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1426 Ocean Blvd 2014 remodel/addition J CITY OF ATLANTIC BEAM Il 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000024 Date 1/21/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120200 --------------------------------------------------- Application desc REMODEL AND ROOM ADDITION ON 3 SIDES --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JOSEPH WILLIAM LEE ET AL FUTURISTIC HOMES, INC. 2633 CLARA RD 13694 BETTY DR JACKSONVILLE FL 322165354 QA SAMUEL JEFFREY FLOYD JACKSONVILLE FL 32224 (904) 710-4806 --- Structure Information 000 000 REMODEL AND ADDITIONS Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------------------------------------------------ Permit . . . . . . RESIDENTIAL ADDITION Additional desc . Permit Fee 543 . 00 Plan Check Fee 271 . 50 Issue Date . . . Valuation 120200 Expiration Date . . 7/20/14 ----------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------------------------------------ Other Fees . r ��SNNTrATRE�!�DTCpAR SURCHARGE H}� 8 . 1S PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY"�OF"AAL TIC BFACA-ORD?NA;CES-A�D THE FLOINA 0 0 BUILDING CODES. •� CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 a Page 2 Application Number -__ _ - _-_--14_00000024-------------Date---1/21/14 ------------------------ - - Other Fees . . . . . . . . . STATE DBPR SURCHARGE 8 . 15 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 543 . 00 543 . 00 . 00 . 00 Plan Check Total 271 . 50 271 . 50 . 00 . 00 Other Fee Total 41 . 30 41 . 30 . 00 . 00 Grand Total 855 . 80 855 . 80 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION J CITY OF ATLANTIC BEACH s 800 Seminole Road, Atlantic Beach, FL 32233 F I L E COPY Office (904)247-5826 Fax(904)247-5845 Job Address: 1'] p��;� �\�d �A(� �= '� �,� Permit Number: /y Legal Description I „ orlL 0k c Parcel# Valuation of Work S_0U. '�Oy'0V Proposed Work h� ted/cooled `(a6 noFt n heated/cooled iy y Class of Work(circle one): New ddition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esidentia If an existing structure,is a fire sprinkler system installed? (Circle one N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: Z am'O L t Z6 o r• 1% ,UAtt t` Oil a4 remb(V of Ce( 11 4 Property Owner Information• Name: co-A c— Address: Z(, QCP-" 96111 d . City a n-"C, (2,pjt CS,N Statd�c Zip3 Phone c a, �—,- 3. E-Mail or Fax#(Optional) C M r Contractor Information: C NTRACTOR EMAIL ADDRESS: _ VtC ;nC 0 "i ,Com Company Name: �(A 1 nC, Qualifying Agent: �) +yj oya Address: City;�C1 k- P_� k, l 1 e State Zi Office Phone U ' � y `7 Job Site/Contact Number G p Fax# p T— i 1 8 C�L T? � ! 3 State Certification/Registration#_ ,isf t2S"(oG�i4 Architect Name&Phone# ,ti Engineer's Name&Phone# C, (�,c_CA::n qb y -94 - X610 Fee Simple Title Holder Name and Address N I A Bonding Company Name and Address lu Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the issuance o,f a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six-(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH UR LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF COMMENCEMENT. S C 6 1 � i that I have read and examined this a plication and kno the s�r!`d to b rue and correct. All provisions of laws and ordinances governing this & ill be complied with whether eci ed herein or not. he rg44r9 o a permit does not presume to give authority to violate or cancel the ny other federal,stat or to al egulati, construct n or_e�g�o ante of construction. w # gy m Z o n m mm = g En LU LU Owner U *S ature of Contractor 11 tot�Ame ............. .....J...4s�.............f' .Bw. a E EP nt Name Cnt't✓C..�...........................1 t` .... g. ............. .....Q o E . ... .... 3efoie me - ,,o � o , me his Y Day of aA-I 20 1' z t 'sorDay of .: &K(lkar 20 j ,111.11 bV� 10 ary Public A `�" tary Pub i :, ` ��m u Revised 01.26.10 Graham, Shirley From: Showman, Lisa Sent: Tuesday, January 21, 2014 3:50 PM To: Graham, Shirley Cc: Carper, Rick Subject: RE: 1426 Ocean Blvd Shirley—This is approved by PW in the AS400. Charge was$25. Hard copy will be delivered to you tomorrow. From: Graham, Shirley Sent: Tuesday, January 21, 2014 2:35 PM To: Carper, Rick Cc: Showman, Lisa Subject: 1426 Ocean Blvd Rick,What do you need for the approval for this address 14-0024? SKKe� crahavv- Building Department 800 Seminole Rd Atlantic Beach, Fl 32233 904 247 5800 sgraham@coab.us i DO NOT WRITE BELOW - OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING DE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: r!'i Development Size Habitable Space x8,3 S-F. Non-Habitable Gg s. Impervious area Miscellaneous Information Occupancy Group 12 - 3 Type of Construction Number of Stories 2- Zoning District e Y— a Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: r�►,�,rr1k•'*:r+wtifltas.��Mt�!�+R NOTICE OF COMMENCEMENT 0,LL!F EIL E COPY (PREPARE IN DUPLICATE) �. r Permit No. J�� r Tax Follo No. ; k State of 41 County of To whom It may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: Lot- I, J Address of property being improved: 2-(" Of- (1,c1- General.description of improvements' r J! Yf b� t A � "j. }' t" a'1 &1� rJ1 A?10 r&'/fir",r di,1� w`-�C�cr �c_r rG5 owner akdl r✓wS A?� !AddresS1` ?(0 cl �r� 1 � VctGtfl�?'c t Owner's interest in site of the improvements Fee Simple Titleholder(if other than owner) Name Address Contractor K) C—A eD;'y1Pr� n, t �(.• (J Address � -- Phone No. C)`f 4 r T Fax No. Surety Qf any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Fs Address '.'Phone No. Fax No. ,Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a ;different date Is speci ied):THIS SPACE FOR RECORDER'S USE ONLY .W ER E.signed: DATE V Before m4es day of a ! the Z County o tate of Florida,has personalty ppeared herein by Doc#2014001660,OR BK 16601 Page 1198, t,imse ers and affirms that all statements and declarations herein 4vc are true and ccurate vdgg Number Pages:1 Recorded 0110 20'I 4 at 01:09 PM, �¢t Ronnie Fussell CLERK CIRCUIT COURT DUVAL v WON COUNTY RECORDING$10 00 Notary Public at Large,State of 1= County of a , nJi My commission expires: Personally Known or Produced identification ����_ M 3 Z©.gKbr,, 71i•ZLi MAP SHOWING SURVEY OF LOT 2, BLOCK 5% MANDALAY, AS RECORDED IN PLAT BOOK 10, PACE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.ul � � �� APE.HO GP I LOT 3 o (124.90' FIELD) FUM 3FQM 3g�W' REBAFL FtMAlt. 4, -90W57' l-c-3 - 0 0 - 2 2 STORY FRAME CA q > STORY FRAME 0 Cn RESIDENCE N 0 RESIDENCE C:) 6.7' > 2(LT �t NUMBER 142665 -t X 00 FJ '--b '0 1 STORY z G FRAME CONCREM ormaw 19.2- GARAGE r > 2012* m 90-08'26 MCI 0 c) SETNFL 116 1.1 89 554 0 0 72 71-0 [SET -I ON 25.00LB3672 1 ' -> (124.82' FIELD) ?M X -uZ 0, >> c:< CJS. < rn d > c > CID z LOT 1 Z o 11 SET 11r 020Nfowo I'l-IRON PIPE.LB3672 APE NO CAP 14th STREET 40' RIGHT OF WAY PAVED PUBLIC ROAD 0 10 20 4.0 1' = 20' NOTES 1. THIS IS A BOUNDARY SURVEY. 2. NO BUILDING RESTRICTION LINES PER PLAT. 3. NORTH PROTRACTED FROM PLAT. 4. INTERIOR ANGLES SHOW AS PER FIELD SURVEY. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP No. 12031CO409H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY. FLORIDA. "NOT VAUD WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT, P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER.' FLORIDA UC. SURVEYING&MAPPING BUSINESS No. LB 3672 CHECKED BY: DATE: — I BOATWRIGHT LAND SURVEYORS, INC. AUGUST 19, 2013 DRAWN BY: PGP FILE- 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF I _1013-07159B I — FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Nt Project Name: Residence, 1426 Ocean Blvd Builder Name: I Street: 1426 Ocean Blvd Permit Office: Atlantic Beach C City, State, Zip: Atlantic Beach , FL , Permit Number: r Owner: Jurisdiction: 261100 FILE COPY Design Location: FL, Jacksonville .°14B 1. New construction or existing New(From Plans) 9. Wall Types(2680.2 sqft.) Insulation Area 2. Single family or multiple family Single-family a. Frame-Wood, Exterior R=13.0 2680.20 ft= b. N/A R= ft2 3. Number of units, if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 5 d. N/A R= ft= 10. Ceiling Types (1632.0 sgft.) Insulation Area 5. Is this a worst case? No a. Roof Deck (Unvented) R=19.0 1632.00 ft2 6. Conditioned floor area above grade (ft2) 2549 b. N/A R= ft' c. N/A R= ft= Conditioned floor area below grade (ft2) 0 11. Ducts R ft= 7. Windows(468.1 sqft.) Description Area a. Sup: 1st Floor, Ret: 1st Floor,AH:2nd Floor 6 202.02 a. U-Factor: Sgl, 1-11=0.30 468.11 ft2 b. Sup: 2nd Floor, Ret:2nd Floor,AH: 2nd Floor 6 129.35 SHGC: SHGC=0.30 b. U-Factor: N/A ft= 12. Coding systems kBtu/hr Efficiency a. Central Unit 42.0 SEER:14.00 SHGC: b. Central Unit 24.0 SEER:14.00 c. U-Factor: NIA ft2 SHGC: 13. Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a. Electric Heat Pump 42.0 HSPF:8.00 SHGC: b. Electric Heat Pump 24.0 HSPF:8.00 Area Weighted Average Overhang Depth: 1.300 ft. Area Weighted Average SHGC: 0.300 14. Hot water systems a. Propane Tankless Cap: 1 gallons 8. Floor Types (2549.0 sqft-) Insulation Area EF: 0.750 a. Crawlspace R=0.0 1005.00 ft2 b. Conservation features b. Floor Over Other Space R=0.0 995.00 ft2 None c. other(see details) R= 549.00 ft2 15. Credits Pstat Total Proposed Modified Loads: 43.18 PASS Glass/Floor Area: 0.184 Total Standard Reference Loads: 68.38 1 hereby certify that the plans and specifications covered by Review of the plans and O��NE S74 , this calculation are in compliance with the Florida Energy specifications covered by this v Code. calculation indicates compliance CU-49 Ryan B.Ellis with the Florida Energy Code. PREPARED BY. Before construction is completed =- DATE 1/16/14 this building will be inspected for 0 r A compliance with Section 553.908 I hereby certify that this building,as designed,is in compliance Florida Statutes. i,�, with the Florida Energy Code- OWNER/AGENT: BUILDING OFFICIAL: _ -- DATE: DATE: -� - Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist 1/16/2014 11:29 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 6 PROJECT Title: Residence, 1426 Ocean Blvd Bedrooms: 5 Address Type: Street Address Building Type: User Conditioned Area: 2549 Lot# OwnerTotal Stories: 2 Block/SubDivision: #of Units: 1 Worst Case: No PlatBook: Builder Nam: Rotate Angle: 0 Street: 1426 Ocean Blvd Permit Office: Atlantic Beach Cross Ventilation: County: Duval Jurisdiction: 261100 Whole House Fan: City, State, Zip: Atlantic Beach Family Type: Single-family FL, New/Ebsting: New(From Plans) Comment: CLIMATE ECC Design Temp Int Design Temp Heating Design Daily Temp Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL, Jacksonville FL–JACKSONVILLE–INT 2 32 93 70 75 1281 49 Medium BLOCKS Number Nam Area Volum 1 Blockl 1554 13986 2 Block2 995 8955 SPACES Number Name Area Volum Kitchen Occupants Bedrooms Infill ID Finished Cooled Heated 1 1st Floor 1554 13986 Yes 2 1 1 Yes Yes Yes 2 2nd Floor 995 8955 No 2 4 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter Perimeter R-Value Area Joist R-Value Tile Wood Carpet 1 Crawlspace 1st Floor 74.7 ft 0 1005 ft2 0 0 0 1 2Crawlspace 1st Floor 94.3 ft 0 549 ft2 19 0 0 1 3 Floor Over Other Space 2nd Floor — — 995 ft2 0 0 0 1 ROOF Roof Gable Roof Solar SA Emitt Emitt Deck Pitch # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Composition shingles 1602 ft2 0 ft2 Medium 0.96 No 0.9 No 19 14 ATTIC J # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Unvented 0 1554 ft2 N 1/16/2014 11:29 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 6 CEILING # Ceiling Type Space R-Value Area Framing Frac Truss Type 1 Under Attic (Unvented) 1st Floor 0.1 587 ft2 0.11 Wood 2 Under Attic (Unvented) 2nd Floor 0.1 1045 ft2 0.11 Wood WALLS Adjacent Space Cavity Width Height Sheathing Framing Solar Below R--VA- Fraction Absor r-rade% _ 1 S Exterior Frame'-Wood 1st Floor 13 52.8 9 475.2 ft2 0.23 0.75 0 2 E Exterior Frame-Woad 1st Floor 13 31.7 9 285.3 ft' 0.23 0.75 0 _ 3 N Exterior Frame-Wood 1st Floor 13 52.8 9 475.2 ft2 0.23 0.75 0 4 W Exterior Frame-Wood 1st Floor 13 31.7 9 285.3 ftp 0.23 0.75 0 _ 5 S Exterior Frame-Wood 2nd Floor 13 38.6 9 347.4 ft2 0.23 0.75 0 _ 6 E Exterior Frame-Wood 2nd Floor 13 25.8 9 232.2 ft2 0.23 0.75 0 _ 7 N Exterior Frame-Wood 2nd Floor 13 38.6 9 347.4 ft2 0.23 0.75 0 8 W Exterior Frame-Wood 2nd Floor 13 25.8 9 232.2 ft2 0.23 0.75 0 DOORS # Omt Door Type Space storms U-Value Ft Width In Ft Height tln Area 1 S Insulated 1st Floor None 0.460000 1.35 6.7 9.045000 2 W Insulated 1st Floor None 0.460000 1.35 6.7 9.045000 WINDOWS Orientation shown is the entered, Proposed orientation. Wall Overhang # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening 1 S 1 Metal Low-E Single Yes 0.3 0.3 60.0 ft2 1.3 ft 0 in 8 ft 0 in Drapes/blinds None 2 S 1 Metal Low-E Single Yes 0.3 0.3 9.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 3 S 1 Metal Low-E Single Yes 0.3 0.3 22.5 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 4 E 2 Metal Low-E Single Yes 0.3 0.3 90.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 5 N 3 Metal Low-E Single Yes 0.3 0.3 6.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 6 N 3 Metal Low-E Single Yes 0.3 0.3 17.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 7 N 3 Metal Low-E Single Yes 0.3 0.3 22.5 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 8 W 4 Metal Low-E Single Yes 0.3 0.3 45.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 9 W 4 Metal Low-E Single Yes 0.3 0.3 9.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 10 W 4 Metal Law-E Single Yes 0.3 0.3 30.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 11 S 5 Metal Low-E Single Yes 0.3 0.3 30.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 12 S 5 Metal Low-E Single Yes 0.3 0.3 3.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 13 E 6 Metal Loner-E Single Yes 0.3 0.3 45.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 14 N 7 Metal Low-E Single Yes 0.3 0.3 45.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 15 W 8 Metal Low-E Single Yes 0.3 0.3 30.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 16 W 8 Metal Low-E Single Yes 0.3 0.3 4.0 ft2 1.3 ft 0 in 1 ft 0 in Drapes/blinds None 1/16/2014 11:29 PM EnergyGaugeO USA- FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 6 INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Best Guess 0.000500 3343.0 183.52 345.15 0.4739 8.7433 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Heat Pump None HSPF: 8 42 kBtu/hr 1 sys#1 2 Electric Heat Pump None HSPF: 8 24 kBtu/hr 2 sys#2 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit None SEER: 14 42 kBtu/hr 1260 elm 0.75 1 sys#1 2 Central Unit None SEER: 14 24 kBtu/hr 720 cfm 0.75 2 sys#2 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt qNone 1 Propane Tankless Exterior 0.75 1 gal 80 gal 120 deg SOLAR HOT WATER SYSTEM FSEC CdWor Cert # Company Name System Model# Collector Model# Area None None ft DUCTS —Supply— —Return— Air CFM25 HVAC# # Location R-Value Area Location Area Leakage Type Handler CWU125 OUT QN RLF Heat Cod 1 1st Floor 6 202.02 1st Floor 77.7 ft= Default Leakage 2nd Floor cfm (Default) 1 1 2 2nd Floor 6 129.35 2nd Floor 49.75 ft Default Leakage 2nd Floor cfm (Default) 2 2 TEMPERATURES Programable Thermostat:Y Ceiling Fans: Coding ]Jan Feb [ ]Ma [ ]Apr [ ]May ri Jun n Jul Aug ri Oct Nov Dec Heating f X]Jan EX�Feb [X]Ma Jan Feb M [ 1 AApr L 1 May Jun Jul ri Aug Sep Oct ki Nov Dec May Jun Jul Aug Oct Nov Dec Venting [ 1 [ [X] a [X] l 1 1/16/2014 11:29 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 6 Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 - - - - - Coding (WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Coding (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating (V11EH) 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 1/16/2014 11:29 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 6 FORM 405-10 Florida Code Compliance Checklist Florida Department of Business and Professional Regulations Residential Whole Building Performance Method ADDRESS: 1426 Ocean Blvd PERMIT#: Atlantic Beach, FL, MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details. COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK Air leakage 402.4 To be caulked, gasketed,weatherstripped or otherwise sealed. Recessed lighting IC-rated as meeting ASTM E 283. Windows and doors= 0.30 cfm/sq.ft.Testing or visual inspection required. Fireplaces: X gasketed doors&outdoor combustion air. Must complete envelope leakage report or visually verify Table 402.4.2. Thermostat& 403.1 At least one thermostat shall be provided for each separate heating and controls cooling system. Where forced-air furnace is primary system, programmable thermostat is required. Heat pumps with supplemental X electric heat must prevent supplemental heat when compressor can meet the load. Ducts 403.2.2 All ducts, air handlers,filter boxes and building cavities which form the primary air containment passageways for air distribution systems shall be considered ducts or plenum chambers, shall be constructed and X sealed in accordance with Section 503.2.7.2 of this code. 403.3.3 Building framing cavities shall not be used as supply ducts. Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies in Table 403.4.3.2. Provide switch or clearly marked circuit breaker electric or shutoff(9 as). Circulating system pipes insulated to= R-2 X +accessible manual OFF switch. Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical ventilation ventilation systems shall not exceed the minimum ASHRAE 62 level. No make-up air from attics, crawlspaces, garages or outdoors adjacent to pools or spas. Swimming Pools 403.9 Pool pumps and pool pump motors with a total horsepower(HP)of= 1 &Spas HP shall have the capability of operating at two or more speeds. Spas and heated pools must have vapor-retardant covers or a liquid cover or other means proven to reduce heat loss except if 70%of heat from site-recovered energy. Off/timer switch required.Gas heaters minimum thermal efficiency=78%(82%after 4/16/13). Heat pump pool heaters minimum COP=4.0. Cooling/heating 403.6 Sizing calculation performed&attached.Minimum efficiencies per Tables 503.2.3.Equipment efficiency verification required.Special equipment occasion cooling or heating capacity requires separate system or X variable capacity system. Electric heat>10kW must be divided into two or more stages. Ceilings/knee walls 405.2.1 R-19 space permitting. X 1/16/2014 11:29 PM EnergyGauge® USA - FlaRes2010 Section 405.4.1 Compliant Software Page 6 of 6 Job: Project Summary , Date: 1/16/14 list Floor FIL 01 By: M.Ellis Energy Design Systems, In 12132 Weatherwood Estates Dr W.Jacksonville,FL 32223 Phone:904-268-3670 Fax:904r2AV Email:edstx�gfnail.comi For: Residence 1426 Ocean Blvd, Atlantic Beach, FL Notes: Front door faces South. Design Information Weather: Jacksonville Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 39 °F Outside db 92 °F Inside db 72 °F Inside db 72 'F Design TD 33 °F Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 65 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 18462 Btuh Structure 30465 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 18462 Btuh Use manufacturer's data n Rate/swing multiplier 0.97 Infiltration Equipment sensible load 29551 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2724 Btuh Ducts 0 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area (ft2) 1554 1554 Equipment latent load 2724 Btuh Volume (ft') 13986 13986 Air changes/hour 0.30 0.15 Equipment total load 32275 Btuh Equiv. AVF (cfm) 69 35 Req. total capacity at 0.75 SHR 3.3 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1630 cfm Actual air flow 1630 cfm Air flow factor 0.088 cfm/Btuh Air flow factor 0.054 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2014-Jan-16 23:33:39 ^t �' wrightsoft Right-Suite®Universal 2012 12.1.03 RSU17457 Pagel ,41CCA ...t\Residential Manual J\Residence,1426 Ocean Blvd,Atl Bch.rup Calc=MJ8 Front Door faces: Pagel Project Summary Job: Date: 1116/14 2nd Floor By: M.Ellis Energy Design Systems, Inc. 12132 Weatherwood Estates Dr W,Jacksonville,FL 32223 Phone:904-268-3670 Fax 904-266-3670 Email:eds.yax(anail come • - a 14)rel I NP11 • For: Residence 1426 Ocean Blvd,Atlantic Beach, FL Notes: Front door faces South. Design Information Weather: Jacksonville Mayport Naval, FL, US Winter Design Conditions Summer Design Conditions Outside db 39 °F Outside db 92 °F Inside db 72 °F Inside db 72 °F Design TD 33 °F Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 65 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 11321 Btuh Structure 18177 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 11321 Btuh Use manufacturer's data n Rate/swing multiplier 0.97 Infiltration Equipment sensible load 17631 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 1561 Btuh Ducts 0 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 995 995 Equipment latent load 1561 Btuh Volume(ft') 8955 8955 Air changesthour 0.35 0.18 Equipment total load 19192 Btuh Equiv. AVF(cfm) 53 26 Req.total capacity at 0.75 SHR 2.0 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency80 AFUE Efficiency 0 SEER Heating Iput 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 973 cfm Actual air flow 973 cfm Air flow factor 0.086 cfm/Btuh Air flow factor 0.054 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2014-Jan-16 23:33:39 W rightSOft" Right-Suite®Universal 2012 12.1.03 RSU17457 Page 2 ACG•C�iA ...t\Residential Manual J\Residence,1426 Ocean Blvd,At]Bch.rup Calc=MJ8 Front Door faces: Page 2 TABLE 402.4.2 AIR BARRIER AND INSULATION INSPECTION COMPONENT CRITERIA Project Name: Residence,1426 Ocean Blvd Builder Name: Street: 1426 Ocean Blvd Permit Office: Atlantic Beach City,State,Zip: Atlantic Beach,FL, Permit Number: Owner: Jurisdiction: 261100 Design Location: FL,Jacksonville COMPONENT CRITERIA CHECK Air barrier and thermal barrier Exterior thermal envelope insulation for framed walls is installed in substantial contact and continuous alignment with building envelope air barrier. Breaks or joints in the air barrier are filled or repaired. Air-permeable insulation is not used as a sealing material. Air-i3ermeable insulation is inside of an air barrier. Ceiling/attic Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. Attic access(except unvented attic), knee wall door, or drop down stair is sealed. Walls Corners and headers are insulated. Junction of foundation and sill plate is sealed. Windows and doors Space between window/door jambs and framing is sealed. Rim joists Rim joists are insulated and include an air barrier. Floors (including Insulation is installed to maintain permanent contact with underside above-garage and of subfloor decking. cantilevered floors) Crawl space walls Insulation is permanently attached to walls. Exposed earth in unvented crawl spaces is covered with Class I Shafts, penetrations Duct shafts, utility penetrations, knee walls and flue shafts opening to exterior or unconditioned space are sealed. Narrow cavities Batts in narrow cavities are cut to fit, or narrow cavities are filled by sprayed/blown insulation. Garage separation Air sealing is provided between the garage and conditioned spaces. Recessed lighting Recessed light fixtures are air tight, IC rated, and sealed to drywall. Exception—fixtures in conditioned space. Plumbing and wiring Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed/blown insulation Shower/tub on exterior wall Showers and tubs on exterior walls have insulation and an air barrier separating them from the exterior wall. Electrical/phone box on Air barrier extends behind boxes or air sealed-type boxes are installed. Common wall Air barrier is installed in common wall between dwelling units. HVAC register boots HVAC register boots that penetrate building envelope are sealed to subfloor or drywall. Fireplace Fireplace walls include an air barrier. EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 63 The lower the EnergyPerformance Index, the more efficient the home. 1426 Ocean Blvd, Atlantic Beach, FL, 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area a.Frame-Wood,Exterior R=13.0 2680.20 ft2 2. Single family or multiple family Single-family b.N/A R= ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 5 d.N/A R= ft2 10.Ceiling Types Insulation Area 5. Is this a worst case? No a.Roof Deck(Unvented) R=19.0 1632.00 ft2 6. Conditioned floor area(ft2) 2549 b.N/A R= ft2 c.N/A R= ft2 7. Windows" Description Area 11.Ducts R ft2 a. U-Factor: Sgl,U=0.30 468.11 ft2 a.Sup: 1st Floor,Ret: 1st Floor,AH:2nd Floor 6 202.02 SHGC: SHGC=0.30 b.Sup: 2nd Floor,Ret:2nd Floor,AH:2nd Floor 6 129.35 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 42.0 SEER:14.00 b.Central Unit 24.0 SEER:14.00 SHGC: d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electric Heat Pump 42.0 HSPF:8.00 Area Weighted Average Overhang Depth: 1.300 ft. b.Electric Heat Pump 24.0 HSPF:8.00 Area Weighted Average SHGC: 0.300 8. Floor Types Insulation Area 14.Hot water systems Cap:1 gallons a.Crawlspace R=0.0 1005.00 ft2 a.Propane EF:0.75 b.Floor Over Other Space R=0.0 995.00 ft2 b. Conservation features c.other(see details) R= 549.00 ft2 None 15.Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building �gHE S*r O Construction through the above energy saving features which will be installed (or exceeded) ? _ ` p in this home before final inspection. Otherwise, a new EPL Display Card will be completed ��,,,,°' 4. based on installed Code compliant features. Builder Signature: Date: two a Address of New Home: City/FL Zip: 0 1) WE Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient mortgage(EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at (321) 638-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support staff. **Label required by Section 303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. EnergyGaugeO USA-FlaRes2010 Section 405.4.1 Compliant Software f x a FILE COPY EVALUATION Most widely Pccepted and Trusted �TS S"ERVICE IMES Evaluation Report ESR-1826* Reissued February 1, 2012 This report is subject to renewal February 1, 2013. u.y.m.ice-es.orq 1 (800)423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council DIVISION:07 00 00—THERMAL AND MOISTURE 3.0 DESCRIPTION PROTECTION 3.1 General: Section:07 21 00—Thermal Insulation Icynene LD_C_50TM is a low-density. open-cell, REPORT HOLDER: polyurethane foam plastic insulation and air barrier system that is 100 percent water-blown with an installed nominal ICYNENE,INC. density of 0.5 pcf (8 kg/m3). Icynene LD-C-50 is a two- 6747 CAMPOBELLO ROAD component, spray-applied product. The two components of MISSiSSAUGA,ONTARIO L5N 21_7 the insulation are polymeric isocyanate (A-Component. CANADA also known as Base Seal°) and proprietary resin (905)363-4040 (B-Component. LD-C-50 Resin, also known as. Gold www.icynone.com Seal'''). The A-Component must be stored at a temperature of 50°F (10°C) or greater. and has a shelf life of six EVALUATION SUBJECT: months.The B-Component must be stored at temperatures below 100°F(37.80C),and has a shelf life of six months. ICYNENE LD-C-5011" (formerly known as The Icynene 3.2 Surface Burning Characteristics: Insulation System') When tested in accordance with ASTM E84/UL 723, at a 1.0 EVALUATION SCOPE thickness of 6 inches (152 mm) and a nominal density of 0.5 pcf (8 kg/M3), Icynene LD-C-50 has a flame spread Compliance with the following codes: index of 25 or less and a smoke-developed index of 450 or is 2012 and 2009 International Building Code(2009 IBC) less. Thicknesses of up to 7'/2 inches (190.5 mm)for wall cavities and 11 /2 inches (292 mm) for ceiling cavities are 0 2012 and 2009 International Residential Code (2009 recognized based on room comer fire testing in IRC) accordance with NEPA 286. when covered with minimum s 2012 and 2009 International Energy Conservation '/2-inch-thick (13 mm) gypsum !ward or an equivalent Code'(2009 IF-CC) thermal barrier complying with the applicable code Ir Other Codes(see Section 8.0) 3.3 Thermal Resistance: Properties evaluated: Icynene LD-C-50 has thermal resistance (R-values) at a mean temperature of 75°F(24°C)as shown in Table 1. U Surface burning characteristics 3.4 Air Permeability: e Physical properties Icynene LD-C-501" spray-applied foam plastic insulation, a Thermal performance(R-values) at a minimum thickness of 31/2 inches (89 mm), is considered air-impermeable insulation in accordance with e Attic and crawl space installation IRC Section R202, based on testing in accordance with cA Fire resistance ASTM E283. r: Air permeability 3.5 Intumescent Coatings: 3.5.1 No Burn Plus XD: No Burn Plus XD intumescent r, Noncombustible construction coating is a latex-based coating supplied in 1-gallon (4L) 2.0 USES and 5-gallon (19L)pails and 55-gallon (208 L)drums. The coating material has a shelf life of 12 months when stored Icynene LD-C-50is used to provide thermal insulation in in factory-sealed containers at temperatures between 40'F buildings and ttoo s seal areas such as plumbing and wiring (Q 4�C)and SO°F(32.2°G). ;,.enetrations against air infiltration. in Types I. II. III. IV and ype V construction (IBC) and dwellings under the IRC. 3.5.2 DC 315: DC 315 intumescent coating is a water based�,e Icynene Insulation System may be used in fire based coating supplied in 5 gallon (19L) pads and r..sistance-rated construction when installed in accordance 55-gallon (208L) drums_ The coating material has a shelf :::if: Section 4.5 and in Types I through IV construction life of 24 months when stored in factory-sealed containers t n installed in accordance with Section 4.6. at temperatures between 41°F(5°C)and 95°F(35°C). 'Revised March 2012 i, : n '{etarrrxor:tt,>intherrnr.tn„+t.r. -rnrg.t.•rhrlr.-. r tni,w.J,rarn,n, a.r.•prrrja'alltarl6..- t.to-rurtlrtl..h.,;nsn'o,d =`��. `� ]illi. rr.u.r n.., ,n:.- ,krta,a J,�t rn a�.. lltur r..r.,,s,,.rnrrrr,lq 11'1'I raln.tlrae Jcnrr.•./l.t ..yr..:.or mtjalr.rl ar gt_ ..,. <:i,,,:.,,„drrr ural!:r iu tGir njm,rr.<!r an..n;,1•n>lr+,.t ar.s..•rrJ by rttr rr�arrr - • '� __ he 2012 Page 1 of 5 ESR-1826 I Most Widely Accepted and Trusted Page 2 of b 4.0 INSTALLATION consistent with the requirements for the type of 4.1 General: construction required by the applicable code and must be installed in a manner so that the foam plastic insulation is The manufacturer's published installation instructions and not exposed. The insulation may be installed in unvented this report must be strictly adhered to and a copy of these attics in accordance with the 2009 IRC Section R806A or instructions and this evaluation report must be available on 2012 IRC Section R806.5,as applicable. the)obsite at all times during installation. 4.4.2 Application without a Prescriptive Ignition 4.2 Application: Barrier: Where Icynene LD-C-50 foam plastic insulation is Icynene LD-C-50TH foam plastic insulation must be applied installed in an attic or crawl space without a prescriptive using spray equipment specified by Icynene. Inc. The ignition barrier, in accordance with Sections 4.4.2.1. insulation must not be used in areas which have a 4.4.2.2 and 4.4.3,the following conditions apply: maximum service temperature greater than 1800F (820C). 1. Entry to the attic or crawl space is only for the service The foam plastic insulation must not be used in electrical of utilities and no storage is permitted. outlet or junction boxes or in contact with rain or water,and 2 There are no interconnected attic, crawl space or must be protected from the weather during and after application. Where the insulation is used as air- basement areas, impermeable insulation, such as in unventilated attic 3. Air in the attic or crawl space is not circulated to other spaces regulated by IRC Section R806.the insulation must parts of the building. be installed at a minimum thickness of 3.5 inches(89 mm). The insulation can be installed in one pass to the 4. Combustion air is provided in accordance with IMC maximum thickness. Where multiple passes are required, Section 701. the cure time between passes is negligible. 5. Attic ventilation is provided when required by IBC 4.3 Thermal Barrier: Section 1203.2 or IRC Section R806, or as required, except when air-impermeable insulation is permitted in 4.3.1 Application with a Prescriptive Thermal Barrier: unvented attics in accordance with Section 8806.4 of Icynene LD-C-501"' foam plastic insulation must be the 2009 IRC or Section R806.5 of the 2012 IRC, separated from the interior of the building by an approved thermal barrier, such as '/2-inch (12.7 mm) gypsum 6 Under-floor(crawl space)ventilation is provided when wallboard installed using mechanical fasteners in required by IBC Section 1203.3 or IRC Section accordance with the applicable code. or an equivalent R408.1,as applicable. 15-minute thermal barrier complying with the applicable 4.4.2.1 Attics: In attics Icynene LD-C-50T''' foam plastic code. When installation is within an attic or crawl space as insulation may be spray-applied to the underside of the described in Section 4.4; a thermal barrier is not required roof sheathing and/or rafters, as described in this section. between the foam plastic and the attic or crawl space, but The thickness of the foam plastic applied to the underside is required between the foam and the interior of the of the roof sheathing must not exceed 14 inches(356 mm). building. Thicknesses of up to 71/2 inches (190.5 mm) for The thickness of the spray foam insulation applied wall cavities and 102 inches(292 mm) for ceiling cavities to vertical wall surfaces must not exceed 5.5 inches are recognized based on room corner fire testing in (140 mm). The insulation must be covered on all surfaces accordance with NFPA 286, when covered with minimum with one of the coatings described in Section 3.5. The t,•-inch-thick (13 mm)gypsum board or equivalent thermal coating must be applied over the insulation in accordance barrier complying with, the applicable code. with the coating manufacturer's instructions and this report 4.3.2 Application without a Prescriptive Thermal Surfaces to be coated must be dry, clean, and free of dirt, Barrier or ignition Barrier: The prescriptive 15-minute loose debris and other substances that could interfere.with -hermal barrier or ignition barrier may be omitted when adhesion of the coating The coating is applied in one coat installation is in accordance with this section. The with low-pressure airless spray equipment. The coating insulation and coating may be spray-applied to the interior must be applied to a thickness as follows: facing of walls, the underside or roof sheathing of roof ■ No Burn Plus XD at a minimum dry film thickness of ,afters, and in crawl spaces. and may be left exposed as 4 mils(6 wet mils)at 270 ft2 per gallon. an interior finish without a prescribed 15-minute thermal banier or ignition barrier. The thickness of the foam plastic • DC 315 at a minimum dry film thickness of 3 mils(4 wet z�nlied to the underside of the roof sheathing must not mils)at 400 ft2 per gallon. R'xceed 14 inches (356 mm). The thickness of the spray The coatings must be- applied when amhient and `:oam insulation applied to vertical wall surfaces must not substrate temperature is at least 60°F (16°C)and no more exceed 6 inches (152 mm). The foam plastic must be than 95°F(35°C).All other surfaces(including glass)must covered on all surfaces with DC 315 coating at a minimum to protected against damage from the coating. The tr tckness of 13 dry mils, 20 wet mils. 80 ft`'per gallon.The insulation may be installed in unvented attics when the coating must be applied over the insulation in accordance foam plastic is applied at a minimum thicknesses of 3.5 v ih the coating manufacturer's instructions and this report. inches(89 mm)as described in this section in accordance Surfaces to be coated must be dry. clean, and free of dirt. with the 2009 IRC Section R806.4 or Section 8806.5 of the ir,•c;se debris and other substances that could interfere with 2012 IRC_ a.:ilesion of the coating. The coating is applied in one coat LD-C- low-pressure airless spray equipment. 4.4.2.2 Crawl Spaces: In crawl spaces, Icynene LQ-C- Attics and Crawl Spaces: 50 insulation may be spray-applied to vertical walls and the 4.4 underside of floors, as described in this section. The .1-4.1 Application with a Prescriptive Ignition Barrier: thickness of the foam plastic applied to the underside of V,:nen Icynene LD-C-507'" foam plastic insulation installed the floors must not exceed 14 inches (356 mm). The •roi:hin attics where entry is made only for service of utilities, thickness of the spray foam insulation applied to vertical an ignition barrier must be installed in accordance with IBC wall surfaces must not exceed 31/2 inches (88.9 mm). The S,ction 2603.4.1.6 and IRC Sections R316.5.3 and foam plastic does not require an ignition barrier or a k,-:,16.54 as applicable. The ignition barrier must be coating. ESR-1826 I Most Widely Accepted and Trusted Page 3 of 5 4.4.3 Use on Attic Floors: When used on attic floors, center. Additional fasteners must be installed along the Icynene LD-C-50TU foam plastic insulation may be installed butt joints of the second layer, securing the two layers at a maximum thickness of 11'12 inches(292 mm)between together. These fasteners must be 1'/2-inch-long (38 mm), joists in attic floors. The insulation must be separated from Type G drywall screws placed 2 inches(51 mm)back from the interior of the building by an approved thermal barrier. each end of the butt joint and spaced 12 inches (305 mm) The ignition barrier. coatings specified in in Section 4.4,2.1 on center. The wallboard joints on the exposed side must and in accordance with IBC Section 2603.4.1.6 and IRC be treated with paper tape embedded in joint compound Section R316.5.3 may be omitted. and topped with an added coat of compound, and the 4.5 One-hour Fire-resistance-rated Assemblies: fastener heads must be coated with joint compound in accordance with ASTM C840 or GA-216. 4.5.1 Assembly 1 (Limited Load-bearing Wood Stud Wail): Minimum nominally 2-by-4 [1`1; by 31/2 inches 4.5.4 Assembly 4 (Non-loadbearing Steel Stud Wall): (38 mm by 89 mm)]southern pine(G =0.55). No. 2 grade Nominally 6-inch-deep (152.4 mm), No. 18 gage. studs spaced 16 inches (406 mm) on center with a base galvanized steel studs spaced 16 inches (406.4 mm) on layer of '/2-inch-thick (12.7 mm) wood fiber sound board center. are friction-fit into No. 18 gage galvanized steel installed horizontally on each face with vertical joints floor and ceiling track with a layer of `IE-inch-thick located over the studs,attached with 6d box nails,2 inches (15.9 mm),Type X gypsum board applied to the interior (51 mm) long and spaced 24 inches (610 mm) on center side with the long edge parallel to steel studs and secured along the studs. and a second layer of 518-inch-thick using No. 6, 11/4-inch-long (31.7 mm), self- drilling drywall (15.9 mm)Type X gypsum wallboard installed vertically on screws spaced 8 inches (203 mm) on center around the each face, attached with 8d box nails, 2'/2 inches(64 mm) perimeter and 12 inches (305 mm) on center in the field. long and spaced 7 inches (178 mm) on center along the The gypsum board joints must be treated with vinyl or studs. The stud cavity contains Icynene insulation casein. dry or premixed joint compound applied in two nominally 2 inches(51 mm)thick. coats to cover all exposed screw heads and gypsum board Axial loads applied to the waft assembly must be limited butt joints, and a minimum 2-inch-wide (51 mm) paper, PP Y plastic, or fiberglass tape embedded in the first layer of to the least of the following: compound over butt joints of the gypsum board. The stud rr 1.805 pounds(8029 N)per stud. cavity is filled with Icynene insulation up to 6 inches s Design stress of 0.78 F'c J152 mm) thick. DensGlass' Gold Exterior Sheathing. /2 inch (12.7 mm) thick, is installed parallel to steel studs e Design stress of 0.78 Pc at a maximum Idd of 33. with vertical joints offset a minimum of 16 inches 406 mm) 4.5.2 Assembly 2 (Limited Load-bearing Wood Stud from the vertical joints of the gypsum board and the Wall): Minimum nominally 2-by-4 [11/2 by 3'/;, inches horizontal joints offset a minimum of 24 inches (610 mm) (38 mm by 89 mm)]southern pine(G=0.55), No. 2 grade from the horizontal joints of the gypsum board. The studs spaced 16 inches (406 mm) on center with two sheathing is attached using No. 6. 1114-inch-long layers of 1/2-inch-thick (12.7 mm) Type X gypsum (31.7 mm), self-drilling drywall screws spaced 8 inches wallboard installed vertically with joints staggered on each (203 mm) on center around the perimeter and in the field, face. attached with 8d box nails. 2'12 inches (64 mm) long Hohmann & Barnard DW-10 brick ties, 6 inches(152 mm) and spaced 7 inches (178 mm) on center along the studs long by 1'12-inches (38 mm) wide, are spaced 16 inches for the face layer and 6d cement coated box nails,2 inches (406.4 mm) on center vertically on each steel stud, and (51 min) long and spaced 24 inches (610 mm) on center secured, using two 1518-inch-long (41.3 mm) self-drilling along the studs. The stud cavity contains Icynene screws,through 4-inch(102 mm)red clay brick 13'/?inches insulation nominally 2 inches(51 mm)thick. (88.9 mm) by 2'14 inches (57.1 mm) by 7'/4 inches (197 Axial loads applied to the wall assembly must be limited mm)] laid in a running bond pattern with Type S mortar, to the least of the following: leaving a nominally 1-inch(25.4 mm)air gap between the brick and the exterior sheathing. r: 1,805 pounds(8029 N)per stud. Optional: It is permitted to add code-complying, e Design stress of 0.78 F'c. expanded polystyrene (EPS), extruded polystyrene(XPS). Design stress of 0.78 Pc at a maximum I./d of 33 foil-faced, rigid polyurethane board stock or polyurethane 4.5.3 Assembly 3 (Floor/Ceiling): Minimum nominally spray foam on the exterior of the wall (between the 2-5y-10 [1'12 by 9'/4 inches (38 mm by 235 mm)] Douglas DensGlass Gold sheathed wall and the brick), while f;r. No 2.grade wood joists spaced 24 inches(610 mm)on maintaining the 1-inch (25.4 mm)air space. The length of center with minimum 1-by-3[314 by 2'1:, inches{19.1 by 64 the brick ties must be increased to account for the spruce bridging at mid-span. Floor decking must be thickness of the insulation. NIMMum '/2-inch-thick (12.7 mm) exterior grade plywood 4.6 Exterior Walls in Type 1,Il. 111 and IV Construction: stalled perpendicular to joists and fastened with 2-inch- 4.6.1 General:When used on exterior walls of Types 1.11, sono(51 mm)ring shank nails 6 inches(152 mm)on center III or IV construction, the assembly must comply with IBC �'t file joints and 12 inches (305 mm) on center at the Section 2603.5 and this section, and the LD-C-50 in°,errnediate joists. Plywood joints must occur over joists. insulation must be installed at a maximum thickness of i=:;,nene insulation must be applied to the underside of the 6 inches(152 mm). The potential heat of Icynene LD-C-50 riywood deck between the joists to a depth of 5 inches insulation is 494 Btu/ft2 (5.6 MJ/m')per inch of thickness. <?mm) Two layers of minimum 515-inch-thick(15.9 mm), when testing is in accordance with NFPA 259. .oe X gypsum wallboard must be attached perpendicular :c, the joists on the ceiling side of the assembly. The first 4.6.2 Exterior Face: Nominally 6-inch-deep (152 mm), ipyer roust be attached with 1114-inch-long (32 mm). Type No. 18 gage, galvanized steel studs spaced 16 inches Vv drywall screws, spaced 24 inches (610 mm) on center_ (406 mm) on center, are fastened to No. 18 gage, f;a second layer must be applied perpendicular to the galvanized steel floor and ceiling track using No. 8, icists. offset 24 inches (610 mm)from the base layer. The /s-inch-long (22.2 mm , self-tapping pan head framing second layer must be attached with 2-inch-long (51 mm). screws. GP DensGlass�' Gold Exterior Sheathing, 12 inch T,pe S drywall screws spaced 12 inches (305 mm) on (12.7 mm) thick, is installed over the exterior side of steel ESR-1826 1 Most Widely Accepted and Trusted Page 4 of 5 studs with the long and perpendicular to the steel studs, 6.0 EVIDENCE SUBMITTED using No. 6, Type S, 04-inch (31.7 mm), self-tapping 6.1 Data in accordance with the ICC-ES Acceptance bugle head screws spaced 8 inches (203 mm) on center Criteria for Spray-applied Foam Plastic Insulation around the perimeter and in the field. The stud cavity is (AC377), dated June 2011, including reports of tests filled with Icynene insulation to a nominal thickness of in accordance with Appendix X (Section 4.4.2.1) and 6 inches(152 mm). Appendix C(Section 4.4.2.2). 4.6.3 Interior Face: Type X gypsum board, /e inches 6.2 Test report on air leakage rate in accordance with (15.9 mm) thick, is installed with the long dimension ASTM E283. perpendicular to steel studs with No. 6, Type S, 1 14 inch- long (31.7 mm), self-tapping, bugle head screws spaced 8 6.3 Reports of room corner fire testing in accordance with inches(203 mm)on center around the perimeter and in the NFPA 286. field.The gypsum board joints must be treated with vinyl or 6.4 Test reports in accordance with ASTM El 19 casein, dry or premixed joint compound applied in two 6.5 Test report in accordance with NFPA 285, and related coats to cover all exposed screw heads and gypsum board engineering analysis. butt joints, and a minimum 2-inch-wide (51 mm) paper, plastic. or fiberglass tape embedded in the first layer of 6.6 Reports of tests in accordance with NFPA 259. compound over butt joints of the gypsum board. 6.7 Reports of fire tests in accordance with ASTM E970. 4.6.4 Exterior Wall Covering: Details of the exterior wall 7.0 IDENTIFICATION covering must be provided to the code official by the report T,, holder, designer or specifier, with an engineering analysis All packages and containers of Icynene LD-C-50 must demonstrating that(1)the exterior wall covering conforms be labeled with the Icynene, Inc.. name and address; the to ASTM E136 and (2)the addition of the wail covering to product name; the flame spread index and the smoke- the assembly described in this section does not negatively developed index; the shelf life expiration date; the label of affect conformance of the assembly with the requirements the inspection agency (Intertek Testing Services): and the of IBC Section 2603.5. evaluation report number(ESR-1826). 5.0 CONDITIONS OF USE Intumescent coatings are identified with the manufacturer's name and address,the product trade name The Icynene LD-C-50TM spray-applied polyurethane foam and use instructions. plastic insulation described in this report complies with, or 8.0 OTHER CODES is a suitable alternative to what is specified in,those codes listed in Section 1.0 of this report. subject to the following 8.1 Scope: conditions: In addition to the codes referenced in Section 1.0. the 5.1 This evaluation report and the manufacturer's products recognized in this report were evaluated for published installation instructions, when required by compliance with the requirements of the fallowing codes: the code official, must be submitted at the time of ■ 2006 lnternational Building Code(2006 IBC) permit application. ■ 2006 International Residential Codee'(2006 IRC) 5.2 The insulation must be installed in accordance with the manufacturer's published installation instructions, ■ 2006 international EnorrJy Conservation Code (2006 this evaluation report and the applicable code. If there IECC) is a conflict between the installation instructions and 8.2 Uses: this report,this report governs. The products comply with the above-mentioned codes as 5.3 The insulation must be separated from the interior of described in Sections 2.0 to 7.0 of this report. with the the building by an approved 15-minute thermal revisions noted below. barrier, except when installation is as described in a Application with a Prescriptive ignition Barrier: See Section 4.3.2 or in attics and crawl spaces as Section 4.4.1, except attics must be vented in described in Section 4.4.2 and 4.4.3 accordance with 2006 IBC Section 1203.2 and crawl 5.4 The insulation must not exceed the thickness and space ventilation must be in accordance with 2006 IBC density noted in Sections 3.2.4.3, 4.4. 4 5 and 4.6. Section 1203.3, as applicable. Additionally. an ignition 5.5 The insulation must be protected from the weather barrier must be installed in accordance with 2006 IRC during and after application. Section R314.5.3 or R314.5.4,as applicable. 5.6 The insulation must be applied by licensed dealers ir Application without a Prescriptive Ignition Barrier: and installers certified by Icynene. Inc. See Section 4.4.2, except attics must be vented in accordance with Section 1203.2 of the 2006 IBC or 5.7 Use of the insulation in areas where the probability of Section R806 of the 2006 IRC. and crawl space termite infestation is -very heavymust be in ventilation must be in accordance with Section 1203.3 of accordance with IRC Section 8318.4 or IBC Section the 2006 IBC or Section R408 of the 2006 IRC, as 2603.8. as applicable. applicable. Jobsite certification and labeling of the inswation must a Jobsite Certification and Labeling: See Section 5.8, comply with IRC Sections N1101.4 and N1101 4 1 except jobsite certification and labeling must comply and IECC Sections 303 1 1 and 3031 2. as with Sections 102.1.1 and 102.1.11, as applicable of applicable the 2006 IECC. :.5 r Protection Against Termites' See Section 5.7. except A vapor retarder must be installed in accordance with the applicable code. use of the insulation in areas where the probability of 5.10 Icynene LD-C-50 foam plastic insulation is termite infestation is "very heavy' must be in manufactured in Mississauga. Ontario, Canada under accordance with Section R320.5 of the 2006 IRC. a quality control program with inspections by Intertek Testing Services(AA-691). 3 r ESR-1826 i Most Widely Accepted and Trusted Page 5 of 5 TABLE 1—THERMAL RESISTANCE(R-VALUES) THICKNESS(inches) R-VALUE(°F•ft'.h/Btu) 1 3.7 2 7 3 11 3.5 13 4 14 5 18 5.5 20 6 22 7 25 7.5 27 8 29 9 32 9.5 34 10 36 11.5 41 14 50 For SI:1 inch=25.4 mm,1°F•ft`'•h/Btu=0.176 110`K•m2AN. 'R-values are calculated based on tested K values at 1-and 3.5-inch thicknesses. ' _,s.,n,.'.a m#�t'•.:*""•v'R,AlnnO�.?•.,.ate. FILE Technical Data Sheet Copy F"�, r Nn-Burn" Plus X0 1392 High Product Description: No-Burn'Plus XO,developed specifically for spray polyurethane foam(SPF) Wadsworth,Ohio 44281 barrier requirements, is an intumescent, latex based coating that acts as a shield protecting the sub- strate from the exposure or propagation of flame by surrounding the treated material with a protective Phone; 11 ' t 577 char-barrier. No-Bump Plus XD is supplied in 5-gallon (19 L)pails and 55-gallon(208 L)drums. Fax:339-336-5800 Surface Preparation: Prior to the application of No- No-Burn' Plus XD should be mixed with a Email:infa4noburn.conn Bum^'Plus XD.the surface roust be free from all depos- Squirrel" 5 gallon power mixing wand or , r 1 , its, including dust,dirt,oil, paint Flakes scales, wax, etc. equivalent at or between 500-1500 RPM for a for the product to adhere properly to the substrate. No- mixing time of 5 minutes per pail. «�c Burn'`Plus XD should be at or above 40`F.prior to and during application. The substrate to be treated should "Shaking No-Burn`' Plus XD with a paint be at or above 40' F. prior to and during application. shaker,is NOT sufficient. N.oisture content of the substrate must not exceed 19 It No-Bum'' Plus XD is mixed more than 24 percent during the application of No-Burn`'Plus XD. - hours prior to use, mix it again according to pjt`t f'rnriuct Preparation: No-Burn'`'Plus XD should never the manufacturer's instructions. No-Burn` �W!!=ilk be allowed to freeze(32' F), should be stored between Plus XD may be tinted al a maximum rate of 2 40° F and 90' F, and should be kept out of direct oz.of lint per gallon. sunlight. If you cannot verify that these conditions have Application: When using an airless sprayer, it is com- been maintained, the product may need to be disposed monly recommended that the spray equipment be capa- of in accordance with the manufacturer's MSDS. Use ble of producing a minimum of 3.300 ps.i. of pressure the product as is: DO NOT DILUTE. Acquire recom and that it can accommodate the recommended tip mended mixing and application equipment per the orifice sizes of .025 - -031. Removal of filter is recom- manufacturers Technical Data Sheet andlor product mended from both the spray gun and the pump to allow label.Call No-Burn,Inc.for more information. for the passage of solid content The most common tip for applying No-Burn' Plus XD over spray foam or Equipment)Spraying: Primary method of application is similar applications is 527,but variations in spray pat- an airless electronic sprayer. Other methods of applica- lern width and tip size may be required depending on the tion include roller or brush. Manufacturers and models surface area and the substrate to which the product is of airless spray equipment vary. Examples of applicable being applied. equipment follow: "yam•. blear a certified respirator and protective eyewear when r.'ax PSI AA0x 0.10.1 rAY?I►iltl. a ..- ^.c Poo 9+a-6310.ro applying Plus XD. Refer to the MSDS for more .•.a:Jaa t 164' :;6C 1 lgpe 1 pe..g33a 10 information. n4 Ytl 1 tsts 3300 1 YSpq 1*ll-A37 a-sp • ICC-ES Report WAIN list 01tuoir/0e1 Lux Tip y•11sE:. y #I$Zfi 330 032A to • ICC-ES Report For more itilarindtion.please 1146&MC. 33:9 129M 1 gun,034 n 10 '} #1177 , ' Corporate Office I{00 epos 3310 1.3q01a 1 quo-039 A.to �. • ICC-ES Report 'lf #7600 ,. RM11arM st aw b rtearn•na04 I-on b01-tre Way oui aro bra quer010 610W far 1110 4 w,o w raw V l psugeorrareetaent I I • ICC-ES Report w.r rr,oftFet.7~s. „ra,.�,:1�z}��, I #7940 s sgrryerham woItwmnMototoM*0Aid*arararp arrq« • IMES Report #3034 Limited Warranty Information: • Corerage rale No-Burn,Incorporated warrants that the No-Burrio formula will be manufactured Mixing: No-Burn"Plus XD has a high solids content that 53-300 square feel per to the same specifications and quality, must be suspended evenly throughout the nixing proc- i:.-__-_ gallon (reference and will perform equally to the tests relevant(hire party test performed by the independent laborato- ess,and it must be thoroughly mixed before use in reports). ries when properly applied by a certified . accordance with the manufacturer's recommendations. No-Burn applicator. warranty coverage is limited solely to the cost of product purchased hereunder and specifically excludes incidental expenses and conse- quential damages.All implied warranties from No-Burn¢ incorporated are ex- cluded. There may be situations and materials for which No-Burn" products will not prevent a fire from igniting or retard the progress of a fire. No-Bunn'is a registered trademark of No-Burn,Incorporated. Technical Data Sheet NiAurn`' Plus XD 1392 High Street,Suite 211 Wadsworth,Ohio 44281 No-Burn` Plus XD should be at or above 40` F, prior to and during application. The substrate to be treated Phone;809-989-8577 should be at or above 40'F.prior to and during applica- 1 11 tion. Moisture content of the substrate must not exceed infoJ_nCbLrn.cam 19 percent during the application of No-Bump Plus XD. •r:www.noburn.rom The surface must be free from all deposits,including dust, dirt, oil, paint flakes scales, wax, etc. for the product to adhere properly to the substrate. Refer to appropriate mixing instructions utilizing the recommended application equipment. Overcoats need to be water-based with a pH of 7-8- Prior to the use of any overcoat, it is recom- mended that an inconspicuous area be tested for com- patibility before widespread application. Compatibility may be noted as the overall satisfactory condition of the substrate once No-Burn"Plus XD and an overcoat have been applied. Dry Time Typically between 60 to 90 minutes.depend- ing on the ambient temperature and relative humidity conditions. Allow No-Burn` Plus XD to dry completely between coats, if more than one coat is required, or be- fore the addition of a::eater-based top coat. Clean-up a Storage. Soap and water Store at or be- tween 40' F and 90° F. and keep out of direct sunlight. Do NOT allow product to freeze. Dispose of remaining product per manufacturers MSDS. To recycle pails visit. httn:r+www wbda.org!(oolsrcwm.php. Fur more informatioN please contact: _ No-Burn,Inc.'s Corporate 1 ffice Typical Physical Properties 800-989-8577 Pius XD: Color: fipaq lelWhile or as specified VOC. Is g/l EPA Method 24 iced Warranty Information Specific Gravity: 1,25 No-Burn Incorporated warrants that the No-Burn formula will be manufactured linihig poi,A: 212F to the same specifications and quality. fraering Point: 32F and will perform equally to the tests performed by the independent laborato- %Vedatils by Volume: 454 ries when properly applied by a certified 1I35h Point: ll/Av No-Burn$applicator. Warranty coverage is limited solely to the cost of product Clean-up: $oajand water purchased hereunder and specifically Cure time: 24 hours excludes incidental expenses and conse- quential damages.All implied warranties from No-Burn, Incorporated are ex_ Drums: 55 gallons,6115 lbs eluded. There may be situations and materials for which No-Burnt products Pails: 5 gailnns.55lbs will not prevent a fire from igniting or retard the progress of a fire. No-Born`is a registered trademark of No-Burn.Incorporaled. it«IrYlwf'tNilt4,E'f311M{Y.N1 Cw'•Y!tMW&Rm„ ,A 24 Y " VrooFLE I f � VA Flo/a I �Afr J c cit Lo TT 6 i i 16Ss�' I 116 � sb� �� b s�rG << ^� y b b mO O m .ti pr � p �D 00 v O, to ? W N • . C QAQ 'Q Irp y c (D' y d G 0. c a- :3do CL CD O ego UQ07d 0 `a o o` = GQ C a$ o w �! CD cn 0 CD a p CD C7 . Q- CD N a .4 09 LP 's w a- OC o SCD m .� m fl oM. 0 e a- � n• � z ITI c O CCD N rj CD oCDCD CD O ja.O Y O .0 q � o C) � z mCD 0rb b n -- 5fD o' P ° n � cr ° x A a Aw < a oe..�. 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CD W Ly Cit of Atlantic Beach RECEIVED i [F(Tobe PLICATION NUMBER ,S- fig,•. y gnedby the Building DepartmentBuilding Department 800 Seminole Road JAN 13 2014 I Atlantic Beach, Florida 32233-5 45 Phone(904)247-5826 • Fax( �) 47-5845 Date routed: j O O,tly'� E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM can I31 V� , artment review re uired Yes No Property Address: Buildin G S Fining Zonin r Applicant: I' u�u � Tree Adminis or >ul l�l�� T l �s orks Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP ICA ION STATUS Reviewing Department First Review: p v d. ❑Denied. (Circle one.) Comments: BUILDING Date: PLANNING &ZONING Reviewed by: TRE IN. Second Review: ❑Approved as revised. []Denied. O S omments: P BLIC UTI TIES P L AF T Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments. Reviewed by: Date-.- Revised 05/14/09 Em MBER City of Atlantic Beach ng Department.) Building Department 2� 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM LA 2� OC, Cain R lvd_ D rtment review re uired Yes No Property Address: Buildi '1 I 1-�-i ri sl` L [400 n oning Applicant: w. Tree n.P>�-1/�6W�I � �3Q��.�� Public Work Project: i� . � Public Utili ie Public bafety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. Denied. (Circle one.) Comments: ILDIN Date: PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: Date: PUBLIC SAFETY FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 s• �'r City of Atlantic Beach ME UMBER + lding Department.) Building Department �t ,800 Seminole Road 4_Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 x,�J1 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM `1 1 Z� OJV6( . $FireServicres7 t review re uired Yes No Property Address: �-i oning Applicant: istrator I � Project: I� tJ�IJ�-v' ublic or ties ty es Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: A;pproved. ICA STATUS Denied. FOI Reviewing Department First Review: (Circle one.) Comments: BUILDING Date: � PLANNING &ZONING Reviewed b TREE ADMIN. roved as revised. ❑De d. Second Review: ❑ApP PUBLIC WORKS Comments: PUBLIC UTILITIES Date: Reviewed by: PUBLIC SAFETY FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Date: Reviewed by: Revised 05/14/09 CITY OF ATLANTIC BEACH r j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 � INSPECTION PHONE LINE 247-5814 Ji31�� Application Number . . . . . 14-00000024 Date 2/20/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120200 ---------------------------------------------------------------------------- Application desc REMODEL AND ROOM ADDITION ON 3 SIDES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOSEPH WILLIAM LEE ET AL FUTURISTIC HOMES, INC. 2633 CLARA RD 13694 BETTY DR JACKSONVILLE FL 322165354 QA SAMUEL JEFFREY FLOYD JACKSONVILLE FL 32224 (904) 710-4806 --- Structure Information 000 000 REMODEL AND ADDITIONS Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc O/H TO UNDERGROUND Sub Contractor SEASIDE ELECTRICAL CONTRACTORS Permit Fee . . . . 155 . 80 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/19/14 ---------------------------------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS -----------------------------------------------7-----ip � Y'PA -fr------------------------- PERMIT IQtA �Vfte&&Y IN ACCORDANCE WITH ALL CITT'PAP� kEFWA?9-%R"mo)gINt'L�S ggTHE FLORIA- 34 BUILDING CODES. r !sem CITY OF ATLANTIC BEACH J s} 800 SEMINOLE ROAD N a ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number . . . . . 14-00000024 Date 2/20/14 ----- ----------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2 . 34 ----------------------------------- Fee summary Charged Paid Credited Due ---- ---------- ---------- ---------- ---------- Permit Fee Total 155 . 80 155 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 68 4 . 68 . 00 . 00 Grand Total 160 .48 160 . 48 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 f Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: / ! /2-� C e p9 "J (J L OD . PERMIT# A Z JEA INFORMATION REQUIRED ON ALL PERMITS 2C.-?c ' AMPS qU VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole []Residential (Main) Service 00-100 amps ❑101-150amps C-200amps C #of Meters []Commercial(Main) Service 110-100 amps ❑101-150amps ❑151-200amps ❑ Conductor Type Size []Multi-Family(Main) Service 110-100 amps 1110 1-1 50amps C1-200amps ❑ #of Unit Meters El Temporary Pole ❑ amps SERVICE UPGRADE [ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑ ❑ ❑ ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps / 31-100amps 101-200amps Appliances: `3 0-30amps 31-100amps 101-200amps A/C Circuits: 2 0-60amps 61-100amps Heat Circuits: 2 # circuits @ S kw Number of Lighting Outlets, Including Fixtures: q OTHER ELECTRICAL PROJECTS hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS SQA C S+ a •.. U�/f El C Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name _�,=�T r'.. e- Phone Number Electrical Company S2.or5 �7c m it curl C�%-J% Office Phone ��`1 0 S-3' Fax l `�2' 3�/q Co.Address: l 2 6 2y - ') 1(3,t� /✓e�. ti 2 City fk-l�r� �,t 4 State f--L Zip �2`Z Y b License Holder(Print): C(,A21< 6��S� State Certification/Registration# 4e l 3013 S7 0 Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �JF3` �• Application Number . . . 14-00000024 Date 3/11/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120200 -------------------------------------------------------------- Application desc REMODEL AND ROOM ADDITION ON 3 SIDES ---------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JOSEPH WILLIAM LEE ET AL FUTURISTIC HOMES, INC. 2633 CLARA RD 13694 BETTY DR JACKSONVILLE FL 322165354 QA SAMUEL JEFFREY FLOYD JACKSONVILLE FL 32224 (904) 710-4806 --- Structure Information 000 000 REMODEL AND ADDITIONS Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Sub Contractor . . FLORIDA PROPANE PARTNERS Permit Fee . . . . 85 . 00 Plan Check Fee 00 Issue Date Valuation . . . . 0 Expiration Date . . 9/07/14 -------------------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS _______ __ __ ___ ----------- PERMIT 1Qtkh=V�&G.Y IN ACCORDANCE WITH ALL CITY�f''l�AkWWEAl'iI-%RPIAR4`'�qg THE FLORID' 0 0 BUILDING CODES. . S!r1r`lr 'f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD N� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JJ31� Page 2 Application Number . . . . . 14-00000024 Date 3/11/14 ------------------------------------------------------------------ Other Fees . . . . . . . . . STATE MECH DBPR SURCHARGE 2 . 00 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 oB ADDRESS: / V (-)C& �31 V D PERMIT# ,� PROJECT VALUE $ k50 '0 ARI# REQUIRED _Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) IRE PLACES MISCELLANEOUS: &a ca e lace ty Automobile Lifts asPiping Outlets , Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells a )THER: ry ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read its application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or ot. The permit does not give authority to violate the provisions of an other state or local law regulation construction or the performance of construction. 'roperty Owners Name —{h Phone Number Mechanical Company � T r© � � ffice Phone%)_ 1j,Fax 'o. Address: 6 �S C 1� City State Zip `1� \ � ,icense Holder(Print): , T� ' rtifi ation/Registration# 0 Jotarized Signature of License Holder Before me this day of 20 Signature of Notary Public t.S'1 \j j r f1 CITY OF ATLANTIC BEACH iJ 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number 14-00000024 Date 5/01/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120200 - --- - - -------- - -- -- -- -- -- ------ Application desc REMODEL AND ROOM ADDITION ON 3 SIDES -- - --------- ----------- - - ---------- --- -- -- -- -- -- --- - --- ----- ---- --- - -- -- --- Owner Contractor - -- - ---------- - - - - ----- ----- -- -- -- ---- --- --- -- -- JOSEPH WILLIAM LEE ET AL FUTURISTIC HOMES, INC. 2 13694 BETTY DR 633 CLARA RD JACKSONVILLE FL 322165354 QA SAMUEL JEFFREY FLOFL 32224 JACKSONVILLE (904) 710-4806 Structure Information 000 000 REMODEL AND ADDITIONS Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . ZONE X -------------- -- ------ ----- --- - Permit . . . . . . PLUMBING PERMIT Additional desc Sub Contractor AFFORDABLE PLUMBING COMPANY OF . 00 Permit Fee 90 . 00 Plan Check Fee . Valuation Issue Date Expiration Date . . 10/28/14 - --- -- - -- --- ---------- ------------ - -- ----- -- - - -- --- ---- ---- - - --- - - Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ----- . 00 PERMIT jSbk IMN'FjF-6SLt IN ACCORDANCE WITH ALL CI1-jS3jAgjr&� t� D1:.+�1�I ��Z� �`��THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number _-_-_-_-_- -14_00000024-------------Date---5/01/14 ------------------------ - Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00 ------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION f - 2, 4 CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: ���O n_(24 l/ / CY - / U PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washeri Shower Dishwasher T� Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet �- Hose Bibs Urinal Kitchen Sink _ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _ Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE Q7'y Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** ** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.'Y ❑ Other Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Ph�onneNumber n r,, 1 �Jb �� Office Phone AOg Plumbing Company ' Fax — Co. � A� Co. Address: i6S � -` City State ¢'i 4zip Pr-License Holder Print • D C s ` ate Certifi ation/Registration# LA Lice (Print): Notarized Signature o Lic r ` Notary Public State of Fionda B ore me this d 20 rley L Graham & MY'commission FF 086990 ' .` , ' Expires o2/1412018 S' nature of Notary Publ' at t"�yJv3 CITY OF ATLANTIC BEACH ss1 800 SEMINOLE ROAD ►} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000024 Date 5/19/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120200 ---------------------------------------------------------------------------- Application desc REMODEL AND ROOM ADDITION ON 3 SIDES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOSEPH WILLIAM LEE ET AL FUTURISTIC HOMES, INC. 2633 CLARA RD 13694 BETTY DR JACKSONVILLE FL 322165354 QA SAMUEL JEFFREY FLOYD JACKSONVILLE FL 32224 (904) 710-4806 --- Structure Information 000 000 REMODEL AND ADDITIONS Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc 3TONS, 36K BTUS Sub Contractor ISLAND HEATING AND AC Permit Fee . . 119 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/15/14 ------------------------------------------------------------------ Special Notes and Comments Roll off container company must be on City approved list and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle' s and Waste Management . ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------------------------------------- PERMIT QtbeMVF&®AiLY IN ACCORDANCE WITH NLL-CIT1SNiAAT EANEC-IAEP.�OAVIRq 1NPCIVA THE FLORt& 0 6 BUILDING CODES. r J�� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD +� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �.,r lilt Page 2 Application Number . . . . . 14-00000024 Date 5/19/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DBPR SURCHARGE 3 . 06 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 6 . 12 6 . 12 . 00 . 00 Grand Total 125 . 12 125 . 12 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 /� Ph(904) 247J-5826 Fax(904) 247-5845 or c� OB ADDRESS: I / �,� C PERMIT ?7u� � AR # 1tl �PROJECT VALUES 3 dG'5` REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity _ Tons Per Unit 3 lon. ,) 4<-i\ Heat: Unit Quantity a BTU's Per Unit _ J696 Seer Rating a Duct Systems: Total CFM _20fnt— REQUIRED tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty, Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators LLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells )THER: ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read tis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name F fl F 1n c Phone Number I t©- q$a(. 4echanical Company :Z_'VA[l)0 Q40A ea 4,,4 5e Office Phone 3-67 Fax 'o. Address: `7�( �Aci�4[l 4 city 171,1, State/ Zip_ ,icense Holder(Print): �c�n�l �a State Certification/Registration#6�0,SU6 691 Jotarized Signature of License Holder D.BMRELBefore me this_�day of 20 HEATHERK My coMk#SSK)N#EE 18%50 EXPIRES:April 11,2016 Signature of Notary Public Bonded Thru Notary Pubk Undenwitera CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J _ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 "JJ��J� Application Number . . . . . 14-00000862 Date 5/28/14 Property Address . . . . . . 1426 OCEAN BLVD Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc GAS PIPING ------------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- MATTHEWS, JOSEPH FLORIDA PROPANE PARTNERS 1426 OCEAN BLVD GRIFFIS GA ATLANTIC BEACH FL 32233 461 TRESCA RD JACKSONVILLE FL 32225 (904) 724-4343 ----------------------------------------------------------------- Permit MECHANICAL GAS PIPE PERMIT Additional desc . Permit Fee 140 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/24/14 ------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 10 STATE MECH DBPR SURCHARGE 2 . 10 ---------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 20 4 . 20 . 00 . 00 Grand Total 144 . 20 144 . 20 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-58266 Fax(9`04)247-5845 JOB ADDRESS: i� ��, cy ` Y D PERMrr# PROJECT VALUE S ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Seer Rating Heat: Unit Quantity BTU's Per Unit gREQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM FIRE PREVENTION a uires 3 sets of plans) Fire Sprinkler System Quantity 9 Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets �— Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets _ Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters _ Solar Collection Systems Tanks(gallons) Wells �. OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company fFice Phone o State Co. Address: City Zi License Holder(Print): i 1 State Gert # Notarized Signature of License Holde �NNIFERwAt.KER Before me this Z "day of ffy" 20 '�ti4.'•• `" MY COMMISSION Y FF 011480 :.: r,? EXPIRES:A p ll 2 U 2 ro Signature of Notary Public �� d1•F4o?:,` Banded TMu Notary