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349 10th St 2013 (vault) i DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: S7�ree :S`E 3 � U T~ T'----------------------------------- --- ------ ------------------------------------------------- ------� ----------------------------------------------- ------�------------------------------------------------- ------�------------------------------------------------- Enclosed are the blue copies of the permits. S ERELY, f 6L r/-/ S BUILDING INSPECTION DIVISION cc:FILE 1 CIF*OF* nn Office of Building Official C/ REGIUEST FOR INSPECTION Permit No. Date Time A.M District No. Received J0c,orz-r< �/// Locality Owner's �j _ Contractor Name BUILDING �\ NCRETE ELECTRICAL PLUMBING ME�Htl&ICA13 Framin Footing ❑ Rough Wiring ❑ Rough ❑❑Slab Heating ❑ Temp Pole ❑ Top Out As Roofing ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A. .M. Inspection Made Final Inspection inspector Certificate of Occupancy ��� ,\ Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date r /v ^L Permit No. Time / Received District No. SV 9 Job Address Locality Owner's Name o l�42E Contractor BUILDING ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air.Gond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues Wed.' Thur `s 7 /643 P.M. Inspection Made /��{j-J;(((7��+ 0 �:}�,L P.M. Inspector LA REBERFinal Inspection❑ Certificate of Occupancy Date 0003046 �— DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATIgH IHI'CIRITATILtH -- -- Permit Humbert '3046 A0411esS: 34`% TENTH nT Permit Type: IIECHAHMAL ATLAHT1C BEACH, Y-LORXDA 32ZZl class or Work: HEW -- -- ------ LEGAL DE15CftIPTI0H ---------- C:onstr . Type: WOOD f- tAnt 1-cot'. bloc1K% erection: Proposed Use: �xNM E rAnrLT Township: RNo 0 Dwellings: 1 Code: n -,uAdivision: Estimated value: 9"0. 00 Improv. Cost: IDO. too Total tees: ms's 3. 00 Amount paid: 013 OWNER INrLiftnATrun -- __ _ _ APPLICATION rEE" Helmet R;EvxH t7nvotp rERrixT n'3. 00 Address: 3419 TENTH 'WT WATER inrAcy PEE c�;C1. 00 ATLANTIC BEACH, FL ARIDA 322-3-3 SEWER 1"PAC"'T' ret $C. Liu Pteone: WATER "ETVft CACI.*0 RADgN OAt5-H. R. 'S. $10. DILI ---- - CONTRACTOR rH1910f nATl'ort __ ___ PtADoH OM5 - In% 1510. 00 Hume: Jt]E WATEft'-A 0011111. ftEPr AND AtC WATE:pt TAP Win• nn `SEWER TAI" $0. 00 AddreS S: HTDItAULIC MHAIYE 0n.CiC1 RE-IH:�►PECT FEE spC. on t-i cense-: RA 004 21-17 s Type: �Ct. oCt OTHER eu. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN zRESU4 , 11N THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS Of LAW. ATLANTIC BEACH BUILDING DEPARTMENT 9y: ,� a' r �* CITY HALL RTL BCH TEL No .2471224 Oct. 15 ,90 1101 Ido .004 P .01 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 31133 IN NU 8 APPLICATION FOR MECHANICAL PERMIT CALL- IMPORTANT — Applicant to complete all itemand IV, s in sections I, II, Ill, LOCATIONI Of street Address: ` r And OF Inforsectioq Streets: Betwa+n BUILDING sub•divis;on 11. IDENTIFICATION — To be completed by all applicants h are a pert hedi and in oeeordance with the City of Jacksonville ordinances and standards In con:+derotion of permit given for dol 4 wh,cwork as described in the above statement we hereby agree to perform said wart in accordance with the atfachpd plans and specificatio s Of good-practice listed therein. E- 7 Contr+cfors dC Name of Mechanical � Master - Confraetor (Print) -.3—or untet Name of L 6 property Owner L'v l N Signature of rjignatuh 01 OwMr Arci+I of or Engineer or Authorhe4 Agent 111. WNERAt 1N ri4N 8. A. j of heating fuel, l5 OTHER CONSTRUCTION BEING DOM!ON THIS eull.DING OR 51TlT ��rtrtc Q -------- Gas-0 LP Q Nahsral 0 Cwnfnl Utility IF yg$, GIVE NUMREIt OF CONSTRUCTION pIRMIT Q on Q Other _ specify K,AL PUMMWT TQ as 1NVAI Na'ORE OF WORK IV, �CI'MJ'I 1,zJf Residential or ❑ Gommarclai (Protide compi+to Im of compbMMi on back of this forml t] New Building space Q It.WaOd contmi 17 PAW}{�1 � ❑ Existing Buiidlny Air Coedsyoeln9: 0 Roast! � G+nftol ❑ Replacement of existing eysfern MatoM Q fit:f ��r © New installation(No system prevlouBty Installed) Halmos~ cepetlfy © Extension or add-On to existing systtem (3 Rofriponfioo ❑ oiher specify --- -- y,p.rs►. Q C,,0009 tower: Cepaeft --�— tk Q pro aprinkien� Number of hey Q Masslift Q balNor •--- Inurn6erl TH4 9PACl M311 OPFft k V$t ONLY C) Elevator (Raeeieodl Q A.toliat pump~ lm+r^M►) ` r Remarks (] Tank`- .....---(number) U LPG ponlayM Ie4mbN1 .. Q Ussfined pswfnre vel Parini? App roved by pates - (�, �ol{11s+ Partnif L11 0*W -- spKlfy _. r - LIST ALL EQUIpM$NT <� A""Vtug Apt CONDITIONING AND REFRIGE�►TION EQUIPMENT = t , beeodptk�► ![0801 Number Aram Q__ ---- _ ------1,�"_ _ _A = _ HZATING - FURNACES, BOILERS, RIREpLACBS MOW Number X"Ut Il _ .� rrertPUCK _. .. � saw Ap vine I Tr*iKs Type d IrToms►0[ NO. y - — r Tttaay ..._. • -. >�QnntalrAd �-- ' � ����� �. � y � �3, �� ,J 0� rt o� CITY OF �•,�'9��S�F c j/D A) �4&laic &4404- ;53�r P t , • Office of Building Official / � 16 +� EGIUEST FOR INSPECTI N 3 Permit No Date Time ( A.M. District No. Receive`dLj� P.M. lity Job Addr Owner's Q ,� for LDING CONC TE EL CT L SING ECHANICA ❑ nd.8 ❑ Footing ❑ ough Wiring ❑ Heating Slab ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPE A.M. Mon. Tues. Wed urs. Friday _P.M. '2— M. Inspection Final Inspection El Inspector Certificate of Occupancy Made G(�� �� Date CITY OF i Office of Building Official REQUEST FOR INSPECTION Date `' Permit No. Time A.M. District No. Received [j n P.M. c� 7 / `U f h Job Address Locality _ Owner's f ) 6 J U 4 Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& 11Framing Elg n To Out El Fire Re Roofing ❑ Slab ❑ Temp Pole p Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPEC A.M. Mon. Tues. Thurs Friday P.M. l A.M r Inspection Made j Final inspection C]Insp for t Certificate of Occupancy Date 5596 i' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH t-'t,r;P;iT INF ORMATIC) . -------- L.00ATION INFORMATION Permit Number: 5596 Address: 349 TENTH STREET Permit Type: MECHANICAL Lot: ATLANTIC Block: Section:BEACH, FLORIDA 3223 `, Class of Work: REMODEL ----------- LEGAL DESCRIPTION Constr. Type: WOOD FRAME Township: RNG: 349 Proposed Use: SINGLE FAMILY Dwellings: i Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $20. 00 Amount Paid: $20. 00 Work r R >-{ Hr• OWNER INF` jRMATION ---- APPLICATION FEES ---- - PERMIT $20. 00 IyEVIN BODGE $0. 00 7149 TEN'!II STREET WATER IMPACT FEE �w FLORIDA SEWER IMPACT FEE $0. C)(` r `I"i # t " REACH, WATER METER $0. RADON GAS-H. R. S. $O.UU ------- _ (',oNTkAC`I'!!k INFORMATION RADON GAS -- 5% $0. 00 WATER TAP $0. 00 Name . JCtF" WAT�.kS COMM RE):'RICi & � TAP $0. 0U �; Address: 321i, RJU`3EVELT BOULE'V'ARD SEWER 90. O JACKSONVILLE', FL 32205 HYDRAULIC SHARE RE-INSPECT FEE $0. 00 ict�ctpe: RAC)C)4 25'IS Type: O $0. 00 SEC. H IMPACT FEE OTHER Vin, F?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' ILDING IMPROVEMENTS.LIEN LAW CAN RESULT iN THE PROPERTY OWNER PAYING TWICE FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT JUL 11992 Bv: City of Atlantic Bch: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 _— --�--- OM APPLICATIN FOR ECHANICAL- PERMIT - CALL.IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: OF Inferleefing Streefs: Eefwaen And BUILDING Sub•c{i.is;on II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to pe•fe•m said wo-k a::roa-:e oth the etteclLed plans and specifications which are a pert hereof and in accordance with the City of Jacksom,,Te ordinances a^a s•a^ze•as good practice listed therein. Name of Mechanical Contractors O Contractor (Print) Jae C Mosler Name of Property Owner �V�r, s Sigeafure of Owner Signsfure of er Authorized Agent Arehifeet or Engineer Ill. GENERAL INFO nON A. Type-!:,f Aaating Not: e• IS OTHER CONSTRUCTION BEING DONE ON „ ^ Eietfric THIS BUILDING OR SITE 1 ❑ Coes—❑ LP ❑ Natural ❑ Central Utility ❑ O� IF YES, GIVE NUMBER OF CONSTRUCTION r PERMIT S JV ❑ Other — Specify IV. SACHANIC,AL EQUIPMENT TO RE INSTALLED NATURE OF WORK (heviAe complete list of components on back of this forst) V Residential or O Commercial O float ❑ Spece ❑ Recused O Control O Roos El New Building ❑ Air Condwoning: ❑ Room ❑ Control Existing Building ❑ Dect System: Meryl Tbickassa ❑ Replacement of existing system Maximum capacity Mass. ❑ New Installation(No system previously installed) ❑ Rehigeyt;_ VExtenslon or add-on to existing system O Other — specify ❑ Cooling !*gel: Capacity 9�D•m• — ❑ Fin sprinklers: Number of h__ ❑ Eiwefor ❑ Menlift ❑ Esceletor (number) THIS SPACE POR OFFICE USA ONLY ❑ C""ne pumps_ (number) (It-oh-4111 ❑ Task. (number) Remarks ❑ LPG coMaiar.a (number) ❑ Uefind preswro vases ❑ logo" Permit Approved by Data Otho. — Specify G"�QCG T ANOr/�� Permit Fe• A LIST ALL EQUIPMENT AAt COND[TIOMNG AND REFRIGERATION FQUIPMENT Capa�i vtar Xumber Unite Descripuon Mod Number Manufacturer X= w�? HEATING = FURNACES, BOILERS, FIREPLACES — — Number Vnita Appiewft Ussertption MW Number Manufacturer ( )y A vncy TANKS NOW Many Nac thw Capacity T"e LLquid Name of serial Aproving AW Eltmendons Contained Manufacturer No. Xgency CITY OF ATLANTIC BEACH, FLORIDA Approvedby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES ANb CITY OF ATLANTIC BEACH ORDINANCES. �i St"CT C c5.. wvv ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN C1 NAME 1 cr5'. �'a �C ADDRESS: 10 ��'�� / 2 � RFD BOX BLDG.SIZE ( oN�� BETWEEN: RES. O APT.( ) COMM. ( 1 PUBLIC( ) INDUS.( ) NEW( ! OLD O REW.(>d ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. ( % SWITCH OR BREAKER AMPS PH I W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH I W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS 77'77.77tv< c✓ C TRANSFORMERS: UNDER 600 V. OVER 1XI V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES s i 5535 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH �,t _jidiATION - LOCATION INFORMATION --- Permit. Number: 5535 Address: 349 TENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223: Class of Work: ADDITION - - ---` LEGAL DESCRIPTION Block: Section:- Constr. Type: WOAD FRAME Lot: Township: RNC: O Proposed Use: SINGLE FAMILY Dwellings: 1 Codec 0 Subdivision: Estimated Value: $0. 00 Improv. Cost: S0. 0C Total Fees: $29. 00 Amount Paid;, $29.00 Date Paid : E,!22/92 u :«aahin- machine Work De. r:; � ar�t�' t-i� 1 1.�°fatory, r..lz;r.ei. sYic,, 9 - - - - OWNER IN17ORMATION --- APPLICATION FEES ---- .,,>: KEVIN BODGEPERMIT $29. 00 '_:349 TENTH STREET WATER IMPACT FEE $0. 00 FEE e f • OO BEACH, FLORID$, F'.t�cz (904.)% ,- 5. 8 2 RADON GAS-H.R. S. $U• UU ----- (,pNTCrA, TO � . NFORMA`Ttt�N RADON GAS - 5% $0. 00 WATER TAP $0. 00 Fume: VOSHELL & FINNEY PLUMBi:Nb SEWER TAP $0. 00 Address: 1867 CARAVAN TRAIL #10:1 HYDRAULIC SHARE $0. 00 JACK19ONVILLI , FL 32216 REINSPECT FEE $0. 00 xcen$E: CF 0053962 Type: O -SEC. H IMPACT FEE $0..00 OTHER � o') NOTES: Z-3 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 IMPR�V M N o�L2,,9` ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE IFEVOCATIO f VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE P ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:--39i- -f h (� PLUMBING CONTRACTOR: e L i� LICENSE NUMBER: C---F C v S3 OWNER: k1c I i -� BUILDING CONTRACTOR: N / �- S TYPE OF BUILDING: SINKS SHOWERS ' LAVATORY WATER HEATERS BATH TUBS ' DISHWASHE:tS URINALS DISPOSALS -_ CLOSETS WASHING MACHIXE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: __; �+ $15.00 = -------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST v RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 9 TIC BEACH FLORIDA CITY OF ATL ANTIC � ; Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 5 L 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 ANb CITY OF ATLANTIC BEACH ORDINANCES. � I ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNAWRE �•1 `�" ,JOURNEYMAN NAME ��5 ADDRESS:--a y 9 r� S7 RFD------BOX BLDG.SIZE BETWEEN: RES.r) APT.1 ) COMM.( ► PUBLIC( ► INDUS.1 1 NEW 1 ! OLD( 1 REW.( ) ADDITION (4 TRAILER ( ► TEMP.1 1 SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE( ► REPAIR ( ) FEE o0 CONDUCTOR SIZE AMPS '2-o p • COPPER ALUM. SWITCH OR BREAKER AMPS PH D W L t, VOL S�vRACEWAY EXIST.SERV.SIZE AMPS PH W Z y VOLT s J RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGKTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMM. i1.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OV[R APPLIANCKS BELL TRANSF. AIR H.P.RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS: EIL HEAT: KW 4EAT 0'I OVER MOTORS H.P. VOLTAGE PHS NO. I H.P., VOLTAGE PHS MISCELLANEOUS I TRANSFORMERS: UNDER 800 V. OVER 600 V. NO. KVA NO. I KVA , NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHEFq EACH SIGN ¢ FORWARDED TOTAL FEES i I Address C( O 7 C S 71 `S H > 3ol Heated Square Footage @ $ per sq ft = $ Garagdj�&p CU @ $ per sq ft = $ / -- - Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft TOTAL VALUATION; $ 1 a D Total Vacation 1st $ p t776 . 06 5"Cc) Remainder Valuation o per thousand or portion thereof �D 6 ; Total Building Fee --------------------------- $ ADDITIONAL PErd,= and/or FEES REgJIRED i + 2 Filing Fee $ 0 Fireplaces @ 15.00 $ chemical BUILDING PERMIT FEE $ O © (� Pltmbing i Electric/New L------------------------------------------------ Electric/Temp BUILDING PERMIT Septic Tank WA1� MOM CHARGE $ r Well SES IMPACT FEE $ Mmdrig Pool WATER i PACr FEE $ Sign MISCELLANEOUS $ v Water Connection /Z CL dA-A- Sewer Connection $ Water Meter Elevation Certificate SND TOTAL DUE CALCULATIONS and/or NOTES C o(? iem CITY OF BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD P.O.BOX 25 REQUIRED SUBMITTALS ATLANTIC BEACH,FLORIDA 32233 Each application for building permit must be accompanied by two complete TELEPHONE(904)249-2395 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APPLICATION CHECKLIST 1. Building Application form _ 2. Two complete sets of plans SEP 20 1990 _ 3. Detailed Site plan 4. Recent Survey, if required Building and Zoning 5. Owner/Builder Affidavit* *Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical. plumbing call for cover-up on building, use building permit number and reference other app licable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspections. CIT`` OF /�' PROPERTY DESCRIPTION %r �a& 2-7 G[2- - �L►�C�LGG 716 OCEAN BOULEVARD Lot #J-� _-Block # -__Section # P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 T�l�/,1,C TELEPHONE(904)249-2395 Subdivision: -------------- _ ____�_` _�__�i_y`•-� Street Name (� I ---- DESCRIPTION OF WORK or Address: S1 S1 � -------------- If in a FLOOD HAZARD Flood Zone: N/A ltaSkA o( ______________area complete page 3. Brief 8 X12 �� Ola1e O�.��11 Description:_____________ __________ Class of Work: Ne'j (New/Remodel/Addition)______________ 'j/ ZONING INFORMATION TimLer 404*f wooden Type of clerkJ' jrD'Jl- Construction:_____________ -L-- -- Zoning Proposed rjv. 0 0 Use: Estimated Value $__ __ ________ District: ------ _______________ Materials: �imber ______________________ Exceptions or Variances Granted:------------------------- Solid or Filled ------------------------------------------- Ground: Roo ---Roof:D Trl1SS OWNER INFORMATION Method of Heating:_N o^e- ---------- Owner: __-_-_-_-- Owner: Phone: �7--6`�1G►4�2 a� Property ------ - --- e -------------hy Mailing o � 1 , p Address-- SS -4----I C.S r� __C�tJ--------------------- �k 1 � _3 221 �`qa --TGlGI�sIJn�� 1�__�L------------------------- Zip - -------------- (Add,css 3q.? lo-tc S+, .4+(. gn--c4 322-33 'pl- to/25-4j. APPROvEo CONTRACTOR INFORMATION C111 of ATLANTIC BEACH 52,� Phone:u-_____------ Contractor:--------------------------------------------- Mailing Address:------------------------------------------------ ----- Zip:--------------- ---------------------------- Expiration Date:-------------- License Number:----------------------------------------- I HEREBY ,CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS Sc CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING r '# DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. G� Date------------ 12 �1' 7 Owner Signature Date� ------------ y. Contractor Signature--- ------- --------------- .)-A. FLOODPLAIN DEVELOPMENT INFORMATIOII !v / Type of Development; -------------------------------------------- Flood Zone: ----------------------- Required Lowest Floor Elevation: -------------- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the pians and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature--_----------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department _-_-------- ----------------------------------- Building Department Representative page 3 2 12 Q�of�oSEo STo(ZA&C L� j-�ousE vcH09 X349 eNG_2 PIV6(Z- ;Tug$ 1 -r��JT1-t ST� D CITY ?OFPA GNT CH FICE gtJCL�tN /2'o 44 4 (TYP) 2'6 T P �-�Zx� $EaM C-rYP.) 1VINR�,n! 2x6 �Ecki�G EYP 1'LAW 2X4 STUD ('f YP) ;ce,E�l ANurosz �qcK co,cn/�R To COOeAOC It 2x2 �tAcKi�l� ZX4 SnDS TYP FauI coaA,frz "Dc�o4Z W I N 17�7Y�1 vd/wI AI DOW ;K FDUIVDATLi✓ (DEC/0 PAa f � I r i D CITY 0 PAANTIC FBceCH gUl1.Dl t OCT pg19.. ) i I/2"CDx PLY W/SNiAAC (-2-K4 TRUSS (TYr) (Nor SNowN) cuP(tvr.l 12 NuRR 16" CLIP /rGir 'Y O,C. fAelq V55 . � J r 7)4 CAP H(I f Cup LIP wl' EvEQY sr✓o 2r2 2X4 8L4UTAI6, 5rizl,j 6C Tv Jo/N CTYP.) cv�uE� l STUV5 13 311 (rYP) Zx(n BEAM (,�IHITE 3/0" PA W I- 5/g''7NRu- LAG B o L.T5 9DLTS pf(K W6- 4 K 4 O.4 C1CA 411:3 . � �•- i �� MIN/ (o" FXISTIAJ& Cs,eamE CoucQE•t� MirJ. ' Flt L g" ANN0?- AROUAiD Post' (Q (ofNER51 _►--�- u Li A(.T-5, R�V EBEAC� C1TA PA11GNo�FFr�E Blur-.p�N i 212 r2- 12 Ix8 i �SIDING i 1 OWNER BUILDER PERMIT AFFIDAVIT - State of Florida > City of Atlantic Beach > BEFOR ME, t��.g undersigned authority, personally appeared J� who upon firbt being duly sworn, deposes and says: u I -� � ILI � ' and the legal owner of the following grope ty: Subdivision A C- T'�'�J -------- Block -----J 3 ------ Lots _ -____-- AKA __��q__ _S �_ _-I -z ------- I' am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 480. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEME14T State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of 925, 000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. -------------- Pi ty wner Sworn to and subscr;Lt)ed befor me this � f___ ay N_ y1 _� 1 OTARY PUBLIC My Commission Expires: NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires Mar. 31, 1994 0003016 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH t'l:MnrT' rtt!='Ct!'B?4ATxY]H - - LC1t^.ATSCIH Nerrait ttumDer : '�Ir"EET 3+ali�'+ address: :'►t!'°+ `t`1~1K'�'H rermlt Type: 9ur215 A'TLAH'Tri. RLAc", PLORrDA '32'2'3'3 pE'BtftrI-TT0- - - t,jLass of xorx a AffCfITSCSH piock: erection Constr. Types WOOD F tAnM Lat Township: R proposed Use% UTIL.xry BuILH DIo Dveilings: 1 Bode: t`► �'Subdl1v1s1on : Estimated value% no xmprov. Coffst % 00 Total Pees% �'JK�. 1.1fe Amount Palo: $'3D• � nat a Paid: Wor KnE LatISL.Zt H>'�#t `w9TORAUE �3HL''Ci - - tltlMER IttF't�ItMATIOli -----__ . AFPt-1CATX0ft PIC" --- �"L17ltI'f' Hattie : ltRY H & ltAHC`Y ftEETBODDLW- WATER rnPA 'T EE 910.00 Address: 3y`ti TC"TH *- LrT �W W1l✓It IMPACT Ffs'E 1510.010 A`TLANTtr HEATH, IrL0tcToA 3a !00. WATrR "ETMR Yhone: c`3k� 4'�>g'r-I ll ftAvOH OA?t-H, ft. df. 920."11 ftAnoH UAt% 901. on _- l CIN'TRAt.TO t rttfit]fRlSATIY H 150.fo" WATER `TAW Name, >< "OPE"'ry OWNER KSEWER TAe 9t?.+o0 Address: "Tbf AULIC 15HAR 'C ®AU• M License: 'fYP'e% 1 l�tZ-IHtSPMT FEE 50. 00 SEC. H 3">r[f°AG'T Ir'LfE Grp. C►Ct O THEf4 1510.M3 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE [BUIL:DINGMATERIAL, RUBBISHAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE LEAUP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. LIEN LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANIC U'ILDING IMPROVEMENTSiN THE PROPERTY OWNER PAYING TWICE FOR B ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTI BEACH BUILDING EPARTMENT By: 5230 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r';=xTi1 ! iiii-CIRI°IA'iION -- ---- LOCATION INFORNATI0N ------ Permit Number: 5230 " tress: 349 TENTH STREET Permit Type: ?ir�. .� BUILBTNG ATLANTIC BEACH, FLORIDA 3223:` Class of Work : ADDITION ------------ LEGAL DESCRIPTION ----- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 qubdivision : Estimated Value: $12720. 00 Improv. Cost: $0. 00 Total Fees: $232. 50 Amount $232. 50 r, r ) r 01) Wort; '.` uDIT UN PER PLAN, MINER INI:`URMATION ------- ---- APPLICATION FEES ----- Name: KEVIN & NANCY BODGE PERMIT $111. 50 e, �: ,- �;,:; • 3-!9 TENTH STREET WATER IMPACT FEE $120. 00 ATL.AN';"IG REACH, FLORIL SEWER IMPACT FEE t'hc arae (90A )249--7032 WATER METER , ,.`i RASION GAS-H. R. S. $0. 00 CUNTIRACTOR INFORMATTnR RADON GAS - 5% $0. 00 Name: PROPERTY OWNER WATER TAP $0. 00 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 - 1 cense: Type: RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 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 F"FAILUR:E TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN HE PRPERTY OWNER PAYING TWICE FOR BUILDII��I�T M MTV E4/30/92 " 50 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANW VECT TO•Rf TION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $.OQ ECEIPI ATLANTIC BEACH BUILDING DEPARTMENT By: - Adcress , c ( � ! c 1 S poi r� o� w Heated Square Footage c(O @ $ S-3.O O per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $--3 per sq ft = $ TOTAL VALUATION: $ 7A2 TotaT Valuation lst $ /v r Rffnainder Valuation per thousand or --------------------------------portion thereof -----� Total Building Fee $ �So� ADDITIONAL P=TS and/or FEES REQUIRED ; + 2 Filing Fee $ 037 S � 0 $tilechanical Fireplaces @ 15.0 - Plumbing i BUILDING PERMIT FEE $ //2-S e Electric/New t/ � �--------------------------------� -------------- Electric/Term � .5 Septic Tank BUILDING PERMIT $ 49 1 Well WATER METER CHARGE $ - SEWER IMPACT FEE $ Miming Pool --0 -- Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ — — Sewer Connection Water Meter $ Elevation Certificate GRAND TOTAL DUE ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES FLA. IRS? LAWS 6J::;M;0 FORM AOe F[ 713.13 N 'Ire f � � nt IWI[/AA[111 DUFLtCA1[I A to fnhtmt ttumv The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriptionof property...............................1.»......»...»..................,.....................».».»..»....»...»........»«».............»........»................................. 3 _I?r� S. a , ac� i FCA 3 a-D-3 j .................... ........... ....._.»........»..............»..».��..»..»».»»..«.»..._......»......_.......».._»...».... .._....I.................... ............................................................................._..._..»............................._...................................................»_.......................:............................. _......................................_............... .................................._............................................ »«...«.�.................»..»... «.»......._.,......................... General description of improvements...« .. .�...�...... »».„X I .....,»»«.»7' C�oo!�U ................ ................................................... .... ...........................................»................»..... .............. ...................................... �ySL Owner... ... ........................... ......................._................. .».1.............. » ...........«...»«.........»............».»».. ..»». Owner's interest in site of the improvonvW.........t.�e....S�M.(...I« ....»«.....................»......».......««...........»................................ Fee Simple Title Wder (if other than owner) ......................................................................y....................................................................................................................................... ............ Address..................................................................................................................................................................................................... - s Contrador.............._....._..................»........................»......................M......................................................................».»..........»..............«..........» Addreu------- . .. »«...........................................»»..........................................................................,......... .........»»_ .._.................. Surety (if ....................«.....«.................................................................................................. ... ......»»».»»».......... .... »..«....» Addreu-.-•�_.........».._.........«.......................................«......................»............»............_................. t1101 t of bond $................I............. Name of person within the State of Florida dssipoled by owner upon whom wives or other doo nwds may be served: ....................»......»...................«..«.....................................................«.«.. ».... ........».. ...._...«..........._..................... ..._...._...................................».....................................................................................................«.............................................. In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name........... .. ...»......._.. .............................«...............»_... «.......... ............»».«......»......«...«».......... ........._......_.»......» ..... ..................... Address.................»............................................................................................ THIS SPA=FOO 11119COR06O'e uet ONLY � ............ »........».»...«. ............»............ 1.. Swom to Iyod Not" Pubk PATRICIA 11VIONEI I NOTARY PUBLIC, STATE pF FLORIDA My commission expires Aug. 27, 1992 Commission- No A ,y,8 8 1 7 8 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS O�L_\Tk�--sot,�Owner(s) :�Ev�� � jL I o—obE Address yY�t✓l L _ , _3aa33 Phone.«49- 703'i- ��8�_611� Wojer) . -------------- Contractor: / Lot # 2�_ Block rror Unitr#_,,,,F5__ Subdivision:�A _ ________ Contractor: 1t w'-J:L r T-) rr Tr r_rrrr__-rrr_-r_r_r_r_r_r_ Describe work to be done: 60.1'as 0' t ISIS}in� Yeo A e v�ri'<{. --------------------------- ------ ------------------------------`----------------------------------- Present use of building:_� j_C�_en �____________r__--------------- Valuation: __________r___Valuation:__1�?�0 0_ Proposed use:..._heS! e1c'L _______________ ------------------------ Is this an addition? _� If yes, what are the dimension of C� x I � and (12 xl+t� �l �(�n �� al}a���� deck ti� the added spaces---------ft. X ---------it. Will the added area -Vyes 4be heated and cooled?__yeS4 Hew . electrical (or increase)?_____ New plumbing fixtures?WS Hew fireplace G_Hew Heat/AC?_ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. L��q /52- Signature OWNER:_ __ Date:___________ Signature CONTRACTOR: __ Date:___________ APR 91992 Building and Zoning 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. C) _BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) �. WATER CLOSET WATER CLOSET, TANK 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) 4LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUMS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) t BIDET (3) 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) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ C� JOB INFORMATION q 7 OWNER BUILDER PERMIT AFFIDAVIT_, atFatr' of Florida 1 City of Atlantic Beach 1 BEFOREE, the undersigned authority, personally sPNearad ----_. who upon firmt being duly sworn, deposes and' says: Z, 7 v((\) -� _ owner (jf the following-pr-ope__- - ----ty - -- and the legal Subdivision Block -�'C3 ----- --- -- AKA - _ Lotsam ��Cv ng for a uilding permit - pursuant 110 the Owner Builder exemption Florida Florida law requires that I havebeana Statute, Section 989. 103. DISCLOSURE STATEMENT: provided with the following DISCLOSURE STATEMENT State law requires construction to be done by contractors. licensed You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to ;act as contractor your own even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or farm outbuilding, a commercial building You may also build or improve a at a cost of $25, 000- 00 or lees. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lea's& more than one building you have built yourself , within one year after the construction is complete, the law will presume that which iyou built it for sale or lease, construction a violation of this ex&mption. Your must be done according to building codes and zoning regulations. make sure It is your responsibility to required that people employed by you have licenses by state law and by county or licensing ordinances. municipal I hereby acknowledge that I have read the above STATEMENT and that I comply with all DISCLOSURE the requirements for the Issuance of an Owner-Builder permit. Further, affiant sayeth not. Property -yno - Sworn to and subscr be before,me thi,q _-- Y MOTARY PUB XC My Commission Expires: PATRICIA AMONErTE j10TARY PUB;,;C STATE OF FLORIDA My Commis;i0n oxpires Aug. 27, 1992 COMM'Sslon NO A A 5 g 8 1 7 8 w i FLORIDA ENERGY EFFICIENCY CODE FORM 1000-C-91 FOR BUILDING CONSTRUCTION , SMALL ADDITIONS Section 10— Residential Prescriptive Compliance Method Climate Zones AND RENOVATIONS Department of Community Affairs NORTH 1 24 Compliance with Section 10 of the Florida Energy Efficiency Code may be demonstrated by use of Form 1000C-91 for additions of 600 square feet or less, and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1000A-91 or 900A-91. PROJECT NAME: 34TENTH ST•, ASLANTIC BEACH BUILDER: OWN E R AND ADDRESS: FLA 3.33 PERMITT G CLIMATE LOT 26 OFFIC /Y.,�A/tir ? ��tc� ZONE:_ 1 ❑ 2 ❑3 OWNER: PERMIT JURISDICTION }CEv►rJ R. and NANCY J'. BODGE NO.: . n NO.: WE C. NEW CONSTRUCTION ❑ CONDITIONED�SO NEW GLASS AREA AND TYPE_ I If Multifamily,number of 2 FT. I;RF4Tpane n FLOOR AREA units covered by ADDITION PREDOMINANT Single ingle (��SO. this sutAmittal: EAVE OVERHANG ❑� � ane FT. MULTIFAMILY ATTACHED LENGTHFT.PORCH OVERHANGrn (n� Double Double�SO. SINGLE-FAMILY DETACHED LENGTH ❑� 1U]FT. pane [D"FT.FT. pane FT. FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION WOOD FRAME MASONRY INSULATION WOOD _MA6eftR f- EXRERIOR: � � (� EXTERIOR: -ERIOR: UNDERATTICRO RAISED: ' 9 ❑RARSED: M_ ❑ PERCENTAGE ADJACENT: ADJACENT: SINGLE ❑ COMMON: OMMON: OF GLAMSS R= A ❑ R= ❑.❑ ASSEMBLY: R=��J R= ❑.❑ R= ❑•❑ TO FLOOR: 2 °�° COMMON: COMMON: — IJ A ❑ ❑❑ COMMON: R= R= R= R= ��❑ DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM In Neat ❑Electric ❑Solar Central Electric Strip ❑ Unconditioned ❑ ❑ace ❑Pump Natural Gas ❑Heat Recovery S aRoom ❑ Natural Gas Other R= � ❑PTAC El Room UniUPTHP Fuels ❑Other Fuels ❑Dedicated Heat Pump ❑ In Conditioned [No New System [:] Q None No New System EF=.❑ SF/EF= �Y SEE None ❑,❑ Space Ne LrJ No New System R= rA R/EER=❑•❑ COP/HSPF/AFUE=❑.❑ NUMBER OF BEDROOMS= D •� /Aa(d t },o„� (,3 I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates the Florida Energy Code. /Q compliance with the Florida n gy Code. Before constr ctio I�completed,this (+/I 31"I Z building will be inspected t r copliance fn a ordancelth coon 553.9013,F.S. PREPARED BY: __ __ DATE: 1 , BUILDING OFFICIAL: � �--'`— I hereby certify that this building is i omplia with the Florida Energy Code. ••``// OWNER AGENT: DATE:�1(_�3�_1 ZDATE: 7 ---- TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES ' COMPONENTS SECTION REQUIREMENTS CHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack(includes sliding glass doors). ✓ Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. ✓ Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. ✓ Sole&Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors. v Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. V Fireplaces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. A Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, N /A Heating except for direct vent appliances. / Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) WA cutoff(gas)must be provided. External or built-in heat trap required. Swimming 904.3 Spas& heated pools must have covers(except solar heated). Non-commercial pools must have a NIA Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, 1`4/A piping heat loss shall be limited to a maximum of 1_7.5 BTUH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione ✓ Insulation&Installation space and must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. N Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. t/ - 1 - CLIMATE ZONES 1 2 3 TABLE 1OB. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete R-1 _J1991 1992 H ood frame.2' x a'y _ 1' �--- Q Central A/ SEER= 9.0 10.0 SEER = a oo rame,2' x 6' R-19 _ O _- -- v CRoom unit or PTAC EER = 8.5 8.5 EER 3 ommon,Wood frame' R-11 _- -- Common.Masonry' R-3 -- --- 0 Electric Resistance ANY z ~- ea ump HSPF= 6.4 6.8 HSPF = Under attic R - w Single assembly R-19 _- - = Room unit or PTHP COP = 2.6 2.7 HSPF/ _ "' Common,Wood frame' R-11 -- w HSPF=6.1 6.1 COP v U Q- Gas,natural or propane AFUE =.70 .78 AFUE _ b on-grade No Minimum u� o �s wood 'A19� Fuel Oil AFUE =.76 .78 AFUE _ Raised concrete `�`� _ Common Wood frame R-11 Lu _Electric Resistance EF - 88 EF a ?< t 5 7 (/v In unconditioned space 1991 1992 3 Gas,natural or propane EF = .54 EF = R-4.2 � In conditioned space No Minimum a: Fuel Oil EF = .54 EF = 'Common components are those which separate two conditioned living units in a multifamily budding TABLE 1OC. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY(Renovations see 3 below) Maximum Installed Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient.See below. % __3_0 % ___12_01-;)_ GLASS TYPE, OVERHANG,AND SHADING COEFFICIENT(TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 30% UP TO 40% UP TO 50% Double Single oubl Single Double Single Double OH-SC OH SC OH-SC OH-SC OH-SC OH-SC OH-SC 1' - 1.0 0' - .904�p 1' - .90 NOT 2' - .90 NOT 3' - 90 01 -.8B 0' - .70 ALLOWED 1' - .70 ALLOWED 2' - 70 0' - .65 0' - .50 1' - 50 11 1 01 - 40 Shading coefficients(SC)may be obtained from the manufacturer of the glass.Typical shading coefficients are:single paned clear SC = 1.0,double-paned clear SC= .90,and single-paned tint SC = 86. Form 1000C may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES.Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form.The prescriptive requirements in Tables 10A,1 OB and 10C apply only to the components of the addition,not to the existing building.Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS. Residential buildings undergoing renovations costing more than 30%of the assessed value of the building must comply with the Energy Code using this form.The prescriptive requirements in Tables 10A and 108 apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1. On the left side of Table 108 in the column titled"INSULATION INSTALLED",indicate the R-value of the insulation being added to each component.On the right side of Table 10B indicate the efficiency levels of the equipment being installed in the column titled"EFFICIENCY INSTALLED".All R-values and efficiencies installed must meet or exceed the minimum valued prescribed in the preceding column for that component.Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass panels in doors which are more than 1/3 of the area of the door.Double the area of all non-vertical roof glass and add it to the previous total.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to get the percent.Find the largest glass percentage under which your calculated percentage falls on Table 1 OC.For example,29%glass would qualify for the'Up to 30%"column.Prescriptives are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC).Any pair within the selected"Up To category is acceptable.For a given glass type and overhang,the maximum shading coefficient allowed is specified.Indicate the category into which the percentage falls in the box at the top titled"Maximum%_ ".In the next column titled"Installed",indicate the calculated percentage of glass in the addition.Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 10C.All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Only glass areas which are being replaced as part of the renovations need to meet the following requirements.Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meet this criteria must be either single-pane tinted,double-pane clear,or double-pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read"Minimum Requirements for Small Additions and Renovations',Table 10A on page 1,and check to indicate your intention to comply with all applicable items. 6. Read,sign and date the"Owner/Agent"certification statement on page 1. 2 CITE` OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time ^D� A.M. Received P. / M. Job Address L � Owner's Contractor Name (a2�� BUILDING CONCRETE PLUMBING MECHANICAL Framing 0 Footing C' Rough 0 Air Cond. & C Re Roofing 0 Slab C Temp Pole Top Out 0 Heating Insulation 0 Lintel ❑ Final ❑ Sewer 0 pre Place 0 ab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P•M A.M. Inspection Made r- final Inspection Inspector — n Certificate of ccu ncy u Date