Wood Inswing Patio Door Hinged Patio Door - Triple - Non Impact Limits of Use (See Other) Approved for use in HVHZ: Approved for use outside HVHZ: Certification Agency Ce Installation Instructior Verified By: http://www.floridabuilding.orglpr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 7/26/2006 Florida Building Code Online Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-617.00 Rating is HGD-R55 108" x 83" Unit tested was a FWH90611SAS with HP Glass Hallmark Certificate: 129-H-617.01 Rating is HGD-R40 108" x 96" Unit tested was a FWH9080SAS with HP Glass Page 4 of 6 1097.6 400 Series Frenchwood Wood Outswing Patio Doo Outswing Patio Door - Double - Impact Resistant Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-647.00 Rating is HGD-050 72" x 96" Unit tested was a FW06080AP with HPIR Glass Hallmark Certificate: 129-H-643.00 Rating is Missle Level D, Cycle Pressure +50/-65 Unit tested was a FW06080AP with HPIR Glass 1097.7 400 Series Frenchwood Wood Outswing Patio Doo Outswing Patio Door - Double - Non Impact Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-678.02 Rating is HGD-R50 72" x 83" Unit tested was a FW060611AP with HP Glass Hallmark Certificate: 129-H-682.00 Rating is HGD-LC40 72" x 96" Unit tested was a FW06080AP with HP Glass Hallmark Certificate: 129-H-681.00 Rating is HGD-LC55 72" x 96" Unit tested was a FW06080AP with DP Upgrade and HP Glass 1097.8 400 Series Frenchwood Wood Outswing Patio Doo Outswing Patio Door - Single - Impact Resistant Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instructior Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-645.00 Rating is HGD-050 37" x 96" Unit tested was a FW03180A with HPIR Glass Hallmark Certificate: 129-H-644.00 Rating is Missle Level D, Cycle http://www.floridabuilding.org/prlpr_app_dtl. aspx?param=wGEV XQwtDgvihT9G9wJlkw... 7/26/2006 Florida Building Code Online Pressure +50/-65 Unit tested was a FW03180A with HPIR Glass Hallmark Certificate: 129-H- 646.00 Rating is Missle Level D, Cycle Pressure +50/-65 Unit tested was a FW03180S with HPIR i,�Glass Hallmark Certificate: 129-H-646.03 Rating is HGD-050 37" x 96" Unit tested was a FW03180S with HPIR Glass Page 5 of 6 1097.9 400 Series FrenchwoodWood Outswing Patio Doo Outswing Patio Door - Single - Non Impact Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-677.00 Rating is HGD-R65 37" x 83" Unit tested was a FW031611A with HP Glass Hallmark Certificate: 129-H-675.00 Rating is HGD-LC60 37" x 96" Unit tested was a FW03180A with HP Glass Hallmark Certificate: 129-H-646.01 Rating is HGD-050 37" x 96" Unit tested was a FW03180S with HP Glass Hallmark Certificate: 129-H- 697.00 Rating is HGD-R40 39" x 96" Unit tested was a FW03380A with HP Glass 1097.10 400 Series Frenchwood Wood Sidelite Patio Door Si ]elite - Impact Resistant Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instruction Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-679.00 Rating is SLT-LC65 476mm x 2426mm Unit tested was a FWSL1780 with HPIR Glass Hallmark Certificate: 129-H-679.01 Rating is Missle Level D, Cycle Pressure +50/-65 Unit tested was a FWSL1780 with HPIR Glass 400 Series Frenchwood Wood Transom Patio Dooi ff2=�Transom - Impact Resistant Limits of Use (See Other) Certification Agency Ce Approved for use in HVHZ: Installation Instructior Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: Hallmark Certificate: 129-H-676.00 Rating is TR-LC65 1310mm x 552mm Unit tested was a FWT60110 with HPIR Glass Hallmark Certificate: 129-H-676.01 Rating is Missle Level D, Cycle Pressure +50/-65, Size is 52" x 22" http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlkw... 7/26/2006 Florida Building Code Online Page 6 of 6 IIIIUnit tested was a FWT60110 with HPIR Glass N Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Suncom 277-1824, Fax (850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Discl. Product Approval Accepts: ♦IPp' httn://www.floridahuilding_org/nr/nr ann dtl.asnx?naram=wCrF,VXOwtnavihT9G9wJlkw._. 7/26/2006 Installation Guide for Andersen° Frenchwood° Patio Door Sidelights and Transoms Installation Guide WIN DOWSDOORS Congratulations! You have just purchased one of the many fine Andersen® products. Proper assembly, installation and maintenance are essential if the benefits of your Andersen product are to be fully attained. Therefore, please read and follow this instruction guide completely. If your abilities do not match this procedure's requirements, contact an experienced contractor. You may direct any questions about this or other products to your local Andersen dealer, found in the Yellow Pages under "Windows" or call Andersen WindowCare® service center at 1-888-888-7020 Monday through Friday, 7 a.m. to 7 p.m. Central Time and Saturday, 8 a.m. to 4 p.m. Central Time. Thank you for choosing Andersen. Every assembly and installation is different (windloads, structural support, etc.). Andersen strongly recommends consultation with an Andersen supplier or an experienced contractor, architect, or structural engineer prior to the assembly and installation of any Andersen product. For installation methods not covered in this guide, (i.e. through jamb) please visit the Architect Detail File on the web (www.andersenwindows.com). Andersen has no responsibility in regard to the post -manufactured assembly and installation of Andersen products. Using ladders and/or scaffolding and working at elevated levels may be hazardous Follow equipment manufacturer's instructions for safe operation. Use extreme caution when working around window and door openings. Falling from opening may result in personal injury or death. Improper use of hand/power tools could result in personal injury and/or product damage. Follow manufacturer's instructions for safe operation of equipment. Always wear safety glasses. Weight of window/door unit(s) and accessories will vary. Use a reasonable number of people with sufficient strength to lift, carry, and install window and door unit(s) and accessories. Always use appropriate lifting techniques. Unless specifically ordered, Andersen windows and doors are not equipped with safety glass, and if broken, could fragment causing injury. Many laws and building codes require safety glass in locations adjacent to or near doors. Andersen windows are available with safety glass that may reduce the likelihood of injury when broken. Information on safety glass is available from your local Andersen dealer. • Andersen° Head Flashing and Installation Flanges DO NOT take the place of standard window and door flashing. Unit must be properly flashed and sealed with silicone for protection against water and air infiltration. Use non -reflective flashings. Highly reflective flashing tapes can raise the surface temperature of the vinyl to the point where vinyl deformation and product damage may occur. • Do not apply any type of film to glass. Thermal stress conditions resulting in glass damage could occur. • Use of movable insulating materials such as window coverings, shutters, and other shading devices may damage glass and/or vinyl. In addition, excessive condensation may result causing deterioration of windows and doors. "Andersen" and "Andersen Windowcare" are registered trademarks of Andersen corporation. All other marks where denoted are marks of Andersen Corporation. ©2002-2004 Andersen Corporation. All rights reserved. 1 Instruction Guide 0005335 Revised 03/11/04 Installation Guide LE Steel fasteners will corrode when used with ACQ Pressure Treated Lumber. Obtain and use the appropriate size stainless steel screws, as called out in this installation guide, to fasten unit to any rough opening made from AGO Pressure Treated Lumber. Failure to use stainless steel fastners may result in fastner corrosion causing product damage. Parts Included (1) Sidelight/Transom Unit (2) Head/Sill Installation Flange (Transom Unit Only) (1) Head Installation Flange (Sidelight Unit Only) (2) Side Installation Flanges (4) Interior Panel Stops (1) Screw Pack (1) Instruction Guide Tools & Supplies • Safety Glasses • Hammer • Tape Measure • Level • Flat Blade Screwdriver • Phillips Screwdriver • Small Pry Bar • Caulk Gun • Silicone Primer • Silicone Sealant • Wood Block • Shims • Nail Set • 1-1/2" (6d) Finish Nails • 1" (6d) Finish Nails (Sidelight Unit Only) Component Identification Side Installation Flange 7 Head/Sill Installation Flange Head/Sill Installation Flange Side Installation Flange Transom Unit Exterior Side Up Interior Panel Stops Head Installation Flange 1. Prepare Rough Opening DO NOT install unit directly on masonry/concrete surface. Place a full length barrier (i.e. treated wood, tar paper, ice/water membrane) between unit sill and masonry/concrete surface. Failure to use barrier and sealing it to masonry/concrete surface and unit sill may result in product and/or property damage. Entire barrier must be sealed to masonry/concrete surface to help prevent water infiltration. Barrier thickness must not exceed 1/4". Installation Guide Rough Opening Width Rough Opening Height Standard Construction • Frame rough opening to dimensions from the table below according to unit size. • Check sill plate for level. Sill must be level, shim sill plate if Rough � necessary. Opening width T— • Check rough opening for plumb and level. If rough opening is not plumb or level, correct as necessary. Openipenin ng • Check opening for square by measuring diagonally, upper left to Height lower right and upper right to lower left corner. If + measurements are the same, opening is square. If rough opening is not square, correct as necessary. Masonry/Concrete Construction ;LSIDELIGHT UNITS —i Unit No. Designation 1368 1768 13611 17611 1380 1780 Rough Opening Width 1'-3 1/2" 1'-7 1/2" 1'-3 1/2" 1'-7 1/2" 1'-3 1/2" 1'-7 1/2" Rough Opening Height 61" 6'8" 6'11" 6'11" 810" 8101, Approximate Weight (Ibs) 55 70 57 73 67 84 Unit No. Designation 1311 1711 1316 1716 13110 17110 Rough Opening Width 1'3-1/2" 17-1/2" 1'3-1/2" 17-1/2" 1'3-1/2" 17-1/2" Rough Opening Height 1'-1 1/2" 1'-1 1/2" 1'-61/2" 1'-61/2" 110-1/2" 110-1/2" Approximate Weight (Ibs) 9 11 12 16 15 19 TRANSOM UNITS Unit No. Designation 2111 2711 2911 3111 (2)4111 (2)5011 (2)5411 (2)6011 Rough Opening Width 2'1" 27' 2'9" 3'1" 4'1" 5'0" 5'4" 6'0" Rough Opening Height 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" 1'-1 1/2" Approximate Weight (Ibs) 15 18 19 22 29 36 38 43 Unit No. Designation 2116 2716 2916 3116 (2)4116 (2)5016 (2)5416 (2)6016 Rough Opening Width 2'1" 27' 2'9" 3'1" 4'1" 5'0" 54' 6'0" Rough Opening Height 1'-61/2" 1'-61/2" 1'-6 1/2" 1'-6 1/2" 1'-61/2"" 1'-61/2" 1'-6 1/2" 1'-61/2" Approximate Weight (Ibs) 20 25 27 30 40 50 53 60 Unit No. Designation 21110 27110 29110 31110 (2)41110 (2)50110 (2)54110 (2)60110 Rough Opening Width 2'1" 27' 2'9" 3'1" 4'1" 5'0" 5'4" 6'0" Rough Opening Height 1'-61/2" 1'-6 1/2" 1'-6 1/2" 1'-6 1/2" 1'-61/2"" 1'-6 1/2" 1'-61/2" 1'-61/2" Approximate Weight (Ibs) 25 31 33 37 49 61 65 73 3 2. Prepare Unit Weight of Frenchwood® Patio Door Sidelight and Transoms Units will vary. Use a reasonable number of people with sufficient strength to lift, carry, and install unit(s). Always use appropriate lifting techniques. If your Andersen Frenchwood Hinged Patio Door will be equipped with Exterior Extension Jambs or Exterior Sill Extension, these accessories must be applied to the Sidelight UnitiTransom Unit BEFORE unit is installed. • Remove unit from carton. • Place unit on a clean flat work surface, exterior side up. • Remove packing blocks. 3. Apply Installation Flanges Head Installation Flange must overlap Side Installation Flanges to the exterior to help prevent water infiltration. For Transom Units, apply Sill Installation Flanges to kerf in frame. Position short leg of Installation Flange toward interior, centered on bottom of Sill. Place wood block against short leg of Installation Flange and tap, full length, until seated. (Sidelight Units Installation Flanges.) Repeat procedure Installation Flanges overlapping Sill Inst to the exterior. For Sidelight Units, apply Side Installati kerf in frame, positioning short leg of In toward interior, and positioning flush wi sill. Place wood block against short leg Flange and tap, full length, until seated. Repeat for Head Installation Flange using the same procedure. Make sure Head Installation Flange overlaps Side Installation Flanges to the exterior. Installation Guide Sidelight Unit Head Installation Flange Side Installation Flange Exterior Side Hammer LTP 4. Install Unit For Sidelight Units, apply three 3/8" beads of Silicone Sealant to bottom of rough opening in all areas that will come in contact with the bottom of unit, as shown. Apply 1/4" Silicone Sealant bead, full perimeter, to back of Installation Flanges or around rough opening 1/2" from edge. Weight of Frenchwood° Patio Door Sidelight and Transoms Units will vary. Use a reasonable number of people with sufficient strength to lift, carry, and install unit(s). Always use appropriate Silicone lifting techniques. Sealant Support unit in rough opening at all times until secured. Failure to support unit could result in unit falling out causing personal injury, product, and/or property damage. • From the exterior, lift and center Side light/Transom Unit in rough opening. Silicon Sealai Installation Guide Rough Liam lau11 Aallati Inge Sidelil I ransom umL Exterior View 5. Plumb Unit • Check unit, from interior, for plumb and level (vertical, front to back, and sideways). Unit must be plumb and level. Correct if necessary. 6. Shim and Secure Unit • Steel fasteners will corrode when used with ACQ Pressure Treated Lumber. • Obtain and use the appropriate size stainless steel screws, as called out in this installation guide, to fasten unit to any rough opening made from ACQ Pressure Treated Lumber. • Failure to use stainless steel fastners may result in fastner corrosion causing product damage. AC�L�M400a Shims must be applied between jambs and framing to prevent bowing when frame is secured. Insert shims from interior between rough opening and Sidelight/Transom Unit. Place shims near each fastener hole of unit. Shimming prevents jamb bowing when unit is fastened to rough opening. Fasten to rough opening through all predrilled fastener holes in jambs, from the interior, using M x Y' Screws. For Sidelight Unit fasten sides and head. For Transom Unit fasten sides, head, and sill. Level Installation Guide 3" Scre\n Shims Side Jamb Head Jamb Interior View Interior View 7. Apply Interior Panel Stops Transom • Apply Interior Panel Stops to sides first, then to head and sill. Fasten using 1-1/2" (4d) finish nails. Sidelight Units • Apply Interior Panel Stops to sides first, then to head. Fasten using 1-1/2" (4d) finish nails. • Apply Interior Panel Stop to sill using 1-1/2" (4d) finish nails cut to 1 ". 00 NOT nail into area 3/4" from Panel to avoid nailing into aluminum, as shown. 8. Apply Exterior Finish and Silicone Sealant • Apply exterior finish over Installation Flanges leaving 1/4" between unit frame and exterior finish. • Apply a continuous bead of Silicone Sealant around exterior perimeter of unit between frame and exterior finish. Installation Guide Head/Side Jamb SideligM Unit Cross Section Caulk Gun 1/4" :erior nel Stop ead/Side) ' (4d) Nail cut to 1 ") Silicone Sealant Exterior Finish Exterior View 9. Insulate Around Unit A@&0Vn@K When insulating between the unit's frame and rough opening, or between units when joining, DO NOT overpack batt insulation or overfill with foam. Bowed jambs will result, affecting product performance and/or proper unit operation. • Insert insulation on interior side of unit between frame and rough opening. DO NOT over pack batt insulation or overfill with expandable foam. Finishing, Cleaning, and Maintenance Instructions DO NOT expose unfinished wood to high moisture conditions, excessive heat or humidity. Finish interior wood surfaces immediately after installation. Unfinished wood surfaces will discolor, deteriorate, and/or may bow and split. DO NOT stain or paint weatherstrip, silicone beads, vinyl, glass, or hardware. Acid solutions used to wash masonry/concrete will damage glass, fasteners, hardware, and metal flashing. Follow the acid solution manufacturer's instructions carefully. Protect and/or cover Andersen products during the cleaning process to prevent acid contact. If acid does come in contact with unit, immediately wash all surfaces with clean water. Putty Knl Batt Insulation Installation Guide INTERIOR FINISHING Interior View Read and follow finishing manufacturer's instructions and warnings on each container of finish material for priming, painting, staining, and varnishing. CLEANING Clean exterior frame, sash members, and insect screens using a mild detergent -and -water solution and a soft cloth or brush. DO NOT use abrasive cleaners or solutions containing corrosive solvents. For persistent dirt or grime, use a nonabrasive cleanser or a mixture of water and alcohol or ammonia. MAINTENANCE Immediately sand and refinish any interior wood that becomes stained or mildewed to prevent further discoloration and/or damage. For further information, contact your local Andersen dealer. Dealers can be found in the Yellow Pages under Windows. FORM 60OA-2004 EnergyGaugeO 4.21 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Tyson -Dinneen Residence Builder: D.L. Davis Construction Inc Address: Beach Avenue Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi -family Single family _ a. Central Unit Cap: 48.0 kBtu/hr _ 3. Number of units, if multi -family 1 _ SEER: 13.00 4. Number of Bedrooms 4 _ b. Central Unit Cap: 36.0 kBtu/hr _ 5. Is this a worst case? No _ i SEER: 13.00 6. Conditioned floor area (ft2) 4171 ft2 _ c. Central UniFILE Cap: 18.0 kBtu/hr 7. Glass type and area: (Label reqd. by 13-104.4.5 if not default) Ca P y SEER: 13.00 a. U -factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a. (Dble Default) 998.0 ft2 - a. Electric Heat Pump Cap: 48.0 IcBtu/hr _ b. SHGC: HSPF: 7.50 (or Clear or Tint DEFAULT) 7b. (Clear) 998.0 112 - b. Electric Heat Pump Cap: 36.0 kBtu/hr _ 8. Floor types HSPF: 7.50 a. Slab -On -Grade Edge Insulation R=0.0, 231.0(p) ft _ c. Electric Heat Pump Cap: 18.0 kBtu/hr _ b. Raised Wood, Adjacent R=19.0, 696.0ft2 - HSPF: 7.50 - c. N/A _ 14. Hot water systems 9. Wall types a. LP Gas T�h�l Cap: 65.0 gallons - a. Concrete, Int Insul, Exterior R=25.0, 4261.0 112 - l EF: 0.55 b. Concrete, Int Insul, Adjacent R=25.0, 105.0 ft2 _ b. N/A - c. Frame, Wood, Adjacent R=11.0, 54.0 ft2 _ - d. Frame, Wood, Exterior R=11.0, 182.0 ft2 _ c. Conservation credits - e. N/A _ (HR -Heat recovery, Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Single Assembly R=20.0, 2750.0 ft2 15. HVAC credits b. N/A - (CF -Ceiling fan, CV -Cross ventilation, c. N/A _ HF -Whole house fan, 11. Ducts _ PT -Programmable Thermostat, JUL 4 2006 a. Sup: Unc. Ret: Unc. AH: Garage Sup. R=6.0, 160.0 ft2 MZ -C -Multizone cooling, b. 2 Others 238.0 If - MZ -H -Multizone heating) BY: Total as -built points: 54368 Glass/Floor Area: 0.24 Total base points: 56801 PASS I hereby certify that the plans and specifications covered by Review of the plans and O�Tt1E S7,4 this cal lation are in compliance with the Florida Energy specifications covered by this Code. �Q-rv' � �S calculation indicates compliance PREPARED B�: with the Florida Energy Code. " Before construction is completed DATE: this building will be inspected for I hereby certify that this buil as designed, is in compliance compliance with Section 553.908 fil, v5S with the Florida Energy C e Florida Statutes. coowt OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: 1 Predominant las type. For actual gla type and areas, see Summer & Winter Glass output on pages 2&4. EnergyGauge® (Version: FLRCSB v4.21) FORM 60OA-2004 EnergyGauge® 4.21 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Beach Avenue, Atlantic Beach, FI, PERMIT #: BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Type/SC Overhang Ornt Len Hgt Area X SPM X SOF =Points SPM = .18 4171.0 20.04 15045.6 Double, Clear E 1.5 23.0 104.0 42.06 1.00 4359.5 487.0 Double, Clear E 14.0 11.0 56.0 42.06 0.46 1084.5 12.0 Double, Clear E 1.5 20.5 38.0 42.06 1.00 1592.2 37.8 Double, Clear N 1.5 20.5 76.0 19.20 1.00 1453.0 309.4 Double, Clear W 1.5 20.5 38.0 38.52 1.00 1458.9 846.2 Double, Clear N 0.0 0.0 8.0 19.20 1.00 153.6 = Points Double, Clear S 1.5 8.0 9.0 35.87 0.92 298.0 1043.1 Double, Clear W 11.5 15.0 28.0 38.52 0.60 643.1 57.6 Double, Clear W 11.5 23.5 105.0 38.52 0.74 2979.0 1100.7 Double, Clear E 1.5 7.5 36.0 42.06 0.95 1436.4 Double, Clear E 5.4 7.5 36.0 42.06 0.60 915.7 Double, Clear N 11.8 8.0 12.0 19.20 0.66 151.2 Double, Clear E 14.0 8.0 20.0 42.06 0.40 340.0 Double, Clear E 1.5 7.0 28.0 42.06 0.94 1105.2 Double, Clear N 1.5 7.0 28.0 19.20 0.96 513.4 Double, Clear W 1.5 7.0 55.0 38.52 0.94 1989.4 Double, Clear W 1.5 6.0 8.0 38.52 0.91 281.5 Double, Clear W 1.5 11.0 82.0 38.52 0.99 3114.7 Double, Clear S 1.5 7.5 19.0 35.87 0.91 620.0 Double, Clear E 1.5 6.0 22.0 42.06 0.91 844.6 Double, Clear N 1.5 6.0 33.0 19.20 0.94 594.7 Double, Clear W 1.5 6.0 44.0 38.52 0.91 1548.2 Double, Clear S 1.5 6.0 33.0 35.87 0.86 1013.4 Double, Clear E 1.5 5.0 20.0 42.06 0.87 735.7 Double, Clear N 1.5 5.0 20.0 19.20 0.92 351.6 Double, Clear W 1.5 5.0 20.0 38.52 0.88 674.6 Double, Clear S 1.5 5.0 20.0 35.87 0.81 578.8 As -Built Total: 998.0 30830.81 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Exterior 4443.0 1.70 7553.1 Concrete, Int Insul, Exterior 25.0 4261.0 0.11 487.0 Adjacent 159.0 0.70 111.3 Concrete, Int Insul, Adjacent 25.0 105.0 0.11 12.0 Frame. Wood, Adjacent 11.0 54.0 0.70 37.8 Frame, Wood, Exterior 11.0 182.0 1.70 309.4 Base Total: 4602.0 7664.4 As -Built Total: 4602.0 846.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Exterior 171.0 4.10 701.1 Exterior Wood 171.0 6.10 1043.1 Adjacent 24.0 1.60 38.4 Adjacent Wood 24.0 2.40 57.6 Base Total: 195.0 739.5 As -Built Total: 195.0 1100.7 EnergyGauge® DCA Form 60OA-2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.21 FORM 60OA-2004 EnergyGauge® 4.21 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Beach Avenue, Atlantic Beach, FI, PERMIT #: I EnergyGaugeT" DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 BASE AS -BUILT CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 2500.0 1.73 4325.0 1 Single Assembly 20.0 2750.0 5.51 X 1.00 15160.4 Base Total: 2500.0 4325.0 As -Built Total: 2750.0 15160.4 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 231.0(p) -37.0 -8547.0 Slab -On -Grade Edge Insulation 0.0 231.0(p -41.20 -9517.2 Raised 696.0 -3.99 -2777.0 Raised Wood, Adjacent 19.0 696.0 0.40 278.4 Base Total: -11324.0 As -Built Total: 927.0 -9238.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 4171.0 10.21 42585.9 4171.0 10.21 42585.9 Summer Base Points: 59036.4 Summer As -Built Points: 81285.2 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Central Unit 48000 btuh ,SEER/EFF(l3.0) Ducts: Unc(S),Unc(R),Gar(AH),R6.0(INS) 81285 0.47 (1.09 x 1.147 x 0.95) 0.263 1.000 11507.1 (sys 2: Central Unit 36000 btuh ,SEER/EFF(13.0) Ducts: Unc(S),Unc(R),Gar(AH),R6.0(INS) 81285 0.35 (1.09 x 1.147 x 0.95) 0.263 1.000 8630.3 (sys 3: Central Unit 18000 btuh ,SEER/EFF(13.0) Ducts: Con(S),Con(R),Int(AH),R6.0(INS) 81285 0.18 (1.00 x 1.147 x 0.86) 0.263 1.000 4315.2 59036.4 0.4266 25184.9 81285.2 1.00 1.146 0.263 1.000 24452.6 EnergyGaugeT" DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 FORM 60OA-2004 EnergyGauge® 4.21 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Beach Avenue, Atlantic Beach, FI, PERMIT #: BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Type/SC Overhang Ornt Len Hgt Area X WPM X WOF = Point 4171.0 12.74 9564.9 Double, Clear E 1.5 23.0 104.0 18.79 1.00 1962.4 .18 Double, Clear E 14.0 11.0 56.0 18.79 1.35 1422.4 1.27 Double, Clear E 1.5 20.5 38.0 18.79 1.00 717.4 3.60 Double, Clear N 1.5 20.5 76.0 24.58 1.00 1867.6 3.70 Double, Clear W 1.5 20.5 38.0 20.73 1.00 788.5 Double. Clear N 0.0 0.0 8.0 24.58 1.00 196.6 Double, Clear S 1.5 8.0 9.0 13.30 1.04 124.6 X WPM Double, Clear W 11.5 15.0 28.0 20.73 1.14 660.2 12.30 Double, Clear W 11.5 23.5 105.0 20.73 1.08 2353.2 11.50 Double, Clear E 1.5 7.5 36.0 18.79 1.02 692.1 Double, Clear E 5.4 7.5 36.0 18.79 1.20 812.6 Double, Clear N 11.8 8.0 12.0 24.58 1.02 301.6 Double, Clear E 14.0 8.0 20.0 18.79 1.43 537.6 Double, Clear E 1.5 7.0 28.0 18.79 1.03 540.2 Double, Clear N 1.5 7.0 28.0 24.58 1.00 689.2 Double, Clear W 1.5 7.0 55.0 20.73 1.02 1158.8 Double. Clear W 1.5 6.0 8.0 20.73 1.02 169.7 Double. Clear W 1.5 11.0 82.0 20.73 1.00 1706.4 Double. Clear S 1.5 7.5 19.0 13.30 1.06 266.9 Double, Clear E 1.5 6.0 22.0 18.79 1.04 428.1 Double. Clear N 1.5 6.0 33.0 24.58 1.00 813.0 Double, Clear W 1.5 6.0 44.0 20.73 1.02 933.5 Double, Clear S 1.5 6.0 33.0 13.30 1.12 490.4 Double, Clear E 1.5 5.0 20.0 18.79 1.05 394.6 Double, Clear N 1.5 5.0 20.0 24.58 1.00 493.4 Double, Clear W 1.5 5.0 20.0 20.73 1.03 428.9 Double, Clear S 1.5 5.0 20.0 13.30 1.20 318.4 As -Built Total: 998.0 21268.41 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Exterior 4443.0 3.70 16439.1 Concrete, Int Insul, Exterior 25.0 4261.0 1.39 5904.5 Adjacent 159.0 3.60 572.4 Concrete, Int Insul, Adjacent 25.0 105.0 1.27 133.5 Frame, Wood, Adjacent 11.0 54.0 3.60 194.4 Frame, Wood, Exterior 11.0 182.0 3.70 673.4 Base Total: 4602.0 17011.5 As -Built Total: 4602.0 6905.8 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Exterior 171.0 8.40 1436.4 Exterior Wood 171.0 12.30 2103.3 Adjacent 24.0 8.00 192.0 Adjacent Wood 24.0 11.50 276.0 Base Total: 195.0 1628.4 As -Built Total: 195.0 2379.3 EnergyGauge® DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 FORM 60OA-2004 EnergyGauge® 4.21 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: Beach Avenue, Atlantic Beach, FI, PERMIT #: I EnergyGauge T" DCA Form 60OA-2004 EnergyGaugeO/FlaRES'2004 FLRCSB v4.21 BASE AS -BUILT CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 2500.0 2.05 5125.0 Single Assembly 20.0 2750.0 1.81 X 1.00 4989.3 Base Total: 2500.0 5125.0 1 As -Built Total: 2750.0 4989.3 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 231.0(p) 8.9 2055.9 Slab -On -Grade Edge Insulation 0.0 231.0(p 18.80 4342.8 Raised 696.0 0.96 668.2 Raised Wood, Adjacent 19.0 696.0 2.20 1531.2 Base Total: 2724.1 As -Built Total: 927.0 5874.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 4171.0 -0.59 -2460.9 4171.0 -0.59 -2460.9 Winter Base Points: 33593.0 Winter As -Built Points: 38955.9 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Electric Heat Pump 48000 btuh ,EFF(7.5) Ducts:Unc(S),Unc(R),Gar(AH),R6.0 38955.9 0.471 (1.069 x 1.169 x 0.95) 0.455 1.000 9620.4 (sys 2: Electric Heat Pump 36000 btuh ,EFF(7.5) Ducts: Unc(S),Unc(R),Gar(AH),R6.0 38955.9 0.353 (1.069 x 1.169 x 0.95) 0.455 1.000 7215.3 (sys 3: Electric Heat Pump 18000 btuh ,EFF(7.5) Ducts: Con (S),Con (R),Int(AH),R6.0 38955.9 0.176 (1.000 x 1.169 x 0.88) 0.455 1.000 3607.6 33593.0 0.6274 21076.3 a 38955.9 1.00 1.154 0.455 1.000 20443.3 EnergyGauge T" DCA Form 60OA-2004 EnergyGaugeO/FlaRES'2004 FLRCSB v4.21 FORM 60OA-2004 EnergyGauge® 4.21 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: Beach Avenue, Atlantic Beach, FI, PERMIT #: I BASE CODE COMPLIANCE AS -BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms + Heating + Hot Water = Total Points Points Points Volume Bedrooms Ratio Multiplier 4 2635.00 10540.0 65.0 0.55 4 1.00 2368.15 1.00 9472.6 As -Built Total: 9472.6 PASS 0 SHE sTArF Q � EnergyGauge TM DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 CODE COMPLIANCE STATUS BASE AS -BUILT Cooling + Heating + Points Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water = Total Points Points Points 25185 21076 10540 56801 24453 20443 9473 54368 PASS 0 SHE sTArF Q � EnergyGauge TM DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 FORM 60OA-2004 EnergyGauge® 4.21 Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: Beach Avenue, Atlantic Beach, FI, ao.911 INIFIl TRATION REDUCTION COMPLIANCE CHECKLIST PERMIT #: COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/ .ft. window area; .5 cfm/ .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 corners; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Floors 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. Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a _ Recessed Lighting Fixtures 606.1.ABC.1.2.4 sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Aibriiter of floor cavity between floors. '-- outdoors, dampers; combustion space heaters comply with NFPA, Multi -story Houses 606.1.ABC.1.2.�Exhaustfans Additional Infiltration regts 606.1.ABC.1.3o 6A-22 OTHER PRESCRIPTIVE MEASU COMPONENTS SECTION Water Heaters 612.1 Swimming Pools & Spas 612.1 Shower heads 1612.1 Air Distribution Systems 610.1 IHVAC Controls 1607.1 Insulation 1604.1, 602.1 be met or exceeded by an REQUIREMENTS CHECK Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. External or built-in heat_trap required. 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%. Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. 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. Separate readily accessible manual or automatic thermostat for each system. �-- Ceilings-Min. R-19. Common walls -Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. EnergyGaugeT"^ DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.21 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.4 The higher the score, the more efficient the home. , Beach Avenue, Atlantic Beach, FI, 1. New construction or existing New 2. Single family or multi -family Single family 3. Number of units, if multi -family 1 4. Number of Bedrooms 4 5. Is this a worst case? No 6. Conditioned floor area (ft2) 4171 ft2 7. Glass type I and area: (Label reqd. by 13-104.4.5 if not default) a. U -factor: Description Area (or Single or Double DEFAULT) 7a. (Dble Default) 998.0 ft2 b. SHGC: (or Clear or Tint DEFAULT) 7b. (Clear) 998.0 ft2 8. Floor types a. Slab -On -Grade Edge Insulation R=0.0, 231.0(p) ft b. Raised Wood, Adjacent R=19.0, 696.0ft2 c. N/A _ 14. Hot water systems 9. Wall types a. LP Gas a. Concrete, Int Insul, Exterior R=25.0, 4261.0 ft2 b. Concrete, Int Insul, Adjacent R=25.0, 105.0 ft2 c. Frame, Wood, Adjacent R=11.0, 54.0 ft2 d. Frame, Wood, Exterior R=11.0, 182.0 ft2 e. N/A 10. Ceiling types a. Single Assembly R=20.0, 2750.0 ft2 b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Unc. AH: Garage Sup. R=6.0, 160.0 ft2 b. 2 Others 238.0 ft _ 12. Cooling systems _ a. Central Unit Cap: 48.0 kBtu/hr _ SEER: 13.00 _ _ _ b. Central Unit Cap: 36.0 kBtu/hr SEER: 13.00 _ _ _ c. Central Unit Cap: 18.0 kBtu/hr SEER: 13.00 13. Heating systems _ a. Electric Heat Pump Cap: 48.0 kBtu/hr _ HSPF:7.50 _ _ b. Electric Heat Pump Cap: 36.0 kBtu/hr HSPF:7.50 _ _ c. Electric Heat Pump Cap: 18.0 kBtu/hr _ HSPF: 7.50 _ 14. Hot water systems a. LP Gas Cap: 65.0 gallons _ EF: 0.55 b. N/A _ c. Conservation credits (HR -Heat recovery, Solar DHP-Dedicated heat pump) _ 15. HVAC credits (CF -Ceiling fan, CV -Cross ventilation, _ HF -Whole house fan, PT -Programmable Thermostat, _ MZ -C -Multizone cooling, 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) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPADOE EnergyStarTmdesignation), your home may qual ify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at 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. 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output ones 2&4. EnergyGauge® (Version: FLRCSO v4.21) RIGHT -J LOAD AND EQUIPMENT SUMMARY First Floor Energy Design Systems Job: 6128/06 1065 Oak Vale Rd, Jacksonville, FI 32259 Phone: 904-287-5339 Fax: 904-287-1258 Email: energydesignsystems@gmail com Project Information For: Tyson -Dinneen Residence Beach Avenue, Atlantic Beach, FI Notes: Design Information Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 39 °F Inside db 72 °F Design TD 33 °F Heating Summary 0.42 Building heat loss 23520 Btuh Ventilation air 0 cfm Ventilation air loss 0 Btuh Design heat load 23520 Btuh Infiltration Method Simplified Construction quality Best Fireplaces 1 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat n/a 0 Btuh 0 °F 0 cfm 0.000 cfm/Btuh n/a Outside db Heating Cooling Area (ftz) 1804 1804 Volume (ft3) 21648 21648 Air changes/hour 0.42 0.21 Equiv. AVF (cfm) 150 75 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat n/a 0 Btuh 0 °F 0 cfm 0.000 cfm/Btuh n/a Outside db 92 °F Inside db 72 °F Design TD 20 °F Daily range L 30697 Btuh Relative humidity 50 % Moisture difference 65 gr/Ib Sensible Cooling Equipment Load Sizing Structure 31646 Btuh Ventilation 0 Btuh Design temperature swing 3.0 °F Use mfg. data n Rate/swing multiplier 0.97 Total sens. equip. load 30697 Btuh Latent Cooling Equipment Load Sizing Internal gains 460 Btuh Ventilation 0 Btuh Infiltration 3294 Btuh Total latent equip. load 3754 Btuh Total equipment load 34451 Btuh Cooling Equipment Summary Make n/a Trade n/a n/a n/a Efficiency Sensible cooling Latent cooling Total cooling Actual cooling fan Cooling air flow factor Load sensible heat ratio Printout certified by ACCA to meet all requirements of Manual J 7th Ed. n/a 0 Btuh 0 Btuh 0 Btuh 0 cfm 0.000 cfm/Btuh 0 % y 2006 -Jun -28 13: wrjghtsoft Right -Suite Residential T"^ 5.0.66 RSR29784 Page I ACCA C \Documents and Settings\customer\My Documents\Wrightsoft\D.L. Davis,Tyson-Dinneen Residence.rsr Paage RIGHT -J LOAD AND EQUIPMENT SUMMARY Second Floor Energy Design Systems Job: 6128106 1065 Oak Vale Rd, Jacksonville, FI 32259 Phone: 904-287-5339 Fax 904-287-1258 Email: energydesignsystems@gmail.com Proiect Information For: Tyson -Dinneen Residence Beach Avenue, Atlantic Beach, FI Notes: Design Information Weather: Jacksonville, Mayport Naval, FL, US Winter Design Conditions Outside db 39 °F Inside db 72 °F Design TD 33 °F Heating Summary 0.32 Building heat loss 14224 Btuh Ventilation air 0 cfm Ventilation air loss 0 Btuh Design heat load 14224 Btuh Infiltration Method Simplified Construction quality Best Fireplaces 1 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating Input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat Summer Design Conditions Outside db Heating Cooling Area (ft2) 1671 1671 Volume (ft') 16710 16710 Air changes/hour 0.32 0.16 Equiv. AVF (cfm) 89 44 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating Input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat Summer Design Conditions Outside db 92 °F Inside db 72 °F Design TD 20 L °F Daily range Relative humidity 50 % Moisture difference 65 gr/Ib Sensible Cooling Equipment Load Sizing Structure 26157 Btuh Ventilation 0 Btuh Design temperature swing 3.0 °F Use mfg: data n Rate/swing multiplier 0.97 Total sens. equip. load 25372 Btuh Latent Cooling Equipment Load Sizing Internal gains 920 Btuh Ventilation 0 Btuh Infiltration 1951 Btuh Total latent equip. load 2871 Btuh Total equipment load 28243 Btuh Cooling Equipment Summary Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 16 VV r -j0 7tsoft Right -Suite Residential TM 5.0.66 RSR29784 2006 -Jun -28 13:Page 2age 2 ACCK C:\Documents and Settings\customer\My Documents\wrightsoft\D.L. Davis,Tyson-Dinneen Residence.rsr Make n/a Trade n/a n/a n/a n/a Efficiency n/a Sensible cooling 0 Btuh 0 Btuh Latent cooling 0 Btuh 0 'F Total cooling 0 Btuh 0 cfm Actual cooling fan 0 cfm 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 16 VV r -j0 7tsoft Right -Suite Residential TM 5.0.66 RSR29784 2006 -Jun -28 13:Page 2age 2 ACCK C:\Documents and Settings\customer\My Documents\wrightsoft\D.L. Davis,Tyson-Dinneen Residence.rsr AL RIGHT -J LOAD AND EQUIPMENT SUMMARY Bdrm over Garage Energy Design Systems Job: 6/28/06 1065 Oak Vale Rd, Jacksonville, FI 32259 Phone: 904-287-5339 Fax: 904-287-1258 Email: energydesignsystems@gmail.com Proiect Information For: Tyson -Dinneen Residence Beach Avenue, Atlantic Beach, FI Notes: Design Information Weather: Jacksonville, Mayport Naval, FL , US Winter Design Conditions Outside db 39 °F Inside db 72 °F Design TD 33 °F Heating Summary 0.56 Building heat loss 9168 Btuh Ventilation air 0 cfm Ventilation air loss 0 Btuh Design heat load 9168 Btuh Infiltration Method Simplified Construction quality Best Fireplaces 1 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating Input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat Summer Design Conditions Outside db Heating Cooling Area (ft2) 696 696 Volume (ft') 6264 6264 Air changes/hour 0.56 0.28 Equiv. AVF (cfm) 59 29 Heating Equipment Summary Make n/a Trade n/a n/a Efficiency Heating Input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat Summer Design Conditions Outside db 92 °F Inside db 72 °F Design TD 20 °F Daily range Relative humidity L 50 % Moisture difference 65 gr/Ib Sensible Cooling Equipment Load Sizing Structure 13520 Btuh Ventilation 0 Btuh Design temperature swing 3.0 °F Use mfg. data n Rate/swing multiplier 0.97 Total sens. equip. load 13114 Btuh Latent Cooling Equipment Load Sizing Internal gains 230 Btuh Ventilation 0 Btuh Infiltration 1294 Btuh Total latent equip. load 1524 Btuh Total equipment load 14638 Btuh Cooling Equipment Summary Printout certified by ACCA to meet all requirements of Manual J 7th Ed. Right -Suite Residential'"' 5.0.66 RSR29784 2006 -Jun -28 13:12:16 wr�ghtsoft 9 Page 3 ACCA C:\Documents and Settings\customer\My Documents\Wrightsoft\D.L. Davis,Tyson-Dinneen Residence.rsr Make n/a Trade n/a n/a n/a n/a Efficiency n/a 0 Btuh Sensible cooling 0 Btuh 0 Btuh Latent cooling 0 Btuh 0 °F Total cooling 0 cfm Actual cooling fan 0 cfm 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. Right -Suite Residential'"' 5.0.66 RSR29784 2006 -Jun -28 13:12:16 wr�ghtsoft 9 Page 3 ACCA C:\Documents and Settings\customer\My Documents\Wrightsoft\D.L. Davis,Tyson-Dinneen Residence.rsr J3 EARLY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH 'V �,yJlii 1r Electric power is requested now under the conditions and terms of this fully executed Agreement & Release Job Address:I I - -1 5 ] Permit No. C) (o — O 3 '13 9 5— Service Type (Circle One): Overhea Underground We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not substitute for Final Inspections or the C/O (Certificate of OccupancyTht at must be issued before occupancy, and as such is at the discretion of the Building Official. 2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections. 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early electric service. Such action is expressly prohibited and penalized by The City of. Atlantic Beach Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service after a twenty-four hour notice. 4. "Early Power" release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment, devices and fixtures are installed (or blanked o� safely. b. Panel is complete with breakers and cover, and (labeling required at final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is permanently marked with address. f. Temporary address numbers displayed (Permanent numbers are required for C/O). 5.. Pay $300. administration fee, any reinspection fees and any outstanding requirements must be satisfied prior to release. 6. This fully completed form is to be submitted to the Building Department by hand, mail or fax. 7. Future such Agreements will not be accepted from those who violate any one of the above items. DATE PRINT NAME ELECTRICIAN �� DATE D PRINT NAME tO cj- ` d 800 Seminole Road, Atlantic Beach FL 32233 Phone: (904)247-5826 Fax: (904)247-5845 http:HwNvw.coab.us revised 11.29.06