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28 N Forrestal Cir 2013 convert carport to living space CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003512 Date 10/11/13 Property Address . . . . . . 28 FORRESTAL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 ---------------------------------------------------------------------------- Application desc convert carport to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHUDA, MARY E. MARTIN HOME EXTERIORS 28 FORRESTAL CIRCLE 5749 HAVEN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 737-5009 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . CONVERT CARPORT TO LIVING SPC Permit Fee . . . . 145 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 19000 Expiration Date . . 4/09/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 18 STATE DBPR SURCHARGE 2 . 18 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145 . 00 145 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 36 4 . 36 . 00 . 00 Grand Total 149 . 36 149 . 36 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Deparhma) 800 Serninole Road Atlantic Beach, Florida 32233-5445 Phone")247-M26 - Fax(9N)247-5845 E-mail: building-dept@coab.us Date routed: A� City web-sfte: http:/Awjw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c--�e IV L ,��75 7W 'JDawrtment review required I Yes/I N Lulling::--) r�71 Applicant:—;04147 eS Planning &Zoning Tree Adminishator Project: (�fwner 7D LIP1/P-)Q Pubric Works I Pubfic Utilities I T Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date I of Permit Verified By Florida Dept of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: E]Approved. nDenied. (Circle one.) Comments: PLANNING&ZONING Reviewed by: Date: 10-to -1 TREE ADMIN. Second Review: nApproved as revised. ElDenbid. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by. Date: FIRE SERVICES Third Review: 0APProved as revised. FIDenied. Comments: Reviewed by. Date: Revised 05/14109 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 FILE COPY Job Address: 28 Foristal Cr.N Permit Number: Legal Description ATLANTIC BEACH VILLA UNIT NO I Parcel# 171759-0000 Floor Area of Sq.Ft. Sq. Valuation of Work$J2 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/do OCT42013 Use of existing/proposed structureQ)(�ircle one): Commercial Residential If an existing structure,is a fire spruilder system installed?(Circle one): Yes No N/A For—multiple products use product approval form Describe in detail the type of work to be performed:Convert Carport to living space Property Owner Information: Name: Mary Shuda Address:28 Forrestal Cir N City Atlantic Beach State FL Zip 32233 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name:Martin Home Exteriors Qualifying Agent:Ken Martin Address:5749 Haven Rd, City Jacksonville State FL Zip 32216— Office Phone 9047375009 Job Site/Contact Number Fax# State Certification/Registration# CRC057030 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and 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 ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void If work is not commenced within six(6)months,or if construction or work is Sul ded or abandonedfor a eriod ofsixp)months at any time after work is commenced. I understand that separate permits must be secured for ElectricallZurk,Plumbing,Signs, ellsPoUs, ura,e,,Boi1ersHeaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y61jR NOTICE OF COMMENCEMENT. I hereV certify that I have read and examined th' a lication and know the same to be true and correct. All provisionsof laws and ordinances governing this "s, p fi o work will be complied with whether ec, e9hereinornot. The granting of a permit does not presume to fve tuthority to viol afieepthe p isionsofanyotherfederal,state,orlocalliawygulatin construction or the peifiormance ofconstruct,on. rov Signature of Owner Signature of Contractor! 7 Print Name 5 Print Name e iv.%r,................................................................ ................I................................. Swo subs befo e me Sworn to and subscribe befofepe this a 0 1 20 this Day of .20 --,u]a MARTIN Not . . ....... P ON#EF 188864 my COMMISS -Y El 'ARD 9 U IC 112,20 6 gp Noto 5b Ic- 167Lift APd ry E)(MES A My Comm.Expires Jul 9.2017 FW4*N z iss CommiSSion#FF 034006 Bonded Through National Notary Man. FORMS FILE COPY FLORIDA BUILDING CODE,ENERQy_QQN6APA"IQ1h6.-Q�.W�. I FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES 'tor,e.*orompliric'wilth Section olilhe Florida Building Code,Energy Conservatiog,shall be demonstrated by the use of Form 402 for single-and multiple-family residences of three ,�s ess in high addition,,to c.'ting residential buildings,renovations to existing residential buildin ,Rs,new heating,cooling,and water heating systems in existing buildings,as Ippljcable.To comply,a building must meet or exceed all of the energy efficiency requirements on Table 402 and all aEplicable mandatory requirements summarized in Ta le 402B of this term.If a building does not comply with this method or Alternate Form 402,it may still comply under Section 405 of t a Florida Building Code,Energy Conservation. PROJECT NAME: 13UILDER: AND ADDRESS: PERMITTING OM A 9-n N RQ,M r- 1/KP&W-E4.AaJ_r ;::L OFFICE: OWNER: PERMITNO.: JURISDICTION NO.: General Instructions: 1.New construction which incorporates any of the following features cannot comply using this method:glass areas in excess of 20 poicent of conditioned floorarea,electric resistance heat and air handlers located in attics. Additions!g 600 sq.ft.,renovations and equipment changeouls may comply by this method with exceptions given. 2,Fill in all the applicable spaces of the"To Be Installed"column on Table 402A with the information requested.All"To Be Installed"values must be equal to or more efficient than the required levels. 3.Complete page I based on the"To Be Installed"column information. 4.Read the requirements of Table 4028 and check each box to indicate your intent to comply with all applicable items. 5 Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or owners agent must also sign and date the form. 1. New construction,addition,or existing building Please Print CK 2. Single-family detached or mUltiple-family attached 2. 3. If multiple4amily-No!of units covered by this submission 3 4. Is this a worst case?(yes/no) 4. 5. Conditioned floor area(sq.ft.) 5. 6. Glass type and area: a.1-1-factol 6a. (06 h.SHGC 6b. in.310 c.Glass area 6c. - sq.ft. 7. Percentage of glass to floor area 7. % 8. Floor type,area or perimeter,and insulation: a.Slati-on-grade(R-value) 8a.R lin.ft. h.Wood.taised(R-valtie) 8b.R sq.ft. - c.Woud.coninion(R-value) 8c.R 117-sq.ft. d.Concrete.raised(R-valuc) 8d.R= -sq.ft. - e Conciele.coninion(R-yalue) Be.R= sq.ft. - 9. Wall type,area and insulation: a.Exterior: I. Masonry(insulation R-value) ga-11. R sq.ft. - 2. Wood frame(insulation R-value) 9a-2. R _19'=sq.ft. b.Adjacent: 1. Masonry(Insulation R-value) gb-1. R=__Z-4�0 q.ft. 2. Wood finnic(Insulation R-value) 9b-2. R :q.ft. 10. Ceiling type,area and Insulation: a.Under attic(Insulation R-value) 10a.R= sq.ft. b.Single assembly(Insulation R-valuc) 10b.R= sq.Ill. 11. Air distribution system:Duct Insulation,location,On a.Duct location,insulation 11a. R= b.AHU location 11b. c.Qn.Test report attached(<0.03:yes/no) 11 c.Test report httached? Yes C. 12. Cooling system: a.Type 12a.Type: b.Efficiency 12b.SEER/EER: 13. Heating system: 13a.Type: E�dslr a Type 13b.HSPF/COPlAFUE: K Efficiency 14. HVAC sizing calculation:attached 14. Yes 15. Hot water system! (!!9 ;1.1�ype 15a.Type: b.Efficiency 15b.EF: 009"P [he dity I a�nd spec�ificafions cov�eredby the calculation are in compliance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida I E n ne y co Energy Code.Before construction is completed,this building will be inspected for compliance in Tr� U/I- accordance with Section 553.908.F.S. P PF REPAR DATE::::: TT� CODE OFFICIAL 1 hereby ce ly b in the Florida Energy Code: 0, OAT e4 DATE: OWNER AG E:/ 67 C.4 2010 FLORIDA BUILDING CODE ENERGY CONSERVATION NOTICE OF COMMENCEMEN (PREPARE IN DUPLICATE) TaxFolioNo. 171 FILE COP 759-000d(i Permit No. 12- 3 SAO' I State of Florida County To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 30-056 38-2S-29E ATLANTIC BEACH VILLA UNIT NO 1 Address of property being improved: 28 N FORRESTAL CIR Atlantic Beach FL 32233 General description of improvements: windows, siding or screen room Owner Mary Shuda 28 N FORRESTAL CIR Address Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Martin Home Exteriors Address 1,74q T-TAiT�-r Pr);;(9 Tqr-kqC=Ti11�- FT Phone No. 904-737-5009 FaxNo. 904-737-5029 Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No.- Fax No. M4(- Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S U 5��W N E R;X� Signe DAT 71ZY1 Beforel: thii ay or �inlle' County )no a,has p n;lly appeared ,$Mal,ST,trof I'll Doc#2013261061,OR BK 16557 Page 1901, . r1i herein by �irnsel hers If-and ateihehfs and declarations herein r. Number Pages: 1 are t! e curatfhTn''11ataltsf Recorded 10,10/2013 at 10:36 AM, KENNETH B MARTIN Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY MY C0MM1ISS*N#EE1888U RECORDING$10,OC) Notary ic a ta My commit Personally Known or Produced Identification cn IS UD u R, sm 00 f '.Cj Rc) u to 0 % 8 "rj� Q 0 tin z S 7:1 to to 0 to 21 R N 7:1 m 0 ,46 40. >, I -A I 9z 0 PLO U) up Cd u m > Z3 to o C) 4 0 C'f) w rl—n u Q5 P4 �4 u P4 CID U C� r— 00 C-1 cl� kr; 116 I I I t I I I I m I i I A 44 Q) Cl) C) ;-4 1 cd 0 U� 12 —cd .0 0 u to 72 -cl r� rl C) — — -:5 *+-j 7:1 bb 0 0 (::) g u r-) 06 C� cl; P4 P4 1 71 C40 rn En 7:1 4-4 Cd 9b CIS 4-4 olm IV 4m� 0 Cf) C,3 o C m o 4.- -i� 45 Cd u ul u --:180d3H SIHI ld333%f oNV 30031MON)IOV A9363H 3mil _Qt e-- T) .14 'V 21 :PON- CM C.0) z CIA, -7 ' UOTIPlodjoo UeolamoH epTIOTA PUB PlosauuTW jo Suedmoo @Dueansul ajjTj lepnqS q-4aqez-FT2 A-IuW : 01 POTJT-11aO I �junoo TeAn(I jo sP'00@M D-1 T q n d u a i i n 0 a q-4 j o gg �r)S el 1 0�: �iOO9 12Td u-1 p a p i o o a-i j o a-i a q i -leTd 0-1 9, u-Epjoo-De * 0 N -3-Fufl uTTTA IlOuag O-ElueTIV ' Z �i:)0 T 9 ' 6 1 Orl 140 XHAVIS ONIMOIIS dVW CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SA Application Number . . . . . 13-00003512 Date 11/13/13 Property Address . . . . . . 28 FORRESTAL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 ---------------------------------------------------------------------------- Application desc convert carport to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHUDA, MARY E. MARTIN HOME EXTERIORS 28 FORRESTAL CIRCLE 5749 HAVEN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 737-5009 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . C.W. WOOD PLUMBING Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/12/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 73 . 00 73 . 00 . 00 . 00 PERMIT IS APPROVED OXLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 Z rr e S PERMIT# 3 3 JOB ADDRESS: / 0 NEW OR REPLACEMENT INSTALLATION: Project Value TYPE oF FixTURE QTY TYPE oF FiXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE oF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: o Sewer Replacement 0 Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans) E3 Lawn Sprinkler System-Number of Heads Ei Well ** SJRWD Well Completion Form. Complete&-forin to be submitted to tKe-Building Department for final inspection." Ei Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate t 'e provisions of any other state or local law regulation construction or the performance of construction. -514)421 X-7 Phone Number L-I&3 Property Owners Name �91a^ OfficePhone 7yV-aK00YFax_?Y3 _17'30 Plumbing Company �1_ - - Co. Address: �3 a city J State J�e- zip(3 7- License Holder(Print): State Certification./Registration# 4t�,7156 CS70 Notarized Signature of License Holder 2 o this d f 3HIRLEY L GRAHAM 0 MMISSION#DD957760 10 .'PIRES:February 14,2014 ature of Notary Publi iond-�d Tbrd Notwy PublIc Underwrfters N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003512 Date 11/13/13 Property Address . . . . . . 28 FORRESTAL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 ---------------------------------------------------------------------------- Application desc convert carport to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHUDA, MARY E. MARTIN HOME EXTERIORS 28 FORRESTAL CIRCLE 5749 HAVEN ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 737-5009 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Sub Contractor . . HARVEY' S AIR CONDITIONING AND . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . - 5/12/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: z 127 rois�Fa<-;,-C�lc c- dz- 1\-� PERM]rr# 1 ::�- 3S I Z- PROJECT VALUE $ ARI# REQUIRED NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: ADOUQ6, -MA20 \j T 11�' I-L�11 --r t9 L)�C. I J)'r' .4/A 4 5 0 yr%Ao� Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Jr - Phone Number 3A e, Office Phone?2!��-,P�Fax Fo,41 Mechanical Company hl;. e.,oali �,A;A�0/441 — V State ri Zip. Lix- !9b/ Co. Address: 307--l -7 laeoln city License Holder(Print): AlAe-1-e!/ J�- State Certification/Registration# Notarized Signature of License Holder --l—Z�"Z-,I/- Z-- t"Lad= 20 Sworn and subscribed before-m t I Pda yc Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003512 Date 11/14/13 Property Address . . . . . . 28 FORRESTAL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 ---------------------------------------------------------------------------- Application desc convert carport to living space ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHUDA, MARY E. MARTIN HOME EXTERIORS 28 FORRESTAL CIRCLE 5749 HAVEN ROAD FL 32216 ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 737-5009 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . KNIGHT ELECTRIC LLC Plan Check Fee . 00 Permit Fee . . . . 67 . 00 Valuation . . . . 0 Issue Date . . . . Expiration Date . . 5/13/14 --------------------------------------------------------------------- ------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 67 . 00 67 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: -D'Oc, '� YO - PERMIT I'D JEA INFORMATION REQUIRED ON ALL PERMITS Amps "'NOVOLTS PHASE VALUE OF WORK$ NEW SERVICE El Overhead F-1 Underground D Underground up Pole DResidential(Main) Service #of Meters 00-100 amps [110 1-I 50amps 0 151-200amps 0—amps 0 Commercial(Main) Service 00-100 amps [110 1-15 Oamps 0 151-200amps 0—amps EICT Service amps Conductor Type Size 0Multi-Family(Main) Service #of Unit Meters FIO-100 amps 0 101-1 50amps 0 151-200amps amps El Temporary Pole 0 amps SERVICE UPGRADE El—amps Ll CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100amps [1150amps 0200amps 0 amps [I CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS hp [I Swimming Pool [I Sign [I Smoke Detectors_Qty [I Transformers KVA Ll Motors FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty_volts/amps REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can ]Safety Inspection OPanel Change DOH to UG F1 Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Electrical Company Y-Y�kk-xf- Office Phone 4;�fl_P�� Fax2H2-___ Co.Address: Ctn "q f%_w S' City 7jct,,- State 'V,-L Zip--:P-05 License H Id--- V-\ Certification/Registration#Lq3�1;6�D SH L.GRAHA NotarizeJ "'I"`il6urev I;=S9 t nPi ruary 14,2014 RES:Feb BondA Thru Nnt,;;,y Public Undermw re me this d V Signature of Notary Publi