1276 Stocks St (vault) ADDRESS
BUILDING PERMIT NUMBER--- 146
INSPECTIONS : FOOTING
UNDER SLAB PLUMBING
SLAB
FRAMING
COVER-UP_ s--a/ ,9�
INSULATION 7
FINAL BUILDING -7 �23 -
CERTIFICATE OF OCCUPANc
ELECTRICAL PERMIT '#
INSPECTION= ROUGH
FINAL 3-9
MECHANICAL PERMIT
FLUMBI'�G PERMIT # r38p� -�gQL. s fYI
NOTES :
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: July 24, 1997
Building Contractor: Pulte Homes
Building Permit Number: 13692
Address : 1276 Stocks Street
Legal Description: Lot 5, Block 228, Section "H"
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Single Family
Lowest Floor Elevation: 10.3
required as built
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire n/a
Public Works 7/22/97 ',_-1 7 4CI)
Planning 7/23/97
Building %9( //97 a� _ 21-C) 0(
Tert trate of OrruvanrU
Atlantic Tkac 1 — 31nriba
Department of Nursing Jnspertion
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Classification Single Family 13692
Bldg. Permit No.
Group W.frame Type Construction Sit Fire Distri _Atlantic Beach
. X
Pulte Home Cor 01 SIPS Highway
Owner of Building P Address jaek__ } 333
Build Address 1276 tocks Stree tLocality_Atlantic Beach, Fl 32233
L —(
By: Don C Ford _
Building'Official, Date:
POST IN A CONSPICUOUS PLACE
CITY OF
>�Z�autic �eAc� - f�vuc�
800 SEMINOLE ROAD
__ �-- -- -- - --- ATLANTIC BEACH.FLORIDA:)22:;:;-5 4.45
TELEPHONE 1904)2-47-580))
FA.0 k 904)247-5805
SUNCOM 352-5800
NOTICE
TO: Water Department
FROM: Building Department
DATE: `2--IL J 9 7
Please be advised that the final building inspection has been completed on
each of the following addresses and construction water is no longer needed:
Permit Number Address
Si ?ely,
Building Department
DATE
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S) HAVE BEEN MADE AND ARE
SATISFACTORY :
f _
--------------
------ -------------------------------------------------
------ --------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
S ERE Y,
BUILDING INSPECTION DIVISION
cc : FILE
CITY OF , 3 P 3 s Cp J
4& odic Beac4-49k 3 99
Office of Building Official �E `
REQUEST FOR INSPECTION
Date7 Permit No.
Time A.M.
° Received P.M.
{ Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE CTRICAL LUMBIN MECHANICAL
C Footing Rough Wiring Ci Rough Air Cond. &
Re Roofing i= Slab Temp Pole G Top Out Heating
Insulation ❑ Lintel Final ❑ Sewer _ Fire Place _
Pre Fab
READY FOR INSPECTION
A.M
I
Mon. Tues. Wed. Thurs. Friday
3 < A.M.
Inspection Made P
� Inspector
Final Inspection
Certificate of Occupancy
Date — ___—
/�11'� //CITY OF __ �__���
4& /3 r�-I& .
Office of Building Official
REQUEST FOR INSPECTION
Date ����C Permit No.
Time A.M. J
Received P.M.
Job Address Locality
Owner's
Name Contractor ��
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing E7 Rough Wiring Rough - Air Cond. & I]
Re Roofing Slab Temp Pole _ Top Out Heating
Insulation ❑ Lintel - Final Sewer - Fire Place ❑
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday
Inspection Made
A 6 -
Inspector Final Ins pecti
ertificate of Occupa
Date __
JUL 28 '91 13:58 CLAPSON oe4 P03
MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 228,
AS SHOWN ON MAP OF SEC11ON "H" ATLANTIC BEACH.
AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
FOR: PULTE HOME CORPORATION
BEARING REFERENCE: N 01':22 W FOR RIGHT-OF-WAY LINE OF MAIN STREET PER ABOVE MENTIONED PLAT.
NOTE: ELEVATIONS SHOWN THUS: 8.8 AND REFER TO NATIONAL GEODETIC VERTICAL DATUM OF 1929_
CE�2r�F��D ro= Fc oYo J, 4 P45&MAeY E. OC-AIdAIvtW
P!/LTE MaeTGA6E Co,PP0,ehr.10A/
PNC T�LE�CORP�AT/o/{//,vSU.PANG�' Ga•
STOCK STREET (50' R/W)
501'22'00"E
(LS 4471) 10.00'
Lj
W 220.0•
V) � >
LL Ute'
4 O 10.0 ILe' w x
.— LO
i2.3' M
�� ry N
I— 0
V
W VA m�. W o
O' Q y is 19 9 O O
ROOFED 0
O O h V 2 y `0— N 0
c0 CV �,3 C ;n o
OCID J
00 Z
Z ,�
)o.o .
4,
CONC.
PA710 3'13�oNG
AIL PAD
B L 0 C K 2 2 8
(LS 4471) 50.00'
S01-22'00"E
L 0 T 4 L O T 5 L 0 T 6
B L O C K 2 2 7
AR CEIVED
-INA1. SVkWY Y'ITs'7 NOT(: FOVNq ALL IRONS L P- 11497
f0(/NOAT/O.V 5c'A' 6:Y (0-/3-97 vorF 00�AIV ea 11CP
I HEREBY CERTIFY THAT THIS SURVEY, PERFORMED UNDER MY RESPONSIBLE DIRECTION MEETS LEGEND:
-f —NIMUM TECHNICAL 3TANDAR53 I-OR LAND 9URVCYOR7 IN AOOORDANOC WITII 01tAPTLTt•1017 11, " .0. CuNLZL MUNUM
FLORIDA ADMINISTRA'n E CODE (PURSUANT TO SECTION 472027, FLORIDA STATUTES)). AND FURTHER 0 1/2'FOUND IRON IC Of Atlantic Beach
OLnTIrY THAT TNEAE ARE 010 1061011 I NIMACNMENTS UPON THF SIIR,Ff.T PRnPFRTY FNfFPT AS SHOWN, 0 1/3' Wr*DN '
LI ' ilding and Zoning
FLOOD CERTIFICATE.
SAL BUILDING RESTRICTION
f LOOD CERT�CATE.THE LOT SMO YM � p N, CENTRAL ANGLE
HEREON IS ON FLOOD ZONE x' _ AS SHONN CLARSON AND ASSOCIATES, INC. R RADIUS
ON THE FLOOD INSURANCE RATE MAP, COMMUNITY 1643 NALGO AVE.. JACKSONVILLE, FL. 32207 L ARC LENGTH
PANEL NO. 120075- 0001 D DATED 4-'7-89. CH CHORD
q0 PdHT OF CURVATURE
SURVEYED FEBRUARY 24 1997- •,/�►. P.T. POINT OF TARWvAkCY
yv P.R.C. PONT OF REVERSE CURVE
SCALE: 1• = Z- TO. FOUND
REGISTERED FLORIDA SURVEYOR k MAPPER N0.4487 R/W RIGHT-OF-MAY
FIELD BOOK 586 PAGES 5.E. & 12,Z¢ O.R.V. OFFICIAL RECORDS VOLUME
JOSE A. HILL JR. —x—6 M. HOOD FENCE
(WITH TES TO FACE OF FENCE
+►HHLL HTL BCH TEL No . 2475805 Rpr 3 , 95 15 : 31 No .010 P .02
FLOODPLAIN DEVELOPhENT iNFORMATIOri
Type of DQ'velopwcnt t �,`// _ (`
-_., ►T _ C1 / = ' G S
Flood Zone#
Required Lovest Floor �lovatlont
it building In lgaatad Mlthtn •
be made AFTER Trxim J[lt*od hazard zone, a survor, au"
t
LOviceT FLOOR VA BLA• NA9 •�6M POURED, certifying that th��
elevation eatabll"eQ Wdjea t4isat"" to or above the bane �looct
_�' sone,
No final tnapectlon Mill be wader and no cortitioate oZ
will be Issued until the survey is oA Yiioccupancy
e v1tA the occupaccvpancy
Department
CQMp(eKtS�
APPlicant - Acknavle'dOeownts X understand that the Aosuanoe of
thin permit 1•
thinit and khat tnQatInvant upc�q the •bow* intorsatton boing
b• praVided as reauired,� and auttnp data have been or &hall
provisions aZ Ordihagoe = *are* to aowplr with all applicable
crdtnana.a ai9 Or t • no# 25-7-1$ and all other Iowa
O h proposed dovelopmant.
Date
Signatures
-- ----------- ---- ---------------------- ----------
Department Use
Required Lowest Floor
ha Built Lovopt Floss tlwstion _��� - IMM
swrwey rti.d esth •utldi ---
no DOPartawnt
ti
8uildin .....�•-_._..�_..-
O Dapartr n! R•Pt"e�Atmtive
paid 3
CITY OF ATLANTIC BEACH
TREE REMOVAL. APPLICATION
All �dollatti�nj toust ba raoalveon the MONDAY orlon to the gichodulid
1. P Cdt o14 3.3- �3wD
APPLICANT NAME ADDRESS I ETPHONE t X-1 JF
LOT 5 , BLoc-K 2Z8 , .5EGTiOnI "P " - /�TLA�/r1c BGAGN
2. _ ,
ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL
3. DESCRIBE PURPOSE OF TREE REMOVAL:�h Ofta, - bl,�Jl,- .0a'd
4. SP CIFY TREES PROPOSED FOR REM Al- Ag FOLLOWS;
NUMBER SPECIES DIAMETER (DSH) CONDITION
2 04K
5. TOTAL NUMBER OF TREES TO BE REMOVED: Z
6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED:
7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS:
NUMBER SPECIES DIAMETER (DBH)
8. ATTACH SITE PLAN INDICATING THE FOLLOWING:
a) Site topography, including proposed grade changes
b) Existing and proposed buildings and other improvements with dimensions and
required setbacks
c) Tree protection zones as applicable
d) Location, DBH and species of all trees with a DBH of six inches or greater
e) Location, DBH and species of all trees with DBH of less than six inches
proposed to be used for mitigation
f) Specify trees of unique or special character
g) Each tree proposed for removal clearly marked with a "X"
h) All existing and new trees proposed to be used for mitigation clearly marked
with brackets "[ j'
1) Location of utilities, easements'and material storage areas
9. ALL TREES PROPOSED FOR REMOVAL MUST BE CLEARLY MARKED ON SITE
BY_RM SURVEYORS RIBBON.
10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE
CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON,
11. 1 ' O ELETE APPLICATIONS WILL NOT BE PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE
11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES
OF THE CITY OF ATLANTIC BEACH:
P CA S SIGNATURE DATE
V� ^f'v� --o26-1l11
ERS IGNATURE DATE
APPROVED :
TREE CONSERVATION BOARD CHAIRMAN DATE
ten• i rnn• n►� nn. HT fncIn7 1AA ( nAC h7 • fAI �17UIQ 1IN 77WU 1 IT'1
101 00 100 00:00 CLRRSON 069 P02
MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 228,
AS SHOWN ON MAP OF SECTION "H" ATLANTIC BEACH.
AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC REOORDS OF DUVAL COUNTY. FLORIDA.
FOR: PULTE HOME CORPORATION
BEARING REFERENCE: N 01'22' W FOR RIGHT-OF-WAY UNE OF MAIN STREET PER ABOVE MENTIONED PLAT.
NOTE: ELEVATIONS SHOWN THUS 8.8 AND REFER TO N TIONAL GEODETIC VERTICAL DATUM OF 1929.
cen2ri.-iEO ro= FGoYD t/, a ROS0A4.49 r . BOW-4AItA/
P�/LrE Id,
c6wpneAriGN
PfrC � r,c,D1 rirke xiSUJPgNCE Cp.
STOCK STREET (50' R/W)
S01'2X00*E
(.. (LS 4471) 50•
W220.0'
to
10,0'_
F- wi
5 W W
Rpm Q
0C7 t'�V r OD
00
00 a It\m Z
Z
!aD'= 4 t4J 1 91
-
°o PRT10. 3�jtor+L.
A!f YAP
B L 0 C K 2 2 8
(LS 4471) 50.00' RECEIVED
S01422'00"E .1111 2 4 1997
L 0 T 4 L 0 T 5 L 0 T 6 C ty of Atlantic Beach
8 L 0 C K 2 2 7 3uilding and Zoning
-clArAt kWI, /✓OT[: 10100-0 ALi*ONS
f0(/N04T/D.v S�/PVEY G �3-9 AMTdt ,AV&'AX*arc 7aen/49.
I HEMP CERTIFY THAT THIS SURVEY, PERFORMED UNDER MY RESPONSIBLE DIRECTION MEETS �, �•
THE MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYORS IN ACCORDANCE MATH CHAPTER 61017-8, a F0. CONCRETE MONUMENT
FLORIDA ADMINISTRATIVE CODE(PURSUANT TO SECTION 472.027, FLORIDA STATUTES). AND FURTHER * 1/2"FOUND IRON
CERTIFY THAT THERE ARE NO VISIBLE ENCROACHMENTS UPON THE SUBJECT PROPERTY EXCEPT AS SHOWN. O 1/2'SET IRON - 15 1704
N� �pTf TCS.R.L BUILDING RESTRICTION LINE
FLOW CERT FICAIC:S THE LOT SHONN //''yy ♦�pp����y��� ♦�.�./�ry p CENTRAL ANGLE
HEREON IS IN FLOOD ZONE 'X" AS SHORN VE./�R�M\ AND ASS"IES, INC. R RADRIS
ON 111E FLOOD INSURANCE RATE MAP,COMMUNITY 1643 NALDO AVE-, JACNSONVLLE, FL. 32207 L ARC LQrGTH
PANEL NO.720075- 0001 D DATED 4-17-89. / CH CHORD
`• P.C, POINT OF CURVATURE
XttRSE
SURVEYED FEBRUARY 24 1997. (//1 P•T• POINT OF TANGENCY
P.R.L. POINT OF 1lEVERS£CURVE
SCALE: 1' - 20' FD, FOUND
REGISTERED FLORIDA SURVEYOR k MAPPER NO.4487 R/W RIGHY-OF-WAY
FIELD BOOK 586i PAGES .5.6. & 12,2 4 O.R.v_ OFFICIAL RECORDS VOLUME
JOSE A- HILL JR. —XT.(WTM OQ FACEf FENCE)
MAP SHOWING PLOT PLAN OF
LOT BLOCK 228 AS SHOWN ON MAP of
SECTION ''H " -� ATLANTIC. BE-ACN
AS RECORDED IN PLAT BOOK �8 PAGES 34 . Of THE CURRENT PUBLIC RECORDS OL4VAL COUNTY, FLORIDA.
FOR: NORTH FLORIDA CLASSIC HOMES
B1 A NG REFERENCE: BEARING SH ON RIGHT—OF—WAY UNE HEREON IS THE SAME AS SHOWN ON THE ABOVE MENTIONED PLAT.
EX15TINIG ELEVATIONS SNOWnt TNLJS: (9.1)
'FREE LEGEND:
O OAK
"� PINE
[1_
PAV ,r
STOCK STREET
5W{�LE
rJ' Q. 0
l!1 2 > 'N�\�/O
UJ q� N
4
u~j 20' 4R
ADDITIONAL PERMIT REQ IF
Ii,aa 11RAArNY TREES OVEE.
i D' V (D 1j minimu ees to remain must be berrtesw
m of 5 it. from the trunk of
„ tree, Barricades must be installed gE act
�, �
• � �
U Q 6'1 3 during
ALL Phase + ace ni 8
W O N 0�Phases of construction."
P
U) _ 5' N .�
J
� Ili
° Approved
if)
r
Date 4
2 Coy
PAT 10 AIC
Zv'a L
5o. o '
6 (.- b( 2 2 l
L oT 4 Lo T 5 Lc'T
PROTECTCD Ti t55 Tv 69 /FEM01/67L - (NONE)
FLOOD„ ERTIFICATE: THE LOT SHOWN HEREON IS IN FLOOD PREPARED 8Y:
ZONE AS SHOWN ON THE FLOOD INSURANCE RATE /��1
MAP, COMMUNITY PANEL NO. IZ001S '00010 , DATED 4.0-69, CLARSQN AND ASSOCIATES, INC.
DATE: MARC/I / 9 19'97, PROFESSIONAL LAND SURVEYORS
1643 NALDO AVENUE
SCALE: 1' 20� JACKSONVILLE, FLORIDA, 32207
CITY OF
/IWds ial
Office of Building Of 3
REQUEST FOR INSPECTION
� Permit No. 13 6e
Date A.M.
Time
Received
O 7 Local'
Job Address
Owner's Contractor ANICA
Name L
LUIrABWG
CONCRETE ELECTRICAL Rough
inng eating
UILDtNG Roup To Out
Footing Temp Pole L p pre Fabire Fram
n Slab - _ Sewer
Re Roofing Final
Insulation —
Lintel
READY FOR INSPECTION Friday
riday
Wed.
Tues. A.M.
Mon. P.M.
-- Final inspection
Inspection%iade _ L
Certificate of Occupancy
:nspecier— - — _�-----
Date _—
TRANSMITTAL DOCUMENT FOR JEA
DATE: - :I
The following permits have passed "rough" inspection:
Permit No. Address
//o D p �O
En=&c=esdcxxxex:o=xXAxkwe* pxxmx=£xi- s ex Please update
your records accordingly.
Thank you,
BUILDING CLERK
CITY OF ATLANTIC BEACH
/vcb
//CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date __ Permit No.
Time -- -- -- -—
A.M. -
Received M.
Job Adality
Owner's
Name _Contractor
BUILDING CONCRE ELECTRICAL PLUMBING MECHANICAL
Framing 1:10
o ing ❑ Rough Wiring ❑ Rough 7 Air Cond. &
Re Roofing C SlabTemp Pole ElTop Out Heating
Insulation ❑ Lintel ❑1 Final ❑ Sewer _ ire Place
_ b
READY FOR INSPECTION _
A.M.
Mon. Tues. — Wed. "mss ida _
Inspection Made ( PM.
Inspector Final Inspection G
Certificate of Occupancy C
Date
nn � /,�CITY OF
ri !&i
& nn�-Office of Building ' I
REQUEST FOR INSPECTION
Date Permit No.
Time A M.
Received
Jo res - LC� G'
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing - Footing ❑ Rough Wiring ❑ Rough _ Air Cond. & ❑
Re Roofing - Slab ❑ Temp Pole ❑ Top Out Heating
Fire
Insulation Lintel ❑ Final ❑ Sewer Pre Fabce
READY FOR INSPECTION A.M.
cmo� Tues. c �y Wed. Thurs. Friday PM•
A'M.
Inspection Made — PM'
Final Inspection ❑
Inspector
Certificate of Occupancy
Date --
AACITY OF
15nn
�-Mt
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time = A.M.
Received
Job Address A0, lity
Owner's / .�
Name /a .e&-( - Contractor
BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL
Framing F7 Footing ❑ Rough Wiring Ci Rough Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel L Final ❑ Sewer n Fire Place ❑
Pre Fab
READY FOR INSPECTION
Mon. TuesThurs. Friday
A.M.
Inspection Made Wed. P.M.
Inspector _ _ Final Inspection ❑
Certificate of Occupancy
!� r'
7� C) ! 64 Date _ ---
l
cpo
4l�N Pe No.
P�-
(� �o°a�y NPN�G n
l/ -J �'• M�Goad � o
-Q \NG PNeatio a°e
0ake e�
e�
ee`leo C, F��day
Pe°
e �e
P°
/ oNCRE
d\0
O�eee
Name Stab PEP ed. �aa��� `e o i
eV\\-O\N i v�a�e
MadE ,
•-�.N�%
DATE : --
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
- ----� 'j- =_' ----------------
------ -------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
f
BUILDING INSPECTION DIVISION
cc:FILE
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -- LO-CATION INFORMATION ---
Permit Number : 13835 Address : 1276 STOCKS STREET
Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 3223--
nass of Work:NEW ---------- LEGAL DESCRIPTION
Constr . Type:WOCD FRAME Block: 228 Lot : 5 Twp* 0
Proposed Use:_qINGLE FAMILY Section: 0 Subd: 34 Rna * 0
Dwellinas : 0 Subdivision: SECTION H
Est . Value : 0 .00
improv . Cost : 0 . 00
Total Fee:— 57 . 00
ATP. inn} P-4, -7 QC
t i- 71
OWNER INFORMATION -- -- APPLICATION FEES ----------
Name : PULTE HOME CORPr-,RATION PERMIT r1r)
Addr : 80 1 PHILLIPS HIGHWAY #14
JACKSONVILLE . FLORIDA 322tt
Phone: i 9r1,1 7�3-• -- 10-2
CONTRACTOF INFORMATIc,N
Nam,-- : DON HARRIS PLUMBING
Addr: 4029 BLANDING BLVD.
JACKSONVILLE . FLA. 32210
Lic , (--'F,'-'C119194 Exp ,
Tvpe: 4
NOTES:
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 LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $57.00 14
Patei 0092494
CHECKS 26490
ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: I ,-) (D
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR DON HARRIS RLU%,'R,;,,m^ rn
AND ADDRESS: P. C. BOX
I/ r
TELEPHONE NUMBER: (904) 772-0900 C F C _ 9 19 4
STATE LICENSE NO: 3
TYPE OF BUILDING:
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
--Q, LAVATORY WATER HEATERS
_BATH TUBS DISHWASHERS
URINALS - I DISPOSALS
CLOSETS I
f WASHING MACHINE
FLOOR DRAINS 1 SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $
-- - -----------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION 'OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19qr7
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.
Munson and Bryan Electric Co. EC-0001713
r--- 1423
ELECTRICAL FIRM: l MASTER ELE A/- 1 E JOURNEYMAN
NAME1 U- Ile fl0fl)PS CCl/ _ADDRESS. �r �`� 2+0&-L S+ -RFD—BOX-
BLDG.
FDBOXBLDG.SIZE BETWEEN: 1�
RES. ('yl AFT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. ( 1 NEW (v9 OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW (n) INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE Z1- So AMPS COPPER ALUM.
SWITCH OR BREAKER Sv AMPS I PH 3 W I� LT ► VARACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. J 1•100 AMPB.
SWITCHES
INCANDESCENT
FLUORESCENT& M. V.
FIXED 0.100 AMPS, OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA N0. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER
EACH SIGN —
FORWARDED
S
TOTAL FEES
51Zn- K
CITY OF ATLANTIC BEACH, FLORIDA
� 3
Approved by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19"Ill
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 WIT HE EL TRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
Munson and Bryan Electric Co. toq� ooa EC-0001713
1423
ELECTRICAL FIRM: L ^^�� TER E I A �Itt__ �� fT' E
NAME Pu i - 40ML:> J ADDRESS: ;_?(2 S4_5 -5 RFD BOX
BLDG.SIZE _ S 'V15 t-a'^'t �`/ BETWEEN:
RES. t>4 APT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. ( ) NEW (o4. OLD ( ) REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ► SIGNS ( ) SQ. FT.
SERVICE: NEW (>'1 INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS /Sv COPPER ALUM,
SWITCH OR BREAKER �SU AMPS PH 3 W l� LT Cakk RACEWAY
EXIST.SERV,SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS,
SWITCHES
INCANDESCENT
FLUORESCENT&M. V.
FIXED 0.100 AMP6, OVCR
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1OVER
MOTORS H.P, I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. I MA. I MOTOR SIZE SWITCH I FLASHER
EACH SIGN
FORWARDED
S
TOTAL FEES
PSR-3844 13899
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATI�;t _ _ _ LOCATICSN INFORMATION __._ .
Eeraii.t Number : 13899 Addre_n : 1275 STYCKS STREET
Permit Tvpe :ME HANICAL ATLANTIC BEACH , FLORIDA 32-
"lase= Work : NEW _. __._ __.. .- -- LEG=AL, VESCRIFTION
Const.r . Tvpe:WOOD FRAME Block: 223 Lot : 5 Trap :
Proposed Use : INGLE FAMILY Section : Subd: 34 Rn-
Dwellings :
n,.-D ellings : n Subdivision: SECTION H
Est . Value :
improv . Cost : 0 . 00
Total Fee$-, 4.. .,110
FEE~t
Name 01 �FOkATICN PERMIT "
v
; HIGHWAY #14
?: B MLLE r,10RIDA 32:
rt: 91Y x75 3,-,3 0 0
CONT F_AQ-TCR ItFORMATION -
tVa?ts, M-`OrIWAWS HEATING AIR QIDN'.
93 ROAD
FLC)RIDA 32073
Exp: I
NOTES:
NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
j BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
` CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING AND ZONING fNSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, -LORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION Street Address: C
OF Intersecting Streets: Between And
BUILDING }-
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a port F:ereof and in accordance wish the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical McGowan ' S Heatincy & Air- Contractors
Contractor (Print) Cond . Inc . Mester CACO-18970
Name of m-48
Property Owner
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
III. GENERAL INFORMATION
A. Type of Mating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
-Q Electric THIS BUILDING OR SITE? ✓�
❑ Gee—❑ LP ❑ Natural ❑ Central Utility /
IF YES, GIVE NUMBER OF CONSTRUCTION
�/
❑ Oil PERMIT
❑ Other — Specify
IV. MECHAN)CAL EQUIPMENT TO BE INSTALLED NATURE OF WORK e
(Provide complete list of components on beck of this form) Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed Centel 0 Floor New Building
Air Conditioning: ❑ Room Control - Existing Suliding
Duct System: Materia Thicknou ❑ Replacement of existing system
Maximum capacity c.f.m. P New Installation(No system previously Installed)
ED or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fin sprinklers: Number of heads
❑ Elevator ❑ Monlift ❑ Escalator (number)
THIS MACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Received)
❑ Tanks (number) Remarks
❑ LPG containem• (number)
❑ Unfired pressure vessel
Q Boilers ate
Permit Approved by D
Q Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capsc! y wp
Number Units Description Model Number Manufacturer (3ona) A�
HEATING - FURNACES, BOILERS, FIREPLACES
Number Unita Description Mooel Number Manufacturer (MU) �CY
o
TANKS
How Many Nea> bra Capacity Type LUJUId Name of Serial Approving
and Dimensions Contained Manufacturer No. Ageucy
CITY OF
4&44d4C l3e44CA-99&2 4
Office of Building Official
E
REQUEST FOR INSPECTION
Date ct� a Permit No. / 34
Time A.M.
Received PM
Job Addre oc lity
Owner's
— � (� Contractor
fBUILDTN� CONCRETE ELECTRICAL PLUMBING MECHANICAL
raming C Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing Eje Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
i
Mon. Tues. Wed. Thurs. Friday
2 — A.M.
Inspection Made PM,
Inspector Final Inspection ❑
Certificate of Occupancy G
Date
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- PERMIT ?NFORMATION ------ ------ -LOCATION INFORMATION -------
eermit Number : 13692 Address : 1276 STOCKS STREET
Permit Tyne:BUILDING ATLANTIC BEACH , FLORIDA 3223'
Class of Work :NEW ------ LEGAL DESCRIPTION - ---_.___--
Constr . Type:WOCD FRAME Block : 229 Lot : 5 Twp '
Proposed Use: SINGLE FAMILY Section : 0 Subd: 34 RncI :
Dwellings : 0 Subdivision: SECTION H
Est . Value : ` 0 . 00
Improv. Cost : 47 . 547 . 0.0
Total Fees : 3 . 240 . 94
3 . 240 . 94
997
HS1. 3.097
WNER INFCRHATION - -- - __ -- APPLICATION FEEw -
Name° PULTE HOME C F_PORATION PERMIT 375 .001
cir x :!81 PHIL.I,IPS HIeaHWAY #14 'WATER IMPACT FEE 410 .00
ACKSONVILLE . FLORIDA 322` ' 'SEWER IMPACT FEE 1 . 250 .00
i.hane ( grog X7,33 3,) )WATER METER/TAP 85 , 00
00
.'RADON GAS-H .R. S . 5 . 19
- ----- CCINTRACT'DR I NF'ORMAT 7 RADON CAB 5% 0 . 28
Name : FULTE HOME CORFORATICI: jCAPITAL IMPROVE. 325 .00
A-+dr: 8081 PHILLIPS HIGHWAY SUITE 1 SEWER TAP 0 .00
JACKSCN'JILLE . FLORIDA 32256 -GROSS CONNECTION 35 .00
7057e 1 Exp: % SEC H IMPACT FEE 750 .00
R-vve 1 CONST.SURCHARGE 4 . 91
SCHARGE/ATI: , BC'H . 0 .
NOTES:
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 LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Uperator• CHERYLE
Total Payment $3240.94
ATLANTIC BEACH BUILDING DEPARTMENT
By: ,� F�
r
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address— /, _S�T 0C � Jf 7--
Date
Heated Sauare Footage @ $ 3�•ao per sa ft = 5 �
Garage/Shed �3 @ $ -00 per sa Lt = S 3(0
Carport/Porch �b @ $ per sq ft = S �f
Deck a� @ $ per sq ft = $
Patio 0 @ $ per sa ft = S 3
TOTAL VALUATION:
X00 $ /S7 Co
Total Valuation 1st $ / oo
Lr(, _ �'Y '? x :35. 00 S .23S- 0o
Remaining Value $Saper thousand
or portion thereof
TOTAL BUILDING FEE $ :2 S-0. b O
+ 1/2 Filing Fee
(C.3) Fireplaces @ $15 . 00 $ -�
BUILDING PERMIT FEE S 375700
WATER IMPACT FEE $ j/IQ.Q0
SEWER IMPACT FEE S / ;L- 5:0, ob
WATER METER/TAP S - 0 — ✓ $
CAPITAL IMPROVEMENT S 3 ;z T0 4
SEWER TAP S -- O
(IOQY) RADON (HRS) . 0050 S 1 ...Z.$
SECTION H PAVING ( j $ .S D 00
HYDRAULIC SHARES S —CS
CROSS CONNECTION $ 3�Oa
(/Ogy) SURCHARGE . 0050
OTHER $ Ul)
GRAND TOTAL DUE S / �..9 If
30,9 L/ y
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
n"L-L h l L lll..H I LL IYU L•y 1 JVVJ
f
• iQ`c J- RtklE SII\lQ 1 144 .
it.(�ct G C Citi 1 til-D Ncs NE t ff}' .IC T 1H '��I �x�'Ic nr:�111.tInKuIt���::1,k Iu=
� ��� , ��_—L.._—.[ ��.�...__1_. n�.4. •rr:l.r:ltilu.r,lw,�,:n.��INI
LAX 0141 247,%14
RF,Qt1IReD 5UE3ritl_T,/�L.�, •
Each ayplication far building permit must be accompanied by threv.
complete eetp of pApno, including a detailred alto plan
111dicatirlg location of utilitiou, perking, ni^.Q f_orarrJrr,
uetbacks and other date an required by Code and/or the building.
zoning or community development departments of the City of
Atlantic Beach) one set of Florida Energy Efficiency Code sheetu
fon new constructlon oor additions of 500 sq. ft. or more) ) D
recent curve of the land for new construction and additions; and
v tree Qurvey or letter certifying no trees are on property.
APPLIGAT 0 CHECK
__✓1. 11 Building Application Form
_ ✓ 2- d 'Tbi i complete Bete of plane including detailed este plar,
3. Recent survey, including trap survey or latter eartifying
no trvee are on property
4. Owner/Building Affidavit (required when owner acts as
contractor
_✓ 5_ Energy Sheets '� /I�uSS GIDS
S. Notice ox Commencement
]-Ing RCC IRED FOR PERMxTTIN . A"i.ICAjjQXq 11RE
CONSIDERED IN THE 4RPER RECEIVED
SCHEbUEDT _* ESQ yg
Requests for inspection are taken from QQO a- 19, Mnttl QQ o. m.
Inspections art made the following working days plena• epeelfy
a. M. or p. m. Inspection. When calling in an inspection plree:r
have 'the Permit nuPbwr, fob location end type of intappetion
needed. Inspections are scheduled ser followme
1. rooting
2. Under glob plumbing/sewer/electric
3. Slab
4. Cover up (framing, rough electrical, aachanleal, plumbing
call for cover-up on building, use building permit number and
rvierence athesr applicable permit numbers <electrieal,
Plumbing. mechanical and building, etc. )
5. Insulation
6. Final Inspection
7. Finish Floor elevation survey/Certificate of Occupancy
PUILDING CARD HUST.BE DUSTED QR NO INSPECTIONSSILL Btu MADe
Concretr cannot be poured and work cannot be Covered up until
building card is SIGNED by the inspector. You play be required to
uncover any work that has not been inspected. It to the
recponalbility of the BUILDER/CONTRACTOR to pout the building
card. A fee of 01S. 00 in �ehardpd for all reinspectiona.
VOTE: This application may be subject to covenants and
restrictlonc2 for the pormItted propert The enforcement of thin
c•ovenanto and rautridtiono nre the Sal ponaibility of homeownera
acroci ationt:.
CITY OF
:PERTf DESCRIPTION �7
800 SE.NljN0[.E ROAD
Lot t___�____Block K_ `� J )__Section -~
Section * ___. ATLANTIC BEACH. FLORIDA 32211-5445
TELEPHONE(904) 247-5800
FAX(904) 247-5805
Subdivision:
Street flame ) L' ( DESCRIPTION OF WORK
or Address:-f-(�----)---=-`---J--�� --------- /
If in a FLOOD HAZARD
n Xn
Flood Zone: area complete page � A,� Brief Single Family Dwelling
fw Description:
------------------------
aEC
Class of Work:
MaR2 5 199 (New/Remodel/Addition)__ New--------
ZOIIING INFORMATION t1C Beach
�, y of Atland 701109 Type of
1
6�1�d;ng
and
� Construction:_
Zoning _ Proposed
--- y
District: PUD Use: Single FamilResidence Estimated Value
exceptions or ltaterials•__SpruceL Pinel Fur2_S_ Pine ��:
I ---------
Variances Granted:__________—_----------
Solid or
Filled
---------------------------------------
--- Ground I_.Fa111.Qd___---Roos:_8t11IIg IIa--
OWNHR INFORMATION
' Method of Heat1n9:-_E1aC=iC___-__-_
Property Ovnerl-_Pulte Home Cor oration Phone: 733-7300
=-
.A.i.J•nn IA ��iAi>%C%�A%.•i\i�n J.J. ' � in`%.h`i�%�Inn`h`%i%\n!."A•%1�% %�%�%�%\%i A J�%�h`N i�%.i�J.%�%t%���%AA`%�J; • •.
r ( � (INS
.,Ur�ME,x A1. 1ll.;�'i� i
::�^.�.�� : n'i:n.'�nn'f.nn�n'n'ni:n`i:niCn n'ni:nniC n`n`n wia'n�ini:iiwi'i:n•n i�':ini:iinnnn'n"n•n niCn ni.`�ii iC'it n'n`i:.n`�n'/'niCn
RASH
_- AS-BUILT
GLASS-- ----- ---------- 4C ORI EN AREA x SPM x SOTS = POINTSORI EN AREA X RSPM - POINTSI'YPTi:
-N----1 - . -- ------. 8- - -- c387 Q- 1 -..7tii, (;LK N 15 . 0 40 . 7 . 90 548 . 9
`'9 . 00 65 . 8 1.908 . 2 ; SGL CLR F, 1 5 . 0 84 . 9 88 1 1 1 9 . 1
T' E 14 . 0 84 . 9 . 75 887 .8
; SGL CI:R 20 . 0 73 . 2 . 84 1223 .0
S X4 . 00 65 . 8 3553:. 2 ; SGL CLR S
SGT, CLK
S 34 . 0 73 . 2 . 89 2223 . 3
------
--------------------------
GLASS
. 15 x CONT) -FLOOR l TO'T'AL GLASS = ADJ . X GLASS - ADJ GLASS POINTS
ARIA. AREA FACTOR POINTS POINTS
------
------ - - - 6 ,,Q02 . 19
--15--- 1,094 . 0 __98_OQ-- 1 -67`� 6 '44 -401Q , 797-78
NON GLASS'----------. . R-VALUEAREA x SPM POINTS
AREA BSPM = POINTS TYPE
-------------------------- --------
--'-------------
WALLS------- ------
Ext 923 .0 . 9 830 . 7 ; Ext Wood Frame 1 1 .Q 423 . 0 1 . 7Q 1569 . 1
Ad j 231 . 0 . 7 166 . 6 Ad j Wood Frame 1 1 . Q 238 . () 7Q 166 .6
DOORS----------------- -
0 G . 1 0 82 . Q
Ext: 20 .0 6 . 1 122 . 0 ; Ext: I_hsul ated _>0 1 8 . Q 1 . 1 ''8 .8
.Adj 18 f) 2 .4 43 . 2 ; Adj Insulated
,EIL.INGS------------ -- 30 . 0 1102 . 0 .60 661 .2
UA 1094 . 0 - 6 656 . 4 ; Unde Alt: tc 19 Q 62 . 0 1 . 10 68 . 2
' Under At t: is
bOO-RS--------._------ ; .0 163 . 0 -41 . 20 --6715 .6
Slb 163 . 0 -37 . 0 26031 . 0 ; SlabAn-(:Trade
.01ILTRATION------- 1094 . 0 8 . 00 8752 .0
10.44 0
6 :0 (3752 . 0 ; Practice #2
TaTAL SUMMER POINTS 10 ,h14 .49
15 , 337 . 68 ------
==x SYSTEM -==COOLING ; -TOTAL 7t CAP x DUCT�x SYSTEM
.x CREDIT
t OWING
TOTAL
TS
' SUM PTS MULT POINTS COMPO- RATIO M--- __.-------
---------------_- --- `------- --_-_ 10 fi1..4 49- 1 QO 1- 070--- :---------------. ,3 }(1 1 . 000 3 . 811 . 55
l �i ,_i'-37 . 68+-==37-____-5 , 674 . 94-..1 ___ '___-_- _____
.J ....n .n.n•, n.. n..n n,..•.n n n n.f'.. :....n..n n.+ n..�is r.:
'L'�'h•�•iM1i,iJ;I\.� n n•%f ii�n� % A ii��•I.nIA-%.i.% J.i�if iAh H A I�n%�-�f%\%f If•h J•J.J.•J.J.J_J.J•J.J.J.J.J.J.J•L L J_J.J !.L J.J.J.J.J.J..1.J. .1 J
A A h AA%.n-%�h i�If%f A A%�A%f n IV%f i•i�%f%.A A•A A%f%f A-Ii ILl A A%f%f n%f JIB-%l%f%.%'f A-if K if%f I\%f%f AnIJ.A-/f A%f�A!f%f if%f%t�A!f.!f A i�%\A n.%�A%f%i�h-
BAST AS-BUELT
GLA`,S- -- ._-------
'F'YI'F SE E�R:I:I?N AREA WPM x. WOF = POINTS
ORIEN AREA. x BWPM = POINTS ------_.--_- - ----_..----
N--"- 15--- - -10 . 6---- 159 . 0- ; YSC :h C;�,17 _ ___ __�--- -1�1- 1 .3 . 8 1 . 09 % 2.25 .8
F 2c1 . 0.0 --10 . 6 -307 . 4 SGL CLR
E 1540 -3 . 8 . `27
SGL CI_,R F, 1 4 . 0 -.3 . 8 - . 50 26 .8
S 54 . 00 - 10 . 6 572 . 4
SGLCI,R S %'0 . 0 -24 . 0 . 90 -G31 . 1
SGL CLR S 34 . 0 -24 . 0 . 94 -V7 .0
------------------------------------------
CONY
-_..---------------------
GLASS
COND +FLOOR / 'TOTAL GLASS = ADJ . x GLASS - ADJ GLASS
AREA AREA FACTOR -`PO:CNTS--- ---P(lIN7'S-- --- --- -
POINTS
------------------ -- -
960 . 74
15-:-- 1 ,094 . 00 --___--=98i`00`-=--= 1 _fi74 -1 , 038 - 80_- =-=1.-739_ 4Ey=
NON KLASS-'-------------
R-VALUE AREA x WPM, = POINTS
ARRA x T3WPM = POINTS TYI'I�, ---_-___-.
WALKS--------- ----------
Ext 923 . 0 2 . 2 2030 . 6 Ext: Wood Frame 11 . 0 923 . 0 3 . 70 3415 . 1
Adj 238 . 0 3 . 6 856 . 8 Adj Wood Frame 11. . 0 233 . 0 3 . 60 656 . A
DOORS--•--------------------- 20 . 0 8 . 40 169 . 0
Ext 20.. 0 12 . 3 246 . 0 Ext. insulated 18 . 0 8 . 00 144 . 0
Adj 18 :0 11 . 5 207 . 0 Adj Insulated
CEILINGS----- -- - i 30 . 0 1 1 02 . 0 1 . 20 1 322 . 4
UA 1094 !0 1 . 2 1 31 2 . 8 Undef Attic i 1 g . 0 62 . 0 2 . 00
1 24 .(,
Under. At:t i�:
FLOORS---------------- . 0 163 . 0 18 . 80 3064 . 4
Slb ! 1630 8A 1450 . 7 Sjab-on-Grade
. INFILTRATION---------- 1094 . 0 7 . 40• 6095 .6
-====1094 _0====-7=4-==8095 . 6 _1-_I'.ractise-#2=_=_- ____-__
TOTAL WINTER POINTS ` 16 ,229 . 56
12 ,460 .04 ;
TOTAL x==0Y$TFM IiEATI:NG I TO'T'AL---r.yCAP x DUCT x SYSTEM CRRDTT = IIEA`F'TNC
WIN PTS Ml1LT POINTS ; C'OMPON- -- RATIO MULT.. ____MULT-- -_ _MULT_-- POINTS
12 ,4fr0 04 55_-- 6 ,853 .02 , _ 16 ,229-56+ 100- 1 . 070 _484-' - 1 -000-=._.8
_404_96
r.n•K"„�J�i��.n it n`1�n%��n r-i%%i��K'�+�i..��L h'ii Ji i.n-\�%i n%.n"it"%�%\A�n�J;ii/�h A'i�iv Ii it!k i\F!.ilk i�.\�i�-�Y%�!�i��`n•i�ti%�n'i�h-I�%�n'n`%�n•ail ian i�J•
A�h Jy�1%'�i�M i\A n"n�A i\nw%\n`i\%a`h"n��\-�'J,a`i\%�n`n`i\�n•A i\M A n`ii n�ii.�A`ten'h n`n J/�"M1`ii n n'n`!a`n n'n�i�n'i4 A J�h•i�i�1.!\'!a'h r i\i\i�i\!\`Jn`i�A iY i\i�i�
BA`s}? __
NUM (�f' MU1,`I' = I'(? IAL. TANKVCiI.11hf} }:E? I ANEW ?: MiTET x CRRDTT 1'OTAI.
RATIO MULi"
}3EDRM5
-------- ----------•----------
-- -- -
3; 3803 . 0 1 1 , 409 . 00 30 . 92 1 . 000 3638 . 7 1 . 00 10 , 916 . 00
J"�n•�'(ynii iinnnnniCnnn`n'ii iCniC�C�nn niCnnn"n'nn'nJiCnnn'i:ion ni:nniCn nitni:i:n.n'nnn'ni:n'iCnnnii n'n n'niC n'iCn n'n'ii Jt'
SUMMARY
J.J.J.J.Jw J.J.YJ.Jw J.Y Jw J.Jw .JwY Jw J.J.J.J. YYJ.Jw J.J-Jw J.Jw J.J.J. .J YJw Jf.JwYS.J.JwJ.J"J.J.YJ.J"J�J.JwJ.YJw.LYJ.Y+i,nAAAAAi�i�iC nwA n`%�n'n'
BASE
nnnnnnnnnnnnnnn%nnnnnnniCnnnnnia nnnn nnia iCnnnnnnn.a iannnnnnianni\nnnnnni
=-_ AS—BUILT
CO 0 J;T N G HEATING 1101' WATER TOTAL C;OOL,ING HEATTNC NUT WATER TOTAL,
POSTS + POINTS" + POINTS = POINTS POINTS + POINTS + POINTS = POINTS
---------- ------•---------- -------------------..
5674 . 9 6853 . 0 11409 . 0 23 , 936 .96 3861 . 6 8405 . 0 10916 . 0 23 , 182 . 52
i.is%nnniCnnni'nwniCnnn
El I = 96 . 85
Pr d_,
1.'h e I,:P',� _rat. i ng, nuIn1-,ttr
or for .iriy ITEM I isl. d
k dr�r f,,r L?:I' I'= 6 . fi
DCA I'!a I III Cf00A--9',
o1, 1'drlil 600I3--93
() 10 2() 30 40 r)0 6() 70 80 90 100
The ma�,-imrarn al. lowahlc EPI. is 100 . Thi: lower the EPI the more ef.f. i_ci.ent. the home
R S''IDFNTTAL ENERGY PERFORMANCE RATING SERE
HOME VA:LME L,<7w F,fl i.cienc.y High E.fif i.c tency
.
;TNGL, CL,R DBL TTNT
WINDOWS . . . . . . . . . . . Si.ngl.e. C�.ear ; X-------------------- ,
TNSITLAT I:ON . . . . . . . . . . . . . . . .
R-10 T2-30
Gei.Ti-rig R-Value . . . . . . . . . 30 , O
R_.0 R=7
---------x:
Wa .1 R-Val.ue . . . .. . . .. . . 11 . 0 t
R-0 R-19
Floor R-Valuc. . . . . . . . . . 0 . O X------- -- ,
ATR CONDI"TIONER . . . . . . . . . . . . .
10 . 0 SEER 17 . 0
5EElZ . : . . . . . . ... . . . . . 1 0 . 0 x--------------- - ----- ,
11 ATTN(3 :SYSTEM . . . . . . . . . . . . . .
6 . 8 HSPF 1 2,0
x------------
Flec,Lric H�17PF . . . . . ..
. . . . . . 0
-- --
WATER BEATER ... . . . . . . . . . . . . . . 0 . 88 0 . 96
0 . 92 ' -------
E.lectri_c . E1? . . . . . . . . . . . . . . 0 ' S4 0:.90
Gas EF . . . . . . . . . 0 . 00 O .f30
0 . 40
Solar FI? . . . . . . . . . . . . . . , -----
------- --------
OTHER FEATURES . . . . . . . . . . . . . .
I cert. if.y that these e.nr.r. ;y say.i.ng
:f:c?atures rc:�,.Tui..r( ci forthe Flo:r_i-da
Energy Code have been inst.al.lc.,d i_n this house. .
Bui IderDat
t _
c o �y:-�8,� �_-._. e
Add.ress --
d� �.--� �- S i.g a t --� -
' n u
City/zip. i,
Florida Enemy Codef.-or Buil.ding Construction - 1993 FL-F.PI. CARb93
Florida T1ei)artmerit of` Community Affairs
Si. AV #- 7116
RvsmanUX & 04- 1019qf+
W Ho.1, flous.r!'.
ING FLA/RES( c) DATA FTLF�;
�AT LOSS S CALCULATT.ON Us-
JITFAT GAIN fi; - SEVENTH EDITION ( e) 1986 by A . C .0 . Q )
( BASED ON A .C .C . A . MANUAL .1
Proj&L namo. 1094
Address LOT 5 111IDDEN VALLEY
City/State
: Own(?r :
Tuilder NORTH FLORTDA CLASSIC
HVAC contr . McGOWAN"S A/C
Cond FTr. Area: 1094 SF * GLASS/SF RATIO = 9% House Faces : East
Climatic Conditions & Design Conditions
--------------------------
--------------------------0-----------------------
Geographica'I Location : Florida Jacksonville
------- ----7------------- ----------------------------------
North Latitude / Elevation 30 Deg . / 24 Ft . Above Sea Level
Outdoor Winter Dry Bulb 32 Deg . F
Indoor Winter Dry Bulb 70 Deg . F
Winter (Aytyal ) :Temp .Diff - 38 Deg . F
Winter Temp . Diff . (wTd) 40 Deg . F
outdoor Summer Dry Bulb 94 Deg . F
OutAoor Summer. Wet Bulb 77 Deg . F
Outdoor Summer Hum . Ratio Gr/Lb 114
Indoor Summer Relaltive Hum . 50%
Tndbor Summer. Design Gr/Lb . 49
Indoor Summer Dry Bulb 75 Deg . F
Sumier Daily Range 19 Deg . F M
Summer (Actual ) Tem( . Diff . 19 Deg .
Summer (User Sell Temp .Diff . ( sl'd) 20 Deg -
-------- ------- ------------------------ --------------------
----------------
HEATING SUMMARY 1234 DAT COOLING SUMMARY
SUBTOTAI.., 21220 . 04 ISTRUCTURE SENSIBLE 9825 : 46
;MECTI.VFNT- 100 CA 2090 .00
ISENS . + MECH .VENT 11915 .40
:TEMP . SWING @ 3 DEC . 1 . 00
; OCCUPANT/APPLIANCE 3000,00
DUCT LOSS 1061 .00 ; 55
DUCT GAIN 14914 ,
TOTAL LOSS/BTUH 22281 .04 ! TOTAL SENSIBLE 16407M
!TOTAL LATENT 6629456
; SENSIBLE + LATENT 23036.. 57
20% OVERSIZE FACTOR 4456 . 21 120% SENS .OVRSZE FTR: 3281 .40
14915 �46 ISENS . + 20% OVERSIZE: 1968a. 41
ACTUAL + 20% OVERSTZE: 723 . 41
HTG FTR 43 . 2 CLG FTR = 22 . 7 jCLG DESTGN CFM
p(gyrPMENT SELECTION
E(jT:,MANUF CARRIER. CU MOD # 38YCB024-3 AHU MOD # FA4AN10300
HTG TNP/BTU11 HTG OUTP/BTU11 AFUE/HSPF 7 TYPE III'
UH 23800
SFNS1BLVBTU11 LATENT BTUH 23800 TTL CLG BT
- T ( S)EER 10 CLG CFM 1000 IPTG CFM 1000
ONAGE 2
(I a Bu i I cl in g f;:n.(,t,gy- Eff Raging systefr)-S
for New Resident is I Bul J.di.ngs
;eters Name Cllf.13ERT M*r.f,],ER
Rat or's Cort - fi-cation # : 044
Str-cot'. Address : 1,01' 5
-City : HIDDEN VALLEY
ty Tnj)ut
County : C -juri
No (
llllziteZone : NORTH
Mad Use Fuel CO t.s S:i t e En r g yEnergy Score Site Costs Cost Sc()ro,
$ MBI.-u
$ %
cooling: 23 .73 3 . 9 87 92 85
heat ing: . 23 . 73 8 . 5 81 201 85
Lighting: . 23 . 73 2 . 5 42 59 36
MISC : 23 . 73 5 . 4 63 127 60
Refri.g: 23 . 73 5 . 3 42 126 37
Hbt. Witter : 23 - 73 12 . 4 40 294 it,
Dryer : 23 . 73 2 . 6 65 61 27
Stove : 2.3 . 73 2 . 2 65 51 33
Pool : 23 . 73 0 . 0 0 0 0
TOTALS
42 . 6 68 1011
Estimated Annual, Si.t.(--, Energy Use = 42 . 62 MB-:us
Estimated Annual Purchased Energy Cost $ = 1011 . 41
Total Energy Rating ( Energy Score) = 68 . 12
Tota] Cost Rating (Cost Score ) = 54 . 51
Rating Range
Low Use
Low Cost High Use High Cost
MB 1:u $ MB t u $
Cooling: 1 . 3 28 21 . 0 467
Heating: 1 . 8 39 . 37 . 6 502
Lighting: 0 . 7 17 3 . 7 83
. Misc : 1 . 2 28 12 . 4 277
Refrig . : 1 . 4 30 8 . 2 182
Hot Water: 1 . 1 11 20 . 0 339
.Dryer : 2 . 1 20 3 . 4 76
Stove.- 1 . 8 17 2 . 9 69
pool : 0 . 0 0 0 . 0 0
TOTALS 11 . 4 190 109 . 3 1996
7
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CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF , SERVICE ,SINK TRAP STAND
WATER CLOSET. LAVATORY 6 BATH (8)
TUB OR SHOWER STALL (6) Z
WATER CLOSET
WATER CLOSET, TAMC OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (I) COMBINATION SINK AND TRAY (3)
_WASHING MACHINE (3) 3 POT, SCULLERY SINK (4)
_DISHWASHER (2) 2— j__WASH SINK EACH SET OF
FAUCETS (2)
D KITCHEN SINK (2) DENTAL LAVATORY (1)
KITCHEN SINK WITS WASTE 3 I DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3) I
BIDET (�) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK. (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL. PEDESTAL. SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY. BARBER/BEAUTY _ ICE MAKER (1/2) S
SHOP (2)
_SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) v
URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS ,'1 0-'� 0 $20.00 EACH $ L/ l oc)
JOB INFORMATION / (o c� TO (/ I �T
MAP SHOWING PLOT PLAN OF
LOT 5 6LOCK 228 AS SHOWN ON MAP OF
5ECTioN "H " - ATc.AWTIG BEACH
AS RECORDED IN PLAT BOOK 18 PAGES 34 . OF THE CURRENT PUBLIC RECORDS DL✓VAL COUNTY, FLORIDA.
FOR: NORTH FLORIDA CLASSIC HOMES
BEARING REFERENCE: BEARING St4OWN ON RIGHT-OF-WAY UNE HEREON IS THE SAME AS SHOWN ON THE ABOVE MENTIONED PLAT.
EXI5TIr-16 F=LEVATIOn15 SNowN Taus- C9•I) -TREE LEGEND:
O OAK
PI14E
PAV ,r
STOCK STREET
5
vAA�e
0. 0
5
UL
W
Q
~ �20' [3R
I II-LO11- I1,3a'
H
U' V Flo
3 •
uj
� O N
U) s'
O
IU) z
° QL
Zv'D L
5o. a "
LOT 4-
L L o i ra
Ii
' PROTCCTED rieeES rU 69 /e-A40VED
FLOOD„ ERTIFICATE: THE LOT SHOWN HEREON IS IN FLOOD PREPARED BY:
ZONE_ AS SHOWN ON THE FLOOD INSURANCE RATE
MAP, COMMUNITY PANEL NO. 14 V076 '000I Q , DATED 4.17-89• CLARSON AND ASSOCIATES, INC.
PROFESSIONAL LAND SURVEYORS
DATE: M,AP04 / 0 1997" 1643 NALDO AVENUE
SCALE: 1' = Poo JACKSONVILLE, FLORIDA, 32207
r)e rli r t.ill( .jjt 0J, Community Af.fairs SN - 7*116
- ONSTRIJC'.I'*l ON
,1,,1, [FNCY CODI!, FOR [1U.TLDJNG G
[,'LORTDA. i-INERGY 1., .1 C uldinPerformance Method A NORTH
FORM `600A-93 . ,-R'(�,
.sidential Whole RITI.DER�
: N F CpRoJECT NAME: 1094 ' CLIMATE
r, PERM-ITT-I'NG, ZONE: 1 3
AND A.110R.ESS : *JX ; OFFICE.: DUVAL .ON NO .-q.
.. I-) 7�to 64 dc- _S�k'Le ; JURISDTCTI-
OWNER : PERMIT NO .
1 . New Construction
1 . .Now c o n s t ru ct i.Q ri r Addition2 . am i.I Y.
or Multifamily- attached 2 . SinglC-�'
Single fa - 3 .
M ily- detached 0
3 . If Multifamily-No - of units (-as(-.! (Yes/ncl). 5'.
4 . If MAIlti-family" is '-"isaworstt 1094 . 00
5 . Condit:ioned floor area (sq . ft - ) 6 . 1 . 33
6 . Predominant eave overhang (ft . )
7 . 0 . 00
7 . porch overhang length. (f-t: . ) Single Pane Double Pane
8 . Glass area and tyr)(, : 8a . 98 . Osqft 0 .00sq-ft
a . Clear Glass 8b . O . Osqft 0 .00sqft
b . Tint , . film or solar screen
9 . Floor type and insulation : 9a . R= 0 . 00 , 163 . 00 ft
a . Slab on -grade (R-value , perimete,r)
10 .Net Wall type area and insulation:' R_value.)
, __a . Exterior : 2 . Wood frame ( ioInsulatb . Adjacent : 2 . Wood frame (Insulation 10b-2 R=11 .00 , 238 -00sqft---
11 Ceiling type area and insulation: 11a .R=19 .00 62 - 00s�lf t___
a . - Under attic ( Insulation. R-val.ue) 11a . R=30 - 00 1102 .00sqft_------.-
attic a . Under (I nsulati-on R-value)
12 .Air distri,.bution systems 12a . R= 6 .00 un.cond
. ; a . Ducts. (.Insulation + Location) 13 . Ty-pe : Central A/C
13 .Coo ling system SEER: 10 - 00.
14 . Type : Heat Pump
14 .11(:�ating SYstem : HSPF: 7 . 00
15 . Type : Electric
15 .116t water system: EF: 0 . 92
16 .
16 -Hot Water Credits : -(IIF-Ileac Recovery ,
DRP-Dedicated Heat Pump) 17 .
17 . 1nifiltrat -n practice : 1 , 2 or 3
Fan , CV-.Cross vent , 18 .
18 .1TVAG Credits (CF-Ceiling Fa
HF-Whole house fan , RB-At t.,1c radiant
barrier , MZ-Multizone) 19 . 96 . 85
lg .Ep [ (must.. not exceed 100 points) 19a . 23182 . 52
a . Total. As-Built points 19b . 23936 . 96
b . Total Base Points -------
------------------------------------------- ---------
--------------------------- --
-------------------------- -- - and Review of the plans and specifications
I Hereby cert-ifythat the plans covered by this calculation indicates
specifications covered by this calcil- COMPIiance with the Florida Energy
lation are in compliance with the construction is .completed
Code . Before c inspected for
Florida EnergY C de . this buil.ding will be
compliance in accordance with Section
PREPARED 553 . 908 F .S .
h..�ereby certify that . this building` is
in compliants with tbd Florida Energy
. Code .
BUILDTNG OFFICIAL'
OWNER/AGENT:
DATE:
DATE:.�____
liti-(12:97 BION 15:00 FAX 904 733 7733 PULTE JACKSONVILLE 444 JOHN (_REEIi Ht'B 0007
xilu r;, rle +10rnoration
5304 Main Street #2
?uew Port -RAC-3—y" FL 3465.;
File No. :; i
T_A'.%FOLIO NO. 171054.0000
NOTICE OF CO-WWNCEMEN
�d
State of Florida ook 8[,14 Pg 1836
Cou:it), of Duval 0-
TRE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
acco:-danee with Chapter 7131 Florida Statutes, the following information is provided in this Notice of
Commencement:
L The address and legal description of the real property to be improved:
-- LOT 5, BLOCK 2289 SECTION „1111 ATLANTIC BEACH, ACCORDING TO THE PLAT'G H REOF AS
RECORDED IN PLATBOOK 18, PAGE 34, OF TIS PUBLIe RECORDS OF DU%"AL COUNTY, FLORIDA.
2. A.general description of the improvement to be commenced:
A. SINGLE FAMI-LY DWELLING
3. C caner information.-
PULTE
nformation:PULTE HOME CORPORATION
8081 PHILIPS PIIGHWAY, SUITE 14
JACKSONVILLE, FL 32256
Bk; 8614
Q, C)utractor: Pq: 1836Doc## 97099803
nilte Home Corporation Filed R Recorded
81181. Philips Highway„ Suite 14 05/08/97
.12cksonville, FL 32256 03:42:1,5 P.M.
HENRY W. COOK
CLERK CIRCUIT COURT
S. Surety: DUVAL COUNTY, FL
Nr A
NEC. $ 6.00
Amount of Bond: $
V ' 6. Lender infonnatiou:
N/A
NNI
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section713.13(1)(a)(7), 11orida Statutes: (name and address)
S. In addition to himself/herself, Owner designates the below to receive a copy of the Lienor': Notice as
provided in Section 713.13(f)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of
recording unless a different date is specified)Expiration date:
PULTE H N E 'O pORA7 ON
EMPLC, E r ATTY LNFACT
The.foregoing instrument was acknowledged before me on May 2, 1997, byEmployee
& Aity In Fact for PULTE HOME CORPORATION, A bi1CIHGAN CORPORATI N, who isiare personAiV
known to me or who has/have produced a as id,ntifieation.
NOT111't'PUBLIC Gi,c�o/t �4 . SchACZZZ
NI, Com nission Expires; i!rr!trt!1!!!rrrrn!lrrt!!<r«!t<<lur!tt��<ttr!!r S
Linda A-Svhaedcl �
PREPARED BY: SFIIRLENE 114. KULF-SKI Notary Public,State of Florida i
FIRST A 4L&RICAN TITLE INSHR4,\'CE COMpA.Ny ' ' v °' oission Na.CC 627591
8081 PHILIPS HIGHWAY,sWIrE#18 MY Commission Exp.03/05/2001
JACKSONVILLE,FLORIDA 32256 >»»»>»�»�»»•�»�)»»�»�»»»»))»>�»»
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