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328 11th ST (VAULT) • i f w JOB Aii1[ES.S L � =E WORK 2k� PROPERTY OWNER // �!�/JG� PHONE 4�5'/o2 •� �1 CONMCTO1e H&VE o7 8'D D� PERMIT'NU30ER _DATA' INSPECTIONS.• POOTTVG �'�y SLAB Mfr 1 9 TIE REAM L2= NAILINGISM=Q FRAAITVGICOVF-R UP :2 LVSULAT7ON 3-z -c> FLVAL BUILDING 611- -/'9 -10 a �T � ITE OF OCCZTPANCY eta✓" y-/$'-av ELEt CAL PE id INSPECTIONS ROUGH FEVAL MECHANTG4L PERAdM IZVSPEC77ONS ROUGH F12VAL PLIIALRLVG PFVAJ T'# LVSPECTIONS ROUGHA7"ER STAB TOPOUT 2_2- _� WATE•R/SENER 5� S FEVAL�- NOTES A11''-- //CITY OF Office of Building 1fici REQUEST FOR INSPECTI N Date Uy Permit N(P 0 O U Time A.M. Received P.M. / I :Z 4 /JaZI-7- Job Add oca ty ` Owner's /n n /1 Name Coractor nt BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. G v A.M. Inspection a PM. Ins p or nal Inspection ❑ rtificate of Occupancy❑ Q 0 / ate CITY OF 4&a z&c 3eaa,4-0;&U-4:& Office of Building Official REQUEST FOR INSPECTIO Date ! mit No. © 3 Time A.M. Received �MS 3z 77, Job Address Locality Owner's Name Contractor 411-1,6, f BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ oo mg ❑ Rough Wiring ❑ Rough ElAir Cond. & 11 Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ r DD C— Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. !S�— Friday P.M. Inspection Made "'� S�eP PcFrt;F Inspector Final Inspection ❑ Certificate of Occupancy ❑ 7 — HAO TO TEA✓l O t�7f Date 6,<(6t&U04c_ S TSF L CITY OF ATLANTIC BEACH � t DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - __ .-- ----_--_ LOCATION INFORMATION __PERMIT INFORMATION Permit Number: 20727 Address: 328 ELEVENTH STREET Permit Type: DEMOLITION ATLANTIC BEACH, FL 32233 Class of Work: REMOVAL Township: Range: Book: 5 s :7+1/2 9 Block: 13 Section: Lot Proposed Use: SINGLE FAMILY l ) Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION ame: AND Date issued: 10/04/2000 NREWS, BRUCE AND SUSAN Total Fees: 100.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 100.40 JACKSONVILLE, FL 32225 Phone: 000 000-0QQQ Date Paid: 10/04/2000 _ _. �__-- ----- Work t)esc: DEMOLISH AND REMOVE INGROUND_PO_OL_ - -- - - - CONTRACTOR S - i - APPLtCATtON FEES ' PERMIT 100.00 SHAPELL'S INC. - _lnspections Required - NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,A ND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER_ — "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN ,LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS ---------- ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -- – (188.88 14 -- _C - — - Date: 18/84/80 01, Receipt: 8988848 38484 ATLANTIC BEACH BU DING CHECKS — HPR-12-20LIL 03:55F FRLIH: c4:-s P1`_ Iii:y1,81C'I P: i 1 CITY OF ATLANrXC BEACH PERMIT APPLICATION RE.MDEL, ADDITIONS, OR ALTERATIONS (� M VING, DEMOLITIONS Owner Job Address: Phone: Lot Block or Unit $ Subdivision: Contractor: SyNG W5 Ln L State License A Address: (D� �ULIt;s Phone No: City�acJcso✓\V\�\e, State t C— _ Zip Code3�22 Describe work to be done: Oar 1\ �e+M �Sh Qn� vp Present use of building: Valuation cf Proposed Constfuction: Proposed use: N f\ Is this an addition? N If yes, what are the dimensions of the added space: ft. x ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures?0A New fireplace?NPT New Heat/AC?NA STIBIIT TMUZ (G CI.A.L) (RVsral NTru) COWLETE ssT8 Or PLANs, INCLUDING BITE PLAN, HMVEY, X CODE FIOPJW, NOTICr OP COMMMMMT, AND OfY1 EPVCONTRACTOR AiTIDAV#T IF 79 NTR/1CI`OR. ignature OWNER: / q Date: O-7 d 0 ignature CONTRACTOR: Date: Q12-7160 AS TO OWNER: Sworn to and subscribed before me Chis day of 2000. ZOOZ'9Z AInF sandxa uois iwwo3 RW ?odo,+ o�y,' ^ L6£Z9LCD 'ON uolsslwwoD L^ °� NOTARY PUBLIC AS TO C(Jt~!'rN ,3 :T6A5 J111Ind AHviON =% :. �; Jt1✓ '; " 1 VH934 • Sworn to and subscribed before me this-22--day of `�1 l�� 12000. ",1 DEBRA C. MARW& R UBLIC NOFARY PUBLIC,STATE OF FLORIDA Commission No. CC 762397 �''•°;,`,:`` 'Ay comm Sion expires July 26,2002 bL( regi NAMe ADDRESS DA 'E Building & Zoning inspection Division 220 E. Day Street Room 100, City Mall Jacksonville, Florida 32202 Attn: Building ConsLrucLion Supervisor Re: Building or Structure Demolition at O in Jacksonville, Florida 1 , the owner of the real property locates] at the references] address, certify that the subject property wi.l.l be we]_1 graded, clraine gra d anc] ►nainLained within >r�ven (],-)Ys struc ure is removed . after Lhe 'Z Own r Signa e Sworn to and subscribes] before me this clay of DEBRA C. MARSH NOTARY PUBLIC, STATE Of FLORIDA. commission No. CC 762397 rotary Public !;N'?OF'*I- My commission expires July 26,2002 CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTiC BEACH,FL 32233-TEL 247-5826-FAX: 247-5877 PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 20300 Address: 328 ELEVENTH STREET Permit Type: SWIMMING POOL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est.Value: Parcel Number: Improv. Cost: 37,000.00 OWNER INFORMATION Date Issued: 6/28/2000 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 30= 292.50 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 292.50 JACKSONVILLE, FL 32225 Date Paid: 6/28/2000 Phone: (000)000-0000 Work Desc: SWIMMING POOL _ -- - CONTRACTORS ��- APPLICATION FEES __ ._ PALACE POOLS, INC. PERMIT $292.50 - - Ins 'ons Required -- FOOTING STEEL COVER UP FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 'oW'U u g 5D 14 1 Date: 7111/00< 640-1 071519 ✓ - -- — 58 8 AATLANVACH B DING DEPT. CHECKS , i CITY OF ATLANTIC BEACIi APPLICATION FOR POOL PERMIT „ob Address 1 Lct R �' Z nF Cf Block # 13 Subdivision45 F 0•.;rier Address Contractor ?4-(AC-5 Ac.c?ress 314 ,4-6t-v —?c7( -- T 2)r' �9,4)e ��- TELEPHONE: ZW • !/1fi License Number atO6 oLIS-Z Z 7 Valuation S 3� ovej. a-y Gallons ciepk.;7. SITE PLAN front cp N N r• H• r( rear Sicnature 0 rier Date mac' Signature Contractor Date '3A ti Do i a _a Ecr o a M 'ma 00 3 M o a 0 C O �' N N ¢` O a w I W 00 ° a �"� a N e- 0 r. n r' a M y 0 a 0 M ° 000 m Z IL t O N a LL U N v N '' Li . M M N IL m a = r- N '= CE906 g ti U M II II cc x IM 'a m c a' o U, m 0 N N c c � N r h��• ' r O s•uz' N N c o 9,9 0 LL CL N LO 'ui L 3182 N � L M LL D J •u! L L'U L uj 0 d 0 — 0 0 ® a c aM � 0 oun Avedoii Z I - yrs a AAR �eD,m-Gir nOxct�t df7'ri1 4 f w„F x"ars AMV I Mf0��5�F63L30 dA�1.2.77,a&1DIY map A--UMW SV,, �v ar • Sl'eL–l-rZ 60'42 ! 377!/iAR?5a1:?M'/' 3l117S Am 5�00�311rat Y£! i l i� f0 MALL Ya�ftfiraC7 1,$L+7El[ lON siou awv .4'MW CUJQ907� MCICL? LL.7Tt"JS SY'�*"— Yd rdW!)7.e f~'7�u.r�i.r�,r aG. iA2 &L *iay "7—,�Vjf$f,jW IWVW W �M?r tXlIYS�S'! Q7O7a lNV1LNi �Yy Ql $dYaIsL/Y A+q�/ay� ok r { 14 j I p � i ti t f �y' •J J �f �J -L II cc++ I • ,. J l'� 9 oT s ILL in7 � fa2 - �, w9 I ti4 1 46 L .r 4.Al JJ 6�J S39Yd��at"SOB 1 r'7d hG+ �p�y ry- � 0 7 s��— Z07 +fiQ AWMA�f O �,hMmOJ SY f/� 9111 US SQO�I n�roaasFws :EQ .P, r.I 5 f31�:,5 C-441 Ii11H •OP AppJ,ol BoFc� Y OF ,decfcA_G; . of Building Official R .EST FOR INSPECTI _ 5' Z Date K � Time tel' O Received q /91619 M Permit No. / LL. t Ll O Job Address Ir— Owner's t Q Name r V /�f 14—C—. I Sly S�xl A/I Locality BUILDING ontractor Framing ❑ CONCRETE ELECTRICAL Footing PLUMBING Re Roofing 13Slab ❑ Rough Wiring El Rough MECHANICAL Insulation ❑ Lintel ❑ P Pole ❑ Top Out ❑ Air Cond. & ❑ ❑ Final ❑ Sewer ❑ Heating READY FOR INSPECTION ❑ Fire Place ❑ Mon. Tues. Pre Fab Wed. Thurs. Inspection Made Friday A.M. A.M. —P.M. InspectorPM Final Inspection ❑ Certificate of Occupancy❑ Date E C i Q°,�OFQ� OQ 4. tea. 4l Vr y VOA°off a °°0 O Z° Q 00 �A\'� Q m J a0 P 5 a Cy � 9 �C m i -o 0 0 m 5 n 1 i 1 v ?m a o. K 0 ik m 5 00 m a, 0 � � € ohm M O N � O n d I A 0 aim (D -2 —1--4-4 Q 3 w (D (0 Cr tQ m 0 .� fn iq- S O O A O m m _. Book: 9657 37301 Pagge: 535 Filed & Recorded 5 MIN. RETURN HENRY 06/20/00 W COOOO C09:16:x3 An W K NOTICE OF COMMENCEMENT CLERK CIRCUIT COURT In PHONE #,PZ�' ���4--~ DUVAL COUNTY The undersigned hereby informs all concerned that improvements will be made to certain TRUST FUND $ 1.00 � g Y P COPY FEE f 1.00 real property, and in accordance with section 713-13 of the Florida Statutes the following RECORDING $ 5.00 a information is stated. CR (a PI-e LST ` �� F q u� r 0. Legal Description o/Property: Z / 3 Owner(s)Name: 5015A-1- h C d'P9-�S N Address: 12 (o 3 v V ,-r - A/ Owner's interest in Property: 0� Fee Simple Title Holder: J 0 Contractor: Michael A. Paluszynski DBA Palace Pools Inc. 394 Pablo Point Dr. A4 �Jacskonville,Fl 904-221-1159 faxes 904-220-4697 Surety(if any)printed: Person or Lender making a loan for construction improvements: Address Warning: Owner Consult Lender or attorney before recording this notice of commencement Person within the State of Florida Designated by Owner upon whom notice or other documents may be served: Name: Address: In addition to himself owner designates the following person to receive a copy of the lienors notice as provided in section 713-06(2)Florida Statutes(Fill in at owners Option) Name: Address: Owners Date: 7— 0/ O Signature: � —� / Owners Name Printed Notary: I am a Notary Public of the State of Florida and my commission expires: 8 $Az 0 00� The foreing instrume%wasslacknpwledged before me on� �, 2 by Y't,L C� f t n d r e W 5 who is ersonall me or who has produced as indentification and who did/did not take an oath. Notary Signature Vf, FRANCES G.CONNER - MY COMMISSION M CC 760822 Of i�. EXPIRES:08,'032002 1-800.3-NOTARY Fla Noiay Sr,vices&Bonding Co ► CITY OF ATLANTIC. BE 4 –: DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION_ Pe it Number: 20587 Address: 328 ELEVENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 CI ss of Work: POOL Township: Range: Book: 5 Pr posed Use. SINGLE FAMILY I Lot(s):7t112 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est.Vatiue. Parcel Number: I prov. Cost: OWNER INFORMATION ate issued: 9/06/2000 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 35.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 35.00 JACKSONVILLE, FL 32225 Date Paid: 9/06/2000 Phone: (000)000-0000 Work De_sc: WIRE FOR SWIMMING POOL_ _ f CONTRACTORI%_ �— APPLICATION FEES HA ITAT ELECTRICAL CONTRACTORS PERMIT 35.00 Inspections Required FINAL ELECTRIC GROUNDING POOL I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 535.@8 14 _ Date: 9/06/00 01 Receipt: 808'0 5691 A IC BEACH BUILDING DEPT. �aie�eaa2�leaa CITY OF ATLANTIC BEACH, FLORIDA Approved Dy APPLICATION FOR ELECTRICAL. PERMIT ao� TO THE CHIEF ELECTRICAL INSPECTOR: DATE:jz_5_ �¢ _ - 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. b4A4G71OcAqlc y ELECTRICAL FIRM: AMASTER ELECTRICIAN SIG AT1URE YMAN NAME ADDRESS:.3 $ V1 RFD BOX BLDG.SIZE BETWEEN: Sax4'vlp 12d. E /S7` RES. K) AFT. ( ) COMM. ( ) PUBLIC ( ► INDUS. ( ► NEW( ► OLD ( ► REW. ADDITION ( I TRAILER ( ► TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( ► INCREASE ( ► REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR N.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 111.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO.NEON TRANSF. Ng. VA. MA. MOTOR SIZE SWITCH FLASHER `�1J EACH SIGN FORWARDED TOTAL FEES CITY OF rg� �eacl - ��vcida 800 SEMINOLE ROAD _-___- ____ ------- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904) 247-5805 SUNCOM 852-5800 DATE C / JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 . g Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS 4 4 � Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT TRANSMITTAL DOCUMENT FOR JEA DATE : The following permits have passed "rough" inspection: ' Fermit No. Address - - - '.� a.3Q?:ism"8':_C��_•._{��.�5".iEL'�{:L'�'J�:E��i�::i:�i$C�BTy.�:Y:3_ ?lease L'^.dd:.e :%our reccr-fs accordingly. an h '1TLD1 :i CITY OF AT'LANT?C BE.r+CH vcb sc�, CITY OF 4&4#94-c Be4CA-Ilona Office of Building Offici 2� REQUEST FOR INSPE I gl 6 ^� 4 -( / Date Z�Z Z -Er> Permit No. rn Time A.M. Received P.M. -3---)- y !r -J—� Job Address Loc Owner's Name Contractor CONCRETE "PIL_ MBIN� ECHANICAL' Framing Footing Elring Rough Rough ❑ Air Cond. & Re Roofing >❑ -glab ❑ Temp Pole ❑ Top OutHeating "X\ Insulation ElLintel ❑ Final ❑ Sewer ❑ Fire Place C Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Z_ ZZ_ Inspection A.M.p M. InspectoFinal Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 - PERMIT INFORMATION- " LOCATION NFORMATION -- Permit Number: 19618 Address: 328 ELEVENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/18/2000 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 25.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 25.00 JACKSONVILLE, FL 32225 Date Paid: 2/18/2000 Phone: (000)000-0000 Work Desc: 1-250 GAL LP TRINTY- GAS PIPNG CONTRA S `PP A FEES' AEI INTERNATIONAL CORP PERMIT 25.00 Jim ROUGH MECHANICAL + FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. L, C� $25.0014 Date: 2/18/00 01 Receipt: 0035519 ATLANTIC BEACH UILDING DEPT. CHECKS BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I; II, III,' and IV. LOCATION Street Address:_ _ OF Infersecfing Streets: Between And 2��1iz51b- BUILDING t 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 atfaclLed plans and specifications which are a part hereof and in accordance with Ike City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical �— Contractors `^ Contractor )Print) _ Mester I Name of Property Owner Signafure of Owner Signature of or Authorited Agent Architecf or Engineer 111. GENERAL INFORMATION A. Type of heating fuel: IS OTHER CONSTRUCTION BEING ONE ON ❑ Electric THIS BUILDING OR SITE? O Gas—(k LP ❑ Natural ❑ Central Utility IF VES, GIVE NU�fR,OF CONSTRUCTION 13 Oil PERMIT C`s4r( L-1- [I ❑ Other — Specify IV. M11CHANICAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) � Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed ❑ Central ❑ Floor New Building ❑ Air Conditioning: ❑ Room ❑ Central ❑ Existing Building ❑ Duct System: Material Thickness ❑ Re ement of existing system Maximum capacity c.f.m. New Installation(No system previously Installed) ❑ Extension or add-on to existing system Q Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9.p.m. ❑ Fin sprinklers: Number of heed ❑ Elwa4or ❑ Monlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumas. (number) (R-4-dI Q To ks (number) Remarks LPG confainors (number) ❑ Unfired pressure vessel ❑ biters m Permit Approved by Da Q Other — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number Manufacturer (r�bni) Aj. car HEATING - FURNACES, BOILERS, FIREPLACES AQP_ Number Unita Description Model Number Manufacturer BTLy ) /y"@DC>/ TANKS Now Many Now nal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency -�nca CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 i PERMIT INFORMATION =____ LOCATION INFORMATIQN Perm if Numb`r: 19544 Address: 328 ELEVENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION To win shlp: Range: Book: 5 � Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC, BEACH, FL 32233 Est. Value: L Parcel Number: Improv. Cost: j OWNER INFORWkTION • i Date Issued: 2/02/2000 ( Name: ANDREWS, BRUCE AND SUSAN Total t=ees: 51.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 51.00 JACKSONVILLE, FL 32225 Date Paid: 2/02/2000 Phone: 000)000-0_000 Work Desc: INSTALL CENTRAL HEAT AND AIR CON, ;- , _R(S) _ !APPt CA CON FEf_S _ AIR ENGINEERS INC. _ 1 PERMIT 51.00 - r- - i,isv cli6fig Re`uird� r � ROUGH MECHANICALIF NAL I i i I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MAT ERiAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. t^ $51.0814 Date: 2/82/88 81 Receipt: 8831315 CHECKS 29716 ATINTIC BEAC BUILDING DEPT. 0e1eee83221e98 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC B[ACH, FLORIDA 32133 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV, LOCATION Street Address: OF IafersaeRng Streets: Sel.een And WILDING sub-di.isl.n ll. IDENTIFICATION — To be completed by all applicants . In consideration of permif given for doing the wort as described in the *bow* sfefamanl we hereby agree to pirform said work in accordance .ith the ettach�d plant and specifications which are a part hereof and in accordance with the City of Jec►sonyille ordinances and standards of good practice listed therein. Name .( 1.lacheakal Cenhaaters t t Ca++ractw (hint) Moshr ou Masse d Fropr+y O.aer s:psahrre of Oast Signature of r A.t6wiaed Ageal Architect or Engineer III. G&*PAL 1NF U"T10N 15 OTHER CONSTRUCTION BEING DONE ON Eloc+t+c THIS BUILDING OR 51 TZ ❑ G«—❑ Lt ❑ NNvnl ❑ Control UhINy IR yes r GIVE NUMBER OF CONSTRUCTION Cl Oi PERMIT ❑ O+Aw IV. WBOK N)CAL /QUrMOff TO N 10WALLEO NATURE OF WORK (Iw+:4 to Ill— Set of compwonh aM boa or tine tonal b Residential or ❑ Commercial �1 ❑ Spa ❑ Ram 0 Conitel O Filow ❑ New Building c A:oabsg: ❑ Rosas Q Coo" ❑ Existing Building prcl Syelora: ►leterio Tt+tdaoea ❑ Riplacernent of existing system Maa:m�ub atm ❑ New Installation(No system previously Installed). ❑ ❑ Extension or add-on to existing eye em ❑ 000469 00~- C84+04y B Other — Specify ❑ Foo pr+nllon: Na"m of Isaesla ❑ EieseNw ❑ M"If ❑ Escahlee. flit: !MC! 004 OR CI VU ONIy ❑ (Isere`«) ❑ Te lu (ettmla"I Remark ❑ L!G arsNia.rt_ (swaabe) ❑ U.Rrad pesawe rWei ❑ s ►orteii Mf •+d ►,, Daae ❑ OI►v —. fRsc;th hrwtit tri UST ALL ]EQUIPMENT Alli CONDITIONING AND REFMERIATTON EQUIrUMT mum-betr v 11ts Duaipuas No"Ntmuber 3 r �. w HEATING • FURNACES. SOILEM FIREPLACES xnaalser vstta tse.ulptioa )stew Ntmtber c>d'Tv) •� �- 77 — v TANLS De+K"y Noltfesid Cbpadty Name of serial A"covins �A taL»d mauuaatww Na A CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19564 Address: 328 ELEVENTH STREET "Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32.233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: _ Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/08/2000 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 50.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 50.00 JACKSONVILLE, FL 32225 Date Paid: 2/08/2000 Phone: (000)000-0000 Work Desc: NEW 200AMSERVICE PH3W240V3"RW RESIDENTIAL S — CONTRACTOR(S) - _ %tPPLICATION`FEES BILL THOMPSON ELECTRIC CO, INC PERMIT 50.00 _. Ips ectrons Re u�lred 7- x - - ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. QC, (58.88 14 C -- - Date: 2/68/80 81 Receipt: 8832446 ATLANTIC BEACH BUILDING DEPT. CHECKS 3839 88188883221888 CITY OF ATLANTIC BEACH, FLORIDA Approvodby APPLICATION FOR ELECTRICAL. PERMIT Il � tC1 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 PIANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOWSONTCE` RIC-CO.;TNC: P. 0. BOX 330150 ATLANTIC BEACH, FL 322330150 Ek.90 , ELECTRICAL FIRM: TELECT I IA � Iti NAME ( l,f \ � I�J� ADDRESS: I! 9 I RFD BOX BLDG.SIZE BETWEEN: RE404-- APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW),�t OLD ( 1 REW. l 1 ADDITION ( ► TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SG. FT. SERVICE: NEY6>4-- INCREASE ( 1 HI.PAIR ( ► , ,� t,i FEE CONDUCTOR SIZE W AMPS COPPER ALUM. ITCH OR BREAKER AMPS PH. WZ40I LT 1 RACEWAY EXIST.SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED _ OPEN TOTAL RECEPTACLES CONCEALED OPEN _ _ TOTAL U 30 AMPS 31 100 AM!b SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. — APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTOR" AMPS CEIL HEAT: KW-NEAT OVER MOTORS N.P. I VOLTAGE PHS NO 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. i MOTOR SIZE SWITCH FLASHER EACH SIGN L FORWARDED S - TOTAL FEES FROM JEFFREY K HULSBERG FAX NO. : 9042604367 Nov. 05 1999 05:26PM P2 Jeffrey K. Hulsberg,P.E. 3015 Hartley Rd., Suite 10 Jacksonville,Florida 32257 (904)886-2401 11/5/99 Mr.Don Ford City of Atlantic Beach Building Dept. 800 Seminole Road Atlantic Beach,Florida 32233 PROJECT: Andrews residence 32811th Street To Whom It May Concern.- The oncern:The plans for the subject room addition project show the wind zone as 100 MPH. This is in error and the design loads for the project are based on the 110MPH zone. Attached are new structural notes and stud table for the project. If you have any questions please contact me_ „l nakreU N 3152 ' Jeffr K. Hulsbierg,P.E. SPATE OF �, CITY OF 4&4^4.0 Bela A-0; Office of Building Official QREQUEST FOR INSPECTION Date_ l — � /' / 1916 Permit No. Time A.M. Received P.M. Job qss cality Owner's Name Contractor LSC BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ _❑ , Rough Wiring ❑ Rough Re Roofing ❑ Slab >K Temp Pole El Top Out El HeaEl Airtingd. & El❑ Lintel Final ❑ Sewer l ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed A:M: Thurs. Friday Inspection Made r — f A.M. P.M. Inspector Final Inspection ❑ 4 /V-3 J Certificate of Occupancy❑ O f•,p Date 1, ��,,� //CITY OF f4&aA&* /3�-11au- .4 Office of Building Official REQUTSST FOR INSPECTION ` Date_ Permit No. Time A.M. Received � � P. -1� 4z Job Add ss Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUM MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READ INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday A.M. Inspection ad P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF Qe4cA Office of Buildin Off lal REOUES FOR SPECTION `� 6 ^ Q Permit No. Date—// — L / /` A.M. Time Py- Received ------Received � / oc itty 7 Job Addres C— Owner's Contractor `� Name PLUMBING MECHANICAL CONCRETE ELECTRICAL BUILDING ❑ Rough ❑ Air Cond.& ❑ Rough Wiring ❑ Heating Framing ❑ Footing ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Slab ❑ Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION P Thurs. Friday MonTues. Wed. . A.M. P.M. Inspection Mad Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date rCITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j 00 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT r P.ERMlFF INFORMATION LOCATIONINFORMATION - - Permit Number: 19355 Address: 328 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION , Date Issued: 12/14/1999 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 88.50 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 88.50 JACKSONVILLE, FL 32225 Date Paid: 12/14/1999 Phone: (000)000-0000 Work Desc: INSTALL PLUMBING IN REMODEL R ' CON'EI = = IPPIATION FEES B &G PLUMBING PERMIT 88.50 - - UNDER SLAB PLUMBING TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $88.50 14 ilzte: 12/14/99 01 Receipt: 0019150 ATNTIC BEACH UILDING DEPT. CHECKS 33428 LA 20180003221000 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : .32e //TU STkF.E r OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR Q a'G PCV�atm<, a CONTRACTOR' S ADDRESS : /3 99 7 135q(:14 13C✓�. STATE LICENSE NUMBER: CFca2Zs93 TELEPHONE: ,Z23 '3S;?S HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS 3 SHOWERS S LAVATORY ( WATER HEATERS 2 BATH TUBS ( DISHWASHERS URINALS DISPOSALS CLOSETS ( WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER ( WATER REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 9�?.S'o MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 62676 SHOWNG BOUNDARY SURVEY Off' L OT -7 .akJo TN E EA310T BLOCK 15 AS SHORAN ON MAP OF A 7L A AJ7/C f3E�Grz-1 AS RECORDED IN PLAT BOOK 5 PAGES OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER77FIED FOR: 8 v - Iv Ew su Iu - = ti' ' " T L LE / / ALT TITLE SEr_VI E�EVEh,)T/-� <��'A?/�� S' -Te L'_ f-_T i 7S.GYJ' s o v" Q�� �O h 77' v 7.5 x m CDS. /3 LUG< N G� 3 Z O N � a � 7-7. LU7 o - o -)C jz J V J J J � 2 Z � J � C v d �.9 2 7 1999 a O 9- Cite©� 4antic Beach o•z o �z 1 nd Zoning x x 75.LX CPLAT) 7S.Z4'(/- c ) THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE > _AS SCALED FROM FLOOD INSURANCE RATE MAP--.L_ FOR THE CITY OF �gE�aH FLORIDA, DATED 4" /7- �9 AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER7IFCA77ON OF SAME. TRI—STATE LAND SURVEYORS, INC. 8411 BA YMEADOWS WAY SUITE #2, JACKSON BELLE, FLORIDA 32256 (904) 731-7235 LFGavo a CONC iatxr 0 J%w THIS SURVEY DOES NOT REFLECT OR DEIFPMIJt'F NNEk;HfP. (SET omi rw j Ls 4144) NOT VALID WITHOUT THE SIGNATURE Alan T,,'t ORIGINAL RAISED SEAL X>VKr OF A FLORIDA LICENSED SURVEYOR AND MAPPER. _ 0 PM Cm(--]D) NqQ I 0 OR=air LARRY G. EDDY, P.L.S. No. 4144 ' "W"G"tawe GLENN M. 6'r?OAD r ?E_'T, P.r-4 No. 5814 RI r MT-CF R/ft' COVV?ED AREA SCALE. COY. WVf1PID AF�'A 1 A,t AN 0M"7X*MG PAO REGTS7E'?ED SCIkVE Y0.4 AND I.fAPPER, (R) RALYAL=TAnCE DATE. _L:._L `� -9`� STATE OF" 1`10RIDA (LB ,74921) [ 7t ! C}?DER N0.9�-Z9Z5 F.8.77715—PG. 5?.� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION TLOCATIONINFORMATION Permit Number: 19169 Address: 328 ELEVENTH STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: _Parcel Number: Improv. Cost: 290,000.00 _OWNER INFORMATION -..T Date Issued: 11/16/1999 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 2,151.72 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 2,151.72 JACKSONVILLE, FL 32225 Date Paid: 11/17/1999 Phone: (000)000-0000 Work Desc: REMODEL AND ADDITION - & UPGRADE WATER SERV TO 1"RADON 1808 - SCHG 355 GONTRAGTOR S iPPL[CA 7ON'tFEES RICE BROTHERS CONSTRUCTION INC. PERMIT 1,545.00 WATER IMPACT FEE 320.00 RADON GAS-H.R.S. 8.59 RADON CAB 5% 0.45 CONST.SURCHARGE 15.90 SCHARGE/ATL.BCH. 1.78 WATER METER/TAP 35.00 CAPITAL IMPROVE. 225.00 �:;. . _.4.. Insiyctions Required-" FOOTING SLAB COVER UP FRAMING j FINAL BUILDING INSULATION NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONT--`_r'^PJ I IEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS W! �--� ,AIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS C Operator: CHERYLE Date: 11/17/99 81 Receipt: 0012365 AT IC BEACH BUILDIN EPT. Total payient CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /"HeaDate / /- Heated ted Square Footage @ $ per sq - Garage/Shed `` @ ',')_per sq ft = S Carport/Pore:, Vv @ S per sa ft = $ Deck t @ $ per sq Patio v L S_ 2 Sq 0 TOTAL VALUAT'10N' S d 1�0�C?Oo ,1160. S �60.av ctal Valuation 1st $ /yo, vao 190.1 0410 ss-70.00 Rema_ning Value 3. ger thousand or portion thereof TOTAL BUILDING NEE $ /030 * 1/2 Filing Fee S cif, i Fireplaces @ $15 . 00 S d— BUILDING PERMIT FEE WATER IMPACT FEE $— 0100 SEWER IMPACT FEE S 4ATER �' E'-rER;TA-= __-- CAPITAL IMPROVEI"IENT a" SEWER TAP $ V,'D,1 RADON (HRS) .0050 $ s SECTION. H PAVING ( ) S HYDRAULIC SHARES 5 CROSS CONNECTION S _ '-f3 s 561 SURCHARGE . 0050 $ /S.. cr o OTHER $ GRAND TOTAL DUE a l op Q , , -7 2 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ;Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : RECEI'VED OPT 2 7 1999 PROPERTY DESCRIPTION City of Atlantic Beach Lot # 7+9, Block #_J,3_, Section # puiiding And Zoning Subdivision: Street Name c A DESCRIPTION OF WORK or Address: (If in a FLOOD HAZARD Flood Zone: area complete page 3) Bief Description�o.,.,,�-1, Q.XI S+ �1 0� Az Z7 Gn Fw Class of Work: (New/ l ,,,�� Remodel/Addition: fl Tl skon ZONING INFORMATION T e of Construction: mascwta'�!W T Zoning (('° Propo ed`""��" � �v District:�J� Use: 16wtan4i'ot Estimated Value $ 2-90,000 Exceptions or Variances Materials: 1mk- w S .1- .n Granted: Solid or Filled Ground: Roof: 'Z— Method of Heating:-'n�.- OWNER INFORMATION Property Owner: �uc� G�� �u��� /'�/1(�fer�i 1 Phone: (,42-- 3C1 3� Mailing Address CA N __ Sax ala _ Z1P 7-2-ZI CONTRACTOR INFORMATION /� + T Zc4 - f,q �( c7 Contractor: R� l,/`d? �+-�C JY��... Phone: 2a0— (j>-0%-4M�.1ing Address: 1'> VeA-X r-"— b�ln� V �9. ' l¢ Zip: Expirati n STATE LICENSE NO: G iK LO „3Ci S o Date:_ w�3 1 2-000 _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. -THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature /�' � / 4-c4u� DATE /Oh 1j Contractor Signature DATE A!/ 6R(Acr P N p a exm �►� sT OF or T XVI 19 9 SWORN l SCRIBED'BEFOG ME BY `` �.Q pef Jp�rA9 CCN IKDePB � NOTAVY PU o q#CC 8636331�J :Q 01 FLOODPLAIN DEVELOPMENT INFORMATION Location:: LA -1 o,-..j E yZ U1'`-i Nock, 13 r 4 6n b-i*,C- Type of Development: �p�, Flood Zone: „OK Required Lowest Floor Elevation: _ If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date g 9 Applicant's Signature � Department Use: �7 Required Lowest Floor Elevation 4 - As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative n � ���s,,c�� /QCITY O//PMF 4&ma ����, -�fairW� Office of Building Official REQUEST FOR INSPECTI Date Permit No. Time A.M. Received 11 PM. oC Job s Owner's ,K Contractor \ Nam BUILD CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond.& ❑ El Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place 13❑ Final ❑ Sewer Insulation ❑ Lintel � Pre Fab READY FOR INSPECTION A.M. Q Wed. Thurs. Friday P.M. A.M. Inspection Ma Final Inspection ❑ Inspector ✓ Certificate of Occupancy ❑ Date /�11�� //3CITY OF lYL 444.0 e4cA- r Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received PM. Job Ad ^ Locality JJ Owner's � / Name Y�- Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL_1 Framing ❑ Footing ❑ Rough Wiring ❑ Rough r(ond tri ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ 1 =e. READY FOR INSPECTIONC/ re Fab Wed. Thurs. Friday G �i Z QfJ A.M. Inspection Made � P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF 4&4x4c ate-Ili Office of Building Official REQUEST FOR INSPECTION / Date / Q� Permit No. Time A.M. Received M. Szg 11 , Job Address �/� Locality Owner's�/-Ik G� C �u S-A-"j d—Acks i'Ce— Name 7 ontractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ ,;�Vd F r �—v l '� � READY FOR INSPECTION Pre Fab -/ A.M. Mon. /"r C w!_ Wed. Thurs. Friday P.M. A.M. Inspection Was, P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date ilk► /n``'' //CITY OF ' 4& /S 6odw e4cA-49f{YiKf(i Office of Building Official rS� / REQUEST FOR INSPECTION Date J Permit No. Time A.M. Received 7— ! P. / Job Address ( �('� Locality Owner' / s Name �1�U� r Contractor /l�` BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough C Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out C Heating InsuI tion ❑ Lintel L_ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION C�C.Li A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date /I CITY OF P Office of Building OffiREQUEST FOR INSPE Date A.M. Time P.M. Received / ` ( Localit � Job Ad s Owner's Contractor PLUMBING MECHANICAL Name ELECTRICAL CONCRETE Rough ❑ Air Cond. & g�[DING ❑ Rough Wiring ❑ ❑ Heating Footing ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ ❑ Slab ❑ Final ❑ Sewer Pre Fab In Roofing \/ Lintel Insulation 7� A.M. READY FOR INSPECTION Friday— Wed. ��urs Mon. Tues. A.M. 2— — da P.M. Inspection a � Final Inspection ❑ Certificate of Occupancy❑ Inspector Date Book 9451 Pg 1070 , 0tice Of �Con�n�e�UMMt 5 MIN. RETURNU- PHONE (PREPARE IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property or 7 4yyo Zyf-: GAJr / L -32 ct C41 �C General description of improvementsOo.s'}L�l nY I �� t✓�< I-15(� Owner Address I ? (p 3 - rn(A I 1-Z F Owner's interest in site of the improvement �� r 'L�:^"! '^"10 Fee Simple Title holder(if other than owner) Name Address 0-9- z Zcc ContractorRICE BROTHERS CONSTRUCTI PONTE VEDRA BEACH, FL 32082 Address Surety (if any) Address Amount of bond$ Name and address of any person making a loan for the construction of the improvements. Name Address Name of person within the State of Florida,other than himself, designated by owner upon whom notices or� other documents may be served: Name �- r"f-�-+ 121 i Address P(�1 V 1.► 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). �I t Na,nee Address P Vr. C,,-� �:-, to THIS SPACE FOR RECORDER'S USE ONLY �A-4U 11_— Owner Bk: 9451L k• 451L Sworn to and subscribed before me this Doc# 99264618 Filed 8 Recorded day of 10/28/99 12:36 ~P�•• •be�ONFYo•.`r HENRY M. COOK ? CLERK UVAL COUNTY, COURT •*- DUNTY a FL Notary lac z* •• - REC. 6.00 Sir; #rC 863633 0` PS-415 RIGHT-J LOAD AND EQUIPMENT SUMMARY File name: 3 5 5 4.RS R For: Rice Brothers By Air Engineers , Inc. 10947 Beach Blvd. Jacksonville Fl 32246 904-646-9037 Job#: Jacksonville AP FL Wthr: Zone: Entire House WINTER DESIGN CONDITIONS SUMMER DESIGN CONDITIONS Outside db: 32 OF Outside db: 95 OF Inside db: 70 OF Inside db: 75 OF Design TD: 38 OF Design TD: 20 OF Daily Range M Rel.Hum. : 50 % Grains Water 49 gr HEATING SUMMARY SENSIBLE COOLING EQUIP LOAD SIZING Bldg.Heat Loss 57993 Btuh Structure 47221 Btuh Ventilation Air 0 CFM Ventilation 0 Btuh Vent Air Loss 0 Btuh Design Temp. Swing 3.0 OF Design Heat Load 57993 Btuh Use Mfg.Data n Rate/Swing Mult. 1.00 INFILTRATION Total Sens Equip Load 47221 Btuh Method S imp l i f i e d LATENT COOLING EQUIP LOAD SIZING Construction Quality Average Fireplaces 0 Internal Gains 1380 Btuh Ventilation 0 Btuh HEATING COOLING Infiltration 6328 Btuh Area(sq.ft.) 3554 3554 Tot Latent Equip Load 7708 Btuh Volume(cu.ft.) 28432 28432 Air Changes/Hour 0.7 0.4 Total Equip Load 54930 Btuh Equivalent CFM 332 19 0 HEATING EQUIPMENT SUMMARY COOLING EQUIPMENT SUMMARY Make Make Trade Trade Efficiency 80.0 AFUE Efficiency 0.0 EER Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 OF Total Cooling 0 Btuh Actual Heating Fan 2525 CFM Actual Cooling Fan 2525 CFM Htg Air Flow Factor 0.044 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sens Heat Ratio 86 MANUAL J: 7th Ed. Right-Suite: Ver 4.1.2 0 S/N RS R2 2 6 4 9 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT-J CALCULATION PROCEDURES A,B, C, D Job#: Zone: Entire House Filename: 3554.RSR Procedure A-Winter Infiltration HTM Calculations 1. Winter Infiltration CFM 0.7 AC/HR x 28432 Cu.Ft. x 0.0167= 332 CFM 2. Winter Infiltration Btuh 1.1 x 332 CFM x 3 8 Winter TD = 13893 Btuh 3. Winter Infiltration HTM 13893 Btuh / 568 Total Window = 24.5 HTM and Door Area Procedure B-Summer Infiltration HTM Calculations 1. Summer Infiltration CFM 0.4 AC/HR x 28432 Cu.Ft. x 0.0167= 190 CFM 2. Summer Infiltration Btuh 1.1 x 190 CFM x 20 Summer TD = 4178 Btuh 3. Summer Infiltration HTM 4178 Btuh / 568 Total Window = 7.4 HTM and Door Area Procedure C-Latent Infiltration Gain 0.68 x 49 gr.diff. x 190 CFM = 6328 Btuh Procedure D-Equipment Sizing Loads 1. Sensible Sizing Load Sensible Ventilation Load — 0 Btuh 1.1 x 0 V ent.CFM x 20 Summer TD + 47221 Btuh Sensible Load for Structure(Line 19) = 47221 Btuh Sum of Ventilation and Structure Loads Rating and Temperature Swing Multiplier x 1.00 RSM Equipment Sizing Load-Sensible + 47221 Btuh 2. Latent Sizing Load Latent Ventilation Load 0 Btuh 0.68 x 0 Vent.CFM x 4 9 gr.diff. _ Internal Loads = 230 x 6 No.People + 1380 Btuh Infiltration Load From Procedure C + 6328 Btuh Equipment Sizing Load-Latent = 7708 Btuh *Construction Quality is: a No.of Fireplaces is: 0 MANUAL J: 7th Ed. Right-Suite: Ver 4.1.2 0 S/N RSR22649 Printout certified by ACCA to meet all requirements of Manual Form J 3554.RSR Job# MANUAL I7th Ed- Right-Suite 4.1.20 - S/N RSR2264 1 NameofRoom Entire House Whole House 2 Running Ft.Exposed Wall 288.0 Ft 288.0 Ft Ft Ft 3 Room Dimensions,Ft. 2094 x 1.0 ft 4 Ceiings,Ft Condit.Option 8.0 d 8.0 heat/cool TYPE OF CST HTM Area Btuh Arm Btuh Area Btuh Area Btuh EXPOSURE NO. Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg 5 Gross a 14B 5.5 2.3 2094 ••" "" 2094 "" "" "" `+'• ++++ sasr Exposed b 13C 1.4 1.4 329 s#sa ssrrt 329 '### ws#rt s#ss srtrtw rasw rrts: Walls and c 12C 3.4 2.1 1160 s"' aaw 1160 `••' ►sss ++'+ sas# "`« wwa Partitions d 0.0 0.0 0 +••' '+•' p s:ra sass Baas saws ass esss e 0.0 0.0 0 ++«s errs p ssar ssrs ssrs rrsw rsa rss# f 0.0 0.0 p sraa saw p ssrs saart arw aas raaw sssr ra#r swrr ass +•aa 6 Windows and a 3C 27.6 •• 529 14560 529 14560 arta: srtrts asrr rtsrr Glass Doors b 3C 27.6 +` 0 0 0 0 ss rsss p p :sss awsr rsss Heating c 0.0 0 0 sass rsss sssa sps d 0.0 " 0 0 0 0 srrts :rss :sss :sas e 0.0 " 0 0 0 0 f 0.0 '+ 0 0 awsr 0 0 apt rasa awsr 7 Windows and North 0.0 0 #wsa p p rrtss p ssrs rrsw sraa rras ansa wssw Glass Doors NE/NW 51.0 363 18503 363 18503 Cooling FJW 0.0 0 ssrs p p sr«a p :sws saa wwss wrrs rrtrs sasr SFJSW 63.0 166 10439 166 10439 South 0.0 0 sans p p raw: p ssrs artaa Horz 0.0 0 srrs p p rsas p resr arcs 8 Other doors a IOD 17.5 10.9 39 689 428F1526 689 428 b 0.0 0.0 0 0 0 0 0 9 Net a 14B 5.5 2.3 1526 8351 3582 8351 3582 Exposed b 13C 1.4 1.4 329 445 445 445 445 Walls and c 12C 3.4 2.1 1160 3967 2464 1160 3967 2464 Partitions d 0.0 0.0 0 0 0 0 0 0 e 0.0 0.0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 10 Ceilings a 16G 1.3 1.5 2728 3421 3961 2728 3421 3961 b 16D 2.0 2.3 95 191 222 95 191 222 C 18C 1.9 2.2 0 0 0 0 0 0 11 Floors a 23B 43.30.0 288 12476 0 288 12476 0 b 0.0 0.0 0 0 0 0 0 0 C 0.0 0.0 0 0 0 0 0 0 12 Infiltration a 24.5 7.4 568 13893 4178 568 13893 4178 13 SubtotBtuh Loss=6+8.+11+12 •a"` 57993 ss#a sras 57993 sssa wswa awss wsss s+++ poi p saver 0% p sasr � awsr o� aaw 14 Duct Btuh Loss 15 Total Btuh Loss=13+14 ••" 57993 '"• '••' 57 993 •"► *`•' rrsr :rss raves rsas ssrs asa wrrs 16 Int.Gains: People@ 300 6 1800 6 1800 r«sr srrts :rss sraa App1_ � 1200 1 1200 1 1200 17 Subtot RSH Gain=7+8..+12+16 asrr asrr 47221 ••" •'•• 47221 rwar swrr sasr wrrr 18 Duct Btuh Grain 0% awss p pe/ awss p Y ass: / rtssr sa## 4aw# wwts Rw## 19 Total RSH Gain=(17+18)«PLF 1.00 47221 1.00 47221 20 CFM Air Required rsas 2525 2525 •"` 2525 2525 "" :sws Printout certified by ACCA to meet all requirements of Manual J Form MANUAL J: 7th Ed. Right-Suite: Ver 4.1.20 S/N RSR22649 RIGHT-J WINDOW DATA Job# File name: 3 5 5 4.RS R W S D W G L S S O N A S O O W C W S N K I A L O T H V G N H V V H H N H D Y R L A W R A H L G C R R G T A A W L Z E M D G Z L O X Y T M R R Whole House a n ne a c n n n n 2 90 1.0 0.0 0.0 1.0 51.0 130 0.0 a n nw a c n n n n 2 90 1.0 0.0 0.0 1.0 51.0 233 0.0 a n se a c n n n n 2 90 1.0 0.0 0.0 1.0 63.0 98.4 0.0 a n sw a c n n n n 2 90 1.0 0.0 0.0 1.0 63.0 67.3 0.0 CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE.M'.AND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTyi. THE- NATER SUPPLY CHARGE IS HEREBY FIXED AT 1 WEN'TY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CI—Lf WATER SYSTE_*i. BATHROOM GROUP CONSISTING OF S£RVICE .SINK TRA? STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) f,Pp WATER CLOSE" WATER CLOSET, TA.*tX OPE:LATED (µ) VALVE OPE.RkTEJ (8) 3A d JB/SHOlWTR (3) UR_NAL WALT. LI? (4) SHCVa3 GROUP PER HEAD (3) FLOOR DRA_N (1) SHOVER STA:.- DCMES T I C (2) LAUNDRY T3.zY (Z) LAVA70RY (1) i CCM-B INATION SINK AND (3) WASHING hACHISE (3) POT, SCULLERY S:NK (.:1 DISis�:ASFi=R (3) WAST' SINK EACH SET OF FAUCETS (2) ]CITCHEd Si:71: (2) DEX AL LAVATORY (1) LIT F:I S:xr WITH W"ks-.E DENTAL UNIT OR CUSPIDOR (1) GZi?(DEY (3) �DIDET (�) FRINAL STALL, WASHOUT (4) FrUSHZ2�G Ir^S SI1iX (8) C0I1B-NA7ION SINK AA7D TRAY WI7H FOOD DISPOS. (4) URINAL, PT_.)' ESTA:., SY?ECN ,TET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BAR3ER BEAU:: ICE ?-AKER (1/2) SHOP (?) SURGEONS SINK (3) LAVATORY, SURGEONS (2) A JACUZZI (2) URINAL STALL, WASHOUT (4) C TAL FIXTURE UNITS_ 520.00 EAC`i a JOB INFOR2'.A7ION FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A ------- ---- -_- Project Name: 3554 Builder: Rice Bros C-7- - �+ Address: Lot: , Sub: , Plat: Permitting Office: City, State: 32 & I I+�St t �'� -�- Permit Number: Owner: Brice &Susan Andrews Jurisdiction Number: Climate Zone: North -_ 1. New construction or existing New - I 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 12.0 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 10.00 - 4. Number of Bedrooms 3 _ b.N/A - 5. Is this a worst case? Yes _ - 6. Conditioned floor area(ft2) 3554 IF c. N/A 7. Glass area&type - - a. Clear-single pane 0.0 ft- I 13. Heating systems b. Clear-double pane 528.6 fF - I a. Electric Heat Pump Cap: 12.0 kBtu/hr - c. Tint/other SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 - d. Tint/other SC/SHGC-double pane 0.0 fF b.N/A - 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0,288.0(p)ft = I c. N/A - b.N/A - c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:75.0 gallons _ a. Concrete,Int Insul,Exterior R=6.0,2094.0 112 _ EF:0.86 b. Frame,Wood,Adjacent R=11.0,329.4 IF - b.N/A - c. Frame,Wood,Exterior R=11.0, 1160.0 ft2 - - d.N/A - c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=30.0,2728.0 ft2 _ 15. HVAC credits b. Under Attic R=19.0,95.0 IF _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0, 1.0 ft - RB-Attic radiant barrier, b.N/A I MZ-C-Multizone cooling, MZ-H-Multizone heating) I ------- Total as-built points: 39596.00 PASS Glass/Floor Area: 0.15 Total base points: 40201.00 I hereby certify that the plans and specifications covered Review of the plans ando4 t�tEST4?� by this calculation are in compliance with the Florida specifications covered by this _= o Energy Code. calculation indicates compliance with the Florida Energy Code. PREPARED BY: Air EngineersBefore construction is completed C- DATE: OCT 2 5 1999 this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 Joonv5� compliance with the Florida E er y Code. Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: DATE: IC) - Z-7- Y DATE: It- EnerovGauaeO (Version: FLRCNA-200) FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details [ ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 3554.0 33.05 21145.7 Double,Clear NE 1.3 6.7 40.8 28.72 0.95 1117.3 Double,Clear NW 1.3 4.3 24.6 25.46 0.89 558.4 Double,Clear NE 1.3 4.3 37.0 28.72 0.88 935.5 Double,Clear NE 35.2 6.7 20.4 28.72 0.44 258.3 Double,Clear NW 6.2 5.7 48.7 25.46 0.62 772.6 Double,Clear NW 6.2 6.7 61.2 25.46 0.65 1015.6 Double,Clear NE 1.3 1.3 16.8 28.72 0.59 282.5 Double,Clear NE 1.3 1.3 2.8 28.72 0.59 47.1 Double,Clear SE 1.3 4.3 49.3 40.86 0.83 1665.8 Double,Clear SE 1.3 3.2 9.0 40.86 0.73 266.6 Double,Clear SW 5.8 5.3 13.0 38.46 0.47 235.2 Double,Clear SW 1.3 9.0 22.0 38.46 0.98 826.5 Double,Clear SW 1.3 5.0 20.0 38.46 0.87 668.5 Double,Clear NW 1.3 4.2 17.6 25.46 0.88 396.3 Double,Clear NE 1.3 4.3 12.3 28.72 0.88 311.8 Double,Clear SE 1.3 4.3 12.3 40.86 0.83 416.4 Double,Clear SE 1.3 4.3 8.8 40.86 0.83 297.5 Double,Clear SE 1.3 6.7 19.0 40.86 0.93 725.6 Double,Clear SW 1.3 4.0 12.3 38.46 0.80 381.4 Double,Clear NW 6.2 4.3 61.6 25.46 0.58 915.2 Double,Clear NW 6.2 6.7 19.0 25.46 0.65 316.0 As-Built Total: 528.6 12410.1 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 329.4 0.7 230.6 Concrete, Int Insul,Exterior 6.0 2094.0 0.85 1779.9 Exterior 3254.0 1.70 5531.8 Frame,Wood,Adjacent 11.0 329.4 0.70 230.6 Frame,Wood,Exterior 11.0 1160.0 1.70 1972.0 Base Total: 3583.4 5762.4 As-Built Total: 3583.4 3982.5 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 19.0 2.40 45.7 Exterior Wood 20.4 6.10 124.4 Exterior 20.4 6.10 124.4 Adjacent Wood 19.0 2.40 45.7 Base Total: 39.4 170.1 As-Built Total: 39.4 170.1 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 2610.0 0.60 1566.0 Under Attic 30.0 2728.0 0.60 1636.8 Under Attic 19.0 95.0 1.10 104.5 Base Total: 2610.0 1566.0 1 As-Built Total: 2823.0 1741.3 EnerovGauae®DCA Form 600A-97 EneravGauae®/FlaRES'97 FLRCNA-200 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details [ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: BASE AS-BUILT FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 288.0(p) 37.0 -106.56.0 Slab-On-Grade Edge Insulation 0.0 288.0(p) -41.20 -11865.6 Raised 0.0 O.OD 0.0 -11865.6 Base Total: 10656.0 As-Built Total: INFILTRATION Area X BSPM = Points Area X SPM = Points 3554.0 10.21 36286.3 3554.0 10.21 36286.3 Summer Base Points: 54274.6 Summer As-Built Points: 42724.8 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 42724.8 1.000 1.047 0.341 1.000 15267.3 54274.6 0.3573 19392.3 42724.8 1.00 1.047 0.341 1.000 15267.3 EneravGauaeT" DCA Form 60DA-97 EneravGauaeO/FlaRES'97 FLRCNA-200 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 3554.0 9.76 6246.7 Double,Clear NE 1.3 6.7 40.8 13.40 1.00 548.1 Double,Clear NW 1.3 4.3 24.6 14.03 1.01 347.6 Double,Clear NE 1.3 4.3 37.0 13.40 1.01 500.5 Double,Clear NE 35.2 6.7 20.4 13.40 1.06 290.1 Double,Clear NW 6.2 5.7 48.7 14.03 1.03 701.3 Double,Clear NW 6.2 6.7 61.2 14.03 1.02 878.8 Double,Clear NE 1.3 1.3 16.8 13.40 1.04 235.0 Double,Clear NE 1.3 1.3 2.8 13.40 1.04 39.2 Double,Clear SE 1.3 4.3 49.3 5.33 1.15 302.1 Double,Clear SE 1.3 3.2 9.0 5.33 1.27 60.9 Double,Clear SW 5.8 5.3 13.0 7.17 1.65 153.6 Double,Clear SW 1.3 9.0 22.0 7.17 1.01 160.1 Double,Clear SW 1.3 5.0 20.0 7.17 1.07 153.3 Double,Clear NW 1.3 4.2 17.6 14.03 1.01 249.0 Double,Clear NE 1.3 4.3 12.3 13.40 1.01 166.8 Double,Clear SE 1.3 4.3 12.3 5.33 1.15 75.5 Double,Clear SE 1.3 4.3 8.8 5.33 1.15 53.9 Double,Clear SE 1.3 6.7 19.0 5.33 1.06 107.5 Double,Clear SW 1.3 4.0 12.3 7.17 1.11 98.3 Double,Clear NW 6.2 4.3 61.6 14.03 1.03 889.7 Double,Clear NW 6.2 6.7 19.0 14.03 1.02 273.4 As-Built Total: 528.6 6284.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 329.4 3.6 1185.8 Concrete,Int Insul,Exterior 6.0 2094.0 5.15 10784.1 Exterior 3254.0 3.70 12039.8 Frame,Wood,Adjacent 11.0 329.4 3.60 1185.8 Frame,Wood,Exterior 11.0 1160.0 3.70 4292.0 Base Total: 3583.4 13225.6 As-Built Total: 3583.4 16261.9 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 19.0 11.50 219.0 Exterior Wood 20.4 12-30 250.9 Exterior 20.4 12.30 250.9 Adjacent Wood 19.0 11.50 219.0 Base Total: 39.4 469.9 As-Built Total: 39.4 469.9 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 2610.0 1.20 3132.0 Under Attic 30.0 2728.0 1.20 3273.6 Under Attic 19.0 95.0 2.00 190.0 Base Total: 2610.0 3132.0 As-Built Total: 2823.0 3463.6 EneravGauae@ DCA Form 600A-97 EneravGauae@/FlaRES'97 FLRCNA-200 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details [ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: BASE AS-BUILT FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 288.0(p) 8.9 2563.2 Slab-On-Grade Edge Insulation 0.0 288.0(p) 18.80 5414.4 Raised 0.0 0.00 0.0 Base Total: 2563.2 As-Built Total: 5414.4 INFILTRATION Area X BWPM = Points Area X WPM = Points 3654.0 -0.59 2096.9 3554.0 -0.59 -2096.9 Winter Base Points: 23540.6 Winter As-Built Points: 29797.6 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 29797.6 1.000 1.064 0.501 1.000 15898.9 23540.6 0.5340 12570.7 29797.6 1.00 1.064 0.501 1.000 15898.9 EneravGauaeTm DCA Form 600A-97 EneravGauaeCR)/FIaRES'97 FLRCNA-200 FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total I Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 75.0 0.86 3 1.00 2809.86 1.00 8429.6 As-Built Total: 8429.6 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 19392.3 12570.7 8238.0 40201.0 15267.3 15898.9 8429.6 39595.8 PASS �yO4Z8ESTA7�O C 1)W16 � a EnerovGauoeTu DCA Form 6OA-97 EneravGauae6/FIaRES'97 FLRCNA-200 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Lot: , Sub: , Plat: , , , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 6D6.1.ABC.1.1 Maximum:.3 cfm/sq.ft.window area;.5 cf .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners;utility penetrations;between wall panels&top/bottom plates,between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends from and is sealed to the foundation to the top plate. Floors 606.1.ABC.12.2 Penetrationstopenings>1 Z'sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,penetrations and seams. Ceilings 606.1.ABC.12.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perirnder at netrations and seams. Recessed Lighting Fixtures 6D6.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3'from insulation;or Type IC rated with<2.0 cfm from conditioned s cetested. -- -- Mufti-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors, _ - Additional Infiltration refits 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers,combustion space heaters comply with NFPA, have combustion air. -- — 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. CHECK COMPONENTS SECTION REQUIREMENTS Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker electric or cutoff as must be rovided.External or built-in heat tra r uired. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallonsper minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EneravGauaeTm DCA Form 60OA-97 EneravGauae®/FlaRES'97 FLRCNA-200 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =82.6 The higher the score,the more efficient the home. Brice &Susan Andrews, Lot: , Sub: , Plat: 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 12.0 kBtu/hr - 3. Number of units,if multi-family 1 - SEER:10.00 - 4. Number of Bedrooms 3 - b.N/A - 5. Is this a worst case? Yes - 6. Conditioned floor area(W) 3554 ft2 c. N/A - 7. Glass area&type - a. Clear-single pane 0.0 ft= 13. Heating systems b. Clear-double pane 528.6 ft2 - a. Electric Heat Pump Cap:12.0 kBtu/lu _ c. Tintlother SC/SHGC-single pane 0.0 ft2 - HSPF:6.80 - d. Tint/other SC/SHGC-double pane 0.0 ft2 b.N/A - 8. Floor types - a. Slab-On-Grade Edge Insulation R�0.0,288.0(p)ft - c. N/A - b.N/A - c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:75.0 gallons - a. Concrete,Int Insul,Exterior R=6.0,2094.0 ft EF:0.86 - b. Frame,Wood,Adjacent R=11.0,329.4 ft' b.N/A - c. Frame,Wood,Exterior R=11.0,1160.0 ft2 - d.N/A - c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=30.0,2728.0 ft' 15. HVAC credits - b.Under Attic R=19.0,95.0 ft2 (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0,1.0 ft _ RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) 04 TtE ST9 pyo in this home before final inspection. Otherwise,a new EPL Display Card will be completed ' based on installed Code com liant fleatuW. Builder Signature:z 4 1//--- Date: nl ri Address of New Home: 3?-F I W-1 &A. ___ _ City/FL Zip: f-IT c gpl•c coD w8 *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStaTP designation), your home may qualify for energy efficiency mortgage (EES incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnerevGautte*(Version:FLRCNA-200) NOV-16-1999 TUE 03:58 AM MANNING TRUSS 9042602981 P. 61 0 0 0 0 E 0 9 0 0 Z,'1912 MAX GABLE VERTICAL LENGTH Pit r U II7I IR; InI fin} 17 n y � r li U U U R n r� a .,% 1� o.C. 16" o.C.Fj ��" O.C. Y ^! 7Yy r n C7 � U a r 3 r r!1 JJ Z I r ! 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N N D .- r N C > C." ;�',: � b4DOO # 40100 O� •I � � • •OO . . m � '�{s �. r ++ a i eta • #mils i A ml} t a w�.►l+> N t iJ+ cr • 1 "J w 44� ••• ••�'•••±* � O O D O a a Ot 0 0 0 OIC 4 O O a� Oto .-I034`O a m D O D �: t • 4 • . . l i r �i ..y ,Ott* � At oQDoaooa ° olalooaoloioo�1a�ao � v,o? � ve 11 D � I� r — a . . .. .� t ; I I � •I � s � �^ 't r• r r — � it � I I I K o G w I � a n �xpc �_'! •� n >0_ sf°� �+ +� n e 'tire � C t� ml u II{`Iyuy� I{ U � .v � Q �a c► s � ro N �QI z i� � n b p A� N O N {A. � � } f •A 7pR ' (fJ y Ir �' _ M NS X16 H ~ �j O 1 I OI I .Ili 1 �4t 52 i� S lT .•��y �t��e -: III1�..: I �n� � y NOV-15-1999 MON 03:08PM ID:247-5845 PAraE: 1 ����� BW F ns1'' �1fI' !Lt°C�ivt/ L: 1�+Lf a&- /3 Office of Buil Ing Iclal ` REQUEST FO INSPE ON / �( Date / � co �/ � � U Time Permit No. Received A.M. P.M. Jo7-7 A ^A n� ocality Owner's C(/Jr(�/'UG Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing MECHANICAL Re Roofing ❑ Sot ng ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Insulation ❑ Temp Pole ❑ To Out ❑ ❑ Lintel ❑ Final p ❑ Heating ❑ Sewer O Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. �J Wed. Thurs. Friday Inspection Made A.M. P.M. Inspector Final In pection Hca ww;y ❑ Date CITY OF 4&4#46 4 /eacA Office of Building Offici REQUEST F INS P CTION Date Time Permit No. y Received A.M. PM -D b' dress Owner's Locality Name BUIL G Contractor CONCRETE ELECTRICAL raming ❑ Footing ❑ PW GING MECHANICAL Re Roofing ❑ Slab Rough Wiring ❑ Rough Insulation ❑ Temp Pole ❑ Top Out ❑ Air Cond. & ❑ ❑ Lintel ❑ Final ❑ Heating ❑ Sewer ❑ Fire Place READY FOR INSPECTION Pre Fab ❑ Mon. Tues. 1 Wed. Thurs. . A.M Friday PM Inspection Made 3 r D d A.M. Inspector PM. Final Inspection ❑ Certificate of Occupancy❑ Date a : K a CITY OF ���� • fYKlSiI /3 .,.4--T Office of Building Official REQUEST FOR INSPECTION nn JQ i Q/ Date _� V �! Permit No. C6 Time A.M. Received / M• �� �/� J dress Lpcality Owner's Name Contractor BUILDING CONCRETELECTR��t PLUMBING MECHANICAL Framing ❑ Footing ❑ firing Ci Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole � Top Out El Heating Insulation 1:1 Lintel ❑ Final Sewer El Pre Place El Pre Fab READY FOR INSPECTION A.M. Mon. Tues. 9 Wed. Thurs. Friday Inspection Made r PM' Final Inspection ❑ Inspector Certi,icate of Occupancy C Date CITY OF 4&4a&e Ve a - 800 SEMINOLE ROAD ATLANTIC BEACH. FLORIDA 32233-5445 -- - TELEPHONE(904)247-5800 FAX (904) 247-5805 �+ SUNCOM 852 5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS '329 `jam - 7Y� �� Please call me at 904-247-5826 if you have any questions. Sin ely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMAT10N LOCATIOWINFORMATION Permit Number: - 19338 Address: 328 ELEVENTH STREET Permit Type: STORAGE SHED ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):7+1/2 9 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: 1,500.00 OWNER:INFORMATION" Date Issued: 12/13/1999 Name: ANDREWS, BRUCE AND SUSAN Total Fees: 30.00 Address: 12537 MUIRFIELD BOULEVARD N. Amount Paid: 30.00 JACKSONVILLE, FL 32225 Date Paid: 12/13/1999 Phone: (000)000-0000 Work Desc: CONSTRUCT STORAGE SHED _ CONTRACTOR PROPERTY OWNER PERMIT 30.00 i t' NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ _-- $38.88 14 _ Date: 12/17/99 81 Receipt: 88282312 AT N C B ACH UILDIN EPT. CHECKS 88188883221888 RECEIVED CITY OF ATLANTIC BEACH OEC 10 1999 PERMIT APPLICATION RMIODEL, ADDITIONS, OR A� pg-Tt Aric Beach MOVING, DEMOLITIONS Building and Zoning Owners) : P-AL�ce I �Np &�'kls Job Address: S2-S ST(ZEET Phone: 64Z--S913(0+ 3'ry'SZ q�S(uJ� Lot Bieck or Unit Subdivision: • Contractor: ' State _ Com• hy�� �_(�—'�j-�n-e9x� � U WN�- License - Caress: Phone Nc: Arx State Z _ _ :,de C.ty - -e acne: -To 4lJkA.ACI 4- �-6 dea� d _reser_ ,:se o. r=cseC COP.3__llCt_on I �OO i- - STO RAG is this an 3CC:r; n?� I= `_�esr what are the dimensions of the added space: X f_. 4 1'_ the added area be heated and coc_ec New e'_ect__ca_ (or _ncrease) ? New alumbi-c 11-- ? New fireclace? New Meat/'C? -at__�s SZT/MIS' THREE (CO CIAL) TWO (R:SZrENTrAiL) CCMPIZTE SETS OF PSIS, INC.T.�'DING S I T_ PLAN, SURVEY, ENERGY CODE FORMS, NOTIC"m OF COM1�?E`VC.'-��'NT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Si nature OWNER: Date: 12 8— l � � cc Signature CONTRACTOR: Date: fZ.� 7' / AS TO OWNER: Sworn to and"subs ri e e r n_ day of Q L 2 rn be,y 19�. Blg, FRANCES G.CONNER � MY COMMISSION N CC 760822 4Q EXPIRES:0813M02 N ARY PUBLIC AS TO CONTRACTOR: )TARY FIs.Notary Services Bonding - ----- 6 Sworn to and subscribed before me this j NOTARY PUBLI Fbck ]ohn#•CC889307 EVRES , ` rAY COMN eOmbeF 1200 E It+c CITY OF r�t�'c tcc Fead - �7&Teda 4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 -- — TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCONI 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: 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 $25,000.00 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 A 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 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. 1 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. PROPERTY OWNER/BUILDER 32- ADDRESS TELEPHONE g� SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF� 1 9'/• N k I NOTE: PHRASES UNDERLINED ABOVE MY CE P D� ARE EMPHASIZED BY THE BUILDING FRANCES G.CO NE DEPARTMENT. MY COMMISSION#CC 760822 F-XPIRES:08/03R002 Y Fla.Notary Services&Bon4in8CC b;2b7b MAP SHOWNG BOUNDARY SURVEY O' ZOT 7 Auc) THE EA31OTBLOCK / 5 AS SHOWN ON MAP OF H14cFc� A7LA &i )71CAS RECORDED /N PLAT BOOK S PAGES X09 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER77FIED FOR: 8 v - LCL7 7iTLE EVrCE�� _i�Jy 0o '✓ a DEC � 1999 G •. .' . , ', 00 ULu 1 v � ity of Atlantic Beac o• N Building and Zoning 7.7 1r ' v 7.5 }. Q x m GonX. /3LUG< N c Af/ co 3Z0 N Q x � a Z 4.5 77' x LUT a o - l� 7�\ GonJC �L �1 k J o G 41 Q P# #G y ¢Q F QG�V G t , ' S! t L0 I `ii i �s n('r 27 1999 loll F9 0 04-----� /� , �Xit o#,'Atlantic Beach o.ti ding and Zoning x x - THE PROPERTY SHOWN HEREON APPEARS TO LIE W7-HIN FLOOD HAZARD ZONE _K _AS SCALED FROM FLOOD INSURANCE RATE MAPS FOR THE C1 TY OF ' "gE,�,GN FLORIDA, DATED 4" /7-�`� AND 1S SHOWN AS A COUR7ESY ONLY AND DOES NOT CONS77TU7E A CERTIFCA77ON OF SAME. TRI-STATE LAND SURVEYORS, INC. 8411 BAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235 LEGO40 ■ COW. AKW 0 Fav Cm7N/S SURLY DOES NOT REFLECT OR DE7FP,MlA'E ON,NL"RSHlP. (SET W01 a4P /LS 4144) NOT VALID WITHOUT THE SIGNATURE Ah'n THE ORIGINAL RA/SED SEAL -x-tvicr OF A FLORIDA LICENSED SURVEYOR AND MA._PPER. o A?QV COR-(town) ®CROSS CUT LARRY G. EDDY, P.L.S. No. 4144 aa, Sulam RESPOC"ON L*c GLENN Al. BROADSTEET, P.`,*�d.�No. 5814 ESH7 E4Sf7EMT R/1r RMT-CF-WAY SCALE.- cbv. ao,�Rm Affil ' CEN7 KM A,lt AW caMWnXV&G PAD GlS7F3lED SURVEYOR AND MAPPER, (R) RACAL=TAMT DATE -19- � STATE OF FLORIDA (LB P921) ORDER NO. F B. PG. 5?— v k OR T� I r Y •4 I I J r L JN11S1X3 I I i Eli 11*14 h hlpi w: •_ ,i tri'�''i'�+' t � %J V7- 1 Alp 7�}j�'{�i4� C��•i.;+,,..�ia��!� I Zit yr•'' ''"�; 7 - M { �,+{'t��it A��` t MAY ?- �i 'J �• 'r 1 `it ^'1 a I r ,�rZTN r r�"fi'�a rrr?rr�F r (1• (� EM "�`'r'��i ti2`•,r1`s{r� ,••y o r � L/•��/�'� FJ(�t 1 C,1'11��( � •- - - - - - - - - - - � - 4 na 1p;n(.�;i7�' ••4 L:,!,^;r'y `r..�.,. :t' '•''�'�'. . . . . ° ' '��'�•a.� I . t( r6 I•�L �� �I� CITY OF ATLANTIC BEACH, FLORIDA 0106 Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: > 4- 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. BILL THOMPSWT[TURIC-CO.,ING,' P. 0. BOX 330150 ATLANTIC BEACH, FL 32233 0150 ELECTRICAL FIRM: MASTER ELECTBICIA SIGNATURE 7✓iaf� NAME- �� ✓���� ADDRESS: d RFD BOX BLDG.SIZE ___.BETWEEN: RES. ( 1 APT. ( ) comm. ( I PUBLIC ( ) INDUS. 1 1 NEW ( 1 OLD ( 1 REW. ( ) ADDITION ( 1 TRAILER ( 1 I �,SIGNS ( 1 SQ. FT. SERVICE: QNEW& INCREASE ( 1 REPAIR ( 1 ! �iG� FEE CONDUCTOR SIZE AMPS O COPPER ALUM. SWITCH OR BREAKER AMPS PH W t/OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL U��O AMPS 31-100 AMP6 SWITCHES INCANDESCENT _ FLUORESCENT &M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTOH.: AMPS �CEIL NEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PNS N:1 I H.P. VOLTAGE L PHS E= MISCELLANEOUS — TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA N0. JKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES 17496 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION p INFORMATION STREET 1 74 9' A Al 'R 1 DA 3 -mit Number : 17496 A dress : 128 ELEVENTH STREET T . I ATLANTIC BEACH , FLORIDA 32233 _H Ij I FPe-rmit Type:MECHANICAL E T - -------- LEGAL DESCRIPTION -- --------- a.ss of Work:ALTERATION Block: Lot , Twp, Type:,CONCRETE BLOCK roposed Use: Section: 0 Subd:0 Rng* 0 Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value ' 0 .00 inprov . Cost ! 0 . 00 Total Fees : 12*71 .00 Amount Paid : 127 . 04 Date ?-aid ` 12102"/1998 ork Des t,Al'E.. APPLICATION FEES -- ---- ;WNER INFORMATION 'PRIAIT 27 . 00 APPLICATION (10 IoHN OGR;�DNIKSHEENA GOLDBLAT'71' 'MIT :.me: dir- -1219 ELEVENTH STREET ATLANTIC ,BEAC,li , FLORIDA -j 2 2 73^-�, hanel lf904)246-�2424 CONTRACTOR INFOFMATION ,, ame: DONOVAN HEATING AND AIR ddr : 315 SIXTH AVENUE SOUTH JAX BEACH , FLORIDA 32250 ',i c: CAC039761 Exp: NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 SMP ANSULTIN HE PROPERTY OWNER PAYING TWICE FOR BUILDINGROVEMENTS." 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 By: `.� 'civ v Qom 4r �� ca• o eQ. v rj O� � Q•�o�a� ao O°o QJ °ca Qv°j Q oa Ov G a ° J c � yQao a4o` �c yQ \ �c 2 46 i ♦ O l(j v 241P cP roc 4 yQ O �� Oe C. �Q p2o p O leeQ g 4??m Oy2 032.1 Jam- C4 c oma. �o �C �Cg I� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH AT LAN r I C SEA CI1. FLOn IDA 3 223 3 APPLICATION FOR MECHANICAL PERMIT CALL IN NUMBER IMPORTANT -- Applicant t(4 cnmplete all items in sections I, II, III, and IV. LOCATION Streef Addr.ss! -ala l — -- - ---- — --------------- --- OF Intersecting Slreels Fol—on BUILDING — Sub di.iuon II. IDENTIFICATION — To be completed by all applicants In consideration of parr iI gi, n for ,Doing the work as described in the ata staterr, nl we 6e,el.y agree to pe,fo,n, said work in accordan.n with the atlaciLed plans and sre6fiealiont which are a part hereof and in accordance wili, the City of Jaekso—ille ordinances and slandards of good pracli - hsfed Il,e,ein. Name of Mechanical Contractors Contractor (Print) v1 t(�V�/h� T 'c MAIJer `t Q Nam• of � ocklf Property OwnerC_J'2./ - signature of Owner Signature of or Aulhoriied Agent Architect or Engineer GENE"L INFORMATION A. Type of heating fuel: B IS OTHER CONSTRUCTION BEING DONE� ON C] Electric THIS BUILDING OR SITE? U ❑ Ges — ❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMHNT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) k Residential Or I.) Commercial ❑ Heat ❑ Space ❑ Recessed X Control O Floor IJ flew Building lie Air Conditioning: ❑ RoomCentral Existing BUlldlnq ✓✓✓✓❑ NO Syslem: Material Thiclnese Replacement of existing system ►.Assimum capacity c.f.m. C_) flew Installation(No system previously Installed) I_) Extension or add-on to existing syslern ❑ Refrigeration U Other — Specify _ PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - ------- LOCATION INFORMATION Permit Number ! 10074 Address : 328 ELEVENTH STREET Permit Type: OTHER ATLANTIC" BEACH . FLOFIDA Plass of Work : NEW ------ LEGAL DESCRIPTION "onstr . Type: CONCRETE Lot : Block: Sectiow, Proposed Use : DRIVEWAY Townsh.1p, RNG: 0 Dwellings : I Code : r, Subdivision: ATLANTIC BEACH Estimated Value' $0 .00- improv . Cost * $0 . 00 Total ,fees : $25 . 00 Amount- $25 , 00, OWNER INFORMATION APPLICATION FEES .-':,1,FeADNI1K/SHEENA j",T PERMIT 32ELEVENTH STREET WATER IMPACT. FEE - 50 -0(� 2 ATLINTI BEACH , FLORIL; IMP: CT FEE Prep n e ( 90 4 12 A6 - 2424 WATER METER!TAP $6 RADON GAS-H.R . S . ',-"ONTFACTOR INFORMATION RADON CAB 5% $0 .00 d-rName : PR0PEf%TV 1'� NFR CAPITAL IMPR,-)VE,. $0 .00 --,' IP o 00 Adoss SEWER_..'' EWER TA CROSS CONNECTION FF TvpeSEC H IMPACT FEE 0Q . CONST. SURCHARGE $0 0 qCHARf3E?/ATL-,BCH , 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 DEPARTMENT000000000 $6.00 14 000000000 01 Rcpt 00497 By: �&Kw 657 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) :- Address : ��-� � Phone : Lot # Block or Unit # Subdivision: Contractor : ` \ State License # Address : Phone No: Describe work to be done: Present use of building : Valuation of Proposed Construction: Proposed use: Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR . Signature OWNER: ``� �� \ C``� Date: Signature CONTRACTOR: Date: _ License Supplied: 1 Liability Insurance: Worker ' s Compensation Insurance : R 7 I DEPARTMENT OF BUILDING PERMIT No.- 6187 °- CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD .00CAC THIS PERMIT MUST BE POSTED ON JOB 9u4 3 14 1 D/1 1/0 10100 Date 110-11 19 84 Valuation$ FFNC'F Fee$ nn rr17a_rgP This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that HOWARD 0. DAVIS has permission to build FENCE a Classification RESIDENTTAT. Zone Owned by HOWARD 0. DAVIS Lot Block--S/D House No. 328 ELEVENTH STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE /—� 4� z Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared hauled away by either con- up and ttractor or owner. JOHN M. WIDDOWS Building O PERMIT CONTRACTOR FOR OFFICE DATE ER USE ONLY NUMB PLUMBING ELECTRICAL SEWER WATER 3807 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -------- LOCATION INFORMATION Permit Number: 3807 Address: 328 ELEVENTH STREET Permit Type: MECHANICAL ATLANTIC; BEACH, FLORIDA 32233 Class of Work: ADDITION ---- ------- LEGAL DESCRIPTION - Constr. Type: WOOD FRAME Lot: Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $37. 00 Amount Paid: $37. 00 Date Paid : INSTALL. CENTRAL HEAT AND JW OWNER INFORMATION -- ---- APPLICATION FEES -------- Name: CLARKE PERMIT 53'7. 00 Address: 328 ELEVENTH STREET WATER IMPACT NEE $0. 00 ATLANTIC BEACH, FLORIDA 32 SEWER INPAC`I' FEE: $0. 00 rtione: (9U4 )249-8251 WATER METER $0. 00 RADON GAS-H. R. S. $0.00 ---- -- CONTRACTOR INFORMATION ---- RADON GAS 5% $0. 00 Name: OCEAN STATE HEAT & AIR WATER TAP $0. 00 Address: 1476 ATLANTIC BLVD. SEWER TAP $0. 00 NEPTUNE BEACH, FLORIDA 32233 HYDRAULIC SHARE; $0. 00 License: MHAR-786 Type: 3 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 "FAILURE TO COMPLY WITH THE MECHANICS'ILDING IMPROVEMENTSLIEN LAW CAN RESULT iN THE PROPERTY OWNER PAYING TWICE FOR B ;VIOLATION D ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR OF APPLICABLE PROVISIONS OF LAW. ATLATIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH (, ATLANTIC BEACH, FLORIDA 32233 b APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaciLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical –�-9,5 / Contractors ^ Contractor (Print) Q.`�L✓ s !! Mester l Name of Property Owner Ike Signature of Owner Signature of or Authorised Age Architect or Engineer 111. GEN -IN S • IJ A, Type of heating iel: IS OTHER CONSTRUCTION BEING DO/NE ON Electric THIS BUILDING OR SITE? 1AVn ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT �— ❑ Otlser — Specify IV. MECHIANW.AL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) (J'r Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Central 0 Boor New Building Air Conditioning: ❑ Room Central Existing Building Replacement of existing system ❑ Duct System: Material Thickness Maximum capacity c.f.m. ElNew installation(No system previously installed) F1 FxtPnsion or arid-on to existing svStem CITY OF ATLANTIC BEACH, FLORIDA Approvodby 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 AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME. C� z Lc c ADDRESS:. RFD BOX BLDG. /SIZE BETWEEN: RES. APT. ( ► comm. ( ) PUBLIC ( ) INDUS. { ) NEW ( ) OLD I ) REW. ( ) ADDITION_{ ) TRAILER ( ) TEMP. { ► SIGNS ( ) SO. FT. SERVICE: , NEW( ) INCREASE Y4 REPAIR ( ) FEE CONDUCTOR SIZE AMPSClCOPPER ALUM. SWITCH OR BREAKER 2ZO C AMPS PH 3 W ;�-4CIVOLT S RACEWAY 2r• c_rZ) EXIST.SERV.SIZE /U 0 AMPS PH �W �-4 VOLT SES• RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES _ TBELL TRANSF. AIR H.P. RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES `?3